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Article | IMSEAR | ID: sea-215313

ABSTRACT

Endodontically treated teeth are most commonly restored using post-retained foundation restoration and a crown which has certain well-established drawbacks. Nowadays, the emergence of minimal invasive dentistry has led to increased use of endocrowns for restoring such teeth. However, their indications and success rates have not been explored widely enough to merit their full implementation in dental practice. This systematic review attempts to achieve this purpose by accumulating evidence from current literature that underscores endocrowns’ indications and success rates. METHODSThe electronic search strategy was performed in three databases (PubMed, Google Scholar, and EBSCO) using MeSH terms endocrowns, or endocrown success rates of endocrowns or endo crowns in dentistry or endodontically treated teeth or ceramic or monoblock or CAD-CAM, confined to articles published between 1st January 2015 and 20th November of 2019. All selected articles were evaluated to determine as to whether or not they could be included in the SR. Abstracts and titles were screened independently by 2 investigators and duplicates if any were removed. For possible inclusion after reading abstract, full-text assessment of the article was performed based on eligibility criteria. Manual extraction of data from the retrieved publications was done. RESULTSA total of 20 articles was found on related topic from electronic and manual searching, out of which, 2 were duplicates and hence removed. Further 7 articles were removed in screening and again 2 were removed after reading full-text, thus making the final count of 9 articles for the systematic review. Among the nine articles, 3 were clinical studies, 1 was a retrospective patient series study, while remaining were in-vitro studies. Out of 9, 7 articles (77 %) reported endocrowns to be successful and 2 articles (22 %) gave contrary outcomes. CONCLUSIONS Most of the articles included in this SR agree that endocrowns are a desirable restorative tool in dentistry. Other systematic reviews and meta-analyses with a significant number of included publications and studies should be conducted to expand the generalizability potential of such results

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