Impact of contracted endodontic cavities on fracture resistance of endodontically treated teeth: a systematic review of in vitro studies
Objective This systematic review was performed to answer the following question: do contracted endodontic cavities (CECs) increase resistance to fracture in extracted human teeth compared to traditional endodontic cavities (TECs)? Methods A literature search without restrictions was carried out in P...
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| Veröffentlicht in: | Clinical oral investigations 2018-01, Vol.22 (1), p.109-118 |
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| creator | Silva, Emmanuel João Nogueira Leal Rover, Gabriela Belladonna, Felipe Gonçalves De-Deus, Gustavo da Silveira Teixeira, Cleonice da Silva Fidalgo, Tatiana Kelly |
| description | Objective
This systematic review was performed to answer the following question: do contracted endodontic cavities (CECs) increase resistance to fracture in extracted human teeth compared to traditional endodontic cavities (TECs)?
Methods
A literature search without restrictions was carried out in PubMed, Science Direct, Scopus, Web of Science, and Open Grey databases. Articles were selected by two independent reviewers. In addition, a reference and hand search was also fulfilled. All included in vitro studies evaluated the influence of CECs on strength to fracture in extracted human teeth and compared to TECs. The quality of the selected studies was evaluated and they were classified as having a low, moderate or high risk of bias.
Results
A total of 810 articles were obtained in the electronic search. After the application of the eligibility criteria, reference and hand search, and duplicate removal, six studies were included in this systematic review. All included studies evaluated the influence of CECs on strength to fracture in extracted human teeth and compared to TECs. Characteristics investigated in the selected articles included the sample size and tooth type, access cavity design, filling and restoration procedures, load at fracture test characteristics, and results. The studies demonstrated large variability among the fracture resistance values and standard deviations and low power. Three of the reviewed studies presented low risk of bias and the other three showed medium risk of bias.
Conclusion
Overall, this systematic review of in vitro studies showed that there is no evidence that supports the use of CECs over TECs for the increase of fracture resistance in human teeth.
Clinical relevance
Recently, CECs have gained attention in endodontics due to maximum tooth structure preservation including the pericervical dentin, which could improve the strength to fracture of endodontically treated teeth. However, the influence of access cavity design on fracture resistance remains limited and controversial. |
| doi_str_mv | 10.1007/s00784-017-2268-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1960927259</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1983210766</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-300c15fdf36c7e8332ea01fcac2d969df7e13d596b90c4b212f45a5ecf65e9033</originalsourceid><addsrcrecordid>eNp1kctu1TAURS1ERR_wAUyQJSZMQn3sxI6ZoQpKpUqdwNjytY8hVRJfbKdV_oDPxuGWh5A68UNn7WVLm5CXwN4CY-o816VvGwaq4Vz2zfqEnEArZCOUgqe_zryRuodjcprzLWPQSiWekWOugUHX9ifkx9W0t67QGKiLc0n1jJ7i7KOv18FRZ--GMmCmcaZhGy8JacI85GJnh1vwL23HcaUlod0kBbF8e0ctzWsuONnNlvBuwPstNMy0ilOkuSy--p-To2DHjC8e9jPy5eOHzxefmuuby6uL99eNa0VfGsGYgy74IKRT2AvB0TIIzjrutdQ-KAThOy13mrl2x4GHtrMduiA71EyIM_Lm4N2n-H3BXMw0ZIfjaGeMSzagJdNc8U5X9PV_6G1c0lx_V6lecGBKykrBgXIp5pwwmH0aJptWA8xsNZlDTabWZLaazFozrx7My25C_yfxu5cK8AOQ62j-iumfpx-1_gRQjKCb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1983210766</pqid></control><display><type>article</type><title>Impact of contracted endodontic cavities on fracture resistance of endodontically treated teeth: a systematic review of in vitro studies</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Silva, Emmanuel João Nogueira Leal ; Rover, Gabriela ; Belladonna, Felipe Gonçalves ; De-Deus, Gustavo ; da Silveira Teixeira, Cleonice ; da Silva Fidalgo, Tatiana Kelly</creator><creatorcontrib>Silva, Emmanuel João Nogueira Leal ; Rover, Gabriela ; Belladonna, Felipe Gonçalves ; De-Deus, Gustavo ; da Silveira Teixeira, Cleonice ; da Silva Fidalgo, Tatiana Kelly</creatorcontrib><description>Objective
This systematic review was performed to answer the following question: do contracted endodontic cavities (CECs) increase resistance to fracture in extracted human teeth compared to traditional endodontic cavities (TECs)?
Methods
A literature search without restrictions was carried out in PubMed, Science Direct, Scopus, Web of Science, and Open Grey databases. Articles were selected by two independent reviewers. In addition, a reference and hand search was also fulfilled. All included in vitro studies evaluated the influence of CECs on strength to fracture in extracted human teeth and compared to TECs. The quality of the selected studies was evaluated and they were classified as having a low, moderate or high risk of bias.
