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Feizi Ghader , Kaviani Naser , Mehrparvar Roza , Binandeh Elham Sadaat , Tabrizizadeh Mehdi , Saatchi Masoud ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: Postoperativee endodontic pain is an outstanding problem for dental patients. Therefore, a successful management of endodontic pain has become as one of the main dental objectives. The aim of the present study was to compare the postoperative endodontic pain in patients under general anesthesia versus local anesthesia.

  Materials and Methods: For conducting this clinical trial study, 50 patients having mandibular molars candidate for root canal therapy were selected. Twenty-five patients treated under general anesthesia because of their fear, anxiety or gag reflex. Other 25 patients treated under local anesthesia. All teeth were prepared using engine-driven rotary system in a crown-down technique and filled using lateral condensation technique. Heft- parker visual analog scale was used to measure the degree of pain at 6, 12, 24, and 48 hours after the treatment. Mann-Whitney, Chi-square, and T-tests were used to compare the intensity of postoperative pain between the groups.

  Results: The mean intensity of postoperative pain in local and general anesthesia groups at 6, 12 and 24 hours had statistically significant difference (P<0.05).

  Conclusion: Postoperative pain in patients who treated under general anesthesia was significantly less than the patients who treated under local anesthesia.


Sara Koosha, Ezatolah Jalalian,
Volume 28, Issue 3 (10-2015)
Abstract

Background and Aims: Preserving intact coronal and radicular tooth structure is considered to be crucial for the optimal biomechanical behavior of restored teeth .The ferrule effect has been extensively studied and still remains controversial from many perspectives. The purpose of this study was to summarize the results of different issues related to the ferrule effect and published in journals listed in Pub Med.

Materials and Methods: The search was conducted from 1985-2014 from Pub Med and scientific dentistry internal journals using the following key words: Ferrule, Ferrule effect, Literature review, Fracture resistance, Fatigue, Finite element analysis.

Results: The finding showed that the presence of 1.5-2 mm high and 1mm thickness ferrule had a positive effect on the fracture resistance of endodontically treated teeth.

Conclusion: The presence of ferrule effect is essential for successful endodontic treatment. If a ferrule can performed, the teeth will have poor prognosis for survival.


Nina Rahshenas, Mohammad Hasan Salari, Maryam Koukabi Salehi, Mahshad Mohebbi,
Volume 29, Issue 1 (7-2016)
Abstract

Background and Aims: Debonding at the cement-dentine interface is the main reason of failure in restoration of endodentically treated teeth with fiber posts. The aim of this study was to compare the effect of Starfill 2B danville and Panavia F2 kuraray cements on the retention of fiber posts to root canal dentin.

Materials and Methods: Twenty extracted mandibular premolar teeth which had single root canal were endodentically treated and decoronated. Teeth were randomly divided into 2 groups, (n=40). Fiber posts were cemented using 2 dual cure resin cements. Group A was cemented with Starfill 2B Danville and group B was cemented with Panavia F2 Kuraray. Each root was mounted in acrylic resin and then sliced in 2 parts. The retention strength of each specimen was determined using push-out test using a universal testing machine. Data was analyzed using T-test.

Results: The retentive strength for groups A and B were 48.16±12.11 and 61.44±9.16 MPa, respectively. There was significant difference in the retentive strength between group A and B (P<0.05).

Conclusion: It seems that type of cement had effect on the retention of fiber posts. Panavia F2 Kuraray resin cement significantly provided higher retention than that of Starfill 2B Danville cement.


Arash Zar Bakhsh, Ezzatollah Jalalian, Nilufar Rahimi, Shahrzad Sadr Haghighi,
Volume 29, Issue 1 (7-2016)
Abstract

Background and Aims: The zirconia coated FRC posts (Ice light) is the next generation of aesthetic posts , ice light features 70% fill of zirconia enriched, parallel glass fiber for exceptional strength. Its flexibility is close to dentine so stress is distributed. The aim of this study was to evaluate the effect of post type (FRC post and the zirconia coated FRC post) on the retention to the root canal wall.

Materials and Methods: 20 extracted human premolar teeth with 14 mm length were selected. After post space preparation, the teeth were randomly divided into two groups: Group1: the zirconia coated FRC post (Danville, USA) Group2: FRC post (RTD DT light post, France). All posts were cemented with a dual-cure resin cement (Panavia, Kuraray, Japan). All specimens were mount in acrylic cylinders, and the push-out test was done using a universal testing machine (Instron 5500 R, USA) at 1 mm/min speed. Data were analyzed using T-test.

