Celik Cigdem, Arhun Neslihan, Yamanel Kivanc
Assistant Professor, Baskent University, School of Dentistry, Department of Conservative Dentistry, Ankara, Turkey.
Eur J Dent. 2010 Jan;4(1):57-65.
The purpose of this study was to evaluate and compare the 12 month clinical performances of two different posterior composites in Class I and Class II restorations.
Thirty-one patients (10 male, 21 female) were recruited into the study. A total of 82 Class I and Class II cavities were restored with either a nanohybrid composite (Grandio) or a low-shrinkage composite (Quixfil), using their self etch adhesives (Futura Bond and Xeno III) according to manufacturers' instructions. The restorations were clinically evaluated 1 week after placement as baseline, and after 6 and 12 months post-operatively using modified USPHS criteria by two previously calibrated operators. Statistical analysis were performed using Pearson Chi-square and Fisher's Exact Test (P<.05).
All patients attended the 12-month recall. Lack of retention was not observed in any of the restorations. With respect to color match, marginal adaptation, secondary caries and surface texture, no significant differences were found between two restorative materials tested after 12 months (P>.05). None of the restorations had marginal discoloration and anatomic form loss on the 12 month follow-up. Restorations did not exhibit post-operative sensitivity at any evaluation period.
Clinical assessment of nanohybrid (Grandio) and low-shrinkage posterior composite (Quixfil) exhibited good clinical results with predominating alpha scores after 12 months. However; further evaluations are necessary for the long-term clinical performance of these materials.
本研究旨在评估和比较两种不同的后牙复合树脂在Ⅰ类和Ⅱ类洞修复中的12个月临床性能。
31名患者(10名男性,21名女性)被纳入本研究。根据制造商的说明,使用它们各自的自酸蚀粘结剂(Futura Bond和Xeno III),用纳米混合复合树脂(Grandio)或低收缩复合树脂(Quixfil)修复总共82个Ⅰ类和Ⅱ类洞。修复体在放置1周后作为基线进行临床评估,并在术后6个月和12个月由两名预先校准的操作人员使用改良的美国公共卫生服务(USPHS)标准进行评估。使用Pearson卡方检验和Fisher精确检验进行统计分析(P<0.05)。
所有患者均参加了12个月的回访。在任何修复体中均未观察到固位丧失。在颜色匹配、边缘适合性、继发龋和表面质地方面,12个月后测试的两种修复材料之间未发现显著差异(P>0.05)。在12个月的随访中,没有修复体出现边缘变色和外形丧失。在任何评估期,修复体均未表现出术后敏感。
纳米混合复合树脂(Grandio)和低收缩后牙复合树脂(Quixfil)的临床评估在12个月后显示出良好的临床效果,主要为α级评分。然而,对于这些材料的长期临床性能,还需要进一步评估。