The use of flowable bulk-fill resin composite entire cavity is a less time-consuming approach for occluso-proximal restorations in primary teeth
DOI:
https://doi.org/10.22456/2177-0018.135179Keywords:
Tooth, deciduous, Composite resins, Dental restoration, permanentAbstract
Aim: To compare the time required to perform occluso-proximal restorations using different flowable resin composites (as an intermediate layer or entire cavity) with conventional resin composite (incremental technique). Materials and methods: Two standardized cavities were prepared on occluso-mesial and occluso-distal surfaces of fifty sound primary molars. After application of a universal adhesive system (Scotchbond Universal) in the self-etch mode, the teeth were randomly assigned into five groups (n=10): G1: 2mm of Filtek Bulk Fill Flow + Filtek Z350 XT; G2: 4mm (single increment) of Filtek Bulk Fill Flow; G3: 2mm of Filtek Z350 XT Flow + Filtek Z350 XT; G4: 4mm (two increments) of Filtek Z350 XT Flow, and G5: Filtek Z350 XT. The time required to perform the restorations since the insertion of the first increment of resin composite in the first cavity (occluso-mesial) until the light-curing the last increment in the later cavity (occluso-distal) was measured in minutes using a digital chronometer. Data were submited to one-way ANOVA and Tukey’s post-hoc tests. Results: The ranking of higher to less time was G5 > G1 = G3 > G4 > G2 (p=0.00). Discussion: The use of flowable resin composites to fill the whole cavity is attractive in clinical practice, considering the limited functional time of primary teeth and the varying cooperation of the child patient. Conclusion: Single use of flowable bulk-fill resin composite and the use of conventional resin composite are the less and more time-consuming approaches for occluso-proximal restorations in primary teeth, respectively.
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Cagetti MG, Campus G, Sale S, Cocco F, Strohmenger L, Lingström P. Association between interdental plaque acidogenicity and caries risk at surface level: A cross sectional study in primary dentition. Int J Paediatr Dent. 2011; Mar;21(2):119-25.
Vanderas AP, Gizani S, Papagiannoulis L. Progression of proximal caries in children with different caries indices: a 4-year radiographic study. Eur Arch Paediatr Dent Off J Eur Acad Paediatr Dent. 2006 Sep;7(3):148–52.
Chisini LA, Collares K, Cademartori MG, de Oliveira LJC, Conde MCM, Demarco FF, et al. Restorations in primary teeth: a systematic review on survival and reasons for failures. Int J Paediatr Dent. 2018. Mar;28(2):123–39.
Patel M, Bhatt R, Khurana S, Patel N, Bhatt R. Choice of material for the treatment of proximal lesions in deciduous molars among paediatric post-graduates and paediatric dentists of Gujarat: A cross-sectional study. Adv Hum Biol. 2019;9(3):258.
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 May;42(5):575–81.
Baroudi K, Rodrigues JC. Flowable resin composites: A systematic review and clinical considerations. J Clin Diagnostic Res. 2015;9(6):ZE18–24.
Andersson-Wenckert I, Sunnegårdh-Grönberg K. Flowable resin composite as a class II restorative in primary molars: A two-year clinical evaluation. Acta Odontol Scand. 2006 Nov;64(6):334–40.
Jamali Z, Najafpour E, Ebrahim Adhami Z, Sighari Deljavan A, Asl Aminabadi N, Shirazi S. Does the length of dental treatment influence children’s behaviour during and after treatment? A systematic review and critical appraisal. Tabriz Univ Med Sci. 2018;12:68–76.
Krithikadatta J, Gopikrishna V, Datta M. CRIS guidelines (Checklist for Reporting In-vitro Studies): A concept note on the need for standardized guidelines for improving quality and transparency in reporting in-vitro studies in experimental dental research. J Conserv Dent. 2014;17(4):301–4.
Mosharrafian S, Heidari A, Rahbar P. Microleakage of Two Bulk Fill and One Conventional Composite in Class II Restorations of Primary Posterior Teeth. J Dent (Tehran). 2017 May;14(3):123–31.
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.
Özgünaltay G, Görücü J. Fracture resistance of class II packable composite restorations with and without flowable liners. J Oral Rehabil. 2005;
Lima RBW, Troconis CCM, Moreno MBP, Murillo-Gómez F, De Goes MF. Depth of cure of bulk fill resin composites: A systematic review. J Esthet Restor Dent Off Publ Am Acad Esthet Dent . [et al]. 2018 Nov;30(6):492–501.
Gindri LD, Cassol IP, Fröhlich TT, Rocha R de O. One-year clinical evaluation of class II bulk-fill restorations in primary molars: a randomized clinical trial. Braz Dent J. 2022;33(6):110–20.
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.
Fronza BM, Rueggeberg FA, Braga RR, Mogilevych B, Soares LES, Martin AA, et al. Monomer conversion, microhardness, internal marginal adaptation, and shrinkage stress of bulk-fill resin composites. Dent Mater. 2015;31(12):1542–51.
Kim RJ-Y, Kim Y-J, Choi N-S, Lee I-B. Polymerization shrinkage, modulus, and shrinkage stress related to tooth-restoration interfacial debonding in bulk-fill composites. J Dent. 2015 Apr;43(4):430–9.
Davari A, Daneshkazemi A, Behniafar B, Sheshmani M. Effect of Pre-heating on Microtensile Bond Strength of Composite Resin to Dentin. J Dent (Tehran). 2014;11(5):569.
Bellinaso MD, Soares FZM, Rocha R de O. Do bulk-fill resins decrease the restorative time in posterior teeth? A systematic review and meta-analysis of in vitro studies. J Investig Clin Dent. 2019 Nov;10(4):e12463.
Güler E, Karaman E. Cuspal deflection and microleakage in pre molar teeth restored with bulk-fill resin-based composites. J Adhes Sci Technol. 2014 Oct;28(20):2089–99.
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Copyright (c) 2024 Clara Cavagnoli Mendes, Cleber Paradzinski Cavalheiro, Carolina Lopes da Silva, José Carlos Pettorossi Imparato, Tathiane Larissa Lenzi

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