Results: The retentive strengths were in coronal (75.27+14.81 MPa), in middle (64.38+15.29 MPa) and in apical (51.46+13.29 MPa) for the zirconia coated FRC post, and also were in Coronal (59.16+1.91 MPa), in middle (66.83+12.32 MPa) and in apical (67.88+17.47 MPa) for the FRC post. There was no significant difference in mean retentive strength between two groups in each region (P=0.07).

Conclusion: The FRC post and zirconia coated FRC post had similar retention to the root canal walls.


Marzieh Alikhasi, Amirreza Hendi,
Volume 30, Issue 4 (1-2018)
Abstract

Background and Aims: Loss of retention is one of the main reasons of failure in teeth restored with post and core. Several factors, including the type of cement can influence the retention of the posts. As zinc phosphate cement is considered as the standard for comparison this study performed to review articles evaluating the retention of cast posts cemented with zinc phosphate.
Materials and Methods: This systematic review was performed based on the PRISMA (Transparent Reporting of Systematic Reviews and Meta-analyses) guide. The question of this study was that how much is the amount of retention of cast posts cemented with zinc phosphate. Hence, a literature search was done in PubMed and Medline databases as well as Google scholar search engine using relevant keywords until 2016 limited to the English language. Articles were selected based on the inclusion and exclusion criteria, and were evaluated qualitatively.
Resultes: Internet search resulted in 1141 articles. Following the application of inclusion and exclusion criteria, 6 studies were included in this systematic review. The most common post material was nickel-chromium alloy. Retention of casting posts cemented by zinc phosphate was from 8.76 to 34.2 Kg and from 91 to 192.2 N.
Conclusion: Our review showed that the retention of cast posts cemented with zinc phosphate in controlled condition is moderate and factors including post material and length could influence the retention of the post.

Alireza Parhiz, Forough Fadavi, Siavash Jafari Semnani,
Volume 32, Issue 1 (7-2019)
Abstract

Background and Aims: The aim of this study was to assess the outcome of short implants (<8 mm length) as an alternative to sinus lift surgery and placement of standard-length implants (10-12 mm length) for rehabilitation of atrophic posterior maxilla.
Materials and Methods: In this prospective clinical trial, 26 patients with 6-7 mm of residual alveolar bone height in their atrophic posterior maxilla were randomly divided into two groups (n=13). The test group received short implants without sinus lift surgery while the control group received standard-length implants after maxillary sinus floor augmentation. The bone loss was evaluated at 1 to 2 years after loading of implants on radiographies and the comparison between the two groups was done using chi-square test.
Results: At 1 year, two patients (15.4%) in the short implant and one patient (7.7%) in the standard implant group experienced bone loss (P=0.5). At 2 years, four patients (30.8%) in the short implant and two patients (15.4%) in the standard implant group showed bone loss (P=0.4).
Conclusion: At 2 years after loading, the bone loss was not significantly different around short and standard-length implants. Short implants appeared to be a suitable alternative to sinus lift surgery and placement of standard-length implants for rehabilitation of atrophic posterior maxilla. However, further studies with longer follow ups are still required to cast a final judgment in this respect.

Shahin Shams, Alireza Sharifinejad, Ali Saleh, Pedram Mahmoodi, Abolfazl Mohammadbeigi, Mohammad Mehdizadeh,
Volume 36, Issue 0 (5-2023)
Abstract

Background and Aims: Management of pain and inflammation after third molar surgery is an important challenge of this treatment. Various medications have been proposed for pain control after surgery. Comparing the effectiveness of various drugs used in this field can improve dentists' clinical decisions. The aim of this study was to compare the effect of Ketorolac and Gelofen on pain relief in patients undergoing third molar surgery.
Materials and Methods: This randomized single-blinded clinical trial was performed on 140 patients who were divided into two groups of 70 after receiving the ethical code. The first group was prescribed 400 mg Gelofen capsule for 1 week, while the second group was prescribed 30 mg ketorolac ampule for 1 week. Then, using the visual analog scale (VAS), the patient’s pain was recorded 48 hours, 1 week, and 2 weeks after surgery. Data analysis was carried out using SPSS20 software by descriptive analysis of the results. Ki-square, T-test, and variance analysis were also used for analysis of variables.
Results: The pain level in the ketorolac group after 48 hours, 1 week, and 2 weeks following surgery was significantly less than Gelofen group (P<0.01). Ketorolac effect on pain was irrelevant to the gender, age, and type of tooth variables.
Conclusion: From the results, it was concluded that Ketorolac had greater effect on pain relief after third molar surgery than Gelofen.
 


