Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?

Abstract The purpose of this in‐vivo study was to evaluate the clinical performance of restorations placed in non‐carious cervical lesions (NCCLs), using different cavity preparation designs, after 7.7 years. A total of 85 NCCLs with coronal margins in enamel and cervical margins in dentin were rand...

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Main Authors: Anne‐Katrin Lührs, Silke Jacker‐Guhr, Hüsamettin Günay, Peggy Herrmann
Format: Article
Language:English
Published: Wiley 2020-10-01
Series:Clinical and Experimental Dental Research
Subjects:
Online Access:https://doi.org/10.1002/cre2.310
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author Anne‐Katrin Lührs
Silke Jacker‐Guhr
Hüsamettin Günay
Peggy Herrmann
author_facet Anne‐Katrin Lührs
Silke Jacker‐Guhr
Hüsamettin Günay
Peggy Herrmann
author_sort Anne‐Katrin Lührs
collection DOAJ
description Abstract The purpose of this in‐vivo study was to evaluate the clinical performance of restorations placed in non‐carious cervical lesions (NCCLs), using different cavity preparation designs, after 7.7 years. A total of 85 NCCLs with coronal margins in enamel and cervical margins in dentin were randomly assigned to the following treatment protocols: dentin surface cleaning, dentin surface roughening with round bur plus flowable composite, dentin surface roughening/cervical groove preparation with round bur, dentin surface roughening/cervical groove preparation with round bur plus flowable composite. After enamel beveling and selective enamel etching, the defects were restored with composite. The restorations were assessed by two independent, calibrated and blinded investigators, using modified USPHS criteria. At 7 years (7.7 (± 0.35)), a total of 64 restorations (75.3%) were available for follow‐up examination. The total retention rate, irrespective of the test groups, was 82.8%. Restorations placed without any preparation showed the highest loss rate (27.8%). Esthetic appearance, marginal adaptation, anatomic form and marginal discoloration did not differ significantly between the groups. Composites are long‐term stable materials for restoring NCCLs. Restorations placed without any dentin preparation (cavity cleaning only) showed the highest loss rate.
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spelling doaj.art-b63214052ebb4eaf91effcf4cab935082022-12-21T20:15:59ZengWileyClinical and Experimental Dental Research2057-43472020-10-016555856710.1002/cre2.310Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?Anne‐Katrin Lührs0Silke Jacker‐Guhr1Hüsamettin Günay2Peggy Herrmann3Department of Conservative Dentistry, Periodontology and Preventive Dentistry Hannover Medical School Hannover GermanyDepartment of Conservative Dentistry, Periodontology and Preventive Dentistry Hannover Medical School Hannover GermanyDepartment of Conservative Dentistry, Periodontology and Preventive Dentistry Hannover Medical School Hannover GermanyDepartment of Conservative Dentistry, Periodontology and Preventive Dentistry Hannover Medical School Hannover GermanyAbstract The purpose of this in‐vivo study was to evaluate the clinical performance of restorations placed in non‐carious cervical lesions (NCCLs), using different cavity preparation designs, after 7.7 years. A total of 85 NCCLs with coronal margins in enamel and cervical margins in dentin were randomly assigned to the following treatment protocols: dentin surface cleaning, dentin surface roughening with round bur plus flowable composite, dentin surface roughening/cervical groove preparation with round bur, dentin surface roughening/cervical groove preparation with round bur plus flowable composite. After enamel beveling and selective enamel etching, the defects were restored with composite. The restorations were assessed by two independent, calibrated and blinded investigators, using modified USPHS criteria. At 7 years (7.7 (± 0.35)), a total of 64 restorations (75.3%) were available for follow‐up examination. The total retention rate, irrespective of the test groups, was 82.8%. Restorations placed without any preparation showed the highest loss rate (27.8%). Esthetic appearance, marginal adaptation, anatomic form and marginal discoloration did not differ significantly between the groups. Composites are long‐term stable materials for restoring NCCLs. Restorations placed without any dentin preparation (cavity cleaning only) showed the highest loss rate.https://doi.org/10.1002/cre2.310cavity preparation designclass V‐lesionsin‐vivo studyNCCLnon‐carious cervical lesionsUSPHS criteria
spellingShingle Anne‐Katrin Lührs
Silke Jacker‐Guhr
Hüsamettin Günay
Peggy Herrmann
Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?
Clinical and Experimental Dental Research
cavity preparation design
class V‐lesions
in‐vivo study
NCCL
non‐carious cervical lesions
USPHS criteria
title Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?
title_full Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?
title_fullStr Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?
title_full_unstemmed Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?
title_short Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?
title_sort composite restorations placed in non carious cervical lesions which cavity preparation is clinically reliable
topic cavity preparation design
class V‐lesions
in‐vivo study
NCCL
non‐carious cervical lesions
USPHS criteria
url https://doi.org/10.1002/cre2.310
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