Dentaltown January 2017 - 31

used.9 The rubber dam was removed and
the occlusion inspected (Fig. 14). To prevent
potential bruxing, the patient was provided
with a night guard.10
The patient returned to the office for
a one-year evaluation. After X-rays and a
thorough inspection, the anatomic post
and crown were in excellent condition, both
functionally and aesthetically (Fig. 15).

Conclusion
When a significant portion of a crown
is missing because of caries or fracture of
an existing restoration, dentists may need to
use a post to provide additional retention for
the crown.11 These kinds of compromised
restorations often fail because of fatigue
and repeated functional stress and torque.12
Fiber-reinforced posts also possess better
optical properties than metal or metal oxide
post systems.13
Materials and techniques for fiber-post
restorations of endodontic treated teeth are
continuously evolving with better clinical
results for our patients.14 Recently, woven
fiber ribbons such as those by Ribbond have
also been used successfully to treat similar
clinical problems.15, 16 n

2.
3.

10.
11.

12.

13.
14.

15.

References
1.

Hajizadeh , Namzakhah, Moghaddas, Ghavamnasiri. Effects
of posts on the fracture resistance of load-cycled endodontically-treated premolars restored with direct composite resin. The
Journal of Contemporary Dental Practice 2009;10(3):1-10

16.

Howard Strassler. Fiber Posts: A Clinical Update. Inside
Dentistry March 2007 Volume 3 Issue 3.
Sorensen JA, Mito WT. Rationale and clinical technique for
esthetic restoration of endodontically treated with the Cosmo
Post and IPS Empress Post system. Quint Dent Technol
1998;21: 81-90.
Boksman L, Hepburn AB, Kogan E, Friedman M, de Rijk
W. Fiber Post Techniques for Anatomical Variations. Dentistry Today. May 2011;104:106-11
Perdigão J, Reis A, Loguercio AD. Dentin Adhesion and
MMPs. A Comprehensive Review. Journal of Esthetic and
Restorative Dentistryaug 2013 (4).219-245.
Egilmez F, Ergun G, Cekic-Nagas I, Vallittu PK, Lassila
LVJ. Influence of cement thickness on the bond strength of
tooth-colored post to root dentin after thermal cycling. Acta
Odont Scan. 2013; 71:175-182
Radovic I. Mazzitelli C, Chieffi N, Ferrari M. Evaluation
of adhesion of fiber post cementing using different adhesive
approaches. European Journal of Oral Sciences Dec 2008;116
(6) 557-563.
Di Francescantonio M, Aguiar TR, Arrais CAG, Cavalcanti
AN, Davanzo CU, Giannini M. Influence of viscosity and
curing mode on degree of conversion of dual-cured resin
cements. Eur J Dent Jan 2013; 7(1):81-85.
Gislaine Rosa Biacchi, Flávia Lucisano Botelho do Amaral,
Fabiana Mantovani Gomes França, Cecilia Pedroso Turssi,
Roberta Tarkany Basting. Mechanical properties of flared
root canals restored with fiber post and chemically activated
resin: study using push-out bond strength and fracture load
tests. Journal of Adhesion and Technology. July 2016, Vol
30(13). 1441-1452
Ogden AR. Porosity in composite resins. An Achilles' heel? J
Dent 1985. Dec; 13(4):331-340.
King KA, Lackey MA. Retrofitting technique for a crown
or abutment following coronal fracture. General Dentistry.
2007 Jan-Feb.55(1):22-6
Duret B, Duret F, and Reynaud M. Long-life physical property preservation and post-endodontic rehabilitation with the
Composipost. Compend Contin Educ Dent Suppl.1996 Vol
17(20):S50-S56.
Jurgen Manhart. Fabricating Fiber-Reinforced Composite
Posts. Dentistry Today. 2011 Mar;30(3):84, 86, 88-92.
Leendert, Boksman, Gary Glassma, Gildo Coelho Santos Jr.,Fiber Posts and Tooth Reinforcement: Evidence in the Literature.
Endodontic Practice US. May 1, 2013. Vol 6(6):22-26
Isaias Iniguez. "Direct Composite Restoration on a Fractured
Anterior Tooth," American Academy of Cosmetic dentistry
Journal Vol. 15, No. 4 (Winter 2000): 38-44.
David S. Hornbrook, James H. Hastings. "Use of Bondable
Reinforcement Fiber for Post and Core Build- Up in an
endodontically Treated Tooth: Maximizing Strength and
Aesthetics," Practical Periodontics and Aesthetic Dentistry,
Vol. 7, No. 5 (June/July 1995): 33-44.

Fig. 13

Fig. 14

Fig. 15

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