Direct materials for restoring caries lesions Systematic review and meta-analysis-a report of the American Dental Association Council on Scientific Affairs
Por:
Pilcher, L, Pahlke, S, Urquhart, O, O'Brien, KK, Dhar, V, Fontana, M, Gonzalez-Cabezas, C, Keels, MA, Mascarenhas, AK, Nascimento, MM, Platt, JA, Sabino, GJ, Slayton, RL, Tinanoff, N, Young, DA, Zero, DT, Tampi, MP, Purnell, D, Salazar, J, Megremis, S, Bienek, D, Carrasco-Labra, A
Publicada:
1 feb 2023
Resumen:
Background. The goal of restoring caries lesions is to protect the pulp, prevent progression of the disease process, and restore the form and function of the tooth. The purpose of this systematic review was to determine the effect of different direct restorative materials for treating cavitated caries lesions on anterior and posterior primary and permanent teeth. Type of Studies Reviewed. The authors included parallel and split-mouth randomized controlled trials comparing the effectiveness of direct restorative materials commercially available in the United States placed in vital, nonendodontically treated primary and permanent teeth. Pairs of reviewers independently conducted study selection, data extraction, and assessments of risk of bias and certainty of the evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. The authors conducted pair-wise meta-analyses to summarize the evidence and calculated measures of association and their 95% CIs. Results. Thirty-eight randomized controlled trials were eligible for analysis, which included data on Class I and Class II restorations on primary teeth and Class I, Class II, Class III, Class V, and root surface restorations on permanent teeth. Included studies assessed the effect of amalgam, resin composite, compomer, conventional glass ionomer cement, resin-modified glass isomer cement, and preformed metal crowns. Moderate to very low certainty evidence suggested varying levels of effectiveness across restorative materials. Conclusions and Practical Implications. Owing to a relatively low event rate across various outcomes indicating restoration failure, there was limited evidence to support important differences between direct restorative materials used in practice.
Filiaciones:
Pilcher, L:
ADA Sci & Res Inst, Clin & Translat Res, Chicago, IL 60611 USA
Pahlke, S:
ADA Sci & Res Inst, Clin & Translat Res, Chicago, IL 60611 USA
Infect Dis Soc America, Arlington, VA 22203 USA
Urquhart, O:
ADA Sci & Res Inst, Evidence Synth & Translat Res, Chicago, IL USA
Univ Penn, Ctr Integrat Global Oral Hlth, Dept Prevent & Restorat Sci, Sch Dent Med, Philadelphia, PA USA
O'Brien, KK:
Amer Dent Assoc, ADA Lib & Arch, Chicago, IL USA
Dhar, V:
Univ Maryland, Dept Orthodont & Pediat Dent, Sch Dent, Baltimore, MD USA
Fontana, M:
Univ Michigan, Dept Cariol Restorat Sci & Endodont, Sch Dent, Ann Arbor, MI USA
Gonzalez-Cabezas, C:
Univ Michigan, Dept Cariol Restorat Sci & Endodont, Sch Dent, Ann Arbor, MI USA
Keels, MA:
Duke Univ, Dept Pediat, Durham, NC USA
Univ N Carolina, Div Pediat Dent & Publ Hlth, Adams Sch Dent, Chapel Hill, NC USA
Mascarenhas, AK:
Texas Tech Univ Hlth Sci Ctr El Paso, Woody L Hunt Sch Dent Med, Res & Community Hlth, El Paso, TX USA
Nascimento, MM:
Univ Florida, Dept Restorat Dent Sci, Coll Dent, Gainesville, FL USA
Platt, JA:
Indiana Univ, Dept Biomed Sci & Comprehens Care, Sch Dent, Indianapolis, IN USA
Slayton, RL:
Univ Washington, Dept Pediat Dent, Sch Dent, Seattle, WA USA
Tinanoff, N:
Univ Maryland, Dept Orthodont & Pediat Dent, Sch Dent, Baltimore, MD USA
Young, DA:
Univ Pacific Arthur A Dugoni Sch Dent, Dept Diagnost Sci, San Francisco, CA USA
Zero, DT:
Indiana Univ, Dept Cariol Operat Dent & Dent Publ Hlth, Sch Dent, Indianapolis, IN USA
Tampi, MP:
Infect Dis Soc America, Arlington, VA 22203 USA
Univ Michigan, Sch Dent, Ann Arbor, MI USA
Salazar, J:
Biomed Res Inst St Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Megremis, S:
ADA Sci & Res Inst, Dent Mat & Devices Res, Chicago, IL USA
Univ Illinois, Biomat Orthodont, Coll Dent, Chicago, IL USA
Bienek, D:
ADA Sci & Res Inst, Res Operat Innovat & Technol Res, Chicago, IL USA
Int Inst Brain, New York, NY USA
Carrasco-Labra, A:
ADA Sci & Res Inst, Evidence Synth & Translat Res, Chicago, IL USA
Univ Penn, Ctr Integrat Global Oral Hlth, Dept Prevent & Restorat Sci, Sch Dent Med, Philadelphia, PA USA
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