Abstract
The purpose of this randomized, clinical study was to evaluate the clinical performance of composite resin materials used for fillings and indirect inlays. Twenty-eight sets of five class II restorations (two fillings, three inlays) were placed in 88 premolars and 52 molars in 28 adults. Brilliant Dentin and Estilux Posterior were used for both fillings and inlays, and SR-Isosit for inlays only. After 11 years, 27 sets of restorations (96%) were evaluated clinically using modified United States Public Health Service criteria. Replaced or repaired restorations were observed in 16% of the fillings and 17% of the inlays, and a further 5% of the restorations were replaced for reasons not related to the restoration. The remaining 107 restorations exhibited optimal ratings in 30% of the fillings and 12% of the inlays (P<0.05) and acceptable ratings in 70% and 88%, respectively. The reasons for failure were fracture of restoration (four fillings, five inlays), secondary caries (two fillings, four inlays), fracture of tooth (two inlays), loss of proximal contact (two fillings), and loss of restoration (one inlay). Failures were seen more frequently in molar than premolar restorations (P<0.05), with no significant difference between fillings and inlays or between the five types of restoration (P>0.05).
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References
Berg NG, Dérand T (1997) A 5-year evaluation of ceramic inlays (CEREC). Swed Dent J 21:121–127
Burke FJT, Watts DC, Wilson NHF, Wilson MA (1991) Current status and rationale for composite inlays and onlays. Br Dent J 170:269–273
Davidsson CL, deGee AJ, Feilzer A (1984) The competition between the composite-dentin bond strength and the polymerization contraction stress. J Dent Res 63:1396–1399
Dietschi D, Scampa U, Campanile G, Holz J (1995) Marginal adaptation and seal of direct and indirect Class II composite resin restorations: an in vitro evaluation. Quintessence Int 26:127–138
Donly KJ, Jensen ME, Triolo P, Chan D (1999) A clinical comparison of resin composite inlay and onlay posterior restorations and cast-gold restorations at 7 years. Quintessence Int 30:163–168
Ehrnford L, Dérand T (1984) Cervical gap formation in class II composite resin restorations. Swed Dent J 8:15–19
Ericsson Y (1959) Clinical investigation of the salivary buffering action. Acta Odontol Scand 17:131–165
Gladys S, Van Meerbeek B, Inokoshi S, Willems G, Braem M, Lambrechts P, Vanherle G (1995) Clinical and semi-quantitative marginal analysis of four tooth-coloured inlay systems at 3 years. J Dent 23:329–338
Hannig M (1996) Das Randschlussverhalten von Kompositinlays aus SR-Isosit. In-vivo Resultate nach sieben Jahren. Dtsch Zahnärztl Z 51:595–597
Heymann HO, Bayne SC, Strudevant JR, Wilder AD, Robertson TM (1996) The clinical performance of CAD-CAM-generated ceramic inlays: a four-year study. J Am Dent Assoc 127:1171–1181
Hickel R, Manhart J, García-Godoy F (2000) Clinical results and new developments of direct posterior restorations. Am J Dent 13:43–53
Krejci I, Güntert A, Lutz F (1994) Scanning electron microscopic and clinical examination of composite resin inlays/onlays up to 12 months in situ. Quintessence Int 25:403–409
Leiskar J, Henaug T, Thoresen NR, Nordbø H, von der Fehr FR (1999) Clinical performance of indirect composite resin inlays/onlays in a dental school: observations up to 34 months. Acta Odontol Scand 57:216–220
Lutz F, Krejci I, Oldenburg TR (1986) Elimination of polymerization stresses at the margins of posterior composite resin restorations: a new restorative technique. Quintessence Int 17:777–784
Mjör IA (1997) The reasons for replacement and the age of failed restorations in general dental practice. Acta Odontol Scand 55:58–63
Mühleman HR, Son S (1971) Gingival sulcus bleeding—a leading symptom in initial gingivitis. Helv Odontol Acta 15:107–113
