Vartak Meghana Aditya, Hegde Vibha Rahul, Hegde Sanitra Rahul, Fanibunda Ushaina
Department of Conservative Dentistry and Endodontics, Post Graduate Program, YMT Dental College and Hospital, Navi Mumbai, India.
Restor Dent Endod. 2025 Feb;50(1):e5. doi: 10.5395/rde.2025.50.e5. Epub 2025 Feb 17.
This systematic review aimed to investigate the fracture resistance and mode of failure of endodontically-treated permanent teeth restored with Ribbond posts (Ribbond, Inc.) compared with endodontically-treated permanent teeth restored with other post systems.
A comprehensive, systematic literature search was carried out using several electronic databases: MEDLINE/PubMed, Google Scholar, and Cochrane Library. Two separate researchers were appointed to identify the studies meeting the eligibility criteria, and to perform the data extraction, risk of bias, and quality assessment.
Twelve studies were included in the quantitative analysis. Meta-analysis was performed with 11 of the 12 included articles. The meta-analysis showed that Ribbond posts have a fracture strength less than prefabricated metal posts, cast metal posts, and prefabricated fiber posts and greater than custom e-glass fiber posts. Mode of failure analysis revealed that Ribbond posts have the most favorable non-catastrophic fractures.
Although Ribbond posts have lower fracture resistance, their favorable mode of failure makes them potentially the most biomimetic post system.
本系统评价旨在研究与采用其他桩系统修复的根管治疗恒牙相比，采用Ribbond桩（Ribbond公司）修复的根管治疗恒牙的抗折性和失败模式。
使用多个电子数据库进行全面、系统的文献检索：MEDLINE/PubMed、谷歌学术和考克兰图书馆。指定两名独立的研究人员识别符合纳入标准的研究，并进行数据提取、偏倚风险评估和质量评估。
12项研究纳入定量分析。对12篇纳入文章中的11篇进行了荟萃分析。荟萃分析表明，Ribbond桩的抗折强度低于预成金属桩、铸造金属桩和预成纤维桩，但高于定制e-玻璃纤维桩。失败模式分析显示，Ribbond桩具有最有利的非灾难性骨折。
尽管Ribbond桩的抗折性较低，但其有利的失败模式使其可能成为最具生物模拟性的桩系统。
