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Ultraconservative Sealed Restorations: Three‐year Results

Identifieur interne : 003867 ( Istex/Corpus ); précédent : 003866; suivant : 003868

Ultraconservative Sealed Restorations: Three‐year Results

Auteurs : Eva J. Mertz-Fairhurst ; J. Earl Williams ; George S. Schuster ; C. Douglas Smith ; Karen L. Pierce ; J. Rodway Mackert Jr. ; Jack D. Sherrer ; Karen K. Wenner ; Quince B. Davis ; Thomas A. Garman ; Janet W. Ergle

Source :

RBID : ISTEX:7296566CDA3A04A876355422A294C0039B3AC574

English descriptors

Abstract

The overall objective of this clinical study was to determine the feasibility of using a sealed composite restoration to arrest caries without the removal of the carious lesion and without the traditional cavity preparation. The minimal tooth preparation (a bevel in enamel) usually did not require any anesthetic injection and conserved tooth structure. These ultraconservative sealed composite restorations placed over caries (CompS/C) have been compared with ultraconservative sealed amalgam restorations (AGS) and with the traditional outline form (unsealed) amalgam restorations (AGU). This clinical study has shown that: (1) caries can be arrested by the CompS/C restoration for a period of three years; (2) the marginal integrity of the AGS restorations showed a definite trend toward improvement as compared to the AGU restorations; and (3) complete sealant retention over posterior restorations was similar in both the CompS/C and the AGS groups during the first two years; however, at Year 3 complete sealant retention was 16 percent higher in the CompS/C than in the AGS group.

