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Dental restoration

About: Dental restoration is a research topic. Over the lifetime, 2394 publications have been published within this topic receiving 54925 citations.


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Journal Article
TL;DR: Dental literature, predominantly since 1990, was reviewed for longitudinal, controlled clinical studies and retrospective cross-sectional studies of posterior restorations and principal reasons for failure were secondary caries, fracture, marginal deficiencies, wear and postoperative sensitivity.
Abstract: This review provides a survey on the longevity of restorations in stress-bearing posterior cavities and assesses possible reasons for clinical failure. The dental literature, predominantly since 1990, was reviewed for longitudinal, controlled clinical studies and retrospective cross-sectional studies of posterior restorations. Only studies investigating the clinical performance of restorations in permanent teeth were included. Longevity and annual failure rates of amalgam, direct composite restorations, compomers, glass ionomers and derivative products, composite and ceramic inlays and cast gold restorations were determined for Class I and II cavities. Mean (SD) annual failure rates in posterior stress-bearing cavities are: 3.0% (1.9) for amalgam restorations, 2.2% (2.0) for direct composites, 3.6% (4.2) for direct composites with inserts, 1.1% (1.2) for compomer restorations, 7.2% (5.6) for regular glass ionomer restorations, 7.1% (2.8) for tunnel glass ionomers, 6.0% (4.6) for ART glass ionomers, 2.9% (2.6) for composite inlays, 1.9% (1.8) for ceramic restorations, 1.7% (1.6) for CAD/CAM ceramic restorations and 1.4% (1.4) for cast gold inlays and onlays. Publications from 1990 forward showed better results. Indirect restorations exhibited a significantly lower mean annual failure rate than direct techniques (p=0.0031). Longevity of dental restorations is dependent upon many different factors, including material, patient- and dentist-related. Principal reasons for failure were secondary caries, fracture, marginal deficiencies, wear and postoperative sensitivity. We need to learn to distinguish between reasons that cause early failures and those that are responsible for restoration loss after several years of service.

694 citations

Journal ArticleDOI
TL;DR: In this article, a review describes the polymeric chemical aspects of the application of new monomers, e.g. cyclic monomer, liquid-crystalline monomers and ormocers, branched monomers or Bis-GMA analogues or substitutes for restorative composites.

604 citations

Journal ArticleDOI
TL;DR: Dynamic mechanical properties were most closely correlated to degree of conversion in these polymeric systems, suggesting that these resins may be more unstable at oral temperatures than more highly converted resins.
Abstract: The goal of this study was to determine the effects of resin formulation variables, such as diluent concentration, catalyst type and concentration and cure mode, on the degree of conversion of carbon double bonds and mechanical properties of dental restorative resins. Diametral tensile strength, compressive strength, hardness, flexural modulus and strength, and dynamic mechanical properties were tested, and the results were correlated to the degree of conversion results obtained by infrared analysis. The results showed a significant correlation between increased mechanical properties and higher degrees of conversion. Enhanced conversions were achieved by incorporating higher diluent and lower inhibitor concentrations into the resins. Ambient temperature properties were similarly enhanced by lower inhibitor concentrations, but were not enhanced by higher diluent concentration. Dynamic mechanical properties testing at oral and elevated temperatures elucidated possible differences in resin microstructure and network quality. The storage moduli decreased over the dental temperature range and was lower at all temperatures for resins with lower conversions. The glass transition temperature was also lower in resins with poorer conversions, suggesting that these resins may be more unstable at oral temperatures than more highly converted resins. Dynamic mechanical properties were most closely correlated to degree of conversion in these polymeric systems.

542 citations

Journal ArticleDOI
TL;DR: The intent of this article is to review the numerous factors that affect the mechanical properties of particle- or fiber-filler-containing indirect dental resin composite materials, and the effects of degradation due to aging in different media, cyclic loading, and mixed-mode loading on flexure strength and fracture toughness.
Abstract: The intent of this article is to review the numerous factors that affect the mechanical properties of particle- or fiber-filler-containing indirect dental resin composite materials. The focus will be on the effects of degradation due to aging in different media, mainly water and water and ethanol, cyclic loading, and mixed-mode loading on flexure strength and fracture toughness. Several selected papers will be examined in detail with respect to mixed and cyclic loading, and 3D tomography with multi-axial compression specimens. The main cause of failure, for most dental resin composites, is the breakdown of the resin matrix and/or the interface between the filler and the resin matrix. In clinical studies, it appears that failure in the first 5 years is a restoration issue (technique or material selection); after that time period, failure most often results from secondary decay.

498 citations


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Performance
Metrics
No. of papers in the topic in previous years
YearPapers
202310
202217
202140
202082
201997
201886