Evidence map›Paper›PMID 40813438›Full record

ArticleScientific reports2025

Comparative evaluation of adaptation and fracture resistance of CAD-CAM fabricated zirconia posts in endodontically treated teeth.

Noor Fatiha Abdul Rahim, Rabihah Alawi, Azirrawani Ariffin, Normastura Abd Rahman, Nor Aidaniza Abdul Muttlib

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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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

5 authors.

Noor Fatiha Abdul RahimDepartment of Prosthodontics, Kulliyyah of Dentistry, International Islamic University Malaysia, Kuantan, Pahang, 25200, Malaysia.
Rabihah AlawiConservative unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia.
Azirrawani AriffinProsthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150 Kota Bharu, Kelantan, Kelantan, Malaysia.
Normastura Abd RahmanDental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia.
Nor Aidaniza Abdul MuttlibProsthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150 Kota Bharu, Kelantan, Kelantan, Malaysia. aidaniza@usm.my.

Funding

Research University Grant, Universiti Sains Malaysia 1001/PPSG/8012367
6 · The paper itself

Abstract

Post plays a crucial role in reinforcing final restoration in endodontically treated teeth (ETT). The appropriate selection of the post system is crucial for enhancing the clinical success of the restored tooth. This study aims to evaluate the adaptation, fracture resistance, and fracture patterns of ETT restored with different post systems, specifically zirconia posts, cast metal posts (CMP), and anatomically customised fibre-reinforced composite (FRC) posts. Twenty-four human premolars were randomly allocated into four groups. The teeth were root canal treated and prepared to receive zirconia, CMP, and anatomically customised FRC posts. All the samples were subjected to adaptation evaluation, fracture resistance test, and fracture pattern analysis. One-way ANOVA showed a statistically significant difference in mean adaptation between the groups (p < 0.001). Post-hoc Bonferroni analysis suggested that the adaptation values were statistically significant among zirconia and CMP (p < 0.001), and in zirconia and FRC (p = 0.007). Regarding fracture resistance, one-way ANOVA presented a statistically significant difference among the groups (p = 0.001). Post-hoc Bonferroni analysis reported a significant difference in fracture resistance in zirconia and control (p = 0.001), CMP and FRC (p < 0.001), and FRC and control. The categorical analysis of fracture patterns revealed no statistically significant differences among the zirconia, CMP, and FRC post systems. Zirconia posts show lower adaptation than CMP and FRC posts. However, their fracture resistance is comparable to CMPs and FRCs. Fracture patterns were generally consistent across the different post systems; however, the control group exhibited a significantly different pattern, highlighting the influence of post presence on fracture behaviour.

Indexed as

Computer-Aided DesignPost and Core TechniqueTooth FracturesTooth, NonvitalZirconiumBicuspidDental Stress AnalysisHumansZirconiumzirconium oxideCAD-CAM postEndodontically treated teethMilled zirconia postPost and coreZirconia post

Identifiers

PMID40813438
PMCPMC12354668

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LicenceCC BY-NC-ND
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Registered trials

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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.