The Efficacy of Surgical Techniques for the Management of Confirmed Vertical Root Fractures: A Systematic Review

IF 1.3 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Australian Endodontic Journal Pub Date : 2025-02-01 DOI:10.1111/aej.12923

Stefano Corbella, Silvio Taschieri, Igor Tsesis, Tomer Goldberger, Luca Francetti, Eyal Rosen

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Abstract

The aim of the present systematic review was to evaluate the efficacy of surgical techniques for the preservation of a tooth with VRF. We included case series presenting techniques for the treatment of VRFs. Both electronic sources (MEDLINE, EMBASE, Cochrane Central) and reference lists/table of contents of pertinent journals were screened. Eight articles (six studies) were included. Four of the studies bonded the fractured fragments with 4-META/MMA-TBB resin, one adopted MTA, and in one study the authors used resin-ionomer cement. There was significant heterogeneity in the results regarding teeth survival rate and it was not possible to perform a quantitative synthesis. Scientific evidence concerning the treatment of vertically fractured roots is sparse and of low quality. Consequently, it is not possible to draw conclusions regarding the efficacy of the reported techniques. More studies with higher scientific standards may add validity to the techniques described here.

Trial Registration: CRD42024524356 in PROSPERO

Abstract Image

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外科技术治疗确诊的垂直根骨折的疗效：一项系统综述。

本系统综述的目的是评估手术技术对VRF牙齿保存的效果。我们纳入了介绍vrf治疗技术的病例系列。筛选电子资源（MEDLINE， EMBASE, Cochrane Central）和相关期刊的参考文献列表/目录。纳入8篇文章（6项研究）。四项研究用4-META/MMA-TBB树脂粘合断裂碎片，一项采用MTA，一项研究作者使用树脂离子水泥。关于牙齿存活率的结果存在显著的异质性，无法进行定量综合。关于垂直断裂根系治疗的科学证据很少，质量也很低。因此，不可能就所报道的技术的有效性得出结论。以更高的科学标准进行更多的研究可能会增加本文所述技术的有效性。试验注册：CRD42024524356在普洛斯彼罗。

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来源期刊

Australian Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.50

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Australian Endodontic Journal provides a forum for communication in the different fields that encompass endodontics for all specialists and dentists with an interest in the morphology, physiology, and pathology of the human tooth, in particular the dental pulp, root and peri-radicular tissues. The Journal features regular clinical updates, research reports and case reports from authors worldwide, and also publishes meeting abstracts, society news and historical endodontic glimpses. The Australian Endodontic Journal is a publication for dentists in general and specialist practice devoted solely to endodontics. It aims to promote communication in the different fields that encompass endodontics for those dentists who have a special interest in endodontics.