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两种两步酸蚀-冲洗和两种两步自酸蚀黏接系统在 II 类修复中的临床评价:两年结果。

Clinical evaluation of a two-step etch&rinse and a two-step self-etch adhesive system in Class II restorations: two-year results.

机构信息

Süleyman Demirel University, Faculty of Dentistry, Department of Restorative Dentistry, Isparta, Turkey.

出版信息

Oper Dent. 2009 Nov-Dec;34(6):656-63. doi: 10.2341/08-114-C.

Abstract

OBJECTIVE

This study evaluated the clinical performance of a two-step etch&rinse and a two-step self-etch adhesive system in Class II restorations after two years of clinical service.

METHODS

Thirty-three patients with primary caries or insufficient restorations were enrolled in the study. A total of 87 Class II cavities were restored, 44 using a two-step etch&rinse adhesive system (Single Bond, 3M ESPE) and 43 cavities using a two-step self-etch adhesive (Clearfil SE Bond, Kuraray). Filtek Z250 (3M ESPE) was used as a restorative material for all the restorations. The restorations were evaluated at baseline, six months, and one and two years after placement for retention, marginal discoloration, marginal adaptation, postoperative sensitivity, secondary caries, color match and anatomical form, according to the modified Ryge criteria.

RESULTS

At two years, the retention rates for Single Bond and Clearfil SE Bond were 94% and 100%, respectively, (p = 0.493). No significant differences were found between both groups for the other parameters evaluated.

CONCLUSION

Both of the adhesive systems that were tested demonstrated similar clinical performance at the end of this two-year clinical trial.

摘要

目的

本研究评估了两步酸蚀-冲洗和两步自酸蚀黏接系统在临床应用两年后用于 II 类修复体的临床性能。

方法

本研究纳入了 33 名患有原发性龋齿或修复体不足的患者。共修复了 87 个 II 类窝洞,44 个使用两步酸蚀-冲洗黏接系统(Single Bond,3M ESPE),43 个使用两步自酸蚀黏接系统(Clearfil SE Bond,Kuraray)。所有修复体均使用 Filtek Z250(3M ESPE)作为修复材料。根据改良 Ryge 标准,在基线、6 个月、1 年和 2 年时评估黏接保留率、边缘着色、边缘适合性、术后敏感、继发龋、颜色匹配和解剖形态。

结果

两年时,Single Bond 和 Clearfil SE Bond 的保留率分别为 94%和 100%(p=0.493)。两组间其他评估参数无显著差异。

结论

在这项为期两年的临床试验结束时,两种黏接系统均表现出相似的临床性能。

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