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VOLUME 7 , ISSUE 4 ( September, 2006 ) > List of Articles

RESEARCH ARTICLE

Radiographic Assessment of Post-retained Crowns in an Adult Jordanian Population

Khaled Q. Al-Hamad, Mohamed Al-Omari, Ahed Al-Wahadni, Azmi Darwazeh

Citation Information : Al-Hamad KQ, Al-Omari M, Al-Wahadni A, Darwazeh A. Radiographic Assessment of Post-retained Crowns in an Adult Jordanian Population. J Contemp Dent Pract 2006; 7 (4):29-36.

DOI: 10.5005/jcdp-7-4-29

License: CC BY-NC 3.0

Published Online: 01-01-2008

Copyright Statement:  Copyright © 2006; The Author(s).


Abstract

Aim

The objective of this study was to radiographically assess and compare the quality of post-retained crowns fabricated at the Dental Health Centre of the Jordan University of Science & Technology (JUST).

Methods and Materials

Study data were collected in 2002 from existing dental records for all patients receiving treatment with post-retained crowns between October, 1997 and June, 1999. The posts were assessed radiographically to evaluate various aspects of the quality of post-retained crowns. All 129 posts were fabricated in the dental school.

Results

The most-frequently restored teeth were the maxillary incisors (38.8%). Sixty-two percent of the posts were tapered, while 38% were parallel-sided. The mean length of the posts was 0.95 mm (SD 0.41) with a range between 0.22-2.85 mm. Caries was diagnosed radiographically in 10.8% of cases with lesions located on root surfaces in 64.3% of them, while 35.7% of lesions were within the root canal. Three posts (2.3%) were deviated from the line of the root canal in the mesio-distal plane. No evidence of root filling was found in 2.3% of the cases. In the remainder of teeth 15.5% had gutta percha extended to the radiographic apex of the tooth, while 59.7% fell 0.5-1 mm short of the radiographic apex. Gutta-percha was extruded beyond the apex in 22.5% of the teeth. Space between the end of the post and the root filling was found in 22.2%. The percentage of canals with apparently completely healthy periapical tissue was 51.2%. In the rest of the cases 34.8% had areas of radiolucency at or near the root apices and 14% demonstrated widening of the periodontal space around the root apex. Root resection had been completed in 2.3% cases. Signs of external resorption were apparent in one case (0.78%).

Conclusion

The standards of the treatment of the endodontically treated teeth made at the dental hospital were satisfactory but could be improved by a controlled academic supervisory environment and a strict scientific approach to fixed prosthodontics within the dental school.

Citation

Al-Hamad KQ, Al-Omari M, Al-Wahadni A, Darwazeh A. Radiographic Assessment of Post-retained Crowns in an Adult Jordanian Population. J Contemp Dent Pract 2006 September;(7)4:029-036.


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