PROSPERO

International prospective register of systematic reviews

Is the presence of sleep bruxism a risk factor for failures in all-ceramic
restorations? A systematic review
Gilberto Melo, Elis Ângela Batistella, Eduardo Bertazzo-Silveira, Thais Marques Gonçalves, Beatriz
Dulcineia Mendes Souza, André Porporatti, Carlos Flores-Mir, Graziela De Luca Canto
Citation
Gilberto Melo, Elis Ângela Batistella, Eduardo Bertazzo-Silveira, Thais Marques Gonçalves, Beatriz
Dulcineia Mendes Souza, André Porporatti, Carlos Flores-Mir, Graziela De Luca Canto. Is the
presence of
sleep bruxism a risk factor for failures in all-ceramic restorations? A systematic review. PROSPERO
2016
CRD42016048478 Available from:
http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42016048478
Review question
Among individuals with all-ceramic restorations, is the presence of sleep bruxism a risk factor in the
longterm
survival rate of the restorations?
Searches
We will search the following electronic bibliographic databases: EMBASE, LILACS, LIVIVO, PubMed
(including MEDLINE), ScienceDirect, The Cochrane Library (Cochrane Database of Systematic
Reviews,
Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Methodology Register), and
Web of
Science.
The search terms will be adapted for use with other bibliographic databases in combination with
databasespecific
filters for controlled trials, where these are available.
There will be no language or publication date restrictions.
Additional search strategy details can be found in the attached PDF document (link provided below).
Types of study to be included
Inclusion: Observational studies and clinical trials.Exclusion: Reviews, case-reports, protocols,
personal
opinions, letters, posters, conference abstracts, and laboratory research.
Condition or domain being studied
Sleep bruxism (SB) is a stereotyped movement disorder characterized by grinding or clenching of the
teeth
during sleep, and can lead to abnormal wear of the teeth, periodontal tissue damage, or jaw pain.
Indirect dental restorations are one of the most widespread procedures in dentistry and, as the
demand for
aesthetic restorations grows, ceramic materials are at increased use. The mechanical behavior of
dental
ceramics when subjected to tensile or compressive stress is related to their survival and failure rates.
Therefore, the presence of SB might be a risk factor for failure in all-ceramic restorations.
Participants/population
Inclusion: Studies in which individuals with all-ceramic restoration(s) were included.
Exclusion: Studies in which members of the sample had craniofacial anomalies, genetic syndromes, or
neuromuscular diseases. Studies in which members of the sample were children (younger than 13
years of
age).
Intervention(s), exposure(s)
Inclusion: Studies that evaluated the presence of sleep bruxism in patients with all-ceramic
restorations.
Exclusion: Studies that evaluated the survival rates of removable or implant-supported prostheses, as
well as metal-ceramics, composite resins, and ceromer restorations. Studies in which follow-up
periods were less
PROSPERO
International prospective register of systematic reviews
than six months. Studies that had missing information, no bruxism group, or different objective.
Comparator(s)/control
Inclusion: Individuals with all-ceramic restorations and without sleep bruxism.
Exclusion: Studies in which sleep bruxism had no or unclarified diagnostic criteria (even after trying to
contact the author).
Context
Primary outcome(s)
Association between sleep bruxism and failure (fracture, cracks, chipping, or debonding) for all-
ceramic
restorations.
Timing and effect measures
Relative risk (RR), odds ratio (OR), or hazard ratio (HR).
Studies with a minimum follow-up time of six months.
Secondary outcome(s)
Survival rate of all-ceramic restorations.
Data extraction (selection and coding)
Three independent reviewers (1R, 2R and 3R) will collect data from the selected articles.
Subsequently, the
retrieved information will be cross-checked. Any disagreement will be discussed between the three
reviewers
and a fourth reviewer (4R).
