Question · asked by 1 review

Ion-releasing restoration, glass ionomer-based (conventional GIC, HV-GIC, RMGIC, glass hybrid) vs Resin composite restoration: Marginal adaptation (unacceptable marginal adaptation)

Across follow-up periods, there was no statistically significant difference in unacceptable marginal adaptation between GIC and resin composite restorations.

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Ion-releasing glass ionomer cement (GIC) restorations vs Resin composite restorations
Unacceptable marginal adaptation · Patients with permanent dentition in need of restorations · 1 year, 18 months to 2 years, and 3 years, University, private practice, primary school, and multicenter settings, All types of cavities
Across follow-up periods, there was no statistically significant difference in unacceptable marginal adaptation between GIC and resin composite restorations.
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022) All outcomes
RD 0.01 [-0.01, 0.03]9 studies · 2725 participantsGRADE not reported
Ion-releasing restoration, glass ionomer-based (conventional GIC, HV-GIC, RMGIC, glass hybrid) vs Resin composite restoration
Marginal adaptation (unacceptable marginal adaptation) · Patients with permanent dentition in need of restorations (all cavity types: Black's Class I, II, V, and non-carious… · 3 years, Permanent dentition; university (majority), school, and private-practice settings across multiple countries (Turkey, Brazil, Sweden, India, Vietnam, Belgium, Germany, etc.)
At 3 years there were no marginal adaptation failures and no difference between ion-releasing (GIC) and resin composite restorations (RD 0.00, 95% CI -0.02 to 0.02; low certainty).
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022) All outcomes
RD 0.00 [-0.02, 0.02]3 studies · 321 participantsLow
Ion-releasing glass ionomer cement (GIC) restorations vs Resin composite restorations
Unacceptable marginal adaptation · Patients with permanent dentition in need of restorations · 3 years, University, private practice, primary school, and multicenter settings, All types of cavities
No unacceptable-marginal-adaptation events occurred in either group at 3 years (low certainty).
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022) All outcomes
RD 0.00 [-0.02, 0.02]3 studies · 321 participantsLow
Ion-releasing glass ionomer cement (GIC) restorations vs Resin composite restorations
Unacceptable marginal adaptation · Patients with permanent dentition in need of restorations · 1 year, University, private practice, primary school, and multicenter settings, All types of cavities
Ion-releasing GIC restorations may have little or no difference in unacceptable marginal adaptation at 1 year (low certainty).
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022) All outcomes
RD 0.01 [-0.02, 0.03]9 studies · 1386 participantsLow
Ion-releasing restoration, glass ionomer-based (conventional GIC, HV-GIC, RMGIC, glass hybrid) vs Resin composite restoration
Marginal adaptation (unacceptable marginal adaptation) · Patients with permanent dentition in need of restorations (all cavity types: Black's Class I, II, V, and non-carious… · 18 months-2 years, Permanent dentition; university (majority), school, and private-practice settings across multiple countries (Turkey, Brazil, Sweden, India, Vietnam, Belgium, Germany, etc.)
At 18 months to 2 years, no significant difference in marginal adaptation between ion-releasing (GIC) and resin composite restorations (RD 0.03, 95% CI -0.02 to 0.08; I2=94%; low certainty).
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022) All outcomes
RD 0.03 [-0.02, 0.08]7 studies · 1018 participantsLow
Ion-releasing restoration, glass ionomer-based (conventional GIC, HV-GIC, RMGIC, glass hybrid) vs Resin composite restoration
Marginal adaptation (unacceptable marginal adaptation) · Patients with permanent dentition in need of restorations (all cavity types: Black's Class I, II, V, and non-carious… · 1 year, Permanent dentition; university (majority), school, and private-practice settings across multiple countries (Turkey, Brazil, Sweden, India, Vietnam, Belgium, Germany, etc.)
At 1 year, no significant difference in unacceptable marginal adaptation between ion-releasing (GIC) and resin composite restorations, though heterogeneity was high (RD 0.01, 95% CI -0.02 to 0.03; I2=79%; low certainty).
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic… (2022) All outcomes
RD 0.01 [-0.02, 0.03]9 studies · 1386 participantsLow

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of…
2022 All outcomes
21 May 2021 (databases searched until 21 May 2021; no date or language restriction)37Critically Low / Critically Low

Studies behind the findings

None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.