Restor Dent Endod.  2022 Feb;47(1):e5. 10.5395/rde.2022.47.e5.

A 3-year retrospective study of clinical durability of bulk-filled resin composite restorations

• Ugurlu M
• Sari F

• KMID: 2548114
• DOI: http://doi.org/10.5395/rde.2022.47.e5

Abstract

Objectives
This study aimed to assess the clinical longevity of a bulk-fill resin composite in Class II restorations for 3-year.
Materials and Methods
Patient record files acquired from the 40 patients who were treated due to needed 2 similar sizes Class II composite restorations were used for this retrospective study. In the experimental cavity, the flowable resin composite SDR was inserted in the dentinal part as a 4 mm intermediate layer. A 2 mm coverage layer with a nano-hybrid resin composite (CeramX) was placed on SDR. The control restoration was performed by an incremental technique of 2 mm using the nano-hybrid resin composite. The restorations were blindly assessed by 2 calibrated examiners using modified United States Public Health Service criteria at baseline and 1, 2, and 3 years. The data were analyzed using non-parametric tests (p = 0.05).
Results
Eighty Class II restorations were evaluated. After 3-years, 4 restorations (5%) failed, 1 SDR + CeramX, and 3 CeramX restorations. The annual failure rate (AFR) of the restorations was 1.7%. The SDR + CeramX group revealed an AFR of 0.8%, and the CeramX group an AFR of 2.5% (p > 0.05). Regarding anatomical form and marginal adaptation, significant alterations were observed in the CeramX group after 3-years (p < 0.05). The changes in the color match were observed in each group over time (p < 0.05).
Conclusions
The use of SDR demonstrated good clinical durability in deep Class II resin composite restorations.

Keyword

Bulk-fill; Clinical; Composite resins; Longevity; Posterior

Reference

1. Sunnegårdh-Grönberg K, van Dijken JW, Funegård U, Lindberg A, Nilsson M. Selection of dental materials and longevity of replaced restorations in Public Dental Health clinics in northern Sweden. J Dent. 2009; 37:673–678. PMID: 19477572.

2. Frascino S, Fagundes TC, Silva U, Rahal V, Barboza A, Santos PH, Briso A. Randomized prospective clinical trial of class ii restorations using low-shrinkage flowable resin composite. Oper Dent. 2020; 45:19–29. PMID: 31034347.

3. Opdam NJ, van de Sande FH, Bronkhorst E, Cenci MS, Bottenberg P, Pallesen U, Gaengler P, Lindberg A, Huysmans MC, van Dijken JW. Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res. 2014; 93:943–949. PMID: 25048250.

4. Pallesen U, van Dijken JW, Halken J, Hallonsten AL, Höigaard R. Longevity of posterior resin composite restorations in permanent teeth in Public Dental Health Service: a prospective 8 years follow up. J Dent. 2013; 41:297–306. PMID: 23228499.

5. Van Ende A, De Munck J, Lise DP, Van Meerbeek B. Bulk-fill composites: a review of the current literature. J Adhes Dent. 2017; 19:95–109. PMID: 28443833.

6. Ilie N, Hickel R. Investigations on a methacrylate-based flowable composite based on the SDR™ technology. Dent Mater. 2011; 27:348–355. PMID: 21194743.

7. Braga RR, Ballester RY, Ferracane JL. Factors involved in the development of polymerization shrinkage stress in resin-composites: a systematic review. Dent Mater. 2005; 21:962–970. PMID: 16085301.

8. van Dijken JW, Pallesen U. A randomized controlled three year evaluation of “bulk-filled” posterior resin restorations based on stress decreasing resin technology. Dent Mater. 2014; 30:e245–e251. PMID: 24958689.

9. van Dijken JW, Pallesen U. Bulk-filled posterior resin restorations based on stress-decreasing resin technology: a randomized, controlled 6-year evaluation. Eur J Oral Sci. 2017; 125:303–309. PMID: 28524243.

10. van Dijken JW, Pallesen U. Randomized 3-year clinical evaluation of Class I and II posterior resin restorations placed with a bulk-fill resin composite and a one-step self-etching adhesive. J Adhes Dent. 2015; 7:81–88.

11. van Dijken JW, Pallesen U. Posterior bulk-filled resin composite restorations: a 5-year randomized controlled clinical study. J Dent. 2016; 51:29–35. PMID: 27238052.

12. El-Safty S, Silikas N, Watts DC. Creep deformation of restorative resin-composites intended for bulk-fill placement. Dent Mater. 2012; 28:928–935. PMID: 22656273.

13. Czasch P, Ilie N. In vitro comparison of mechanical properties and degree of cure of bulk fill composites. Clin Oral Investig. 2013; 17:227–235.

14. Moorthy A, Hogg CH, Dowling AH, Grufferty BF, Benetti AR, Fleming GJ. Cuspal deflection and microleakage in premolar teeth restored with bulk-fill flowable resin-based composite base materials. J Dent. 2012; 40:500–505. PMID: 22390980.

