Clinical behavior and survival of endodontically treated teeth with or without post placement: a systematic review and meta-analysis.

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral science Pub Date : 2024-09-04 DOI:10.2334/josnusd.24-0098

Ali A Alenezi, Sereen O Alyahya, Noura S Aldakhail, Hanin A Alsalhi

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Abstract

Purpose: Non-vital teeth usually exhibit substantial loss of coronal and radicular tooth structure, and use of posts after root canal treatment is controversial. This review examined whether placement of posts influences clinical behavior and survival probability of endodontically treated teeth (ETT).

Methods: An electronic search, without time restrictions, for publications written in English was undertaken in PubMed, Scopus, and Web of Science. Terms related to four main components (endodontically treated teeth, fixed prosthesis, post restoration, and survival rate) were used for the database search strategies.

Results: 57 studies met the inclusion criteria and were included in the qualitative analysis. Of the publications chosen for qualitative analysis, 17 clinical studies (11 prospective and 6 retrospective studies) were found to be suitable for quantitative analysis. These studies included 7,278 patients (7,330 ETT), with a mean age ± standard deviation (SD) of 45.46 ± 12.1 years. There was a statistically significant difference in survival rate between ETT with or without posts (P < 0.001).

Conclusion: As compared with teeth with no posts, post placement on ETT may improve clinical performance and survival probability of endodontically treated teeth.

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牙髓治疗后牙齿的临床表现和存活率：系统回顾和荟萃分析。

目的：非活髓牙通常会表现出冠状和根状牙齿结构的大量丧失，根管治疗后使用牙柱存在争议。本综述研究了根管治疗后使用牙柱是否会影响临床表现和根管治疗后牙齿（ETT）的存活概率：方法：在 PubMed、Scopus 和 Web of Science 上对英文出版物进行了无时间限制的电子检索。在数据库搜索策略中使用了与四个主要部分（牙髓治疗牙齿、固定修复体、后期修复和存活率）相关的术语：结果：57 项研究符合纳入标准，并被纳入定性分析。在选择进行定性分析的出版物中，有 17 项临床研究（11 项前瞻性研究和 6 项回顾性研究）适合进行定量分析。这些研究共纳入 7278 例患者（7330 例 ETT），平均年龄（标准差）为 45.46±12.1 岁。结论：与无牙柱的 ETT 相比，有牙柱的 ETT 的存活率更高（P < 0.001）：结论：与不带牙柱的牙齿相比，在 ETT 上放置牙柱可提高牙髓治疗牙齿的临床表现和存活率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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