Two-year evaluation of class II resin-modified glass ionomer cement/composite open sandwich and composite restorations.

V Vilkinis, P Hörsted-Bindslev, V Baelum

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    40 Citations (Scopus)

    Abstract

    Restorations made of a combination of resin modified glass ionomer cement (RMGIC) and composite resin (CR)--open sandwich fillings--have been recommended for use in proximal boxes of molar cavities. The aim of this study was to compare the clinical behaviour over time of RMGIC/CR sandwich restorations versus CR restorations in Class II molar cavities. During a period of 2 years, a total of 220 restorations were placed in 118 patients by one operator (VV). A random block allocation was used to allocate cavities to one of the two restorative techniques. Bitewing radiographs and photographs were taken at baseline and at annual recall appointments. At present, a total of 210 restorations have been evaluated after 1 year and 141 restorations after 2 years. All restorations were evaluated using a modification of USPHS criteria. A total of three RMGIC/CR and two CR restorations (2.8%) were rated as failures caused by endodontic complications or major fractures. Twenty-eight teeth were reported to have postoperative sensitivity at the baseline evaluation 1 week following placement. Nine RMGIC/CR (8.5%) and four CR (4.9%) restorations with minor fractures were rated Charlie but were still acceptable. Bitewing radiographs revealed progression of carious lesions in proximal surfaces of originally intact or restored teeth adjacent to five (5.9%). RMGIC/CR restorations and eight (10.9%) CR restorations. No statistically significant differences between the two types of restoration were observed with respect to marginal adaptation, discoloration and caries progression. However, a higher number of large CR filling exhibited postoperative sensitivity at baseline compared to moderate CR or extensive and moderate RMGIC/CR restorations.
    Original languageEnglish
    JournalClinical Oral Investigations
    Volume4
    Issue3
    Pages (from-to)133-9
    Number of pages6
    ISSN1432-6981
    DOIs
    Publication statusPublished - Sept 2000

    Keywords

    • Adolescent
    • Adult
    • Composite Resins
    • Dental Leakage
    • Dental Restoration Failure
    • Dental Restoration, Permanent
    • Dentin Sensitivity
    • Dentin-Bonding Agents
    • Female
    • Glass Ionomer Cements
    • Humans
    • Male
    • Marginal Adaptation (Dentistry)
    • Middle Aged
    • Molar
    • Treatment Outcome

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