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Occlusal composite restorations: 4-year results.

M Houpt, E Eidelman, Z Shey

Journal of the American Dental Association (1939)

|March 1, 1985

Summary

Conservative cavity preparation using sealing for prevention is a successful dental technique. This method conserves tooth structure and shows promising results in preventing caries and maintaining restorations over time.

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[Esthetic restorations of primary anterior teeth].

Refu'at ha-peh veha-shinayim (1993)·2013

Area of Science:

Dentistry
Pediatric Dentistry
Restorative Dentistry

Background:

Traditional cavity preparation often involves extending the preparation to "prevent" future decay.
This approach can lead to the removal of healthy tooth structure.
Minimally invasive techniques aim to preserve more natural tooth tissue.

Purpose of the Study:

To evaluate the success of conservative cavity preparation utilizing sealing for caries prevention.
To compare this technique against traditional cavity extension for prevention.
To assess the longevity and retention of sealants in conservative preparations.

Main Methods:

A total of 332 conservative restorations were placed in 240 teeth among 110 children (aged 6-14).
Restorations were assessed after a 4-year follow-up period.

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Data collected included caries incidence and sealant integrity (retention, wear, and loss).

Main Results:

Out of 205 restorations examined after 4 years, 13 teeth showed new caries.
Sealant wear was noted in 14 restorations.
Complete sealant loss occurred in 8 restorations, partial loss in 38, with 156 showing complete retention.

Conclusions:

Conservative cavity preparation with sealing for prevention is a successful and viable dental treatment.
The technique effectively conserves valuable tooth structure.
Preliminary findings support this minimally invasive approach in pediatric patients.