Survival rates of resin composite restorations in loadbearing situations in posterior teeth

Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 524-536 ◽  
Author(s):  
F J Trevor Burke ◽  
Louis Mackenzie ◽  
Adrian CC Shortall

The use of resin composite for routine restoration of cavities in posterior teeth is now commonplace, and will increase further following the Minamata Agreement and patient requests for tooth-coloured restorations in their posterior teeth. It is therefore relevant to evaluate the published survival rates of such restorations. A Medline search identified 144 possible studies, this being reduced to 24 when inclusion criteria were introduced. Of these, ten directly compared amalgam and composite, eight were cohort studies, and six were systematic reviews. It was concluded that posterior composites may provide restorations of satisfactory longevity and with survival rates generally similar to those published on amalgam restorations. However, the ability of the operator in placing the restoration may have a profound effect. CPD/Clinical Relevance: With the increasing use of composite for restorations in posterior teeth, it is relevant to note that these may provide good rates for survival.

2007 ◽  
Vol 32 (5) ◽  
pp. 437-442 ◽  
Author(s):  
G. Adolphi ◽  
M. Zehnder ◽  
L. M. Bachmann ◽  
T. N. Göhring

Clinical Relevance In endodontically-treated posterior teeth, minimal direct composite restorations had a tendency to fail more often than their counterparts in vital teeth.


2007 ◽  
Vol 32 (5) ◽  
pp. 524-528 ◽  
Author(s):  
M. E. Ottenga ◽  
I. A. Mjör

Clinical Relevance There is an undeniable move away from amalgam towards the use of resin composite restorations in posterior teeth. The data from one dental school suggests that dental curricula are not keeping pace with the clinical shift that has occurred.


2007 ◽  
Vol 32 (5) ◽  
pp. 421-426 ◽  
Author(s):  
A. L. F. Briso ◽  
S. R. Mestrener ◽  
G. Delício ◽  
R. H. Sundfeld ◽  
A. K. Bedran-Russo ◽  
...  

Clinical Relevance Posterior teeth restored with resin composite have been known to exhibit postoperative sensitivity. The type, size and design of the cavity, material properties and handling technique may influence the incidence of this sensitivity.


2010 ◽  
Vol 35 (6) ◽  
pp. 641-648 ◽  
Author(s):  
T. Alptekin ◽  
F. Ozer ◽  
N. Unlu ◽  
N. Cobanoglu ◽  
M. B. Blatz

Clinical Relevance The lining of amalgam restorations showed no significant effect on microleakage around restoration margins. In vivo and in vitro evaluations confirmed that microleakage was higher in resin composite restorations than in amalgam.


2006 ◽  
Vol 31 (6) ◽  
pp. 688-693 ◽  
Author(s):  
B. A. C. Loomans ◽  
N. J. M. Opdam ◽  
F. J. M. Roeters ◽  
E. M. Bronkhorst ◽  
R. C. W. Burgersdijk

Clinical Relevance When placing a Class II resin composite restoration, the use of sectional matrix systems and separation rings to obtain tight proximal contacts is recommended.


2010 ◽  
Vol 35 (6) ◽  
pp. 655-662 ◽  
Author(s):  
M. Özcan ◽  
G. Schoonbeek ◽  
B. Gökçe ◽  
E. Çömlekoglu ◽  
M. Dündar

Clinical Relevance For reliable repair of amalgam restorations, including dentin fractures, the amalgam surface should first be silica coated; dentin/enamel should be etched, washed and rinsed thoroughly. Then, amalgam should be silanized and primer/bonding should be applied onto dentin.


10.2341/06-86 ◽  
2007 ◽  
Vol 32 (3) ◽  
pp. 298-305 ◽  
Author(s):  
O. El-Mowafy ◽  
W. El-Badrawy ◽  
A. Eltanty ◽  
K. Abbasi ◽  
N. Habib

Clinical Relevance Fiber inserts incorporated at the gingival floor of Class II composite restorations resulted in a significant reduction of microleakage scores as compared to restorations made without inserts. This may lead to a reduced incidence of recurrent caries.


10.2341/06-16 ◽  
2007 ◽  
Vol 32 (1) ◽  
pp. 60-66 ◽  
Author(s):  
S. Idriss ◽  
T. Abduljabbar ◽  
C. Habib ◽  
R. Omar

Clinical Relevance Even though marginal gap size was not shown to be a direct predictor for the extent of microleakage in resin composite restorations, both material and placement technique appear to be important determinants in microleakage and, thus, probably in clinical outcomes.


2006 ◽  
Vol 31 (1) ◽  
pp. 60-67 ◽  
Author(s):  
B. M. Owens ◽  
W. W. Johnson ◽  
E. F. Harris

Clinical Relevance Decreased leakage was associated with Adper Scotchbond Multi-Purpose (total etch) and iBond (self-etch) systems in Class V resin composite restorations. All adhesive systems performed best when bonded to enamel compared to dentin surface anatomy. Clinicians should be aware that strict adherence to manufacturer instructions, when using these materials, is of primary importance.


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