Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic review
Abstract Background Large cavity designs and access cavities impair endodontically treated tooth fracture resistance. As the tooth’s strength is known to reduce significantly after the root canal treatment, occlusal loading as a result of functions such as chewing, biting and certain parafunctional...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-023-03217-2 |
| _version_ | 1797451251657474048 |
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| author | Harish Selvaraj Jogikalmat Krithikadatta Deepti Shrivastava Meshal Aber Al Onazi Hmoud Ali Algarni Swapna Munaga May Osman Hamza Turki saad Al-fridy Kavalipurapu Venkata Teja Krishnamachari Janani Mohammad Khursheed Alam Kumar Chandan Srivastava |
| author_facet | Harish Selvaraj Jogikalmat Krithikadatta Deepti Shrivastava Meshal Aber Al Onazi Hmoud Ali Algarni Swapna Munaga May Osman Hamza Turki saad Al-fridy Kavalipurapu Venkata Teja Krishnamachari Janani Mohammad Khursheed Alam Kumar Chandan Srivastava |
| author_sort | Harish Selvaraj |
| collection | DOAJ |
| description | Abstract Background Large cavity designs and access cavities impair endodontically treated tooth fracture resistance. As the tooth’s strength is known to reduce significantly after the root canal treatment, occlusal loading as a result of functions such as chewing, biting and certain parafunctional tendencies makes the endodontically treated tooth vulnerable to fracture. Hence, after endodontic treatment, it is vital to give adequate and appropriate restorative material to avoid tooth fractures. Accordingly, the choice of such restorative material should be dictated by the property of fracture resistance. Objective The goal of this study was to conduct a systematic review and critical analysis of available data from in vitro studies examining the fracture resistance of endodontically treated posterior teeth restored with fiber-reinforced composites. Methodology The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRIS-MA) Statement was used to guide the reporting of this systematic review A comprehensive literature search was performed using MEDLINE (via PubMed), Scopus, ScienceDirect, Google Scholar, and LILACS. A manual search of the reference lists of the articles was also performed. The databases provided a total of 796 studies from the electronic systematic search. The databases provided a total of 796 studies from the electronic systematic search. Two reviewers scrutinized the papers for eligibility based on inclusion/exclusion criteria and extracted data. The studies were assessed for their potential risk of bias. Based on modified JBI & CRIS (checklist for reporting in vitro studies) guidelines, along with the methodology and treatment objective, we have formulated 13 parameters specifically to assess the risk of bias. A total of 18 studies met the inclusion criteria and were included for qualitative analysis. Considering the high heterogeneity of the studies included, a meta-analysis could not be performed. Results The majority of the included studies had a moderate or high risk of bias. When compared to traditional hybrid composites, fiber-reinforced composites showed increased fracture resistance of endodontically treated teeth in the majority of investigations. On the other hand, limited evidence was found for the bulk fill composites. Moreover, moderate evidence was found for the fracture resistance of inlays and fiber posts with fiber-reinforced composites for core build-up in endodontically treated teeth. No evidence could be found comparing the fracture resistance of endo crowns and fiber-reinforced composites in endodontically treated teeth. Conclusion According to the research, using fiber-reinforced composites instead of conventional hybrid composites improves the fracture resistance of endodontically treated teeth. However, there was a high risk of bias in the research considered. No judgments could be reached about the superiority of one material over another based-on comparisons between other core restorations. |
| first_indexed | 2024-03-09T14:52:01Z |
| format | Article |
| id | doaj.art-2a8d8e34ddd74f4f8b3304ebcab96c10 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-09T14:52:01Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-2a8d8e34ddd74f4f8b3304ebcab96c102023-11-26T14:24:17ZengBMCBMC Oral Health1472-68312023-08-0123112010.1186/s12903-023-03217-2Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic reviewHarish Selvaraj0Jogikalmat Krithikadatta1Deepti Shrivastava2Meshal Aber Al Onazi3Hmoud Ali Algarni4Swapna Munaga5May Osman Hamza6Turki saad Al-fridy7Kavalipurapu Venkata Teja8Krishnamachari Janani9Mohammad Khursheed Alam10Kumar Chandan Srivastava11Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences Department of Cariology, Saveetha Dental College & Hospitals, SIMATSDepartment of Preventive Dentistry, College of Dentistry, Jouf UniversityDepartment of Operative Dentistry and Endodontics, College of Dentistry, Jouf UniversityDepartment of Operative Dentistry and