scholarly journals Nine-year clinical evaluation of composite resins in Class III restorations

2015 ◽  
Vol 18 (4) ◽  
pp. 25
Author(s):  
Fátima Cristina Sá ◽  
Ticiane Cestari Fagundes ◽  
Wagner Baseggio ◽  
Eduardo Bresciani ◽  
Terezinha Jesus Esteves Barata ◽  
...  

<p><strong>Objective</strong>: The aim of this study was to evaluate the nine-year clinical performance of Class III composite restorations using two microhybrid anterior composite resins [Magic™-Vigodent/(F) and Z100™-3M ESPE/(Z)]. <strong>Material</strong> <strong>and</strong> M<strong>ethods</strong>: The study was a randomized controlled trial, following the split mouth design. Seventy restorations were placed, thirty-five for each resin composite into 35 patients. The restorations were placed by one operator according to the manufacturers’ specifications. Two independent evaluators conducted the clinical evaluation using modified USPHS criteria. After nine-years, 56 restorations (28F-28Z) were evaluated. Data were analyzed using Chi-square, Exact Fisher and McNemar tests (p&lt;0.05). <strong>Results</strong>: No postoperative sensitivity, secondary caries and loss of anatomic form was observed after nine-years for both composites. There were no significant differences between the two composites tested at baseline and after nine-years. Significant differences for Z and F restorations between baseline and nine-year with respect to color matching and for F regarding the marginal integrity were detected. <strong>Conclusion</strong>: The clinical performance of both materials was considered acceptable after the 9-year evaluation.</p>

2020 ◽  
Vol 23 (4) ◽  
pp. 12p
Author(s):  
Ghada Ahmed Elzayat ◽  
Mai Elsayed Elsayed ◽  
Amira El Zoghby

Objective: to evaluate the clinical performance of the dual shade layering and polychromatic resin composite layering techniques using a randomized controlled trail. Material and Methods: 42 participants (84 restorations) of class IV or class III through and through within a pair of anterior contra-lateral teeth   were randomly allocated into two groups according to technique of composite restoration placement: control “polychromatic layering” and intervention “dual-shade layering”. Follow-up was done at 1 month (baseline) and 1 year. Restorations were evaluated using Visual Analog Scale (VAS), restoration color shade match using Vita Easyshade V ®, and blinded assessor using FDI criteria for assessment of dental restorations measuring (aesthetic properties). Chi-square test was used to compare between restorations of both techniques. Results: There was no statistically significant difference between restorations of both techniques for patient satisfaction outcome, restorations color match outcome, and for all tested FDI outcomes except surface luster with 100% success. Conclusion: Both dual-shade layering and polychromatic natural layering techniques, exhibited acceptable clinical and esthetic performance.      Keywords Composite; Polychromatic layering technique; Dual-shade layering technique; Clinical performance.


2008 ◽  
Vol 9 (4) ◽  
pp. 26-33 ◽  
Author(s):  
Ranuifo Gianordoli Neto ◽  
Sérgio Lima Santiago ◽  
Juliano Sartori Mendonça ◽  
Vanara Florëncio Passos ◽  
José Roberto Pereira Lauris ◽  
...  

Abstract Aim The aim of this study was to assess the clinical performance of two adhesive restorative systems (Single Bond/Filtek P-60 and Single Bond/Filtek Z-250) in posterior teeth using a modified United States Public Health Service (USPHS) system. Methods and Materials A total of 70 restorations were placed in molars and premolars in 30 patients (14 females and 16 males; 18-40 years) by one operator. All restorations were directly evaluated by two examiners at baseline, six months, and 12 months using the following modified USPHS rating criteria: marginal integrity, marginal discoloration, surface texture, contour, postoperative sensitivity, and recurrent caries. Results At six and 12 months all restorations were available for evaluation of marginal discoloration, surface texture, contour, postoperative sensitivity, and recurrent caries that remained with 100% Alpha-ratings at recalls for both restorative systems. Marginal integrity for P-60 was scored as 94.3% and 91.4% Alpha at six and 12 months, respectively, and rates for Z-250 were 100% and 97.1% Alpha at six and 12 months, respectively. Statistical analysis was completed with Fisher's exact and McNemar Chi-square tests at a significance level of 5% (P<0.05). Conclusion All restorations were clinically satisfactory and no significant differences were found among them. Clinical Significance Posterior resin composite restorations placed under appropriate conditions provide a satisfactory clinical performance. Citation Gianordoli Neto R, Santiago SL, Mendonça JS, Passos VF, Lauris RP, Navarro MFdeL. One Year Clinical Evaluation of Two Different Types of Composite Resins in Posterior Teeth. J Contemp Dent Pract 2008 May; (9)4:026-033.


