{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T20:49:04Z","timestamp":1794516544694,"version":"4.9.1"},"reference-count":61,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. Dent. J."],"abstract":"<jats:p>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&gt;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&lt;0.05). Oblique forces during mechanical tests reduced the load-to-fracture values (p&lt;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.<\/jats:p>","DOI":"10.1590\/0103-644020256632","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T15:01:49Z","timestamp":1768230109000},"source":"Crossref","is-referenced-by-count":3,"title":["Mechanical behavior of endocrown vs. post-and-crown: a systematic review and meta-regression analysis"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1686-9777","authenticated-orcid":false,"given":"Sara","family":"Fraga","sequence":"first","affiliation":[{"name":"Federal University of Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9076-2460","authenticated-orcid":false,"given":"Gabriela de Souza","family":"Balbinot","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8574-7771","authenticated-orcid":false,"given":"Bruna Garcia","family":"Quadros","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4118-2897","authenticated-orcid":false,"given":"St\u00e9fani Becker","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1210-1234","authenticated-orcid":false,"given":"Camila Cristina","family":"Foggi","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1382-0150","authenticated-orcid":false,"given":"Fabr\u00edcio Mezzomo","family":"Collares","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","first-page":"147","article-title":"Current options concerning the endodontically-treated teeth restoration with the adhesive approach","volume":"32","author":"de Carvalho MA","year":"2018","journal-title":"Braz Oral Res"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1016\/j.dental.2019.06.002","article-title":"Long-term clinical evaluation of direct resin composite restorations in vital vs. endodontically treated posterior teeth - Retrospective study up to 13 years","volume":"35","author":"Lempel E","year":"2019","journal-title":"Dental Materials"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.jdent.2018.05.013","article-title":"A practice based longevity study 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