Ten-year clinical assessment of three posterior resin composites and two amalgams.
OBJECTIVE
The long-term clinical performance of three posterior resin composites and two amalgams was assessed.


METHODS
Thirty Class II restorations each of P-30, Occlusin, Clearfil Posterior (composites), New True Dentalloy, and Solila Nova (amalgams) were placed. Reviews took place at 6 months and at 1, 2, 3, 4, 5, and 10 years. At each visit the gingival condition, the contact point status, and the presence of ledges, gaps, or recurrent caries were assessed. The color match, cavosurface marginal stain, general surface stain, tarnish, and corrosion were also scored where applicable. Epoxy resin replicas were used to measure the maximum depth of wear.


RESULTS
After 10 years, there had been corrosion of both the high- and low-copper amalgams and a slight deterioration in color match of a number of composite restorations. Eighteen (of 20) Occlusin restorations had obvious cavosurface marginal stain, attributed to staining of the unfilled bonding resin layer. Statistical analysis indicated that New True Dentalloy, Solila Nova, and Clearfil-P exhibited significantly less wear than Occlusin and P-30. None of the restorations examined at the 10-year recall required replacement.


CONCLUSIONS
The five materials, placed in a dental school environment, provided adequate clinical service for 10 years.
Mair
L H
LH
Department of Clinical Dental Sciences, School of Dentistry, University of Liverpool, England.
D000704:Analysis of Variance; D001641:Bicuspid; D003116:Color; D003188:Composite Resins / Q000737:chemistry; D003343:Corrosion; D003722:Dental Alloys; D003723:Dental Amalgam / Q000737:chemistry; D018772:Dental Marginal Adaptation; D019232:Dental Restoration Failure; D019554:Dental Restoration Wear; D003793:Dental Restoration, Permanent / Q000379:methods*; D006801:Humans; D008137:Longitudinal Studies; D008963:Molar; D017063:Outcome Assessment, Health Care; D019279:Resin Cements; D014520:Urethane
D003188:Composite Resins; D003722:Dental Alloys; D019279:Resin Cements; C056413:Occlusin; C072651:Solilanova; C048711:P-30 composite resin; C031359:New True Dentalloy; D014520:Urethane; D003723:Dental Amalgam; C072674:Clearfil Posterior