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Composite Resin Filling Materials: Review of Safety, Cost-Effectiveness and Guidelines – An Update

Last updated: October 15, 2015
Project Number: RC0711-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical evidence regarding the safety of composite resin when used as filling material on permanent teeth?
  2. What is the cost-effectiveness of composite resin when used as filling material on permanent teeth?
  3. What are the evidence-based guidelines regarding indications for the use of composite resin as filling material on permanent teeth?

Key Message

One systematic review, one non-randomized study, and one clinical guideline were reviewed. No relevant cost-effectiveness studies were identified in the literature search. Available evidence is of low to moderate quality, and it showed that composite resin restorations, compared with amalgam, were associated with lower survival rates, and higher rates of secondary caries and endodontic complications. Potential systemic adverse events were not evaluated in the included studies. The American Academy of Pediatric Dentistry recommended the use composite or amalgam for class I and class II restorations on permanent teeth.