2021 ◽  
pp. 99-102
Author(s):  
L.F. Kaskova ◽  
N.V. Yanko ◽  
O.O. Kulai

A paradigm shift in dental caries treatment in paediatric dentistry is viewed towards a wide using of composite resins. This prospective clinical trial are evaluated and compared during 18 months of clinical performance of a microhybrid composite with a nanoceramic resin composite placed in сlass I and II cavities in permanent teeth in children.  Thirty one children aged between 7 and 15 years were investigated during this study. About 40 restorations were performed, 50% for each material: a nanoceramic resin composite “Ceram. X Sphere TEC one” and a microhybrid resin composite “Charisma”. The restorations have been estimated by investigators immediately after complete polishing a filling. Clinical evaluation was performed 18 months after replacement by two other investigators using modified USPHS criteria. In addition to hand instruments, a magnifier was used for investigation of the restoration margins. Eighteen fillings with “Ceram. X Sphere TEC one” and 17 fillings with “Charisma” were available. The USPHS parameters were analyzed with the Chi-square test in18 months. The level of significance was p<0.05. Also Green-Vermillion index was used for oral hygiene estimation.  There are no failed restorations and secondary caries during the studied period. There were no statistically significant differences among the materials used (p>0.5) regarding the clinical performance. Green-Vermillion hygienic index was 1.48. Thirteen children (43.42%) showed satisfactory level of oral hygiene, 10 children (35.71%) demonstrated good level and 7 children (20.87%) – unsatisfactory level.  According to the marginal discoloration and surface roughness criteria, there were no significant differences among the restorative materials (p>0.5). Marginal discoloration was seen in children with unsatisfactory oral hygiene that corresponds to the data of recent study. Marginal adaptation rate was 94.95% for nanoceramic, and 82.35% for the microhybrid restorations. The marginal defects recorded had small detectable defects at the enamel margin of the restorations. According to the anatomic form criterion, there were no significant differences among the restorative materials (p>0.5). Postoperative sensitivity of one nanoceramic and two microhybrid restorations was scored as Bravo at baseline examination, but it disappeared by the 18-months evaluation. For color match criterion, the slight differences were observed in microhybrid restoration in 18 months. This shade mismatch was clinically acceptable (Bravo), with no significant differences noted between the materials studied (p>0.5). The nanoceramic and microhybrid composites have provided acceptable clinical performance over 18-months period. The research pertaining to bigger size of a studied sample and longer observation period is considered advisable to ensure the higher clinical success rate of nanoceramic than microhybrid composite in restoration of permanent teeth in children. 


2013 ◽  
Vol 38 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Ü Candan ◽  
N Eronat ◽  
Lo Önçağ

Objective: To evaluate the 30-month clinical performance of a nanofilled-resin composite with or without glass-fiber layering in restorations of large cavities in posterior teeth of children. Study Design: A total of 71 restorations were placed in permanent molar teeth of 47 children (mean age 10.9 years) with (FRC; n=35) or without (RC; n=36) fiber layering. One operator placed all restorations. Restorations were evaluated according to the USPHS modified-Ryge criteria at baseline, 6, 12, 18, 24, and 30 months. The data were analyzed using Fisher's exact and chi-square tests and outcomes were compared using the Cochran-Q test (p&lt;0.05). Results: The 30-month survival rates of the restorations were 97% and 97.1% in the RC and FRC groups, respectively. Nanofilled-resin restorations with or without glass fiber-layering showed similarly high clinical performance. No differences were detected between the evaluated criteria when comparing baseline with any of the evaluation periods (p&lt;0.05). After 30 months there were no secondary caries, change in anatomical form or postoperative sensitivity. Only minor changes for marginal adaptation, marginal discoloration, color match and surface texture were observed. Conclusion: It was concluded that nanofilled-resin composite applied with or without glass-fiber layering showed similar and good results in large cavities of posterior permanent teeth in children over a 30-month period.


10.2341/07-34 ◽  
2008 ◽  
Vol 33 (1) ◽  
pp. 7-14 ◽  
Author(s):  
M. Demirci ◽  
E. Yildiz ◽  
Ö Uysal

Clinical Relevance For two years, the three restoration/adhesive combinations used in this study (Dyract AP/Prime & Bond NT with NRC pretreatment, Dyract AP/Prime & Bond NT with phosphoric acid pretreatment and Filtek A110/Single Bond) exhibited very good clinical performance in Class III cavities. Clinically simplified systems and handling characteristics of materials may effect their clinical performance.


2011 ◽  
Vol 64 (1-2) ◽  
pp. 15-20 ◽  
Author(s):  
Igor Stojanac ◽  
Milan Drobac ◽  
Bojana Zarkovic ◽  
Ljubomir Petrovic

Introduction. The restoration of non-carious cervical lesions is specific, mostly because of the location of their margins, especially the cervical margin, which is determined in cement and/or dentine. This feature makes the cervical margin more susceptible to micro-leak?age, causing marginal discoloration, postoperative sensitivity, development of the secondary caries and loss of the restoration. Material and methods. One of the criteria for inclusion of a patient in this study was the presence of at least two non-carious cervical lesions to be restored with the minimum depth of 1mm, independently of their location in the dental arch. A total of 60 restorations were placed in 30 patients, and every patient received both tested materials (composite resins and compomer) on their non-carious cervical lesions. The clinical evaluation of the therapeutic success was performed six months and then one year after the day of the placement of restorations using the modified-United States Public Health Service criteria. The following was evaluated: retention, marginal integrity, marginal discoloration, wear, postoperative sensitivity and secondary caries. Results. A statistically significant high percent of restorations/teeth with postoperative sensitivity was found in the group of resin composite restorations after six months. At the end of the evaluation period, that is after one year, there were no statistically significant differences between materials for all evaluated criteria. Conclusion. The results of this study show the identical quality of both examined materials one year after the readjustment of non-carious cervical lesions.


