PURPOSE:
Traditionally, resin composite restorations are claimed by reviews of the dental literature as being superior to glass-ionomer fillings in terms of restoration failures in posterior permanent teeth. The aim of this systematic review is to answer the clinical question, whether conventional high-viscosity glass-ionomer restorations, in patients with single and/or multi-surface cavities in posterior permanent teeth, have indeed a higher failure rate than direct hybrid resin composite restorations.
METHODS:
Eight databases were searched until December 02, 2013. Trials were assessed for bias risks, in-between datasets heterogeneity and statistical sample size power. Effects sizes were computed and statistically compared. A total of 55 citations were identified through systematic literature search. From these, 46 were excluded. No trials related to high-viscosity glass-ionomers versus resin composite restorations for direct head-to-head comparison were found. Three trials related to high-viscosity glass-ionomers versus amalgam and three trials related to resin composite versus amalgam restorations could be included for adjusted indirect comparison, only.
RESULTS:
The available evidence suggests no difference in the failure rates between both types of restoration beyond the play of chance, is limited by lack of head-to-head comparisons and an insufficient number of trials, as well as by high bias and in-between-dataset heterogeneity risk. The current clinical evidence needs to be regarded as too poor in order to justify superiority claims regarding the failure rates of both restoration types. Sufficiently large-sized, parallel-group, randomised control trials with high internal validity are needed, in order to justify any clinically meaningful judgment to this topic.
Mickenautsch, S. & Yengopal, V (2019). Failure Rate of Direct High-Viscosity Glass-Ionomer Versus Hybrid Resin Composite Restorations in Posterior Permanent Teeth - a Systematic Review. Afribary. Retrieved from https://afribary.com/works/failure-rate-of-direct-high-viscosity-glass-ionomer-versus-hybrid-resin-composite-restorations-in-posterior-permanent-teeth-a-systematic-review
Mickenautsch, Steffen, and Veerasamy Yengopal "Failure Rate of Direct High-Viscosity Glass-Ionomer Versus Hybrid Resin Composite Restorations in Posterior Permanent Teeth - a Systematic Review" Afribary. Afribary, 26 May. 2019, https://afribary.com/works/failure-rate-of-direct-high-viscosity-glass-ionomer-versus-hybrid-resin-composite-restorations-in-posterior-permanent-teeth-a-systematic-review. Accessed 05 May. 2024.
Mickenautsch, Steffen, and Veerasamy Yengopal . "Failure Rate of Direct High-Viscosity Glass-Ionomer Versus Hybrid Resin Composite Restorations in Posterior Permanent Teeth - a Systematic Review". Afribary, Afribary, 26 May. 2019. Web. 05 May. 2024. < https://afribary.com/works/failure-rate-of-direct-high-viscosity-glass-ionomer-versus-hybrid-resin-composite-restorations-in-posterior-permanent-teeth-a-systematic-review >.
Mickenautsch, Steffen and Yengopal, Veerasamy . "Failure Rate of Direct High-Viscosity Glass-Ionomer Versus Hybrid Resin Composite Restorations in Posterior Permanent Teeth - a Systematic Review" Afribary (2019). Accessed May 05, 2024. https://afribary.com/works/failure-rate-of-direct-high-viscosity-glass-ionomer-versus-hybrid-resin-composite-restorations-in-posterior-permanent-teeth-a-systematic-review