Effectiveness of resin infiltration in caries inhibition and aesthetic appearance improvement of white-spot lesions: An umbrella review
Document Type
Article
Publication Date
9-1-2022
Abstract
Resin infiltration technique is a minimal interventive approach to manage white -spot lesions. The present umbrella review aimed to comprehensively appraise the previously published systematic reviews on the effectiveness of resin infiltra-tion in arresting caries progression and improving the aesthetic appearance of white-spot lesions.Material and MethodsTen electronic databases were searched between January 1960 and May 2021. Only systematic reviews published in English on the use of resin infiltration in primary or permanent teeth were included. The degree of overlap across each review was calculated using the Corrected Covered Areas method and their evi-dence quality were assessed using A MeaSurement Tool to Assess systematic Re-views 2 assessment tool. Umbrella meta-analysis was carried out using a random -effects model.ResultsThirteen systematic reviews were chosen, but only eight were eligible for an um-brella meta-analysis. The overall Corrected Covered Areas value was very high (19.8%), whereas only three studies were classified as `High Quality'. Qualitative synthesis suggested that resin infiltration demonstrated acceptable aesthetic re-sults, whereas quantitative analysis showed favourable outcomes in minimizing the risk of caries progression (RR: 0.32; 95% CI: 0.29-0.36). White-spot lesions treated with resin infiltrant in permanent teeth demonstrated a lower risk of caries progression ( P < .001) than primary teeth. Overall, low data heterogeneity was observed ( I 2 : 0%-20%). However, quantitative umbrella analysis on the aesthetic outcome was unable to perform due to limited data.
Keywords
Conservative treatment, Dental caries, Dental resins, Evidence-based dentistry, Umbrella review
Publication Title
Journal of Evidence Based Dental Practice
Volume
22
Issue
3
Publisher
Elsevier
Publisher Location
525 B STREET, STE 1900, SAN DIEGO, CA 92101-4495 USA