Environmental risk factors analysis in paediatric oral health: a cross-sectional study.

AIM: The aim of the present study was to evaluate the association between environmental risk factors [adherence to the Mediterranean diet (MD), eating habits, hygiene habits, body mass index (BMI)] with the presence of caries in a university-based cohort of paediatric patients. MATERIALS: A total of 118 paediatric patients were included in the study. In addition to the evaluation of clinical (vitality test, percussion test) and radiographic (X-ray bitewing, OPT) parameters, patients' lifestyle was investigated through validated questionnaries. Data regarding decayed, missing, filled teeth index were recorded for both permanent (DMFT) and deciduous teeth (dmft). Logistic/linear regression models (crude estimates) and multiple regression models (logistic/linear) adjusted for confounding factors were built to evaluate the association between lifestyle habits and caries. The results were reported as Odds Ratio (OR - con 95% CI) for logistic regression models and Mean Difference (MD - con 95% CI) for linear models. CONCLUSION: The present study confirmed the role of nutritional habits in caries development in the paediatric population, especially for deciduous dentition. Further clinical studies are needed to improve the quality of administered questionnaires and evaluate the cause/effect relationship between environmental risk factors and caries.

Neurocognitive abilities in children affected by sleep breathing disorders. A systematic review and meta-analysis of case control-studies.

AIM: Different experimental approaches have demonstrated that children with sleep breathing disorders (SBD) exhibit neurocognitive and behavioural impairment. The present systematic review and meta-analysis aims to quantify neurocognitive deficit disorders in mouth breathing paediatric patients by summarising relevant case-controls studies. Neurocognitive assessment was undertaken with WISC. METHODS: A search strategy was developed on electronic databases including Medline (Pubmed), Scopus, Scileo; Cochrane library from 2000 to June 2022 for published studies analysing neurocognitive skills in children with SBD compared to healthy control groups. The review was performed according to the PRISMA protocol and articles were selected according to the established inclusion and exclusion criteria. The Weighted Mean Differences (95% Confidence Intervals) were calculated between results obtained in WISC tests in SBD patients and healthy subjects. CONCLUSION: Our results confirmed that SBD affected children performed worse than healthy children in terms of quite all the cognitive domains investigated.

Posterior partial crowns out of lithium disilicate (LS2) with or without posts: A randomized controlled prospective clinical trial with a 3-year follow up.

OBJECTIVES: The objective of this randomized controlled trial was to assess the influence of use of posts as well as the type of posterior tooth (premolars vs molars) for the treatment with lithium disilicate (LS2) partial crowns. MATERIALS AND METHODS: A total of 60 patients were treated with posterior LS2 partial crowns. Two groups (n = 60) were made based on the type of restored tooth: Group 1, premolars and Group 2, molars. The samples of each group were divided into 2 subgroups (n = 30): Subgroup A restored with fiber posts and Subgroup B without them. Clinical and intraoral radiographic examinations were assessed during each recall (6 months and, 1, 2, and 3 years). Kaplan-Meier log-rank test and Cox regression analysis (Pp < 0.05) were applied. RESULTS: Three subgroups showed 100% of survival while group 2 A exhibited the lowest performance (93.3%). The Cox regression analysis showed that the presence of the post was not a significant factor for survival time (Hazard Ratio HR = 0388; CI95% Confidence Interval for H R = 0,1- to 1,5; pp = 017). Tooth type had an influence on survival time that was at the limit of statistical significance (Hazard Ratio HR = 0123; CI95% Confidence Interval for HR = 0 0015- to 0997; p = 005). Particularly, failure risk was greater for premolars. 'Post by tooth type' interactions were not statistically significant (p = 0126). CONCLUSIONS: over a 3-year observation period, the clinical performance of endodontically treated teeth restored with lithium disilicate partial crowns was not significantly affected by the use of a fiber post and by the type of tooth (premolars or molars).

Influence of continuous rotation or reciprocation of Optimum Torque Reverse motion on cyclic fatigue resistance of nickel-titanium rotary instruments.

