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Do Bulk-Fill Resin Composites Present More Susceptibility to Marginal Degradation in Different Clinical Scenarios? A Systematic Review and Meta-Analysis
Santos, Monara Henrique dos; Santos, Lucas Rodrigues dos; Alves, Layla Narrely Santos; Moura, Helene Soares; Carvalho, Morgana Maria Souza Gadêlha de; Lins, Rodrigo Barros Esteves.
Afiliação
  • Santos, Monara Henrique dos; Paraiba State University. Center of Science, Technology, and Health. Dentistry Course. Araruna. BR
  • Santos, Lucas Rodrigues dos; Paraiba State University. Center of Science, Technology, and Health. Dentistry Course. Araruna. BR
  • Alves, Layla Narrely Santos; Paraiba State University. Center of Science, Technology, and Health. Dentistry Course. Araruna. BR
  • Moura, Helene Soares; Paraiba State University. Center of Science, Technology, and Health. Dentistry Course. Araruna. BR
  • Carvalho, Morgana Maria Souza Gadêlha de; Paraiba State University. Center of Science, Technology, and Health. Dentistry Course. Araruna. BR
  • Lins, Rodrigo Barros Esteves; Federal University of Alagoas. Faculty of Dentistry. Maceió. BR
Pesqui. bras. odontopediatria clín. integr ; 22: e210145, 2022. tab, graf
Article em En | LILACS, BBO | ID: biblio-1422284
Biblioteca responsável: 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 and

Methods:

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, study

design:

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).
Assuntos
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Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS Assunto principal: Metanálise como Assunto / Sensibilidade e Especificidade / Resinas Compostas / Revisões Sistemáticas como Assunto Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline / Qualitative_research / Risk_factors_studies / Systematic_reviews Idioma: En Revista: Pesqui. bras. odontopediatria clín. integr Assunto da revista: ODONTOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS Assunto principal: Metanálise como Assunto / Sensibilidade e Especificidade / Resinas Compostas / Revisões Sistemáticas como Assunto Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline / Qualitative_research / Risk_factors_studies / Systematic_reviews Idioma: En Revista: Pesqui. bras. odontopediatria clín. integr Assunto da revista: ODONTOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil
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