Effect of Type of Coronal Restoration on Periapical Healing and Tooth Survival of Root Filled Teeth: Systematic Review and Meta-Analysis.

IF 1.5 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Australian Endodontic Journal Pub Date : 2025-08-24 DOI:10.1111/aej.70008

William Kaaber, Bahram Ranjkesh, Lise-Lotte Kirkevang

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引用次数: 0

Abstract

To evaluate treatment outcomes of directly and indirectly restored root filled teeth (RFT). Electronic databases (MEDLINE/PubMed, Scopus, Embase) were systematically searched for studies comparing indirect and direct restorations on RFT. Outcomes were tooth survival and periapical healing. Minimum follow-up time was 2 years. The quality of included studies was assessed using GRADE. A total of 2063 articles were screened; eventually, 11 studies were included (Ten cohort studies and one RCT). Ten studies reporting tooth survival and four studies on periapical healing were included in meta-analyses. Overall, RFT restored with indirect coronal restorations survived significantly better compared to directly restored RFT (p = 0.01), whereas no statistical difference in periapical healing was demonstrated (p = 0.72). Indirect restorations appear to be associated with improved survival in RFT, but this finding should be interpreted cautiously. No significant difference in periapical healing was found regardless of restoration type. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) ID: CRD42024594890.

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冠状修复类型对根补牙根尖周愈合和存活的影响：系统回顾和meta分析。

目的：评价直接修复和间接修复根补牙的治疗效果。系统检索电子数据库（MEDLINE/PubMed, Scopus, Embase），比较RFT间接修复和直接修复的研究。结果是牙齿存活和根尖周愈合。最小随访时间为2年。采用GRADE评价纳入研究的质量。共筛选2063篇文章；最终纳入了11项研究（10项队列研究和1项随机对照试验）。meta分析包括10项关于牙齿存活的研究和4项关于根尖周愈合的研究。总体而言，冠状面间接修复的RFT比直接修复的RFT存活明显更好（p = 0.01），而根尖周愈合无统计学差异（p = 0.72）。间接修复似乎与RFT患者存活率的提高有关，但这一发现应谨慎解释。两种修复方式在根尖周愈合方面无显著差异。试验注册：国际前瞻性系统评价注册（PROSPERO） ID: CRD42024594890。

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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.