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

Autor: Koichi Shinkai, Masaomi Ikeda, Antonin Tichy, Hiromi Sasazaki, Makoto Morigami, Shisei Kubo, Masao Hanabusa, Shigeru Uno, Akitomo Rikuta, Junpei Sugizaki, Hirofumi Yatani, Takatsugu Yamamoto, Kazushi Yoshikawa, Morioki Fujitani, Toshio Maseki, Kaori Satoh, Toru Nikaido, Keiichi Hosaka
Rok vydání: 2021
Předmět:
Zdroj: Dental materials journal. 40(5)
ISSN: 1881-1361
Popis: 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.
Databáze: OpenAIRE