Indirect Resin Composite Inlays Cemented with a Self-adhesive, Self-etch or a Conventional Resin Cement Luting Agent: A 5 Years Prospective Clinical Evaluation

Objective: The aim of this study was to clinically evaluate the 5-years clinical performance of indirect resin composite inlays luted with three different resin cement strategies in MOD Class II restorations. Materials and Methods: A randomized clinical trial was conducted following CONSORT guidelin...

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Veröffentlicht in:Journal of dentistry 2021-09, Vol.112, p.103740-103740, Article 103740
Hauptverfasser: Eltoukhy, Radwa I., Elkaffas, Ali A., Ali, Ashraf I., Mahmoud, Salah H.
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Elkaffas, Ali A.
Ali, Ashraf I.
Mahmoud, Salah H.
description Objective: The aim of this study was to clinically evaluate the 5-years clinical performance of indirect resin composite inlays luted with three different resin cement strategies in MOD Class II restorations. Materials and Methods: A randomized clinical trial was conducted following CONSORT guidelines. Forty patients with three large cavities indicated for indirect MOD Class II restorations were enrolled in the current study. Then, 120 indirect resin composite inlay restorations (SR Nexco) were placed and luted with three different resin cement strategies (n=40); an etch-and-rinse (Variolink N), self-etch (Panavia F2.0) and self-adhesive (RelyX Unicem). These restorations were evaluated to the periods of 1 week (baseline), 1, 3 and 5 years using modified USPHS criteria. Statistical analyses were performed with Wilcoxon and Friedman tests with level of significance set at 0.05. Results: The outcome of the clinical trial showed that, there was neither loss of restorations nor recurrent caries after 5 years for all luting cements groups. Both self-etch Panavia F2.0 and self-adhesive RelyX Unicem resin cements exhibited significant differences between the evaluation periods regarding to marginal discoloration and marginal adaptation (p=0.03). At baseline, only 8 cases of etch-and-rinse (Variolink N) resin cement group exhibited post-operative sensitivity which were relieved after short time (p=0.04). Conclusion: All the three resin cement strategies tested, showed acceptable clinical performance after 5-years recall period. In time, etch-and-rinse resin cement group showed better clinical performance regarding marginal discoloration and marginal adaptation at 5-years recall period. Clinical Relevance statement:In vitro and in vivo studies reveal contradictory evidence of the clinical performance of indirect resin composite inlays luted with different resin cement strategies. Thus, this study revealed that etch-and-rinse resin cement still has the best prognosis for adhesive luting of indirect resin composite inlays.
doi_str_mv 10.1016/j.jdent.2021.103740
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Materials and Methods: A randomized clinical trial was conducted following CONSORT guidelines. Forty patients with three large cavities indicated for indirect MOD Class II restorations were enrolled in the current study. Then, 120 indirect resin composite inlay restorations (SR Nexco) were placed and luted with three different resin cement strategies (n=40); an etch-and-rinse (Variolink N), self-etch (Panavia F2.0) and self-adhesive (RelyX Unicem). These restorations were evaluated to the periods of 1 week (baseline), 1, 3 and 5 years using modified USPHS criteria. Statistical analyses were performed with Wilcoxon and Friedman tests with level of significance set at 0.05. Results: The outcome of the clinical trial showed that, there was neither loss of restorations nor recurrent caries after 5 years for all luting cements groups. Both self-etch Panavia F2.0 and self-adhesive RelyX Unicem resin cements exhibited significant differences between the evaluation periods regarding to marginal discoloration and marginal adaptation (p=0.03). At baseline, only 8 cases of etch-and-rinse (Variolink N) resin cement group exhibited post-operative sensitivity which were relieved after short time (p=0.04). Conclusion: All the three resin cement strategies tested, showed acceptable clinical performance after 5-years recall period. In time, etch-and-rinse resin cement group showed better clinical performance regarding marginal discoloration and marginal adaptation at 5-years recall period. Clinical Relevance statement:In vitro and in vivo studies reveal contradictory evidence of the clinical performance of indirect resin composite inlays luted with different resin cement strategies. Thus, this study revealed that etch-and-rinse resin cement still has the best prognosis for adhesive luting of indirect resin composite inlays.