ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title The Incidence of Root Fracture is Similar Between Metal Post-Retained and Fiber Post-Retained Restorations
Clinical Question In patients requiring an intraradicular post-retained restoration, do metal posts result in more root fractures than fiber posts?
Clinical Bottom Line For patients requiring post-retained restorations, the incidence of root fracture is similar between metal posts and fiber posts. This is supported by a systematic review of several randomized clinical trials reporting the incidence of root fractures in post-retained restorations.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 25459568Figueiredo/2015Seven randomized clinical trials; seven cohort studiesMeta-analysis
Key resultsThe pooled survival rate for metal-post retained restorations was 90% (95% confidence interval, 85.5-93.3) and for fiber-post retained restorations it was 83.9%, 95% confidence interval, 67.6-92.8). The overall incidence of root fractures was similar between metal and fiber posts.
Evidence Search ("metals"[MeSH Terms] OR "metals"[All Fields] OR "metal"[All Fields]) AND post[All Fields] AND retained[All Fields] AND restorations[All Fields]
Comments on
The Evidence
This is a systematic review of 7 randomized controlled trials and 7 cohort studies. The search for relevant studies was comprehensive and detailed and each study was assessed for validity. The pooled population was composed of 3202 participants and 4752 posts.
Applicability The choice of treatment between fiber-retained posts and metal-retained posts will not effect incidence of root fracture.
Specialty/Discipline (Endodontics)
Keywords Intra-radicular post, root fracture, metal posts, fiber posts,
ID# 2897
Date of submission: 04/08/2015spacer
E-mail karima@livemail.uthscsa.edu
Author Arif Karim
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author James Ball, DDS
Faculty mentor/Co-author e-mail ballj@livemail.uthscsa.edu
Basic Science Rationale
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