Clinical Evaluation of Direct Cuspal Coverage with Posterior Composite Resin Restorations

Deliperi, Simone; Bardwell, David N

doi:10.1111/j.1708-8240.2006.00033.x

Cited by 51 publications

(51 citation statements)

References 31 publications

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“…In a 30-month clinical study, direct microhybrid resin composite restorations with one or two missing cusps were assessed. 15 All the restorations were retained and showed high "Alpha" scores and corroborate the findings of the current study. Additional reports and reviews support this good clinical performance of larger composite restorations, and they showed no significant difference between direct and indirect resin composite restorations.…”

Section: Discussionsupporting

confidence: 89%

“…This is in accordance with findings of previous studies. 15 Tooth sensitivity can often be found after marginal gap formation, which may lead to microleakage and caries formation. One explanation is the good C-factor in the restorations.…”

Section: Discussionmentioning

confidence: 99%

“…This also corroborates other studies that also recorded no caries despite some observed discolorations. 12,15 Figure 2. Example of a case (occlusal view): Clinical situation before treatment (A and B) and one week after the template-based vertical bite reconstruction (C and D).…”

Section: Discussionmentioning

confidence: 99%

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Three-year Evaluation of Posterior Vertical Bite Reconstruction Using Direct Resin Composite–A Case Series

Schmidlin¹,

Filli²,

Imfeld³

et al. 2009

Operative Dentistry

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The occlusion of extensively worn teeth can be restored using direct resin composite materials. The quality over a mean observation period of three years is good. The proposed method, using a wax-up-based template, can help the clinician to restore the occlusal anatomy and function. SUMMARYThe use of resin composite materials to restore the complete occlusion of worn teeth is controversial and data are scarce. In this case series, the authors report on seven cases of progressive mixed erosive/abrasive worn dentition (85 posterior teeth) that have been reconstructed with direct resin composite restorations.In all patients, either one or both tooth arches was completely restored using direct resin composite restorations. All patients were treated with standardized materials and protocols. In five patients, a wax-up-based template was used to avoid freehand build-up techniques and to ensure optimal anatomy and function. All patients were re-assessed after a mean service time of three years (mean 35 ± 5 months) using USPHS criteria. Subjective patient satisfaction was measured using visual analogue scales (VAS).The overall quality of the restorations was good, with predominantly determined "Alpha"-scores. Only the marginal quality showed small deteriorations, with "Beta" scores of 37% and 45% for marginal discoloration and integrity, respec- tively. In general, the composite showed signs of wear facets that resulted in 46% "Beta" scores within the anatomy scores. Small restoration fractures were only seen in two restorations, which were reparable. Two teeth were excluded from the evaluation, as they have been previously repaired due to fracture after biting on a nut.The results were very favorable, and the patients were satisfied with this non-invasive and economic treatment option, which still has the characteristic of a medium-term rehabilitation. The outcomes were comparable to other direct composite restorations successfully applied in adhesive dentistry.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Three-year Evaluation of Posterior Vertical Bite Reconstruction Using Direct Resin Composite–A Case Series

Schmidlin¹,

Filli²,

Imfeld³

et al. 2009

Operative Dentistry

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“…While the application of indirect composite restorations with cuspal coverage on posterior teeth has been reported to be very successful, with an 'excellent level of clinical performance' over an evaluation period of 30 months 24 among teeth not necessarily displaying signs of tooth wear, the results of a study by Bartlett and Sundaram 13 have provided less promising levels of clinical performance, where indirect cusp coverage (micro-filled) composite resin restorations were used to treat cases of posterior tooth wear among patients with tooth wear. A failure rate of 21% over an evaluation period of three years was described by the latter group; fracture and complete loss were the most common modes of failure.…”

Section: Indirect Composite Resin Restorationsmentioning

confidence: 99%

Current concepts on the management of tooth wear: part 4. An overview of the restorative techniques and dental materials commonly applied for the management of tooth wear

et al. 2012

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“…Several authors recommend cusp coverage to restore weak posterior teeth 9) . Actually, some clinical trials achieved promising results with this method for the restoration of severally destroyed posterior teeth 10,11) . However, little data are available about the effect of composite coverage on the fracture resistance of premolar teeth when the palatal cusps are defective.…”

Section: Introductionmentioning

confidence: 99%

Fracture resistance of palatal cusps defective premolars restored with polyethylene fiber and composite resin

Miao

Liu

Lee

et al. 2016

Dental Materials Journal

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Clinical Evaluation of Direct Cuspal Coverage with Posterior Composite Resin Restorations

Cited by 51 publications

References 31 publications

Three-year Evaluation of Posterior Vertical Bite Reconstruction Using Direct Resin Composite–A Case Series

Three-year Evaluation of Posterior Vertical Bite Reconstruction Using Direct Resin Composite–A Case Series

Current concepts on the management of tooth wear: part 4. An overview of the restorative techniques and dental materials commonly applied for the management of tooth wear

Fracture resistance of palatal cusps defective premolars restored with polyethylene fiber and composite resin

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