Malhotra N, Somashekar S T, Mala K, Pai V, Shenoy R
SADJ. 2013 Sep;68(8):358, 360-3.
Newer monomer systems have been introduced in an attempt to improve the success rate of direct composite restorations by minimising shrinkage.
To evaluate the in vivo performance of a silorane-based resin composite system (Filtek Silorane, also known as P90), used together with a two-step self-etch bonding system (P90 System Adhesive, Self-Etch Primer and Bond), for the restoration of Class I and Class II cavities in human permanent posterior teeth.
A total of 53 restorations were completed and patients were recalled one year later. The restorations were assessed by two ndependent clinicians, using the Modified U.S. Public Health Service evaluation criteria for the following parameters: retention, colour match, marginal discolouration, secondary caries, anatomic form, marginal adaptation, surface texture, occlusal and interproximal contacts.
Of the 41 restorations assessed at the one year follow-up, 92.7% showed clinically acceptable scores for all the parameters evaluated. Cronbach's alpha values ranged from 0.72-1.00 showing a good inter-examiner agreement and reliability.
Silorane-based composite, Filtek Silorane, when used in conjunction with the recommended adhesive system showed a clinically acceptable performance in posterior teeth restorations over a one year clinical service.
已引入更新的单体系统，试图通过最小化收缩来提高直接复合树脂修复体的成功率。
评估一种基于硅氧烷的树脂复合系统（Filtek Silorane，也称为P90）与两步自酸蚀粘结系统（P90系统粘合剂、自酸蚀底漆和粘结剂）一起用于修复人类恒牙后牙I类和II类洞的体内性能。
共完成53颗修复体，一年后召回患者。由两名独立的临床医生根据美国公共卫生服务部修订的评估标准，对修复体的以下参数进行评估：固位、颜色匹配、边缘变色、继发龋、解剖形态、边缘适应性、表面质地、咬合和邻面接触。
在一年随访时评估的41颗修复体中，92.7%在所有评估参数上的临床评分均可接受。克朗巴赫α值范围为0.72 - 1.00，表明检查者之间具有良好的一致性和可靠性。
基于硅氧烷的复合材料Filtek Silorane与推荐的粘结系统联合使用时，在一年的临床服务中，后牙修复体表现出临床可接受的性能。
