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Title Resin Composite Build Up
Clinical Question In a healthy male patient in their forties opposed to using amalgam, is resin composite a suitable material for the use in a core build up compared to an amalgam core build up in the production of a successful crown?
Clinical Bottom Line Resin composite build ups can serve as an appropriate treatment option for a core build up in preparation for a crown. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 11203847Burke/2000Bench Top StudyIn vitro Randomized Control Trial
Key resultsBefore the core build up was prepped for the crown the results indicated that amalgam core build-ups demonstrated higher fracture resistance than the other materials examined. Prepared core build-ups in a hybrid composite material provided the highest fracture resistance.
Evidence Search Search core build up Limits: Randomized Controlled Trial Systematic Reviews AND core build up Limits: Randomized Controlled Trial, Systematic Reviews core build up Search Limits: Randomized Controlled Trial, Systematic Reviews Meta-Analysis (Build-it composite resin;[Substance Name] OR;Core Paste;[Substance Name] OR Lumiglass;[Substance Name]) Composite Resins &;[Mesh] Dental Amalgam[Mesh]
Comments on
The Evidence
Extracted molars of similar size using a standard core build up were compressed using a universal testing machine to measure the force at fracture for each material.
Applicability The patient who refuses treatment with amalgam for personal beliefs can be treated with confidence that a hybrid resin composite build up for a crown will be an appropriate treatment.
Specialty/Discipline (General Dentistry) (Prosthodontics) (Restorative Dentistry)
Keywords Core build up, resin composite, amalgam
ID# 562
Date of submission: 03/31/2010spacer
E-mail hendersonw@livemail.uthscsa.edu
Author William Henderson
Co-author(s) e-mail
Faculty mentor/Co-author Joseph Connor, DDS
Faculty mentor/Co-author e-mail connorj@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
Comments and Evidence-Based Updates on the CAT
post a comment
by James Moore (San Antonio, Texas) on 08/08/2013
Being able to utilize different materials based on our patient’s criteria is of great benefit. This CAT provides valuable restorative information that is validated further by the following studies. Theodosopoulou, 2009, PMID # 19500237 provides a systematic review showing that “titanium dowels with a composite build-up are better than gold alloy cast dowels”. Fokkinga, 2013, PMID # 23495567 concluded that composite material could be utilized to build up vital teeth.

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