The treatment outcomes of cracked teeth: A systematic review and meta-analysis.
J Dent
; 142: 104843, 2024 03.
Article
em En
| MEDLINE
| ID: mdl-38272437
ABSTRACT
OBJECTIVES:
The aim of this review was to analyze the clinical treatment outcomes of cracked teeth (CT) retaining vital dental pulp (CT-VDP) or undergoing root canal treatment (CT-RCT). SOURCES A systematic search was conducted in Medline, Embase, PubMed, and Cochrane Library databases. STUDY SELECTION Studies evaluating tooth survival rate (TSR), pulp survival rate (PSR), and success rate (SR) with at least a one-year follow-up were included. The risk of bias was evaluated with the Newcastle-Ottawa scale. DATA Twenty-seven studies underwent qualitative analysis, 26 of which were included in the meta-analysis. SR of monitoring without restorative treatments was 80 % at three years. TSR of CT-VDP was 92.8-97.8 % at 1â6 years, PSR of CT-VDP was 85.6â90.4 % at 1â3 years, and SR of CT-VDP was 80.6â89.9 % at 1â3 years; TSR of CT-RCT was 90.5â91.1 % at 1â2 years, and SR of CT-RCT was 83.0â91.2 % at 1â4 years. Direct restorations without cuspal coverage for CT-VDP increased the risk ratio (RR) of pulpal complications (RR=3.2, 95 % CI 1.51-6.82, p = 0.002) and tooth extraction (RR=8.1, 95 % CI 1.05-62.5, p = 0.045) compared with full-crown restorations. The CT-RCT without full-crown restorations had an 11.3-fold higher risk of tooth extraction than the CT-RCT with full-crown restorations (p < 0.001).CONCLUSIONS:
Monitoring without restorative treatments might be an option for the CT without any symptoms. Direct restorations without cuspal coverage for the CT-VDP could significantly increase the RR of pulpal complications and tooth extraction compared with full-crown restorations. Full-crown restorations are strongly recommended for the CT-RCT. CLINICALSIGNIFICANCE:
Monitoring without restorative treatments could be a viable option for the CT without any symptoms. Full-crown restorations are strongly recommended for the CT with any symptoms and the CT-RCT.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Síndrome de Dente Quebrado
/
Restauração Dentária Permanente
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article