Your browser doesn't support javascript.
loading
Impact of head and neck radiotherapy on the longevity of dental adhesive restorations: A systematic review and meta-analysis.
Palmier, Natália Rangel; Madrid Troconis, Cristhian Camilo; Normando, Ana Gabriela Costa; Guerra, Eliete Neves Silva; Araújo, Anna Luíza Damaceno; Arboleda, Lady Paola Aristizábal; Fonsêca, Jéssica Montenegro; de Pauli Paglioni, Mariana; Gomes-Silva, Wagner; Vechiato Filho, Aljomar José; González-Arriagada, Wilfredo Alejandro; Paes Leme, Adriana Franco; Prado-Ribeiro, Ana Carolina; Brandão, Thaís Bianca; de Goes, Mario Fernando; Lopes, Marcio Ajudarte; Santos-Silva, Alan Roger.
Affiliation
  • Palmier NR; PhD student, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil. Electronic address: natpalmier@gmail.com.
  • Madrid Troconis CC; Professor, Department of Oral Rehabilitation, School of Dentistry, University of Cartagena, Cartagena, Colombia.
  • Normando AGC; PhD student, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
  • Guerra ENS; Associate Professor, Laboratory of Oral Histopathology, Health Sciences Faculty, University of Brasília (UnB), Brasília, Brazil.
  • Araújo ALD; PhD student, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
  • Arboleda LPA; PhD student, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
  • Fonsêca JM; PhD student, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
  • de Pauli Paglioni M; Postdoctoral student, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
  • Gomes-Silva W; Dental Surgeon and Researcher, Dental Oncology Service, São Paulo State Cancer Institute (ICESP-FMUSP), São Paulo, São Paulo, Brazil.
  • Vechiato Filho AJ; Dental Surgeon and Researcher, Dental Oncology Service, São Paulo State Cancer Institute (ICESP-FMUSP), São Paulo, São Paulo, Brazil.
  • González-Arriagada WA; Assistant Professor, Facultad de Odontología, Universidad de Valparaíso, Valparaíso, Chile.
  • Paes Leme AF; Professor, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
  • Prado-Ribeiro AC; Dental Surgeon and Researcher, Dental Oncology Service, São Paulo State Cancer Institute (ICESP-FMUSP), São Paulo, São Paulo, Brazil.
  • Brandão TB; Head, Dental Oncology Service, São Paulo State Cancer Institute, ICESP-FMUSP, São Paulo, São Paulo, Brazil; Dental Surgeon, Oral Medicine Department, Hospital Sírio-Libanês, São Paulo, São Paulo, Brazil.
  • de Goes MF; Associate Professor, Restorative Dentistry Department (Dental Materials Area), University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
  • Lopes MA; Associate Professor, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
  • Santos-Silva AR; Assistant Professor, Oral Diagnosis Department, University of Campinas (UNICAMP), Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
J Prosthet Dent ; 128(5): 886-896, 2022 Nov.
Article in En | MEDLINE | ID: mdl-33715834
ABSTRACT
STATEMENT OF

PROBLEM:

Established restorative protocols for patients after head and neck radiotherapy are lacking, increasing the failure rates of dental adhesive restorations.

PURPOSE:

The purpose of this systematic review and meta-analysis was to analyze the evidence regarding the impact of head and neck radiotherapy on the longevity of dental adhesive restorations. MATERIAL AND

METHODS:

A search was performed using PubMed, Scopus, and Embase in May 2018 (updated in November 2020). Data extraction was performed regarding the percentage of restoration failure among dental adhesive materials, including glass ionomer cements, resin-modified glass ionomer cements, and composite resins. Risk of bias was assessed by the meta-analysis of statistics assessment and review instrument (MAStARI). Confidence in cumulative evidence was evaluated by the Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) protocol.

RESULTS:

Four studies met the inclusion criteria. All included studies were classified as having a moderate risk of bias and reported results regarding class V restorations. Overall, composite resins presented lower failure rates at 2 years (30%) when compared with resin-modified glass ionomer (41%) and glass ionomer cements (57%). Meta-analysis showed that the risk of failure with glass ionomer cements was greater than with resin-modified glass ionomer cements (RR 1.71, P<.001). Composite resins presented lower risk of failure when compared with glass ionomer (RR 2.29, P<.001) and resin-modified glass ionomer cements (RR 1.30, P=.03). Three studies reported results regarding fluoride compliance, which had a negative effect on the survival rates of glass ionomer and resin-modified glass ionomer cements and a positive effect on composite resin restorations.

CONCLUSIONS:

The results suggest that composite resin restorations associated with fluoride gel compliance seems to be the best alternative for restoring class V lesions in patients after head and neck radiotherapy. However, the results showed moderate certainty of evidence, which justifies the need for more randomized clinical trials regarding this subject.
Subject(s)
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Dental Marginal Adaptation / Dental Restoration, Permanent Type of study: Clinical_trials / Guideline / Systematic_reviews Limits: Humans Language: En Journal: J Prosthet Dent Year: 2022 Document type: Article
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Dental Marginal Adaptation / Dental Restoration, Permanent Type of study: Clinical_trials / Guideline / Systematic_reviews Limits: Humans Language: En Journal: J Prosthet Dent Year: 2022 Document type: Article