Non-Cochrane · intervention · PM37322456

Clinical efficacy of bioactive restorative materials in controlling secondary caries: a systematic review and network meta-analysis.

Pinto Noeleni Souza, Jorge Gabriela Rebouças, Vasconcelos Jader, et al. · BMC oral health · 2023 · PubMed · doi:10.1186/s12903-023-03110-y

Oral HealthDental cariesAMSTAR 2: low (both extractors)
Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
18
current version
GRADE rated
15
No studies
0
Included studies
63
linked below
No studies 0 · 0%Ungraded 3 · 16.7%Very low 3 · 16.7%Low 9 · 50%Moderate 3 · 16.7%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

ElementPlanned (methods)Found (results)
PopulationParticipants with an indication for dental restoration62 clinical trials in qualitative synthesis, 39 in quantitative synthesis; permanent and deciduous (primary) teeth
InterventionBioactive restorative materials containing calcium, phosphate or fluoride (Ca, PO4, F) in their compositionBioactive: glass ionomer cement (GIC), resin-modified GIC (RMGIC), compomer, giomer (GIONOMER), ACTIVA, fluoride-containing amalgam (FAAG)
ComparisonConventional restorative materials without calcium, phosphate or fluoride in their formulationConventional: resin composite (RC) and amalgam (AAG)
OutcomesSecondary cariesSecondary caries (occurrence), expressed as risk ratios
Study designsClinical trials (case reports, reviews, case series, pilot studies, editorials and observational/descriptive studies excluded)62 clinical trials: RCTs, controlled, split-mouth, parallel, non-randomized/non-controlled and retrospective clinical trials (some designs unspecified)
TimingFollow-up grouped as 1 year or 2 or more years1 year and 2 or more years of follow-up

Search date: Not specified (search date reported only in Supplementary Table S1). Databases: Pubmed, Web of Science, Embase, BBO, Lilacs, Cochrane Library, Scopus, IBECS; grey literature via Google Scholar, CAPES theses/dissertations, ClinicalTrials and SIGLE; plus manual cross-reference search

Questions and results

Glass ionomer cement (GIC) vs Resin composite (RC)

Population: Patients requiring dental restoration; permanent teeth
2 questions
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in permanent teeth, GIC probably reduces secondary caries versus resin composite (RR 0.50, 95% CI 0.28-0.91; moderate certainty).
Source: Table 4 (Summary of findings); Figure 7b · same question in other reviews
RR 0.50 [0.28, 0.91]14 studies · 1571 participantsModerate
Downgraded: risk of bias
Secondary caries (occurrence)
1 year of follow-up
Over 1 year in permanent teeth, GIC may lower secondary caries versus resin composite, but the estimate is imprecise and includes no effect (RR 0.33, 95% CI 0.10-1.05; low certainty).
Source: Table 3 (Summary of findings); Figure 7a · same question in other reviews
RR 0.33 [0.10, 1.05]5 studies · 380 participantsLow
Downgraded: risk of bias, imprecision

Resin-modified glass ionomer cement (RMGIC) vs Glass ionomer cement (GIC)

Population: Patients requiring dental restoration; permanent teeth
2 questions
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
1 year of follow-up
Over 1 year in permanent teeth, secondary caries did not differ significantly between RMGIC and GIC (RR 1.82, 95% CI 0.45-7.28; low certainty).
Source: Table 3 (Summary of findings); Figure 7a · same question in other reviews
RR 1.82 [0.45, 7.28]2 studies · 126 participantsLow
Downgraded: risk of bias, imprecision
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in permanent teeth, secondary caries did not differ significantly between RMGIC and GIC (RR 1.33, 95% CI 0.70-2.54; low certainty).
Source: Table 4 (Summary of findings); Figure 7b · same question in other reviews
RR 1.33 [0.70, 2.54]5 studies · 141 participantsLow
Downgraded: risk of bias, imprecision

Resin composite (RC) vs Glass ionomer cement (GIC)

