title: Effects of metallic or translucent matrices for Class II composite restorations: 4-year clinical follow-up findings.
abstract: This study evaluated the performance of composite restorations placed with two matrix and wedge systems 4 years after placement. In a split-mouth design, 23 patients were selected and received at least two class II restorations, one with metallic matrix and wooden wedge and the other with polyester matrix and reflective wedge. One dentist placed the 109 restorations, and all cavities were restored using Single Bond and P-60 (3M ESPE) according to the manufacturer's instructions. Polymerization was performed through occlusal (metallic matrices) or through the reflective wedge (polyester matrices). Restorations were evaluated and categorized as alpha (A), bravo (B), charlie (C), and delta (D; modified United States Public Health System criteria) at baseline and 4 years after placement. Both clinical aspects and interproximal radiographs were considered in the evaluation. Data were analyzed with Mann-Whitney and Friedman tests (α = 0.05). Fifteen subjects (78 teeth/102 proximal surfaces) were reassessed after 4 years. Considering comparisons within matrices in different evaluation time points, no significant differences were observed (p > 0.05). Comparing 4-year to baseline results, the quality of marginal adaptation (40% and 40.4 %, score A), marginal staining (31.3% and 28.8%, score A), and roughness (56% and 46.2%, score A) decreased for metallic and translucent matrices, respectively (p < 0.05), while color match (9.6%, score A), occlusal contacts (75%, score A), and proximal contacts (71.7%, score A) also decreased in quality for translucent matrices (p < 0.001). Although the matrix and wedge systems evaluated showed similar clinical performance, there was clinical quality loss after 4 years, with most of the restorations being still acceptable, and no intervention was necessary.
authors.affiliation: Department of Operative Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, 5th floor, 96015 560 Pelotas, Rio Grande do Sul, Brazil. flavio.demarco@pq.cnpq.br
authors.forename: Flávio Fernando
authors.initials: FF
authors.lastname: Demarco
authors.forename: Tatiana
authors.initials: T
authors.lastname: Pereira-Cenci
authors.forename: Dárvi
authors.initials: D
authors.lastname: de Almeida André
authors.forename: Renata Pereira
authors.initials: RP
authors.lastname: de Sousa Barbosa
authors.forename: Evandro
authors.initials: E
authors.lastname: Piva
authors.forename: Maximiliano Sérgio
authors.initials: MS
authors.lastname: Cenci
mesh_terms: D000328:Adult; D001641:Bicuspid; D003188:Composite Resins; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent / Q000145:classification / Q000295:instrumentation / Q000379:methods*; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008434:Matrix Bands; D008670:Metals; D008963:Molar; D011091:Polyesters; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D014075:Tooth Discoloration; D016896:Treatment Outcome
chemical_list: D003188:Composite Resins; D008670:Metals; C443708:P60 Condensible Resin Composite; D011091:Polyesters