Three-year follow-up of flowable bulk-fill resin restorations in posterior teeth: A double-blind randomized controlled clinical trial
DOI:
https://doi.org/10.22456/2177-0018.104810Keywords:
Follow-up studies, Clinical trial, Composite resins, Dental restoration, permanent, Surface propertiesAbstract
Objective: This randomized clinical trial evaluated the behavior of restorations with flowable bulk-fill resin composite in posterior teeth three years after the restorative treatment. Methods: Seventeen patients (12 women, 5 men, age 23-59) were selected to have at least two failing amalgam or resin restorations replaced and/or to have a carious lesion restored. The cavities were randomly allocated to receive either the flowable bulk-fill composite Surefil SDR Flow occlusally covered with the conventional nano-hybrid composite Esthet-X HD (bulk and body technique) or filled exclusively with Esthet-X HD placed in 2 mm increments (incremental technique). A two-step etch-and-rinse adhesive was applied in all cavities. Thirty-four Class I or II restorations were performed in posterior teeth (n=17) during baseline. After 03 years, modified USPHS and FDI criteria were used to evaluate the restorations. Data were subjected to Mann-Whitney statistical analysis (p<0.05). Results: At the 3-year follow-up, twenty-four restorations (17 Class I and 7 Class II) were evaluated. No diff erences were detected between the bulk and body and the incremental restorations (p>0.05). No restoration failures were observed over time. Conclusion: After 03 years of clinical service, all restorations using a flowable bulk-fill composite in posterior teeth showed an acceptable performance. Clinical Significance: The overall quality of posterior restorations made with the bulk and body technique was similar to that of restorations made with a nano-hybrid composite incrementally placed.Downloads
References
Mazer RB, Leinfelder KF, Russell CM. Degradation of microfilled posterior composite. Dent Mater. 1992;8(3):185-9. doi:10.1016/0109-5641(92)90080-v.
Opdam NJM, Bronkhorst EM, Roeters JM, Loomans BAC. A retrospective clinical study on longevity of posterior composite and amalgam restorations. Dent Mater. 2007;23(1):2–8.
Frauscher KE, Ilie N. Degree of conversion of nano-hybrid resin-based composites with novel and conventional matrix formulation. Clin Oral Investig. 2013;17(2):635‐42. doi:10.1007/s00784-012-0736-y.
Nassar HM, González-Cabezas C. Effect of gap geometry on secondary caries wall lesion development. Caries Res. 2011;45(4):346–52.
Pfeifer CS. Polymer-based direct filling materials. Dent Clin North Am. 2017;61(4):733‐50. doi:10.1016/j.cden.2017.06.002.
Fronza BM, Abuna GF, Braga RR, Rueggeberg FA, Giannini M. Effect of Composite Polymerization Stress and Placement Technique on Dentin Micropermeability of Class I Restorations. J Adhes Dent. 2018;20(4):355‐63. doi:10.3290/j.jad.a40987.
Sebold M, Lins RBE, André CB, Martins LRM, Giannini M. Flowable and Regular Bulk-Fill Composites: A Comprehensive Report on Restorative Treatment. Int J Periodontics Restorative Dent. 2020;40(2):293‐300. doi:10.11607/prd.3932.
Campos EA, Ardu S, Lefever D, Jassé FF, Bortolotto T, Krejci I. Marginal adaptation of class II cavities restored with bulk-fill composites. J Dent. 2014;42(5):575‐81. doi:10.1016/j.jdent.2014.02.007.
Zorzin J, Maier E, Harre S, Fey T, Beli R, Lohbauer U, et al. Bulk-fill resin composites: polymerization properties and extended light curing. Dent Mater. 2015;31(3):293‐301. doi:10.1016/j.dental.2014.12.010.
Van Ende A, De Munck J, Lise DP, Van Meerbeek B. Bulk-Fill Composites: a review of the current literature. J Adhes Dent. 2017;19(2):95‐109. doi:10.3290/j.jad.a38141.
Benetti AR, Havndrup-Pedersen C, Honoré D, Pedersen MK, Pallesen U. Bulk-fill resin composites: polymerization contraction, depth of cure, and gap formation. Oper Dent. 2015;40(2):190‐200. doi:10.2341/13-324-L.