Population: Patients requiring dental restoration; permanent teeth
2 questions
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
1 year of follow-up
Over 1 year in permanent teeth, resin composite showed no statistically significant difference in secondary caries versus GIC (RR 3.05, 95% CI 0.95-9.79; low certainty).
Source: Table 3 (Summary of findings); Figure 7a · same question in other reviews
RR 3.05 [0.95, 9.79]6 studies · 479 participantsLow
Downgraded: risk of bias, imprecision
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in permanent teeth, resin composite showed a higher risk of secondary caries than GIC (RR 2.00, 95% CI 1.10-3.64; very low certainty).
Source: Table 4 (Summary of findings); Figure 7b · same question in other reviews
RR 2.00 [1.10, 3.64]13 studies · 728 participantsVery low
Downgraded: risk of bias, imprecision

ACTIVA bioactive restorative material vs Glass ionomer cement (GIC)

Population: Patients requiring dental restoration; permanent teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
1 year of follow-up
Over 1 year in permanent teeth, the effect of ACTIVA versus GIC on secondary caries is very uncertain (RR 22.80, 95% CI 0.89-584.17; very low certainty).
Source: Table 3 (Summary of findings); Figure 7a · same question in other reviews
RR 22.80 [0.89, 584.17]1 study · 153 participantsVery low
Downgraded: imprecision

Fluoride-containing amalgam (FAAG) vs Glass ionomer cement (GIC)

Population: Patients requiring dental restoration; permanent teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in permanent teeth, secondary caries did not differ significantly between fluoride-containing amalgam and GIC (RR 0.95, 95% CI 0.45-2.00; low certainty).
Source: Table 4 (Summary of findings); Figure 7b · same question in other reviews
RR 0.95 [0.45, 2.00]6 studies · 309 participantsLow
Downgraded: risk of bias, imprecision

Amalgam (AAG) vs Glass ionomer cement (GIC)

Population: Patients requiring dental restoration; permanent teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in permanent teeth, amalgam had a higher risk of secondary caries than GIC (RR 1.79, 95% CI 1.04-3.09; low certainty).
Source: Table 4 (Summary of findings); Figure 7b · same question in other reviews
RR 1.79 [1.04, 3.09]7 studies · 390 participantsLow
Downgraded: risk of bias, imprecision

Compomer vs Glass ionomer cement (GIC)

Population: Patients requiring dental restoration; permanent teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in permanent teeth, the effect of compomer versus GIC on secondary caries is very uncertain (RR 3.20, 95% CI 0.59-17.33; very low certainty).
Source: Table 4 (Summary of findings); Figure 7b · same question in other reviews
RR 3.20 [0.59, 17.33]2 studies · 79 participantsVery low
Downgraded: risk of bias, imprecision

Resin composite (RC) vs Resin-modified glass ionomer cement (RMGIC)

Population: Patients requiring dental restoration; deciduous (primary) teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in deciduous teeth, secondary caries did not differ significantly between resin composite and RMGIC (RR 1.60, 95% CI 0.85-3.00; low certainty).
Source: Table 5 (Summary of findings); Figure 9b · same question in other reviews
RR 1.60 [0.85, 3.00]8 studies · 438 participantsLow
Downgraded: risk of bias, imprecision

Compomer vs Resin-modified glass ionomer cement (RMGIC)

Population: Patients requiring dental restoration; deciduous (primary) teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in deciduous teeth, secondary caries did not differ significantly between compomer and RMGIC (RR 1.68, 95% CI 0.87-3.25; low certainty).
Source: Table 5 (Summary of findings); Figure 9b · same question in other reviews
RR 1.68 [0.87, 3.25]5 studies · 207 participantsLow
Downgraded: risk of bias, imprecision

Giomer (GIONOMER) vs Resin-modified glass ionomer cement (RMGIC)

Population: Patients requiring dental restoration; deciduous (primary) teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in deciduous teeth, the difference in secondary caries between giomer and RMGIC is uncertain (RR 1.66, 95% CI 0.49-5.61; low certainty).
Source: Table 5 (Summary of findings); Figure 9b · same question in other reviews
RR 1.66 [0.49, 5.61]1 study · 38 participantsLow
Downgraded: risk of bias, imprecision

