Comparison of degree of conversion performance of bulk-fill resin composites: A systematic review and network meta-analysis of in vitro studies

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dc.authoridHatipoglu, Omer/0000-0002-4628-8551
dc.contributor.authorHatipoglu, Omer
dc.contributor.authorPar, Matej
dc.contributor.authorHatipoglu, Fatma Pertek
dc.date.accessioned2024-11-07T13:32:12Z
dc.date.available2024-11-07T13:32:12Z
dc.date.issued2024
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjectives: To systematically compile data on the degree of conversion (DC) for bulk-fill composites using a network meta-analysis. Methods: A systematic search for in vitro studies of DC of bulk-fill composites was performed in PubMed, Web of Science, Scopus, and Open Grey. Risk of bias within studies and due to missing evidence was assessed using the Joanna Briggs Institute scoring system and ROB-MEN tool, respectively. The primary outcome was the DC of bulk-fill composites. Surface Under the Cumulative Ranking curve (SUCRA) was used to rank relative performance. Inconsistencies in the model were investigated to ensure its validity and the level of confidence in the network meta-analysis (CINeMA) was assessed. Results: A total of 28 studies were included in the quantitative analysis. The average DC values (%) for 0-h/top, 0h/bottom, 24-h/top, and 24-h/bottom were 59.09, 57.14, 66.73, and 63.87, respectively. According to their SUCRA ranking, the best-performing composites were: SonicFill, Venus Bulk Fill, and SDR (0-h/top), Reveal HD, i-Flow Bulk Fill, and Venus Bulk- Fill (0-h/bottom), Venus Bulk Fill, SDR, and QuiXfil (24-h/top), and Venus Bulk Fill, Aura Bulk Fill, and i-Flow Bulk Fill (24-h/bottom). Incoherence between direct and indirect evidence was identified as the most significant factor affecting confidence. Conclusions: DC values of bulk-fill composites were within the range commonly reported for previous generations of conventional composites, with flowable composites tending to perform better than sculptable composites. High variability in DC data was observed, which may be attributed to incompletely understood methodological differences. Clinical significance: DC is a fundamental parameter that influences multiple mechanical and biological properties of resin composites and is particularly relevant for the group of bulk-fill composites that are designed for use in thick layers.
dc.identifier.doi10.1016/j.jdent.2024.105289
dc.identifier.issn0300-5712
dc.identifier.issn1879-176X
dc.identifier.pmid39103073
dc.identifier.scopus2-s2.0-85200571899
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.jdent.2024.105289
dc.identifier.urihttps://hdl.handle.net/11480/15263
dc.identifier.volume149
dc.identifier.wosWOS:001291843100001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofJournal of Dentistry
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectBulk-fill resin composites
dc.subjectDegree of conversion
dc.subjectIn vitro
dc.subjectNetwork meta-analysis
dc.subjectSystematic review
dc.titleComparison of degree of conversion performance of bulk-fill resin composites: A systematic review and network meta-analysis of in vitro studies
dc.typeReview Article

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