Is surface roughness of direct resin composite restorations material and polisher‐dependent? A systematic review

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Abstract

Statement of Problem: Direct resin composite bonding offers a highly esthetic, minimally invasive option for the treatment of anterior teeth however the challenge to improve their longevity remains. Direct resin composite restorations are limited by the risk of staining which may be influenced by the final surface roughness (Ra) of composite achieved. Purpose: The purpose of this review is to investigate, using a systematic approach, whether the final surface roughness of anterior composite restorations is affected by the interaction between resin composite and polishing systems. Materials and Methods: The review was conducted by 3 independent reviewers and included articles published up to January 21, 2021. Three electronic databases were searched: Medline, Embase, and Web of Science. Studies assessing a quantitative effect of polishing methods on the Ra of direct composite resin materials published after the year 2000 and restricted to the English language were included. Results: The database search for the effect of polishing systems on composite materials retrieved 125 eligible studies. Twelve duplicate records were removed. The resulting records were screened using title and abstract leading to 38 reports which were sought for retrieval. Application of eligibility criteria led to 11 studies included in the review. Hand searching of these studies yielded no additional papers. Conclusions: There is insufficient evidence to determine whether combination of composite and polisher influences final Ra. More research is required to determine if there is an optimum combination of polisher and composite. Clinical Implications: Polishing should be completed following planned finishing procedures. The approximation to the final surface and which finishing burs to use, if any, should be considered when planning a restoration. Durafill VS predictably achieves an acceptable Ra by different polishers.

Item Type: Journal Article
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Dentistry -- Aesthetic aspects, Dental materials, Dental bonding, Composite materials, Teeth -- Discoloration, Teeth -- Polishing, Surface roughness, Dental hygiene
Journal or Publication Title: Journal of Esthetic and Restorative Dentistry
Publisher: John Wiley & Sons, Inc.
ISSN: 1708-8240
Official Date: September 2023
Dates:
Date
Event
September 2023
Published
17 July 2023
Available
27 June 2023
Accepted
Volume: 35
Number: 6
Page Range: pp. 947-967
DOI: 10.1111/jerd.13102
Status: Peer Reviewed
Publication Status: Published
Re-use Statement: ** Article version: VoR ** From Wiley via Jisc Publications Router ** History: received 16-02-2023; rev-recd 29-04-2023; accepted 27-06-2023; epub 17-07-2023. ** Licence for VoR version of this article: http://creativecommons.org/licenses/by/4.0/
Access rights to Published version: Open Access (Creative Commons open licence)
Date of first compliant deposit: 22 August 2023
Date of first compliant Open Access: 22 August 2023
Related URLs:
URI: https://wrap.warwick.ac.uk/177407/

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