Flowable composites for restoration of non-carious cervical lesions: Three-year results
Flowable composites for restoration of non-carious cervical lesions: Three-year results
复制标题
DOI：
10.1016/j.dental.2016.12.009
复制
发表时间：
2017-03-01
期刊：
影响因子：
5
通讯作者：
Schmalz, Gottfried
中科院分区：
文献类型：
--
作者：
May, Sabine;Cieplik, Fabian;Schmalz, Gottfried
目标。评价两种可流动复合材料修复V类非龋性宫颈病变(NCCL)的临床性能，其中一种为新型(ND；N‘Durance((R))Dimer Flow，Septodon)，另一种为改良的传统基质成分(FS；Filtek(TM)Top XTE Flow，3M-ESPE)。零假设是两种可流动复合材料在临床质量和存活率方面表现相同。50例患者分别用Clearfi Protect Bond(Kuraray)粘结剂修复前磨牙NCCL 1次ND和FS 1次。两名审查员在基线(BL)、18个月和36个月使用外国直接投资标准对修复进行了评估。采用非参数统计分析和卡方检验(α=0.05)。48名两种修复体都有风险的患者参与了36个月的召回。一名患者在18个月的召回后终止了参与。一次ND修复在18个月的召回(骨折)中失败。在36个月的召回(解除粘结)的临床检查中，一枚FS修复失败。在36个月时，95.8%的修复体临床可接受。除36个月的标准表面染色和18个月和36个月的边缘染色外，所有选定的FDI标准在每个检查时间点的ND和FS之间没有显著差异，其中FS的结果明显更好。对于每种材料，随着时间的推移，没有检测到显著的差异，除了FS表面光泽的损失(BL到18个月)。在这项研究的限制范围内，材料性能相同的零假设不能被拒绝。这两种可流动复合材料在生存方面表现相同，在临床表现方面也相似。(C)2016年牙科材料学院。爱思唯尔有限公司出版。保留所有权利。
Objectives. To evaluate the clinical performance of two flowable composites for restoring Class-V non-carious cervical lesions (NCCLs), one with novel (ND; N'Durance((R)) Dimer Flow, Septodont) and one with modified conventional matrix composition (FS; Filtek (TM) Supreme XTE Flow, 3M-ESPE). The null hypothesis was that both flowable composites perform equally regarding clinical quality and survival.Methods. 50 patients received one ND and one FS restoration of NCCLs in premolars using Clearfil Protect Bond (Kuraray) as an adhesive. Restorations were evaluated by two examiners at baseline (BL), 18 and 36 months employing FDI criteria. Non-parametric statistical analyses and chi(2) tests were applied (alpha = 0.05).Results. 48 patients with both restorations under risk participated in the 36-mo recall. One patient terminated participation after the 18-mo recall. One ND restoration failed at the 18-mo recall (fracture). One FS restoration failed during clinical examination at the 36-mo recall (debonding). 95.8% of restorations each were rated clinically acceptable at 36-mo. No significant differences for all selected FDI criteria were recorded between ND and FS at each examination time point except for the criteria surface staining at 36-mo and marginal staining at 18-mo and 36-mo, where FS showed significantly better results. For each material, no significant differences over time were detected, except for loss of surface lustre for FS (BL to 18 months).Significance. Within the limitations of the study, the null hypothesis that materials perform equally could not be rejected. Both flowable composites performed equally regarding survival and similarly regarding clinical performance. (C) 2016 The Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.