Avaliação clínica de inlays e onlays confeccionados com dois tipos de cerâmica após 02 anos. / Clinical evaluation of ceramic inlays and onlays made with two systems after 2 years

AUTOR(ES)
DATA DE PUBLICAÇÃO

2003

RESUMO

The dental ceramics have been a restorative option, largely utilized in posterior teeth, due to an excellent esthetics. Several types of all ceramic systems are available in the market to fabricate partial restorations and crowns. The aim of this study was to evaluate the clinical performance of ceramic inlays and onlays made with two systems: sintered (Duceram, Dentsply-Degussa) – D and pressable (IPS Empress, Ivoclar-Vivadent) – IPS for two years. Eighty-six restorations, being 44 IPS and 42 D, were cemented in 35 patients from both sexes, mean age of 35 years. Twenty-seven premolars and 59 molars received class II cavities, totaling 33 onlays and 53 inlays. All restorations were cemented with the dual-resin cement (Variolink II, Ivoclar-Vivadent) and Syntac (Primer and Adhesive) and Heliobond adhesive system (Ivoclar-Vivadent), under rubber dam. The operative procedures were made by one operator. The evaluations were done by two independent investigators at the baseline, after one and two years, using the modified USPHS criteria for postoperative sensitivity, secondary caries, fracture, color match, marginal discoloration, marginal integrity and surface texture. Additionally radiographs and slides were made. After two years 100% of the restorations were assessed and all the restorations were considered clinically excellent or acceptable. Among the analyzed criteria the fallowing received Bravo ratings: marginal discoloration – IPS (31.82%); D (23.81%); marginal integrity – IPS (18.18%); D (11.9%); color match – IPS (4.55%); D (9.52%) and surface texture – IPS (2.27%); D (14.29%). No “Charlie” or “Delta” scores were attributed to the restorations. The results were submitted to the Fisher and McNemar Statistical Tests. No significant differences were noticed between both ceramics after two years. Among the analyzed criteria only the marginal discoloration aspect presented an increased percentage of “Bravo” scores, which enhanced with time for both ceramics. Compared to the baseline data, the difference was statistically significant (p>0.05). No difference was found between inlays and onlays restorations or between the restorations placed in premolar or molar region. At 2 years, the interexaminer reliability yielded Kappa values above 0.8 for all criteria. In conclusion, these two types of ceramics demonstrated excellent clinical performance after two years.

ASSUNTO(S)

restauração intracoronária (avaliação) porcelana dentária

ACESSO AO ARTIGO

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