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Ultraconservative Sealed Restorations: Three‐year Results
Author(s) -
MertzFairhurst Eva J.,
Williams J. Earl,
Schuster George S.,
Smith C. Douglas,
Pierce Karen L.,
Mackert J. Rodway,
Sherrer Jack D.,
Wenner Karen K.,
Davis Quince B.,
Garman Thomas A.,
Ergle Janet W.
Publication year - 1991
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/j.1752-7325.1991.tb02222.x
Subject(s) - amalgam (chemistry) , sealant , dentistry , carious lesion , enamel paint , bevel , dental restoration , medicine , posterior teeth , orthodontics , materials science , chemistry , composite material , archaeology , electrode , history
The overall objective of this clinical study was to determine the feasibility of using a sealed composite restoration to arrest caries without the removal of the carious lesion and without the traditional cavity preparation. The minimal tooth preparation (a bevel in enamel) usually did not require any anesthetic injection and conserved tooth structure. These ultraconservative sealed composite restorations placed over caries (CompS/C) have been compared with ultraconservative sealed amalgam restorations (AGS) and with the traditional outline form (unsealed) amalgam restorations (AGU). This clinical study has shown that: (1) caries can be arrested by the CompS/C restoration for a period of three years; (2) the marginal integrity of the AGS restorations showed a definite trend toward improvement as compared to the AGU restorations; and (3) complete sealant retention over posterior restorations was similar in both the CompS/C and the AGS groups during the first two years; however, at Year 3 complete sealant retention was 16 percent higher in the CompS/C than in the AGS group.