Bektas Donmez S, Uysal S, Dolgun A, Turgut M D
Hacettepe University Faculty of Dentistry, Department of Paediatric Dentistry, Ankara, Turkey.
Hacettepe University Faculty of Dentistry, Department of Maxillofacial Radiology, Ankara, Turkey.
Eur J Paediatr Dent. 2016 Sep;17(3):202-212.
The purpose of this study is to evaluate the clinical performance of three different restorative materials in primary teeth according to the FDI criteria.
Resin-modified glass ionomer cement, compomer and composite resin restorations (n=93) were made in 31 patients. The restorations were clinically evaluated at baseline, 6th, 12th and 18th month with the FDI criteria.
The cumulative survival rate after 18 months was found to be 90.3% for resin modified glass ionomer cement restorations, 100% for compomer restorations and 80.6% for composite resin restorations. Statistically significant increase in surface roughness, colour mismatch, anatomic form loss and marginal deterioration were detected in resin- modified glass ionomer group (p<0.05). The most frequent reason for restoration failure in composite resin group was restoration fractures.
The resin-modified glass ionomer restorations necessitates close follow-up because of the risk of increase in surface roughness, changes in colour and loss in anatomic form and marginal adaptation. The clinical performance of compomer restorations is superior to resin-modified glass ionomer and composite resin restorations in primary teeth.
本研究旨在根据国际牙科联合会（FDI）标准评估三种不同修复材料在乳牙中的临床性能。
对31例患者制作树脂改性玻璃离子水门汀、复合体和复合树脂修复体（n = 93）。根据FDI标准在基线、第6、12和18个月对修复体进行临床评估。
18个月后，树脂改性玻璃离子水门汀修复体的累积生存率为90.3%，复合体修复体为100%，复合树脂修复体为80.6%。在树脂改性玻璃离子组中检测到表面粗糙度、颜色不匹配、解剖形态丧失和边缘劣化有统计学意义的增加（p < 0.05）。复合树脂组修复失败的最常见原因是修复体折断。
由于存在表面粗糙度增加、颜色变化、解剖形态丧失和边缘适应性丧失的风险，树脂改性玻璃离子修复体需要密切随访。复合体修复体在乳牙中的临床性能优于树脂改性玻璃离子和复合树脂修复体。
