The effect of preheating resin composites on surface hardness: a systematic review and meta-analysis
Elkaffas Ali A., Eltoukhy Radwa I., Elnegoly Salwa A., Mahmoud Salah H.,
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( Elkaffas Ali A. ) - Mansoura University Faculty of Dentistry Department of Operative Dentistry
( Eltoukhy Radwa I. ) - Mansoura University Faculty of Dentistry Department of Operative Dentistry
( Elnegoly Salwa A. ) - Mansoura University Faculty of Dentistry Department of Operative Dentistry
( Mahmoud Salah H. ) - Mansoura University Faculty of Dentistry Department of Operative Dentistry
Abstract
Objectives: This paper presents a systematic review and meta-analysis of the effect of preheating on the hardness of nanofilled, nanoceramic, nanohybrid, and microhybrid resin composites.
Materials and Methods: An electronic search of papers on MEDLINE/PubMed, ScienceDirect, and EBSCOhost was performed. Only in vitro studies were included. Non-English studies, case reports, clinical trials, and review articles were excluded. A meta-analysis of the reviewed studies was conducted to quantify differences in the microhardness of the Z250 microhybrid resin composite using the Comprehensive Meta-Analysis software.
Results: Only 13 studies met the inclusion criteria for this systematic review. The meta-analysis showed that there were significant differences between the non-preheated and preheated modes for both the top and bottom surfaces of the specimens (p < 0.05). The microhardness of the Z250 resin composite on the top surface in the preheated mode (78.1 ¡¾ 2.9) was higher than in the non-preheated mode (67.4 ¡¾ 4.0; p < 0.001). Moreover, the microhardness of the Z250 resin composite on the bottom surface in the preheated mode (71.8 ¡¾ 3.8) was higher than in the non-preheated mode (57.5 ¡¾ 5.7, p < 0.001).
Conclusions: Although the results reported in the reviewed studies showed great variability, sufficient scientific evidence was found to support the hypothesis that preheating can improve the hardness of resin composites.
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Composite temperature; Meta-analysis; Microhardness; Microhybrid; Preheated composite; Systematic review
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