Do Tooth- and Cavity-related Aspects of Noncarious Cervical Lesions Affect the Retention of Resin Composite Restorations in Adults? A Systematic Review and Meta-analysis

Autor(es)

Correia, A. M. O. ^[1] ; Bresciani, E. ^[1] ; Borges, A. B. ^[1] ; Pereira, D. M. ^[2] ; Maia, L. C. ^[3] ; Caneppele, T. M. F. ^[1]

Afiliação do(s) autor(es)

^[1] Sao Paulo State Univ, UNESP, Inst Sci & Technol, Dept Restorat Dent, Sao Jose Dos Campos, SP - Brazil

^[2] Fed Univ Rio de Janeiro UFRJ, Ctr Ciencias Saude, Rio De Janeiro - Brazil

^[3] Fed Univ Rio de Janeiro UFRJ, Dept Pediat Dent & Orthodont, Rio De Janeiro - Brazil

• Tipo de documento: Artigo de Revisão
• Fonte: Operative Dentistry; v. 45, n. 3, p. E124-E140, MAY-JUN 2020.
• Citações Web of Science: 0

Resumo

Purpose: The purpose was to perform a systematic review and meta-analysis based on the following research question: do tooth- and cavity-related aspects of noncarious cervical lesions (NCCLs) affect the retention of composite restorations? Methods: Randomized clinical trials (RCTs) that evaluated the retention rate of resin restorations in NCCLs were included for the identification and comparison of their characteristics. The search was conducted in PubMed and adapted for Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature database (LILACS), Brazilian Library in Dentistry (BBO), Cochrane Library, and System for Information on Grey Literature in Europe (SIGLE) without restrictions until July 2018. Unpublished and ongoing trial registries were also searched. The Cochrane Collaboration tool was used for assessing risk of bias. The quality of the evidence was graded using the Grading of Recommendations: Assessment, Development and Evaluation. Using the random effects model, a meta-analysis was conducted for each aspect (arch distribution, tooth location, wear facets, dentin sclerosis, shape, size, depth, occluso-gingival distance, and margin location). Results: We retrieved 6738 articles. After removal of duplicates and nonrelevant articles, 24 RCTs remained. The anterior tooth location favored the retention rates of restoration of NCCLs (relative risk {[}RR], 1.08; 95% confidence interval {[}CI], 1.00-1.16). The presence of wear facets is a risk factor for the retention of restorations (RR, 0.91; 95% CI, 0.83-0.99). The evidence was moderate for arch distribution and low or very low for all other factors because of heterogeneity, imprecision, and inconsistency. Conclusion: The tooth location and the presence of wear facets can affect the retention of composite resins in NCCLs. (AU)

• Processo FAPESP: 16/14429-7 - Efeito da geometria cavitária de lesões cervicais não cariosas e do tipo de resina composta sobre o sucesso restaurador - observações in vitro, in silico, in vivo e revisão sistemática
• Beneficiário: Taciana Marco Ferraz Caneppele
• Modalidade de apoio: Auxílio à Pesquisa - Regular