Suksaphar Warattama, Banomyong Danuchit, Jirathanyanatt Titalee, Ngoenwiwatkul Yaowaluk
Department of Operative Dentistry and Endodontics, Mahidol University Faculty of Dentistry, Bangkok, Thailand.
Department of Community Dentistry, Mahidol University Faculty of Dentistry, Bangkok, Thailand.
Restor Dent Endod. 2017 Aug;42(3):157-167. doi: 10.5395/rde.2017.42.3.157. Epub 2017 Jul 31.
This systematic review aims to summarize the current clinical studies that investigated survival rates against fracture of endodontically treated posterior teeth restored with crowns or resin composite restorations. Literature search were performed using keywords. Publications from 1980 to 2016 were searched in PubMed, ScienceDirect, Web of Science, MEDLINE, and SCOPUS. Included studies were selected based on inclusion and exclusion criteria. Three clinical studies were included: 1 randomized controlled trial and 1 prospective and 1 retrospective cohort studies. Pooled survival rates ranged from 94%-100% and 91.9%-100% for crowns and resin composite, respectively. The majority of teeth had no more than 3 surface loss of tooth structure. The studies included were heterogeneous, and were not appropriate for further meta-analysis. Current evidence suggested that the survival rates against the fracture of endodontically treated posterior teeth restored with crowns or resin composites were not significantly different in the teeth with minimum to moderate loss of tooth structure.
本系统评价旨在总结目前有关用冠或树脂复合材料修复的根管治疗后牙抗折生存率的临床研究。使用关键词进行文献检索。在PubMed、ScienceDirect、Web of Science、MEDLINE和SCOPUS中检索了1980年至2016年的出版物。纳入的研究根据纳入和排除标准进行选择。纳入了三项临床研究：1项随机对照试验、1项前瞻性队列研究和1项回顾性队列研究。冠修复和树脂复合材料修复的合并生存率分别为94%-100%和91.9%-100%。大多数牙齿的牙体组织表面丧失不超过3处。纳入的研究具有异质性，不适合进一步的荟萃分析。目前的证据表明，在牙体组织丧失最少至中度的牙齿中，用冠或树脂复合材料修复的根管治疗后牙的抗折生存率没有显著差异。
