Two-year clinical performance of an alkasite direct restorative material in Class I and II cavities without using an adhesive resin: A prospective single-arm clinical trial.

IF 0.9 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE American journal of dentistry Pub Date : 2024-12-01
Funda Ö Bozkurt, Tuğba Toz-Akalin, Alev Özsoy-Kaner, Mahmut Kuşdemir, Mutlu Özcan
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引用次数: 0

Abstract

Purpose: To evaluate the clinical performance of an alkasite material for Class I and Class II cavities.

Methods: 50 subjects (30 females, 20 males; mean age: 28.7) referred to the Department of Restorative Dentistry, Medipol University, Dental School, Istanbul, Turkey, received 89 Class I and II restorations (Cention N) by two trained operators. All restorations were made in bulk application without an adhesive resin and without photo-polymerization.

Results: 65 restorations were followed in 37 subjects at a 2-year recall. The mean observation period was 27.6 months. 24 restorations (13 subjects) were not followed up at the 2-year recall and were considered as drop out. The restorations were made either due to primary caries (n= 73) or restoration replacement (n= 16). 89 restorations were placed of which 51 were in the maxilla and 38 in the mandible. In deep cavities, a cavity liner was applied (with n= 53; without n= 36). Hypersensitivity was observed in nine cases that disappeared at the latest after 1 month. No debonding, no fracture, and no endodontic complications were observed at 6-month and 1-year recalls whereas four partial retention losses and one pulpal complication occurred at the 2-year recall. The overall survival rate was 88.9% with a mean observation time of 27.6 months (Kaplan-Meier, Log Rank; Mantel-Cox) (95%CI=31.07-32.25).

Clinical significance: This study provided promising evidence for application of alkasite material applied in bulk without retentive features, etching or an adhesive system.

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一种不使用粘接树脂的碱石直接修复材料在I类和II类蛀牙中的两年临床表现:一项前瞻性单臂临床试验。
目的:评价一种碱土材料治疗一类和二类蛀牙的临床性能。方法:50例受试者(女性30例,男性20例;平均年龄:28.7岁)转介至土耳其伊斯坦布尔Medipol大学牙科学院修复牙科系,由两名训练有素的操作员接受89例I级和II级修复(类别N)。所有修复体都是在没有粘合剂树脂和光聚合的情况下批量应用的。结果:37名受试者在2年回顾时随访了65个修复体。平均观察期27.6个月。24个修复体(13名受试者)在2年召回时没有随访,被认为是退出。由于原发性龋齿(n= 73)或更换修复体(n= 16)而进行修复。89个修复体,其中51个在上颌骨,38个在下颌骨。在深部空腔中,使用空腔衬垫(n= 53;没有n= 36)。9例出现超敏反应,最迟1个月后消失。在6个月和1年的回顾中,没有观察到脱粘、骨折和牙髓并发症,而在2年的回顾中,出现了4例部分固位丢失和1例牙髓并发症。总生存率为88.9%,平均观察时间为27.6个月(Kaplan-Meier, Log Rank;Mantel-Cox) (95% ci = 31.07 - -32.25)。临床意义:本研究为无固位、无蚀刻、无黏附系统的碱石矿材料的批量应用提供了有希望的依据。
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来源期刊
American journal of dentistry
American journal of dentistry 医学-牙科与口腔外科
CiteScore
2.40
自引率
7.10%
发文量
57
审稿时长
1 months
期刊介绍: The American Journal of Dentistry, published by Mosher & Linder, Inc., provides peer-reviewed scientific articles with clinical significance for the general dental practitioner.
期刊最新文献
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