Tooth-colored filling materials for the restoration of cervical lesions: a 24-month follow-up study.
The recently developed resin-modified glass ionomer cements and the polyacid-modified composites are promising alternatives to conventional materials for restoring cervical defects. This clinical study evaluated the clinical condition of cervical fillings 24 months following placement. The study subjects were 197 cervical restorations placed on incisors, canines and premolars in 37 patients for restoration of erosion/non-carious lesions (69 cases), primary carious lesions (57 cases) and the replacement of deficient restorations (71 cases). The teeth were randomly divided into four groups for restoration with either Tetric (composite, Group A: n = 36), Dyract (compomer, Group B: n = 79), Fuji II LC (resin-modified glass ionomer cement, Group C: n = 51) or Photac-Fil (resin-modified glass ionomer cement, Group D: n = 31). The evaluation was done single-blind at baseline, 8 and 24 months after the placement of the fillings, according to a modified USPHS rating scale. The assessment criteria were color stability, anatomical form, surface texture, marginal integrity, marginal discoloration and loss of filling. Statistical analysis was completed using Pearson chi-square and Fisher's exact test at a significance level of 5% (p < 0.05). After the 24-month period, the composite restorations showed superior results. The compomer fillings demonstrated conditions that were only slightly worse. A substantial number of the resin-modified glass-ionomer fillings were evaluated with bravo or even charlie scores in respect to at least one of the criteria assessed.
Folwaczny
M
M
Department of Operative Dentistry, Ludwig-Maximilians-University, Goethestr. 70, 80336 Munich, Germany.
Loher
C
C
Mehl
A
A
Kunzelmann
K H
KH
Hinkel
R
R
D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D003116:Color; D020770:Compomers / Q000737:chemistry; D003188:Composite Resins / Q000737:chemistry; D003731:Dental Caries / Q000628:therapy; D018772:Dental Marginal Adaptation; D003764:Dental Materials / Q000737:chemistry*; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods*; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D008689:Methacrylates / Q000737:chemistry; D008875:Middle Aged; D019279:Resin Cements / Q000737:chemistry; D012117:Resins, Synthetic / Q000737:chemistry; D017640:Silicates / Q000737:chemistry; D016037:Single-Blind Method; D013223:Statistics as Topic; D013499:Surface Properties; D019237:Tooth Cervix / Q000473:pathology*; D014076:Tooth Diseases / Q000628:therapy*; D014077:Tooth Erosion / Q000628:therapy
D020770:Compomers; D003188:Composite Resins; D003764:Dental Materials; C088486:Dyract; C079765:Fuji II LC cement; D005899:Glass Ionomer Cements; D008689:Methacrylates; C081144:Photac-Fil; D019279:Resin Cements; D012117:Resins, Synthetic; D017640:Silicates; C090969:Tetric