Endodontics, College of Dentistry, Jouf UniversityRestorative and Prosthetic Dental Sciences, College of Dentistry, King Saud Bin, Abdulaziz University for Health SciencesDepartment of Prosthetic Dental Sciences, College of Dentistry, Jouf UniversityGeneral Dentist, Ministry of HealthDepartment of Conservative Dentistry and Endodontics, Mamata Institute of Dental Sciences, Mamata Educational SocietyDepartment of Conservative Dentistry and Endodontics, SRM Dental College, SRM Institute of Science & TechnologyDepartment of Preventive Dentistry, College of Dentistry, Jouf UniversityDepartment of Oral & Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf UniversityAbstract Background Large cavity designs and access cavities impair endodontically treated tooth fracture resistance. As the tooth’s strength is known to reduce significantly after the root canal treatment, occlusal loading as a result of functions such as chewing, biting and certain parafunctional tendencies makes the endodontically treated tooth vulnerable to fracture. Hence, after endodontic treatment, it is vital to give adequate and appropriate restorative material to avoid tooth fractures. Accordingly, the choice of such restorative material should be dictated by the property of fracture resistance. Objective The goal of this study was to conduct a systematic review and critical analysis of available data from in vitro studies examining the fracture resistance of endodontically treated posterior teeth restored with fiber-reinforced composites. Methodology The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRIS-MA) Statement was used to guide the reporting of this systematic review A comprehensive literature search was performed using MEDLINE (via PubMed), Scopus, ScienceDirect, Google Scholar, and LILACS. A manual search of the reference lists of the articles was also performed. The databases provided a total of 796 studies from the electronic systematic search. The databases provided a total of 796 studies from the electronic systematic search. Two reviewers scrutinized the papers for eligibility based on inclusion/exclusion criteria and extracted data. The studies were assessed for their potential risk of bias. Based on modified JBI & CRIS (checklist for reporting in vitro studies) guidelines, along with the methodology and treatment objective, we have formulated 13 parameters specifically to assess the risk of bias. A total of 18 studies met the inclusion criteria and were included for qualitative analysis. Considering the high heterogeneity of the studies included, a meta-analysis could not be performed. Results The majority of the included studies had a moderate or high risk of bias. When compared to traditional hybrid composites, fiber-reinforced composites showed increased fracture resistance of endodontically treated teeth in the majority of investigations. On the other hand, limited evidence was found for the bulk fill composites. Moreover, moderate evidence was found for the fracture resistance of inlays and fiber posts with fiber-reinforced composites for core build-up in endodontically treated teeth. No evidence could be found comparing the fracture resistance of endo crowns and fiber-reinforced composites in endodontically treated teeth. Conclusion According to the research, using fiber-reinforced composites instead of conventional hybrid composites improves the fracture resistance of endodontically treated teeth. However, there was a high risk of bias in the research considered. No judgments could be reached about the superiority of one material over another based-on comparisons between other core restorations.https://doi.org/10.1186/s12903-023-03217-2EndodonticsPost-endodontic dental restorationFiber-reinforced compositesFracture strengthPolymeric composite biomaterialsShort e-glass fiber |
| spellingShingle | Harish Selvaraj Jogikalmat Krithikadatta Deepti Shrivastava Meshal Aber Al Onazi Hmoud Ali Algarni Swapna Munaga May Osman Hamza Turki saad Al-fridy Kavalipurapu Venkata Teja Krishnamachari Janani Mohammad Khursheed Alam Kumar Chandan Srivastava Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic review BMC Oral Health Endodontics Post-endodontic dental restoration Fiber-reinforced composites Fracture strength Polymeric composite biomaterials Short e-glass fiber |
| title | Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic review |
| title_full | Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic review |
| title_fullStr | Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic review |
| title_full_unstemmed | Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic review |
| title_short | Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic review |
| title_sort | systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites a systematic review |
| topic | Endodontics Post-endodontic dental restoration Fiber-reinforced composites Fracture strength Polymeric composite biomaterials Short e-glass fiber |
| url | https://doi.org/10.1186/s12903-023-03217-2 |
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