Clinical Evaluation of Posterior Composite Restorations in Endodontically Treated Teeth

Abstract Objective The purpose of this study was to evaluate the two year clinical performance of posterior composite restorations in endodontically treated premolars and molars using a hybrid composite (Filtek Z-250, 3M ESPE) and a total etch bonding system (Single Bond, 3M ESPE). Method and Materials Thirty-nine class II restorations in endodontically treated premolars (n=11) and molars (n=28) of 27 patients (14 female, 13 male, mean age 36.51) in 16 maxillar and 23 mandibular teeth were placed by one operator. Restorations were evaluated by two experienced investigators at baseline, 12 months, and 24 months according to the modified United States Public Health Service (USPHS) criteria that included retention, color match, marginal discoloration, secondary caries, anatomic form, marginal adaptation, and surface texture. All restorations were able to be evaluated at baseline, 12 months, and 24 months. Results Paired samples t-test showed only marginal discoloration showed a statistically significant difference (p<0.05) at the end of 24 months, and no other significant differences were observed for the other variables examined over the duration of the study. None of the restored teeth showed periapical pathology at the end of 24 months. Conclusion At two years, limited deterioration in marginal discoloration was detected. The clinical performance of posterior composite restorations in endodontically treated teeth using Filtek Z250 was found clinically acceptable after two years. Citation Can Say E, Kayahan B, Ozel E, Gokce K, Soyman M, Bayirli G. Clinical Evaluation of Posterior Composite Restorations in Endodontically Treated Teeth. J Contemp Dent Pract 2006 May;(7)2:017-025.

Download Full-text

Vertical Bite Rehabilitation of Severely Worn Dentitions with Direct Composite Restorations: Clinical Performance Up To 11 Years

Journal of Clinical Medicine ◽

10.3390/jcm10081732 ◽

2021 ◽

Vol 10 (8) ◽

pp. 1732

Author(s):

Tobias T. Tauböck ◽

Patrick R. Schmidlin ◽

Thomas Attin

Keyword(s):

Patient Satisfaction ◽

Clinical Performance ◽

United States Public Health ◽

Tooth Wear ◽

Vertical Dimension ◽

Composite Restorations ◽

Usphs Criteria ◽

Vas Scores ◽

Long Term Performance ◽

Term Performance

Our aim was to evaluate the clinical performance of direct composite restorations placed in patients with severely worn dentitions at an increased vertical dimension of occlusion, after up to 11 years. One hundred and sixty-four teeth in 13 patients with severely worn dentitions had been reconstructed with either microhybrid (first cohort; n = 59) or nanofilled (second cohort; n = 105) composite restorations at increased vertical dimension of occlusion using a wax-up-based template-aided placement technique. From the dental records, information about repair and replacement of restorations was obtained. Patients were clinically examined after a mean follow-up time of 10.7 years (first cohort) or 5.2 years (second cohort) using United States Public Health Service (USPHS) criteria. Subjective patient satisfaction was also recorded using visual analogue scales (VAS). The overall quality of the restorations was good with predominantly ‘Alpha’ and ‘Bravo’ scores, respectively. Nanofilled composite showed less surface degradation and better margin qualities than microhybrid composite. Of the 59 restored teeth in the first cohort, 13 restorations showed unfavorable events after 10.7 years, of which ten could be repaired. In the second cohort, 23 of 105 restorations showed unfavorable events, which could all be repaired. VAS scores revealed high patient satisfaction with the treatment approach. In conclusion, direct composite restorations placed at an increased vertical dimension of occlusion show good clinical long-term performance in patients with severe tooth wear.

Download Full-text

Clinical Assessment of Endodontically Treated Teeth, Restored with or without Radicular Posts

Folia Medica ◽

10.1515/folmed-2017-0098 ◽

2018 ◽

Vol 60 (2) ◽

pp. 291-299 ◽

Cited By ~ 1

Author(s):

Ekaterina G. Karteva ◽

Neshka A. Manchorova ◽

Stoyan B. Vladimirov ◽

Donka A. Keskinova

Keyword(s):

