Serin Buse Ayse, Yazicioglu Iffet, Deveci Ceren, Dogan Muharrem Cem
Department of Pediatric Dentistry, Faculty of Dentistry, Cukurova University, Adana, Turkey.
Eur Oral Res. 2019 Sep;53(3):119-124. doi: 10.26650/eor.20190025. Epub 2019 Sep 1.
The aim of this study was to evaluate and compare the 1 year clinical performances of a self-adhering flowable composite and a commercially available self-etch adhesive/composite system in occlusal restorations of primary second molars.
Thirty-one patients (10 male, 21 female) were recruited into the study. A total of 62 occlusal cavities were restored with either a universal composite or a self-adhering flowable composite according to manufacturers' instructions. The restorations were clinically evaluated 1 month after placement as baseline, and after 3, 6 months and 1 year post-operatively using modified USPHS criteria by two operators.
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 1 year. None of the restorations had marginal discoloration and anatomic form loss on the 1 year follow-up. Restorations did not exhibit post-operative sensitivity at any evaluation period.
The clinical assessment of self-adhering flowable composite exhibited good clinical results with predominating alpha scores after 1 year. Advantage of the application convenience for children is promising for self-adhered flowable composite materials in pediatric use.
本研究旨在评估和比较自粘结可流动复合树脂与市售自酸蚀粘结剂/复合树脂系统在乳磨牙咬合面修复中的1年临床性能。
招募31例患者（男10例，女21例）纳入本研究。根据制造商的说明，共62个咬合面洞形分别用通用复合树脂或自粘结可流动复合树脂进行修复。修复体在放置后1个月作为基线进行临床评估，并在术后3、6个月和1年由两名操作人员使用改良的美国公共卫生服务（USPHS）标准进行评估。
所有修复体均未观察到固位缺失。在颜色匹配、边缘适应性、继发龋和表面质地方面，1年后测试的两种修复材料之间未发现显著差异。在1年的随访中，所有修复体均未出现边缘变色和解剖形态丧失。在任何评估期，修复体均未表现出术后敏感。
自粘结可流动复合树脂的临床评估在1年后显示出良好的临床效果，α评分占主导。自粘结可流动复合材料在儿科应用中具有便于儿童使用的优势，前景广阔。
