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一种后牙复合树脂的5年和8年临床评估。

A 5- and 8-year clinical evaluation of a posterior composite resin.

作者信息

Barnes D M, Blank L W, Thompson V P, Holston A M, Gingell J C

机构信息

University of Maryland, Dental School, Baltimore 21201.

出版信息

Quintessence Int. 1991 Feb;22(2):143-51.

PMID:2068249
Abstract

Class I and II posterior composite resin (Ful-Fil) restorations were placed and were clinically evaluated, according to the US Public Health Service criteria, at baseline, 6 months, 5 years, and 8 years. At 5 years/8 years, alpha scores were assigned to the following percentages of restorations: 16%/31% for color match; 65%/62% for marginal discoloration; 74%/54% for cavosurface marginal discoloration; 100%/100% for axial contour; and 81%/65% for anatomic form. At 5 years/8 years, 56%/33% of Class II restorations had tight proximal contacts; 45%/44% had light contacts; and 0%/22% had no contacts. Transient postoperative sensitivity was reported in 6% of the restorations. Indirect evaluation indicated that there was an average of 64 +/- 35 microns of wear at baseline (because of overfinishing), 105 +/- 67 microns at 6 months, 217 +/- 76 microns at 5 years, and 253 +/- 82 microns at 8 years. At 5 years, three of the restorations, and at 8 years, four additional restorations, were clinically unacceptable because of recurrent caries and/or excessive wear. Final success rates of 90% and 77% at 5 and 8 years, respectively, were calculated.

摘要

I类和II类后牙复合树脂(Ful-Fil)修复体被放置好,并根据美国公共卫生服务标准在基线、6个月、5年和8年进行临床评估。在5年/8年时,对修复体的以下百分比给出了alpha评分:颜色匹配为16%/31%;边缘变色为65%/62%;洞缘边缘变色为74%/54%;轴面外形为100%/100%;解剖形态为81%/65%。在5年/8年时,56%/33%的II类修复体有紧密的邻面接触;45%/44%有轻度接触;0%/22%没有接触。6%的修复体报告有短暂的术后敏感。间接评估表明,基线时平均磨损64±35微米(由于过度打磨),6个月时为105±67微米,5年时为217±76微米,8年时为253±82微米。在5年时,有3个修复体,在8年时,又有4个修复体,因继发龋和/或过度磨损而在临床上不能接受。分别计算出5年和8年的最终成功率为90%和77%。

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