Results
A total of 810 articles were obtained in the electronic search. After the application of the eligibility criteria, reference and hand search, and duplicate removal, six studies were included in this systematic review. All included studies evaluated the influence of CECs on strength to fracture in extracted human teeth and compared to TECs. Characteristics investigated in the selected articles included the sample size and tooth type, access cavity design, filling and restoration procedures, load at fracture test characteristics, and results. The studies demonstrated large variability among the fracture resistance values and standard deviations and low power. Three of the reviewed studies presented low risk of bias and the other three showed medium risk of bias.
Conclusion
Overall, this systematic review of in vitro studies showed that there is no evidence that supports the use of CECs over TECs for the increase of fracture resistance in human teeth.
Clinical relevance
Recently, CECs have gained attention in endodontics due to maximum tooth structure preservation including the pericervical dentin, which could improve the strength to fracture of endodontically treated teeth. However, the influence of access cavity design on fracture resistance remains limited and controversial.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-017-2268-y</identifier><identifier>PMID: 29101548</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Dental caries ; Dental Cavity Preparation - methods ; Dental pulp ; Dental Restoration, Permanent - methods ; Dental Stress Analysis ; Dentin ; Dentistry ; Endodontics ; Humans ; In Vitro Techniques ; Medicine ; Preservation ; Review ; Reviews ; Systematic review ; Teeth ; Tooth Fractures - prevention & control ; Tooth, Nonvital - therapy</subject><ispartof>Clinical oral investigations, 2018-01, Vol.22 (1), p.109-118</ispartof><rights>Springer-Verlag GmbH Germany 2017</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-300c15fdf36c7e8332ea01fcac2d969df7e13d596b90c4b212f45a5ecf65e9033</citedby><cites>FETCH-LOGICAL-c438t-300c15fdf36c7e8332ea01fcac2d969df7e13d596b90c4b212f45a5ecf65e9033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-017-2268-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-017-2268-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29101548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silva, Emmanuel João Nogueira Leal</creatorcontrib><creatorcontrib>Rover, Gabriela</creatorcontrib><creatorcontrib>Belladonna, Felipe Gonçalves</creatorcontrib><creatorcontrib>De-Deus, Gustavo</creatorcontrib><creatorcontrib>da Silveira Teixeira, Cleonice</creatorcontrib><creatorcontrib>da Silva Fidalgo, Tatiana Kelly</creatorcontrib><title>Impact of contracted endodontic cavities on fracture resistance of endodontically treated teeth: a systematic review of in vitro studies</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objective
This systematic review was performed to answer the following question: do contracted endodontic cavities (CECs) increase resistance to fracture in extracted human teeth compared to traditional endodontic cavities (TECs)?
Methods
A literature search without restrictions was carried out in PubMed, Science Direct, Scopus, Web of Science, and Open Grey databases. Articles were selected by two independent reviewers. In addition, a reference and hand search was also fulfilled. All included in vitro studies evaluated the influence of CECs on strength to fracture in extracted human teeth and compared to TECs. The quality of the selected studies was evaluated and they were classified as having a low, moderate or high risk of bias.
Results
A total of 810 articles were obtained in the electronic search. After the application of the eligibility criteria, reference and hand search, and duplicate removal, six studies were included in this systematic review. All included studies evaluated the influence of CECs on strength to fracture in extracted human teeth and compared to TECs. Characteristics investigated in the selected articles included the sample size and tooth type, access cavity design, filling and restoration procedures, load at fracture test characteristics, and results. The studies demonstrated large variability among the fracture resistance values and standard deviations and low power. Three of the reviewed studies presented low risk of bias and the other three showed medium risk of bias.
Conclusion
Overall, this systematic review of in vitro studies showed that there is no evidence that supports the use of CECs over TECs for the increase of fracture resistance in human teeth.