Alshali RZ, Salim NA, Sung R, Satterthwaite JD, Silikas N. Qualitative and quantitative characterization of monomers of uncured bulk-fill and conventional resin-composites using liquid chromatography/mass spectrometry. Dent Mater. 2015;31(6):711–20.
Ilie N, Hickel R. Investigations on a methacrylate-based flowable composite based on the SDR??? technology. Dent Mater. 2011;27(4):348–55.
Heintze SD, Monreal D, Peschke A. Marginal Quality of Class II Composite Restorations Placed in Bulk Compared to an Incremental Technique: Evaluation with SEM and Stereomicroscope. J Adhes Dent. 2015;17(2):147–54.
de Assis FS, Lima SNL, Tonetto MR, Bhandi SH, Pinto SCS, Malaquias P, et al. Evaluation of Bond Strength, Marginal Integrity, and Fracture Strength of Bulk- vs Incrementally-filled Restorations. J Adhes Dent. 2016;18(4):317–23.
Cidreira Boaro LC, Pereira Lopes D, de Souza ASC, Nakano EL, Perez MDA, Pfeifer CS, et al. Clinical performance and chemical-physical properties of bulk fill composites resin -a systematic review and meta-analysis. Dent Mater. 2019;35(10):e249-64. doi:10.1016/j.dental.2019.07.007.
Canali GD, Ignácio SA, Rached RN, Souza EM. One-year clinical evaluation of bulk-fill flowable vs. regular nanofilled composite in non-carious cervical lesions. Clin Oral Investig. 2019;23(2):889‐97. doi:10.1007/s00784-018-2509-8.
Ehlers V, Gran K, Callaway A, Azrak B, Ernst CP. One-year Clinical Performance of Flowable Bulk-fill Composite vs Conventional Compomer Restorations in Primary Molars. J Adhes Dent. 2019;21(3):247‐54. doi:10.3290/j.jad.a42519.
Astvaldsdottir A, Dagerhamn J, van Dijken JW, Naimi-Akbar A, Sandborgh-Englund G, Tranaeus S, et al. Longevity of posterior resin composite restorations in adults - A systematic review. J Dent. 2015;43(8):934–54.
Dentsply. Surefil SDR [Internet]. [cited 2019 Jun 22]. Available from: http:/www.surefilsdrflow.com.
Bucuta S, Ilie N. Light transmittance and micro-mechanical properties of bulk fill vs. conventional resin based composites. Clin Oral Investig. 2014;18(8):1991–2000.
Kim E, Jung H, Hur B, Kwon H, Park K. Effect of resin thickness on the microhardness and optical properties of bulk-fill resin composites. Restor Dent Endod. 2015;40(2):128–35.
Ilie N, Keßler A, Durner J. Influence of various irradiation processes on the mechanical properties and polymerisation kinetics of bulk-fill resin based composites. J Dent. 2013;41(8):695–702.
Alrahlah A, Silikas N, Watts DC. Post-cure depth of cure of bulk fill dental resin-composites. Dent Mater. 2014;30(2):149–54.
Furness A, Tadros MY, Looney SW, Rueggeberg FA. Effect of bulk/incremental fill on internal gap formation of bulk-fill composites. J Dent. 2014;42(4):439–49.
Roggendorf MJ, Krämer N, Appelt A, Naumann M, Frankenberger R. Marginal quality of flowable 4-mm base vs. Conventionally layered resin composite. J Dent. 2011;39(10):643–7.
Rosatto CMP, Bicalho AA, Veríssimo C, Bragança GF, Rodrigues MP, Tantbirojn D, et al. Mechanical properties, shrinkage stress, cuspal strain and fracture resistance of molars restored with bulk-fill composites and incremental filling technique. J Dent. 2015;43(12):1519–28.
Leprince JG, Palin WM, Vanacker J, Sabbagh J, Devaux J, Leloup G. Physico-mechanical characteristics of commercially available bulk-fill composites. J Dent. 2014;42(8):993–1000.
