Can repair increase the longevity of composite resins? Results of a 10-year clinical trial

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dc.contributor.authorFernández, Eduarddo [UNESP]
dc.contributor.authorMartin, Javier [UNESP]
dc.contributor.authorVildósola, Patricio [UNESP]
dc.contributor.authorOliveira Júnior, Osmir Batista de [UNESP]
dc.contributor.authorGordan, Valéria
dc.contributor.authorMjor, I.
dc.contributor.authorBersezio, Cristian [UNESP]
dc.contributor.authorEstay, Juan [UNESP]
dc.contributor.authorAndrade, Marcelo Ferrarezi de [UNESP]
dc.contributor.authorMoncada, Gustavo [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade do Chile
dc.contributor.institutionUniversidade da Flórida (UF)
dc.contributor.institutionFacultad de Odontología Universidad Mayor
dc.date.accessioned2015-08-06T16:13:30Z
dc.date.available2015-08-06T16:13:30Z
dc.date.issued2015
dc.description.abstractThe aim of this double-blind clinical trial was to assess the longevity of repairs to localized clinical defects in composite resin restorations that were initially planned to be treated with a restoration replacement. Methods Twenty-eight patients aged 18–80 years old with 50 composite resin restorations (CR) were recruited. The restorations with localized, marginal, anatomical deficiencies and/or secondary caries adjacent to CR that were “clinically judged” to be suitable for repair or replacement according to the USPHS criteria were randomly assigned to Repair (n = 25) or Replacement (n = 25) groups, and the quality of the restorations was scored according to the modified USPHS criteria. The restorations were blind and two examiners scored them at baseline (Cohen Kappa agreement score 0.74) and at ten years (Cohen Kappa agreement score 0.87) restorations. Wilcoxon tests were performed for comparisons within the same group (95% CI), and Friedman tests were utilized for multiple comparisons between the different years within each group. Results Over the decade, the two groups behaved similarly on the parameters of marginal adaptation (MA) (p > 0.05), secondary caries (SC) (p > 0.05), anatomy (A) (p < 0.05), and colour (C) (p > 0.05). Conclusions Given that the MA, SC, A and C parameters behaved similarly in both groups, the repair of composite resins should be elected when clinically indicated, because it is a minimally invasive treatment that can consistently increase the longevity of restorations. Clinical significance The repair of defective composite resins as an alternative treatment to increase their longevity proved to be a safe and effective treatment in the long term.en
dc.description.affiliationDepartment of Restorative Dentistry, Faculty of Dentistry, University of Chile, Sergio Livingstone Pohlhammer 943, Independencia, Santiago, Chile
dc.description.affiliationRestorative Dental Sciences Department, Division of Operative Dentistry, University of Florida, College of Dentistry, PO Box 100415, Gainesville, FL 32610-0415, United States
dc.description.affiliationFaculty of Dentistry, Universidad Mayor, Alameda 2001, Santiago, Chile
dc.description.affiliationUnespUniversidade Estadual Paulista Júlio de Mesquita Filho, Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araraquara, Araraquara, Rua Humaitá, 1680, 3andar sala 310, Centro, CEP 14801903, SP, Brasil
dc.format.extent279-286
dc.identifierhttp://www.sciencedirect.com/science/article/pii/S0300571214001596
dc.identifier.citationJournal of Dentistry, v. 43, n. 2, p. 1, 2015.
dc.identifier.doi10.1016/j.jdent.2014.05.015
dc.identifier.issn0300-5712
dc.identifier.lattes2897622509429759
dc.identifier.lattes0170241211219616
dc.identifier.urihttp://hdl.handle.net/11449/125934
dc.language.isoeng
dc.relation.ispartofJournal of Dentistry
dc.relation.ispartofjcr3.770
dc.relation.ispartofsjr1,919
dc.rights.accessRightsAcesso restrito
dc.sourceCurrículo Lattes
dc.subjectComposite resinsen
dc.subjectRestorationen
dc.subjectRepairen
dc.subjectReplacementen
dc.subjectClinical trialen
dc.titleCan repair increase the longevity of composite resins? Results of a 10-year clinical trialen
dc.typeArtigo
unesp.author.lattes2897622509429759
unesp.author.lattes0170241211219616
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt
unesp.departmentOdontologia Restauradorapt

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