Department of Dental Materials, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Bedong, Kedah, Malaysia.
Yan Dental Clinic, Ministry of Health Malaysia, Yan, Kedah, Malaysia.
J Evid Based Dent Pract. 2022 Sep;22(3):101723. doi: 10.1016/j.jebdp.2022.101723. Epub 2022 Mar 21.
Resin infiltration technique is a minimal interventive approach to manage white-spot lesions. The present umbrella review aimed to comprehensively appraise the previously published systematic reviews on the effectiveness of resin infiltration in arresting caries progression and improving the aesthetic appearance of white-spot lesions.
Ten electronic databases were searched between January 1960 and May 2021. Only systematic reviews published in English on the use of resin infiltration in primary or permanent teeth were included. The degree of overlap across each review was calculated using the Corrected Covered Areas method and their evidence quality were assessed using A MeaSurement Tool to Assess systematic Reviews 2 assessment tool. Umbrella meta-analysis was carried out using a random-effects model.
Thirteen systematic reviews were chosen, but only eight were eligible for an umbrella meta-analysis. The overall Corrected Covered Areas value was very high (19.8%), whereas only three studies were classified as 'High Quality'. Qualitative synthesis suggested that resin infiltration demonstrated acceptable aesthetic results, whereas quantitative analysis showed favourable outcomes in minimizing the risk of caries progression (RR: 0.32; 95% CI: 0.29-0.36). White-spot lesions treated with resin infiltrant in permanent teeth demonstrated a lower risk of caries progression (P < .001) than primary teeth. Overall, low data heterogeneity was observed (I: 0%-20%). However, quantitative umbrella analysis on the aesthetic outcome was unable to perform due to limited data.
Resin infiltration can be regarded as an effective treatment modality in minimizing the risk of caries progression and improving the aesthetic appearance of white-spot lesions. Future well-designed high-quality systematic reviews with long-term follow-up and more control of confounding variables are warranted.
树脂渗透技术是一种微创介入方法，用于治疗白斑病。本伞状综述旨在全面评估先前发表的关于树脂渗透在阻止龋齿进展和改善白斑病美观外观方面有效性的系统评价。
在 1960 年 1 月至 2021 年 5 月期间，检索了 10 个电子数据库。仅纳入了关于在乳牙或恒牙中使用树脂渗透的英文发表的系统评价。使用校正覆盖面积法计算了每个综述之间的重叠程度，并使用评估系统评价的测量工具（A MeaSurement Tool to Assess systematic Reviews 2 评估工具）评估了它们的证据质量。使用随机效应模型进行伞状荟萃分析。
选择了 13 项系统评价，但只有 8 项符合伞状荟萃分析的条件。总体校正覆盖面积值非常高（19.8%），但只有 3 项研究被归类为“高质量”。定性综合表明，树脂渗透具有可接受的美学效果，而定量分析显示，在最大限度地减少龋齿进展风险方面，结果有利（RR：0.32；95%CI：0.29-0.36）。在恒牙中用树脂渗透剂治疗的白斑病的龋齿进展风险较低（P<0.001）。总体上，观察到数据异质性较低（I：0%-20%）。然而，由于数据有限，无法对美学结果进行定量伞状分析。
树脂渗透可被视为一种有效的治疗方法，可降低龋齿进展的风险并改善白斑病的美观外观。未来需要进行设计良好、高质量、长期随访且更好地控制混杂变量的系统评价。
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