Clinical effectiveness of direct resin composite restorations bonded using onestep or two-step self-etch adhesive systems: A three-year multicenter study.

Autor: Keiichi HOSAKA, Shisei KUBO, TICHY, Antonin, Masaomi IKEDA, Koichi SHINKAI, Toshio MASEKI, Akitomo RIKUTA, Hiromi SASAZAKI, Kaori SATOH, Morioki FUJITANI, Masao HANABUSA, Takatsugu YAMAMOTO, Kazushi YOSHIKAWA, Makoto MORIGAMI, Shigeru UNO, Junpei SUGIZAKI, Hirofumi YATANI, Toru NIKAIDO
Předmět:
Zdroj: Dental Materials Journal; 2021, Vol. 40 Issue 5, p1151-1159, 9p
Abstrakt: The purpose of this multicenter clinical study was to compare the mid-term clinical effectiveness of direct resin composite restorations using one-step or two-step self-etch adhesives (1-SEAs or 2-SEAs). In total, 352 restorations of class I–V cavities and non-carious cervical lesions in vital teeth (1-SEAs; 52 cases, 2-SEAs; 300 cases) were placed at nine university hospitals and evaluated according to the modified USPHS criteria at baseline, and after 1, 2, and 3 years. The recall rates were 86.6% (1 year), 80.1% (2 years), and 62.2% (3 years). Two restorations failed due to fracture during the follow-up, and there was no significant difference in survival rates between 1-SEAs (97.6%) and 2-SEAs (99.4%). However, 2-SEAs exhibited significantly lower occurrences of discoloration, marginal discoloration, fracture, and plaque retention. Moreover, the subjects reported a significantly lower postoperative hypersensitivity and higher overall satisfaction at all evaluation periods if 2-SEAs were used. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index