Direct Composite Restorations on Permanent Teeth in the Anterior and Posterior Region - An Evidence-Based Clinical Practice Guideline - Part 1: Indications for Composite Restorations

被引:0
|
作者
Wolff, Diana [1 ]
Frese, Corneli [1 ]
Frankenberger, Roland [2 ]
Haak, Rainer [3 ]
Braun, Andreas [4 ]
Kraemer, Norbert [5 ]
Krastl, Gabriel [6 ]
Schwendicke, Falk [7 ]
Kosan, Esra [8 ]
Langowski, Eva [1 ]
Sekundo, Caroline [1 ]
机构
[1] Heidel berg Univ, Univ Hosp Heidelberg, Dept Conservat Dent, Neuenheimer Feld 400, D-69120 Heidelberg, Germany
[2] Univ Marburg, Dept Operat Dent & Endodontol, Marburg, Germany
[3] Univ Leipzig, Dept Cariol Endodontol & Periodontol, Leipzig, Germany
[4] Rhein Westfal TH Aachen, Dept Operat Dent Periodontol & Prevent Dent, Aachen, Germany
[5] Univ Giessen, Paediat Dent, Giessen, Germany
[6] Univ Hosp Wurzburg, Ctr Dent Traumatol, Dept Conservat Dent & Periodontol, Wurzburg, Germany
[7] LMU Klinikum, Dept Conservat Dent & Periodontol, Munich, Germany
[8] Charite Univ Med Berlin, Dept Periodontol Oral Med & Oral Surg, Berlin, Germany
来源
JOURNAL OF ADHESIVE DENTISTRY | 2024年 / 26卷 / 01期
关键词
adhesive restorations; composite resin; composite restorations; evidence-based medicine; RESIN COMPOSITE; CONTEMPORARY ADHESIVES; RECONTOURING TEETH; CLOSING DIASTEMAS; CERVICAL LESIONS; LONG; SURVIVAL; PERFORMANCE; TRIAL; LONGEVITY;
D O I
10.3290/j.jad.b5748881
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: This German S3 clinical practice guideline offers evidence-based recommendations for the use of composite materials in direct restorations of permanent teeth. Outcomes considered were the survival rates and restoration quality and pro-cess quality of the manufacturing process. Part 1 of this two-part presentation deals with the indication classes. Materials and Methods: A systematic literature search was conducted by two methodologists using MEDLINE and the Co-chrane Library via the OVID platform, including studies up to December 2021. Six PICO questions were developed to guide the search. Recommendations were formulated by a panel of dental professionals from 20 national societies and organizations based on the collected evidence. Results: Composite materials are a viable option for the direct restoration of cavity Classes I-V and may also be used for restorations with cusp replacement, and tooth shape corrections. In the posterior region, direct composite restorations should be preferred over indirect composite inlays. For Class V restorations, composite materials can be used if adequate contamination control and adhesive technique are ensured. Conclusion: The guideline is the first to provide comprehensive evidence on the use of direct composite materials. However, further long-term clinical studies with comparators such as (modified) glass-ionomer cements are necessary. Regular updates will detail the future scope and limitations of direct composite restorations.
引用
收藏
页码:185 / 200
页数:16
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