Alhamdan Mai M, Alghuwainem Norah, Alharbi Mona, Hummady Shoag
Department of Prosthetic Dental Sciences, King Saud University, Riyadh, SAU.
Department of Dentistry, King Saud University, Riyadh, SAU.
Cureus. 2024 Sep 24;16(9):e70116. doi: 10.7759/cureus.70116. eCollection 2024 Sep.
The significant loss of tooth structure that occurs after dental caries and endodontic therapy is a common clinical challenge. Several methods were discussed in the literature to treat badly damaged teeth. This systematic review aims to compare the clinical outcomes of partial indirect bonded porcelain restorations to full-coverage crowns of endodontically treated teeth in posterior areas. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Data included in the review were identified through bibliographic research on electronic databases (PubMed/Medline, Google Scholar, Cochrane Library, and Web of Science). The strategy was applied by searching for randomized clinical trials (RCTs), cohort studies, and case-control studies using keywords (partial indirect bonded porcelain restoration, partial indirect bonded restoration, inlay and onlay, full convergent crown, and ceramic crown). As a result of a literature search through selected databases using the keywords, 88,421 papers were identified. A total of 671 articles were related and screened for inclusion and exclusion criteria. Four hundred and eighty-two articles that did not meet the inclusion criteria were excluded. A total of 189 full-text papers were assessed, and 20 articles were included in this study. Nineteen cohort studies and one case-control study were included and assessed in this review. This study concludes that both full-coverage crowns and partial indirect bonded restorations demonstrate comparable survival rates. However, limited studies exist regarding partial indirect bonded restorations on endodontically treated teeth, indicating the need for further updated studies.
龋齿和牙髓治疗后发生的牙齿结构严重丧失是常见的临床挑战。文献中讨论了几种治疗严重受损牙齿的方法。本系统评价旨在比较后牙区牙髓治疗牙齿的部分间接粘结烤瓷修复体与全冠修复体的临床疗效。该研究遵循系统评价和Meta分析的首选报告项目（PRISMA）指南。纳入评价的数据通过对电子数据库（PubMed/Medline、谷歌学术、Cochrane图书馆和科学网）的文献研究确定。通过使用关键词（部分间接粘结烤瓷修复体、部分间接粘结修复体、嵌体和高嵌体、全聚合冠和陶瓷冠）搜索随机临床试验（RCT）、队列研究和病例对照研究来应用该策略。通过使用关键词在选定数据库中进行文献检索，共识别出88421篇论文。共有671篇文章相关，并根据纳入和排除标准进行筛选。排除482篇不符合纳入标准的文章。共评估了189篇全文论文，本研究纳入了20篇文章。本评价纳入并评估了19项队列研究和1项病例对照研究。本研究得出结论，全冠修复体和部分间接粘结修复体的生存率相当。然而，关于牙髓治疗牙齿的部分间接粘结修复体的研究有限，这表明需要进一步的更新研究。
