Effects of Lesion Size on the 30-month Clinical Performance of Restorations with Bulk Fill and a Regular Nanofilled Resin Composite in Noncarious Cervical Lesions

Overview

Journal Clin Oral Investig

Specialty Dentistry

Date 2023 Feb 10

PMID 36763143

Authors

Ayla Macyelle de Oliveira Correia

Ana Luiza Barbosa Jurema

Eduardo Bresciani

Taciana Marco Ferraz Caneppele

Affiliations

Soon will be listed here.

Abstract

Objective: The aim of this double-blind, randomized trial was to evaluate the influence of the occlusogingival distance (OGD) in noncarious cervical lesions (NCCLs) on the clinical performance of a regular bulk-fill resin composite and a regular nanofilled resin composite.

Materials And Methods: One hundred and forty NCCLs in 77 participants were randomly divided into four groups (n = 35), according to OGD (1.5 mm ± 10% or 3 mm ± 10%) and resin composites (Filtek Bulk Fill Posterior [B] or Filtek Z350 XT [C]), namely: 1.5 mm-B, 1.5 mm-C, 3 mm-B, and 3 mm-C. The restorations were bonded using a two-step self-etch adhesive (Clearfil SE Bond), applied following the manufacturer's instructions. Restorations were polished 1 week after placement. Two experienced and calibrated examiners evaluated the restorations using modified US Public Health Service criteria at baseline (7 days) and after 6, 12, 18, 24, and 30 months. Statistical analyses were carried out using Kruskal-Wallis, Friedman's repeated measures analysis of variance, and the Wilcoxon signed rank test (α = 0.05).

Results: After 30 months, the recall rate was 94.2%. Eight restorations were lost (3 for 1.5 mm-C, 2 for 1.5 mm-B, 1 for 3 mm-C, and 2 for 3 mm-B). All groups resulted in a significantly worse marginal discoloration and surface texture at 30 months in comparison with the baseline (1 week). No significant difference was found for the other parameters.

Conclusion: The restorations performed with both resin composites produced clinically acceptable restorations. The OGD of NCCLs did not influence the clinical performance of restorations.

Clinical Significance: The OGD of NCCLs did not have a significant effect on the clinical performance of a regular bulk-fill and nanofilled restorations. Both materials showed a very good performance on 30-month evaluation.

References

Kubo S, Yokota H, Yokota H, Hayashi Y . Three-year clinical evaluation of a flowable and a hybrid resin composite in non-carious cervical lesions. J Dent. 2009; 38(3):191-200. DOI: 10.1016/j.jdent.2009.10.003. View

Stojanac I, Premovic M, Ramic B, Drobac M, Stojsin I, Petrovic L . Noncarious cervical lesions restored with three different tooth-colored materials: two-year results. Oper Dent. 2012; 38(1):12-20. DOI: 10.2341/12-046-C. View

Canali G, Ignacio S, Rached R, Souza E . One-year clinical evaluation of bulk-fill flowable vs. regular nanofilled composite in non-carious cervical lesions. Clin Oral Investig. 2018; 23(2):889-897. DOI: 10.1007/s00784-018-2509-8. View

Braga R, Ballester R, Ferracane J . Factors involved in the development of polymerization shrinkage stress in resin-composites: a systematic review. Dent Mater. 2005; 21(10):962-70. DOI: 10.1016/j.dental.2005.04.018. View

Krejci I, Planinic M, Stavridakis M, Bouillaguet S . Resin composite shrinkage and marginal adaptation with different pulse-delay light curing protocols. Eur J Oral Sci. 2005; 113(6):531-6. DOI: 10.1111/j.1600-0722.2005.00259.x. View

Bicalho A, Valdivia A, Barreto B, Tantbirojn D, Versluis A, Soares C . Incremental filling technique and composite material--part II: shrinkage and shrinkage stresses. Oper Dent. 2013; 39(2):E83-92. DOI: 10.2341/12-442-L. View

Kim R, Kim Y, Choi N, Lee I . Polymerization shrinkage, modulus, and shrinkage stress related to tooth-restoration interfacial debonding in bulk-fill composites. J Dent. 2015; 43(4):430-9. DOI: 10.1016/j.jdent.2015.02.002. View

Al Sunbul H, Silikas N, Watts D . Polymerization shrinkage kinetics and shrinkage-stress in dental resin-composites. Dent Mater. 2016; 32(8):998-1006. DOI: 10.1016/j.dental.2016.05.006. View

Shah P, Stansbury J, Bowman C . Application of an Addition-Fragmentation-Chain Transfer Monomer in Di(meth)acrylate Network Formation to Reduce Polymerization Shrinkage Stress. Polym Chem. 2017; 8(30):4339-4351. PMC: 5665588. DOI: 10.1039/C7PY00702G. View

10.

He J, Garoushi S, Sailynoja E, Vallittu P, Lassila L . The effect of adding a new monomer "Phene" on the polymerization shrinkage reduction of a dental resin composite. Dent Mater. 2019; 35(4):627-635. DOI: 10.1016/j.dental.2019.02.006. View

11.

Chesterman J, Jowett A, Gallacher A, Nixon P . Bulk-fill resin-based composite restorative materials: a review. Br Dent J. 2017; 222(5):337-344. DOI: 10.1038/sj.bdj.2017.214. View

12.

Karaman E, Keskin B, Inan U . Three-year clinical evaluation of class II posterior composite restorations placed with different techniques and flowable composite linings in endodontically treated teeth. Clin Oral Investig. 2016; 21(2):709-716. DOI: 10.1007/s00784-016-1940-y. View

13.

van Dijken J, 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):303-309. DOI: 10.1111/eos.12351. View

14.

Correia A, Tribst J, Matos F, Platt J, Caneppele T, Borges A . Polymerization shrinkage stresses in different restorative techniques for non-carious cervical lesions. J Dent. 2018; 76:68-74. DOI: 10.1016/j.jdent.2018.06.010. View

15.

Loguercio A, Rezende M, Gutierrez M, Costa T, 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. View

16.

Correia A, Andrade M, Tribst J, Borges A, Caneppele T . Influence of Bulk-fill Restoration on Polymerization Shrinkage Stress and Marginal Gap Formation in Class V Restorations. Oper Dent. 2020; 45(4):E207-E216. DOI: 10.2341/19-062-L. View

17.

Correia A, Jurema A, Andrade M, 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. 2019; 45(1):E11-E20. DOI: 10.2341/18-256-C. View

18.

Borges A, Borges A, Xavier T, Bottino M, Platt J . Impact of quantity of resin, C-factor, and geometry on resin composite polymerization shrinkage stress in Class V restorations. Oper Dent. 2013; 39(2):144-51. DOI: 10.2341/12-440-L. View

19.

Correia A, Pereira V, Bresciani E, Platt J, Borges A, Caneppele T . Influence of cavosurface angle on the stress concentration and gaps formation in class V resin composite restorations. J Mech Behav Biomed Mater. 2019; 97:272-277. DOI: 10.1016/j.jmbbm.2019.05.034. View

20.

Correia A, Bresciani E, Borges A, Pereira D, Maia L, Caneppele T . Do Tooth- and Cavity-related Aspects of Noncarious Cervical Lesions Affect the Retention of Resin Composite Restorations in Adults? A Systematic Review and Meta-analysis. Oper Dent. 2020; 45(3):E124-E140. DOI: 10.2341/19-091-L. View