Kodzaeva Z S, Turkina A Yu, Doroshina V Yu
RUDN University, restorative dentistry department, Moscow, Russia.
I.M. Sechenov First Moscow State Medical University, restorative dentistry department, Moscow, Russia.
Stomatologiia (Mosk). 2019;98(3):117-122. doi: 10.17116/stomat201998031117.
To evaluate by means of a systematic review the survival rate of composite resin restorations in the long-term period and the main factors, affecting the quality of restorations.
An electronic search was performed in eLIBRARY.RU, PubMed/MEDLINE and Scopus. Restriction period was 2007-2017 years. The eligibility criteria included randomized controlled trials, controlled clinical trials and prospective and retrospective cohort studies with at least 3 years of follow-up.
The initial search resulted in 328 articles after an initial assessment and careful reading, 17 studies were included in this review. The overall survival rate of composite restorations was 90.7% after 3 years, 89.5% after 5 years, 89.3% after 7 years and 75.6% after 10 years. The highest loss rate was for class II restorations at molars. However there was not enough information about class III and IV restorations and direct veneers. According to majority of publications, type of composite resin material and adhesive system do not affect the survival rate of restorations. The main risk factors of failure are smoking, beverages consumption, bruxism, xerostomia and low level of caries resistance.
The results of this review suggest that composite resin restorations can demonstrate clinically acceptable results in the long-term period. In case of compliance with treatment protocol the longevity of composite resin restoration is more than 15 years.
通过系统评价评估复合树脂修复体的长期生存率以及影响修复质量的主要因素。
在eLIBRARY.RU、PubMed/MEDLINE和Scopus数据库进行电子检索。检索时间范围为2007年至2017年。纳入标准包括随机对照试验、对照临床试验以及随访至少3年的前瞻性和回顾性队列研究。
初步检索后经初步评估和仔细阅读得到328篇文章,本综述纳入17项研究。复合树脂修复体3年后的总体生存率为90.7%,5年后为89.5%,7年后为89.3%,10年后为75.6%。磨牙Ⅱ类修复体的失败率最高。然而,关于Ⅲ类和Ⅳ类修复体以及直接贴面修复体的信息不足。根据大多数出版物,复合树脂材料类型和粘接系统不影响修复体的生存率。失败的主要危险因素包括吸烟、饮用饮料、磨牙症、口干症和抗龋能力低下。
本综述结果表明,复合树脂修复体在长期内可显示出临床可接受的效果。如果遵循治疗方案,复合树脂修复体的使用寿命超过15年。