Comparing survival rates of endodontically treated teeth restored either with glass-fiber-reinforced or metal posts : A systematic review and meta-analyses

Copyright © 2022 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved..

STATEMENT OF PROBLEM: When restoring endodontically treated teeth, a post system is indicated to retain a core. Clinicians can choose from different post materials and types. However, the literature is inconclusive on the long-term clinical performance of available post systems.

PURPOSE: The purpose of this systematic review and meta-analysis was to analyze the survival and failure rates of endodontically treated teeth restored either with glass-fiber-reinforced or metal posts.

MATERIAL AND METHODS: The research question was formulated by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines by using the Population, Intervention, Comparison, Outcome, Study Type (PICOS) tool. Medline (PubMed), Embase, and Scopus searches complemented by manual search were performed for randomized controlled clinical trials with a follow-up of at least 2 years. Two independent authors performed screening and data extraction of the articles. Meta-analyses were performed with the RevMan software program. Homogeneity was checked by using chi2 and I2 tests, and random-effects meta-analyses were applied. Odds ratio and 95% confidence interval were calculated (α=.05). The publication bias was evaluated by using funnel plots and the Begg and Egger tests.

RESULTS: A total of 184 studies were retrieved through the electronic searches, and an additional 4 through the hand search. After title- and abstract-level exclusion, 23 studies remained for full-text analyses, of which 7 were selected for data extraction. Meta-analyses revealed an overall survival rate of 92.8% for endodontically treated teeth restored with glass-fiber-reinforced posts compared with 78.1% of those restored with metal posts. No statistically significant difference (P>.05) was found in the survival, success, or failure rates.

CONCLUSIONS: No statistically significant differences were found between the survival and failure rates of endodontically treated teeth restored either with glass-fiber-reinforced or metal posts. The overall survival rate was 92.8% for glass fiber posts and 78.1% for metal posts. Both are reliable materials when a significant amount of coronal tooth structure is missing and treatment with a post is indicated.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:131

Enthalten in:

The Journal of prosthetic dentistry - 131(2024), 4 vom: 01. Apr., Seite 567-578

Sprache:

Englisch

Beteiligte Personen:

Tsintsadze, Nino [VerfasserIn]
Margvelashvili-Malament, Mariam [VerfasserIn]
Natto, Zuhair S [VerfasserIn]
Ferrari, Marco [VerfasserIn]

Links:

Volltext

Themen:

Composite Resins
Fiberglass
Journal Article
Meta-Analysis
Metals
Review
Systematic Review

Anmerkungen:

Date Completed 05.04.2024

Date Revised 05.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.prosdent.2022.01.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339594888