Evidence map›Paper›PMID 40873828›Full record

ReviewCureus2025

Longevity of Amalgam Versus Composite Resin Restorations in Permanent Posterior Teeth: A Systematic Review.

Sumita Bhagwat, Lalitagauri Mandke, Mansi Vandekar, Nidhi Basmatkar, Aishwarya Pawar, Rajni Khatri

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
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

6 authors.

Sumita BhagwatDepartment of Conservative Dentistry and Endodontics, D.Y. Patil University School of Dentistry, Navi Mumbai, IND.
Lalitagauri MandkeDepartment of Conservative Dentistry and Endodontics, D.Y. Patil University School of Dentistry, Navi Mumbai, IND.
Mansi VandekarDepartment of Conservative Dentistry and Endodontics, D.Y. Patil University School of Dentistry, Navi Mumbai, IND.
Nidhi BasmatkarDepartment of Conservative Dentistry and Endodontics, D.Y. Patil University School of Dentistry, Navi Mumbai, IND.
Aishwarya PawarDepartment of Conservative Dentistry and Endodontics, D.Y. Patil University School of Dentistry, Navi Mumbai, IND.
Rajni KhatriDepartment of Conservative Dentistry and Endodontics, D.Y. Patil University School of Dentistry, Navi Mumbai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present systematic review aims to compare the longevity of amalgam and composite resin restorations in adult human posterior permanent teeth, evaluating clinical performance, survival rates, failure causes, and influencing factors. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search was conducted in PubMed, Scopus, Web of Science, and other databases. Studies were included if they assessed the longevity of amalgam and composite resin restorations in adult posterior teeth with at least one year of follow-up. The Newcastle-Ottawa Scale (NOS) and Cochrane Risk of Bias (ROB) tool were used for the assessment of risk of bias. Eight studies (2003-2023) met the inclusion criteria, comprising randomized clinical trials, prospective, retrospective, and cross-sectional studies. Amalgam restorations exhibited superior longevity, with median survival times exceeding 16 years, compared to 11 years for composite restorations. Secondary caries was the most common cause of composite failure, whereas fracture was the primary reason for amalgam replacement. Patient factors, including oral hygiene and bruxism, significantly influenced restoration longevity. Amalgam restorations demonstrate greater durability than composite resins in posterior teeth. However, aesthetic preferences and advancements in composite materials continue to drive their usage. Future research should focus on improving composite longevity to provide viable alternatives to amalgam.

Indexed as

amalgamcomposite resindental restorationslongevityposterior teethsystematic review

Identifiers

PMID40873828
PMCPMC12378770

What OpenQuestion holds

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LicenceCC BY
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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.