V. Qvist et C. Strom, 11-YEAR ASSESSMENT OF CLASS-III RESIN RESTORATIONS COMPLETED WITH 2 RESTORATIVE PROCEDURES, Acta Odontologica Scandinavica, 51(4), 1993, pp. 253
This randomized clinical trial was initiated to study the effect of tw
o restorative procedures on the clinical quality and longevity of clas
s-III resin restorations. The material consisted of 52 pairs of class-
III restorations in the microfilled resin Silar completed with two mod
ifications of the conventional acid-etch restorative procedure: A) bev
eling of the margins of the cavity preparations, and B) treatment of t
he etched butt-joint cavities before filling with the dentin-adhesive
NPG-GMA/ethanol together with re-etching and surface coating of the fi
nished restorations with low viscous resin. The restorations were exam
ined at base line and after 2, 4, 6, and 11 years. The cumulative 11-y
ear survival rate for both types of restorations was 84%. Marginal dis
colorations, marginal discrepancies, and secondary caries were most of
ten recorded corresponding to the beveled type-A restorations, whereas
the esthetic quality of the two types of restorations was almost iden
tical. Surface discolorations were most often recorded among smokers,
and significant correlations were found between the patients' consumpt
ion of alcoholic beverages and corpus discoloration, surface discolora
tion, and surface wear of restorations.