15. Abbas G, Fleming GJ, Harrington E, Shortall AC, Burke FJ. Cuspal movement and microleakage in premolar teeth restored with a packable composite cured in bulk or in increments. J Dent. 2003; 31:437–444. PMID: 12878027.

16. Versluis A, Douglas WH, Cross M, Sakaguchi RL. Does an incremental filling technique reduce polymerization shrinkage stresses? J Dent Res. 1996; 75:871–878. PMID: 8675797.

17. Van Ende A, De Munck J, Van Landuyt KL, Poitevin A, Peumans M, Van Meerbeek B. Bulk-filling of high C-factor posterior cavities: effect on adhesion to cavity-bottom dentin. Dent Mater. 2013; 29:269–277. PMID: 23228335.

18. 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; 41:695–702. PMID: 23707645.

19. Alshali RZ, Silikas N, Satterthwaite JD. Degree of conversion of bulk-fill compared to conventional resin-composites at two time intervals. Dent Mater. 2013; 29:e213–e217. PMID: 23845799.

20. Kim RJ, Kim YJ, Choi NS, Lee IB. Polymerization shrinkage, modulus, and shrinkage stress related to tooth-restoration interfacial debonding in bulk-fill composites. J Dent. 2015; 43:430–439. PMID: 25676178.

21. Kumagai RY, Zeidan LC, Rodrigues JA, Reis AF, Roulet JF. Bond strength of a flowable bulk-fill resin composite in Class II MOD cavities. J Adhes Dent. 2015; 7:427–432.

22. Francis AV, Braxton AD, Ahmad W, Tantbirojn D, Simon JF, Versluis A. Cuspal flexure and extent of cure of a bulk-fill flowable base composite. Oper Dent. 2015; 40:515–523. PMID: 25741908.

23. Fronza BM, Rueggeberg FA, Braga RR, Mogilevych B, Soares LE, Martin AA, Ambrosano G, Giannini M. Monomer conversion, microhardness, internal marginal adaptation, and shrinkage stress of bulk-fill resin composites. Dent Mater. 2015; 31:1542–1551. PMID: 26608118.

24. Bucuta S, Ilie N. Light transmittance and micro-mechanical properties of bulk fill vs. conventional resin based composites. Clin Oral Investig. 2014; 18:1991–2000.

25. Ilie N, Bucuta S, Draenert M. Bulk-fill resin-based composites: an in vitro assessment of their mechanical performance. Oper Dent. 2013; 38:618–625. PMID: 23570302.

26. van Dijken JW. A 6-year prospective evaluation of a one-step HEMA-free self-etching adhesive in Class II restorations. Dent Mater. 2013; 29:1116–1122. PMID: 24011496.

27. Pallesen U, van Dijken JW, Halken J, Hallonsten AL, Höigaard R. A prospective 8-year follow-up of posterior resin composite restorations in permanent teeth of children and adolescents in Public Dental Health Service: reasons for replacement. Clin Oral Investig. 2014; 18:819–827.

28. van Dijken JWV, Pallesen U. Durability of a low shrinkage TEGDMA/HEMA-free resin composite system in Class II restorations. A 6-year follow up. Dent Mater. 2017; 33:944–953. PMID: 28545657.

29. van Dijken JW, Lindberg A. A 15-year randomized controlled study of a reduced shrinkage stress resin composite. Dent Mater. 2015; 31:1150–1158. PMID: 26205382.

30. van Dijken JW, Pallesen U. Eight-year randomized clinical evaluation of Class II nanohybrid resin composite restorations bonded with a one-step self-etch or a two-step etch-and-rinse adhesive. Clin Oral Investig. 2015; 19:1371–1379.

31. van Dijken JW, Pallesen U. A randomized 10-year prospective follow-up of Class II nanohybrid and conventional hybrid resin composite restorations. J Adhes Dent. 2014; 6:585–592.

32. Campos EA, Ardu S, Lefever D, Jassé FF, Bortolotto T, Krejci I. Marginal adaptation of Cass II cavities restored with bulk-fill composites. J Dent. 2014; 42:575–581. PMID: 24561041.

33. Veloso SRM, Lemos CAA, de Moraes SLD, do Egito Vasconcelos BC, Pellizzer EP, de Melo Monteiro GQ. Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a systematic review and meta-analysis. Clin Oral Investig. 2019; 23:221–233.

34. Van Meerbeek B, Yoshihara K, Van Landuyt K, Yoshida Y, Peumans M. From Buonocore's pioneering acid-etch technique to self-adhering restoratives. A status perspective of rapidly advancing dental adhesive technology. J Adhes Dent. 2020; 22:7–34. PMID: 32030373.

35. Peumans M, De Munck J, Van Landuyt K, Van Meerbeek B. Thirteen-year randomized controlled clinical trial of a two-step self-etch adhesive in non-carious cervical lesions. Dent Mater. 2015; 31:308–314. PMID: 25637318.