Artículos de revistas
Long-term performance of refurbished amalgam restorations: 10-year follow-up
Fecha
2016Registro en:
Oral Health and Preventive Dentistry, Volumen 15, Issue 5, 2016, Pages 435-445.
17579996
16021622
10.3290/j.ohpd.a38775
Autor
Moncada, Gustavo
Fernández Godoy, Eduardo
Mena, Katherine
Vildósola Grez, Patricio
Estay, Juan
Oliveira, Osmir
Martin, Javier
Mjör, Ivar
Gordan, Valeria
Institución
Resumen
Purpose: This prospective, blinded clinical trial assessed the performance of amalgam restorations that were refurbished, replaced, or not treated. Materials and methods: Twenty-three patients were included, ages 18-80 years, with 63 amalgam restorations that had one or more defects in their clinical features, such as defective anatomic form, roughness and/or luster according to United State Public Health Service (USPHS) criteria. Restorations were randomly assigned to either refurbishment (A: n = 21), replacement (B: n = 21) or untreated (C: n = 21) groups. Two calibrated examiners evaluated the restorations at baseline (Kappa = 0.74) and after 10 years (Kappa = 0.84), according to eight parameters: anatomy, roughness, luster, secondary caries, marginal adaptation, occlusal contact, marginal staining and tooth sensitivity. Wilcoxon tests were performed for within-group comparisons, and Friedman tests were used for multiple within-group comparisons. The Mantel-Cox test was used to compare survival curves. Results: After 10 years, 49 restorations (77.8%) were assessed (group A: n = 19; group B: n = 13; group C: n = 17). Over a decade, the three groups showed similar clinical performances for all studied parameters: anatomy (p = 0.410), roughness (p = 0.930), luster (p = 0.984), secondary caries (p = 1.0), marginal adaptation (p = 0.433), occlusal contact (p = 0.33), marginal staining (p = 0.470), and tooth sensitivity (p = 0.784). Conclusions: Amalgam restorations that have defective anatomic form, roughness and/or luster performed similarly for all studied parameters, whether they were refurbished, replaced or left untreated after 10 years in patients with low and intermediate caries risk. Most of the restorations were classified as clinically acceptable after ten years. Restorations in all three groups tended to deteriorate over time.