THE POST TRANSFIXED IN THE CORONAL CAVITY INCREASES THE FRACTURE RESISTANCE OF WEAKENED AND DIRECTLY RESTORED TEETH? A SYSTEMATIC REVIEW.

Bruna Neves Portugal, Vanessa Mallmann Weschenfelder, Luiz Henrique Burnett Junior, Tiago André Fontoura de Melo
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Abstract

Introduction: The objective of this systematic review was to answer the question: Does the intraradicular post transfixed in the dental crown increases the fracture resistance of weakened and directly restored teeth? Methods: Electronic databases (MEDLINE/PubMed, LILACS, SCOPUS, EMBASE, Scientific Electronic Library Online - SCIELO, and Central Register of Controlled Trials - CENTRAL) were searched until March 2021, without language or year restriction. Grey literature was also searched through Google scholar and OpenGrey repository. Only in vitro stud-ies were included that evaluated the influence of the use of intraradicular post trans-fixed in the crown in the buccopalatal/lingual direction in the fracture resistance of the dental crown. Relevant results were summarized and evaluated. The risk of bias was also assessed in the studies. Results: Initial screening of databases resulted in 249 studies, of which 109 were excluded for being duplicates. Of 140 eligible pa-pers, fourteen studies met the inclusion criteria and were selected for full-text read-ing. Of these, two studies were excluded for not having access to the full article. All selected articles were classified as low risk of bias. Conclusion: Based on the studies, it is possible to conclude that the use of a transfixed post in the crown increases the fracture resistance of weakened and directly restored teeth.
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在冠状腔内固定后,可以增加弱牙和直接修复牙的抗断裂能力。系统回顾。
本系统综述的目的是回答这个问题:在牙冠内固定根内桩是否会增加虚弱和直接修复的牙齿的抗骨折能力?方法:检索电子数据库(MEDLINE/PubMed、LILACS、SCOPUS、EMBASE、science Electronic Library Online - SCIELO和Central Register of Controlled Trials - Central)至2021年3月,无语言或年份限制。灰色文献也通过谷歌scholar和OpenGrey知识库进行检索。仅纳入了体外研究,评估了牙冠在颊/舌方向上使用根内桩固定对牙冠抗骨折性的影响。对相关结果进行总结和评价。这些研究还评估了偏倚风险。结果:数据库的初步筛选结果为249项研究,其中109项因重复而被排除。在140篇符合条件的论文中,有14篇研究符合纳入标准,并被选中进行全文阅读。其中,两项研究因无法获得全文而被排除在外。所有入选的文章均被归为低偏倚风险。结论:通过研究,可以得出在冠内使用固定桩可以增加弱牙和直接修复牙的抗骨折能力。
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