scholarly journals One-year clinical evaluation of compomer restorations in cervical lesions of different aetiology

2012 ◽  
Vol 65 (3-4) ◽  
pp. 115-121
Author(s):  
Milica Premovic ◽  
Bojana Ramic ◽  
Igor Stojanac ◽  
Milan Drobac ◽  
Ljubomir Petrovic

Introduction. The aim of this one-year prospective clinical study was to evaluate the treatment results of compomer restorations (Dyract? eXtra/ Dentsply/De Trey, Konstanz, Germany) with a single step self-etching dental adhesive (Xeno? III Dentsply/De Trey, Konstanz, Germany) used for restoring class V lesions (non-carious and primary carious cervical lesions). Material and Methods. A total number of 62 class V restorations (n = 62) were placed by one dentist in 30 patients on incisors, canines and premolars. The fillings were placed due to different indications: non-carious cervical defects (n = 32) and primary carious lesions (n = 30). The restorations were evaluated by a single-blind design, according to the Modified United States Public Health Service system 6 and 12 months following the placement. The following were evaluated: retention, marginal integrity, marginal discoloration, wear, postoperative sensitivity and secondary caries. The statistical analysis compared the ratings of each criteria between materials using the Pearson chi-square or Fisher?s exact test at a level of significance of 5% (p<0.05). Results. Two restorations of the non-carious lesion group were lost after 6 months, and after 12 months one restoration was lost in the group of primary carious lesions. There were no statistically significant differences between restorations for all evaluated criteria in both groups. Conclusion. The compomer restorations in combination with a single step self-etching dental adhesive showed acceptable clinical performance in Class V lesions after one year of clinical service.

2013 ◽  
Vol 38 (5) ◽  
pp. 477-487 ◽  
Author(s):  
JO Burgess ◽  
R Sadid-Zadeh ◽  
D Cakir ◽  
LC Ramp

SUMMARY Objective: The purpose of this study was to compare the clinical performance of two self-etch dental adhesives with Single Bond Plus, a traditional one-bottle total-etch dental adhesive, for the restoration of noncarious cervical lesions. Materials and Methods: A total of 156 restorations were placed in noncarious cervical lesions with a minimum depth of 1.5 mm. Patients had no chronic periodontal disease and had normal salivary function. Each patient received restorations on three teeth, each bonded with either Adper Single Bond Plus, Adper Easy Bond, or Adper Scotchbond SE dental adhesive. All lesions were restored with Filtek Supreme Plus composite resin. All teeth were isolated with a rubber dam, received a short enamel bevel, and were cleaned with flour of pumice. The adhesives and resin composite were applied following the manufacturers' instructions. Restorations were clinically evaluated at baseline, six months, one year, and two years using modified US Public Health Service criteria. Results: Two-year retention was recorded as 97.3%, 90.5%, and 95.2%, for Single Bond Plus, Scotchbond SE, and Easy Bond, respectively. Statistical analysis did not show a significant difference (p&gt;0.05) in clinical performance between any of the three adhesives after a period of two years.


2016 ◽  
Vol 41 (3) ◽  
pp. 249-257 ◽  
Author(s):  
CE Pena ◽  
JA Rodrigues ◽  
C Ely ◽  
M Giannini ◽  
AF Reis

SUMMARY Objective: The aim of this randomized, controlled prospective clinical trial was to evaluate the clinical effectiveness of restoring noncarious cervical lesions with two self-etching adhesive systems applied with or without selective enamel etching. Methods: A one-step self-etching adhesive (Xeno V+) and a two-step self-etching system (Clearfil SE Bond) were used. The effectiveness of phosphoric acid selective etching of enamel margins was also evaluated. Fifty-six cavities were restored with each adhesive system and divided into two subgroups (n=28; etch and non-etch). All 112 cavities were restored with the nanohybrid composite Esthet.X HD. The clinical effectiveness of restorations was recorded in terms of retention, marginal integrity, marginal staining, caries recurrence, and postoperative sensitivity after 3, 6, 12, 18, and 24 months (modified United States Public Health Service). Results: The Friedman test detected significant differences only after 18 months for marginal staining in the groups Clearfil SE non-etch (p=0.009) and Xeno V+ etch (p=0.004). One restoration was lost during the trial (Xeno V+ etch; p&gt;0.05). Conclusions: Although an increase in marginal staining was recorded for groups Clearfil SE non-etch and Xeno V+ etch, the clinical effectiveness of restorations was considered acceptable for the single-step and two-step self-etching systems with or without selective enamel etching in this 24-month clinical trial.


2019 ◽  
Vol 44 (2) ◽  
pp. 114-126
Author(s):  
AC Rocha ◽  
MM Suca Salas ◽  
AS Masotti ◽  
WLO da Rosa ◽  
CH Zanchi ◽  
...  