Url:
DOI: 10.1111/j.1752-7325.1991.tb02222.x

Links to Exploration step

ISTEX:7296566CDA3A04A876355422A294C0039B3AC574

Le document en format XML

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<mods:affiliation>Correspondence address: Send correspondence and reprint requests to Dr. Mertz‐Fairhurst, Department of Restorative Dentistry, Medical College of Georgia, 1120 15th Street, Augusta, GA 30912‐1260. Manuscript received: 10/26/90; returned to authors for revision: 11 /27/90; accepted for publication: 1 /21 /91.</mods:affiliation>
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<term>Amalgam restoration</term>
<term>Amalgam restorations</term>
<term>Anatomic form</term>
<term>Arrest caries</term>
<term>Assoc</term>
<term>Bare area</term>
<term>Baseline</term>
<term>Best rating</term>
<term>Bitewing radiographs</term>
<term>Bravo</term>
<term>Caries</term>
<term>Cariogenic bacteria</term>
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<term>Cavity preparation</term>
<term>Clinical failures</term>
<term>Clinical observations</term>
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<term>Clinical study</term>
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<term>Composite restoration</term>
<term>Composite restorations</term>
<term>Compsic</term>
<term>Compsic group</term>
<term>Compsic restoration</term>
<term>Cornpsic</term>
<term>Cornpsic group</term>
<term>Cornpsic restorations</term>
<term>Crevice</term>
<term>Cusp fracture</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental caries</term>
<term>Dental sealants</term>
<term>Dentin</term>
<term>Dentistry</term>
<term>Discoloration</term>
<term>Enamel</term>
<term>Enamel rods</term>
<term>Entire occlusal surface</term>
<term>Fissure</term>
<term>Fissure sealant</term>
<term>Fissure sealants</term>
<term>Followup visits</term>
<term>Fracture</term>
<term>Further intervention</term>
<term>Larger lesion</term>
<term>Lesion</term>
<term>Margin</term>
<term>Marginal discoloration</term>
<term>Marginal integrity</term>
<term>Marginal integrity criterion</term>
<term>Molar</term>
<term>Occlusal</term>
<term>Occlusal surface area</term>
<term>Open margin</term>
<term>Open margins</term>
<term>Original ryge criteria</term>
<term>Premolar</term>
<term>Prophylactic odontotomy</term>
<term>Prosthet dent</term>
<term>Public health dentistry</term>
<term>Pulp chamber</term>
<term>Radiograph</term>
<term>Radiographically</term>
<term>Restoration</term>
<term>Ryge</term>
<term>Ryge criteria</term>
<term>Sealant</term>
<term>Sealant color</term>
<term>Sealant retention</term>
<term>Simonsen</term>
<term>Smaller lesions</term>
<term>Sound tooth structure</term>
<term>Standardized radiographs</term>
<term>Study restorations</term>
<term>Study teeth</term>
<term>Subcategories</term>
<term>Tooth decay</term>
<term>Total percentage</term>
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<term>Alfa</term>
<term>Amalgam</term>
<term>Amalgam restoration</term>
<term>Amalgam restorations</term>
<term>Anatomic form</term>
<term>Arrest caries</term>
<term>Assoc</term>
<term>Bare area</term>
<term>Baseline</term>
<term>Best rating</term>
<term>Bitewing radiographs</term>
<term>Bravo</term>
<term>Caries</term>
<term>Cariogenic bacteria</term>
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<term>Cavity preparation</term>
<term>Clinical failures</term>
<term>Clinical observations</term>
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<term>Clinical study</term>
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<term>Cusp fracture</term>
<term>Dent</term>
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<term>Dental caries</term>
<term>Dental sealants</term>
<term>Dentin</term>
<term>Dentistry</term>
<term>Discoloration</term>
<term>Enamel</term>
<term>Enamel rods</term>
<term>Entire occlusal surface</term>
<term>Fissure</term>
<term>Fissure sealant</term>
<term>Fissure sealants</term>
<term>Followup visits</term>
<term>Fracture</term>
<term>Further intervention</term>
<term>Larger lesion</term>
<term>Lesion</term>
<term>Margin</term>
<term>Marginal discoloration</term>
<term>Marginal integrity</term>
<term>Marginal integrity criterion</term>
<term>Molar</term>
<term>Occlusal</term>
<term>Occlusal surface area</term>
<term>Open margin</term>
<term>Open margins</term>
<term>Original ryge criteria</term>
<term>Premolar</term>
<term>Prophylactic odontotomy</term>
<term>Prosthet dent</term>
<term>Public health dentistry</term>
<term>Pulp chamber</term>
<term>Radiograph</term>
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<term>Ryge criteria</term>
<term>Sealant</term>
<term>Sealant color</term>
<term>Sealant retention</term>
<term>Simonsen</term>
<term>Smaller lesions</term>
<term>Sound tooth structure</term>
<term>Standardized radiographs</term>
<term>Study restorations</term>
<term>Study teeth</term>
<term>Subcategories</term>
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<term>Total percentage</term>
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<front>
<div type="abstract" xml:lang="en">The overall objective of this clinical study was to determine the feasibility of using a sealed composite restoration to arrest caries without the removal of the carious lesion and without the traditional cavity preparation. The minimal tooth preparation (a bevel in enamel) usually did not require any anesthetic injection and conserved tooth structure. These ultraconservative sealed composite restorations placed over caries (CompS/C) have been compared with ultraconservative sealed amalgam restorations (AGS) and with the traditional outline form (unsealed) amalgam restorations (AGU). This clinical study has shown that: (1) caries can be arrested by the CompS/C restoration for a period of three years; (2) the marginal integrity of the AGS restorations showed a definite trend toward improvement as compared to the AGU restorations; and (3) complete sealant retention over posterior restorations was similar in both the CompS/C and the AGS groups during the first two years; however, at Year 3 complete sealant retention was 16 percent higher in the CompS/C than in the AGS group.</div>
