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28.03.2018 | Original Article

Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a systematic review and meta-analysis

verfasst von: Sirley Raiane Mamede Veloso, Cleidiel Aparecido Araújo Lemos, Sandra Lúcia Dantas de Moraes, Belmiro Cavalcanti do Egito Vasconcelos, Eduardo Piza Pellizzer, Gabriela Queiroz de Melo Monteiro

Erschienen in: Clinical Oral Investigations | Ausgabe 1/2019

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Abstract

Objectives

The purpose of this systematic review was to compare the clinical performance of bulk-fill resin composites with conventional resin composites used for direct restorations of posterior teeth.

Methods

This review followed the PRISMA statement. This review was registered at PROSPERO (registration number CRD42016053436). A search of the scientific literature was performed by two independent reviewers using the PubMed/MEDLINE, Embase, The Cochrane Library, and Web of Science databases from commencement until January 2018. The research question was “Do bulk-fill resin composites have a clinical performance comparable to conventional resin composites in posterior restorations?” Only studies evaluating class I and II direct restorations in permanent teeth with a follow-up period of at least 1 year were included. The RevMan 5 program was used for meta-analysis, calculating the relative risk (RR) and 95% confidence interval (CI) of the dichotomous outcome (restoration failure or success).

Results

Ten articles were selected, comprising 941 analyzed restorations. The mean follow-up period was 33.6 months (12–72 months). No statistically significant differences in the failure rate were observed between conventional and base/flowable bulk-fill resin composites (p = 0.31; RR 1.49; 95% CI 0.69–3.25) or full-body/sculptable bulk-fill resin composites (p = 0.12; RR 1.89; 95% CI 0.84–4.24).

Conclusions

The present systematic review and meta-analysis indicate similar clinical performances of bulk-fill and conventional resin composites over a follow-up period of 12 to 72 months.

Clinical significance

Based on the results of this study, the bulk-fill resin composites could be an alternative for direct restorations in posterior teeth. However, clinical trials of longer duration are required.

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Titel: Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a systematic review and meta-analysis
verfasst von: Sirley Raiane Mamede Veloso
Cleidiel Aparecido Araújo Lemos
Sandra Lúcia Dantas de Moraes
Belmiro Cavalcanti do Egito Vasconcelos
Eduardo Piza Pellizzer
Gabriela Queiroz de Melo Monteiro
Publikationsdatum: 28.03.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 1/2019
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2429-7

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