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Indicators of the risk mechanics for Class-I and Class-II amalgam and composite resin restorations
Fernández, Eduardo; Arroyo, Erik Dreyer; Pardo, Claudia Letelier; Oliveira Junior, Osmir Batista; Cortés, Gustavo Moncada & Casielles, Javier Martín
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 sub-divided 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.
Keywords
risk management; composite resins; dental amalgam
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