</description><identifier>ISSN: 0300-5712</identifier><identifier>EISSN: 1879-176X</identifier><identifier>DOI: 10.1016/j.jdent.2021.103740</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adaptation ; Adhesives ; Bond strength ; Cement ; Cements ; Clinical trials ; Composite materials ; Curing ; Dental caries ; Dental cement ; Dentistry ; Discoloration ; Fluorides ; In vivo methods and tests ; Indirect resin composite ; Inlays ; Laboratories ; Mechanical properties ; Oral hygiene ; Patients ; Polymerization ; Randomized clinical trial ; Recall ; Resin cement ; Resins ; Statistical analysis ; Success ; Teeth</subject><ispartof>Journal of dentistry, 2021-09, Vol.112, p.103740-103740, Article 103740</ispartof><rights>2021</rights><rights>Copyright Elsevier Limited Sep 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c294t-f09c4c938017bff59867d37b51624172a1fa51b0f971dcdb957d865cb6aec5a13</citedby><cites>FETCH-LOGICAL-c294t-f09c4c938017bff59867d37b51624172a1fa51b0f971dcdb957d865cb6aec5a13</cites><orcidid>0000-0002-5243-3209</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0300571221001615$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids></links><search><creatorcontrib>Eltoukhy, Radwa I.</creatorcontrib><creatorcontrib>Elkaffas, Ali A.</creatorcontrib><creatorcontrib>Ali, Ashraf I.</creatorcontrib><creatorcontrib>Mahmoud, Salah H.</creatorcontrib><title>Indirect Resin Composite Inlays Cemented with a Self-adhesive, Self-etch or a Conventional Resin Cement Luting Agent: A 5 Years Prospective Clinical Evaluation</title><title>Journal of dentistry</title><description>Objective: The aim of this study was to clinically evaluate the 5-years clinical performance of indirect resin composite inlays luted with three different resin cement strategies in MOD Class II restorations. 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Elkaffas, Ali A. ; Ali, Ashraf I. ; Mahmoud, Salah H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c294t-f09c4c938017bff59867d37b51624172a1fa51b0f971dcdb957d865cb6aec5a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adaptation</topic><topic>Adhesives</topic><topic>Bond strength</topic><topic>Cement</topic><topic>Cements</topic><topic>Clinical trials</topic><topic>Composite materials</topic><topic>Curing</topic><topic>Dental caries</topic><topic>Dental cement</topic><topic>Dentistry</topic><topic>Discoloration</topic><topic>Fluorides</topic><topic>In vivo methods and tests</topic><topic>Indirect resin composite</topic><topic>Inlays</topic><topic>Laboratories</topic><topic>Mechanical properties</topic><topic>Oral hygiene</topic><topic>Patients</topic><topic>Polymerization</topic><topic>Randomized clinical trial</topic><topic>Recall</topic><topic>Resin cement</topic><topic>Resins</topic><topic>Statistical analysis</topic><topic>Success</topic><topic>Teeth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eltoukhy, Radwa I.</creatorcontrib><creatorcontrib>Elkaffas, Ali A.</creatorcontrib><creatorcontrib>Ali, Ashraf I.</creatorcontrib><creatorcontrib>Mahmoud, Salah H.</creatorcontrib><collection>CrossRef</collection><collection>Aluminium Industry Abstracts</collection><collection>Calcium &amp; 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Both self-etch Panavia F2.0 and self-adhesive RelyX Unicem resin cements exhibited significant differences between the evaluation periods regarding to marginal discoloration and marginal adaptation (p=0.03). At baseline, only 8 cases of etch-and-rinse (Variolink N) resin cement group exhibited post-operative sensitivity which were relieved after short time (p=0.04). Conclusion: All the three resin cement strategies tested, showed acceptable clinical performance after 5-years recall period. In time, etch-and-rinse resin cement group showed better clinical performance regarding marginal discoloration and marginal adaptation at 5-years recall period. Clinical Relevance statement:In vitro and in vivo studies reveal contradictory evidence of the clinical performance of indirect resin composite inlays luted with different resin cement strategies. 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source Elsevier ScienceDirect Journals
subjects Adaptation
Adhesives
Bond strength
Cement
Cements
Clinical trials
Composite materials
Curing
Dental caries
Dental cement
Dentistry
Discoloration
Fluorides
In vivo methods and tests
Indirect resin composite
Inlays
Laboratories
Mechanical properties
Oral hygiene
Patients
Polymerization
Randomized clinical trial
Recall
Resin cement
Resins
Statistical analysis
Success
Teeth
title Indirect Resin Composite Inlays Cemented with a Self-adhesive, Self-etch or a Conventional Resin Cement Luting Agent: A 5 Years Prospective Clinical Evaluation
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