Dental cavity liners for Class I and Class II resin-based composite restorations

Schenkel, Andrew B.; Peltz, Ivy D.; Veitz‐Keenan, Analia

doi:10.1002/14651858.cd010526

Cited by 5 publications

(1 citation statement)

References 19 publications

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“…Linings were used by almost three fifths of respondents. A recent Cochrane review demonstrated that there was minimal evidence to support the use of linings (Schenkel et al, 2016), although this finding was not based on teeth with deep caries. The elimination of bacteria by placement of a well‐sealed restoration may be most critical, but where deep caries management is concerned, linings may confer additional benefit.…”

Section: Discussionmentioning

confidence: 99%

The management of deep caries in UK primary care: A nationwide questionnaire‐based study

et al. 2021

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Aim To investigate current approaches and attitudes towards the management of deep caries in primary dental care within the United Kingdom (UK). Methodology Open distribution of an electronic questionnaire survey was undertaken to primary care dental professionals working in publicly funded National Health Service [NHS], privately funded, military and community dental services. Demographic variables investigated included the following: place of qualification, method of remuneration, level of restorative training, materials available, years qualified, appointment length and clinician type. Management variables focussed on case‐based scenarios. Univariate analyses of responses to questions were undertaken using χ2 tests with sequential Bonferroni correction. Variables with a statistical relationship of p ≤ .2 were selected for binary logistic regression modelling. Results A total of 657 responses were received. Practitioners with formal postgraduate qualifications (PGQ) were more likely (OR, 95%CI) to undertake further tests to aid diagnosis including: gaining a patient history (1.80, 1.01–3.20), periapical radiography (1.43, 1.01–2.03), cold pulp testing (2.079, 1.46–2.97) and electric pulp testing (1.65, 1.02–2.65). Rubber dam was infrequently used for deep caries management (29.2%). Non‐NHS practitioners were much more likely to use rubber dam (3.40, 2.15–5.37), as were those that had completed PGQ (2.24, 1.48–3.38). Non‐selective caries removal was used in deep caries by 41.4% of practitioners. Indirect pulp caps were carried out by 56.7% of practitioners. NHS practitioners were more likely to place calcium hydroxide (3.74, 1.97–7.15), whilst non‐NHS practitioners were more likely to place calcium silicate cements (CSCs) (3.303, 1.71–6.38) as were non‐UK graduates (5.63, 2.47–12.86) and those with PGQ (2.12, 1.17–3.87). Conclusions This UK survey highlights significant variation in the management of deep caries. There is lack of consensus regarding the use of a standard systematic approach to diagnosing disease, with a reliance on history and tests with poor specificity. Non‐selective caries removal for managing deep carious lesions remains common, with low rubber dam compliance underlining a lack of asepsis. Notably, a significant number of practitioners placed indirect pulp caps, but CSCs and GIC were not commonly used. At present, although clear guidelines are available this is not translating into consistent management approaches in practice, suggesting that better dissemination of current treatments is essential to undergraduate and postgraduate groups.

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Section: Discussionmentioning

confidence: 99%

The management of deep caries in UK primary care: A nationwide questionnaire‐based study

et al. 2021

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Dental cavity liners for Class I and Class II resin-based composite restorations

Schenkel

Peltz

Veitz‐Keenan

2016

Cochrane Database of Systematic Reviews

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Background Resin-based composite (RBC) is currently accepted as a viable material for the restoration of caries for posterior permanent teeth requiring surgical treatment. Despite the fact that the thermal conductivity of the RBC restorative material closely approximates that of natural tooth structure, postoperative hypersensitivity is sometimes still an issue. Dental cavity liners have historically been used to protect the pulp from the toxic effects of some dental restorative materials and to prevent the pain of thermal conductivity by placing an insulating layer between restorative material and the remaining tooth structure. Objectives The objective of this review was to assess the effects of using dental cavity liners in the placement of Class I and Class II resin-based composite posterior restorations in permanent teeth in children and adults.

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Dental cavity liners for Class I and Class II resin-based composite restorations

Schenkel

Veitz‐Keenan

2019

Cochrane Database of Systematic Reviews

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Eight studies, with over 700 participants, were included. Two studies were conducted in the USA, two in Thailand, two in Germany and one each in Saudi Arabia and Turkey. The studies compared the use of liners under tooth-colored resin fillings (RBC) in permanent teeth at the back of the mouth to no liners for Class I and Class II fillings. One of the two studies in the USA took place in dental practices, the others in university-based dental schools. All participants were over 15 years of age. Key results Very little evidence was found to show that a liner under Class I and II RBC fillings in permanent teeth in the back of the mouth reduced sensitivity in adults or children 15 years or older. No evidence was found to show that there was any di erence in the length of time fillings lasted when placed with or without a cavity liner. No adverse events were reported in any of the included studies. Quality of evidence The body of evidence identified in this review does not allow for robust conclusions about the e ects of dental cavity liners. The quality of the evidence identified in this review is low and there is a lack of confidence in the e ect estimates. Furthermore, no evidence was found to demonstrate a di erence in how long restorations last when placed with or without dental cavity liners.

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Dental cavity liners for Class I and Class II resin-based composite restorations

Cited by 5 publications

References 19 publications

The management of deep caries in UK primary care: A nationwide questionnaire‐based study

The management of deep caries in UK primary care: A nationwide questionnaire‐based study

Dental cavity liners for Class I and Class II resin-based composite restorations

Dental cavity liners for Class I and Class II resin-based composite restorations

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