原创力文档absence of carious lesions at margins of glass-ionomer cement and amalgam restorations an update of systematic review evidence没有腐烂的病变的利润率glass-ionomer水泥和汞合金修复一个更新的系统评价证据.pdfVIP
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absence of carious lesions at margins of glass-ionomer cement and amalgam restorations an update of systematic review evidence没有腐烂的病变的利润率glass-ionomer水泥和汞合金修复一个更新的系统评价证据
Mickenautsch and Yengopal BMC Research Notes 2011, 4:58
/1756-0500/4/58
CORRESPONDENCE Open Access
Absence of carious lesions at margins of
glass-ionomer cement and amalgam restorations:
An update of systematic review evidence
*
Steffen Mickenautsch , Veerasamy Yengopal
Abstract
Background: This article aims to update the existing systematic review evidence elicited by Mickenautsch et al. up
to 18 January 2008 (published in the European Journal of Paediatric Dentistry in 2009) and addressing the review
question of whether, in the same dentition and same cavity class, glass-ionomer cement (GIC) restored cavities
show less recurrent carious lesions on cavity margins than cavities restored with amalgam.
Methods: The systematic literature search was extended beyond the original search date and a further hand-
search and reference check was done. The quality of accepted trials was assessed, using updated quality criteria,
and the risk of bias was investigated in more depth than previously reported. In addition, the focus of quantitative
synthesis was shifted to single datasets extracted from the accepted trials.
Results: The database search (up to 10 August 2010) identified 1 new trial, in addition to the 9 included in the
original systematic review, and 11 further trials were included after a hand-search and reference check. Of these 21
trials, 11 were excluded and 10 were accepted for data extraction and quality assessment. Thirteen dichotomous
datasets of primary outcomes and 4 datasets with secondary outcomes were extracted. Meta-analysis and
cumulative meta-analysis were used in combining clinically homogenous datasets. The overall results of the
computed datasets suggest that GIC has a higher caries-preventive effect than amalgam for restorations in
permanent teeth. No difference was
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