ReviewCureus2025
Biomechanical and Occlusal Factors Influencing the Longevity of Single-Unit Restorations: A Comprehensive Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Thermo-mechanical loading of innovative "Mini-skirt" preparation design versus conventional full-coverage maxillary central incisor preparation design: an in vitro study.BMC oral health · 2026Article
- The Effect of Thermocycling on the Microhardness of Contemporary Glass Ionomer-Based Restorative Materials: An In Vitro Study.Bioengineering (Basel, Switzerland) · 2026Article
- Rehabilitation of Complex Iatrogenic Prosthodontic Failures: A Case Report on Comprehensive Full-Mouth Reconstruction.Clinical, cosmetic and investigational dentistry · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The long-term success of single-unit restorations is a key objective in restorative dentistry; however, failure rates remain significant due to multiple contributing factors, including inadequate tooth preparation, inappropriate material selection, bonding deficiencies, and occlusal mismanagement. This narrative review aimed to critically assess clinical studies and systematic reviews published between 2000 and 2024 that explored the biomechanical and occlusal determinants affecting the longevity of tooth-supported crowns. A structured search was performed using PubMed, Scopus, and Web of Science databases, supplemented by manual reference screening. Observations from the literature highlight several influential risk factors such as loss of tooth vitality, improper occlusal adjustment, bruxism, and poor margin design. Additionally, finite element analysis studies were reviewed to understand how material properties and preparation geometry influence stress distribution and fatigue. These findings highlight how small, well-considered decisions like refining occlusal contacts, choosing the right material, or adjusting the preparation design can make a meaningful difference in preventing complications. By drawing from the current evidence, this review reinforces the value of thoughtful, evidence-based clinical practices and points to specific areas where further research could help make single-unit restorations more reliable and long-lasting.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.