AIM: To evaluate the resistance to cyclic fatigue of ProTaper Next (PTN; Dentsply Sirona, Ballaigues, Switzerland), Revo-S (Micro-Mega, Besançon, France), Mtwo (Sweden & Martina, Padova, Italy), Twisted Files (TF, SybronEndo, Orange, CA, USA) and EndoWave (J Morita Corporation, Osaka, Japan) used in continuous rotation or in reciprocation of Optimum Torque Reverse motion (OTR). METHODOLOGY: A total of 120 nickel-titanium files were tested. Twenty-four instruments for each brand were divided into two groups (n = 12) on the basis of the motion tested: continuous rotation (Group 1) or reciprocation of OTR motion (Group 2). Resistance to cyclic fatigue was determined by recording time to fracture (TtF) in a stainless steel artificial canal with a 60° angle of curvature and 5 mm radius of curvature. The TtF data were analysed by using two-way analysis of variance (anova) and Bonferroni's post hoc tests at 0.05. RESULTS: Mtwo and TF had significantly higher TtF when compared with all other instruments, both in continuous rotation and in reciprocation of OTR motion (P < 0.0001 and P < 0.05, respectively). No difference was observed between Mtwo and TF (P > 0.05), in both motions. PTN was associated with higher cyclic fatigue resistance than Revo-S and EndoWave, both in continuous rotation and in reciprocation of OTR motions (P < 0.0001). No difference was observed between Revo-S and EndoWave, in both motions (P > 0.05). Reciprocating OTR motion improved TtF of all instruments (P < 0.0001). CONCLUSIONS: Reciprocation of OTR motion improved significantly cyclic fatigue resistance of all instruments tested compared with continuous rotation. Mtwo and TF had significantly higher cyclic fatigue than the other instruments, in both continuous rotation and reciprocation of OTR motion.

Post-Retained Single Crowns versus Fixed Dental Prostheses: A 7-Year Prospective Clinical Study.

Biomechanical integrity of endodontically treated teeth (ETT) is often compromised. Degree of hard tissue loss and type of final prosthetic restoration should be carefully considered when making a treatment plan. The objective of this prospective clinical trial was to assess the influence of the type of prosthetic restoration as well as the degree of hard tissue loss on 7-y clinical performance of ETT restored with fiber posts. Two groups ( n = 60) were defined depending on the type of prosthetic restoration needed: 1) single unit porcelain-fused-to-metal (PFM) crowns (SCs) and 2) 3- to 4-unit PFM fixed dental prostheses (FDPs), with 1 healthy and 1 endodontically treated and fiber post-restored abutment. Within each group, samples were divided into 2 subgroups ( n = 30) according to the amount of residual coronal tissues after abutment buildup and final preparation: A) >50% of coronal residual structure or B) equal to or <50% of coronal residual structure. The clinical outcome was assessed based on clinical and intraoral radiographic examinations at the recalls after 6, 12, 24, 36, 48, and 84 mo. Data were analyzed by Kaplan-Meier log-rank test and Cox regression analysis ( P < 0.05). The overall 7-y survival rate of ETT restored with fiber post and either SCs or FDPs was 69.2%. The highest 84-mo survival rate was recorded in group 1A (90%), whereas teeth in group 2B exhibited the lowest performance (56.7% survival rate). The log-rank test detected statistically significant differences in survival rates among the groups ( P = 0.048). Cox regression analysis revealed that the amount of residual coronal structure ( P = 0.041; hazard ratio [HR], 2.026; 95% confidence interval [CI] for HR, 1.031-3.982) and the interaction between the type of prosthetic restoration and the amount of residual coronal structure ( P = 0.024; HR, 1.372; 95% CI for HR, 1.042-1.806) were statistically significant factors for survival ( ClinicalTrials.gov NCT01532947).

Use of bioactive materials and limited FOV CBCT in the treatment of a replanted permanent tooth affected by inflammatory external root resorption: a case report.

BACKGROUND: Inflammatory external root resorption is one of the possible complications of replantation of an avulsed tooth. Several studies have shown that limited FOV CBCT is an efficient diagnostic support and in treatment planning of these cases in paediatric patients because of its high resolution combined with low radiation doses. The recent literature has suggested that Biodentine is an effective material for resolution of inflammatory root resorption. CASE REPORT: This article describes the successful therapy of a replanted tooth affected by inflammatory root resorption. In the present case, a CBCT exam was performed to detect the extent of the damage, and the canal was filled with Biodentine in the apical third. At present, the threated tooth is asymptomatic, and the twelve months follow-up examination showed healing of periradicular hard tissues.

Is pit and fissure sealing of buccal surfaces useful in reducing incidence of caries of first permanent molars?

