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Brazilian Journal of Oral Sciences
Piracicaba Dental School - UNICAMP
EISSN: 1677-3225
Vol. 13, No. 2, 2014, pp. 146-151
Bioline Code: os14028
Full paper language: English
Document type: Research Article
Document available free of charge

Brazilian Journal of Oral Sciences, Vol. 13, No. 2, 2014, pp. 146-151

 en 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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