Survival percentages of atraumatic restorative treatment (ART) restorations and sealants in posterior teeth: an updated systematic review and meta-analysis
Autor: | R. G. de Amorim, Soraya Coelho Leal, Jo E. Frencken, Xuan Hu, Xi Chen, Daniela Prócida Raggio |
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Rok vydání: | 2018 |
Předmět: |
Pit and Fissure Sealants
business.industry Dental Atraumatic Restorative Treatment Other Research Radboud Institute for Health Sciences [Radboudumc 0] Dentistry 030206 dentistry Dental Caries Molar Confidence interval Restorative treatment 03 medical and health sciences 0302 clinical medicine Meta-analysis Posterior teeth Medicine Humans Bicuspid 030212 general & internal medicine Dental Restoration Failure business General Dentistry |
Zdroj: | Clinical Oral Investigations, 22, 8, pp. 2703-2725 Clinical Oral Investigations, 22, 2703-2725 |
ISSN: | 1432-6981 |
Popis: | Item does not contain fulltext OBJECTIVE: The aim of the present study is to update the results of two previous meta-analyses, published in 2006 and 2012, on the survival percentages of atraumatic restorative treatment (ART) restorations and ART sealants. The current meta-analysis includes Chinese publications not investigated before. MATERIALS AND METHODS: Until February 2017, six databases were interrogated (two English, one Portuguese, one Spanish and two Chinese). Using six exclusion criteria, a group of six independent reviewers selected 43 publications from a total of 1958 potentially relevant studies retrieved. Confidence intervals and/or standard errors were calculated and the heterogeneity variance of the survival rates was estimated. RESULTS: The survival percentages and standard errors of single-surface and multiple-surface ART restorations in primary posterior teeth over the first 2 years were 94.3% (+/- 1.5) and 65.4% (+/- 3.9), respectively; for single-surface ART restorations in permanent posterior teeth over the first 3 years, they were 87.1% (+/- 3.2); and for multiple-surface ART restorations in permanent posterior teeth over the first 5 years, they were 77% (+/- 9.0). The mean annual dentine-carious-lesion-failure percentages in previously sealed pits and fissures using ART sealants in permanent posterior teeth over the first 3 and 5 years were 0.9 and 1.9%, respectively. CONCLUSIONS: ART single-surface restorations presented high survival percentages in both primary and permanent posterior teeth, whilst ART multiple-surface restorations presented lower survival percentages. ART sealants presented a high-caries-preventive effect. CLINICAL RELEVANCE: ART is an effective evidence-based option for treating and preventing carious lesions in primary and permanent posterior teeth. |
Databáze: | OpenAIRE |
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