IADR 95th
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-27-G-Bond1395 Ten-year Clinical Evaluation of Adhesives With and Without HEMAPoster Presentation3:45 PM–5:00 PM Mar 23, 2017CC, First FloorAuthors:Authors:ShiseiKubo (Presenter)Nagasaki University HospitalHiroaki Yokota, Clover Dental ClinicHarukaYokota, Clover Dental ClinicYoshihiko Hayashi, Nagasaki University Graduate School of Biomedical SciencesAbstract: Objectives: This randomized controlled clinical trial evaluated 10-year clinical performance of Objectives: This randomized controlled clinical trial evaluated 10-year clinical performance of resin composites in non-carious cervical lesions restored with 1-step self-etch adhesives with and without HEMA.Methods: One hundred and eight non-carious cervical lesions in 23 subjects (mean age: 61.8 years) were involved for the study. Enamel bevel was prepared and dentin walls were lightly ground, and treated with S3Bond (S3: Kuraray Noritake Dental) or HEMA-free G-Bond (GB: GC) in conjunction with a hybrid resin composite (ClearfilAP-X: Kuraray Noritake) Respective subjects randomly received 1 to 4 restorations for each group. All restorations (53 restorations for S3 and 55 restorations for GB) were placed by one dentist. The restorations were blindly for S3 and 55 restorations for GB) were placed by one dentist. The restorations were blindly evaluated every year using modified USPHS criteria by two examiners. The data were statistically analyzed using the Fisher’s exact test, Kaplan-Meier method and Cox proportional hazards model.Results: Nineteen subjects were examined at 10-year recall. However, 25 restorations out of 33 unevaluated restorations at 10-year recall had already been rated Bravo or Charlie for retention failure, marginal adaptation, marginal discoloration, etc. Retention rates for S3 and GB were 95% and 97%, respectively. Secondary caries was detected adjacent to 1 restoration restored with GB. Four restorations were rated as unacceptable due to severe tooth wear. The main clinical problem was marginal discoloration at enamel margins. The incidence of marginal clinical problem was marginal discoloration at enamel margins. The incidence of marginal discoloration increased with time, and 10-year rates for S3 and GB were 65% and 79%, respectively. However, they were still superficial and clinically acceptable, except for one restoration. There was no significant difference in 10-year survival rates between adhesives (91% for GB and 94% for S3).Conclusions: No significant difference in the clinical performance was found between adhesives with and without HEMA. This study was supported by KAKENHI Grant Numbers 25253100.This abstract is based on research that was funded entirely or partially by an outside source:source:KAKENHI Grant Numbers 25253100Disclosure Statement:The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NoneI have read the IADR policy on licensing.Signed by ShiseiKuboSigned by ShiseiKuboReprinted with permission from the Journal of Dental Research, J Dent Res 96 (Spec Iss A):-27-abstract number 1395, https://iadr2017.zerista.com/event/member/331145, 2017

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