Longevity of posterior resin composite restorations in adults: A systematic review

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MARC

Astvaldsdottir, AlfheidurKarolinska Institutet (author)

Longevity of posterior resin composite restorations in adults : A systematic review

Article/chapterEnglish2015

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Elsevier BV,2015
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LIBRIS-ID:oai:DiVA.org:umu-107154
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-107154URI
https://doi.org/10.1016/j.jdent.2015.05.001DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-1008URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:131660358URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:for swepub-publicationtype

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Objective: To conduct a systematic review of the literature on the longevity of posterior resin composite restorations in adults. Material and methods: A systematic literature search was conducted according to predetermined criteria for inclusion and exclusion. The studies selected were prospective clinical trials with a minimum follow-up time of 4 years, 40 restorations per experimental group and an annual attrition rate of less than 5%. Initially, abstracts and full-text articles were assessed independently and the assessment was subsequently agreed on by five reviewers. The methodological quality of the studies was assessed according to the Swedish Council on Health Technology Assessment (SBU) standard checklist for determining the extent to which studies meet basic quality criteria. Results: In all, the literature search identified 4275 abstracts and 93 articles were read in fulltext. There were eighteen studies which met the criteria for inclusion, eight of which were included in the analysis. There were 80 failures of restorations with a total follow-up time at risk for failure of 62,030 months. The overall incidence rate for all causes of failure was 1.55 lost restorations per 100 restoration years. The most common biological reason for failure (a total of 31 restorations) was secondary caries, with or without fracture of the restoration. The quality of the evidence was low. Conclusions: In an efficacy setting, the overall survival proportion of posterior resin composite restorations is high. The major reasons for failure are secondary caries and restoration fracture which supports the importance of adequate follow-up time. Clinical significance: The overall survival proportion of posterior composite restorations was high, but the results cannot be extrapolated to an effectiveness setting. The importance of adequate follow-up time is supported by the finding that secondary caries often occurred after 3 years or later.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
Clinical
Composite
Effectiveness
Longevity
Resin
Systematic review

Added entries (persons, corporate bodies, meetings, titles ...)

Dagerhamn, Jessica (author)
van Dijken, Jan W. V.Umeå universitet,Tandhygienistutbildning(Swepub:umu)java0001 (author)
Naimi-Akbar, Aron (author)
Sandborgh-Englund, GunillaKarolinska Institutet (author)
Tranæus, SofiaKarolinska Institutet,Malmö högskola,Odontologiska fakulteten (OD)(Swepub:mau)af4429 (author)
Nilsson, MikaelMalmö högskola,Odontologiska fakulteten (OD) (author)
Karolinska InstitutetTandhygienistutbildning (creator_code:org_t)

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In:Journal of Dentistry: Elsevier BV43:8, s. 934-9540300-57121879-176X

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Dentistry

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By the university: Umeå University; Malmö University; Karolinska Institutet

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