DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20221545
Published: 2022-05-27

Efficacy of intracanal biological and fiber posts in the rehabilitation of grossly mutilated primary incisors: a clinical study

Vedant Kansal, Vivek Rana, Nikhil Srivastava, Noopur Kaushik

Abstract


Background: The aim of this study was to assess the efficacy of conventional fiber posts with biological posts followed by strip crowns in the restoration of grossly mutilated primary anterior teeth.

Methods: A total number of 10 patients with 20 grossly mutilated primary anterior teeth were selected. After pulpectomy, samples were randomly divided into 2 groups, group I and II, post space was prepared in both the groups, followed by placing conventional fiber posts and biological posts in group I and group II respectively. Finally, samples in both the groups were then restored with strip crowns. Patients were recalled for follow up examination at 3, 6 and 9 months intervals by an independent operator who was blinded about the procedure to assess longevity, gingival health, color change of crowns and parents’ acceptability of restorations.

Results: After 9 months follow up period 100% of the biological posts survived while only 60% of the conventional fibre posts were able to survive (p>0.05). Only 20% of the cases in group I showed mild gingival inflammation around the post while no gingival inflammation was seen in group II. Non - significant results were found on comparing color change of crowns and parents acceptance at 6 months follow up.

Conclusions: Both conventional fiber post and biological proved to be clinically successful in terms of their survival, gingival health, parents’ acceptability and color stability of crowns. Biological restorations proved to be a viable alternative for the restoration of grossly mutilated primary anterior in terms of longevity, gingival health, parents’ acceptability and color change of crown.


Keywords


Biological restoration, Dental caries, Rehabilitation, Tooth bank, Intracanal post

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References


Brambilla E, Cagetti MG, Gagliani M, Fadini L, Garcia-Godoy F, Strohmenger L. Influence of different adhesive restorative materials on mutans streptococci colonization. Am J Dent. 2005;18(3):173.

Sanches K, Carvalho FK, Nelson-Filho P, Assed S, Silva FW, Queiroz AM. Biological restorations as a treatment option for primary molars with extensive coronal destruction: report of two cases. Braz Dent J. 2007;18(3):248-52.

Shanthi M, Thimma Reddy BV, Bahruddin, Sekhar S, Sothy R. Biological Restoration: A simple method for reconstruction of severely damaged primary anterior teeth. Dent J Malays. 2013;35(4):221.

Jain M, Singla S, Bhushan BA, Kumar S, Bhushan A. Esthetic rehabilitation of anterior primary teeth using polyethylene fiber with two different approaches. J Indian Soc Pedod Prev Dent. 2011:1;29(4):327-32.

Tavares AC, Goes WA, Paixo RF, Imparto JC. Reconstrucao de dente deciduo humano. Relato de Caso. Rev Faculdade Odontol FZL. 1992;4:113-7.

Das UK, Maiti N. Nature’s own alternative- Restoration with biological crowns. Int J Pediatr Dent. 2014;3(2):144-9.

Faria, MIA. Alves GE, Cristine MD, Filho S, Manoel J, Filho S, et al. Tensile Strength of Glass Fiber Posts Submitted to Different Surface Treatments. Braz Dent J. 2016;24(6):626-9.

Barcelos R, Neves AA, Primo L, Souza IPR. Biological restoration as an alternative treatment for primary posterior teeth. J Clin Pediatr Dent. 2003; 27(4):3015-10.

Dominici JT, Eleazer PD, Clark SJ, Staat RH, Scheetz JP. Disinfection/sterilization of extracted teeth for dental student use. J Dent Educ. 2001;65(11):1278-80.

Amarnath GS, Swetha MU, Muddugangadhar BC, Sonika R, Garg A, Rao TR. Effect of post material and length on fracture resistance of endodontically treated premolars: an in-vitro study. J Int Oral Health. 2015;7(7):22-8.

Mehra M, Grover R, Pandit IK, Srivastava N, Gugnani N, Gupta M. Management of grossly decayed primary anteriors using various intracanal post systems: A clinical study. J Indian Soc Pedod Prev Dent. 2016;34:199-203.

Aydinbelge M, Cantekin K, Herdem G, Simsek H, Percin D, Parkan OM. Changes in periodontal and microbial parameters. Niger J Clin Pract. 2017;20(9):1195-205.

Glendor U. Epidemiology of traumatic dental injuries: A 12 year review of the literature. Dent Traumatol. 2008;24:603-11.

Busato AL, Loguercio AD, Barbosa AN, Sanseverino Mdo C, Macedo RP, Baldissera RA. Biological restorations using tooth fragments. Am J Dent. 1998;11(1):46-9.

Mittal GK, Verma A, Pahuja H, Agarwal S, Tomar H. Esthetic crowns in pediatric dentistry: a review. Int J Contemp Med Res. 2016;3(5):1280-2.