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Volume 3
Dentistry and Craniofacial Research
ISSN: 2576-392X
Page 53
JOINT EVENT
August 16-17, 2018 Madrid, Spain
&
24
th
International Conference on
Dental Public Health & Dental Hygiene
3
rd
International Conference on
General Practice & Primary Care
General Practice 2018
Dental Public Health 2018
August 16-17, 2018
An eight-year systematic review of restoration techniques: Incremental versus bulk filling
Mirian M Dang
Smiles Initiative, Canada
T
he purpose of this systematic review was to examine the marginal discoloration and adaptation in incremental layering
or bulk fill associated posterior composite resin restorations in adult patients. The fracture risk and the postoperative
sensitivity risk were also systematically reviewed. A comprehensive search spanning 1994 to March 2018 was performed
in PubMed, LILACS, Scopus, Brazilian Library in Dentistry, Web of Science and SIGLE without restrictions. The abstracts
of the annual conference of the IADR (1994-2018) were searched. Dissertations and theses were searched via the ProQuest
Dissertations and Periódicos Capes Theses Databases. After the removal of duplicates and the reading of title and abstracts, a
total of 12 articles were included in the analysis. Randomized clinical trials were included which compared incremental layering
and bulk fill of posterior composite resin restorations of cavities in patients age 22-51 years old. The random effects statistical
model and the Cochrane Collaboration's tool for assessing risk of bias were used. Of the 12 articles that were analyzed, nine
studies were deemed an unclear risk of bias, and three studies were assessed to be at low risk of bias. There was no evidence of
differences between bulk fill and incremental layering observed in any of the study follow-ups for fracture risks, postoperative
sensitivity and marginal adaptation and discoloration (p=0.08). In conclusion, postoperative sensitivity is not influenced by
bulk fill and incremental layering for up to six weeks in posterior composite resin restorations. Marginal discrepancies and risk
of fractures are not influenced until eight years of evaluation.
Biography
Mirian M Dang has completed her BSc Hons at York University. She is the Founder and President of Smiles Initiative, a non-profit organization dedicated to
advocating healthy oral routines and rising funds to assemble and distribute dental kits to vulnerable communities. She has designed and delivered programs
ranging from informal workshops to hosting formal events such as the 2017 Annual Dental Health Fair.
mirian.dang@gmail.comMirian M Dang, J Dent Craniofac Res 2018, Volume 3
DOI: 10.21767/2576-392X-C2-006