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Clinical Oral Investigations

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01-03-2016 | Original Article

Why, when, and how general practitioners restore endodontically treated teeth: a representative survey in Germany

Authors: Michael Naumann, Klaus W. Neuhaus, Manja Kölpin, Rainer Seemann

Published in: Clinical Oral Investigations | Issue 2/2016

Abstract

Objective

The purpose of this study was to assess current opinions, applied techniques, and materials for the restoration of endodontically treated teeth (ETT) in a nationwide survey in Germany.

Material and methods

Completed questionnaires from 1,648 dentists were returned (response rate 63 %).

Results

In general, posts were reported to be used more frequently (51 %) for indirect restorations than for direct restorations (21 %). Dentists restored anterior teeth (65 %) more frequently with direct restorations than posterior teeth (48 %). Compared to an earlier survey, fewer dentists stated that posttreatment stabilizes the remaining tooth structure. The ferrule effect as a key success factor was held by the vast majority of dentists (88 %). A trend towards adhesive techniques both for post placement and core build-up was observed. Composite resins (49 %) were reported to be used twice as much as zinc phosphate cement (24 %) for the luting of posts; composite resins were the core build-up material of choice (75 %). Amalgam was rarely used (0.2 %). Irrespective of the final restoration, fiber posts were the most popular post material (46 % for telescopic crowns vs. 69 % for single crowns).

Conclusion

Adhesive composite core build-ups with and without fiber posts were the predominant treatment approach to restore ETT in Germany. There was widespread agreement with the ferrule effect as a key restorative success factor for indirect restorations.

Clinical significance

Today, it is general accepted that ferrule preparation is key. Glass-fiber posts appear to be most popular. Still different systems are used depending on type of final restoration, while the reasons to do so remain unclear.

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Title: Why, when, and how general practitioners restore endodontically treated teeth: a representative survey in Germany
Authors: Michael Naumann
Klaus W. Neuhaus
Manja Kölpin
Rainer Seemann
Publication date: 01-03-2016
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 2/2016
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-015-1505-5

At a glance: The STEP trials

Springer Medicine

Why, when, and how general practitioners restore endodontically treated teeth: a representative survey in Germany

Abstract

Objective

Material and methods

Results

Conclusion

Clinical significance

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Material and methods

Results

Conclusion

Clinical significance

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