Efficacy of light cured composite resin and glass ionomer cement for wedge shaped defect filling: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

CHEN Qing , ZHAO Jian ,  WANG Ping

Department of Stomatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, P.R.China;

Corresponding?author：

WANG Ping, Email: cqcnwp@sina.com

Keywords：

Light cured composite resin; Glass ionomer cement; Wedge shaped defect; Systematic review; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.201607088

Video：

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Objective To evaluate the efficacy of light cured composite resin and glass ionomer cement for wedge shaped defect filling. Methods PubMed, The Cochrane Library (Issue 3, 2016), EMbase, CNKI, CBM, VIP and WanFang Data were searched from inception to April 5^th 2016, to collect randomized controlled trials (RCTs) of light cured composite resin versus glass ionomer cement for wedge shaped defect filling. According to the inclusion and exclusion criteria, two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Then, meta-analysis was performed by RevMan 5.2 software. Results A total of 12 studies, involving 3 744 cases of teeth were included. Meta-analysis results showed that there was no significant difference in the two groups on the shedding rate after 2 years (OR=1.19, 95%CI 0.70 to 2.02,P=0.53). But the wear rate of the light cured composite resin group was significantly lower than that of the glass ionomer cement group (Peto OR=0.31, 95%CI 0.22 to 0.44,P<0.000 01). The light cured composite resin group had higher rate of micro leakage or secondary caries rate (OR=1.83, 95%CI 1.11 to 3.01,P=0.02) and incidence of endodontic or periapical lesions (Peto OR=2.84, 95%CI 1.82 to 4.45,P<0.000 01) than the glass ionomer cement group. Conclusion Glass ionomer cement for filling wedge-shaped defects of 2 years after the wear degree is higher than the light cured composite resin, but the occurrence probability of micro leakage or secondary caries and stimulation to pulp are lower than the light cured composite resin. Because of the limitations of the quality of the included studies, the above conclusion still needs to be verified by more high-quality studies.

Citation： CHEN Qing, ZHAO Jian, WANG Ping. Efficacy of light cured composite resin and glass ionomer cement for wedge shaped defect filling: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2017, 17(1): 65-71. doi: 10.7507/1672-2531.201607088 Copy

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3.	向盈盈, 楊向紅. 玻璃纖維樁在前磨牙穿髓型楔狀缺損修復中的臨床應用. 昆明醫科大學學報, 2014, 35(10): 162-163.
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19.	史艷蕾. 3種方法修復楔狀缺損的臨床療效觀察. 中國醫藥指南, 2011, 9(21): 208-209.
20.	祝軍, 王濤, 劉紅, 等. GRADIA DIRECT幻彩納米復合樹脂修復中老年人楔狀缺損的療效. 中國老年學雜志, 2011, 31(16): 3195-3196.
21.	郁麗. 兩種方法修復牙楔狀缺損的療效比較. 中國醫藥指南, 2011, 9(14): 80-81.
22.	陳輝琳, 薛靖楠, 梁虹. 兩種材料修復楔狀缺損牙齒的療效比較. 福建醫藥雜志, 2010, 32(6): 72-73.
23.	張靜, 段勝紅, 王家志. 光固化復合樹脂與玻璃離子水門汀填充牙楔狀缺損的療效觀察. 總裝備部醫學學報, 2009, 11(4): 223-225.
24.	楊宏宇. 三種方法修復牙齒楔狀缺損的臨床療效觀察. 中國實用醫藥, 2008, 3(29): 20-21.
25.	王建華. 三種方法修復楔狀缺損的臨床觀察. 中國社區醫師. 醫學專業半月刊, 2008, 10(9): 75.
26.	盧晶. 三種不同方法修復楔狀缺損的臨床分析. 中國冶金工業醫學雜志, 2003, 20(3): 212-213.
27.	谷達云. 牙楔狀缺損夾層技術修復. 攀枝花學院學報, 2003, 20(6): 67-68.

