Evidence map›Paper›PMID 41255398›Full record

ArticleJournal of clinical and experimental dentistry2025

Fracture Resistance of Teeth Restored with Anatomic, Universal 2-Piece, and CAD/CAM Milled Glass Fiber Posts in Various Weakened Root Conditions.

Rodrigo Stadler Alessi, Giovana Mongruel Gomes, João Carlos Gomes

Abstract read
In one paragraph

Article in Journal of clinical and experimental dentistry, 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. Review
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

3 authors.

Rodrigo Stadler AlessiDDS, MS, PhD student, Postgraduate Program in Restorative Dentistry, Department of Restorative Dentistry, State University of Ponta Grossa (UEPG), Ponta Grossa, Paraná, Brazil.
Giovana Mongruel GomesDDS, MS, PhD, Professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa (UEPG), Ponta Grossa, Paraná, Brazil.
João Carlos GomesDDS, MS, PhD, Professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa (UEPG), Ponta Grossa, Paraná, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to evaluate the performance of CAD/CAM milled, universal 2-piece and anatomical fiber posts in comparison with prefabricated fiber posts in root canals with varying degrees of structural compromise, using fracture resistance (FR) testing and failure mode analysis. Material and Methods: Seventy mandibular premolars were selected, trimmed 2 mm above the cementoenamel junction, and subjected to endodontic treatment. The specimens were divided into seven groups based on the type of restorative approach (prefabricated, anatomical, CAD/CAM milled, and universal 2-piece fiber posts) and the extent of root weakening (no weakened, moderately weakened, and severely weakened). RelyX U200 cement was used for post luting, followed by the fabrication and cementation of metal-free crowns. Failure rates and patterns were evaluated, with statistical analysis performed using Student's t-test, two-way ANOVA, Tukey's post hoc test, and chi-square tests to compare failure mode frequencies. Results: The findings revealed that CAD/CAM milled and universal 2-piece fiber posts demonstrated significantly higher fracture resistance compared to anatomic fiber posts. Moderately weakened (MW) specimens outperformed severely weakened (SW) ones. All experimental groups exhibited fracture resistance comparable to the control group, except for the MW-MFP group, which exceeded the control. The majority of fractures were repairable, and no significant association was observed between failure mode and the type of restorative approach or the degree of root weakening. Conclusions: CAD/CAM milled and universal 2-piece fiber posts offer strong fracture resistance and predominantly repairable failure modes, making them suiTable alternatives for restoring weakened roots.

Identifiers

PMID41255398
PMCPMC12620968

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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.