Glass ionomer cement (GIC) vs Resin-modified glass ionomer cement (RMGIC)

Population: Patients requiring dental restoration; deciduous (primary) teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in deciduous teeth, GIC probably had a higher risk of secondary caries than RMGIC (RR 1.92, 95% CI 1.03-3.56; moderate certainty).
Source: Table 5 (Summary of findings); Figure 9b · same question in other reviews
RR 1.92 [1.03, 3.56]7 studies · 1193 participantsModerate
Downgraded: risk of bias

Amalgam (AAG) vs Resin-modified glass ionomer cement (RMGIC)

Population: Patients requiring dental restoration; deciduous (primary) teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
2 or more years of follow-up
Over 2 or more years in deciduous teeth, amalgam probably had a higher risk of secondary caries than RMGIC (RR 2.46, 95% CI 1.42-4.27; moderate certainty).
Source: Table 5 (Summary of findings); Figure 9b · same question in other reviews
RR 2.46 [1.42, 4.27]8 studies · 1135 participantsModerate
Downgraded: risk of bias

Resin-modified glass ionomer cement (RMGIC) vs Resin composite (RC)

Population: Patients requiring dental restoration; deciduous (primary) teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
1 year of follow-up · Resin-modified GIC (CIVMR)
In deciduous teeth at 1 year, a single small trial found no difference in secondary caries between RMGIC and resin composite (RR 1.03, 95% CI 0.07-15.81; ungraded).
Source: Figure 8 (paired meta-analysis, deciduous teeth 1 year, subgroup 2.3.1 CIVMR); Results 'Analysis in deciduous teeth' · same question in other reviews
RR 1.03 [0.07, 15.81]1 study · 71 participantsUngraded

Compomer vs Resin composite (RC)

Population: Patients requiring dental restoration; deciduous (primary) teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
1 year of follow-up · Compomer
In deciduous teeth at 1 year, secondary caries did not differ significantly between compomer and resin composite, with high heterogeneity (RR 0.41, 95% CI 0.02-8.34; I2=83%; ungraded).
Source: Figure 8 (paired meta-analysis, deciduous teeth 1 year, subgroup 2.3.2 Compomer); Results 'Analysis in deciduous teeth' · same question in other reviews
RR 0.41 [0.02, 8.34]2 studies · 250 participantsUngraded

Bioactive restorative materials (RMGIC and compomer combined) vs Resin composite (RC)

Population: Patients requiring dental restoration; deciduous (primary) teeth
1 question
OutcomeEffectEvidenceStatus / GRADE
Secondary caries (occurrence)
1 year of follow-up · Overall (all bioactive vs resin composite)
In deciduous teeth at 1 year, pooled bioactive materials (RMGIC and compomer) showed no significant difference from resin composite in secondary caries (RR 0.54, 95% CI 0.07-4.10; ungraded).
Source: Figure 8 (paired meta-analysis, deciduous teeth 1 year, Total); Results 'Analysis in deciduous teeth' · same question in other reviews
RR 0.54 [0.07, 4.10]3 studies · 321 participantsUngraded

AMSTAR 2 appraisal

Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.

ItemExtractor AExtractor BAgree
1Research question includes PICO componentsYesYesyes
2Protocol established before the reviewcriticalPartial YesYesno
3Choice of study designs explainedYesNono
4Comprehensive literature searchcriticalPartial YesPartial Yesyes
5Study selection in duplicateYesYesyes
6Data extraction in duplicateYesYesyes
7List of excluded studies with reasonscriticalYesYesyes
8Included studies described in detailYesPartial Yesno
9Risk of bias assessed satisfactorilycriticalRCT: Yes · NRSI: YesNRSI: Yes · RCT: Yesno
10Funding of included studies reportedNoNoyes
11Appropriate meta-analysis methodscriticalRCT: Yes · NRSI: NoNRSI: No · RCT: Yesno
12Impact of risk of bias on the pooled resultsYesYesyes
13Risk of bias accounted for in interpretationcriticalYesYesyes
14Heterogeneity explainedYesYesyes
15Publication bias investigatedcriticalYesYesyes
16Conflicts of interest reportedNoYesno
OverallLowLowyes

