Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials

Abstract This systematic review was aimed to evaluate occurrence of secondary caries and marginal adaptation in ion-releasing materials versus resin composite. Electronic search of PubMed, Scopus, and Open Grey databases with no date or language restrictions until May 21st, 2021, was conducted. Rand...

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Main Authors: Eman H. Albelasy, Hamdi H. Hamama, Hooi Pin Chew, Marmar Montaser, Salah H. Mahmoud
Format: Article
Language:English
Published: Nature Portfolio 2022-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-19622-6
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author Eman H. Albelasy
Hamdi H. Hamama
Hooi Pin Chew
Marmar Montaser
Salah H. Mahmoud
author_facet Eman H. Albelasy
Hamdi H. Hamama
Hooi Pin Chew
Marmar Montaser
Salah H. Mahmoud
author_sort Eman H. Albelasy
collection DOAJ
description Abstract This systematic review was aimed to evaluate occurrence of secondary caries and marginal adaptation in ion-releasing materials versus resin composite. Electronic search of PubMed, Scopus, and Open Grey databases with no date or language restrictions until May 21st, 2021, was conducted. Randomized clinical trials that compared ion-releasing restorations versus resin composite were included. For quantitative analysis, a random-effects meta-analysis with risk difference as an effect measure and a 95% confidence interval was used. Quality of evidence was assessed using The Grading of Recommendations, Assessment, Development, and Evaluation criteria. The risk of bias was evaluated using the Cochran Collaboration Risk of Bias tool. The inclusion criteria were met by 22 studies, and 10 studies were included in the meta-analysis. Three follow-up periods (1 year, 18 months–2 years, and 3 years) were evaluated. The overall quality of evidence for secondary caries and marginal adaptation outcomes was low. The results of the meta-analysis showed no significant difference (p > 0.05) in both outcomes between ion-releasing materials and resin composite. The occurrence of secondary caries was not dependent on the nature of the restorative material. It is more likely a complex process that involves the same risk factors as primary carious lesions.
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spelling doaj.art-fd4080003706462ab43a9377e9755fa02022-12-22T04:14:16ZengNature PortfolioScientific Reports2045-23222022-11-0112111710.1038/s41598-022-19622-6Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trialsEman H. Albelasy0Hamdi H. Hamama1Hooi Pin Chew2Marmar Montaser3Salah H. Mahmoud4Conservative Dentistry Department, Faculty of Dentistry, Mansoura UniversityConservative Dentistry Department, Faculty of Dentistry, Mansoura UniversityMinnesota Dental Research Centre for Biomaterials and Biomechanics, School of Dentistry, University of MinnesotaConservative Dentistry Department, Faculty of Dentistry, Mansoura UniversityConservative Dentistry Department, Faculty of Dentistry, Mansoura UniversityAbstract This systematic review was aimed to evaluate occurrence of secondary caries and marginal adaptation in ion-releasing materials versus resin composite. Electronic search of PubMed, Scopus, and Open Grey databases with no date or language restrictions until May 21st, 2021, was conducted. Randomized clinical trials that compared ion-releasing restorations versus resin composite were included. For quantitative analysis, a random-effects meta-analysis with risk difference as an effect measure and a 95% confidence interval was used. Quality of evidence was assessed using The Grading of Recommendations, Assessment, Development, and Evaluation criteria. The risk of bias was evaluated using the Cochran Collaboration Risk of Bias tool. The inclusion criteria were met by 22 studies, and 10 studies were included in the meta-analysis. Three follow-up periods (1 year, 18 months–2 years, and 3 years) were evaluated. The overall quality of evidence for secondary caries and marginal adaptation outcomes was low. The results of the meta-analysis showed no significant difference (p > 0.05) in both outcomes between ion-releasing materials and resin composite. The occurrence of secondary caries was not dependent on the nature of the restorative material. It is more likely a complex process that involves the same risk factors as primary carious lesions.https://doi.org/10.1038/s41598-022-19622-6
spellingShingle Eman H. Albelasy
Hamdi H. Hamama
Hooi Pin Chew
Marmar Montaser
Salah H. Mahmoud
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials
Scientific Reports
title Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials
title_full Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials
title_fullStr Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials
title_full_unstemmed Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials
title_short Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials
title_sort secondary caries and marginal adaptation of ion releasing versus resin composite restorations a systematic review and meta analysis of randomized clinical trials
url https://doi.org/10.1038/s41598-022-19622-6
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