Does Low-Taper Root Canal Shaping Decrease the Risk of Root Fracture? A Systematic Review.
endodontic instrument
fracture resistance
instrument taper
microcracks
root canal preparation
root canal shaping
root fracture
Journal
Dentistry journal
ISSN: 2304-6767
Titre abrégé: Dent J (Basel)
Pays: Switzerland
ID NLM: 101716125
Informations de publication
Date de publication:
01 Jun 2022
01 Jun 2022
Historique:
received:
22
04
2022
revised:
23
05
2022
accepted:
27
05
2022
entrez:
23
6
2022
pubmed:
24
6
2022
medline:
24
6
2022
Statut:
epublish
Résumé
Minimal root-canal preparation has been suggested to reduce the risk of root fracture, but as a result, satisfactory cleaning and shaping do not take place. Large-scale taper instrumentation can contribute to removing infected tissue; however, it may weaken the tooth structure. The aim of this systematic review is to evaluate whether root-canal shaping with low-taper instruments decreases the risk of root fracture, compared to high-conicity shaping. A search was performed on Ovid MEDLINE, PubMed, and the Web of Science. The inclusion criteria were: studies comparing the root fracture resistance of endodontically treated teeth, shaped with low- and high-conicity taper instruments, in human trials, and via in vitro study. The review includes all types of endodontically treated teeth, with various instrument tapers. The scientific search engines produced 328 results. Only 20 of the results were evaluated after screening. Based on the articles analyzed, it is not clear whether a taper difference can determine differences in root fracture resistance. No randomized controlled trial (RCTs) with long follow-ups have been published to date. It must also be taken into account that the in vitro studies do not consider the numerous differences that there are between in vitro and clinical evaluation. The review was registered on the PROSPERO website, with the protocol number CRD42020151451.
Identifiants
pubmed: 35735636
pii: dj10060094
doi: 10.3390/dj10060094
pmc: PMC9222076
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
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