Cochrane · intervention · CD004347
Direct versus indirect veneer restorations for intrinsic dental stains
Cochrane Database of Systematic Reviews · 2004 · Cochrane Library
Oral HealthDental cariesEsthetic dentistryImplants and prosthodontics2 versionsAMSTAR 2: not assessed
Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
9
current version
GRADE rated
0
No studies
4
Included studies
1
as reported
No studies 4 · 44.4%Ungraded 5 · 55.6%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Patients with permanent anterior teeth suitable (i.e. with intrinsic staining) for restorations using laminate veneers | 112 patients (180 restorations) with permanent maxillary anterior teeth requiring 1 to 6 veneers (maximum 2 included per patient); mean age 30 years (range 14 to 74); recruited via general practitioners and the Dental School, University of Nijmegen, The Netherlands |
| Intervention | Direct laminate veneer techniques (different composite materials) | Direct resin composite (microfine; Silux Plus) (n=69 restorations); Indirect resin composite (microfine; Dentacolor) (n=54); Porcelain (fine crystalline; Flexo-ceram) (n=56) |
| Comparison | Indirect laminate veneer techniques (indirect restorations composite or porcelain) | Not reported (three-arm trial; comparator arms not separately defined) |
| Outcomes | Restoration failure (primary; debond, fracture, delamination or significant leakage requiring replacement); Aesthetic achievement (colour match); Patient satisfaction (e.g. visual analogue scale); Pain following treatment; Cost of treatment; Adverse reactions | Absolute failure (n=180 restorations); Relative failure (n=180); Survival of original restoration (n=180); Functional survival (n=180); Overall survival (n=180); Patient satisfaction (n=112 patients) |
| Study designs | Randomised controlled trials (RCTs); quasi-randomised trials eligible (sensitivity analysis) | 1 RCT (Meijering 1998; three publications; 2.5-year interim analysis; The Netherlands) |
| Timing | Not specified | Baseline (~4 weeks post-placement); ~1 year (0.9 to 1.3 years); 2 years (1.9 to 2.5 years) |
Search date: 2003-11. Databases: The Cochrane Oral Health Group's Trials Register; CENTRAL (The Cochrane Library 2003, Issue 4); MEDLINE (1980 to November 2003); EMBASE (1980 to November 2003)
Questions and results
Current version onlyDirect resin composite veneer vs Indirect resin composite veneer
Population: Patients with permanent anterior teeth with intrinsic staining suitable for laminate veneer restorations
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain following treatment | Planned outcome; pain following treatment was not reported by the included trial (earlier trial publications reported treatment times, not pain). | 0 studies | No studies |
Patient satisfaction 2 years | Meijering 1998 (Table 4): patients satisfied at 2 years - direct resin composite 67%, indirect resin composite 82%. No statistical comparison performed. | 1 study | Ungraded |
Cost of treatment | Planned outcome; cost of treatment was not reported by the included trial. | 0 studies | No studies |
Adverse reactions | Planned outcome; no adverse-reaction data were reported by the included trial. | 0 studies | No studies |
Restoration failure (longevity) 2 years | Meijering 1998 (data by restoration, not pooled; no statistical analysis possible). Failures over 2-year follow-up: direct resin composite (n=69) 4 absolute and 14 relative failures; indirect resin composite (n=54) 7… | 1 study · 123 participants | Ungraded |
Colour match (aesthetic achievement) | Planned outcome; colour match was not reported by the single included trial (Meijering 1998). | 0 studies | No studies |
Direct resin composite veneer vs Porcelain (indirect) veneer
Population: Patients with permanent anterior teeth with intrinsic staining suitable for laminate veneer restorations
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Patient satisfaction 2 years | Meijering 1998 (Table 4): patients satisfied at 2 years - direct resin composite 67%, porcelain 93%. No statistical comparison performed. | 1 study | Ungraded |
Restoration failure (longevity) 2 years | Meijering 1998 (data by restoration, not pooled; no statistical analysis possible). Failures over 2-year follow-up: direct resin composite (n=69) 4 absolute and 14 relative failures; porcelain (n=56) 0 absolute and 3… | 1 study · 125 participants | Ungraded |
Indirect veneer with no incisal edge reduction vs Indirect veneer with incisal edge reduction (1.5 mm plus short palatal bevel)
Population: Patients receiving indirect laminate veneer restorations on permanent anterior teeth
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Restoration survival (longevity) 2 years | Meijering 1998 (Table 3): survival percentages by preparation type at 2 years (original/functional/overall) - no incisal edge reduction 98/97/95; incisal reduction 95/90/87. No statistical comparison performed. | 1 study | Ungraded |
Direct laminate veneer (resin composite) vs Indirect laminate veneer (resin composite or porcelain)
Population: Patients with permanent anterior teeth with intrinsic staining suitable for laminate veneer restorations
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Colour match (aesthetic achievement) | no estimate extracted | NR | No studies |
Restoration failure (longevity) | no estimate extracted | NR | No studies |
Adverse reactions | no estimate extracted | NR | No studies |
Patient satisfaction | no estimate extracted | NR | No studies |
Pain following treatment | no estimate extracted | NR | No studies |
Cost of treatment | no estimate extracted | NR | No studies |