AIM: The aim of the study was to establish whether caries prevalence on the buccal surfaces of first lower permanent molars (FLPMs) can be compared to those on the occlusal surfaces in order to justify the utility of extending pit and fissure sealing also to the extra-occlusal surfaces. MATERIALS AND METHODS: Design: an observational study was carried out in the children population (n=779) aged ≤14 years (mean age 7.68, SD 3.53) that presented at the Paediatric Dentistry Department of the University of Perugia. In the study were included 460 patients, and absolute frequency (number) of FLMP occlusal and buccal caries, together with their ratio and their difference in percentage, were recorded and analysed. Moreover, FLMP buccal caries variation related to age, sex and parent's nationality were calculated. RESULTS: Among the 460 children included (243 males) aged 5-14 years, 103 erupted FLPMs were analysed. Of their decayed surfaces (n=115), the occlusal surfaces were 62 (53.9%) and the buccal surfaces 53 (46.1%); the absolute frequency ratio was 1.17 and the percentage difference was 7.8%. The female gender was significantly related to buccal caries of FLPMs [OR = 2.66 (95% CI; 1.27-5.59; p=0.0096)] as was the age ranging between 10-14 years [OR = 2.73 (95% CI; 1.36-5.50; p =0.004)]. The parents nationality was not significantly related to buccal caries [Odds Ratio =1.47 (95% CI; 0.70-3.06; p = 09040)]. CONCLUSIONS: The similar caries susceptibility of buccal and occlusal surfaces of FLPMs stimulates further comparative studies about the usefulness of extending pit and fissure sealing to the buccal surfaces in addition to the occlusal prophylactic intervention, particularly with regard to the female sex and during the early eruption stages of these teeth.

Comparison of the surface tension of 5.25% sodium hypochlorite solution with three new sodium hypochlorite-based endodontic irrigants.

AIM: To investigate the surface tension characteristics of 5.25% sodium hypochlorite and three recently introduced sodium hypochlorite solutions, which had been modified to reduce their surface tension: Chlor-Xtra, Hypoclean A and Hypoclean B. METHODOLOGY: Freshly produced MilliQ water was used as a reference liquid. All measurements of surface tension were taken by the Wilhelmy plate technique, using a Cahn DCA-322 Dynamic Contact Angle Analyzer at the temperature of 22 °C. A glow-discharge cleaned glass slide was immersed in 5 mL of the test liquid in a beaker cleaned with hot chromic acid, rinsed with MilliQ water and finally air plasma-cleaned in a glow-discharge reactor. The force on the glass slide was recorded continuously by the instrument software as the beaker was raised and withdrawn at the constant speed of 40 micron/s, until at least 1 cm of the glass slide was immersed. The typical accuracy was 0.5 mJ m(-2). For each sample, fifteen measurements were taken, and mean values were calculated. A Kruskal-Wallis anova analysis, followed by Mann-Whitney's U rank sum test for pair-wise comparisons, was used to compare surface tension values. Statistical significance was set at α = 0.05. RESULTS: MilliQ water (72.13 mJ m(-2)) and 5.25% sodium hypochlorite (48.90 mJ m(-2) ) had the highest surface tension values (P < 0.01) compared to Chlor-Xtra (33.14 mJ m(-2)), Hypoclean B (30.00 mJ m(-2) ) and Hypoclean A (29.13 mJ m(-2)). Hypoclean A had the lowest surface tension (P < 0.01). CONCLUSIONS: The new 5.25% sodium hypochlorite solutions modified with surfactants, Hypoclean A and Hypoclean B, had surface tension values that were significantly lower (P < 0.01) than Chlor-Xtra and 5.25% NaOCl. Because of their low surface tension and increased contact with dentinal walls, these new irrigants have the potential to penetrate more readily into uninstrumented areas of root canal system as well as allow a more rapid exchange with fresh solution, enabling greater antimicrobial effectiveness and enhanced pulp tissue dissolution ability.

Efficacy of two Ni-Ti systems and hand files for removing gutta-percha from root canals.

