Indicators of the risk mechanics for Class-I and Class-II amalgam and composite resin restorations

Abstract

Aim: To determine indicators of prognosis for mechanical risks of amalgam and composite resin restorations in permanent teeth. Methods: Thirty-nine adult patients with direct clinical, photographic, radiographic and model examinations. A total of 256 restorations were classified as "not satisfactory," with Bravo or Charlie values according to the modified Ryge /USPHS criteria. The total "n" was divided into Bravo and Charlie groups according to the value obtained in the "marginal adaptation" parameter. Each of the groups was subdivided by the type of material (amalgam and composite resins) and the class: occlusal (O) and proximal (MOD). Results: Comparing the Bravo and Charlie groups, the statistically significant indicators were: the mesiodistal dimension (p=0.037), the distal isthmus (p<0.05), the average of the isthmuses (p<0.05), the distal (p<0.05) cavity depth, and the average depth of the MOD (p<0.05) cavities. It was concluded that the type and the class of the restoration are not indicators for sampling. Conclusions: With regard to the design of the cavity preparation, the valid mechanical risk indicators include the mesiodistal dimension, the distal isthmus, the average of the isthmuses, the depth of the distal cavity and the average depth of the MOD cavities. A simple clinical assessment does not provide sufficient information to establish the indicators for mechanical failure risk of restorations.

Preferencia de los profesores de la FOULA sobre el uso de amalgama y resina como material de restauración directa en el sector posterior

“…Es posible identificar indicadores de riesgo mecánico de restauraciones defectuosas de amalgama y resina compuesta, los cuales son: clase de restauración, tipo de material restaurador y diseño de la preparación de la cavidad 12 , se presenta una tasa de fallas mayor en restauraciones donde se involucre mayor cantidad de superficies 13 . Aun así, se encontró en la literatura que en el material de restauración más susceptible donde se presenta caries recurrente es la resina compuesta debido a que estos materiales acumulan más placa dental, no tienen buen sellado marginal si la técnica es incorrecta 14 .…”