Evidence map›Paper›PMID 30301624›Full record

ReviewDental materials : official publication of the Academy of Dental Materials2019

Biostable, antidegradative and antimicrobial restorative systems based on host-biomaterials and microbial interactions.

Cameron A Stewart, Yoav Finer

Open access · greenAbstract readReview
In one paragraph

Review in Dental materials : official publication of the Academy of Dental Materials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  16. The potential of salivary albumin to degrade composite resin.Acta odontologica latinoamericana : AOL · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Cameron A StewartInstitute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
Yoav FinerInstitute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada. Electronic address: yoav.finer@dentistry.utoronto.ca.
University of Toronto · CA

Funding

New composite material design based on studies of tooth-composite and microbial iR01DE021385 · NIDCR · UNIVERSITY OF TORONTO · PI CVITKOVITCH, DENNIS G., FINER, YOAV · 2010 to 2013
$823k
CIHR MOP 115113CIHR MOP 68947NIDCR NIH HHS R01 DE021385
6 · The paper itself

Abstract

objectivesDespite decades of development and their status as the restorative material of choice for dentists, resin composite restoratives and adhesives exhibit a number of shortcomings that limit their long-term survival in the oral cavity. Herein we review past and current work to understand these challenges and approaches to improve dental materials and extend restoration service life.

methodsPeer-reviewed work from a number of researchers as well as our own are summarized and analyzed. We also include yet-unpublished work of our own. Challenges to dental materials, methods to assess new materials, and recent material improvements and research directions are presented.

resultsMechanical stress, host- and bacterial-biodegradation, and secondary caries formation all contribute to restoration failure. In particular, several host- and bacterial-derived enzymes degrade the resin and collagen components of the hybrid layer, expanding the marginal gap and increasing access to bacteria and saliva. Furthermore, the virulence of cariogenic bacteria is up-regulated by resin biodegradation by-products, creating a positive feedback loop that increases biodegradation. These factors work synergistically to degrade the restoration margin, leading to secondary caries and restoration failure. Significant progress has been made to produce hydrolytically stable resins to resist biodegradation, as well as antimicrobial materials to reduce bacterial load around the restoration. Ideally, these two approaches should be combined in a holistic approach to restoration preservation. SIGNIFICANCE: The oral cavity is a complex environment that poses an array of challenges to long-term material success; materials testing conditions should be comprehensive and closely mimic pathogenic oral conditions.

Indexed as

Anti-Infective AgentsDental CariesBiocompatible MaterialsComposite ResinsDental Restoration, PermanentHumansMicrobial InteractionsAnti-Infective AgentsBiocompatible MaterialsComposite ResinsAntimicrobial materialsBiodegradationCollagenaseDental adhesiveDental cariesDental restorationsEnzyme inhibitionEsteraseGene expressionResin composite

Identifiers

PMID30301624
PMCPMC6312743
OpenAlexW2894621186

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.