Performance of occlusin in butt-joint and bevel-edged preparations: five-year results. 4

The five-year findings of a study to compare the performance of restorations of Occlusin (ICI Dental, Macclesfield, UK) in butt-joint and bevel-edged preparations are reported. Ninety-four (79%) of the restorations originally placed were reviewed at five years, 20 restorations (17%) having failed during the study. Initial analysis of the overall results having failed to reveal any significant differences between the five-year performance of the two types of restorations, the results were combined and analyzed by Chi-square tests and step-wise logistic regression. Chi-square analysis indicated that of the independent variables investigated, size of restoration had the greatest effect on clinical performance. Step-wise logistic regression revealed that only four of the eight dependent variables investigated showed significant predictive relationships with the independent variables, the logistic equation for occlusal marginal adaptation being the most complex. The greatest amount of generalized occlusal surface wear tended to be seen in large-sized Class II restorations in molar teeth, with the main factor influencing wear being found to be the type of restoration (Class I or Class II). It is concluded that the performance of restorations of Occlusin has not been found to differ significantly in butt-joint and bevel-edged preparations after five years in clinical service. Step-wise logistic regression has been found to be a useful tool in the analysis of data obtained during the clinical evaluation of a restorative material.