Question · asked by 1 review
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence): Pulp necrosis
- Population
- Vital teeth restored with indirect restorations
- Intervention
- Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers)
- Comparison
- None (single-group incidence)
- Outcome
- Pulp necrosis
Pulp necrosis incidence among treated by prosthodontists was 1.87% (subgroup analysis; not GRADE-rated).
What each review found
Current versions onlyNo studies found 0 · 0%GRADE not reported 22 · 95.7%Very low 0 · 0%Low 1 · 4.3%Moderate 0 · 0%High 0 · 0%
| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Treated by prosthodontists Pulp necrosis incidence among treated by prosthodontists was 1.87% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 1.87 [0.84, 3.31] | 3834 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, PFM fabrication material Pulp necrosis incidence among pfm fabrication material was 5.71% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.71 [0.12, 18.75] | 1980 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · >5-10 years, University clinics and dental practices, multiple countries, Follow-up >5-10 years Pulp necrosis incidence among follow-up >5-10 years was 5.53% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.53 [3.74, 7.64] | 2443 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Temporization >2 weeks Pulp necrosis incidence among temporization >2 weeks was 4.25% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 4.25 [1.28, 8.85] | 2280 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · >10 years, University clinics and dental practices, multiple countries, Follow-up >10 years Pulp necrosis incidence among follow-up >10 years was 6.74% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 6.74 [2.82, 12.18] | 3640 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Temporization ≤2 weeks Pulp necrosis incidence among temporization ≤2 weeks was 1.47% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 1.47 [0.81, 2.31] | 1907 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Radiographic pulp-status assessment Pulp necrosis incidence among radiographic pulp-status assessment was 4.95% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 4.95 [2.43, 8.29] | 1853 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Polyvinyl siloxane impression material Pulp necrosis incidence among polyvinyl siloxane impression material was 3.17% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 3.17 [1.55, 5.34] | 636 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Resin permanent cement Pulp necrosis incidence among resin permanent cement was 3.37% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 3.37 [1.90, 5.23] | 738 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Eugenol-based temporary cement Pulp necrosis incidence among eugenol-based temporary cement was 3.34% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 3.34 [1.66, 5.58] | 7043 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · ≤5 years, University clinics and dental practices, multiple countries, Follow-up ≤5 years Pulp necrosis incidence among follow-up ≤5 years was 3.53% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 3.53 [2.10, 5.31] | 5532 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries About 5% of vital teeth develop pulp necrosis after indirect restorations (low certainty). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.02 [3.70, 6.52] | 37 studies · 11615 participants | Low |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Treated by general practitioners Pulp necrosis incidence among treated by general practitioners was 4.44% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 4.44 [2.16, 7.49] | 2113 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Single-unit restorations Pulp necrosis incidence among single-unit restorations was 5.46% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.46 [3.63, 7.64] | 20 studies · 5491 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Zinc phosphate permanent cement Pulp necrosis incidence among zinc phosphate permanent cement was 4.92% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 4.92 [3.85, 6.20] | 1387 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Polyether impression material Pulp necrosis incidence among polyether impression material was 4.02% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 4.02 [2.47, 5.92] | 2985 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Ceramic fabrication material Pulp necrosis incidence among ceramic fabrication material was 5.59% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.59 [2.89, 9.12] | 460 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Subjective pulp-status assessment Pulp necrosis incidence among subjective pulp-status assessment was 3.91% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 3.91 [1.86, 6.66] | 3181 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Eugenol-free temporary cement Pulp necrosis incidence among eugenol-free temporary cement was 5.77% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.77 [3.72, 8.24] | 639 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Treated by undergraduate students Pulp necrosis incidence among treated by undergraduate students was 5.68% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.68 [3.17, 8.86] | 1604 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Glass ionomer (GIC) permanent cement Pulp necrosis incidence among glass ionomer (gic) permanent cement was 5.33% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.33 [2.56, 9.03] | 182 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Objective pulp-status assessment Pulp necrosis incidence among objective pulp-status assessment was 5.66% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.66 [3.71, 7.99] | 6581 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Pulp necrosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Fixed partial dentures (FPD) Pulp necrosis incidence among fixed partial dentures (fpd) was 5.01% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 5.01 [2.76, 7.88] | 15 studies · 4674 participants | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations: a systematic review and… 2023 All outcomes | December 2022 (initial search October 2021, updated December 2022) | 68 | Not applicable |
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The same intervention and outcome, asked in another population or against another comparator.
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Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.