Clinical Performance ◽

Survival Rates ◽

Homogeneity Test ◽

Endodontically Treated Teeth ◽

Advantages And Disadvantages ◽

Composite Restorations ◽

Reinforced Composite ◽

Significant Difference ◽

Group A ◽

Restoration Method

Abstract Background: The reduced fracture resistance in endodontically treated teeth requires the use of radicular posts, with their advantages and disadvantages. Aim: To evaluate the clinical performance of teeth restored with or without radicular posts at 6 and 12 months. Materials and methods: The study included 22 patients who received endodontic therapy on premolars with a loss of one or two proximal walls. The premolars were divided into groups according to the restoration method: metal post group (MP), fiber post group (FP), and no post group (NP). For the NP group, a dentinal core of fiber-reinforced composite was used. The McNemar test, marginal homogeneity test and Kruskal-Wallis test were used in the statistical analysis. At the 6 and 12 month recall, both the direct composite restorations and the integrity of the post systems were assessed. Results: At 6-month recall assessment, there was no statistically significant difference in the categories of ‘appropriate colour’, ‘secondary caries’ and ‘obturation integrity’. That was not the case with ‘marginal discoloration’, ‘marginal adaptation’, ‘proximal contact’ and ‘surface smoothness’. The recall at 12 months showed a continuation of this tendency, with significant decrease in the category of ‘adequate colour’. Assessment of post longevity at the two recalls did not show any significant changes. The teeth restored without a post showed survival rates comparable to that of teeth restored with a post for the 12-month period of observation. Conclusions: There were no failures of the different posts used. The observed changes were attributed to the progressive deterioration of the composite restorations.

Download Full-text

Clinical Evaluation of Ceramic Inlays Compared to Composite Restorations

Operative Dentistry ◽

10.2341/08-95 ◽

2009 ◽

Vol 34 (3) ◽

pp. 263-272 ◽

Cited By ~ 26

Author(s):

R. T. Lange ◽

P. Pfeiffer

Keyword(s):

Clinical Evaluation ◽

Survival Probability ◽

Clinical Relevance ◽

Clinical Performance ◽

Class I ◽

Composite Restorations ◽

Ceramic Inlays ◽

Significant Difference

Clinical Relevance Evopress ceramic inlays and Filtek Z250 composite restorations showed no significant difference regarding survival probability at 57 months when used as Class I and II restoratives in premolars and molars. Both materials demonstrated acceptable clinical performance, with a preference for the ceramic inlays.

Download Full-text

One-Year Clinical Evaluation of the Bonding Effectiveness of a One-Step, Self-Etch Adhesive in Noncarious Cervical Lesion Therapy

International Journal of Dentistry ◽

10.1155/2015/984065 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Babacar Faye ◽

Mouhamed Sarr ◽

Khaly Bane ◽

Adjaratou Wakha Aidara ◽

Seydina Ousmane Niang ◽

...

Keyword(s):

Clinical Performance ◽

Retention Rate ◽

Recall Rate ◽

Acid Etching ◽

Significant Difference ◽

Usphs Criteria ◽

One Step ◽

One Year ◽

The One ◽

Self Etch

This study evaluated the one-year clinical performance of a one-step, self-etch adhesive (Optibond All-in-One, Kerr, CA, USA) combined with a composite (Herculite XRV Ultra, Kerr Hawe, CA, USA) to restore NCCLs with or without prior acid etching. Restorations performed by the same practitioner were evaluated at baseline and after 3, 6, and 12 months using modified USPHS criteria. At 6 months, the recall rate was 100%. The retention rate was 84.2% for restorations with prior acid etching, but statistically significant differences were observed between baseline and 6 months. Without acid etching, the retention rate was 77%, and no statistically significant difference was noted between 3 and 6 months. Marginal integrity (93.7% with and 87.7% without acid etching) and discoloration (95.3% with and 92.9% without acid etching) were scored as Alpha or Bravo, with better results after acid etching. After one year, the recall rate was 58.06%. Loss of pulp vitality, postoperative sensitivity, or secondary caries were not observed. After one year retention rate was of 90.6% and 76.9% with and without acid conditioning. Optibond All-in-One performs at a satisfactory clinical performance level for restoration of NCCLs after 12 months especially after acid etching.

Download Full-text

Quality of Root Canal Obturation Performed by Senior Undergraduate Dental Students

International Journal of Public Health Science (IJPHS) ◽

10.11591/.v4i3.4733 ◽

2015 ◽

Vol 4 (3) ◽

pp. 197

Author(s):

Sundahnath Nagaraja

Keyword(s):

Undergraduate Students ◽

Root Canal ◽

Dental Students ◽

Endodontically Treated Teeth ◽

Root Canal Obturation ◽

Root Canals ◽

Anterior Teeth ◽

Significant Difference ◽

Mandibular Teeth

The aim of the present study was to assess the quality of canal obturation performed by undergraduate denal students at Saveetha Dental College and Hospitals, Chennai. Records of 200 endodontically treated teeth from patients who were visited by undergraduate students between month of November 2014 to May 2015. Periapical radiographs of all treated teeth were assessed in terms of canal obturation quality (adequate density and length). Forty-five percent of teeth fulfilled the criteria of an acceptable root canal obturation. Adequate length and density of root filling was found in 89% and 34% of teeth, respectively. There was a significant difference between maxillary and mandibular teeth regarding the length of root canal obturation. A significant difference was observed between molars and other tooth types. The frequency of root canals with an acceptable filling was significantly greater in the anterior teeth compared to premolars or molars. The technical quality of root canal treatment performed by undergraduate dental students was found to be less than ideal.

