Comparison between immediate and delayed post space preparations: a systematic review and meta-analysis
| Autor: | Alexandre Henrique dos Reis-Prado, Isabella Faria da Cunha Peixoto, Antonio Paulino Ribeiro-Sobrinho, Lucas Guimarães Abreu, Elen Marise Castro de Oliveira, Ana Cecília Diniz Viana, Francine Benetti, Juliana Vilela Bastos, Warley Luciano Fonseca Tavares |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Root canal Dentistry Cochrane Library Mean difference Root Canal Filling Materials 03 medical and health sciences 0302 clinical medicine Root Canal Obturation medicine Humans General Dentistry Bacterial penetration Dental Leakage business.industry Epoxy Resins Significant difference 030206 dentistry Endodontics Confidence interval medicine.anatomical_structure 030220 oncology & carcinogenesis Meta-analysis Gutta-Percha business Root Canal Preparation Post and Core Technique |
| Zdroj: | Clinical oral investigations. 25(2) |
| ISSN: | 1436-3771 |
| Popis: | This systematic review and meta-analysis compared the effects of immediate and delayed post space preparation on apical sealing. Two independent authors conducted a systematic search (PubMed/Medline, Cochrane Library, and other databases, until February 2020) and a risk of bias evaluation. Only in vitro studies that compared the effects of immediate and delayed post space preparations on apical filling and adhesion of the post were eligible. Of the 742 articles retrieved, 32 were included. Most of the studies used single-rooted human teeth and rotary files for root canal preparation, a single-cone technique for the filling protocol, and rotary instruments for post space preparation. Various delayed preparation times were evaluated: 8–72 h, 5–30 days (mainly 7 days), and 4 months. In nine studies, the delayed groups showed more apical leakage, while four studies reported more leakage in the immediate groups; ten studies found no significant difference. One study found more bacterial penetration in the delayed group, whereas three studies showed no significant difference. One study reported more voids in the delayed group, while another found no such difference. Three studies showed better post-bond strength in the delayed group, one in the immediate group, whereas three found no significant difference in post-bond strength. Three studies employing varied sealers for root canal fillings were considered for meta-analysis. Two subgroup analyses were also performed (one concerning the use of resin-based sealers (AH Plus), another for zinc oxide–eugenol-based sealers). The results of the meta-analysis showed that a delayed post space preparation led to a significantly higher apical leakage than an immediate preparation (mean difference = 0.41 mm, confidence interval = 0.24–0.59, p < 0.001). Delayed post space preparation seems to negatively influence apical sealing; however, further studies are needed to determine the influence of the timing of post space preparation on the other parameters. Immediate post space preparation may be the safest clinical choice to prevent apical leakage. |
| Databáze: | OpenAIRE |
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