Objectives: The aim of this double-blind, and randomized controlled clinical trial was to evaluate the 5-year clinical performance of posterior resin composite restorations placed with the incremental filling technique [IF] or the bulk-fill technique [BF]. Two different adhesive systems were used: etch-&-rinse (ER) or self-etch (SE).
Methods: Posterior dental teeth of 72 participants (n = 236), with a cavity depth of at least 3 mm, were randomly divided into four groups.
Objectives: To predict the lifetime and fracture probability of anterior crowns made of a lithium disilicate glass-ceramic (IPS e.max CAD, LD, Ivoclar Vivadent, Liechtenstein) and a zirconia-containing lithium silicate glass-ceramic (Celtra Duo, ZLS, Dentsply Sirona, USA) under cycling loading.
Methods: Three-point bending tests were conducted to measure the viscoelastic parameters.
Objectives: The purpose of this in vitro reliability study was to determine the intra- and inter-examiner agreement of the revised FDI criteria including the categories "fracture of material and retention" (F1) and "caries at restoration margin" (B1).
Materials And Methods: Forty-nine photographs of direct tooth-coloured posterior (n = 25) and anterior (n = 24) restorations with common deficiencies were included. Ten dental experts repeated the assessment in three blinded rounds.
Objective: The present review is an update of a systematic review that has been published in 2012. Meanwhile, many new clinical trials on resin composites had been published. New materials such as bulk fill resin composites and new glass-ionomer (GIC) based materials had been introduced.
View Article and Find Full Text PDFObjective: To determine the Weibull modulus m, the characteristic strength σ,the subcritical crack growth (SCG) parameters (n &A) as well as the lifetime durability of three dental ceramic materials in water: a polycrystalline yttria-stabilized zirconia (Zenostar MT O, YSZ, Ivoclar Vivadent/Wieland, Germany), a lithium disilicate glass ceramic (IPS e.max CAD, LD, Ivoclar Vivadent, Liechtenstein), and a zirconia-containing lithium silicate glass ceramic (Celtra Duo, ZLS, Dentsply Sirona Inc, USA).
Methods: 30 specimens (Ø12 mm × 0.
Purpose: To evaluate the wear in vitro of a new ion-releasing powder/liquid polymer resin in relation to that of glass-ionomer derivatives and conventional composites.
Methods: Flat specimens (eight per material) of the ion-releasing powder/liquid polymer resin Cention N, five resin-modified glass-ionomer cements [ChemFil Rock, Equia Fil (with and without coating), Fuji II, Photac Fil, Riva], six conventional glass-ionomer cements (Fuji IX, Fuji IX GP, Ionofil Molar, Ketac Fil Plus, Ketac Molar, Ketac Universal), and two popular conventional resin composites (CeramX, Filtek Z350 XT) were processed and luted to aluminum holders. After storage in water at 37°C for 24 hours, the specimens were polished to 2,500 grit and subjected to the Ivoclar wear method, which mainly simulates attrition wear using a commercially available chewing simulator.
Objective: A systematic review and a meta-analysis were performed to answer the following research question: Are there differences in the color match and surface texture of nanofilled/nanohybrid and hybrid composite in patients with direct posterior restorations?
Data: Randomized clinical trials that compared nanofilled/nanohybrid and hybrid composite in direct restoration in posterior teeth were included. For the analysis of the bias the risk of bias tool (RoB) was used. Meta-analyses of different pairs (nanofilled vs.
Objective: To measure the press-on force during the polishing of composite restorations carried out by 10 dentists in a clinically simulated procedure.
Methods: Composite restorations (Tetric EvoCeram Bulk Fill) were placed in standardized Class II two-surface cavities in first upper acrylic molars. The surfaces were roughened by sandblasting (50μm, 1bar).
This review focusses on tribological aspects of teeth during function, the clinical significance of wear, wear of natural teeth and restorative materials and laboratory methods to simulate wear of restorative materials. Ceramic, metal alloy and amalgam show low material wear, whereas resin-based materials demonstrate substantial wear in the long term. The clinical wear shows a high variability with the patient factor accounts for about 50% of the variability.
View Article and Find Full Text PDFObjective: To evaluate a range of mechanical parameters of composite resins and compare the data to the frequency of fractures and wear in clinical studies.
Methods: Based on a search of PubMed and SCOPUS, clinical studies on posterior composite restorations were investigated with regard to bias by two independent reviewers using Cochrane Collaboration's tool for assessing risk of bias in randomized trials. The target variables were chipping and/or fracture, loss of anatomical form (wear) and a combination of both (summary clinical index).
Purpose: To meta-analyze the literature on the clinical performance of Class V restorations to assess the factors that influence retention, marginal integrity, and marginal discoloration of cervical lesions restored with composite resins, glass-ionomer-cement-based materials [glass-ionomer cement (GIC) and resin-modified glass ionomers (RMGICs)], and polyacid-modified resin composites (PMRC).
Materials And Methods: The English literature was searched (MEDLINE and SCOPUS) for prospective clinical trials on cervical restorations with an observation period of at least 18 months. The studies had to report about retention, marginal discoloration, marginal integrity, and marginal caries and include a description of the operative technique (beveling of enamel, roughening of dentin, type of isolation).
