Operative Dentistry, 2010, 35-5, 500-507
AR Yazici • M Baseren • J Gorucu
Clinical RelevanceThe laser could be a promising alternative for minimally invasive occlusal resin composite cavity preparations, as its clinical performance was similar to bur-prepared composite restorations.
SUMMARYThis study evaluated the two-year clinical performance of two minimally invasive cavity preparation techniques, bur and laser, in Class I occlusal resin composite restorations.Twenty-seven patients, each having at least one pair of occlusal caries, were enrolled in this study. For each patient, one of the cavities was prepared with a diamond bur, and the other was prepared with Er, Cr:YSGG laser. The cavities were restored with a nanofilled flowable resin composite, Grandio Flow, using an etch-andrinse adhesive, Solobond M. A total of 108 restorations were placed in molars by a single operator. The restorations were evaluated according to modified Cvar/Ryge criteria. The evaluations were performed at baseline, 6, 12, 18 and 24 months after initial placement by two calibrated operators. The Chi-square and Fisher's exact test were used for statistical analysis.All the patients were available during all evaluated periods, resulting in a recall rate of 100%. The retention rates of the restorations at 24 *A Rüya Yazici, DDS, PhD, professor, Hacettepe University, Faculty of Dentistry, Department of Conservative Dentistry, Ankara, Turkey Meserret Baseren, DDS, PhD, professor, Hacettepe University, Faculty of Dentistry, Department of Conservative Dentistry, Ankara, Turkey Jale Gorucu, DDS, PhD, professor, Hacettepe University, Faculty of Dentistry, Department of Conservative Dentistry, Ankara, Turkey *Reprint request: 06100, Sihhiye, Ankara, Turkey; e-mail: ruyay@hacettepe.edu.tr DOI: 10.2341/09-339-C Yazici, Baseren & Gorucu: Clinical Comparison of Bur-and Laser-prepared Resin Composite Restorations 501 months were 98.1% for bur and 100% for the laser-prepared group. After 24 months, 5.6% of the bur-prepared and 7.4% of the laser-prepared restorations were rated Bravo in marginal discoloration (p>0.05). Bur-prepared (9.3%) and laser-prepared (13%) restorations were rated Bravo in marginal adaptation (p>0.05). There were no significant differences between the two cavity preparation techniques regarding the evaluated parameters (p>0.05).Both cavity preparation techniques performed equally, with excellent outcomes after a 24-month period.