EPA Consensus Project Paper: Failure Rates of Direct Versus Indirect Single-Tooth Restorations. A Systematic Review and Meta-Analysis.
| Autor: | Kamposiora P; Assistant Professor, Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece., Papathanasiou I; Prosthodontist, PhD candidate, Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece., Barmak AB; Associate Professor, Department of Dentistry, University of Rochester Medical Center, Rochester, New York, USA., Chochlidakis K; Associate Professor, Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The European journal of prosthodontics and restorative dentistry [Eur J Prosthodont Restor Dent] 2023 May 05. Date of Electronic Publication: 2023 May 05. |
| DOI: | 10.1922/EJPRD_2489Komposiora22 |
| Abstrakt: | Introduction: The purpose of this systematic review and meta-analysis was to evaluate and compare the failure rates of direct and indirect restorations for single-tooth restorations. Methods: A literature search was conducted by using electronic databases and relevant references for clinical studies on direct and indirect dental restorations with a follow-up of at least 3 years. The risk of bias was assessed with the ROB2 and the ROBINS- I tools. The I2 statistic was used for the assessment of heterogeneity. The authors reported summary estimates of annual failure rates of single-tooth restorations using a random-effects model. Results: Of 1415 screened articles, 52 (18 RCTs, 30 prospective, 4 retrospective) met the inclusion criteria. No articles with direct comparisons were identified. No significant difference was found in the annual failure rates of single teeth restored with either direct or indirect restorations, which were calculated as 1% using a random-effects model. High heterogeneity was found, ranging from 80% (P⟨0.01) for studies on direct restorations to 91% (P⟨0.01) for studies on indirect restorations. Most of the studies presented some risk of bias. Conclusions: Annual failure rates were similar for direct and indirect single-tooth restorations. Further randomized clinical trials are needed to draw more definitive conclusions. (Copyright© 2023 Dennis Barber Ltd.) |
| Databáze: | MEDLINE |
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