Evidence map›Paper›PMID 41122614›Full record

ArticleCureus2025

Fracture and Crack Behavior of Weakened Incisors Restored With Fiber Posts, Polyethylene Reinforcement, or 3D-Printed Endocrowns.

Diana Codas-Duarte, Laís L Pelozo, Jardel F Mazzi-Chaves, Fabiane C Lopes-Olhê, Manoel D Sousa-Neto, Aline E Souza-Gabriel

Abstract read
In one paragraph

Article in Cureus, 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.

Diana Codas-DuarteDepartment of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, BRA.
Laís L PelozoDepartment of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, BRA.
Jardel F Mazzi-ChavesDepartment of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, BRA.
Fabiane C Lopes-OlhêDepartment of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, BRA.
Manoel D Sousa-NetoDepartment of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, BRA.
Aline E Souza-GabrielDepartment of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background To evaluate the biomechanical performance of weakened maxillary incisors restored with glass fiber posts (GFPs), polyethylene fiber reinforcement, or CAD/CAM (computer-aided design/computer-aided manufacturing) endocrowns (ECs), focusing on fracture resistance, failure mode, and crack formation after thermomechanical aging. Methods Fifty maxillary central incisors were allocated into five groups (n = 10): sound tooth (ST, control); glass fiber post (GFP) + CAD/CAM crown; polyethylene fiber in a "U" pattern (PFU) + CAD/CAM crown; polyethylene fiber in a "C" pattern (PFC) + CAD/CAM crown; and CAD/CAM EC. All experimental groups underwent root canal treatment and weakening. Specimens were subjected to 1.4 million thermomechanical cycles and loaded to fracture. Fracture mode was examined under stereomicroscopy, and cracks were analyzed via micro-CT. Fracture resistance (N) was analyzed with ANOVA and Tukey's HSD (α = 0.05), while failure and crack types were compared using Kruskal-Wallis tests. Results ST had the highest fracture resistance (990.8 ± 107.8 N), followed by PFC (800.5 ± 139.1 N). PFU (649.4 ± 146.8 N) and GFP (616.6 ± 122.3 N) showed intermediate values; EC had the lowest (461.1 ± 146.3 N). Most failures were favorable, but 30% of EC samples failed catastrophically. PFC and PFU preserved more crack-free roots (70% and 60%), while GFP exhibited multiple vertical cracks. Conclusion Polyethylene fiber reinforcement, regardless of fiber orientation, significantly improves fracture resistance and reduces root cracking in endodontically treated incisors. This technique may provide a reliable alternative to fiber posts and CAD/CAM ECs in the restorative dentistry of anterior teeth.

Indexed as

cad/camendocrownendodontically treated teethfracture resistanceribbond

Identifiers

PMID41122614
PMCPMC12536237

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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.