AIM: To compare the effectiveness of two Ni-Ti systems and hand files for removing gutta-percha and sealer from root canals. METHODOLOGY: The root canals of 60 single-rooted human teeth were prepared, filled with gutta-percha and sealer (Pulp Canal Sealer; SybronEndo, Orange, CA, USA). Specimens were then divided into three groups (n=20), and root filling material was removed using MTwo Retreatment Files (group 1); R-Endo (group 2); K-files and Gates-Glidden drills (group 3). After retreatment, the efficacy of each technique was assessed using radiographs that were later digitized and the images analysed using AutoCAD 2004. The percentage of residual gutta-percha was calculated for the whole canal as well as for the coronal, middle and apical thirds. Time required, apically extruded debris and the number of fractured instruments were also recorded. Data were statistically analysed using Kruskal-Wallis and Mann-Whitney U-tests. RESULTS: All instrumentation techniques left gutta-percha and sealer remnants inside the root canals. Ni-Ti systems were significantly faster (P < 0.05) than the manual technique and significantly more effective (P < 0.05) in removing gutta-percha particularly from the middle and apical thirds of the root canal. R-Endo instrumentation was significantly more effective (P < 0.05) than MTwo retreatment files in removing gutta-percha from the middle and apical thirds. R-Endo instruments were associated with the least number of cases of apical extrusion. One MTwo instrument fractured. CONCLUSIONS: The Ni-Ti systems were more effective and faster than hand files, although all techniques left gutta-percha and sealer remnants on the root canals.

Avaliação do atendimento pelo programa Aprendendo com Saúde na Coordenadoria Regional de Saúde Sul da Secretaria Municipal de Saúde de São Paulo / Evaluation of the program by learning from the Health Regional Health South Municipal Health Secretariat of Sao Paulo

O Programa Aprendendo com Saúde (APD) têm como objetivo a promoção, prevenção e a assistência à saúde do escolar, sendo normatizado em setembro de 2007 com o objetivo de ampliar e aperfeiçoar o Programa Municipal de Atenção á Saúde do Escolar(AU)

Avaliação do atendimento pelo programa Aprendendo com Saúde na Coordenadoria Regional de Saúde Sul da Secretaria Municipal de Saúde de São Paulo

O Programa Aprendendo com Saúde (APD) têm como objetivo a promoção, prevenção e a assistência à saúde do escolar, sendo normatizado em setembro de 2007 com o objetivo de ampliar e aperfeiçoar o Programa Municipal de Atenção á Saúde do Escolar

Avaliação do atendimento pelo programa aprendendo com saúde na coordenadoria regional de saúde sul da secretaria municipal de saúde de São Paulo / Evaluation of the program by learning from the health regional health south municipal health secretariat of Sao Paulo

O Programa Aprendendo com Saúde (APD) têm como objetivo a promoção, prevenção e a assistência à saúde do escolar, sendo normatizado em setembro de 2007 com o objetivo de ampliar e aperfeiçoar o Programa Municipal de Atenção á Saúde do Escolar.

Post placement affects survival of endodontically treated premolars.

Clinical evidence is lacking regarding the influence of the amount of residual coronal dentin and of post placement on the failure risk of endodontically compromised teeth. The aim of this prospective clinical trial was to assess whether these factors significantly affect the two-year survival of restored pulpless premolars. A sample of 210 individuals provided six experimental groups of 40 premolars in need of endodontic treatment. Groups were defined based on the amount of dentin left at the coronal level. Within each group, in half of the teeth selected at random, a fiber post was inserted inside the root canal, whereas in the remaining half of the premolars, no post was placed. All teeth were covered with a crown. The Cox regression analysis revealed that post placement resulted in a significant reduction of failure risk (p < 0.001). Failure risk was increased for teeth under the "no ferrule" (p = 0.001) and "ferrule effect" conditions (p = 0.004).

A comparative study of Endoflare-Hero Shaper and Mtwo NiTi instruments in the preparation of curved root canals.

AIM: To analyse the shaping ability of two new NiTi rotary systems in molar curved canals. METHODOLOGY: Thirty molar root canals with curvatures from 24 degrees to 69 degrees were divided into two groups that were balanced in terms of curvature. The canals in one group were shaped using the Mtwo (Sweden & Martina, Padova, Italy) and the canals in the other group using the Endoflare-Hero Shaper (Micro-Mega, Besançon, France) in a modified sequence. Pre- and post-instrumentation X-rays were taken using a radiographic platform, with a contrast medium being used to enhance canal opacity. The dentine removed at five positions along the canals, the symmetry of canal shaping and the presence of aberrations were analysed through computer-aided measurements. The instrument failures, the working time and the changes in working length were also recorded. The Mann-Whitney U-test was used for statistical analyses. RESULTS: Both systems produced uniform dentine removal and symmetrical canal shapes; there was no significant difference between the systems (P > 0.05). In the apical region, preparations were centred in the canal. A mean loss of working length of 0.55 mm for Mtwo and 0.58 mm for Endoflare-Hero Shaper was detected, with no significant differences between the instruments (P > 0.05). No aberrations were seen and no instruments separated. The mean working time was 124.4 s for the Mtwo system and 141.3 s for the Endoflare-Hero Shaper but this difference was not statistically significant (P > 0.05). CONCLUSION: The systems tested in this study were effective in shaping curved canals in extracted teeth.

