Self-adhesive flowable composite resins v flowable composite resin for occlusal cavities in permanent teeth

shutterstock_123309100 - tooth coloured restoration before & after

This review of the clinical performance of self-adhesive flowable composites and flowable composites for occlusal cavities in permanent teeth included 5 RCTs. . While the review found no significant differences between SAFCs and FCs in terms of retention, secondary caries, marginal discoloration, and postoperative sensitivity outcomes the limited number and quality of the small number of available studies mean the findings should be viewed cautiously.

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Composite resin restorations – incremental or bulk fill?

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This review of the clinical effectiveness of bulk-fill versus incrementally layered conventional resin composites included 18 RCTs. Owing to the variety of composite materials and bonding systems used a narrative summary was presented with the findins suggesting no important differences between incremental and bulk-fill techniques.

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Glass ionomer restorations and caries prevention

shutterstock_72680830 - erupting incisors & caries

This review of the effectiveness of glass ionomer cement (GIC) restorations in preventing new caries in primary or permanent dentitions included 10 RCTs. The findings suggest that GIC restorations have a better preventive effect that other materials but the amount and quality of evidence is limited.

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Rubber dam use and restoration survival

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This Cochrane review update of the effects of rubber dam isolation compared with other types of isolation for direct and indirect restorative treatments included 6 RCTs. The findings provide some low-certainty evidence that rubber dam may lead to fewer direct restoration failures compared with cotton roll use after six months.

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Primary teeth: Efficacy of 3 caries removal strategies

caries upper arch

This review of the efficacy of 3 caries removal strategies (complete, selective and stepwise) in primary teeth included 8 RCTs suggesting a lower risk of pulp exposure with selective and stepwise approaches.

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Dental restorations: repair or replace?

Filling -amalgam

10 studies were included in this review of the effectiveness of minimally invasive repair or replacement of dental restorations. The reviewers suggest that seal and refurbishment techniques did not present a significant difference in clinical longevity in comparison to the replacement technique in permanent teeth. However, both the amount and the quality of the available evidence is limited.

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Tooth fragment reattachment techniques?

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This review of tooth fragment reattachment techniques included only 5 small observational studies involving a total of 246 teeth providing limited evidence for these techniques.

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Glass ionomer cement or composite resin for class II restoration in primary molars

shutterstock_72680830 - erupting incisors & caries

This review of composite resin or glass ionomer cement for Class II restorations in primary molars included 10 RCTSs finding similar clinical performance.

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Flowable composites: clinical performance in non-carious cervical lesions

Abrasion_1

Kenny Strain takes a look at this recent review of flowable composite use in non-carious cervical lesions. 8 small RCTs of low quality were included with the authors suggesting flowable composites have improved marginal adaptation at 1 and 3 years.

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