SUMMARY Objective: This randomized, double-blind clinical trial aimed to evaluate the influence of different dentin surface treatments in noncarious cervical lesions (NCCLs). Methods and Materials: Twenty-nine patients participated in this study. One hundred sixty-five NCCLs were selected and randomly assigned to three groups: G0 (control group) with phosphoric acid etching for 15 seconds; G1: phosphoric acid etching for 30 seconds; and G2: ultrasound probe applied for 30 seconds on the dentin surface. Class V composite resin restorations were performed (Z350, 3M ESPE, St Paul, MN, USA). The restorations were evaluated at baseline and at six, 12, 24, and 36 months according to the World Dental Federation criteria. Survival curves were obtained using the Kaplan-Meier method and the log-rank test. Comparisons between groups and times were performed using the McNemar and Chi-square tests (α=0.05). Results: The presence of failures due to retention was statistically different among the groups (p=0.012), and G0 and G2 showed better clinical performance than did G1. Sensitivity decreased over time in all groups. Marginal discoloration, postoperative sensitivity, and marginal adaptation were not different among the groups (p&gt;0.05). Conclusions: The studied dentin surface treatments showed similar clinical performance to the conventional technique at 36 months in terms of marginal discoloration, marginal adaptation, and postoperative sensitivity. In contrast, increased acid-etching time resulted in a higher risk of failure due to retention over time in composite Class V restorations.


10.2341/05-87 ◽  
2006 ◽  
Vol 31 (4) ◽  
pp. 403-408 ◽  
Author(s):  
E. B. Franco ◽  
A. R. Benetti ◽  
S. K. Ishikiriama ◽  
S. L. Santiago ◽  
J. R. P. Lauris ◽  
...  

Clinical Relevance A long-term evaluation of the materials' behavior is relevant for Class V restorations in which clinical performance is particularly challenging.


2014 ◽  
Vol 39 (2) ◽  
pp. 113-127 ◽  
Author(s):  
J Perdigão ◽  
C Kose ◽  
AP Mena-Serrano ◽  
EA De Paula ◽  
LY Tay ◽  
...  

SUMMARY Purpose To evaluate the 18-month clinical performance of a multimode adhesive (Scotchbond Universal Adhesive, SU, 3M ESPE, St Paul, MN, USA) in noncarious cervical lesions (NCCLs) using two evaluation criteria. Materials and Methods Thirty-nine patients participated in this study. Two-hundred restorations were assigned to four groups: ERm, etch-and-rinse + moist dentin; ERd, etch-and-rinse + dry dentin; Set, selective enamel etching; and SE, self-etch. The composite resin, Filtek Supreme Ultra (3M ESPE), was placed incrementally. The restorations were evaluated at baseline, and at 18 months, using both the World Dental Federation (FDI) and the United States Public Health Service (USPHS) criteria. Statistical analyses were performed using Friedman repeated-measures analysis of variance by rank and McNemar test for significance in each pair (α=0.05). Results Five restorations (SE: 3; Set: 1; and ERm: 1) were lost after 18 months (p&gt;0.05 for either criteria). Marginal staining occurred in four and 10% of the restorations evaluated (p&gt;0.05), respectively, for USPHS and FDI criteria. Nine restorations were scored as bravo for marginal adaptation using the USPHS criteria and 38%, 40%, 36%, and 44% for groups ERm, ERd, Set, and SE, respectively, when the FDI criteria were applied (p&gt;0.05). However, when semiquantitative scores (or SQUACE) for marginal adaptation were used, SE resulted in a significantly greater number of restorations, with more than 30% of the total length of the interface showing marginal discrepancy (28%) in comparison with the other groups (8%, 6%, and 8%, respectively, for ERm, ERd, and Set). Conclusions The clinical retention of the multimode adhesive at 18 months does not depend on the bonding strategy. The only differences between strategies were found for the parameter marginal adaptation, for which the FDI criteria were more sensitive than the USPHS criteria.


2003 ◽  
Vol 11 (3) ◽  
pp. 175-180 ◽  
Author(s):  
Sérgio Lima Santiago ◽  
Eduardo Batista Franco ◽  
Juliano Sartori Mendonça ◽  
José Roberto Pereira Lauris ◽  
Maria Fidela de Lima Navarro

The purpose of this study was to assess the clinical performance of bonded composite (Excite/Tetric Ceram - Vivadent) versus a resin-modified glass ionomer cement (Vitremer - 3M) for restoring non-carious cervical lesions. A total of 70 restorations (thirty-five per material) were placed in 30 patients, 18-50 aged, by one operator. Rubber dam was employed in all cases, lesions were pumiced, enamel margins were not beveled, and no mechanical retention was placed. The restorations were directly assessed by two independent evaluators using modified-USPHS criteria for six clinical categories. The ratings for clinical acceptability restorations (alfa plus bravo) were as follows (Tetric Ceram/Vitremer): retention (86%/100%), marginal integrity (100%/100%), marginal discoloration (100%/100%), wear (97%/100%), postoperative sensitivity (100%/100%) and recurrent caries (100%/100%). Statistical analysis was completed with Fisher's exact or Pearson Chi-square tests at a significance level of 5% (P<0.05). Results showed that almost all restorations were clinically satisfactory with no significant differences between materials groups. Five restorations of Excite/Tetric Ceram failed. No restorations of Vitremer have yet failed.