Aims: There is no standard test to determine the fatigue resistance of denture teeth. With the increasing number of patients with implant-retained dentures the mechanical strength of the denture teeth requires more attention and valid laboratory test set-ups. The purpose of the present study was to determine the fatigue resistance of various denture teeth using a dynamic load testing machine.
View Article and Find Full Text PDFPurpose: To evaluate the marginal quality of composite resin restorations placed in extracted molars either in bulk (4 mm) or three increments.
Materials And Methods: Sixteen extracted mandibular molars were selected and two two-surface cavities were prepared in each tooth (proximal depth 4 mm, occlusal width 5 mm). On one side of the tooth, Tetric EvoCeram Bulk Fill (Ivoclar Vivadent) was applied in a single increment; on the other side, Tetric EvoCeram (Ivoclar Vivadent) was applied in three increments: a horizontal gingival, an oblique buccal, and an oblique lingual increment.
Objectives: This is the first meta-analysis on the efficacy of composite resin restorations in anterior teeth. The objective of the present meta-analysis was to verify whether specific material classes, tooth conditioning methods and operational procedures influence the result for Class III and Class IV restorations.
Material And Methods: The database SCOPUS and PubMed were searched for clinical trials on anterior resin composites without restricting the search to the year of publication.
Objective: To evaluate the variability of bond strength test results of adhesive systems (AS) and to correlate the results with clinical parameters of clinical studies investigating cervical restorations.
Materials And Methods: Regarding the clinical studies, the internal database which had previously been used for a meta-analysis on cervical restorations was updated with clinical studies published between 2008 and 2012 by searching the PubMed and SCOPUS databases. PubMed and the International Association for Dental Research abstracts online were searched for laboratory studies on microtensile, macrotensile and macroshear bond strength tests.
Objective: When we examined a previously published prospective multi-center clinical trial in which complete denture-wearers were followed over a period of 2 years, we found that about 30% of the variability in the clinical wear data of denture teeth was due to unknown characteristics of the subjects. In the second part of the study, we try to identify which patient- and therapy-related factors may explain some of this variability.
Methods: The clinical wear data of denture teeth at different recall times (6, 12, 18, 24 months) in 89 subjects (at baseline) were correlated with the following parameters, which may all have an influence on the wear of denture teeth: age, gender, bruxism as reported by the subjects, number of prostheses used so far, time since last extraction, smoking, fit of dentures as judged by the subject and the clinician, average denture wearing time and wearing of denture during the night.
Objective: The purpose of this study was to compare the use of different variables to measure the clinical wear of two denture tooth materials in two analysis centers.
Methods: Twelve edentulous patients were provided with full dentures. Two different denture tooth materials (experimental material and control) were placed randomly in accordance with the split-mouth design.
Objective: (1) To quantify wear of two different denture tooth materials in vivo with two study designs, (2) to relate tooth variables to vertical loss.
Methods: Two different denture tooth materials had been used (experimental material=test; DCL=control). In study 1 (split-mouth, 6 test centers) 60 subjects received complete dentures, in study 2 (two-arm, 1 test center) 29 subjects.
Purpose: More than five hundred million direct dental restorations are placed each year worldwide. In about 55% of the cases, resin composites or compomers are used, and in 45% amalgam. The longevity of posterior resin restorations is well documented.
View Article and Find Full Text PDFDental adhesive systems should provide a variety of capabilities, such as bonding of artificial materials to dentin and enamel, sealing of dentinal tubules, reduction of post-operative sensitivity and marginal sealing to reduce marginal staining and caries. In the laboratory, numerous surrogate parameters that should predict the performance of different materials, material combinations and operative techniques are assessed. These surrogate parameters include bond strength tests of various kinds, evaluation of microleakage with tracer penetration between restorative and tooth, two-dimensional analysis of marginal quality with microscopes and mapping of the micromorphology of the bonding interface.
View Article and Find Full Text PDFObjective: The aim of this in vitro study was to evaluate the influence of different finishing procedures on the wear behavior of zirconia against natural enamel.
Methods: 64 quadratic specimens (10 mm × 10 mm × 2 mm) were cut from a commercial hipped dental Y-TZP ceramic. Four different groups with 16 specimens each were formed according to the following finishing procedures: PZ (polished), RR (fine-grit diamond), GR (coarse-grit diamond), GZ (glazed).
In the third part of this review of laboratory testing, methods of testing adhesive systems are evaluated. Test set-ups that are used to analyze the restorative material in combination with the adhesive system are presented. Currently, there is no standardized protocol available for the evaluation of adhesives.
View Article and Find Full Text PDFObjective: To correlate different laboratory wear simulation protocols for three denture tooth materials with clinical wear results of the same materials.
Methods: Three denture tooth materials were evaluated for which clinical wear data of posterior denture teeth were available: DCL (double cross-linked PMMA with organic fillers; Ivoclar Vivadent), experimental material EM (double cross-linked PMMA with organic fillers; Ivoclar Vivadent), and NFC (PMMA with inorganic nanofillers, Candulor). The clinical data on the three denture tooth materials (10 subjects for each material) came from clinical studies conducted at three different locations.