2020 ◽  
Vol 23 (4) ◽  
pp. 8p
Author(s):  
Renan Menezes Cardoso ◽  
Bruno Mendonça Lucena De Veras ◽  
Marlus da Silva Pedrosa ◽  
Claudio Heliomar Vicente Da Silva

Objective: To evaluate the postoperative sensitivity in posterior restorations with different resin composites and adhesive systems as well as the influence of the depth and extent of the dental cavity. Material and Methods: A double-blind clinical trial was carried out with 80 class I restorations of 16 patients. The participants were divided into 4 groups according to the adhesive system + composite: F + P (Filtek P90™ + P90™); R + S (Rok™ + Stae™); P + A (P60™ + Adper SE PLUS™); E + X (Evolux™ + XPBond™ Adhesive). After 7, 15 and 30 days, the presence of postoperative sensitivity was evaluated and classified according to type and intensity. The data were submitted to Pearson's chi-square test, Fisher's exact teste, Student’s t-test and ANOVA. A significance level of 5% was used for all tests. Results: The presence of postoperative sensitivity was approximately 6% of the total sample. The sensitivity decreased with the evaluation time, with the smallest reduction occurring from the 7-day evaluation compared to the other evaluations. Conclusion: There was found no evidence of influence of the resin composite and adhesive type, depth and extension of the cavities for the presence of postoperative sensitivity. Keywords Dentistry; Dentin sensitivity; Adhesives; Composite resins.


2019 ◽  
Vol 90 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masahiro Seiryu ◽  
Hiroto Ida ◽  
Atsushi Mayama ◽  
Satoshi Sasaki ◽  
Shutaro Sasaki ◽  
...  

ABSTRACT Objectives To investigate the hypothesis that there is difference in the treatment outcomes of milder skeletal Class III malocclusion between facemask and facemask in combination with a miniscrew in growing patients. Materials and Methods Patients were randomly divided into two groups. In one group, the patients were treated with facemask therapy (FM group: 12 males, eight females, average age: 10 years, 5 months ± 1 year, 8 months). In the other group, patients were treated with facemask therapy along with a miniscrew (FM+MS group: 12 males, seven females, average age: 11 years, 1 month ± 1 year, 3 months). A lingual arch with hooks was fixed to the maxillary arch in both groups and a protractive force of 500 g was applied from the facemask to the hooks. The patients were instructed to use the facemask for 12 hours per day. In the FM+MS group, a miniscrew was inserted into the palate and fixed to the lingual arch. Results Mobility and loosening of the miniscrew were not observed during treatment. Lateral cephalometric analysis showed that SNA, SN-ANS, and ANB values were significantly increased in the FM+MS group compared with those for the FM group (SNA, 1.1° SN-ANS, 1.3° ANB, 0.8°). Increase in proclination of maxillary incisors was significantly greater in the FM group than in the FM+MS group (U1-SN, 5.0°). Conclusions During treatment of milder skeletal Class III malocclusion, facemask therapy along with a miniscrew exhibits fewer negative side effects and delivers orthopedic forces more efficiently to the maxillary complex than facemask therapy alone.


2021 ◽  
Vol 30 (1) ◽  
pp. 39-44
Author(s):  
Fransisca Retno Asih ◽  
Farid Husin ◽  
Oki Suwarsa ◽  
Irda Fidrianny ◽  
Dany Hilmanto

BACKGROUND Pruritus is the most common dermatological complaint that occurs during pregnancy, which is around 14–20%. No research related to herbal products to reduce some of the characteristics of pruritus at once has been conducted. This study aimed to assess the effect of blending oil to reduce pruritus based on visual analog scale (VAS). METHODS This was a single-blind, randomized clinical trial that included 57 pregnant women who were at 25–38 weeks of gestation, had a pruritus during pregnancy, a single pregnancy, a level I and II pruritus and a moderate to severe pruritus based on VAS. Pruritus scores were measured using VAS in both the treatment and control groups. The treatment and control groups applied blending oil and placebo, respectively, twice a day after bathing for 2 weeks. Mann–Whitney U, paired t, and chi-square tests were used for the analysis. RESULTS Pruritus reduction in pregnant women who received blending oil was higher than those using placebo (61.08% versus 12.41%, p<0.05). 83% of subjects using blending oils had a reduction of pruritus by >25 mm. Pregnant women who used placebo had a six times greater risk of experiencing pruritus than those who used blending oil (RR = 5.8, 95% CI = 2.613–12.874). CONCLUSIONS Blending oil can be used topically to treat a pruritus in pregnant women.


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