Survival rates of anterior composites in managing tooth wear: systematic review

Abstract

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. PubMed and MEDLINE (Ovid) 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 English. A quality appraisal of included studies was carried out using the Strength of Recommendation Taxonomy 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.

Bonding Strength of Ceromer with Direct Laser Sintered, Ni-Cr-Based, and ZrO2 Metal Infrastructures After Er:YAG, Nd:YAG, and Ho:YAG Laser Surface Treatments—A Comparative In Vitro Study

“…Prosthodontic applications of ceromer have increased significantly in recent years. 26,27 Specific attachment treatments of infrastructures are required for their attachment to the infrastructures. Nowadays, one of the research trends is to use laser surface treatments to increase adhesion quality.…”

Re-intervention on a restored fractured central incisor after one year of restoration replacement: from direct to indirect approach

“…However, the direct resin restoration offers a more conservative approach in oral rehabilitation, preserving the existing tooth structure. 21 Today, the resin composites present different shades and pigments that allow the practitioner to stratify the resin to mimic the restoration to the sound tooth, giving a natural aspect of the restoration and being imperceptible. [22][23][24] However, even after a successful direct resin restoration placement, some factors can lead to restoration failure.…”

Em Conduta Clínica Conservadora Ainda Há Aplicação para os Pinos Intradentinários?

“…Apesar de possuir uma quantidade de esmalte circundante adequada, a dentina exposta apresentava-se clinicamente esclerótica e, por conseguinte, hipermineralizada, substrato que compromete a adesão 7 Restaurações diretas de resina composta minimizam a necessidade de desgaste dentário em comparação com restaurações indire tas, mais invasivas e onerosas. 12 Ainda apresentam possibilidade de reparação ou de substituição, com adequada longevidade clínica. 12 Dessa forma, esse procedimento restaurador conservador pode ser considerado uma opção viável em uma reabilitação.…”

“…12 Ainda apresentam possibilidade de reparação ou de substituição, com adequada longevidade clínica. 12 Dessa forma, esse procedimento restaurador conservador pode ser considerado uma opção viável em uma reabilitação. 12 Segundo Ahmed e Murbay, 12 o uso de restaurações de resina composta em um aumento de dimensão verticais pode influenciar o prognóstico da restauração e afetar a sua longevidade, em longo prazo.…”

“…12 Dessa forma, esse procedimento restaurador conservador pode ser considerado uma opção viável em uma reabilitação. 12 Segundo Ahmed e Murbay, 12 o uso de restaurações de resina composta em um aumento de dimensão verticais pode influenciar o prognóstico da restauração e afetar a sua longevidade, em longo prazo. No presente relato, Dimensão Vertical de Oclusão (DVO) já estava restabelecida por meio da instalação de próteses parciais removíveis, superior e inferior, o que permitiu o resultado alcançado, pois a condição clínica estava reabilitada.…”