Qual é a evidencia clínica do desempenho das resinas Bulk Fill em dentes decíduos e permanentes? uma revisão sistemática e meta-análise
DOI:
https://doi.org/10.33448/rsd-v10i10.18981Palavras-chave:
Restauração dentária permanente; Sensibilidade da dentina; Cárie dentária; Bulk fill.Resumo
Com a crescente aceitação do uso clínico de resinas bulk-fill, é necessário investigar o desempenho in vivo desses materiais restauradores. Nesta perspectiva, esta revisão sistemática avaliou o desempenho clínico de resinas Bulk-fill em restaurações de dentes posteriores vitais, decíduos e permanentes. As bases de buscas das publicações PubMed, Cochrane, Scopus, LILACS, BBO e Capes foram pesquisadas sem restrições quanto ao ano de publicação ou idioma do artigo. Os critérios de inclusão foram ensaios clínicos que avaliaram a eficácia de resinas compostas de bulk-fill em comparação à técnica incremental. Para a seleção dos artigos e extração dos dados, dois avaliadores calibrados avaliaram resumos e artigos completos. Um total de 1443 resumos foram identificados, dos quais 14 artigos foram incluídos na revisão. Destes, 01 foi classificado com alto nível de evidência; 08 eram moderados e 05 com baixo nível de evidência. Os estudos apresentaram um acompanhamento médio das restaurações de 35,1 meses. Grande parte dos estudos (75%) demonstrou a ocorrência de sensibilidade pós-operatória. A alta taxa de falha foi mais prevalente em restaurações de classe II. A adaptação marginal / mudança de cor foi dependente do material e a ocorrência de cárie secundária em restaurações de resina bulk-fill não foi significativa em relação às resinas convencionais na maioria dos estudos. Em curto prazo, observou-se o desempenho clínico satisfatório das resinas bulk-fill utilizadas em restaurações primárias e permanentes, com desfechos clínicos e resultados equivalentes às resinas compostas convencionais.
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