In vivo fluid movement through dentin adhesives in endodontically treated teeth.

Fluid transudation through simplified dentin adhesives can occur in bonded vital crown dentin, since these adhesives behave as permeable membranes after polymerization. The effect of adhesive permeability in endodontically treated teeth is unknown. This study examined the hypothesis that in vivo fluid movement through simplified adhesives occurs when they are applied to root canals. Dowel spaces were prepared in endodontically treated teeth with single root canals. Six adhesives were applied to the intra-radicular dentin of canal walls. Impressions were obtained with polyvinyl siloxane, and replicas were fabricated with the use of polyether impression material. Replica hemisections were gold-coated for SEM examination. Fluid transudation was evident on the adhesive surfaces of all simplified total-etch and self-etch adhesives. Conversely, most of the specimens bonded with the control three-step total-etch adhesive were devoid of fluid droplets. Permeability of simplified adhesives results in water movement, even in root-treated dentin. This may adversely affect the coupling of auto-/dual-cured resin cements.

A one step procedure for luting glass fibre posts: an SEM evaluation.

AIM: To evaluate the ability of two luting procedures for bonding translucent fibre posts to form resin tags, adhesive lateral branches, and resin dentine interdiffusion zones (RDIZ). METHODOLOGY: Forty root filled teeth, extracted for periodontal reasons, were selected for the study. The teeth were randomly divided into four groups of 10 each. Group 1: One Step, light-cured (LC) 20 s + dual link resin cement (LC 20 s); group 2: One Step, not light-cured (NLC) + dual link resin cement (LC 30 s); group 3: One Step (NLC) + dual link resin cement (LC 60 s); group 4: One Step (NLC) + dual link resin cement (LC 90 sec). Forty translucent fibre posts (DT posts, RTD) were inserted. Then, root specimens were processed for scanning electron microscope (SEM) observations to assess the continuity of the RDIZ, the presence or absence of gaps and the density and morphology of resin tags using a four-step scale method. RESULTS: With all luting procedures the formation of a RDIZ occurred. However, the microscopic examination of adhesive interfaces revealed that the percentage of RDIZ was significantly higher in group 1 than in the other three groups (P < 0.05). Group 4 had a higher percentage of RDIZ than group 3, which in turn exhibited a greater percentage than group 2, but these differences were not statistically significant (P > 0.05). Resin tag formation was evident in all the groups. The characteristic reverse cone shape of resin tags was always noted in the coronal and middle third of all groups, and in the apical third of group 1. In the apical third a shorter length and a less uniform appearance of resin tags were noted in groups 2, 3 and 4. CONCLUSIONS: In this laboratory study, when bonding a translucent fibre post into a root canal, the luting procedure including light curing of the adhesive solution before the placement of the cement was more satisfactory, from a SEM standpoint, than the procedure involving the simultaneous curing of adhesive and cement (one step procedure).

In vivo and in vitro permeability of one-step self-etch adhesives.

Adhesive dentistry should effectively restore the peripheral seal of dentin after enamel removal. We hypothesize that non-rinsing, simplified, one-step self-etch adhesives are effective for minimizing dentin permeability after tooth preparation procedures. Crown preparations in vital human teeth were sealed with Adper Prompt, Xeno III, iBond, or One-Up Bond F. Epoxy resin replicas were produced from polyvinyl siloxane impressions for SEM examination. Dentin surfaces from extracted human teeth were bonded with these adhesives and connected to a fluid-transport model for permeability measurements and TEM examination. Dentinal fluid droplets were observed from adhesive surfaces in resin replicas of in vivo specimens. In vitro fluid conductance of dentin bonded with one-step self-etch adhesives was either similar to or greater than that of smear-layer-covered dentin. TEM revealed water trees within the adhesives that facilitate water movement across the polymerized, highly permeable adhesives. Both in vitro and in vivo results did not support the proposed hypothesis.

Efficacy of different adhesive techniques on bonding to root canal walls: an SEM investigation.

