Evidence map›Paper›PMID 39093128›Full record

SynthesisJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2025

Interdisciplinary Delphi study by PROSEC North America: Recommendations on single indirect restorations made from ceramic and nonmetallic biomaterials for posterior teeth.

Florin Eggmann, Amelia L Orta, Awab Abdulmajeed, Wael Att, Florian Beuer, Michael Bergler, Markus B Blatz, Jakob Brief, Victor E Castro, Lyndon F Cooper and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Interdisciplinary Delphi study by PROSEC North America: Recommendations on single indirect restorations made from ceramic and nonmetallic biomaterials for posterior teeth.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Pooled it
  2. Article
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

16 authors.

Florin EggmannDepartment of Preventive and Restorative Sciences, Robert Schattner Center, Penn Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-6185-1480
Amelia L OrtaDepartment of Advanced Oral Sciences and Therapeutics, Division of Prosthodontics, University of Maryland School of Dentistry, University of Maryland, Baltimore, Maryland, USA.
Awab AbdulmajeedDepartment of General Practice and Prosthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Virginia, USA.
Wael AttDepartment of Prosthetic Dentistry, Center for Dental Medicine, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Florian BeuerDepartment of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Michael BerglerDepartment of Preventive and Restorative Sciences, Robert Schattner Center, Penn Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Markus B BlatzDepartment of Preventive and Restorative Sciences, Robert Schattner Center, Penn Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-6341-7047
Jakob BriefPROSEC gGmbH, Bad Säckingen, Germany.
Victor E CastroStudio-280, Houston, Texas, USA.
Lyndon F CooperSchool of Dentistry, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID https://orcid.org/0000-0002-6577-781X
Sean HanMaster's Arch, Phoenix, Arizona, USA.
Miguel A OrtizDepartment of Restorative Dentistry, University of Illinois College of Dentistry, Chicago, Illinois, USA.
Rade D ParavinaDepartment of Restorative Dentistry and Prosthodontics, John M. Powers, PhD, Center for Biomaterials and Biomimetics, The University of Texas School of Dentistry at Houston, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-8459-5528
Peter PizziPizzi Dental Studio, Staten Island, New York, USA.
Michael J TholeyPROSEC gGmbH, Bad Säckingen, Germany.
Julián ConejoDepartment of Preventive and Restorative Sciences, Robert Schattner Center, Penn Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-2318-0580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis article puts forward consensus recommendations from PROSEC North America regarding single indirect restorations made from ceramic and nonmetallic biomaterials in posterior teeth. OVERVIEW: The consensus process involved a multidisciplinary panel and three consensus workshops. A systematic literature review was conducted across five databases to gather evidence. The recommendations, informed by findings from systematic reviews and formulated based on a two-phase e-Delphi survey, emphasize a comprehensive treatment strategy that includes noninvasive measures alongside restorative interventions for managing dental caries and tooth wear. The recommendations advocate for selecting between direct and indirect restorations on a case-by-case basis, favoring inlays and onlays over crowns to align with minimally invasive dentistry principles. The recommendations highlight the critical role of selecting restorative biomaterials based on clinical performance, esthetic properties, and adherence to manufacturer guidelines. They emphasize the importance of precision in restorative procedures, including tooth preparation, impression taking, contamination control, and luting. Regular follow-up and maintenance tailored to individual patient needs are crucial for the longevity of ceramic and nonmetallic restorations.

conclusionsThese PROSEC recommendations provide a framework for dental practitioners to deliver high-quality restorative care, advocating for personalized treatment planning and minimally invasive approaches to optimize oral health outcomes. CLINICAL SIGNIFICANCE: The PROSEC North America recommendations highlight the importance of minimally invasive techniques in posterior tooth restorations using ceramic and non-metallic biomaterials. These principles prioritize tooth structure conservation and personalized treatment planning, essential for enhancing clinical outcomes and long-term oral health.

Indexed as

Biocompatible MaterialsCeramicsDental MaterialsDental Restoration, PermanentDelphi TechniqueEsthetics, DentalHumansNorth AmericaBiocompatible MaterialsDental MaterialscrownsDelphi techniquedental materialsinlaysonlayspermanent restoration

Identifiers

PMID39093128
PMCPMC12076105

What OpenQuestion holds

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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.