Included primary studies 63

Open as a trial list
StudyAlso included byOutcomes it informs hereTrial PICOResults
Ersin 2006
A clinical evaluation of resin-based composite and glass ionomer cement restorations placed in primary teeth using the ART approach:…
PMID:17082278
3 other reviewsnot statednot extracted yetnot extracted yet
Akman 2020
Clinical evaluation of bulk-fill resins and glass ionomer restorative materials: A 1-year follow-up randomized clinical trial in children.
PMID:32246655
1 other reviewnot statednot extracted yetnot extracted yet
Balkaya 2020
A Two-year Clinical Comparison of Three Different Restorative Materials in Class II Cavities.
PMID:31738696
1 other reviewnot statednot extracted yetnot extracted yet
De Moor 2011
Two-year clinical performance of glass ionomer and resin composite restorations in xerostomic head- and neck-irradiated cancer patients.
PMID:19997859
1 other reviewnot statednot extracted yetnot extracted yet
Gallo 2005
Three-year clinical evaluation of a compomer and a resin composite as Class V filling materials.
PMID:15986945
1 other reviewnot statednot extracted yetnot extracted yet
Gurgan 2020
A randomized controlled 10 years follow up of a glass ionomer restorative material in class I and class II cavities.
PMID:31351909
1 other reviewnot statednot extracted yetnot extracted yet
Hilgert 2014
Is high-viscosity glass-ionomer-cement a successor to amalgam for treating primary molars?
PMID:25132283
1 other reviewnot statednot extracted yetnot extracted yet
Jassal 2018
Clinical Effectiveness of a Resin-modified Glass Ionomer Cement and a Mild One-step Self-etch Adhesive Applied Actively and Passively in…
PMID:29782222
1 other reviewnot statednot extracted yetnot extracted yet
Koc Vural 2020
Clinical comparison of a micro-hybride resin-based composite and resin modified glass ionomer in the treatment of cervical caries lesions:…
PMID:32902766
1 other reviewnot statednot extracted yetnot extracted yet
Menezes-Silva 2019
Randomized clinical trial of class II restoration in permanent teeth comparing ART with composite resin after 12 months.
PMID:30612246
1 other reviewnot statednot extracted yetnot extracted yet
Miletic 2020
Clinical Performance of a Glass-Hybrid System Compared with a Resin Composite in the Posterior Region: Results of a 2-year Multicenter…
PMID:32435764
1 other reviewnot statednot extracted yetnot extracted yet
Oz 2020
One-year evaluation of a new restorative glass ionomer cement for the restoration of non-carious cervical lesions in patients with…
PMID:33111883
1 other reviewnot statednot extracted yetnot extracted yet
Pascon 2006
Clinical evaluation of composite and compomer restorations in primary teeth: 24-month results.
PMID:16242232
1 other reviewSecondary caries (occurrence)not extracted yetnot extracted yet
Pollington 2008
A clinical evaluation of a resin composite and a compomer in non-carious Class V lesions. A 3-year follow-up.
PMID:18435377
1 other reviewnot statednot extracted yetnot extracted yet
Santiago 2010
Two-year clinical evaluation of resinous restorative systems in non-carious cervical lesions.
PMID:21203706
1 other reviewnot statednot extracted yetnot extracted yet
Sengul 2015
Clinical Evaluation of Restorative Materials in Primary Teeth Class II Lesions.
PMID:26161601
1 other reviewnot statednot extracted yetnot extracted yet
van Dijken 2019
A randomized controlled evaluation of posterior resin restorations of an altered resin modified glass-ionomer cement with claimed…
PMID:30527586
1 other reviewnot statednot extracted yetnot extracted yet
Adeleke 2012
Clinical evaluation of resin composite and resin-modified glass ionomer cement in non-carious cervical lesions.
PMID:25453001
this review onlynot statednot extracted yetnot extracted yet
Alves dos Santos 2010
Randomised trial of resin-based restorations in Class I and Class II beveled preparations in primary molars: 48-month results.
PMID:20188783
this review onlynot statednot extracted yetnot extracted yet
Attin 1998
Clinical evaluation of a hybrid composite and a polyacid-modified composite resin in Class-II restorations in deciduous molars.
PMID:9927911
