Do Bulk-Fill Resin Composites Present More Susceptibility to Marginal Degradation in Different Clinical Scenarios? A Systematic Review and Meta-Analysis
Pesqui. bras. odontopediatria clín. integr
; 22: e210145, 2022. tab, graf
Article
in English
| LILACS, BBO - Dentistry
| ID: biblio-1422284
Responsible library:
BR1264.1
ABSTRACT
Abstract Objective:
To compare the marginal degradation (susceptibility to marginal adaptation and marginal discoloration) of composite restorations placed in class II and V cavities using conventional and bulk-fill resin composites. Material andMethods:
This study was approved by PROSPERO database (#42020201596). PubMed, Scopus, Embase, Web of Science, Lilacs, Cochrane, Open Grey, Clinical Trials, and Rebec databases were searched by three independent investigators using MeSH terms, supplementary concepts, synonyms, and free keywords, based on the PICOS strategy (P, population restoration in permanent teeth; I, intervention bulk-fill resin composite; C, comparison conventional resin composite; O,outcome:
marginal discoloration and adaptation; and S, studydesign:
randomized and non-randomized clinical trials). The risk of bias was evaluated according to the Cochrane Collaboration's tool, the meta-analyses by RevMan software, the certainty of evidence by the Grading of Recommendations Assessment, Development, and Evaluation, and the leave-one-out sensitivity test. The prevalence of successful events and the total number of restorations were used to calculate the risk difference at a confidence interval of 95%, according to a fixed-effect model. The heterogeneity was evaluated using the I2 index.Results:
16 from 10,780 studies were selected and included for qualitative and quantitative analysis. Two studies were considered as high risk of bias, one showing some concerns, and 13 as low risk of bias. Four meta-analyses evaluated the marginal adaptation and marginal discoloration in class II and V cavities, with a nonsignificant heterogeneity (I2 = 0%, p>0.05). The certainty of evidence was considered high, except for two subgroups of each outcome.Conclusion:
There is evidence that composite restorations using conventional and bulk-fill resin composites present similar clinical performance related to marginal degradation (AU).
Full text:
Available
Collection:
International databases
Database:
BBO - Dentistry
/
LILACS
Main subject:
Meta-Analysis as Topic
/
Sensitivity and Specificity
/
Composite Resins
/
Systematic Reviews as Topic
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Practice guideline
/
Qualitative research
/
Risk factors
/
Systematic review
Language:
English
Journal:
Pesqui. bras. odontopediatria clín. integr
Journal subject:
Dentistry
Year:
2022
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Federal University of Alagoas/BR
/
Paraiba State University/BR