0315 Micromorphological evaluation of posterior composite restorations after two years
L. BOECKLER, C.R. GERNHARDT, and H.-G. SCHALLER, Martin-Luther-University Halle-Wittenberg, Germany

Objectives: The aim of the present study was to compare the micromorphological data of class I and II restorations placed with the self etch adhesive AdheSE and the well established adhesive Excite in combination with Tetric Ceram HB after 2 years. Methods: A total of 8 class I and 32 class II restorations were placed in 20 patients. All materials were used according to the manufacture's instructions following a common clinical protocol. The restorations were evaluated at baseline, 6 month, 1 year and 2 years using the USPHS compatible CPM index (ranging from grade 0 to 3). The micromorphological criteria for marginal integrity (MI), excess of material (EM), marginal fracture (MF), negative marginal ledge (NML), and marginal leakage (ML) were examined using gold-sputtered replicas and coded according to the M-criteria of the CPM index. Results: Regarding marginal integrity in the AdheSE group 5 restorations were judged as code 1, 10 as code 2 and 5 as code 3. In the case of Excite 3 restoration were judged as code 1, 12 as code 2 and 5 as code 3. In both groups SEM-evaluation of the marginal integrity showed no perfect restoration. The results for the other criteria are summarized in the table:

 

 MI

 EM

 MF

 NML

 ML

 Grade

 0

 1

 2

 3

 0

 1

 2

 3

 0

 1

 2

 3

 0

 1

 2

 3

 0

 1

 2

 3

 AdheSe

 0

 5

 10

 5

 20

 0

 0

 0

 9

 11

 0

 0

 1

 5

 7

 7

 9

 11

 0

 0

 Excite

 0

 3

 12

 5

 20

 0

 0

 0

 10

 10

 0

 0

 0

 7

 10

 3

 14

 6

 0

 0

Conclusions: Despite the compromised SEM results for marginal integrity and negative marginal ledge all restorations retained optimal functional characteristics after 2 years. Statistical differences between both groups could not be detected. The study was supported by Ivoclar-Vivadent.   

 

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