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Clinical Oral Investigations

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01-06-2016 | Original Article

Five-year clinical performance of a silorane- vs a methacrylate-based composite combined with two different adhesive approaches

Authors: Bruno Baracco, Mª Victoria Fuentes, Laura Ceballos

Published in: Clinical Oral Investigations | Issue 5/2016

Abstract

Objectives

The objective of this study was to compare the 5-year clinical performance in posterior restorations of three restorative systems including a low-shrinkage system and a methacrylate-based composite combined either with an etch-and-rinse or a self-etch adhesive.

Materials and methods

Each of 25 patients received three class I (occlusal) or class II restorations performed with each one of the three restorative systems: Filtek Silorane Restorative System including a two-step self-etch adhesive, Adper Scotchbond 1 XT (two-step etch-and-rinse adhesive) + Filtek Z250, and Adper Scotchbond SE (two-step self-etch adhesive) + Filtek Z250. All materials were applied as per manufacturer’s instructions. Two blind observers evaluated the restorations at four different moments (baseline, after 1, 2, and 5 years) according to the USPHS-modified criteria. Kruskal-Wallis and Mann-Whitney U tests were conducted to compare the behavior of the restorative systems, while Friedman and Wilcoxon tests were applied to analyze the intrasystem data (p < 0.05).

Results

After 5 years, marginal staining around the restorations with Adper Scotchbond SE + Filtek Z250 was statistically more frequent and severe than that of the restorations performed with the other two systems. Intrasystem comparisons revealed a deterioration of the marginal adaptation after 5 years for all systems. A significant number of restorations bonded with self-etch adhesives showed marginal staining after 5 years of clinical service. A deterioration of the color appearance and an increase of the surface roughness were also detected in the restorations performed with Adper Scotchbond SE + Filtek Z250.

Conclusions

A deterioration of the marginal adaptation was evidenced for all restorative systems, while marginal staining was more frequently seen only around the restorations performed with self-etch adhesives.

Clinical relevance

No advantage was found of the silorane- over the methacrylate-based composite when combined with an etch-and-rinse adhesive.

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Title: Five-year clinical performance of a silorane- vs a methacrylate-based composite combined with two different adhesive approaches
Authors: Bruno Baracco
Mª Victoria Fuentes
Laura Ceballos
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 5/2016
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-015-1591-4

At a glance: The ONWARDS insulin icodec trials

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Five-year clinical performance of a silorane- vs a methacrylate-based composite combined with two different adhesive approaches

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

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Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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