Physical Properties and Clinical Performance of Short Fiber Reinforced Resin-based Composite in Posterior Dentition: Systematic Review and Meta-analysis.

IF 1.4 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Operative dentistry Pub Date : 2023-09-01 DOI:10.2341/22-003-LIT

A Aram, H Hong, C Song, M Bass, J A Platt, S Chutinan

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引用次数: 1

Abstract

Objective: This study compares the physical properties and clinical performance of short fiber reinforced composites (SFRC) to those of particulate-filled resin-based composites (PFRC) for class I and II direct restorations in permanent dentition.

Methods: Systematic review and meta-analysis was conducted using PubMed, Embase (Elsevier), and Dentistry and Oral Sciences Source (EBSCO) databases. The outcomes evaluated were physical properties including flexural strength, flexural modulus, elastic modulus, microhardness, shrinkage, fracture toughness, degree of conversion, and depth of cure. Clinical performance was evaluated with a systematic review.

Results: The meta-analyses favored SFRC for flexural strength and fracture toughness compared to every PFRC subgroup, with a high quality of evidence. For all other properties, the meta-analyses favored SFRC to overall PFRC, with some non-significant differences with certain PFRC subgroups. The most recent clinical trial showed SFRC performed similarly to PFRC, however older studies suggest inferior surface texture and discoloration of SFRC compared to PFRC.

Conclusion: This study can aid dental professionals in clinical decision making, supporting that SFRC offers improved physical properties, especially fracture resistance and flexural strength, compared to PFRC.

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后牙列短纤维增强树脂基复合材料的物理特性和临床性能:系统综述和荟萃分析。

目的:比较短纤维增强复合材料(SFRC)与颗粒填充树脂基复合材料(PFRC)在ⅰ类和ⅱ类恒牙列直接修复中的物理性能和临床性能。方法:使用PubMed、Embase (Elsevier)和Dentistry and Oral Sciences Source (EBSCO)数据库进行系统评价和meta分析。评估的结果包括物理性能，包括抗弯强度、抗弯模量、弹性模量、显微硬度、收缩率、断裂韧性、转化程度和固化深度。临床表现进行了系统评价。结果:荟萃分析表明，与所有PFRC亚组相比，SFRC在抗弯强度和断裂韧性方面更有利，证据质量高。对于所有其他特性，荟萃分析倾向于SFRC而不是整体PFRC，在某些PFRC亚组中存在一些不显著差异。最近的临床试验表明，SFRC的表现与PFRC相似，但较早的研究表明，与PFRC相比，SFRC的表面质地和变色程度较差。结论:该研究可以帮助牙科专业人员进行临床决策，支持SFRC与PFRC相比具有更好的物理性能，特别是抗骨折性和抗弯强度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative dentistry 医学-牙科与口腔外科

CiteScore

4.00

自引率

9.10%

发文量

124

审稿时长

6-12 weeks

期刊介绍： Operative Dentistry is a refereed, international journal published bi-monthly and distributed to subscribers in over 50 countries. In 2012, we printed 84 articles (672 pages). Papers were submitted by authors from 45 countries, in the categories of Clinical Research, Laboratory Research, Clinical Techniques/Case Presentations and Invited Papers, as well as Editorials and Abstracts. One of the strong points of our journal is that our current publication time for accepted manuscripts is 4 to 6 months from the date of submission. Clinical Techniques/Case Presentations have a very quick turnaround time, which allows for very rapid publication of clinical based concepts. We also provide color for those papers that would benefit from its use. The journal does not accept any advertising but you will find postings for faculty positions. Additionally, the journal also does not rent, sell or otherwise allow its subscriber list to be used by any other entity