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

shutterstock_91369952

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.

[read the full story...]

Single restorations on root filled posterior teeth

pulp

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.

[read the full story...]

Amalgam outperforms composite in range of posterior cavity types

shutterstock_123309112

This review of failure rate of single-unit prostheses versus direct restorations in vital posterior teeth included 14 studies (5 RCTs) finding that composite had a significantly higher failure rate than amalgams, regardless of the remaining tooth structure. For teeth with fewer than 2 remaining walls, direct restorations presented significantly higher failure rates than crowns .

[read the full story...]

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

shutterstock_123309100 - tooth coloured restoration before & after

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.

[read the full story...]

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

shutterstock_17046487- endodontic treatment

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.

[read the full story...]

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

shutterstock_113645092

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…]