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Survival of glass fiber post restorations over 5 years
Michael Naumann1, Sven Reich, Frank P Nothdurft
1Department of Prosthodontics and Material Sciences, University of Leipzig, Nürnberger Strasse 57, D-04103, Leipzig, Germany. micha.naumann@gmx.de
Purpose:
To evaluate the survival of glass fiber reinforced composite post (GFP) restorations and to identify risk factors for restoration failure.
Methods:
GFPs of three consecutively placed post systems, two tapered and one parallel-sided, were adhesively luted and the core was built with a resin composite. Teeth served as abutment teeth according to the prosthetic treatment plan. 149 GFP in 121 patients (age: 53 +/- 15 year; 50 men; 71 women) were followed for 5-79 months (mean +/- SD: 50 +/- 21 months). Cox proportional hazards models were used to evaluate the association between several clinical variables and the failure rate.
Results:
After exclusion of endodontic failures (n = 3), significantly higher failure rates were found for restorations of anterior teeth compared to posterior teeth (hazard regression (HR): 2.8; 95% confidence interval (CI): 1.4; 5.8; P = 0.004). Restorations in teeth with no proximal contacts compared to at least one proximal contact, single crowns compared to fixed partial dentures and less than two remaining cavity walls had a HR of 2.4 (CI: 0.8-7.1), 2.4 (CI: 0.6-8.7), and 1.5 (CI: 0.6-3.8), respectively. However, these correlations were not statistically significant (P > 0.05).
