Five-Year Clinical Evaluation of Tetric EvoCeram Restorations in Anterior Teeth

Restorative dentistry has witnessed the development of a wide variety of materials, methods, and technologies during the latter half of the 20^th century.  Composite resin restorations provide both function and esthetics while conserving natural tooth structure. Objectives:  The purpose of this study was to evaluate clinical performance of Tetric EvoCeram (Ivoclar Vivadent, Amherst, NY) as a composite restorative in anterior teeth.  Methods: Protocol and informed consent were approved by Loma Linda University IRB.  Forty four (44) restorations were placed as Class 3 and 4, Diastema closure, and Facial Veneers using Excite (Ivoclar Vivadent) adhesive, and polishing with an Astropol (Ivoclar Vivadent) polishing system.  The restorations were evaluated using a modified USPHS method:  Marginal Discoloration (MD), Secondary Caries (SC), Retention (RT), Surface Staining (SS), Marginal Adaptation (MA), Color Match (CM), Anatomic Form (AF) and Polishability (PL). Results:  All restorations (22) had excellent color match, marginal adaptation, surface staining, retention, secondary caries and fracture; the results are summarized in the following table.

Conclusion:  Tetric EvoCeram composite remains a good clinical choice for anterior restorations, as evidenced by maintaining high physical and esthetic characteristics after 5 years of service. 

This study was supported by Ivoclar Vivadent.