this review onlynot statednot extracted yetnot extracted yet
Attin 2000
Class II restorations with a polyacid-modified composite resin in primary molars placed in a dental practice: results of a two-year…
PMID:11203828
this review onlynot statednot extracted yetnot extracted yet
Attin 2001
Three-year follow up assessment of Class II restorations in primary molars with a polyacid-modified composite resin and a hybrid composite.
PMID:11572292
this review onlySecondary caries (occurrence)not extracted yetnot extracted yet
Balkaya 2019
A randomized, prospective clinical study evaluating effectiveness of a bulk-fill composite resin, a conventional composite resin and a…
PMID:31596369
this review onlynot statednot extracted yetnot extracted yet
Burgess 2004
Clinical evaluation of four Class 5 restorative materials: 3-year recall.
PMID:15301207
this review onlynot statednot extracted yetnot extracted yet
Daou 2008
Clinical evaluation of four different dental restorative materials: one-year results.
PMID:18491670
this review onlySecondary caries (occurrence)not extracted yetnot extracted yet
de Amorim 2014
Amalgam and ART restorations in children: a controlled clinical trial.
PMID:23455576
this review onlynot statednot extracted yetnot extracted yet
Donly 1999
Clinical performance and caries inhibition of resin-modified glass ionomer cement and amalgam restorations.
PMID:10570589
this review onlynot statednot extracted yetnot extracted yet
Dutta 2001
Silver amalgam versus resin modified GIC class-II restorations in primary molars: twelve month clinical evaluation.
PMID:11817797
this review onlynot statednot extracted yetnot extracted yet
El-Housseiny 2019
A randomized controlled clinical trial of glass carbomer restorations in Class II cavities in primary molars: 12-month results.
PMID:31134226
this review onlynot statednot extracted yetnot extracted yet
Fagundes 2014
Seven-year clinical performance of resin composite versus resin-modified glass ionomer restorations in noncarious cervical lesions.
PMID:24809539
this review onlynot statednot extracted yetnot extracted yet
Franco 2006
5-year clinical performance of resin composite versus resin modified glass ionomer restorative system in non-carious cervical lesions.
PMID:16924979
this review onlynot statednot extracted yetnot extracted yet
Frencken 2007
Effectiveness of ART and traditional amalgam approach in restoring single-surface cavities in posterior teeth of permanent dentitions in…
PMID:17518967
this review onlynot statednot extracted yetnot extracted yet
Gurgan 2015
Four-year randomized clinical trial to evaluate the clinical performance of a glass ionomer restorative system.
PMID:25299703
this review onlynot statednot extracted yetnot extracted yet
Gurgan 2017
Clinical performance of a glass ionomer restorative system: a 6-year evaluation.
PMID:28000039
this review onlynot statednot extracted yetnot extracted yet
Haveman 2003
Three restorative materials and topical fluoride gel used in xerostomic patients: a clinical comparison.
PMID:12636121
this review onlynot statednot extracted yetnot extracted yet
Kaurich 1991
A clinical comparison of a glass ionomer cement and a microfilled composite resin in restoring root caries: two-year results.
PMID:1839833
this review onlynot statednot extracted yetnot extracted yet
Kharma 2018
Clinical Evaluation of Microhybrid Composite and Glass lonomer Restorative Material in Permanent Teeth.
PMID:29422475
this review onlynot statednot extracted yetnot extracted yet
Kotsanos 2004
Lack of effect of fluoride releasing resin modified glass ionomer restorations on the contacting surface of adjacent primary molars. a…
PMID:15471520
this review onlynot statednot extracted yetnot extracted yet
Koubi 2006
One-year clinical evaluation of two resin composites, two polymerization methods, and a resin-modified glass ionomer in non-carious…
PMID:17091139
this review onlynot statednot extracted yetnot extracted yet
Kupietzky 2019
Long-term clinical performance of heat-cured high-viscosity glass ionomer class II restorations versus resin-based composites in primary…
PMID:30820833
this review onlynot statednot extracted yetnot extracted yet
