Successful Restoration of Load-Bearing Cavities in Posterior Teeth with Direct-Replacement Resin-Based Composite

Burke, F J Trevor; Shortall, A.C.

doi:10.12968/denu.2001.28.8.388

Cited by 24 publications

(31 citation statements)

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“…5 In this respect, a number of manufacturers have introduced so-called 'packable' materials, which, along with recently introduced sectional matrix systems, may help alleviate the difficulties in achieving a good contact. 21 However, respondents to the present survey reported more difficulties in manipulation of composite than with amalgam. This could be considered to be a question of adaptation and learning, since it may be that dentists who work mainly with amalgam lack experience in using composite.…”

Section: Discussionmentioning

confidence: 52%

“…However, since 45% of respondents used a flowable composite 'base' layer and 66% used a glass-ionomer base, it would appear that total etch was used in combination with the use of these techniques in a proportion of cases. Since these techniques have been considered appropriate in a recent review, 21 it would appear that a majority of respondents have embraced contemporary concepts. On the other hand, 53% of respondents never used rubber dam.…”

Section: Discussionmentioning

confidence: 99%

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Amalgam and composite use in UK general dental practice in 2001

Burke¹,

McHugh²,

Hall³

et al. 2003

Br Dent J

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Amalgam and composite use in UK general dental practice in 2001

Burke¹,

McHugh²,

Hall³

et al. 2003

Br Dent J

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“…5 Visible light-activated materials have effectively replaced their chemically-cured precursors because they offer the operator significant clinical advantages. 10 However, a significantly lower survival rate has been reported for endodontically treated posterior teeth restored with light-activated resin-composites in comparison with chemically-activated materials. 11 The authors of this practicebased study attributed the poor results to inadequate polymerisation of the initial increment of light-activated composite in deep cavities.…”

mentioning

confidence: 99%

A pilot investigation of operator variability during intra-oral light curing

et al. 2002

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Objective To test the hypothesis that operator experience influences the efficacy of light curing in a typical posterior intra-oral location. To investigate whether short cure cycles affect performance. Design A cross-sectional single-centre study designed to assess the efficacy of experienced and inexperienced operators when undertaking simulated intra-oral curing. Setting An in vitro laboratory based investigation conducted in a dental school during 2001. Materials and methods A computer-based technique was used to monitor light intensity in a clinical simulation. Dentists and student operators were tested for their ability to cure a posterior restoration effectively. Relative light intensity was assessed against time for each operator and test run. Results Experienced (qualified) operators produced more effective and consistent cure results than less experienced undergraduate students. Operator performance was not affected by variations in irradiation time. Conclusions This cross-sectional pilot investigation demonstrates that operator experience is a factor in successful clinical photo-curing of posterior restorations. Stable and accurate light guide positioning are required throughout the entire irradiation cycle to optimise intra-oral cure of light-activated restorations. Further investigations are planned to assess the potential of this novel method of assessment for use as a routine teaching aid in clinical practice.Direct placement resin-based composites are increasingly being used as an alternative to dental amalgam for the restoration of cavities in posterior stress bearing situations. [1][2][3][4] Whilst the rate at which dentistry is entering the post amalgam-age varies according to country 1-4 the trend is set to continue as clinicians are increasingly being asked to satisfy the expectations of patients who seek safe, biocompatible and affordable tooth-coloured restorations. 3

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“…Also as at one-year, 12 the lowest number of optimal scores (84%) was for colour match, with two (2%) restorations with an obvious colour mismatch assessed. However a slight degree of mismatch in tooth coloured restorations in posterior teeth has been argued as desirable 13 and all of the patients, when questioned, were still satisfied with the appearance of the Solitaire 2 restorations.…”

Section: Discussionmentioning

confidence: 99%

Two-year evaluation of restorations of a packable composite placed in UK general dental practices

Burke¹,

Crisp

Balkenhol

et al. 2005

Br Dent J

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Objective The aim of this study was to assess the clinical performance at two years of 100 Solitaire 2 restorations placed in five United Kingdom dental practices by members of a practice-based research group. Method and materials Restorations were assessed after two years by a trained evaluator and the dental practitioner who had placed the material, for anatomic form, marginal adaptation, surface roughness, gingival condition and the presence or absence of secondary caries. In addition, the patients completed a questionnaire requesting details of the comfort and performance of the Solitaire 2 restoration(s). Results A total of 88 (58 Class II and 30 Class I) restorations of Solitaire 2 placed in 49 patients (mean age 43 years) were assessed. Twelve restorations could not be evaluated because of patient unavailability for the dates of the examinations. Two Class II restorations (2%) had failed by the time of the two-year evaluation and the remaining 86 restorations were found to be intact with no secondary caries. A high percentage of optimal scores were recorded for anatomic form and surface roughness. The colour match of two restorations (2%) was recorded as an obvious mismatch, but otherwise no unacceptable scores were recorded. Conclusions After two years of clinical service a high proportion (96%) of the Solitaire 2 restorations that were available for re-examination, placed in general dental practice settings, were found to be performing satisfactorily.

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Successful Restoration of Load-Bearing Cavities in Posterior Teeth with Direct-Replacement Resin-Based Composite

Cited by 24 publications

References 0 publications

Amalgam and composite use in UK general dental practice in 2001

Amalgam and composite use in UK general dental practice in 2001

A pilot investigation of operator variability during intra-oral light curing

Two-year evaluation of restorations of a packable composite placed in UK general dental practices

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