Download Full-text

A Retrospective Clinical Study of Cervical Restorations: Longevity and Failure-Prognostic Variables

Operative Dentistry ◽

10.2341/11-416-c ◽

2013 ◽

Vol 38 (4) ◽

pp. 376-385 ◽

Cited By ~ 6

Author(s):

C Namgung ◽

YJ Rho ◽

BH Jin ◽

BS Lim ◽

BH Cho

Keyword(s):

Clinical Study ◽

Clinical Performance ◽

Resin Composite ◽

United States Public Health ◽

Wald Test ◽

Fisher Exact Test ◽

Prognostic Variables ◽

Secondary Caries ◽

Retrospective Clinical Study ◽

Usphs Criteria

SUMMARY The aim of this retrospective clinical study was to compare the longevity of cervical restorations between resin composite (RC) and glass ionomer (GI) and to investigate variables predictive of their outcome. The clinical performance of the two restorative materials in function was compared using the ratings of the modified United States Public Health Service (USPHS) criteria. A total of 479 cervical restorations were included in the study. Ninety-one already-replaced restorations were reviewed from dental records. The other 388 restorations still in function were evaluated according to the modified USPHS criteria by two investigators. Longevity and prognostic variables were analyzed with the Kaplan-Meier survival analysis and multivariate Cox proportional hazard model. The clinical performances of the two materials were evaluated according to the ratings of the USPHS criteria and compared using the Pearson chi-square test and Fisher exact test. The longevity was not significantly different between RC and GI (median survival time, 10.4 ± 0.7 and 11.5 ± 1.1 years, respectively). The main reasons for failure were loss of retention (82.2%) and secondary caries (17.8%). The longevity of cervical restoration was significantly influenced by tooth group and operator group (Wald test, p<0.05), while material, gender, presence or absence of systemic diseases, arch, and reason for treatment did not affect the longevity. Contrary to the longevity, the clinical performance of RC was superior to GI in the criteria of retention, marginal discoloration, and marginal adaptation, but similar in secondary caries, wear, and postoperative sensitivity.

Download Full-text

Clinical Evaluation of Noncarious Cervical Lesions of Different Extensions Restored With Bulk-fill or Conventional Resin Composite: Preliminary Results of a Randomized Clinical Trial

Operative Dentistry ◽

10.2341/18-256-c ◽

2020 ◽

Vol 45 (1) ◽

pp. E11-E20

Author(s):

AMO Correia ◽

ALB Jurema ◽

MR Andrade ◽

ALS Borges ◽

E Bresciani ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Clinical Evaluation ◽

Clinical Performance ◽

Resin Composite ◽

Resin Composites ◽

Cervical Lesions ◽

Intergroup Comparison ◽

Significant Difference

SUMMARY Purpose: This randomized clinical trial evaluated the influence of the occlusogingival distance (OGD) of noncarious cervical lesions (NCCLs) on the clinical performance of a regular bulk-fill resin composite and a regular nanofilled resin composite. Methods and Materials: A total of 140 restorations were randomly placed in 77 participants by one operator. NCCLs were divided into four groups (n=35) according to OGD (1.5 mm±10% or 3 mm±10%) and resin composites (Filtek Bulk Fill Posterior [B] or Filtek Z350 XT [C]) used: 1.5 mm-B, 1.5 mm-C, 3 mm-B, and 3 mm-C. A two-step self-etch adhesive (Clearfil SE Bond) was applied following manufacturer instructions in all restorative procedures. Restorations were polished 1 week after placement. Clinical evaluation was performed at baseline (7 days), 6 months, and 1 year by two calibrated examiners, according to the modified US Public Health Service criteria evaluating fractures/retention, marginal staining, marginal adaptation, recurrence of caries, anatomic form, postoperative sensitivity, and surface texture. The Kruskal-Wallis test was used for intergroup comparison in each follow-up; the Friedman analysis of variance, followed by the least significant difference test (multiple comparisons) was used for intragroup comparison between baseline and follow-up times (α=0.05). Results: Two restorations were lost at 12 months (1 for 1.5 mm-B and 1 for 3 mm-B). The retention rates at 12 months were 100% for 1.5 mm-C, 97% for 1.5 mm-B, 100% for 3 mm-C; and 97% for 3 mm-B, with no statistical difference among the groups (p=0.570). At 12 months, a statistically significant difference was found among the follow-up times for the same group (1.5 mm-B, 1.5 mm-C, and 3 mm-B) regarding the marginal staining criterion; moreover, the 3 mm-C group showed a significant difference from 6 months. No significant difference was found for the other parameters. Conclusion: Both resin composites showed acceptable clinical performance, and the OGD of NCCLs did not influence the clinical performance of resin composite restorations after 12 months.

