1. Clinical and laboratorial performance of rehabilitation of endodontically treated teeth: A systematic review.
- Author
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Matos, Luanne Mara Rodrigues de, Silva, Marcelo Lopes, Cordeiro, Thais Oliveira, Cardoso, Sarah de Araujo Mendes, Campos, Débora e Silva, de Muniz, Isis Araújo Ferreira, Barros, Suelen Aline de Lima, and Seraidarian, Paulo Isaias
- Subjects
RISK assessment ,IN vitro studies ,MEDICAL information storage & retrieval systems ,COMPLICATIONS of prosthesis ,SURVIVAL rate ,DENTAL pulp diseases ,DENTAL crowns ,SYSTEMATIC reviews ,MEDLINE ,CLINICAL competence ,MEDICAL databases ,TOOTH fractures ,ONLINE information services ,COMPARATIVE studies ,DISEASE risk factors - Abstract
Objective: This systematic review aimed to analyze the clinical (survival rate, failure risk, or fracture) and laboratory performance (fracture mode or failure) of rehabilitations of endodontically treated teeth, with and without posts. Materials and Methods: A systematic search was conducted in the Pubmed, Scopus, Web of Science, Embase, Cochrane Library, and OpenGrey databases up to March 2023, according to PRISMA guidelines. In vitro and clinical studies that compared the clinical and laboratory performance of endodontically treated teeth with and without intraradicular posts were included. Studies selection, data extraction, and risk of bias analysis were performed. Results: Thirty‐one in vitro and 7 clinical studies were included. For in vitro studies, fiberglass post (n = 24) was the most mentioned. The follow‐up time of the clinical studies ranged from 1 to 17 years, with the fiber‐reinforced composite post (n = 3) being the most evaluated, and only failure risk proved to be more favorable for using intraradicular posts. Conclusion: Rehabilitations of endodontically treated teeth with and without intraradicular retainers showed no difference in fracture resistance and failure mode, evaluated by in vitro studies. Clinical studies showed no difference in survival rate, but failure risk proved to be more favorable for the use of posts. Clinical Significance: This analysis revealed significant variability between results, however, most laboratory and clinical studies revealed no difference with using the post. Furthermore, it is important to emphasize the need to evaluate the coronary remnant and the general characteristics of the tooth in each situation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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