Pallesen U, Van Dijken JWV (2000) An 8-year evaluation of sintered ceramic and glass ceramic inlays processed by the Cerec CAD/CAM system. Eur J Oral Sci 108:239–246
Peutzfeldt A, Asmussen E (1990) A comparison of accuracy in seating and gap formation for three inlay/onlay techniques. Oper Dent 15:129–135
Peutzfeldt A (2001) Indirect resin and ceramic systems. Oper Dent 26 [Suppl 6]:153–176
Qvist V (1985) Marginal adaptation of composite restorations performed in vivo with different acid-etch restorative procedures. Scand J Dent Res 93:68–75
Qvist V, Qvist J (1985) Replica patterns on composite restorations performed in vivo with different acid-etch restorative procedures. Scand J Dent Res 93:360–370
Qvist V, Thylstrup A (1989) Pulpal reactions to resin restorations. In: Anusavice KJ (ed) Quality evaluation of dental restorations. Quintessence, Chicago, pp 291–299
Qvist V, Qvist J, Mjör IA (1990) Placement and longevity of tooth colored restorations in Denmark. Acta Odontol Scand 48:305–311
Qvist V (1993) Resin restorations: leakage, bacteria, pulp. Endod Dent Traumatol 9:127–152
Qvist V, Strøm C (1993) 11-Year assessment of class-III resin restorations completed with two restorative procedures. Acta Odontol Scand 51:253–262
Scheibenbogen-Fuchsbrunner A, Manhart J, Kremers L, Kunzelmann K-H, Hickel R (1999) Two-year clinical evaluation of direct and indirect composite restorations in posterior teeth. J Prosthet Dent 82:391–397
Siegel S, Castellan NJ (1988) Nonparametric statistics for the behavioural sciences, 2nd edn. McGraw-Hill, New York, pp 80–87, 111–124, 174–183
Sillness J, Löe H (1964) Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22:121–135
Sjögren G, Molin M, Van Dijken JWV (1998) A 5-year clinical evaluation of ceramic inlays (Cerec) cemented with a dual-cured or chemically cured resin composite luting agent. Acta Odontol Scand 56:263-267
Thordrup M, Isidor F, Hörsted-Bindslev P (2001) A 5-year clinical study of indirect and direct resin composite and ceramic inlays. Quintessence Int 32:199–205
Van Dijken JWV (1986) A clinical evaluation of anterior conventional, microfiller and hybrid composite resin fillings. A 6-year follow-up study. Acta Odontol Scand 44:357–367
Van Dijken JWV (1994) A 6-year evaluation of a direct composite resin inlay/onlay and glass ionomer cement-composite resin sandwich restorations. Acta Odontol Scand 52:368-376
Van Dijken JWV, Höglund-Åberg C, Olofsson AL (1998) Fired ceramic inlays: a 6-year follow-up. J Dent 26:219–225
Van Dijken JWV (2000) Direct resin composite inlays/onlays: an 11 year follow-up. J Dent 28:299–306
Van Meerbeek B, Inokoshi S, Willems G, Noack MJ, Braem M, Lambrechts P, Roulet J-F, Vanherle G (1992) Marginal adaptation of four tooth-coloured inlay systems in vivo. J Dent 20:18–26
Versluis A, Douglas WH, Cross M, Sakaguchi RL (1996) Does an incremental filling technique reduce polymerization shrinkage stresses? J Dent Res 75:871–878
Wassell RW, Walls AWG, McCabe JF (1995) Direct composite inlays versus conventional composite restorations: three-year clinical results. Br Dent J 179:343–349
Wassel RW, Walls AWG, McCabe JF (1999) Direct composite inlays versus conventional composite restorations: 5-year follow-up. J Dent 28:375–382
Wendt SL, Leinfelder KF (1992) Clinical evaluation of a heat-treated resin composite inlay: 3-year results. Am J Dent 5:258–262
Acknoweldgements
The authors gratefully acknowledge the financial support of the Health Insurance Fund, Denmark (grant nos. 11/205-92, 11/070-94, 11/093-95, and 11/103-96) and the support of the manufacturers through the donation of materials.
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Pallesen, U., Qvist, V. Composite resin fillings and inlays. An 11-year evaluation. Clin Oral Invest 7, 71–79 (2003). https://doi.org/10.1007/s00784-003-0201-z
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DOI: https://doi.org/10.1007/s00784-003-0201-z