Effectiveness of resin infiltration in caries inhibition and aesthetic appearance improvement of white-spot lesions: An umbrella review

Lin, Galvin Sim Siang and Chan, Daryl Zhun Kit and Lee, Hern Yue and Low, Ting Ting and Laer, Thittikkon Suvanpratum and Pillai, Manushantini Pillai Muralitharan and Yew, Yun Qing and Wafa, Sharifah Wade'ah Wafa Syed Saadun Tarek (2022) Effectiveness of resin infiltration in caries inhibition and aesthetic appearance improvement of white-spot lesions: An umbrella review. Journal of Evidence Based Dental Practice, 22 (3). ISSN 1532-3382, DOI https://doi.org/10.1016/j.jebdp.2022.101723.

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Abstract

Resin infiltration technique is a minimal interventive approach to manage white -spot lesions. The present umbrella review aimed to comprehensively appraise the previously published systematic reviews on the effectiveness of resin infiltra-tion in arresting caries progression and improving the aesthetic appearance of white-spot lesions.Material and MethodsTen electronic databases were searched between January 1960 and May 2021. Only systematic reviews published in English on the use of resin infiltration in primary or permanent teeth were included. The degree of overlap across each review was calculated using the Corrected Covered Areas method and their evi-dence quality were assessed using A MeaSurement Tool to Assess systematic Re-views 2 assessment tool. Umbrella meta-analysis was carried out using a random -effects model.ResultsThirteen systematic reviews were chosen, but only eight were eligible for an um-brella meta-analysis. The overall Corrected Covered Areas value was very high (19.8%), whereas only three studies were classified as `High Quality'. Qualitative synthesis suggested that resin infiltration demonstrated acceptable aesthetic re-sults, whereas quantitative analysis showed favourable outcomes in minimizing the risk of caries progression (RR: 0.32; 95% CI: 0.29-0.36). White-spot lesions treated with resin infiltrant in permanent teeth demonstrated a lower risk of caries progression ( P < .001) than primary teeth. Overall, low data heterogeneity was observed ( I 2 : 0%-20%). However, quantitative umbrella analysis on the aesthetic outcome was unable to perform due to limited data.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Conservative treatment; Dental caries; Dental resins; Evidence-based dentistry; Umbrella review
Subjects: R Medicine
R Medicine > RK Dentistry
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 07 Sep 2023 08:12
Last Modified: 07 Sep 2023 08:12
URI: http://eprints.um.edu.my/id/eprint/41141

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