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Related Experiment Video

Updated: Jul 19, 2026

Evaluating the Effects of Different Polishing Methods on Color Stability of Dental Restorations in Pediatric Dentistry
03:37

Evaluating the Effects of Different Polishing Methods on Color Stability of Dental Restorations in Pediatric Dentistry

Published on: June 6, 2025

Root Canal Treatment After Fixed Prosthodontic Restorations: A Retrospective Observational Study.

Ebru Arslan1, Ceren Gedikli Cengiz2, Ibrahim Atakan Cengiz1

  • 1Department of Prosthodontics, Faculty of Dentistry, Başkent University, Yukarıbahcelievler Street No:26, Çankaya, Ankara 06000, Turkey.

Journal of Clinical Medicine
|July 15, 2026
PubMed
Summary

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In Reply to Dr Mohanty et al.

Wilderness & environmental medicine·2023

Root canal treatment (RCT) after crown placement is often needed within five years. This study analyzed 588 teeth, finding RCT occurred a mean of 4.13 years post-crown, with 5.3% requiring extraction.

Area of Science:

  • Dental Science
  • Prosthodontics
  • Endodontics

Background:

  • Root canal treatment (RCT) may be necessary for vital teeth after full-coverage crown placement due to biological or restorative issues.
  • The timing and clinical factors influencing RCT need for crowned teeth are not well-defined.

Purpose of the Study:

  • To evaluate the timing and distribution of clinical variables for teeth requiring RCT after crown placement.
  • To analyze retrospective data from 2011-2024 on crowned vital teeth.

Main Methods:

  • Retrospective analysis of 588 vital teeth with metal-ceramic or zirconia crowns (2011-2024).
  • Variables included age, gender, tooth type/location, crown material, bruxism, abutment teeth, and time to RCT.
  • Statistical analysis used Mann-Whitney U, Kruskal-Wallis, and chi-square/Fisher's exact tests (p < 0.05).
Keywords:
dental porcelainprosthodonticsretrospective studiesroot canal therapy

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Main Results:

  • RCT was most common in the fifth year post-crown (52.6%), with a mean time of 4.13 ± 1.79 years.
  • Significant associations found between tooth group, jaw location, abutment teeth, and crown material (p < 0.001).
  • Tooth extraction occurred in 5.3% of cases.

Conclusions:

  • This study characterizes the timing and distribution of RCT in initially vital teeth after fixed prosthodontic restorations.
  • Findings describe affected cases, not risk factors or predictors for RCT occurrence.