Restorative caries therapy in nursing home residents using composite resins and compomers without a rubber dam.
OBJECTIVE
This study was designed to investigate the prognosis of restorative caries therapy applied in nursing home residents.


METHODS
In 25 consecutive patients a total of 42 restorations were placed, 23 of composite resin (APX/SE Bond) and 19 of compomer (Dyract). The working conditions, such as patient cooperation, quantity of saliva, location of cavity margins, cavity size, and gingival inflammation, were evaluated prior to treatment. The restorations were evaluated qualitatively at baseline, after 6 months, and after 12 months.


RESULTS
At 12 months, all examined restorations were clinically acceptable (6 patients had died). There was no significant difference between the quality of the restorations in composite resin and compomer. The plaque scores increased significantly during the study period.


CONCLUSIONS
The study showed that, within the limitation of a short-term follow-up, restorative caries therapy using composite resin or compomer was successful in nursing home residents although rubber dam was not used.
Molinari
Christian
C
Geneva, Switzerland.
Pazos
Eunice
E
Grundman
Marc
M
Bortolotto
Tissiana
T
Krejci
Ivo
I
Budtz-Jørgensen
Ejvind
E
D000180:Acrylic Resins / Q000627:therapeutic use*; D000368:Aged; D000369:Aged, 80 and over; D020770:Compomers / Q000627:therapeutic use; D003188:Composite Resins / Q000627:therapeutic use*; D003731:Dental Caries / Q000628:therapy*; D003793:Dental Restoration, Permanent / Q000379:methods*; D004812:Epidemiologic Methods; D006801:Humans; D007326:Institutionalization; D009735:Nursing Homes; D011140:Polyurethanes / Q000627:therapeutic use*
D000180:Acrylic Resins; D020770:Compomers; C029012:Composite Dental Resin; D003188:Composite Resins; D011140:Polyurethanes