ANALYSIS OF THE CLINICAL CONDITION OF TOOTH RESTORATIONS WITH PHOTOCOMPOSITE MATERIALS
DOI:
https://doi.org/10.35220/2523-420X/2025.1.4Keywords:
posterior teeth, direct restoration, retrospective assessment, clinical condition, defects, composite materialsAbstract
Objective. Retrospective clinical assessment of the condition of direct composite restorations of posterior teeth. Materials and Methods. In 139 patients, 627 direct composite restorations of posterior teeth were examined, including 229 restorations (36.5 %) on the occlusal surface and 398 restorations (64.5 %) on the occlusal and one of the contact surfaces. The restorations were evaluated using adapted criteria for each surface and for the cervical area of the contact surface. Results. With localization exclusively on the occlusal surface, 27 restorations (11.8 %) had marginal adaptation defects, 22 restorations (9.6 %) had marginal discoloration, 4 restorations (1.7 %) had anatomical form defects, secondary caries was detected in 9 restored teeth (3.9 %), and wall fractures were found in 3 cases (1.3 %). For restorations located on the occlusal and one of the contact surfaces of the teeth, defects on the occlusal surface alone included marginal adaptation defects in 42 restorations (10.6 %), marginal discoloration in 39 restorations (9.8 %), and secondary caries in 14 restored teeth (3.5 %). On the vestibular and oral surfaces, 37 restorations (9.2 %) had marginal adaptation defects, 35 restorations (8.8 %) had marginal discoloration, and secondary caries was detected in 16 restored teeth (4 %). Anatomical form defects with violation of the contact point were found in 46 restorations (11.6 %), along with 61 cases (15.2 %) of non-functional contact points, totaling 107 cases (26.8 %) of contact point defects. Wall fractures were identified in 23 teeth (5.8 %), and cracks in 2 restorations (0.5 %). In the cervical area of the contact surface, marginal adaptation defects were found in 92 restorations (23.1 %), and secondary caries in 84 restored teeth (21.1 %). On all surfaces of restorations located on the occlusal and one of the contact surfaces, marginal adaptation defects were observed in 171 restorations (43 %), and secondary caries in 114 restored teeth (28.6 %).Conclusions. A significant number of defects in restorations on the occlusal and one of the contact surfaces of posterior teeth indicates the necessity of strict adherence to the technique of direct restoration and the need for frequent follow-up examinations.
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