Minimally Invasive Methods for Re-optimization of the First Permanent Molar Restorations – Two Years Longitudinal Study

Mariana Ilie, Galina Pancu, Sorin Andrian, Iovan Geanina, Simona Stoleriu, Gheorghe Angela, Topoliceanu Claudiu, Pricop Antonia, Gheorgescu Andrei, Ș.Lăcătușu

The minimum invasive therapy has the same conservative approach of hard dental tissues as in the case of defective restorations. We know the importance of first permanent molar in maintaining homeostasis of the stomatognathic system. Choosing an optimal management solution for the defective restorations from this level by using minimally invasive methods will contribute ultimately to a therapeutic success. The purpose of this study is to assess the clinical situation of composite resin obturations and amalgam of class I, class II and class IV located at the first permanent molar and to monitor and assess the effectiveness of the minimally invasive therapeutic solutions. Restoration assessment was based on the Ryge clinical assessment / modified USPHS. They were divided into five groups according to the recommended needs of minimally invasive treatments. We can say that composite resin restorations and the amalgam of class I, II and V, located at the first permanent molar, with minimal clinical defects, which benefit from minimally invasive therapeutic measures, have kept favorable clinical parameters in the acceptable clinical limits during the two years of study. Alternative methods guided on the principles of minimally invasive therapy increase longevity of direct amalgam and composite resins restorations.

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