Universidade Federal de Uberlândia - UFU, School of Dentistry, Postgraduate Program in Dentistry, Uberlândia, MG, Brazil.
Universidade Estadual de Campinas - Unicamp, School of Dentistry of Piracicaba, Department of Restorative Dentistry, Piracicaba, SP, Brazil.
Braz Oral Res. 2021 Dec 6;35:e130. doi: 10.1590/1807-3107bor-2021.vol35.0130. eCollection 2021.
This study aimed to assess the survival of glass ionomer cement (GIC) restorations performed using the atraumatic restorative treatment (ART) in elderly patients. The systematic review protocol was registered in the PROSPERO database. The records were searched until August 2020 in eight electronic bibliographic databases, and included randomized and non-randomized clinical trials and observational studies, with no restrictions on the language or year of publication. Study selection and data extraction were performed independently by two reviewers. Data were extracted, summarized, collected for qualitative analysis, and evaluated for individual risk of bias using the Joanna Briggs Institute's Critical Appraisal Tool. The literature search retrieved 5,186 records; however, only seven studies fulfilled the eligibility criteria and were included. The studies were published between 2002 and 2019. A total of 1,239 restorations were investigated at intervals of 6, 12, 24, and 60 months of follow-up. Some studies had a low risk of bias, while others had moderate and high risk of bias. In general, GIC restorations placed using ART were considered satisfactory. The 6-month, 12-month, and 24-month survival rates ranged from 81.3% to 97.2%, 72.2% to 94%, and 63% to 87%, respectively; additionally, the survival rate for the longest follow-up period (60 months) was 85%. Given the best evidence-based information regarding caries removal, we highlight the need to provide a conservative and effective technique for use in elderly patients. ART is a promising and viable alternative that guarantees the survival of restorations in elderly patients.
本研究旨在评估使用无创伤性修复治疗（ART）对老年患者进行的玻璃离子水门汀（GIC）修复的存活率。系统评价方案在 PROSPERO 数据库中注册。在 8 个电子文献数据库中进行了记录检索，直到 2020 年 8 月，纳入了随机和非随机临床试验和观察性研究，对语言和出版年份没有限制。研究选择和数据提取由两位评审员独立进行。使用 Joanna Briggs 研究所的批判性评估工具提取、总结、收集数据进行定性分析，并评估个体偏倚风险。文献检索共检索到 5186 条记录；然而，只有 7 项研究符合入选标准并被纳入。这些研究发表于 2002 年至 2019 年期间。共有 1239 个修复体在 6、12、24 和 60 个月的随访间隔进行了研究。一些研究的偏倚风险较低，而其他研究的偏倚风险为中等到高。总体而言，使用 ART 放置的 GIC 修复体被认为是令人满意的。6 个月、12 个月和 24 个月的存活率分别为 81.3%至 97.2%、72.2%至 94%和 63%至 87%；此外，最长随访期（60 个月）的存活率为 85%。鉴于有关龋齿去除的最佳循证信息，我们强调需要为老年患者提供一种保守且有效的技术。ART 是一种有前途且可行的替代方案，可保证老年患者修复体的存活率。
