A Long-Term Evaluation of Alternative Treatments to Replacement of Resin-based Composite Restorations

Gordan, Valeria V.; Garvan, Cynthia Wilson; Blaser, P; Mondragon, Eduardo; Mjör, Ivar A.

doi:10.14219/jada.archive.2009.0098

Cited by 110 publications

(111 citation statements)

References 19 publications

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“…Importantly, repairing is no longer considered to be substandard patchwork dentistry; instead, the teaching of repairing restorations has been introduced into the classroom in universities [6]. In vitro studies have found that repaired restorations have even higher survival rates than replaced restorations [7]. Since the 1970s, research has started to include the possibility of repairing resinbased composites.…”

Section: Introductionmentioning

confidence: 99%

Comparative approach to analyse the effects of different surface treatments on CAD/CAM resin nanoceramics–resin composite repair bond strength

Tınastepe¹,

Türkeş

Kazazoğlu

2017

Biotechnology & Biotechnological Equipment

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Limited data are available on the repair bond strength between computer-aided design and manufacturing (CAD/CAM) resin nanoceramics and composite repair materials. Therefore, the purpose of this study was to test the influence of several different surface treatment modalities, intermediate agents and phosphoric acid on the shear bond strength (SBS) of repair composites with water-aged CAD/CAM resin nanoceramics. Three pretreatment and four conditioning methods comprised 12 different groups. A universal testing machine was used to test the SBS. Specimens were examined with a stereomicroscope and scanning electron microscope to determine the fracture mode. The results showed that a combination of the pretreatment and conditioning methods significantly enhanced the SBS of the resin nanoceramic (p:0.001; p < 0.01), while etching with phosphoric acid did not affect the SBS (p:0.841; p > 0.05). This study showed that surface pretreatment in combination with a conditioning method should be used in the repair of CAD/CAM nanoceramics. The highest SBS values were achieved by grinding the surface with a diamond bur followed by silane and adhesive application, whereas the lowest values were obtained in the non-conditioned non-pretreated group.

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Section: Introductionmentioning

confidence: 99%

Comparative approach to analyse the effects of different surface treatments on CAD/CAM resin nanoceramics–resin composite repair bond strength

Tınastepe¹,

Türkeş

Kazazoğlu

2017

Biotechnology & Biotechnological Equipment

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“…This performance was based on the following parameters: marginal adaptation, secondary caries, and anatomy [22]. It should be noted that the repair of composite should be the treatment of choice when it is clinically indicated, since it is a minimally invasive treatment that can increase consistently longevity of the restoration [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. The success of direct adhesive restorations depends directly on the formation and stability of an excellent hybrid layer [23].…”

Section: Discussionmentioning

confidence: 99%

“…Direct techniques using composite resins require the surgeon ability [5]. Some techniques are described using the diagnostic wax-up and silicone palatine guides to lead them to simulate the aesthetic of work and occlusal function pre-establishment during planning [5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Conservative Technique for Restoration of Anterior Teeth: Clinical Case Report

Novais¹

2017

JDHODT

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This work aims to present a technique for resolving cases with aesthetic requirements using guides that facilitates the implementation of restorative procedures without the need for high manual sculpture skill to dental professional and reduced time. Fractures and wear tooth, poor dental position, trauma and dissatisfaction aesthetics are the major causes of seeking patients by the dentist. All these problems could be rehabilitated with indirect or direct restorations. The choice of the ideal material should consider some factors, such as the rehabilitation area, space available, the aesthetical potential of each material, the translucency of the adjacent teeth, type of reminiscent and antagonist that occlude with the new restoration. Direct restorations have good predictability, resistance load, longevity and compared with indirect restorations have greater preservation of dental tissues, low cost and fewer clinical sessions. However, restorative aesthetic works mainly require skill and practice of the dentist. The clinical case shows an alternative technique for performing aesthetic rehabilitation treatment with direct restorations with resin composite. The described technique was an excellent choice to ensure proper sculpture and anatomy of the anterior teeth. Respecting the principles of adhesion and operative procedures for performing direct restorations was possible to obtain an aesthetic and functional result favorable in less time.

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“…4 In recent times, with more insight into cariology, tooth longevity, dental biology, and dental materials science, a minimally invasive philosophy has prevailed, and the advantages of repairing rather than replacing restorations have been progressively emphasized. [5][6][7][8][9][10][11] Complete restoration replacement has the disadvantages of being time-consuming, leading to unnecessary removal of healthy tooth tissue, including in areas away from the localized defects. Unnecessary removal of sound tooth tissue may result in enlarged preparation and restoration size, which could alter the proposed treatment plan and possibly result in irreversible injuries to pulp tissues.…”

Section: Introductionmentioning

confidence: 99%

“…7,8,[12][13][14][15] During recent years, new strategies such as repair and refinishing or sealing of localized defects have shown an overall improvement in the clinical properties of defective restorations, thereby increasing their longevity through minimal intervention. 9,[15][16][17] Whenever possible, repair of restorations can be more cost-effective and acceptable to patients than restoration replacement. Because it preserves tooth structure, it has the potential to allow patients to retain most of their teeth during their lifetime.…”

Section: Introductionmentioning

confidence: 99%

Minimal Invasive Treatment for Defective Restorations: Five-Year Results Using Sealants

Martín

Fernández

Estay

et al. 2013

Operative Dentistry

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SUMMARY Replacement of dental restorations has been the traditional treatment for restorations that are defective. In this five-year randomized clinical trial, restorations with localized marginal defects were treated with sealants. Thirty-two patients (mean age, 26.8 years) with 126 Class I and Class II restorations with defective margins (amalgam n=69 and resin-based composite n=57) were recruited. Treatment was seal with pit and fissure sealant on localized marginal defects (group A: n=43) and was compared with total restoration replacement (group B: n=40) and untreated restorations (group C: n=43) as negative and positive controls. Restorations were assessed by two examiners using the modified US Public Health Service criteria, observing five clinical parameters: marginal adaptation, roughness, marginal stain, teeth sensitivity, and secondary caries at baseline and at five years after treatment. At the five-year recall examination, 23 patients with 90 restorations (71.4% recall rate) were examined. A significant improvement was observed in the marginal adaptation of the restorations in group A compared with group B. None of the treated group showed trends to downgrade in any parameter. Tooth sensitivity and secondary caries showed a low frequency in all groups. No significant difference in marginal adaptation of the restorations was found between amalgam and resin-based composite restorations (p=0.191). This study demonstrated that marginal sealing of restorations is a minimally invasive treatment that may be used instead of the replacement of restorations with localized marginal defects.

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A Long-Term Evaluation of Alternative Treatments to Replacement of Resin-based Composite Restorations

Cited by 110 publications

References 19 publications

Comparative approach to analyse the effects of different surface treatments on CAD/CAM resin nanoceramics–resin composite repair bond strength

Comparative approach to analyse the effects of different surface treatments on CAD/CAM resin nanoceramics–resin composite repair bond strength

Conservative Technique for Restoration of Anterior Teeth: Clinical Case Report

Minimal Invasive Treatment for Defective Restorations: Five-Year Results Using Sealants

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