Longevity of posterior composite restorations: A systematic review and meta-analysis
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Longevity of posterior composite restorations: A systematic review and meta-analysis. / Opdam, Niek; van de Sande, Francoise ; Bronkhorst, Ewald ; Bottenberg, Peter ; Cenci, Maximiliano ; Gaengler, Peter ; Pallesen, Ulla; Lindberg, Anders ; Huysmans, Marie-Charlotte ; van Dijken, Jan WV.
I: Journal of Dental Research, Bind 93, Nr. 10, 2014, s. 943-49.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Longevity of posterior composite restorations: A systematic review and meta-analysis
AU - Opdam, Niek
AU - van de Sande, Francoise
AU - Bronkhorst, Ewald
AU - Bottenberg, Peter
AU - Cenci, Maximiliano
AU - Gaengler, Peter
AU - Pallesen, Ulla
AU - Lindberg, Anders
AU - Huysmans, Marie-Charlotte
AU - van Dijken, Jan WV
PY - 2014
Y1 - 2014
N2 - The aim of this meta-analysis, based on individual participant data ofseveral studies, was to investigate the influence of patient, materials andtooth related variables on the survival of posterior resin compositerestorations.Methods: Following PRISMA guidelines a search was conducted resulting in12 longitudinal studies of direct posterior resin composite restorations withat least 5 years follow-up. Original datasets were still available, includingplacement/failure/censoring of restorations, restored surfaces, materialsused, reasons for clinical failure, and caries-risk status. A databaseincluding all restorations was constructed and a Multivariate Cox’sregression method was used to analyze variables of interest [patient (age;gender; caries-risk-status), jaw (upper; lower), number of restoredsurfaces, resin composite and adhesive materials and use of glass-ionomercement as base/liner (present or absent)] The Hazard Ratios withrespective 95% confidence intervals were determined and annual failurerates were calculated for subgroups.Results: 2816 restorations (2585 Class II and 231 class I restorations)were included in the analysis, of which 569 failed during the observationperiod. Main reasons for failure were caries and fracture. The regressionanalyses showed a significantly higher risk of failure for restorations in highcaries risk individuals and with a higher number of restored surfaces.
AB - The aim of this meta-analysis, based on individual participant data ofseveral studies, was to investigate the influence of patient, materials andtooth related variables on the survival of posterior resin compositerestorations.Methods: Following PRISMA guidelines a search was conducted resulting in12 longitudinal studies of direct posterior resin composite restorations withat least 5 years follow-up. Original datasets were still available, includingplacement/failure/censoring of restorations, restored surfaces, materialsused, reasons for clinical failure, and caries-risk status. A databaseincluding all restorations was constructed and a Multivariate Cox’sregression method was used to analyze variables of interest [patient (age;gender; caries-risk-status), jaw (upper; lower), number of restoredsurfaces, resin composite and adhesive materials and use of glass-ionomercement as base/liner (present or absent)] The Hazard Ratios withrespective 95% confidence intervals were determined and annual failurerates were calculated for subgroups.Results: 2816 restorations (2585 Class II and 231 class I restorations)were included in the analysis, of which 569 failed during the observationperiod. Main reasons for failure were caries and fracture. The regressionanalyses showed a significantly higher risk of failure for restorations in highcaries risk individuals and with a higher number of restored surfaces.
KW - Faculty of Health and Medical Sciences
KW - Composite materials, Restorative materials, Risk factor(s), Operative
U2 - 10.1177/0022034514544217
DO - 10.1177/0022034514544217
M3 - Journal article
C2 - 25048250
VL - 93
SP - 943
EP - 949
JO - Journal of Dental Research
JF - Journal of Dental Research
SN - 0022-0345
IS - 10
ER -
ID: 113004128