2013 ◽  
Vol 38 (1) ◽  
pp. 12-20 ◽  
Author(s):  
IL Stojanac ◽  
MT Premovic ◽  
BD Ramic ◽  
MR Drobac ◽  
IM Stojsin ◽  
...  

SUMMARY Introduction: The aim of this two-year prospective clinical study was to evaluate and compare the clinical performance of three different adhesive esthetic materials in noncarious cervical lesions. Material and Methods: A total of 90 restorations (30 per material) were placed in 30 patients who ranged in age between 18 and 50 years and of both genders, by a single operator with no previous preparation. The restoration of noncarious cervical lesions was done with either a microfilled composite (Esthet.X/Dentsply/De Trey, Konstanz, Germany, and Prime&Bond NT/Dentsply/De Trey), a nanohybrid composite (TetricEvoCeram/Vivadent, Schaan, Liechtenstein, and AdheSE/Vivadent), or a compomer (Dyract eXtra/Dentsply/De Trey and Xeno III Dentsply/De Trey). All restorations were evaluated by independent examiners using a modified US Public Health Service criteria at baseline and after 12 and 24 months for six clinical categories. Data were analyzed statistically by Pearson's chi-square or the Fisher's exact test at 5% significance level (p&lt;0.05). Results: Results showed that most of the restorations were clinically satisfactory after 12 and 24 months, with no statistically significant differences among the three groups for all evaluated criteria. Conclusion: Treatment of noncarious cervical lesions using composite and compomer materials, combined with the appropriate adhesive systems and properly implemented restorative procedures, gives satisfactory results after a two-year evaluation period.


2006 ◽  
Vol 31 (5) ◽  
pp. 523-529 ◽  
Author(s):  
A. Reis ◽  
A. D. Loguercio

Clinical Relevance After 24 months of evaluation, the use of Filtek Flow as a liner under Filtek Z250 restorations did not improve the clinical performance of Class V restorations.


2007 ◽  
Vol 26 (1) ◽  
pp. 14-20 ◽  
Author(s):  
Hiroyasu KUROKAWA ◽  
Masashi MIYAZAKI ◽  
Toshiki TAKAMIZAWA ◽  
Akitomo RIKUTA ◽  
Keishi TSUBOTA ◽  
...  

2012 ◽  
Vol 37 (2) ◽  
pp. 117-129 ◽  
Author(s):  
B Baracco ◽  
J Perdigão ◽  
E Cabrera ◽  
I Giráldez ◽  
L Ceballos

SUMMARY Objectives The aim of this study was to compare the one-year clinical performance of three restorative systems, which included a novel low-shrinkage composite and two bonding strategies. Materials and Methods Twenty-five patients received three Class I (occlusal) or Class II restorations performed with one of three restorative systems: Filtek Silorane Restorative System (FS); Adper Scotchbond 1 XT, a two-step etch-and-rinse adhesive, with Filtek Z250 (XT); and Adper Scotchbond SE, a two-step self-etch adhesive, with Filtek Z250 (SE). All materials were applied following the manufacturer's instructions. Two independent observers evaluated the restorations at baseline, after six months, and after one year, according to the United States Public Health System modified criteria. The Kruskal-Wallis test and the Mann-Whitney U-test were computed to compare the behavior of the restorative systems; Friedman and Wilcoxon tests were used to analyze the intrasystem data (α=0.05). Results All restorations were evaluated at one year. FS and XT performed statistically similarly at one year, but marginal staining for SE was statistically worse. Intrasystem comparisons between baseline and one year also showed deterioration of marginal staining for SE, while a deterioration of the marginal adaptation was recorded for both SE and FS. XT was the only system for which there was no statistical change of the parameters measured in this study. Conclusions Both restorative systems using self-etch adhesives showed a tendency to degradation of marginal adaptation after one year of clinical use, compared to baseline values. Although the clinical performance of FS was deemed acceptable after one year, this study did not find any advantage of the silorane-based composite over the methacrylate-based composite. The low-shrinkage associated with FS may not be a determinant factor for clinical success.


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