Levy 1990
A clinical evaluation of the restoration of root surface caries.
PMID:11100226
this review onlynot statednot extracted yetnot extracted yet
Mandari 2003
Six-year success rates of occlusal amalgam and glass-ionomer restorations placed using three minimal intervention approaches.
PMID:12771499
this review onlynot statednot extracted yetnot extracted yet
McComb 2002
A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries…
PMID:12216559
this review onlynot statednot extracted yetnot extracted yet
Medeiros 2015
Clinical evaluation of two materials in the restoration of abfraction lesions
DOI:10.1590/1677-3225v14n4a07
this review onlynot statednot extracted yetnot extracted yet
Menezes-Silva 2021
A prospective and randomized clinical trial evaluating the effectiveness of ART restorations with high-viscosity glass-ionomer cement…
PMID:33656064
this review onlynot statednot extracted yetnot extracted yet
Mjor 1993
Five-year study of Class II restorations in permanent teeth using amalgam, glass polyalkenoate (ionomer) cerment and resin-based composite…
PMID:8258583
this review onlynot statednot extracted yetnot extracted yet
Molina 2020
Randomized Controlled Trial of Class II ART High-viscosity Glass-ionomer Cement and Conventional Resin-composite restorations in Permanent…
PMID:33491400
this review onlynot statednot extracted yetnot extracted yet
Namgung 2013
A retrospective clinical study of cervical restorations: longevity and failure-prognostic variables.
PMID:23215544
this review onlynot statednot extracted yetnot extracted yet
Ostlund 1992
Amalgam, composite resin and glass ionomer cement in Class II restorations in primary molars--a three year clinical evaluation.
PMID:1496459
this review onlynot statednot extracted yetnot extracted yet
Ozgunaltay 2002
Three-year clinical evaluation of a resin modified glass-ionomer cement and a composite resin in non-carious class V lesions.
PMID:12453256
this review onlynot statednot extracted yetnot extracted yet
Powell 1992
Clinical comparison of Class V resin composite and glass ionomer restorations.
PMID:1299249
this review onlynot statednot extracted yetnot extracted yet
Qvist 1997
Longevity and cariostatic effects of everyday conventional glass-ionomer and amalgam restorations in primary teeth: three-year results.
PMID:9207772
this review onlynot statednot extracted yetnot extracted yet
Qvist 2004
Eight-year study on conventional glass ionomer and amalgam restorations in primary teeth.
PMID:15124781
this review onlynot statednot extracted yetnot extracted yet
Silva 2017
DOI:10.14393/ufu.di.2017.226
this review onlynot statednot extracted yetnot extracted yet
Skartveit 1994
Effect of fluoride in amalgam on secondary caries incidence.
PMID:8205778
this review onlynot statednot extracted yetnot extracted yet
Svanberg 1992
Class II amalgam restorations, glass-ionomer tunnel restorations, and caries development on adjacent tooth surfaces: a 3-year clinical…
PMID:1423449
this review onlynot statednot extracted yetnot extracted yet
Tyas 1991
Cariostatic effect of glass ionomer cement: a five-year clinical study.
PMID:1831607
this review onlynot statednot extracted yetnot extracted yet
Valenzuela 1994
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Valenzuela 1999
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
van Dijken 1996
3-year clinical evaluation of a compomer, a resin-modified glass ionomer and a resin composite in Class III restorations.
PMID:9545903
this review onlynot statednot extracted yetnot extracted yet
van Dijken 2003
Durability of new restorative materials in Class III cavities.
PMID:11317385
this review onlynot statednot extracted yetnot extracted yet
Welbury 1991
The 5-year results of a clinical trial comparing a glass polyalkenoate (ionomer) cement restoration with an amalgam restoration.
PMID:2018693
this review onlynot statednot extracted yetnot extracted yet
Zanata 2003
Clinical evaluation of three restorative materials applied in a minimal intervention caries treatment approach.
PMID:14682645
this review onlynot statednot extracted yetnot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match).