Question · asked by 1 review
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence): Periapical pathosis
- Population
- Vital teeth restored with indirect restorations
- Intervention
- Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers)
- Comparison
- None (single-group incidence)
- Outcome
- Periapical pathosis
Periapical pathosis incidence among follow-up >5-10 years was 3.88% (subgroup analysis; not GRADE-rated).
What each review found
Current versions onlyNo studies found 0 · 0%GRADE not reported 5 · 83.3%Very low 0 · 0%Low 1 · 16.7%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) Periapical pathosis · Vital teeth restored with indirect restorations · >5-10 years, University clinics and dental practices, multiple countries, Follow-up >5-10 years Periapical pathosis incidence among follow-up >5-10 years was 3.88% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 3.88 [1.95, 6.45] | 1864 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Periapical pathosis · Vital teeth restored with indirect restorations · >10 years, University clinics and dental practices, multiple countries, Follow-up >10 years Periapical pathosis incidence among follow-up >10 years was 4.05% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 4.05 [0.89, 9.36] | 2656 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Periapical pathosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Fixed partial dentures (FPD) Periapical pathosis incidence among fixed partial dentures (fpd) was 4.59% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 4.59 [2.28, 7.64] | 9 studies · 2435 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Periapical pathosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries About 3.6% of vital teeth develop periapical pathosis after indirect restorations (low certainty). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 3.63 [2.05, 5.63] | 15 studies · 5376 participants | Low |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Periapical pathosis · Vital teeth restored with indirect restorations · ≤5 years, University clinics and dental practices, multiple countries, Follow-up ≤5 years Periapical pathosis incidence among follow-up ≤5 years was 2.26% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 2.26 [0.59, 4.98] | 856 participants | GRADE not reported |
Indirect restorations (crowns, fixed partial dentures, inlays/onlays/veneers) vs None (single-group incidence) Periapical pathosis · Vital teeth restored with indirect restorations · Follow-up ≤5 to >10 years, University clinics and dental practices, multiple countries, Single-unit restorations Periapical pathosis incidence among single-unit restorations was 2.20% (subgroup analysis; not GRADE-rated). Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations:… (2023) All outcomes | Proportion 2.20 [1.12, 3.61] | 6 studies · 2339 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 |
How reviews are matched to this question
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.