[The symptomatic therapy of cervical hard-substance defects with dentin-adhesive-composite systems].
For covering of hypersensitive, morphologically disturbed and non-esthetic cervical (wedge-shaped) defects of hard dental tissues, dentine adhesive composite systems are suitable for a careful and less invasive preparation. Presumption is a smooth and at probing hard-touched defect surface. A clinical 2 year study (15 patients with 143 cervical lesions) using 5 different dentine adhesive composite systems resulted in superiority of the hybrid composite P-30 in view of low filling losses (after 1 year: 1 of 28 fillings after 2 years: 2 of 27 fillings), the acceptable bond zone morphology (after 1 and 2 years clinical intact bond zones), and a constant volume behaviour (after 1 and 2 years no clinical changes of volume). The micromorphological evaluation correlated in a lot of cases with the clinical findings after 2 years. It has to be expected that improved dentine adhesive composite systems together with changed setting mechanisms of dentine adhesives will be able to eliminate filling losses in the treated indication.
Böhm
B E
BE
Abteilung Kariologie und Endodontologie, Medizinische Akademie Carl Gustav Carus, Dresden.
Schütze
E R
ER
Klimm
W H
WH
Herbert
J
J
Edelmann
J K
JK
Koch
R
R
D003188:Composite Resins / Q000627:therapeutic use*; D003738:Dental Cements / Q000627:therapeutic use*; D003793:Dental Restoration, Permanent / Q000379:methods; D003804:Dentin / Q000187:drug effects* / Q000648:ultrastructure; D003807:Dentin Sensitivity / Q000473:pathology / Q000628:therapy*; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D016628:Replica Techniques; D013499:Surface Properties; D014077:Tooth Erosion / Q000473:pathology / Q000628:therapy*
D003188:Composite Resins; D003738:Dental Cements
Symptomatische Therapie zervikaler Hartsubstanzdefekte mit Dentinadhäsiv-Komposit-Systemen.