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<name>George S. Schuster DDS, PhD</name>
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<json:string>A Medical College of Georgia Augusta, GA</json:string>
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</json:item>
<json:item>
<name>C. Douglas Smith DDS</name>
<affiliations>
<json:string>A Medical College of Georgia Augusta, GA</json:string>
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</json:item>
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<name>Karen L. Pierce DMD</name>
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<json:string>A Medical College of Georgia Augusta, GA</json:string>
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<json:item>
<name>J. Rodway Mackert Jr. DMD, PhD</name>
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<json:string>A Medical College of Georgia Augusta, GA</json:string>
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<json:item>
<name>Jack D. Sherrer MS, DDS</name>
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<json:string>A Medical College of Georgia Augusta, GA</json:string>
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</json:item>
<json:item>
<name>Karen K. Wenner DDS</name>
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<json:string>A Medical College of Georgia Augusta, GA</json:string>
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</json:item>
<json:item>
<name>Quince B. Davis DDS</name>
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<json:string>A Medical College of Georgia Augusta, GA</json:string>
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<json:item>
<name>Thomas A. Garman DDS, MS</name>
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<name>Janet W. Ergle CD</name>
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<affiliation>A Medical College of Georgia Augusta, GA</affiliation>
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<name type="personal">
<namePart type="given">J. Rodway</namePart>
<namePart type="family">Mackert Jr.</namePart>
<namePart type="termsOfAddress">DMD, PhD</namePart>
<affiliation>A Medical College of Georgia Augusta, GA</affiliation>
<role>
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</role>
</name>
<name type="personal">
<namePart type="given">Jack D.</namePart>
<namePart type="family">Sherrer</namePart>
<namePart type="termsOfAddress">MS, DDS</namePart>
<affiliation>A Medical College of Georgia Augusta, GA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">Karen K.</namePart>
<namePart type="family">Wenner</namePart>
<namePart type="termsOfAddress">DDS</namePart>
<affiliation>A Medical College of Georgia Augusta, GA</affiliation>
<role>
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</role>
</name>
<name type="personal">
<namePart type="given">Quince B.</namePart>
<namePart type="family">Davis</namePart>
<namePart type="termsOfAddress">DDS</namePart>
<affiliation>A Medical College of Georgia Augusta, GA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Thomas A.</namePart>
<namePart type="family">Garman</namePart>
<namePart type="termsOfAddress">DDS, MS</namePart>
<affiliation>A Medical College of Georgia Augusta, GA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Janet W.</namePart>
<namePart type="family">Ergle</namePart>
<namePart type="termsOfAddress">CD</namePart>
<affiliation>A Medical College of Georgia Augusta, GA</affiliation>
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<dateIssued encoding="w3cdtf">1991-12</dateIssued>
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<abstract lang="en">The overall objective of this clinical study was to determine the feasibility of using a sealed composite restoration to arrest caries without the removal of the carious lesion and without the traditional cavity preparation. The minimal tooth preparation (a bevel in enamel) usually did not require any anesthetic injection and conserved tooth structure. These ultraconservative sealed composite restorations placed over caries (CompS/C) have been compared with ultraconservative sealed amalgam restorations (AGS) and with the traditional outline form (unsealed) amalgam restorations (AGU). This clinical study has shown that: (1) caries can be arrested by the CompS/C restoration for a period of three years; (2) the marginal integrity of the AGS restorations showed a definite trend toward improvement as compared to the AGU restorations; and (3) complete sealant retention over posterior restorations was similar in both the CompS/C and the AGS groups during the first two years; however, at Year 3 complete sealant retention was 16 percent higher in the CompS/C than in the AGS group.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>pit and fissure sealants</topic>
<topic>arresting caries by sealants</topic>
<topic>sealed restorations</topic>
<topic>preventive restorations</topic>
<topic>Ryge's clinical evaluations</topic>
</subject>
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<title>Journal of Public Health Dentistry</title>
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<identifier type="ISSN">0022-4006</identifier>
<identifier type="eISSN">1752-7325</identifier>
<identifier type="DOI">10.1111/(ISSN)1752-7325</identifier>
<identifier type="PublisherID">JPHD</identifier>
<part>
<date>1991</date>
<detail type="volume">
<caption>vol.</caption>
<number>51</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>4</number>
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<extent unit="pages">
<start>239</start>
<end>250</end>
<total>12</total>
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<identifier type="istex">7296566CDA3A04A876355422A294C0039B3AC574</identifier>
<identifier type="ark">ark:/67375/WNG-F8M4MH0V-R</identifier>
<identifier type="DOI">10.1111/j.1752-7325.1991.tb02222.x</identifier>
<identifier type="ArticleID">JPHD239</identifier>
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<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
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