1. 王嘉德, 高學軍. 牙體牙髓病學. 第二版. 北京: 北京大學醫學出版社, 2006: 199-202.
2. 成曉珍, 楔狀缺損發生的位置及相關因素研究. 實用醫技雜志, 2013, 6(22): 610-611.
3. 向盈盈, 楊向紅. 玻璃纖維樁在前磨牙穿髓型楔狀缺損修復中的臨床應用. 昆明醫科大學學報, 2014, 35(10): 162-163.
4. 季陸軍. 2種充填材料修復不同深度楔狀缺損的臨床觀察. 口腔醫學, 2010, 30(7): 426-427.
5. Takahashi N, Nyvad B. Caries ecology revisited: microbial dynamics and the caries process. Caries Resear, 2008, 42(6): 409-418.
6. Ly KA, Milgrom P, Rothen M. Xylitol, sweeteners, and dental caries. Pediatr Dent, 2006, 28(2): 154-163.
7. Coutinho E, Cardoso MV, De Munck J, et al. Bonding effectiveness and interfacial characterization of a nano-filled resin-modified glass-ionomer. Dent Mater, 2009, 25(11): 1347-1357.
8. Grobler SR, Rossouw RJ, Van Wyk Kotze TJ. A comparison of fluoride release from various dental materials. J Dent, 1998, 26(3): 259-265.
9. Freedman R, Diefenderfer KE. Effects of daily fluoride exposures on fluoride release by glass ionomer-based restoratives. Oper Dent, 2003, 28(2): 178-185.
10. 張麗, 殷澤剛. 兩種材料修復楔狀缺損的療效比較. 當代醫學, 2013, 19(1): 108-109.
11. 付雪峰, 李萍. 光固化復合樹脂和光固化Dyract復合體修復楔狀缺損的臨床分析. 吉林醫學, 2013, 34(1): 103-104.
12. 陳平. 3種方法修復深度楔狀缺損的臨床觀察. 國際口腔醫學雜志, 2012, 29(2): 153-154.
13. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1.0). Available at: http://www. cochranehandbook.org.
14. Review Manager (RevMan)[Computer Program]. Version 5.2. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2012. Available at: http://tech.cochrane.org/ revman/download.
15. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med, 2002, 21(11): 1539-1558.
16. 畢川青. 光固化復合樹脂修復術修復牙體楔狀缺損的臨床療效. 現代醫藥衛生, 2016, 32(5): 737-738.
17. 馬勇. 光固化復合樹脂、玻璃離子水門汀填充牙楔狀缺損50例的療效觀察. 世界最新醫學信息文摘, 2016, 16(26): 29-30.
18. 蔣榕林, 陳燕, 唐繼偉. Fuji IX型玻璃離子修復老年人楔狀缺損的療效分析. 中國臨床新醫學, 2013, 6(10): 985-987.
19. 史艷蕾. 3種方法修復楔狀缺損的臨床療效觀察. 中國醫藥指南, 2011, 9(21): 208-209.
20. 祝軍, 王濤, 劉紅, 等. GRADIA DIRECT幻彩納米復合樹脂修復中老年人楔狀缺損的療效. 中國老年學雜志, 2011, 31(16): 3195-3196.
21. 郁麗. 兩種方法修復牙楔狀缺損的療效比較. 中國醫藥指南, 2011, 9(14): 80-81.
22. 陳輝琳, 薛靖楠, 梁虹. 兩種材料修復楔狀缺損牙齒的療效比較. 福建醫藥雜志, 2010, 32(6): 72-73.
23. 張靜, 段勝紅, 王家志. 光固化復合樹脂與玻璃離子水門汀填充牙楔狀缺損的療效觀察. 總裝備部醫學學報, 2009, 11(4): 223-225.
24. 楊宏宇. 三種方法修復牙齒楔狀缺損的臨床療效觀察. 中國實用醫藥, 2008, 3(29): 20-21.
25. 王建華. 三種方法修復楔狀缺損的臨床觀察. 中國社區醫師. 醫學專業半月刊, 2008, 10(9): 75.
26. 盧晶. 三種不同方法修復楔狀缺損的臨床分析. 中國冶金工業醫學雜志, 2003, 20(3): 212-213.
27. 谷達云. 牙楔狀缺損夾層技術修復. 攀枝花學院學報, 2003, 20(6): 67-68.

Chinese Journal of Evidence-Based Medicine

Efficacy of light cured composite resin and glass ionomer cement for wedge shaped defect filling: a meta-analysis

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