Abstract
Design
The research is a systematic review and meta-analysis of randomized controlled trials (RCTs).
Aim
The study aimed to compare the clinical outcomes of self-adhesive flowable composite resins (SAFCs) versus conventional flowable composite resins (FCs) used in occlusal cavity restorations in permanent teeth.
Methods
This research included a search for RCTs. Multiple databases were systematically searched for RCTs with a minimum 1-year follow-up comparing SAFCs to FCs. Outcomes evaluated were retention, secondary caries, marginal adaptation, marginal discoloration, and postoperative sensitivity based on modified USPHS criteria. Risk of bias was assessed using Cochrane RoB 2 tool. Random effects meta-analyses were conducted where applicable. Certainty of evidence was rated using GRADE approach.
Results
Five RCTs (four parallel and one split mouth) comprising 138 patients were included. During 1- and 2-year recalls, there were generally no significant differences in clinical performance between SAFCs and FCs. However, FCs applied using the etch-and-rinse technique demonstrated statistically better marginal adaptation at 2 years (3 studies, RR 3.21, 95% CI 1.50–6.83) and marginal discoloration (4 studies, RR 3.40, 95% CI 1.10–10.48). The overall quality of evidence ranged from low to moderate.
Conclusions
SAFCs showed comparable short-term outcomes to FCs in treating occlusal cavities. Further high-quality RCTs with longer follow-up are warranted to confirm long-term performance of SAFCs. Use of separate enamel etching may improve marginal adaptation and discoloration with FCs.
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References
Liu X, Zhang R, Yu X, Hua F, Zhang L, Chen Z. Self-adhesive flowable composite resins and flowable composite resins in permanent teeth with occlusal cavities: a systematic review and meta-analysis. J Dent. 2023;138:104691. https://doi.org/10.1016/j.jdent.2023.104691.
Balshem H, Helfand M, Schünemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol. 2011;64:401–6. https://doi.org/10.1016/j.jclinepi.2010.07.015.
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Mourão, C.F., Lowenstein, A. What are the emerging trends in dental composite materials in permanent teeth with occlusal cavities: self-adhesive vs traditional?. Evid Based Dent 25, 17–18 (2024). https://doi.org/10.1038/s41432-023-00959-4
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DOI: https://doi.org/10.1038/s41432-023-00959-4