Tantbirojn D, Pfeifer CS, Braga RR, Versluis A. Do low-shrink composites reduce polymerization shrinkage effects? J Dent Res. 2011;90(5):596–601.
van Dijken JWV, Pallesen U. Posterior bulk-filled resin composite restorations: A 5-year randomized controlled clinical study. J Dent. 2016;51:29-35.
van Dijken JWV, Pallesen U. Bulk-filled posterior resin restorations based on stress-decreasing resin technology: a randomized, controlled 6-year evaluation. Eur J Oral Sci. 2017;125(4):303-9. doi:10.1111/eos.12351.
Demarco FF, Corrêa MB, Cenci MS, Moraes RR, Opdam NJM. Longevity of posterior composite restorations: Not only a matter of materials. Dent Mater. 2012;28(1):87–101.
Opdam NJ, Bronkhorst EM, Roeters JM, Loomans BA. Longevity and reasons for failure of sandwich and total-etch posterior composite resin restorations. J Adhes Dent. 2007;9(5):469-75.
Frascino S, Fagundes TC, Silva U, Rahal V, Barboza ACS, Santos PH, et al. Randomized Prospective Clinical Trial of Class II Restorations Using Low-shrinkage Flowable Resin Composite. Oper Dent. 2020;45(1):19‐29. doi:10.2341/18-230-C.
Demunck J, Van Landuyt K, Peumans M, Poitevin A, Lambrechts P, Braem M, et al. A critical review of the durability of adhesion to tooth tissue: methods and results. J Esthet Restor Dent. 2010;84(2):72–3.
Loguercio AD, Rezende M, Gutierrez MF, Costa TF, Armas-Vega A, Reis A. Randomized 36-month follow-up of posterior bulk-filled resin composite restorations. J Dent. 2019;85:93‐102. doi:10.1016/j.jdent.2019.05.018.
Correia A, Jurema A, Andrade MR, Borges A, Bresciani E, Caneppele T. Clinical evaluation of noncarious cervical lesions of different extensions restored with bulk-fill or conventional resin composite: preliminary results of a randomized clinical trial. Oper Dent. 2020;45(1):E11‐E20. doi:10.2341/18-256-C.
Yazici AR, Antonson SA, Kutuk ZB, Ergin E. Thirty-Six-Month Clinical Comparison of Bulk Fill and Nanofill Composite Restorations. Oper Dent. 2017;42(5):478‐85. doi:10.2341/16-220-C.
Sahadi BO, Price RB, André CB, Sebold M, Bermejo GN, Palma-Dibb RP, et al. Multiple-peak and single-peak dental curing lights comparison on the wear resistance of bulk-fill composites. Braz Oral Res. 2018;32:e122. doi:10.1590/1807-3107bor-2018.vol32.0122.
Shimokawa CAK, Turbino ML, Giannini M, Braga RR, Price RB. Effect of light curing units on the polymerization of bulk fill resin-based composites. Dent Mater. 2018;34(8):1211‐21. doi:10.1016/j.dental.2018.05.002.
Soto-Montero J, Nima G, Rueggeberg FA, Dias C, Giannini M. Influence of Multiple Peak Light-emitting-diode Curing Unit Beam Homogenization Tips on Microhardness of Resin Composites. Oper Dent. 2020;45(3):327‐38. doi:10.2341/19-027-L.
André CB, Nima G, Sebold M, Giannini M, Price RB. Stability of the Light Output, Oral Cavity Tip Accessibility in Posterior Region and Emission Spectrum of Light-Curing Units. Oper Dent. 2018;43(4):398‐407. doi:10.2341/17-033-L.
Kim RJ, Son SA, Hwang JY, Lee IB, Seo DG. Comparison of photopolymerization temperature increases in internal and external positions of composite and tooth cavities in real time: Incremental fillings of microhybrid composite vs. bulk filling of bulk fill composite. J Dent. 2015;43(9):1093-8. doi:10.1016/j.jdent.2015.07.003.
Downloads
Published
How to Cite
Issue
Section
License
All articles published in this journal adhere to Creative Commons License Attributions 4.0 (CC BY 4.0), and its use must be ruled by its licensed means. Authors are allowed to agree to additional and separate contracts for the non-exclusive distribution of the article published in this journal, such as publishing in an institutional repository, as long as the article has a recognition of authorship and first publication in this journal.
