Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis
Open accessAbstract
The aim was to determine the survival of tooth-coloured restorative materials in proximal restorations of primary teeth at 24 months of follow-up and the influence of the following variables: use of coating, use of cavity conditioner, use of rubber dam isolation, the cavity form, the dentist’s experience and the methodological characteristics of the studies. We conducted a search until May 2019, obtaining 16 articles from which 30 independent studies were extracted, which were considered as units of analysis. Four outcome measures were extracted from each study: retention, marginal integrity, anatomic form, and absence of recurrent caries. Separate meta-analyses were carried for each outcome and multiple meta-regression model was applied. The outcomes with the highest mean success rates were absence of recurrent caries and anatomic form. The type of material significantly influenced success rates. The best materials were resin-based material plus total-etching adhesion and resin-modified glass ionomer cement (RMGIC), and the worst high viscosity glass ionomer cement (HVGIC). Atraumatic restorative treatment (ART) had a lower success rate than the conventional cavity form. RMGIC had the best clinical performance and HVGIC the worst. The form of the cavity, blinding and the experience of the operator were the variables that influenced success rates. Proximal primary molar restorations should be performed with RMGIC as it combines good mechanical performance of the resins together with the prevention of secondary caries of glass ionomers.
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ART has a lower success rate when compared to conventional restorations for proximal lesions.
“With a recent systematic review finding that ART has a lower success rate when compared to conventional restorations for proximal lesions [28], [30].”
From Hall technique for primary teeth: A systematic review and meta-analysis (2022) · cites this paper as [30]
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Pascareli-Carlos, A. M., Reis, T. M., Novaes, T. F., Montagner, A. F., van de Sande, F. H., Gimenez, T., Raggio, D. P., & Tedesco, T. K. (2024) · Current Pediatric Reviews · doi:10.2174/0115733963290288240813050512 · Cited by 1 · see citing works
Versorgung mit Präparation: Direkte Restaurations möglichkeiten bei frühkindlicher Karies
Krämer, N., & Frankenberger, R. (2020) · Oralprophylaxe & Kinderzahnheilkunde · doi:10.3238/opkzh.2020.0124-0129 · Cited by 1 · see citing works
Restaurative Therapieoptionen im Milchgebiss – von der Füllung bis zur Krone
Krämer, N., Amend, S., & Frankenberger, R. (2022) · wissen kompakt · doi:10.1007/s11838-021-00143-3
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- Authors
- Ortiz-Ruiz, A. J., Pérez-Guzmán, N., Rubio-Aparicio, M., & Sánchez-Meca, J.
- Affiliations
- Universidad de Murcia (ES)
- Venue
- Scientific Reports
- Published
- 2020-04-14
- Volume
- 10
- Issue
- 1
- Pages
- 6409-6409
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC7156457
- OpenAlex
- W3015553813
- Cited by
- 29
- References
- 78
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 8 · 2020: 1
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- Hispana (submittedVersion, cc-by)
- Repositorio Institucional de la Universidad de Alicante (Universidad de Alicante) (submittedVersion, other-oa)
- Topics
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Health Sciences › Dentistry › Oral Surgery › Endodontics and Root Canal Treatments
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- proximal restorations, primary teeth, resin-modified glass ionomer cement, high-viscosity glass ionomer cement, resin-based restorative materials, atraumatic restorative treatment, marginal adaptation, secondary caries, restoration retention, rubber dam isolation, dentist experience, primary molars
- MeSH terms
- Adolescent, Child, Child, Preschool, Color, Glass Ionomer Cements, Humans, Regression Analysis, Tooth, Deciduous, Confidence Intervals, Treatment Outcome, Publication Bias, Dental Atraumatic Restorative Treatment
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