William Kaaber, Bahram Ranjkesh, Lise-Lotte Kirkevang
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Effect of Type of Coronal Restoration on Periapical Healing and Tooth Survival of Root Filled Teeth: Systematic Review and Meta-Analysis.
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.
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.
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