Ana Maria Antonelli da Veiga1, Amanda Carneiro Cunha2, Daniele Masterson Tavares Pereira Ferreira3, Tatiana Kelly da Silva Fidalgo2, Thomaz Kauark Chianca2, Kátia Rodrigues Reis1, Lucianne Cople Maia4. 1. Department of Prosthodontics and Dental Materials, Federal University of Rio de Janeiro, Av. Carlos Chagas Filho, 373, Prédio do CCS, Bloco K, Ilha da Cidade Universitária, Rio de Janeiro, Brazil. 2. Department of Pediatric Dentistry and Orthodontics, Federal University of Rio de Janeiro, Av. Carlos Chagas Filho, 373, Prédio do CCS, Bloco K, Ilha da Cidade Universitária, Rio de Janeiro, Brazil. 3. Center of Health Science, Federal University of Rio de Janeiro, Av. Carlos Chagas Filho, 373, Prédio do CCS, Bloco I, Ilha da Cidade Universitária, Rio de Janeiro, Brazil. 4. Department of Pediatric Dentistry and Orthodontics, Federal University of Rio de Janeiro, Av. Carlos Chagas Filho, 373, Prédio do CCS, Bloco K, Ilha da Cidade Universitária, Rio de Janeiro, Brazil. Electronic address: rorefa@terra.com.br.
Abstract
OBJECTIVES: The aim of this systematic review and meta-analysis was to assess the differences in clinical performance in direct and indirect resin composite restorations in permanent posterior teeth. SOURCES: PubMed, the Cochrane Library, Web of Science, Scopus, LILACS, BBO, ClinicalTrials.gov and SiGLE were searched without restrictions. STUDY SELECTION: We included randomized clinical trials (RCTs) that compared the clinical performance of direct and indirect resin composite restorations in Class I and Class II cavities in permanent teeth, with at least two years of follow-up. The risk of bias tool suggested by Cochrane Collaboration was used for quality assessment. DATA: After duplicate removal, 912 studies were identified. Twenty fulfilled the inclusion criteria after the abstract screening. Two articles were added after a hand search of the reference list of included studies. After examination, nine RCTs were included in the qualitative analysis and five were considered to have a 'low' risk of bias. The overall risk difference in longevity between direct and indirect resin composite restorations in permanent posterior teeth (p>0.05) at five-year follow-up was 1.494 [0.893-2.500], and regardless of the type of tooth restored, that of molar and premolars was 0.716 [0.177-2.888] at three-year follow-up. CONCLUSIONS: Based on the findings, there was no difference in longevity of direct and indirect resin composite restorations regardless of the type of material and the restored tooth. CLINICAL SIGNIFICANCE: Contemporary dentistry is based on minimally invasive restorations. Any indication of a less conservative technique must have unquestionable advantages. In vitro and in vivo studies reveal contradictory evidence of the clinical performance of direct and indirect resin composite restorations in posterior teeth. Thus this study clarified this doubt.
OBJECTIVES: The aim of this systematic review and meta-analysis was to assess the differences in clinical performance in direct and indirect resin composite restorations in permanent posterior teeth. SOURCES: PubMed, the Cochrane Library, Web of Science, Scopus, LILACS, BBO, ClinicalTrials.gov and SiGLE were searched without restrictions. STUDY SELECTION: We included randomized clinical trials (RCTs) that compared the clinical performance of direct and indirect resin composite restorations in Class I and Class II cavities in permanent teeth, with at least two years of follow-up. The risk of bias tool suggested by Cochrane Collaboration was used for quality assessment. DATA: After duplicate removal, 912 studies were identified. Twenty fulfilled the inclusion criteria after the abstract screening. Two articles were added after a hand search of the reference list of included studies. After examination, nine RCTs were included in the qualitative analysis and five were considered to have a 'low' risk of bias. The overall risk difference in longevity between direct and indirect resin composite restorations in permanent posterior teeth (p>0.05) at five-year follow-up was 1.494 [0.893-2.500], and regardless of the type of tooth restored, that of molar and premolars was 0.716 [0.177-2.888] at three-year follow-up. CONCLUSIONS: Based on the findings, there was no difference in longevity of direct and indirect resin composite restorations regardless of the type of material and the restored tooth. CLINICAL SIGNIFICANCE: Contemporary dentistry is based on minimally invasive restorations. Any indication of a less conservative technique must have unquestionable advantages. In vitro and in vivo studies reveal contradictory evidence of the clinical performance of direct and indirect resin composite restorations in posterior teeth. Thus this study clarified this doubt.
Authors: Andressa Eveline de Lima Ribeiro; Joselúcia da Nóbrega Dias; Ana Margarida Dos Santos Melo; Boniek Castillo Dutra Borges; Isauremi Vieira de Assunção Journal: Odontology Date: 2022-01-28 Impact factor: 2.885
Authors: Françoise H van de Sande; Rafael R Moraes; Raquel V Elias; Anelise F Montagner; Paulo A Rodolpho; Flávio F Demarco; Maximiliano S Cenci Journal: Clin Oral Investig Date: 2018-10-27 Impact factor: 3.573
Authors: Akimasa Tsujimoto; Wayne W Barkmeier; Nicholas G Fischer; Kie Nojiri; Yuko Nagura; Toshiki Takamizawa; Mark A Latta; Masashi Miazaki Journal: Jpn Dent Sci Rev Date: 2017-12-11