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Review
. 2021 Nov 6;14(21):6694.
doi: 10.3390/ma14216694.

Bond Strength of Self-Adhesive Flowable Composites and Glass Ionomer Cements to Primary Teeth: A Systematic Review and Meta-Analysis of In Vitro Studies

Flavia Iaculli  1   2 , Alessandro Salucci  2 , Gianni Di Giorgio  2 , Valeria Luzzi  2 , Gaetano Ierardo  2 , Antonella Polimeni  2 , Maurizio Bossù  2
Affiliations
Review

Bond Strength of Self-Adhesive Flowable Composites and Glass Ionomer Cements to Primary Teeth: A Systematic Review and Meta-Analysis of In Vitro Studies

Flavia Iaculli et al. Materials (Basel). .

Abstract

Background: Conventional composites are largely used in pediatric restorative dentistry and demonstrate successful clinical outcomes. However, the need for simplification of operative steps in young or uncooperative children demands reliable alternatives. Therefore, the aim of the present systematic review and meta-analysis was to evaluate the in vitro bond strength of glass ionomer cements (GICs) and self-adhesive flowable composites (SFCs) on deciduous teeth. Methods: A comprehensive literature search according to the PRISMA checklist was manually and electronically performed by two independent reviewers through the following databases: MEDLINE/PubMed, Google Scholar, Scopus, and Embase, to include in vitro studies comparing GICs and SFCs bond strength values of restorations on primary teeth. In addition, three groups of meta-analyses were conducted using random-effects models. Results: Three articles meeting the inclusion criteria were selected and subjected to both qualitative and quantitative assessment. No statistically significant difference was found between SFC versus GIC; however, both groups significantly differed with conventional flowable composites (CFs). Conclusions: Despite the absence of significant difference in bond strength values, SFCs may be considered a valid alternative to GICs in the restoration of deciduous teeth, although CFs proved better in vitro performances.

Keywords: bond strength; dental restorations; glass ionomer cements; primary teeth; self-adhesive flowable composites.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flow-chart.
Figure 2
Figure 2
Quality assessment and risk of bias.
Figure 3
Figure 3
Forest plot of the comparison of bond strength between conventional flowable composite (CF) and glass-ionomer cement (GIC).
Figure 4
Figure 4
Forest plot of the comparison of bond strength between conventional flowable composite (CF) and self-adhesive. flowable composite (SFC).
Figure 5
Figure 5
Forest plot of the comparison of bond strength between self-adhesive flowable composite (SFC) and glass-ionomer cement (GIC).
See this image and copyright information in PMC

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