Do metal post-retained restorations result in more root fractures than fiber post-retained restorations? A systematic review and meta-analysis
- PMID: 25459568
- DOI: 10.1016/j.joen.2014.10.006
Do metal post-retained restorations result in more root fractures than fiber post-retained restorations? A systematic review and meta-analysis
Abstract
Introduction: Teeth requiring endodontic treatment commonly have compromised a coronal tooth structure that often requires the use of an intraradicular post to retain the coronal restoration. Although usually successful, catastrophic failures requiring extraction have been reported in the literature. The aim of this systematic review was to analyze clinical trials and cohort studies that evaluated the incidence rate of root fractures in post-retained restorations. The hypothesis was that the incidence rate related to the use of metal posts was higher than that of fiber posts.
Methods: A MEDLINE search for clinical studies reporting the incidence of root fractures of restorations retained with fiber posts or metal posts of endodontically treated teeth with a more than 5-year follow-up was conducted from inception to January 2014. Seven randomized clinical trials and 7 cohort studies were included.
Results: The pooled survival rate was 90% (95% confidence interval, 85.5-93.3) for metal-based posts and 83.9% (95% confidence interval, 67.6-92.8) for fiber-reinforced posts. The overall incidence rate of root fractures (catastrophic failures) was similar between metal and fiber posts. Prefabricated metal posts and carbon fiber posts had a 2-fold increase in the incidence rate of root fractures compared with cast metal posts and glass fiber posts, respectively.
Conclusions: The results of this study did not show significant differences for root fracture incidence between metal- and fiber posts. However, the studies included in this review presented a high risk of bias, and further well-designed clinical studies are required to confirm these findings.
Keywords: Dental restoration failure; endodontically treated teeth; meta-analysis; post and core technique.
Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
Comment in
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Metal or fibre posts and root fractures.Evid Based Dent. 2015 Sep;16(3):80-1. doi: 10.1038/sj.ebd.6401115. Evid Based Dent. 2015. PMID: 26492802 No abstract available.
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The Incidence of Root Fracture is Similar Between Metal Post and Fiber Post Retained Restorations (UT CAT # 2897).Tex Dent J. 2016 Jun;133(6):341. Tex Dent J. 2016. PMID: 27544970 No abstract available.
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