Evidence map›Paper›PMID 40097381›Full record

ArticleBDJ open2025

Do CAD-CAM fibre posts exhibit higher bond strength and fracture resistance than other types of posts? systematic review with network meta-analysis of in-vitro studies.

Mohammed Maher Ghanem, Xin Yi Leong, Sajesh K Veettil, Anas Al Jada, Musab Saeed, Rohit Kunnath Menon

Abstract read
In one paragraph

Article in BDJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mohammed Maher GhanemMaster's student, School of Dentistry, Ajman University, Ajman, United Arab Emirates.
Xin Yi LeongGraduate, College of Dentistry, International Medical University, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
Sajesh K VeettilSchool of Pharmacy, Department of Pharmacy Practice, College of Pharmacy, International Medical University, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
Anas Al JadaClinical Sciences Department, College of Dentistry, Ajman University, Ajman, United Arab Emirates.
Musab SaeedClinical sciences department, College of Dentistry, Ajman University, Ajman, United Arab Emirates.
Rohit Kunnath MenonClinical Sciences Department, College of Dentistry, Ajman University, Ajman, United Arab Emirates. r.menon@ajman.ac.ae.ORCID http://orcid.org/0000-0002-7486-8721

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPre-fabricated fibre posts facilitate post-endodontic restoration of endodontically treated teeth with insufficient coronal tooth structure. Recent advancements in digital dentistry have led to the introduction of custom-made fibre posts fabricated with computer-aided design-computer-aided manufactured (CAD-CAM) technology. However, evidence on the comparative performance of the different post-types is lacking. This systematic review with network meta-analysis aimed to analyse the current evidence on in-vitro studies comparing bond strength, catastrophic failures, fracture resistance, and cement film thickness between CAD-CAM fibre posts and other post types, including pre-fabricated fibre and custom-made cast-metal posts. MATERIALS AND

methodsA systematic search was conducted in PubMed, Scopus, and the Cochrane Central Register of Controlled Studies for in-vitro studies from inception until December 2023 (PROSPERO: CRD42024501614). Network meta-analysis and pairwise meta-analysis were performed. The ranking was performed using the surface area under the cumulative ranking (SUCRA) guidelines.

resultsSeven hundred forty-one articles were identified, of which 80 duplicates were removed, and 585 were excluded by screening the titles and abstracts. A total of 76 articles were assessed by full-text reading, and 16 were included in the quantitative synthesis. CAD-CAM fibre posts (SMD = 1.09 [95% CI: 0.01, 2.17]) P = 0.04 demonstrated higher bond strength when compared to pre-fabricated posts. CAD-CAM fibre posts (RR = 0.39 [95% CI: 0.23, 0.69]) P < 0.05 demonstrated a lower risk for catastrophic failures when compared to pre-fabricated fibre posts.

conclusionsIn-vitro studies demonstrated that CAD-CAM fibre posts demonstrated higher bond strength, lower catastrophic failure rates, and similar fracture resistance compared to pre-fabricated and cast metal posts. The data on bond strength and catastrophic failures of CAD-CAM fibre posts must be validated clinically by high-quality, randomised, controlled clinical trials.

Identifiers

PMID40097381
PMCPMC11914252

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.