The following data will be extracted and recorded in duplicate by three reviewers for each included
study:
author; year of publication; country; characteristics of the participants (n, age); outcome measure(s);
pertinent result(s) and conclusion(s).
Risk of bias (quality) assessment
The methodology of selected studies will be evaluated by the Meta Analysis of Statistics Assessment
and
Review Instrument (MAStARI) specific for cohort studies. Risk of bias will be categorized as “high”
when the
study reaches up to 49% (score “yes”); “moderate” when the study reached 50% to 69% (score “yes”);
and
“low” when the study reached more than 70% (score “yes”).
The methodological quality of the included randomized clinical trials (RCTs) will be evaluated by the
Cochrane Collaboration’s tool for assessing risk of bias (Higgins and Green, 2011). Briefly, the
randomization and allocation methods will be classified as adequate, inadequate, or unclear, whereas
the
completeness of the follow-up period, the blinding of the examiners, selective reporting and other
forms of
bias will be coded as “yes/no” responses.
Non-RCTs will be assessed by the Risk Of Bias In Non-randomized Studies - of Interventions
(ROBINS-I)
tool.
Strategy for data synthesis
If a quantitative synthesis is appropriate, a method of survival rate meta-analysis will be performed
using
RevMan software version 5. Heterogeneity will be assessed using the Q test and I-squared statistics.
Study
type will also be considered in a synthesis analysis, if applicable.
Analysis of subgroups or subsets
If applicable, we will classify the data into subgroups based on the specific type of dental work (inlays,
onlays, crowns, or veneers), the region of the mouth (anterior or posterior), and/or the type of dental
ceramics used (silicate or zirconia).
PROSPERO
International prospective register of systematic reviews
Contact details for further information
Gilberto Melo
melo.gilberto@hotmail.com
Organisational affiliation of the review
Federal University of Santa Catarina
http://ufsc.br
Review team members and their organisational affiliations
Dr Gilberto Melo. Department of Dentistry Federal University of Santa Catarina (UFSC)Dr Elis Ângela
Batistella. Department of Dentistry Federal University of Santa Catarina (UFSC)Dr Eduardo Bertazzo-
Silveira. Department of Dentistry Federal University of Santa Catarina (UFSC)Professor Thais
Marques
Gonçalves. Department of Dentistry Federal University of Santa Catarina (UFSC)Professor Beatriz
Dulcineia
Mendes Souza. Department of Dentistry Federal University of Santa Catarina (UFSC)Professor André
Porporatti. Department of Dentistry Federal University of Santa Catarina (UFSC)Professor Carlos
Flores-Mir.
School of Dentistry University of AlbertaProfessor Graziela De Luca Canto. Department of Dentistry
Federal
University of Santa Catarina (UFSC)
Anticipated or actual start date
01 October 2016
Anticipated completion date
30 January 2017
Funding sources/sponsors
Not applicable
Conflicts of interest
None known
Language
English
Country
Brazil, Canada
Stage of review
Completed but not published
Subject index terms status
Subject indexing assigned by CRD
Subject index terms
Ceramics; Dental Porcelain; Dental Restoration Failure; Dental Restoration, Permanent; Dental
Restoration
Wear; Humans; Risk Factors; Sleep Bruxism
Date of registration in PROSPERO
27 September 2016
Date of publication of this version
21 July 2017
Revision note for this version
PROSPERO
International prospective register of systematic reviews
Manuscript was accepted, but not published yet.
Versions
21 July 2017
19 April 2017
05 October 2016
04 October 2016
27 September 2016
Stage of review at time of this submission
Stage Started Completed
Preliminary searches Yes Yes
Piloting of the study selection process Yes Yes
Formal screening of search results against eligibility criteria Yes Yes
Data extraction Yes Yes
Risk of bias (quality) assessment Yes Yes
Data analysis Yes Yes
PROSPERO This information has been provided by the named contact for this review. CRD has accepted this
information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the
content
of this registration record, any associated files or external websites.