European Journal of Prosthodontics and Restorative Dentistry

Two-Year Survival of Ceramic Endocrowns and Partial Coverage Ceramic Restorations with Fiber Post: A 2-Year Double-Blind Randomized Clinical Trial

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Cover Date

December 2022

Print ISSN

0965-7452

Electronic ISSN

2396-8893

Vol

30

Issue

4

Abstract

Purpose: This double-blind randomized clinical trial (RCT) aimed to evaluate the 2-year survival rates of endocrowns and partial coverage ceramic restorations (PCCR) with fiber posts. Material and Methods: Forty (40) participants fulfilled the elegibility criteria, and they were randomly allocated in 2 groups: Endocrown or PCCR+post. The survival rates were assessed based on USPHS modified and radiographic examinations. A Chi-square test was used to assess the distribution of characteristics between groups. Kaplan-Meier and Log-rank tests were used to estimate the survival rate. To evaluate the association
between survival of the restorations and the explanatory variables, the Multivariate Cox regression model was used. Only variables presenting p<0.20 were maintained in final model (α= 0.05). Results: The highest 2-year survival rates were recorded for the Endocrown group (100%), whereas the PCCR+post group exhibited the lowest performance (66.7%). Most of the restoration failures was due to lack of marginal adaption, fracture, and recurrent caries. Cox Regression unadjusted analysis showed that only type of restoration presented a significant effect (p<0.20). Thus, adjusted analysis was not performed. Conclusions: Endocrowns appear to be a promising conservative restorative option and to be feasible and reliable approach restoring endodontically treated posterior
teeth, showing higher 2-year overall survival rates than the PCCR+post.

Keywords
Endocrowns
Dental Porcelain
Survival Rate
Dental Cavity Preparations
Partial Coverage Ceramic
Restauration
Randomized Clinical Trial