Pooya Jannati, Faranak Vakili, Saeid Nokar, Somayeh Zeighami,
Volume 36, Issue 0 (5-2023)
Abstract

Background and Aims: Endocrown is a type of monoblock restoration using the pulp chamber and remaining coronal tooth structure for retention. Advancements in adhesive techniques have breathed fresh spirit into endocrown. Nowadays, there are two approaches for endocrown: conventional approach and  biomimetic approach. This study aimed to review data on the steps and clinical and philosophical points of using these approaches to help dentists’ selection and performance.
Materials and Methods: The review was conducted by reviewing the articles available in PubMed, Scopus, and Google Scholar databases from 1995 to 2022. The keywords used were; Crown, Endodontically-treated teeth, Light-curing of dental adhesive, Onlay, and Post-Core.  
Results: After removing duplicates, titles/abstracts were reviewed. Animal studies, studies without available full text or non-English language studies were excluded from the study. Then, the full texts of the remaining 59 articles were evaluated and 49 articles were eligible for the present study. The articles included clinical trials, in vitro, systematic reviews, and case reports.
Conclusion: Endocrown is a successful alternative to crown, especially in molar teeth. Regardless of the conventional or biomimetic approach, this treatment has a more favorable fracture pattern while preserving the remaining tooth tissue as much as possible.

Narges Hosseini, Sajad Roshani,
Volume 36, Issue 0 (5-2023)
Abstract

Background and Aims: Dentists are at risk of musculoskeletal disorders due to their job characteristics. The purpose of this study was to compare the posture and musculoskeletal disorders of dentists with high and low work experience.
Materials and Methods: This analytical cross-sectional study research was conducted on 76 dentists in Urmia city. Based on work experience, the samples were divided into two groups: less experienced (less than 15 years) and experienced (15 years and more). The variables of forward head, kyphosis, round shoulder, and musculoskeletal disorders were compared in two groups. Forward head and round shoulder variables were evaluated by photography, kyphosis variable by flexible ruler, and musculoskeletal disorders were evaluated by Nordic questionnaire. Data analysis was done using descriptive statistics and analytical statistics (Kolmogorov-Smirnov test, Leven test, independent t-test and Yeoman-Whitney test).
Results: The independent t-test results showed that the angle of forward head, round shoulder, and kyphosis was higher in the high work-experience group than that of the low work-experience group (P=0.001). In comparing the prevalence of neck disorders, the results were significant such that the experienced group had more neck disorders (P=0.002). However, in examining the difference in the amount of disorders in other parts of the body, the difference between the two groups was not statistically significant (P>0.05).
Conclusion: Experienced dentists had a higher degree of forward head, round shoulder and kyphosis positions. Although, there are musculoskeletal disorders in both groups of dentists with low and high level of experience, neck disorders were more common in high-experienced dentists than that of low-experienced ones.

Abdolrahim Davari, Farnaz Farahat, Haleh Davoudi,
Volume 36, Issue 0 (5-2023)
Abstract

Background and Aims: Insufficient adhesion between fiber post and root canal is the main reason for the failure of the restoration and the fiber post surface treatment can imprive the bond strength. Additionally, there is disagreement about the ideal method of preparation to achieve the desired bond. The aim of this study was to compare the effect of two surface treatment methods on push-out bond strength of fiber posts to root canals.
Materials and Methods: In this study, 45 healthy incisor teeth underwent root canal treatment. After preparing the post space, they were divided into 3 groups of 15, based on the surface treatment methods of the fiber post. In the first group as control group, no surface treatment was done on the fiber post. In the second and third groups, sandblasting with Cojet sand particles and 810 nm diode laser were used for surface treatment, respectively. Then, fiber posts were placed in all root channels by a self-adhesive resin cement. Then, the roots were cut in such a way that from each, 3 pieces with a thickness of 1.5 mm were obtained. Finally, the push-out bond strengths were measured using a universal testing machine. Data were analyzed by ANOVA using SPSS software. The level of significance was considered at P<0.05.
Results: The average bond strengths in three groups were as follows: control group, 2.877 ±1.430, sandblast group 6.318±3.444, and laser 4.224 ±1.890 MPa ± SD. The difference in the bond strength between the sandblast group and the control group was significant (P=0.001). However, the average of the bond strength of laser group was not significantly different from the control group. (P=0.03).
Conclusion: The findings of this study showed that unlike diode laser radiation, the use of Cojet sand particles for sandblasting the fiber post surfaces significanlty improved the bond strength.


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