Single crowns versus conventional fillings for the restoration of root filled teeth

BackgroundEndodontic treatment, involves removal of the dental pulp and its replacement by a root canal filling. Restoration of root filled teeth can be challenging due to structural differences between vital and non-vital root filled teeth. Direct restoration involves placement of a restorative material e.g. amalgam or composite directly into the tooth. Indirect restorations consist of cast metal or ceramic (porcelain) crowns. The choice of restoration depends on the amount of remaining tooth which may influence long term survival and cost. The comparative in service clinical performance of crowns or conventional fillings used to restore root filled teeth is unclear.ObjectivesTo assess the effects of restoration of endodontically treated teeth (with or without post and core) by crowns versus conventional filling materials.Search methodsWe searched the following databases: the Cochrane Oral Health Group's Trials Register, CENTRAL, MEDLINE via OVID, EMBASE via OVID, CINAHL via EBSCO, LILACS via BIREME and the reference lists of articles as well as ongoing trials registries. There were no restrictions regarding language or date of publication. Date of last search was 13 February 2012.Selection criteriaRandomised controlled trials (RCTs) or quasi-randomised controlled trials in participants with permanent teeth which have undergone endodontic treatment. Single full coverage crowns compared with any type of filling materials for direct restoration, as well as indirect partial restorations (e.g. inlays and onlays). Comparisons considered the type of post and core used (cast or prefabricated post), if any.Data collection and analysisTwo review authors independently assessed trial quality and extracted data.Main resultsOne trial judged to be at high risk of bias due to missing outcome data, was included. 117 participants with a root filled premolar tooth restored with a carbon fibre post, were randomised to either a full coverage metal-ceramic crown or direct adhesive composite restoration. At 3 years there was no reported difference between the non-catastrophic failure rates in both groups. Decementation of the post and marginal gap formation occurred in a small number of teeth.Authors' conclusionsThere is insufficient evidence to support or refute the effectiveness of conventional fillings over crowns for the restoration of root filled teeth. Until more evidence becomes available clinicians should continue to base decisions on how to restore root filled teeth on their own clinical experience, whilst taking into consideration the individual circumstances and preferences of their patients.

Stress analysis of an upper central incisor restored with different posts

The effect of different anatomic shapes and materials of posts in the stress distribution on an endodontically treated incisor was evaluated in this work. This study compared three post shapes (tapered, cylindrical and two-stage cylindrical) made of three different materials (stainless steel, titanium and carbon fibre on Bisphenol A-Glycidyl Methacrylate (Bis-GMA) matrix). Two-dimensional stress analysis was performed using the Finite Element Method. A static load of 100N was applied at 45degrees inclination with respect to the incisor's edge. The stress concentrations did not significantly affect the region adjacent to the alveolar bone crest at the palatine portion of the tooth, regardless of the post shape or material. However, stress concentrations on the post/dentin interface on the palatine side of the tooth root presented significant variations for different post shapes and materials. Post shapes had relatively small impact on the stress concentrations while post materials introduced higher variations on them. Stainless steel posts presented the highest level of stress concentration, followed by titanium and carbon/Bis-GMA posts.

Influence of moisture absorption on mechanical behaviour of composites

Because of their application that normally demands high mechanical strength combined with low weight, the fibre/matrix interface became an important parameter concerning structural life. The problem of moisture absorption in materials has received attention in experimental studies on a composite systems as well as from a theorical point of view. The fibre/matrix interface plays an important role in the structural behaviour of composites due to the fact that load transfer from matrix to reinforce occurs at the interface. In this case the study of compatibility of fibre/matrix/environmental is essential to ensure a product that attend structural objectives, many times without failure possibilities. The composite used in this investigation is the carbon fibre/matrix epoxy composite, which was immersed in sea water standard during 94 days at 60 degrees C, submitted to tensile and compressive tests to study the influence of moisture absorption on mechanical behaviour. The interface was investigated through fracture surface analysis by SEM and a strong interface and a good adhesion fibre/matrix was observed.

Supercritical carbonation treatment on extruded fibre-cement reinforced with vegetable fibres

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Managing soil carbon for multiple ecosystem benefits positive exemplars: Latin America (Brazil and Argentina)

Agriculture provides food, fibre and energy, which have been the foundation for the development of all societies. Soil carbon plays an important role in providing essential ecosystem services. Historically, these have been viewed in terms of plant nutrient availability only, with agricultural management being driven to obtain maximum benefits of this soil function. However, recently, agricultural systems have been envisioned to provide a more complete set of ecosystem services, in a win-win situation, in addition to the products normally associated with agriculture. The expansion and growth of agricultural production in Brazil and Argentina brought about a significant loss of soil carbon stocks, and consequently the associated ecosystem services, such as flooding and erosion control, water filtration and storage. There are several examples of soil carbon management for multiple benefits in Brazil and Argentina, with new soil management techniques attempting to reverse this trend by increasing soil carbon (C) stocks. One example is zero tillage, which has the advantage of reducing CO2 emissions from the soil and thus preserving or augmenting C stocks. Crop rotations that include cover crops have been shown to sequester significant amounts of C, both in Brazilian subtropical regions as well as in the Argentinean Pampas. Associated benefits of zero tillage and cover crop rotations include flood and erosion control and improved water filtration and storage. Another positive example is the adoption of no-burning harvest in the vast sugarcane area in Brazil, which also contributes to reduced CO2 emissions, leaving crop residues on the soil surface and thus helping the conservation of essential plant nutrients and improving water storage.