Sawant Ajinkya, Chunawalla Yusuf, Morawala Abdul, S Kanchan Nupur, Jain Kapil, Talathi Rohan
Private Practitioner, White On Whites Dental Care, Mumbai, Maharashtra, India.
Professor and Head, Department of Pedodontics and Preventive Dentistry, M. A. Rangoonwala College of Dental Sciences & Research Centre Pune, Maharashtra, India.
Int J Clin Pediatr Dent. 2017 Apr-Jun;10(2):126-130. doi: 10.5005/jp-journals-10005-1421. Epub 2017 Jun 1.
Early childhood caries discloses a distinct clinical pattern, and the teeth most often involved are the maxillary central incisors, lateral incisors, and the maxillary and man-dibular first molars. The maxillary incisors are most severely affected, with deep carious lesions usually involving the pulp. Teeth that have been endodontically treated often have little coronal tooth tissue remaining and as such require a post to retain the core and restoration .This study evaluated and compared the efficacy of EverStick glass fiber-reinforced composite post with ParaPost Taper Lux in primary maxillary anterior teeth.
An study was conducted to evaluate and compare the longevity and failures of two fiber post systems in primary maxillary anterior teeth.
A total of 60 severely mutilated primary maxillary anterior teeth from children aged 3 to 5 years were selected according to the inclusion criteria. These teeth were treated endodontically and were randomly assigned into two groups with 30 samples in each group, group I: EverStick glass fiber-reinforced composite post, group II: ParaPost Taper Lux post. The evaluation of dislodgment of posts, secondary caries, root fracture, and post fracture was carried out clinically and radiographically during every follow-up at 3, 6, 9, and 12 months interval.
Statistical tests (Chi-square test, Fisher's exact probability test) suggested that dislodgment of the posts was significant between the two groups at 6, 9, and 12 months follow-ups. But within the group during subsequent follow-up intervals, dislodgment of posts as a mode of failure was not statistically significant. However, clinically failures were seen in both the study groups.
Fiber post system has proved to be successful clinically in both primary and permanent teeth due to the mono-block effect with luting agent, post system, core material, and bonding to dentin. Thus, today the EverStick glass fiber post system provides a novel way of fabricating cost-effective and less time-consuming custom-made post in treating mutilated maxillary anteriors.
Sawant A, Chunawalla Y, Morawala A, Kanchan NS, Jain K, Talathi R. Evaluation of Novel Glass Fiber-reinforced Composite Technique for Primary Anterior Teeth with Deep Carious Lesions: A 12-month Clinical Study. Int J Clin Pediatr Dent 2017;10(2):126-130.
幼儿龋齿呈现出独特的临床模式，最常受累的牙齿是上颌中切牙、侧切牙以及上颌和下颌第一磨牙。上颌切牙受影响最为严重，深龋病变通常累及牙髓。接受过根管治疗的牙齿通常剩余的冠部牙体组织很少，因此需要桩来固定核和修复体。本研究评估并比较了EverStick玻璃纤维增强复合桩与ParaPost Taper Lux桩在上颌乳前牙中的疗效。
进行一项研究以评估和比较两种纤维桩系统在上颌乳前牙中的使用寿命和失败情况。
根据纳入标准，从3至5岁儿童中选取60颗严重受损的上颌乳前牙。这些牙齿接受了根管治疗，并随机分为两组，每组30个样本，第一组：EverStick玻璃纤维增强复合桩，第二组：ParaPost Taper Lux桩。在每隔3、6、9和12个月的每次随访期间，通过临床和影像学检查评估桩的松动、继发龋、根折和桩折情况。
统计检验（卡方检验、Fisher精确概率检验）表明，在6、9和12个月随访时，两组之间桩的松动情况有显著差异。但在后续随访期间，在组内，作为失败模式的桩松动在统计学上不显著。然而，两个研究组在临床上均出现了失败情况。
由于与粘结剂、桩系统、核材料的整体效应以及与牙本质的粘结，纤维桩系统在乳牙和恒牙中均已在临床上证明是成功的。因此，如今EverStick玻璃纤维桩系统为治疗受损的上颌前牙提供了一种制造经济高效且耗时较少的定制桩的新方法。
Sawant A, Chunawalla Y, Morawala A, Kanchan NS, Jain K, Talathi R. 评估用于治疗深龋病变上颌乳前牙的新型玻璃纤维增强复合技术：一项12个月的临床研究。《国际临床儿科牙科学杂志》2017；10(2):126 - 130。
