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Precision of In Vivo Quantitative Tooth Wear Measurement Using Intra-Oral Scans
Published on: July 12, 2022
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Direct Composite Resin for the Management of Tooth Wear: A Systematic Review
Disha Vajani1, Tameeza Hassanali Tejani1, Alexander Milosevic2
1Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University (MBRU) of Medicine and Health Sciences, Dubai, United Arab Emirates.
Clinical, Cosmetic and Investigational Dentistry
|November 12, 2020
Summary
Direct composite restorations show acceptable survival rates for worn teeth. This systematic review found that while studies had limitations, composite resins are a viable option for short to medium-term dental restoration.
Area of Science:
- Dental Materials Science
- Restorative Dentistry
- Evidence-Based Dentistry
Background:
- Systematic review on the survival of direct composite restorations for worn teeth.
- Evaluates the efficacy of composite resin in restoring dental wear.
Purpose of the Study:
- To systematically review and synthesize evidence on the survival rates of direct composite restorations used to treat worn dentition.
- Assess the success and longevity of composite materials in this specific clinical application.
Main Methods:
- Comprehensive electronic database search (Medline-PubMed, Embase, Cochrane Central, Scopus, Google Scholar) from 1990-2018.
- Inclusion of case series, data extraction on restoration number, composite type, follow-up time, and survival rates.
- Exclusion of studies on children, non-carious lesions, and restorations with fewer than 5 participants.
Main Results:
- 10 studies met inclusion criteria, assessing 3844 direct composite restorations in 373 patients.
- Survival rates ranged widely from 50% to 99.3%, with considerable heterogeneity.
- Methodological quality was generally low to moderate, though improved in later studies; low risk of publication bias.
Conclusions:
- Direct composite restorations demonstrate acceptable short-to-medium term survival rates for worn teeth.
- Despite study limitations (small sample sizes, short follow-up), composite resins support their application in managing dental wear.
- Improved reporting in recent studies aids in evaluating restorative outcomes.

