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dc.contributor.authorVajani, Disha
dc.contributor.authorTejani, Tameeza Hassanali
dc.contributor.authorMilosevic, Alexander
dc.date.accessioned2021-10-20T05:49:00Z
dc.date.available2021-10-20T05:49:00Z
dc.date.issued2020
dc.identifier.other304-2020.32
dc.identifier.urihttps://repository.mbru.ac.ae/handle/1/573
dc.description.abstractBackground: This study systematically reviewed survival of direct composite to restore worn teeth. Materials and Methods: A comprehensive electronic search of databases sourced from Medline-PubMed, Embase, Cochrane Central, Scopus, Google scholar was performed on literature published between January 1990 and December 2018. Grey literature was also reviewed. Data extraction included sample size, number of composite restorations, operators, composite type, mean or total follow-up time and success rate expressed as either percent of successful restorations or median survival time (MST). Methodological quality was rated using the Joanna Briggs Institute appraisal checklist for case series. Studies on children, noncarious cervical lesions, cast and all-ceramic restorations, case reports and case series with <5 participants were excluded. Results: A total of 1563 studies were identified and 1472 were screened. Sixty-two full-text papers were assessed for eligibility which resulted in 10 studies that met inclusion criteria. These were mainly case series and assessed 3844 direct composite restorations placed in 373 patients mostly in hospital settings. Survival ranged from 50% to 99.3%. Methodological quality improved from the earlier studies and was rated low to moderate in 7 studies and good in 3. The funnel plot showed a low risk of publication bias but there was considerable heterogeneity (I2 =97.7%). There was a non-significant weak negative association between age and survival (Spearman’s rho=−0.12). Conclusion: Qualitative evaluation of the studies proved difficult because of the nature of case series but reporting improved in the later studies. Despite the generally short duration of studies, small sample sizes in terms of patient numbers and composite restorations, the survival rates of direct hybrid composite resin in the short to medium term are acceptable and support their application for the restoration of worn teeth.en_US
dc.language.isoenen_US
dc.subjectSystematic reviewen_US
dc.subjectDirect compositeen_US
dc.subjectTooth wearen_US
dc.titleDirect Composite Resin for the Management of Tooth Wear: A Systematic Reviewen_US
dc.typeArticleen_US


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