Clinico-Radiographical Assessment of Efficiency of Cast Metal Post and Glass Fiber Post: An Original Research Study

2021 
Aim: This clinico-radiographical assessment was conducted to evaluate the efficiency of cast metal post and glass fiber post. Materials & Methods: Total sixty grossly decayed teeth those indicated for post and core were selected for the study. All teeth were segregated into two major study groups of 30 each. First thirty sample teeth were restored with cast metal post (group one) and rest with glass fiber post (group two). Study had included sample teeth with single canal only. Both male and female patients were included in the study in the age range of twenty to thirty five years. Clinical symptoms related to coronal fracture, mobility, discoloration, aesthetic issues, cementation problems were evaluated for both groups. Radiological findings related to root fracture, peri-apical abscess, coronal fracture were also evaluated. P value less than 0.05 was considered significant (p< 0.05). Results: The data was subjected to appropriate statistical tests to obtain p values, mean, standard deviation, chi- square test, standard error and 95% CI. Out of 60 patients, males were 32 and females were 28. Total 21 patients (maximum) were in age range of 20-23 years. P value was noticed to be significant here (0.01). In group I, clinical crown fracture was noticed in 4 teeth while the p value was highly significant. In group I, root fracture was noticed in 3 teeth while the p value was highly significant here. Peri-Apical Abscess was seen in only two teeth. In group II, mobility was seen in only one tooth. Discoloration was identified in 1 tooth wherein p value was significant (0.012). In group I, root fracture was noticed in 1 teeth while the p value was non significant here. Sign of coronal fracture was identified in 1 tooth wherein p value was significant. Conclusion: Nearly all studied clinical and radio-graphical factors have been noticed in post operative phases of both study groups. However, post and core therapy completed with cast metal post showed higher number of involved teeth compared to glass fiber post.
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