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Clinical performance during 48?months of two current glass ionomer restorative systems with coatings: a randomized clinical trial in the field

机译:现有的两种带涂层的玻璃离聚物修复系统在48个月内的临床表现:该领域的一项随机临床试验

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Background This study was carried out as a prospective clinical field study with the aim of evaluating the clinical performance of Equia Fil? with a nanofilled resin coating and the conventional Fuji IX GP? fast with an LC coating according to the World Dental Federation (FDI) restoration material evaluation criteria. Methods The clinical performance of Equia Fil? and Fuji IX GP? fast was evaluated on permanent posterior teeth of 643 adult patients aged between 20 to 80?years old in randomly selected clinics across Germany. Occlusal cavities in posterior permanent teeth were restored with Equia Fil? with a nanofilled, light-cured resin coating ( n =?515) and Fuji IX GP? fast with an LC coating ( n =?486). Direct clinical assessment as well as photographic assessment and assessment of stone casts of the restorations were made at 1?year, 2?years, 3?years, and 4?years. Results In 4?years, a total of 1001 fillings from both materials were placed by 111 dentists in 643 patients. Random slope models showed that the Equia filling system had overall lower odds of obtaining a delta event (material needs replacement) in comparison to Fuji IX GP? fast with an LC coating within all models. In both materials, filling size/surface was the most important component affecting the clinical performance of the materials. When measuring the odds of obtaining a delta event (material needs replacement), the odds ratios jumped to approximately 43 and 296 times for class II (two surfaces) and class II mesial-occlusal-distal (three surfaces) respectively in comparison to class I fillings. Conclusion Both materials showed similar good overall performance in class I cavities; however, when including numbers from both class I and II fillings, the Equia system with a nanofilled resin coating showed better overall performance with fewer failures in all the follow-up intervals. Nonetheless, the percentage of unsatisfactory to poor fillings according to the FDI criteria was relatively high in two-surface class II fillings and higher in three-surface class II fillings for both materials. Trial registration Deutsches Register Klinischer Studien (German Clinical Trials Register): DRKS00004220. ( www.?germanctr.?de ). Registration date: 6 Sept 2012.
机译:背景本研究是一项前瞻性临床研究,旨在评估Equia Fil?的临床表现。带有纳米填充树脂涂层和传统的Fuji IX GP?根据世界牙科联合会(FDI)修复材料评估标准使用LC涂层快速固定。方法Equia Fil?的临床表现?和富士IX GP?在德国随机选择的诊所中,对643名年龄在20至80岁之间的成年患者的恒牙后牙进行了快速禁食评估。用Equia Fil?修复后恒牙的咬合腔纳米填充的光固化树脂涂层(n =?515)和Fuji IX GP?用LC涂层快速固定(n =?486)。在1?年,2?年,3?年和4?年进行直接临床评估以及照相评估以及对修复体石铸件的评估。结果在4年中,由111位牙医在643例患者中共放置了1001种填充物。随机斜率模型表明,与Fuji IX GP?相比,Equia灌装系统获得增量事件(材料需要更换)的总体可能性更低。所有型号的LC涂层均可快速完成。在两种材料中,填充尺寸/表面都是影响材料临床性能的最重要组成部分。在测量获得增量事件(材料需要更换)的几率时,与I类相比,II类(两个表面)和II类近中牙合-远侧(三个表面)的几率分别跃升至约43和296倍馅料。结论两种材料在I类腔中均表现出相似的良好总体性能;但是,当同时包括I类和II类填充物的数量时,带有纳米填充树脂涂层的Equia系统显示出更好的整体性能,并且在所有后续间隔中的故障更少。然而,对于两种材料,根据FDI标准,不满意填充与不良填充的比例在两面II类填充物中相对较高,而在三面II类填充物中则较高。试验注册Deutsches Register Klinischer Studien(德国临床试验注册):DRKS00004220。 (www.?germanctr.?de)。注册日期:2012年9月6日。

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