Dental Restoration, Permanent
Conditions
Interventions
This is a single-center, two-arm, non-inferiority randomized clinical trial with blinded outcome assessment. The study will include 112 endodontically treated posterior teeth, evenly distributed betwe
however, due to the nature of the procedures, operators and participants will not be blinded. In the experimental group, endocrowns fabricated with composite resin will be performed. After removing un
Sponsors
Universidade Federal de Pelotas - Faculdade de Odontologia
Universidade Federal de Pelotas - Faculdade de Odontologia
Eligibility
Inclusion criteria
Inclusion criteria: Good general health conditions, endodontically treated molars, minimum supragingival margin of 2 mm, element that will receive treatment must be in occlusion, that have at least one adjacent element, that has at least 20 teeth in the mouth
Exclusion criteria
Exclusion criteria: Dental pain, unsatisfactory endodontic treatment or signs of periapical lesions at the time of radiographic or clinical examination, root fracture, need to behave as a prosthetic abutment, mobility greater than grade I, participants using orthodontic braces
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes: the success and survival of endocrown-type restorations in semi-direct composite resin versus direct restoration in composite resin retained by fiberglass pins, the evaluations will be in accordance with the criteria proposed by the International Dental Federation (FDI), which include aesthetic, functional and biological properties | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome - Estimation of the volume of the remainder and assessment of the wear of the restorations. Intraoral scans will be carried out pre-(after removal of decayed tissue/prosthetic preparation) and post-rehabilitative treatments to assess the volume of the remaining dental structure and carry out wear assessments of the restorations. Data analysis will determine the volume of restorations, providing insights into wear levels throughout follow-ups. The intraoral clinical examination of wear will be carried out pre-treatment and in other follow-ups using the Dental Wear Index (IDD) (TWI – Tooth Wear Index), proposed by Smith and Knight (1984), which classify injuries as wear. which can originate from both erosion and abrasion and attrition. In this index, wear is divided according to severity into: 0 no loss of tooth structure; 1 loss of a layer of enamel; 2 losses of enamel with exposure of 1/3 of dentin; 3 exposures of more than 1/3 of dentin; and 4 exposures of secondary dentin or pulp. Each surface of the tooth that is subject to wear and tear will be evaluated.;Tertiary outcome: Cost-effectiveness. To assess the cost and effectiveness of treatments, the number of clinical sessions required for treatment (per session and the approximate number of hours per session) will be recorded in the patient's file. The main focus of our analysis will be to evaluate the economic effectiveness between two distinct treatment groups: endocrown composite resin crowns and direct composite resin restorations on fiberglass posts. We will use total costs as a primary measure, encompassing costs of direct dental procedures and opportunity costs for each group. | — |
Countries
Brazil
Contacts
Public ContactLaylla; Luiz dos Santos;Chisini
Universidade Federal de Pelotas - Faculdade de Odontologia;Universidade Federal de Pelotas - Faculdade de Odontologia
Outcome results
None listed