OBJECTIVES: Recently, several adhesives have been proposed for bonding fiber posts into root canals. The aim of this study was to evaluate the influence of four adhesive procedures in resin tag, adhesive lateral branch and resin dentin interdiffusion zone (RDIZ) formation when used to bond fiber posts. METHOD: Forty anterior teeth, extracted for periodontal reasons and endodontically treated, were selected for this study. The samples were randomly divided into four groups of ten samples each. Group 1: One Step applied with the small brush provided by the manufacturer and LC (Light-cured before resin cement application)+Dual Link resin cement; Group 2: One Step applied with a thin microbrush LC+Dual Link resin cement; Group 3: One Step applied with a small brush (Not light-cured)+Dual Link resin cement; Group 4: All Bond 2+C & B resin cement (as control). In Group 2 and 4 the adhesive system and resin cement were used strictly following manufacturers' instructions. In Group 1, One Step was applied using a thin microbrush, while in the other groups by a small brush. In Group 1 and 2 the priming-adhesive solution of the "one-bottle" system was light-cured before placing the resin cement and the post, whereas in Group 3 the adhesive/resin cement combination was light cured through the translucent post. Forty translucent posts (RTD, France) were used. A week later, the root samples were processed for SEM observations. RESULTS: Microscopic examination of restored interfaces of Group 1 showed a higher % (P<0.05) of RDIZ than those found in samples of Group 2, 3 and 4. In Group 2, 3 and 4 samples RDIZ morphology was well detectable and uniform in the first two thirds of root canals while in the apical third the RDIZ was not uniformly present. No statistically significant differences were found among the groups coronally, whereas apical and middle thirds of Group 1 showed significantly more resin tags than the other three Groups. In the apical third of Group 2, 3 and 4 samples, the resin tags showed a less uniform morphology and a shorter length than those found in the other two thirds. SIGNIFICANCE: A microbrush might clinically be used for bonding fiber posts into the root canal. When a microbrush was used, the bonding mechanism created between root canal dentin and bonding system was uniform along canal walls and more predictable.

Efficacy of a self-curing adhesive-resin cement system on luting glass-fiber posts into root canals: an SEM investigation.

PURPOSE: The aim of this study was to evaluate the efficacy of a new bonding-luting system in resin tag, adhesive lateral branch, and hybrid layer formation when used in combination with an experimental fiber post. MATERIALS AND METHODS: Thirty anterior teeth extracted for periodontal reasons were selected for this study. They were endodontically treated and randomly divided into three groups of 10 samples each: group 1 = Excite light-cured bonding agent in combination with Variolink II resin cement; group 2 = Excite dual-cured bonding agent self-activated by an experimental microbrush in combination with MultiLink resin cement; and group 3 = one-step bonding system in combination with Dual Link resin cement. In groups 1 and 3, the primer-adhesive solution was light cured before placing the resin cement and the post, whereas in group 2 the adhesive/luting materials were not light cured. Twenty FRC Postec translucent posts (groups 1 and 2) and 10 EndoAesthetic translucent fiber posts (group 3) were used. One week later, the root samples were processed for scanning electron microscopic (SEM) observations. RESULTS: Microscopic examinations of restored interfaces from group 2 revealed a resin-dentin interdiffusion zone higher than that seen in samples from groups 1 and 3 (P < .05). At the apical and middle thirds, the samples from group 2 showed significantly more resin tags than the other two groups. CONCLUSION: The dual-cure self-activating system showed a more uniform resin tag and resin-dentin interdiffusion zone formation along root canal walls than light-curing systems.

Clinical procedure for luting glass-fiber posts.

PURPOSE: This report presents clinical cases in which a self-activating dual-cure adhesive system was used in combination with proprietary self-curing resin cement for bonding a translucent glass-fiber post. The clinical luting procedure of a self-activating bonding/self-curing resin cement system in combination with a glass-fiber post based on fiber-reinforced technology is documented. MATERIALS AND METHODS: The glass-fiber post was placed into a root canal preparation under clinical conditions and documented. A few restored teeth were extracted after 1 week and processed for SEM observations to determine the bonding mechanism to root dentin under clinical conditions. RESULTS: The SEM observations clearly showed that the bonding mechanism between Excite Dual Cure and root dentin was based on hybrid layer, resin tag, and adhesive lateral branch formation. CONCLUSION: The luting procedure described is simple and easy, and can be proposed as a daily clinical technique.