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Antibacterial agents in composite restorations for the prevention of dental caries
Cochrane Reviews, 07/09/09

Pereira-Cenci T et al. - When tooth decay (caries) has caused a cavity in a tooth a range of materials can be used as fillings. These include resin composite, glass ionomer cement, amalgam and compomers. Secondary caries (tooth decay that may appear near or underneath a filling at a later stage) is a common concern in dental practice and may reduce the life span of these fillings. Antibacterial agents may be incorporated in some dental fillings i.e. resin composites to help prevent the development of secondary caries. This review failed to find any trials supporting or refuting the effectiveness of antibacterial agents incorporated into composite restorations to prevent dental caries. The authors concluded that future research should aim to provide evidence for clinicians to make informed decisions about whether antibacterial agents are effective in improving clinical outcomes in composite restorations and that further randomised controlled trials should be well designed and reported according to the Consolidated Standards of Reporting Trials (CONSORT) Statement.

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