Faghihian Reyhaneh, Shirani Mohammadjavad, Tarrahi Mohammad Javad, Zakizade Mehrnaz
Dr. Faghihian is an assistant professor, Dental Research Center, Department of Pediatric Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Dr. Shirani is a postgraduate student of prosthodontics, Student Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Pediatr Dent. 2019 Mar 15;41(2):88-94.
The resin infiltration technique, used as a microinvasive treatment for initial caries, seals white spot lesions on the tooth surface. The purpose of this systematic review was to perform a review on the effectiveness of resin infiltration in preventing initial caries progression. This review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRIMSA) guidelines. The searched databases included Embase, Scopus, Cochrane, and PubMed, and no filters were applied other than the English language. The heterogeneity level among the included studies was measured by I2, Tau2, and Q indices using CMA (version 2) software. A forest plot was applied to show the results and to estimate the effectiveness of resin infiltration technique. Eight articles were selected forthe quantitative analysis of data and preparation of evidence table. Results of the meta-analysis of all studies showed a risk ratio of 0.374 (95 percent confidence interval equals 0.291 to 0.480) which revealed that resin infiltration significantly reduced the risk of caries progression compared with the control groups (P<0.001). Within the limitations of this review, it can be asserted that the resin infiltration technique is effective in preventing initial caries progression in primary and permanent teeth.
树脂渗透技术作为一种针对早期龋的微创治疗方法，可封闭牙齿表面的白斑病变。本系统评价的目的是对树脂渗透预防早期龋进展的有效性进行综述。本综述按照系统评价和Meta分析的首选报告项目（PRIMSA）指南进行。检索的数据库包括Embase、Scopus、Cochrane和PubMed，除英文外未应用其他筛选条件。使用CMA（2版）软件通过I2、Tau2和Q指数测量纳入研究之间的异质性水平。应用森林图展示结果并评估树脂渗透技术的有效性。选取8篇文章进行数据的定量分析并编制证据表。所有研究的Meta分析结果显示风险比为0.374（95%置信区间为0.291至0.480），这表明与对照组相比，树脂渗透显著降低了龋进展的风险（P<0.001）。在本综述的局限性范围内，可以断言树脂渗透技术在预防乳牙和恒牙的早期龋进展方面是有效的。
