Rehabilitation of the Worn Dentition With Direct and Indirect Minimally Invasive Concepts-A Systematic Review and Meta-Analysis.

IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Jennifer G M Chantler, Miha Pirc, Franz J Strauss, Nadja Rohr, Daniel S Thoma, Alexis Ioannidis
{"title":"Rehabilitation of the Worn Dentition With Direct and Indirect Minimally Invasive Concepts-A Systematic Review and Meta-Analysis.","authors":"Jennifer G M Chantler, Miha Pirc, Franz J Strauss, Nadja Rohr, Daniel S Thoma, Alexis Ioannidis","doi":"10.1111/jerd.13384","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To report and compare the survival of minimally invasive direct and indirect restorations of different materials for restoring the worn dentition.</p><p><strong>Material and methods: </strong>A systematic search was conducted in six databases: MEDLINE, Web of Science, Scopus, CENTRAL, VHL, and EMBASE. The eligibility criteria of this systematic review used the PICO framework to address the following research question: \"In dentate patients with a worn dentition (P), does rehabilitating their lost tooth structure with indirect restorations (I) or direct (C) effect the survival and success of treatment (O)?\". Study characteristics, survival rates of the restorations were extracted from each article. No language restrictions were applied. Survival and prevalence estimates were calculated using random-effect models.</p><p><strong>Results: </strong>The electronic search yielded 5009 entries, resulting in 14 publications selected for full-text analysis. These included 2 RCTs, 7 prospective, and 5 retrospective studies, with a varying level of methodological quality. This included 52% direct and 48% indirect restorations, using varying materials and follow-up periods. The survival of direct composite resin restorations versus indirect manually processed composite resin restorations showed no significant difference (n = 2; OR, 1.79 [95% CI, 0.64-5.05]; p = 0.270). For the prospective articles, the pooled prevalence estimates of the survival restorations were; direct (n = 3; 99% [95% CI, 0.97-1.00]) and; indirect (n = 5; 100% [95% CI, 0.99-1.00]). Lithium disilicate recorded the least amount of failures at 1.8%.</p><p><strong>Conclusions: </strong>Although the survival estimates of indirect manually processed and direct composite resins were not significantly different, indirect restorations-especially those made of lithium disilicate ceramic-may offer better survival rates, compared to direct resin restorations in patients with worn dentition.</p><p><strong>Clinical significance: </strong>Despite the limited evidence, indirect ceramic restorations appear to be well-suited for long-term treatment of worn dentition, whilst direct composite resin restorations are more suited as an medium-term solution.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Esthetic and Restorative Dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jerd.13384","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To report and compare the survival of minimally invasive direct and indirect restorations of different materials for restoring the worn dentition.

Material and methods: A systematic search was conducted in six databases: MEDLINE, Web of Science, Scopus, CENTRAL, VHL, and EMBASE. The eligibility criteria of this systematic review used the PICO framework to address the following research question: "In dentate patients with a worn dentition (P), does rehabilitating their lost tooth structure with indirect restorations (I) or direct (C) effect the survival and success of treatment (O)?". Study characteristics, survival rates of the restorations were extracted from each article. No language restrictions were applied. Survival and prevalence estimates were calculated using random-effect models.

Results: The electronic search yielded 5009 entries, resulting in 14 publications selected for full-text analysis. These included 2 RCTs, 7 prospective, and 5 retrospective studies, with a varying level of methodological quality. This included 52% direct and 48% indirect restorations, using varying materials and follow-up periods. The survival of direct composite resin restorations versus indirect manually processed composite resin restorations showed no significant difference (n = 2; OR, 1.79 [95% CI, 0.64-5.05]; p = 0.270). For the prospective articles, the pooled prevalence estimates of the survival restorations were; direct (n = 3; 99% [95% CI, 0.97-1.00]) and; indirect (n = 5; 100% [95% CI, 0.99-1.00]). Lithium disilicate recorded the least amount of failures at 1.8%.

Conclusions: Although the survival estimates of indirect manually processed and direct composite resins were not significantly different, indirect restorations-especially those made of lithium disilicate ceramic-may offer better survival rates, compared to direct resin restorations in patients with worn dentition.

Clinical significance: Despite the limited evidence, indirect ceramic restorations appear to be well-suited for long-term treatment of worn dentition, whilst direct composite resin restorations are more suited as an medium-term solution.

求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Esthetic and Restorative Dentistry
Journal of Esthetic and Restorative Dentistry 医学-牙科与口腔外科
CiteScore
6.30
自引率
6.20%
发文量
124
审稿时长
>12 weeks
期刊介绍: The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features. The range of topics covered in the journal includes: - Interdisciplinary esthetic concepts - Implants - Conservative adhesive restorations - Tooth Whitening - Prosthodontic materials and techniques - Dental materials - Orthodontic, periodontal and endodontic esthetics - Esthetics related research - Innovations in esthetics
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信