Clinical relevance
Recently, CECs have gained attention in endodontics due to maximum tooth structure preservation including the pericervical dentin, which could improve the strength to fracture of endodontically treated teeth. However, the influence of access cavity design on fracture resistance remains limited and controversial.</description><subject>Dental caries</subject><subject>Dental Cavity Preparation - methods</subject><subject>Dental pulp</subject><subject>Dental Restoration, Permanent - methods</subject><subject>Dental Stress Analysis</subject><subject>Dentin</subject><subject>Dentistry</subject><subject>Endodontics</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Medicine</subject><subject>Preservation</subject><subject>Review</subject><subject>Reviews</subject><subject>Systematic review</subject><subject>Teeth</subject><subject>Tooth Fractures - prevention & control</subject><subject>Tooth, Nonvital - therapy</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kctu1TAURS1ERR_wAUyQJSZMQn3sxI6ZoQpKpUqdwNjytY8hVRJfbKdV_oDPxuGWh5A68UNn7WVLm5CXwN4CY-o816VvGwaq4Vz2zfqEnEArZCOUgqe_zryRuodjcprzLWPQSiWekWOugUHX9ifkx9W0t67QGKiLc0n1jJ7i7KOv18FRZ--GMmCmcaZhGy8JacI85GJnh1vwL23HcaUlod0kBbF8e0ctzWsuONnNlvBuwPstNMy0ilOkuSy--p-To2DHjC8e9jPy5eOHzxefmuuby6uL99eNa0VfGsGYgy74IKRT2AvB0TIIzjrutdQ-KAThOy13mrl2x4GHtrMduiA71EyIM_Lm4N2n-H3BXMw0ZIfjaGeMSzagJdNc8U5X9PV_6G1c0lx_V6lecGBKykrBgXIp5pwwmH0aJptWA8xsNZlDTabWZLaazFozrx7My25C_yfxu5cK8AOQ62j-iumfpx-1_gRQjKCb</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Silva, Emmanuel João Nogueira Leal</creator><creator>Rover, Gabriela</creator><creator>Belladonna, Felipe Gonçalves</creator><creator>De-Deus, Gustavo</creator><creator>da Silveira Teixeira, Cleonice</creator><creator>da Silva Fidalgo, Tatiana Kelly</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180101</creationdate><title>Impact of contracted endodontic cavities on fracture resistance of endodontically treated teeth: a systematic review of in vitro studies</title><author>Silva, Emmanuel João Nogueira Leal ; Rover, Gabriela ; Belladonna, Felipe Gonçalves ; De-Deus, Gustavo ; da Silveira Teixeira, Cleonice ; da Silva Fidalgo, Tatiana Kelly</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-300c15fdf36c7e8332ea01fcac2d969df7e13d596b90c4b212f45a5ecf65e9033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Dental caries</topic><topic>Dental Cavity Preparation - methods</topic><topic>Dental pulp</topic><topic>Dental Restoration, Permanent - methods</topic><topic>Dental Stress Analysis</topic><topic>Dentin</topic><topic>Dentistry</topic><topic>Endodontics</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Medicine</topic><topic>Preservation</topic><topic>Review</topic><topic>Reviews</topic><topic>Systematic review</topic><topic>Teeth</topic><topic>Tooth Fractures - prevention & control</topic><topic>Tooth, Nonvital - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva, Emmanuel João Nogueira Leal</creatorcontrib><creatorcontrib>Rover, Gabriela</creatorcontrib><creatorcontrib>Belladonna, Felipe Gonçalves</creatorcontrib><creatorcontrib>De-Deus, Gustavo</creatorcontrib><creatorcontrib>da Silveira Teixeira, Cleonice</creatorcontrib><creatorcontrib>da Silva Fidalgo, Tatiana Kelly</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva, Emmanuel João Nogueira Leal</au><au>Rover, Gabriela</au><au>Belladonna, Felipe Gonçalves</au><au>De-Deus, Gustavo</au><au>da Silveira Teixeira, Cleonice</au><au>da Silva Fidalgo, Tatiana Kelly</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of contracted endodontic cavities on fracture resistance of endodontically treated teeth: a systematic review of in vitro studies</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>22</volume><issue>1</issue><spage>109</spage><epage>118</epage><pages>109-118</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objective
This systematic review was performed to answer the following question: do contracted endodontic cavities (CECs) increase resistance to fracture in extracted human teeth compared to traditional endodontic cavities (TECs)?
Methods
A literature search without restrictions was carried out in PubMed, Science Direct, Scopus, Web of Science, and Open Grey databases. Articles were selected by two independent reviewers. In addition, a reference and hand search was also fulfilled. All included in vitro studies evaluated the influence of CECs on strength to fracture in extracted human teeth and compared to TECs. The quality of the selected studies was evaluated and they were classified as having a low, moderate or high risk of bias.
Results
A total of 810 articles were obtained in the electronic search. After the application of the eligibility criteria, reference and hand search, and duplicate removal, six studies were included in this systematic review. All included studies evaluated the influence of CECs on strength to fracture in extracted human teeth and compared to TECs. Characteristics investigated in the selected articles included the sample size and tooth type, access cavity design, filling and restoration procedures, load at fracture test characteristics, and results. The studies demonstrated large variability among the fracture resistance values and standard deviations and low power. Three of the reviewed studies presented low risk of bias and the other three showed medium risk of bias.
Conclusion
Overall, this systematic review of in vitro studies showed that there is no evidence that supports the use of CECs over TECs for the increase of fracture resistance in human teeth.
Clinical relevance
Recently, CECs have gained attention in endodontics due to maximum tooth structure preservation including the pericervical dentin, which could improve the strength to fracture of endodontically treated teeth. However, the influence of access cavity design on fracture resistance remains limited and controversial.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29101548</pmid><doi>10.1007/s00784-017-2268-y</doi><tpages>10</tpages></addata></record> |
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| ispartof | Clinical oral investigations, 2018-01, Vol.22 (1), p.109-118 |
| issn | 1432-6981 1436-3771 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Dental caries Dental Cavity Preparation - methods Dental pulp Dental Restoration, Permanent - methods Dental Stress Analysis Dentin Dentistry Endodontics Humans In Vitro Techniques Medicine Preservation Review Reviews Systematic review Teeth Tooth Fractures - prevention & control Tooth, Nonvital - therapy |
| title | Impact of contracted endodontic cavities on fracture resistance of endodontically treated teeth: a systematic review of in vitro studies |
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