Clinical research of cervical non-carious lesion restoration

Abstract

The therapy of non-caries cervical lesions is an important problem in restorative dentistry, for the ambiguous aetiology, clinical diagnoses and for the selection of restorative procedure. Aim: The aim of this work was to clinically check the efficiency of non-caries cervical lesions restoration depending on materials used for restorative fillings. Materials and methods: Clinical researches covered 62 teeth of different morphology group at the patients of both gender and of different age. The restoration of gingival lesions, with no previous preparation, was done with composite adhesive system SINGLE BOND/Valux Plus (3M) (30 teeth) and with campomer DYRACT AO (Dentsplay) (32 teeth). The fillings were estimated on the checkups which took place on 3,6 and12 months applying modified criteria according to Ridge and Cvar. Results: The acquired results showed that after 3 to 6 months there were no changes at none of examined parameters and all the fillings got maximal mark A. 12 months latter, in the two cases with composite filling, the marginal adaptation got the mark B (607%). The marginal adaptation at two teeth restored with compomers got the mark B (6.3%) Postoperative sensitiveness phenomenon, marginal discoloration and secondary caries weren’t registered in none of the cases after the observation period of 12 months. Conclusion: For the restoration of non-caries cervical lesions, composite materials with suitable adhesive system and the new generation of compomers could be used.

Terapija nekarijesnih cervikalnih lezija je značajan problem u restaurativnoj stomatologiji, zbog nejasne etiologije, kliničke dijagnoze ali i izbora restaurativne procedure. Cilj: Cilj ovog rada je bio da se klinički proveri efikasnost restauracija nekarijesnih cervikalnih lezija zuba u zavisnosti od korišćenih materijala za restaurativne ispune. Materijal i metod: Klinička ispitivanja su obuhvatila 62 zuba različitih morfoloških grupa kod pacijenata oba pola i različite starosti. Restauracija gingivalnih lezija, bez prethodne preparacije, urađena je kompozitnim adhezivnim sistemom SINGLE BOND/Valux Plus (3M) (30 zuba) i kompomerom DYRACT AP (Dentsplay) (32 zuba). Ispuni su procenjivani na kontrolnim pregledima posle 3, 6 i 12 meseci primenom modifikovanih kriterijuma po Ridge-u i Cvar-u. Rezultati: Dobijeni rezultati su pokazali da posle 3 i 6 meseci nije bilo promena na ispunima ni kod jednog ispitivanog parametra i svi ispuni su ocenjeni maksimalnom ocenom A. Posle 12 meseci, u dva slučaja ispunjenih kompozitima, ivična adaptacija je ocenjena ocenom B (6,7%). Ivična adaptacija je i u dva zuba restaurisanih kompomerima ocenjena ocenom B (6,3%). Pojava postoperativne osetljivosti, ivične diskoloracije i sekundarnog karijesa nije registovana ni u jednom slučaju posle observacionog perioda od 12 meseci. Zaključak: Za restauraciju nekarijesnih cervikalnih lezija mogu se koristiti kompozitni materijali sa odgovarajućim adhezivnim sistemima i novije generacije kompomera.