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) 25459568 | Figueiredo/2015 | Seven randomized clinical trials; seven cohort studies | Meta-analysis | | Key results | The 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: |
04/08/2015 |
| E-mail |
karima@livemail.uthscsa.edu |
| Author |
Arif Karim |
| Co-author(s) |
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| Co-author(s) e-mail |
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| Faculty mentor/Co-author |
James Ball, DDS |
| Faculty mentor/Co-author e-mail |
ballj@livemail.uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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