Evidence map›Paper›PMID 41538498›Full record

SynthesisBrazilian dental journal2026

Mechanical behavior of endocrown vs. post-and-crown: a systematic review and meta-regression analysis.

Sara Fraga, Gabriela de Souza Balbinot, Bruna Garcia Quadros, Stéfani Becker Rodrigues, Camila Cristina Foggi, Fabrício Mezzomo Collares

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Brazilian dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sara FragaDepartment of Conservative Dentistry, Prosthodontics Unit, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID 0000-0002-1686-9777
Gabriela de Souza BalbinotDental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID 0000-0001-9076-2460
Bruna Garcia QuadrosSchool of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID 0009-0009-8574-7771
Stéfani Becker RodriguesDepartment of Conservative Dentistry, Prosthodontics Unit, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID 0000-0002-4118-2897
Camila Cristina FoggiDepartment of Conservative Dentistry, Prosthodontics Unit, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID 0000-0002-1210-1234
Fabrício Mezzomo CollaresDental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID 0000-0002-1382-0150

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-regression analysis compared the load-to-fracture of endodontically treated teeth restored with endocrown and post-and-crown restorations, identifying factors influencing their mechanical behavior. Literature search in PubMed/MEDLINE, Web of Science, Scopus, EMBASE, and LILACS included studies published until September 2025. The search strategy combined Medical Subject Headings and free-text keywords. Two independent researchers performed the study selection. The eligibility criteria considered in vitro studies that evaluated the load-to-fracture of endodontically treated teeth restored with endocrowns and had a control group consisting of teeth restored with post-and-crown. From 862 studies, 25 met the eligibility criteria. The final meta-regression model explained 86% of the within-group variance, showing no significant differences in the load-to-fracture between endocrowns and post-and-crown restorations (p>0.05). The type of teeth, ferrule presence, and restoration material did not significantly influence the outcomes, whereas luting material and load application angle were critical determinants of load-to-fracture performance. Resin composite significantly increased the load-to-fracture compared to conventional resin cement (p<0.05). Oblique forces during mechanical tests reduced the load-to-fracture values (p<0.05). In conclusion, similar load-to-fracture performance is expected between endocrown and post-and-crown restorations. Luting material and mechanical testing parameters influenced outcomes and may have contributed to heterogeneity in prior meta-analyses.

Indexed as

CrownsDental Restoration, PermanentPost and Core TechniqueDental Stress AnalysisHumansRegression Analysis

Identifiers

PMID41538498
PMCPMC12795403

What OpenQuestion holds

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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.