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Restorative Dentistry

What is the clinical and cost effectiveness of using dental crowns for vital and endodontically treated teeth?

This summary is based on the Rapid Response Report developed by the Canadian Agency for Drugs and Technologies in Health: The use of dental crowns for vital and endodontically treated teeth: a review of the clinical and cost effectiveness and guidelines. 

Full report (PDF)

CONTEXT

The choice of dental restoration depends on the amount of remaining tooth, which may influence long term survival and cost. For endodontically treated teeth, it is believed that coronal coverage can improve the clinical success of the restored teeth. An endodontic post is a partial prosthesis that is fixed inside the root canal. They are used to retain the coronal restoration when considerable tooth structure is missing. A core is a built-up structure that compensates for the lost tooth structure. It can either be part of the post material or a different material that is attached or bonded to the intra-canal post. Composite restoration material is widely acceptable build-up material for this purpose.

The objective of this review is to evaluate the clinical and cost-effectiveness of dental crowns for vital teeth and the use of post-core-crown restorations for endodontically treated teeth.

RESEARCH QUESTIONS

  • What is the clinical effectiveness of using dental crowns for vital teeth and dental posts/cores and crowns for endodontically treated teeth?
  • What is the cost effectiveness of using dental crowns for vital teeth and dental posts/cores and crowns for endodontically treated teeth?

 

Key findings

 

The JCDA Oasis Team is collaborating with the Canadian Agency for Drugs and Technologies in Health to provide you with the latest clinical information.

Do you need further information related to this subject? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca

Readers are invited to comment on this initial response and provide further insights by posting in the comment box which you will find by clicking on “Post a reply“ below. You are welcome to remain anonymous and your email address will not be posted.

 

 

2 Comments

  1. dr.fawzia April 18, 2013

    OK.DOES THE patient with post and cure fracture with its tooth needs prophylasix antibitic if she has total knee replacement .and she has sensevity from pencillin withpeptic ulcer and colon ulcer,too .wht the suible antibiobic she needs?thx.

    Reply
    1. Dr. Yakiwchuk April 23, 2013

      Please see the CDA position statements at this address.

      The position statement for “Antibiotic Prophylaxis for Dental Patients with Total Joint Replacement” can be downloaded here here (PDF)

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