Indicators of the risk mechanics for Class-I and Class-II amalgam and composite resin restorations

Authors

  • Eduardo Fernández University of Chile
  • Erik Dreyer Arroyo University of Chile
  • Claudia Letelier Pardo University of Chile
  • Osmir Batista Oliveira Junior Universidade Estadual Paulista - UNESP
  • Gustavo Moncada Cortés University of Chile
  • Javier Martín Casielles University of Chile

DOI:

https://doi.org/10.20396/bjos.v13i2.8640915

Keywords:

Risk management, Composite resins, Dental amalgam

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.

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Author Biographies

Eduardo Fernández, University of Chile

University of Chile, Department of Restorative Dentistry, Independencia, Santiago.

Erik Dreyer Arroyo, University of Chile

University of Chile, Department of Conservative Dentistry, Independencia, Santiago.

Claudia Letelier Pardo, University of Chile

University of Chile, Department of Restorative Dentistry, Independencia, Santiago.

Osmir Batista Oliveira Junior, Universidade Estadual Paulista - UNESP

Universidade Estadual Paulista - UNESP, Araraquara Dental School, Department of Restorative Dentistry, Araraquara, SP.

Gustavo Moncada Cortés, University of Chile

University of Chile, Department of Restorative Dentistry, Independencia, Santiago.

Javier Martín Casielles, University of Chile

University of Chile, Department of Restorative Dentistry, Independencia, Santiago.

Published

2009-12-30

How to Cite

1.
Fernández E, Arroyo ED, Pardo CL, Oliveira Junior OB, Cortés GM, Casielles JM. Indicators of the risk mechanics for Class-I and Class-II amalgam and composite resin restorations. Braz. J. Oral Sci. [Internet]. 2009 Dec. 30 [cited 2022 Sep. 25];13(2):146-51. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8640915

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