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Publication:
Journal of Adhesive Dentistry

Year 2004
Volume 6 , Issue 3

Back
Pages: 247 - 253

Clinically Controlled Study on the Quality of Class III, IV and V Composite Restorations after Two Years

Birgit Geitel / Ralf Kwiatkowski / Stefan Zimmer / Claudia R. Barthel / Jean-François Roulet / Klaus-Roland Jahn

Purpose:
The quality of fillings consisting of a hybrid composite was compared with fillings consisting of two different microfilled composites in a clinical examination.

Material and Methods:
Within the design of a clinically controlled two-year study conducted under practice-relevant conditions, the composites C-Fill MH (Megadenta), Helio Progress (Vivadent), and Visio-Dispers (ESPE) were examined in anterior-tooth cavities in 134 patients by means of the split-mouth technique. The clinical examinations were performed based on modified Ryge criteria (marginal integrity, anatomical form, secondary caries, color, marginal discoloration, surface roughness) after 12 and 24 months.

Results:
Immediately following filling application, all evaluation criteria except color were assessed as level A. After 12 and 24 months, C-Fill MH was found to be significantly superior to the other materials with regard to marginal integrity, color, and marginal discoloration.

Conclusion:
The hybrid composite C-Fill MH seems to be superior to the microfilled composites and should therefore be preferred as a restorative filling material.

Key words:
Ryge criterion, clinical investigation, microfilled composite, hybrid composite, longitudinal study.

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