Amend, S; Boutsiouki, C; Bekes, K; Kloukos, D; Gizani, S; Lygidakis, N N; Frankenberger, R; Krämer, N (2022). Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated primary teeth: a systematic review. European archives of paediatric dentistry, 23(5), pp. 761-776. Springer 10.1007/s40368-022-00744-4
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PURPOSE
To systematically review the clinical performance of restorative materials after pulp therapy of carious primary teeth. It is part 2 of a systematic review on the clinical effectiveness of restorative materials for the management of carious primary teeth supporting the European Academy of Paediatric Dentistry (EAPD) guideline development.
METHODS
Four electronic databases were systematically searched up to December 28th, 2020. Randomised controlled clinical trials (RCTs) on restorative materials for the restoration of carious primary teeth after pulp therapy were included. Failure rate, annual failure rate (AFR) and reasons for failure were recorded. Studies were sorted by restorative materials. The Cochrane Risk of bias tool for randomised trials (RoB 2.0) was used for quality assessment.
RESULTS
After identification of 1685 articles and screening of 41 papers from EAPD review group 1, 5 RCTs were included. Restored primary molars with pulpotomy presented the following AFRs: composite resin (CR) 0%, preformed metal crowns (PMCs) 2.4-2.5%, resin-modified glass-ionomer cement combined with CR 3.8%, compomer 8.9%, and amalgam 14.3%. Maxillary primary incisors receiving pulpectomy exhibited AFRs of 0-2.3% for composite strip crowns (CSCs) depending on the post chosen. Reasons for failure were secondary caries, poor marginal adaptation, loss of retention and fracture of restoration. All studies were classified as high risk of bias. Meta-analyses were not feasible given the clinical/methodological heterogeneity amongst studies.
CONCLUSION
Considering any limitations of this review, CR and PMCs can be recommended for primary molars after pulpotomy, and CSCs for primary incisors receiving pulpectomy. However, a need for further well-designed RCTs was observed.
Item Type: |
Journal Article (Further Contribution) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics |
UniBE Contributor: |
Kloukos, Dimitrios (B) |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1818-6300 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
05 Sep 2022 09:41 |
Last Modified: |
29 Mar 2023 23:38 |
Publisher DOI: |
10.1007/s40368-022-00744-4 |
PubMed ID: |
36056991 |
Uncontrolled Keywords: |
Caries Clinical effectiveness Primary teeth Pulp therapy Restorative materials Systematic review |
BORIS DOI: |
10.48350/172662 |
URI: |
https://boris.unibe.ch/id/eprint/172662 |
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