Download Full-text

Evaluation of the Restoration Success of Endodontic Therapy of the Primary Molars

European Journal of Dentistry ◽

10.1055/s-0039-1698914 ◽

2011 ◽

Vol 05 (04) ◽

pp. 415-422 ◽

Cited By ~ 2

Author(s):

Zuhal Kirzioglu ◽

Ozge Erken Gungor ◽

Z Zahit Ciftci

Keyword(s):

United States Public Health ◽

Primary Molars ◽

First Year ◽

Success Rates ◽

Chi Square ◽

Primary Molar ◽

Significant Difference ◽

Chi Square Test ◽

Usphs Criteria ◽

Second Year

ABSTRACTObjectives: The aim of this study was to evaluate the clinical and radiographic success rates of pulpotomized primary molar teeth restored with a compomer material with using United States Public Health Service (USPHS) criteria. Methods: In 173 primary molars of 156 child patients, aged within 4-9 years (mean age: 6.1±1.4 years), conventional pulpotomy treatment were performed. The teeth treated using calcium hydroxide, formocresol or ferric sulphate. After pulpotomy procedure, teeth were restored with compomer material. The teeth were evaluated as clinically and radiographically during a period of 12-24 months. Both of success of pulpotomy treatment and also restorative material (compomer material) were evaluated during follow-up period. The data were assessed with chi-square test. Results: At the end of the first year, 45% of initial treated teeth were checked, but only 18% were checked at the end of the second year. The first year success rates in the groups treated with CH, FC, and FS were 87.5%, 95%, and 79%, respectively, and, as the number of controllable patients was lower, the success rates on available teeth were determined to be 88.3% and 80%, respectively, according to the materials at the end of the second year. Restorations having been made, they were analyzed in accordance with USPHS criteria. Conclusions: At the end of the first year, 67.5% of compomer restorations were detected to be original and healthy and at the end of the second year, 57% were deemed healthy. No statistically significant relationships were found between marginal adaptation, secondary caries and pulpotomy success (chi-square test, P>.05). Among the three groups, there is no significant difference in terms of success. The least successful age group was defined as 4-6 years. (Eur J Dent 2011;5:415-422)

Download Full-text

Randomized Clinical Trial of Composite Restorations in Primary Teeth: Effect of Adhesive System after Three Years

BioMed Research International ◽

10.1155/2016/5409392 ◽

2016 ◽

Vol 2016 ◽

pp. 1-11 ◽

Cited By ~ 1

Author(s):

Secil Bektaş Donmez ◽

Melek D. Turgut ◽

Serdar Uysal ◽

Pinar Ozdemir ◽

Meryem Tekcicek ◽

...

Keyword(s):

Primary Teeth ◽

Clinical Performance ◽

Adhesive System ◽

The Self ◽

Marginal Adaptation ◽

Adhesive Systems ◽

Composite Restorations ◽

Etch And Rinse ◽

Significant Difference ◽

Self Etch

The purpose of this study was to assess the clinical performance of composite restorations placed with different adhesive systems in primary teeth. In 32 patients, 128 composite restorations were placed using a split-mouth design as follows (4 groups/patient): three-step etch-and-rinse (Group 1), two-step etch-and-rinse (Group 2), two-step self-etch (Group 3), and one-step self-etch (Group 4). The restorations were clinically evaluated at baseline and at 6, 18, and 36 months according to the FDI criteria. There was no significant difference between the adhesive systems in retention of the restorations (p>0.05). Over time, there was a statistically significant decrease in marginal adaptation in all groups, whereas surface and marginal staining significantly increased in Groups 3 and 4 (p<0.05). The etch-and-rinse adhesive systems resulted in better marginal adaptation than the self-etch adhesive systems (p<0.05). It was concluded that preetching of the primary enamel might help improve the clinical performance of the self-etch adhesive systems in primary teeth.

Download Full-text