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Survival rates of anterior composites in managing tooth wear: systematic review
Author(s) -
Ahmed K. E.,
Murbay S.
Publication year - 2016
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12360
Subject(s) - dentistry , medicine , occlusion , anterior teeth , resin composite , systematic review , critical appraisal , medline , orthodontics , composite number , surgery , materials science , composite material , alternative medicine , pathology , political science , law
Summary The use of composite restorations for patients with tooth wear is considered as a more conservative treatment option. The aim of this study was to systematically review the literature investigating the survival rates of anterior composite restorations when used in managing tooth wear in patients. Pub M ed and MEDLINE ( O vid) databases were screened for studies from 1995 to 2015. Cross‐referencing was used to further identify articles. Article selection and data extraction were performed in duplication. Languages were restricted to E nglish. A quality appraisal of included studies was carried out using the S trength of R ecommendation T axonomy system. Six hundred and sixty‐six articles were initially identified from which eight articles were full‐text reviewed. Six articles involving five studies were selected for inclusion. Three studies were prospective and two retrospective. Included studies involved placement of 772 direct and indirect anterior composite restorations in 100 patients with follow‐up periods between 5 months and 10 years. The survival rates of anterior composites were >90% and 50% at 2·5 and 5 years, respectively. Posterior occlusion was re‐established in 91% of patients within 18 months. Meta‐analysis could not be performed due to the heterogeneity of included studies. The systematic review's overall strength of recommendation was graded B . There is evidence to support the use of anterior composite restorations at an increased vertical dimension of occlusion in the short/medium‐term management of tooth wear. Long‐term reporting of outcomes remains limited. Further research is needed with standardised study design, detailed reporting of outcomes and long‐term review.