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一项前瞻性、随机临床试验评估了高粘度玻璃离子水门汀 ART 修复体与传统树脂复合材料修复体在恒牙 II 类窝洞中的疗效:两年随访。

A prospective and randomized clinical trial evaluating the effectiveness of ART restorations with high-viscosity glass-ionomer cement versus conventional restorations with resin composite in Class II cavities of permanent teeth: two-year follow-up.

机构信息

Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Materiais Dentários, Endodontia e Dentística, Bauru, SP, Brasil.

Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo, SP, Brasil.

出版信息

J Appl Oral Sci. 2021 Mar 1;29:e20200609. doi: 10.1590/1678-7757-2020-0609. eCollection 2021.

DOI:10.1590/1678-7757-2020-0609
PMID:33656064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7934279/
Abstract

OBJECTIVE

To compare the effectiveness of ART restorations using High Viscosity Glass-ionomer cement (HVGIC) with conventional restorations using resin composite in Class II cavities of permanent teeth, in a 2-year follow-up.

METHODOLOGY

Seventy-seven restorations were made with each restorative material, Equia Fil-GC Corporation (ART restorations) and Z350-3M (conventional restoration), in 54 participants in this parallel and randomized clinical trial. Restorations were evaluated at 6 months, 1 and 2 years using the ART and the modified United States Public Health Service (USPHS) criteria. Chi-square test and Survival Analysis (p<0.05) were used for statistical analysis.

RESULTS

The success rates for ART restorations were 98.7% (6 months) and 95.8% (1 year) for both criteria. At 2 years, success rate was 92% and 90.3% when scored by the modified USPHS and ART criteria (p=0.466), respectively. The success rates for conventional restorations were 100% (6 months), 98.7% (1 year) and 91.5% (2 years) for both assessment criteria. ART restorations presented a lower survival rate by the criterion of ART (83.7%) when compared to the modified USPHS criterion of (87.8%), after 2 years (p=0.051). The survival of conventional restorations was 90.7% for both evaluation criteria.

CONCLUSION

At the 2-years follow-up evaluation, no statistically significant difference was observed between the success rate of ART restorations with HVGIC compared to conventional restorations with resin composite in Class II cavities of permanent teeth.

摘要

目的

在为期 2 年的随访中,比较使用高粘度玻璃离子水门汀(HVGIC)的 ART 修复体与使用树脂复合材料的常规修复体在恒牙 II 类窝洞中的疗效。

方法

在这项平行随机临床试验中,共有 54 名参与者分别使用两种修复材料(Equia Fil-GC 公司的 ART 修复体和 Z350-3M 的常规修复体)制作了 77 个修复体。使用 ART 和改良美国公共卫生服务(USPHS)标准在 6 个月、1 年和 2 年时对修复体进行评估。使用卡方检验和生存分析(p<0.05)进行统计分析。

结果

ART 修复体的成功率在两种标准下分别为 98.7%(6 个月)和 95.8%(1 年)。在 2 年时,根据改良 USPHS 和 ART 标准,成功率分别为 92%和 90.3%(p=0.466)。常规修复体的成功率在两种评估标准下均为 100%(6 个月)、98.7%(1 年)和 91.5%(2 年)。根据 ART 标准,ART 修复体的存活率(83.7%)低于改良 USPHS 标准(87.8%),2 年后差异有统计学意义(p=0.051)。常规修复体的存活率在两种评估标准下均为 90.7%。

结论

在 2 年的随访评估中,使用 HVGIC 的 ART 修复体与使用树脂复合材料的常规修复体在恒牙 II 类窝洞中的成功率无统计学差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79fc/7934279/4587c34e2923/1678-7757-jaos-29-e20200609-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79fc/7934279/c45763180b83/1678-7757-jaos-29-e20200609-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79fc/7934279/804a3e768087/1678-7757-jaos-29-e20200609-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79fc/7934279/4587c34e2923/1678-7757-jaos-29-e20200609-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79fc/7934279/c45763180b83/1678-7757-jaos-29-e20200609-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79fc/7934279/804a3e768087/1678-7757-jaos-29-e20200609-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79fc/7934279/4587c34e2923/1678-7757-jaos-29-e20200609-gf03.jpg

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