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Direct composite restorations on permanent teeth in the anterior and posterior region - an evidence-based clinical practice guideline - part 1: indications for composite restorations

Purpose: This German S3 clinical practice guideline offers evidence-based recommendations for the use of composite materials in direct restorations of permanent teeth. Outcomes considered were the survival rates and restoration quality and pro-cess quality of the manufacturing process. Part 1 of thi...

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Main Authors: Wolff, Diana (Author) , Frese, Cornelia (Author) , Frankenberger, Roland (Author) , Haak, Rainer (Author) , Braun, Andreas (Author) , Kraemer, Norbert (Author) , Krastl, Gabriel (Author) , Schwendicke, Falk (Author) , Kosan, Esra (Author) , Langowski, Eva (Author) , Sekundo, Caroline (Author)
Format: Article (Journal)
Language:English
Published: 2024
In: The journal of adhesive dentistry
Year: 2024, Volume: 26, Issue: 1, Pages: 185-200
ISSN:1757-9988
DOI:10.3290/j.jad.b5748881
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3290/j.jad.b5748881
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Author Notes:Diana Wolff/Cornelia Frese/Roland Frankenberger/Rainer Haak/Andreas Braun/Norbert Kraemer/Gabriel Krastl/Falk Schwendicke/Esra Kosan/Eva Langowski/Caroline Sekundo and Guideline panel members and methodological consultants
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Summary:Purpose: This German S3 clinical practice guideline offers evidence-based recommendations for the use of composite materials in direct restorations of permanent teeth. Outcomes considered were the survival rates and restoration quality and pro-cess quality of the manufacturing process. Part 1 of this two-part presentation deals with the indication classes. Materials and Methods: A systematic literature search was conducted by two methodologists using MEDLINE and the Co-chrane Library via the OVID platform, including studies up to December 2021. Six PICO questions were developed to guide the search. Recommendations were formulated by a panel of dental professionals from 20 national societies and organizations based on the collected evidence. Results: Composite materials are a viable option for the direct restoration of cavity Classes I-V and may also be used for restorations with cusp replacement, and tooth shape corrections. In the posterior region, direct composite restorations should be preferred over indirect composite inlays. For Class V restorations, composite materials can be used if adequate contamination control and adhesive technique are ensured. Conclusion: The guideline is the first to provide comprehensive evidence on the use of direct composite materials. However, further long-term clinical studies with comparators such as (modified) glass-ionomer cements are necessary. Regular updates will detail the future scope and limitations of direct composite restorations.
Item Description:Online veröffentlicht: 17. September 2024
Gesehen am 16.04.2025
Physical Description:Online Resource
ISSN:1757-9988
DOI:10.3290/j.jad.b5748881

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