ABSTRACT
The overall objective of this clinical study was to determine the feasibility of using a sealed composite restoration to arrest caries without the removal of the carious lesion and without the traditional cavity preparation. The minimal tooth preparation (a bevel in enamel) usually did not require any anesthetic injection and conserved tooth structure. These ultraconservative sealed composite restorations placed over caries (CompS/C) have been compared with ultraconservative sealed amalgam restorations (AGS) and with the traditional outline form (unsealed) amalgam restorations (AGU). This clinical study has shown that: (1) caries can be arrested by the CompS/C restoration for a period of three years; (2) the marginal integrity of the AGS restorations showed a definite trend toward improvement as compared to the AGU restorations; and (3) complete sealant retention over posterior restorations was similar in both the CompS/C and the AGS groups during the first two years; however, at Year 3 complete sealant retention was 16 percent higher in the CompS/C than in the AGS group.
Subject(s)
Composite Resins , Dental Amalgam , Dental Caries/prevention & control , Dental Restoration, Permanent/methods , Adolescent , Adult , Child , Color , Composite Resins/chemistry , Dental Amalgam/chemistry , Dental Bonding , Dental Caries/diagnostic imaging , Dental Caries/pathology , Dental Cavity Preparation/methods , Dental Enamel/diagnostic imaging , Dental Enamel/pathology , Dentin/diagnostic imaging , Dentin/pathology , Female , Follow-Up Studies , Humans , Male , Middle Aged , Radiography , Surface Properties , Time FactorsABSTRACT
Twenty-two pairs of extensive amalgam restorations were placed in 19 patients. One amalgam of each pair had self-threading pin retention, and the other had dentinal slot retention. Evaluations were done at baseline, at one, and two years. After two years, 17 pairs of amalgams were available for evaluations. The data obtained can be summarized as follows: 100% (17) of the slot-retained amalgams were clinically acceptable, whereas 94.1% (16) of the pin-retained amalgams were acceptable. It can be concluded that, in clinical usage, dentinal slot retention is as effective as self-threading pin retention in extensive amalgam restorations.
Subject(s)
Dental Pins , Dental Restoration, Permanent , Adult , Dental Amalgam , Dentin/anatomy & histology , Evaluation Studies as Topic , Humans , Time FactorsSubject(s)
Composite Resins , Glass , Quartz , Silicon Dioxide , Contrast Media , Dental Bonding , Dental Restoration, Permanent , Evaluation Studies as Topic , Humans , Particle Size , Surface PropertiesABSTRACT
A laboratory study has shown that the first-half of self-shearing 2-in-1 self-threading pins, sizes 0.031 inch and 0.024 inch, fail to reach full channel depth when placed with either a hand wrench or an Auto Klutch handpiece. The average discrepancy of penetration is about 0.75 mm. This discrepancy in seating results in a significant excess pin length extending into the tooth preparation, which compromises the strength characteristics of the amalgam restoration.
Subject(s)
Dental Pins , Dentin/anatomy & histology , Dental Amalgam , Dental Cavity Preparation , Dental Stress Analysis , Surface PropertiesABSTRACT
Twenty-four maxillary anterior composite restorations from a clinical study of resin coating were examined at the time of baseline evaluation and at 23 months; electroplated positive replicas, impression negative replicas, and SEMs were used for evaluation. Coated restorations had smooth surfaces after 23 months, in comparison with rough surfaces of uncoated restorations. Defects in some of the resin coatings were found at the time of baseline evaluation; these included isolated areas of the composite or etched enamel that were not covered by the resin. Later examinations showed cracking of part of the edges of resin coating, development of bare areas, thinning of the coating edges, or generalized loss of the protective coating. The defects seen immediately after placement of the coatings were probably caused by errors in technique that include: application of the resin in a layer that was too thin; surface contaminants in the area of application; moisture on the surface of the composite or enamel; and areas of inadequate enamel etching were adjacent to the cavosurface margin of the composite. The appearance of bare spots or total loss or thinning of the resin coating edges during the later examinations is caused by wearing or abrading of the resin coatings from natural or mechanical causes. This seems to be a function of the initial coating thickness and its location on the tooth.
Subject(s)
Acrylic Resins , Composite Resins , Acid Etching, Dental , Evaluation Studies as Topic , Microscopy, Electron, Scanning , Surface PropertiesABSTRACT
Composite restorations containing quartz fillers have shown persistent roughness after finishing which contributes to marginal discoloration and staining. Resin finish coatings have been used to attempt to overcome this problem. This study was designed to compare the durability of two resin coating materials used on two brands of composite restorative materials. Results showed that composites glazed with resin coating finishes at placement maintained their luster, color match, and surface smoothness significantly better after one year than composites that were not coated. After a year it was concluded that composites on which the resin coating is intact maintain their color match, luster, and smoothness significantly better than uncoated composite restorations.
