Osborne J W, Summitt J B
Department of Restorative Dentistry, University of Colorado Health Sciences Center, Denver, USA.
Am J Dent. 1996 Oct;9(5):191-4.
To assess the clinical performance of 2-year old gallium alloy restorations. Parameters evaluated include: (1) fracture at the margins, (2) tarnish, (3) surface roughness, (4) tooth fracture, (5) fracture through the body of the restoration, and (6) any medical or dental conditions arising during the study.
Nine patients received 30 Class I restorations of Galloy gallium alloy. These were placed as conservatively as possible under a rubber dam. Fifteen of the preparations were lined with a Bis-GMA resin to seal the restoration from moisture. The other 15 preparations were sealed with Amalgambond. After placement of the gallium alloy, the exposed surfaces of all restorations were sealed with the Bis-GMA resin, and the occlusion was checked. The restorations were examined at 2 weeks, 3 months, 6 months, 1 year and 2 years.
At the 2-year recall, all restorations were intact with the exception of one tooth fracture (cause unknown). Forty-five percent of the restorations exhibited tarnish and 60% had a rough surface. The fracture at the margins of these restorations was minimal, and no significant difference could be found between those using Amalgambond and those sealed with the resin system. No medical problems were reported by the patients, and postoperative sensitivity was minimal.
评估使用两年的镓合金修复体的临床性能。评估参数包括:(1)边缘折断;(2)变色;(3)表面粗糙度;(4)牙齿折断;(5)修复体主体折断;以及(6)研究期间出现的任何医学或牙科状况。
9名患者接受了30颗Galloy镓合金I类修复体。这些修复体在橡皮障下尽可能保守地放置。其中15颗预备体衬有双甲基丙烯酸缩水甘油酯(Bis-GMA)树脂以防止修复体受潮。另外15颗预备体用Amalgambond封闭。放置镓合金后,所有修复体的暴露表面均用Bis-GMA树脂封闭,并检查咬合情况。在2周、3个月、6个月、1年和2年时对修复体进行检查。
在2年的复查时,除一例牙齿折断(原因不明)外,所有修复体均完好无损。45%的修复体出现变色,60%的修复体表面粗糙。这些修复体边缘的折断情况极少,使用Amalgambond封闭的修复体与用树脂系统封闭的修复体之间未发现显著差异。患者未报告任何医学问题,术后敏感性也很低。