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

Tsintsadze, Nino; Margvelashvili‐Malament, Mariam; Natto, Zuhair S.; Ferrari, Marco

doi:10.1016/j.prosdent.2022.01.003

Cited by 13 publications

(7 citation statements)

References 36 publications

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“…Indirect restorations usually require placement of temporary restoration material prior to its cementation in the next visit, which increases the possibility of coronal microleakage in the interim period. The major concern related to the post placement stems from the risk of perforation as well as poor cementation, which can also lead to microleakage 41 . On the other hand, placement of direct restorations, especially composites, carries the risk of gap formation on the gingival margins, which might provide an ideal path through which bacteria can access the rootfilled canal, compromising the endodontic treatment success 42 .…”

Section: Discussionmentioning

confidence: 99%

Post-treatment periapical status related to the quality of root canal fillings in adults living in Vojvodina

Ramić¹,

Vukoje²,

Cvjeticanin³

et al. 2023

VOJNOSANIT PREGL

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Background/Aim. Apical periodontitis (AP) is an acute or chronic inflammation of the periradicular tissue, usually caused by the presence of microbial irritants in the root canal system. The aim of the present study was to radiographically investigate the AP prevalence in root-filled teeth in adults from an urban area of Vojvodina. Methods. Randomly selected digital ortopantomographs of 616 subjects attending the Clinic of Dentistry of Vojvodina, Serbia, were examined. Periapical status, root canal filling (RCF) quality, type of coronal restorations, and their relationships were evaluated. The chi-square test was used for statistical analysis. Results. The total number of endodontically treated teeth was 965, 44.2% of them received an adequate RCF score, and 34.9% had AP, which was diagnosed in 57.4% of inadequately scored root-filled teeth. Posterior teeth had significantly worse RCF quality than anterior teeth (p < 0.001). The direct logistic regression results indicate that a technically well-performed RCF reduced the risk of AP almost 21-fold. The prevalence of AP in our cohort was not influenced by the type of restoration (direct or indirect), but statistically significantly, the highest prevalence of AP was found in rootfilled teeth without any coronal restoration. Conclusion. The results of this study reaffirm that technically high-quality root canal treatment is crucial to ensure a more predictable root canal treatment outcome.

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Section: Discussionmentioning

confidence: 99%

Post-treatment periapical status related to the quality of root canal fillings in adults living in Vojvodina

Ramić¹,

Vukoje²,

Cvjeticanin³

et al. 2023

VOJNOSANIT PREGL

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“…Statistically, the survival and failure rates of endodontically treated teeth with fiberglass or metal posts are not significantly different. In 2022, Nino Tsintsadze et al considered a total of 188 studies and concluded that both materials can be used with confidence in performing treatment when a significant amount of coronary structure is missing, as the success rate is 92.8% for fiberglass posts and 78.1% for metallic posts [ 60 , 61 , 62 ].…”

Section: Discussionmentioning

confidence: 99%

Post Placement and Restoration of Endodontically Treated Canines: A Finite Element Analysis Study

Popescu

Popa

Nicola

et al. 2022

IJERPH

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The purpose of this study was to show the improved outcomes of restoring endodontically treated teeth with fiberglass posts compared to restorations using metal posts. In our study, we used the Finite Element Method (FEM), which is based on the principle that a physical model that supports a given load distributes the stress throughout its volume. We sought to assess what stress results in a tooth when it is restored using a fiberglass post compared to restoration using a metal post. The finite element analysis showed that a system consisting of a tooth with a fiberglass post is more stable in terms of the maximum stress than a system consisting of a tooth with a metal post. The maximum displacements and deformations were obtained in the case of a canine restored with a fiberglass post, which showed that this system had a high elasticity, therefore, higher strength than a canine restored with a metal post, which had high rigidity.

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“…On the other hand, metal posts are rigid and transfer forces along their long axis, increasing the risk of root fracture (Barcellos et al., 2013; Bhuva et al., 2021; Chieruzzi et al., 2012; Tay & Pashley, 2007). A meta‐analysis revealed that fibre posts had higher overall survival rates over the medium term (3 to 7 years) than metal posts (Wang et al., 2019), whilst another meta‐analysis concluded that the overall survival rate for fibre posts was 92.8%, and for metal posts, it was 78.1% (Tsintsadze et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

A laboratory study comparing the static navigation technique using a bur with a conventional freehand technique using ultrasonic tips for the removal of fibre posts

Abella Sans,

Alatiya,

Val

et al. 2024

Int Endodontic J

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AimThere are currently no high‐quality studies comparing the static navigation technique with conventional methods of fibre post removal. The aim of this ex vivo study was to compare the effectiveness of fibre post removal between a static navigation technique and a conventional freehand technique using ultrasonics by experienced and inexperienced operators.MethodologyForty‐eight extracted single‐rooted human premolars were root‐filled. A fibre post was cemented in all 48 teeth, which were then divided randomly into the following groups: static navigation group using burs; static navigation‐ultrasonic group; and non‐guided group using ultrasonic tips. The following parameters were evaluated for both experienced operators and inexperienced operators: reaching the gutta‐percha root filling successfully, the time required to remove the entire post, the occurrence of lateral root perforations, and the amount of root dentine removed. The Kolmogorov–Smirnov test was used to examine the normality of the data; the anova test was used to compare the significant differences among groups; and Tukey tests were used for all two‐by‐two comparisons. The significance level was set at 0.05.ResultsIn the static navigation group, the gutta‐percha was reached significantly more frequently than in the non‐guided group (p < .05). The static navigation approach required significantly less time than the non‐guided approach to reach the gutta‐percha (p < .05). The total removal of posts was significantly different between groups (p < .05), but there was no significant difference between experienced and inexperienced operators in the static navigation group (p > .05). More perforations were associated with the non‐guided group than with the other two groups. The total mean loss of dentine in the non‐guided group in all directions was 0.39 (±0.17) mm, with 0.25 (±0.09) mm for experienced, and 0.42 (±0.16) mm for inexperienced operators.ConclusionWhen compared to a conventional ultrasonic technique for the removal of fibre posts, the static navigation method using burs resulted in less dentine removal, more rapid access to the gutta‐percha root filling, less overall time to remove the posts, and fewer complications. When using static navigation, there was no difference in performance between experienced and inexperienced operators.

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

Cited by 13 publications

References 36 publications

Post-treatment periapical status related to the quality of root canal fillings in adults living in Vojvodina

Post-treatment periapical status related to the quality of root canal fillings in adults living in Vojvodina

Post Placement and Restoration of Endodontically Treated Canines: A Finite Element Analysis Study

A laboratory study comparing the static navigation technique using a bur with a conventional freehand technique using ultrasonic tips for the removal of fibre posts

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