Direct or indirect composite resin restorations on endodontically treated posterior teeth?

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This review comparing direct and indirect restoration of endodontically treated posterior teeth included 22 studies . None of the included studies was considered to be at low risk of bias and only 2 RCTs were included.

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Rubber dam use and restoration survival

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This Cochrane review update of the effects of rubber dam isolation compared with other types of isolation for direct and indirect restorative treatments included 6 RCTs. The findings provide some low-certainty evidence that rubber dam may lead to fewer direct restoration failures compared with cotton roll use after six months.

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Single restorations on root filled posterior teeth

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5 studies at high risk of bias were included in this review of the success of restoration in posterior root filled teeth findings suggest that the more tooth remaining teh better the treatment outcome.

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Secondary caries: limited evidence from in-situ studies

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Nine small in-situ studies were included in this review of the impact of restoration type on secondary caries providing insufficient evidence to make any firm conclusions.

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Composite restorations: no difference in longevity with direct or indirect placement

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This review of the clinical performance of direct and indirect resin composite restorations in permanent teeth included 9 small RCTs . The findings suggest no difference in clinical longevity but the evidence is limited.

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Root filled teeth: crown or fill? The evidence is limited

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This update of a 2012 Cochrane review of the effectiveness of crowns or conventional fillings for root filled teeth found insufficient evidence to assess the effectiveness of either approach.

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Trial shows similar survival for direct and indirect resin composite restoration of fractured cusps

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Cusp fractures of restored posterior teeth are a frequent occurrence with the majority being reported as being supra gingival.  While crowing the tooth is a conventional treatment approach it does require removal of substantial tooth substance.  Adhesive restorations are a potential alternative approach and can be undertaken using direct or indirect approaches.  The aim of [read the full story…]