Color stability of dual‐cured and light‐cured resin cements: A systematic review and meta‐analysis of in vitro studies
Louis Hardan, Rim Bourgi, Triana Hernández‐Escamilla, Evandro Piva, Walter Devoto, Monika Lukomska‐Szymanska, Carlos Enrique Cuevas‐Suárez- General Dentistry
Abstract
Purpose
This systematic review and meta‐analysis aimed to evaluate the difference in the color stability of light‐cure and dual‐cure resin cements.
Methods
Two separate reviewers used the PubMed, Scopus, Web of Science, Embase, and Scielo databases to execute the systematic review. For the analysis, studies that evaluated the color stability of dual‐cured and light‐cured resin cements over time were used. The random effects model was used in the meta‐analysis. Analyses of subgroups were carried out based on the aging technique. The methodological quality of each in vitro study was evaluated in accordance with the parameters of a prior systematic review. From all databases, a total of 2223 papers were retrieved.
Results
Following the screening of titles and abstracts, 44 studies were selected for full text review, and a total of 27 articles were used for the qualitative analysis. Finally, 23 articles remained for the qualitative analysis. The majority of studies were labeled as having a medium risk of bias. The global analysis showed that the dual‐cure resin cements had considerably greater differences in the color change (p = 0.006). A high heterogeneity index (86%) was found in the analysis.
Conclusions
The best available in vitro evidence suggests that dual‐polymerizing cement has higher color variation than light‐polymerized materials. To reduce the likelihood of color change after the luting of thin ceramic restorations, clinicians should employ light‐polymerizable resin cements.
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