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Uyumaz FÜ, Abaklı İnci M, Özer H. Could bulk fill glass hybrid restorative materials replace composite resins in treating permanent teeth? A randomized controlled clinical trial. J ESTHET RESTOR DENT 2024; 36:702-709. [PMID: 38108583 DOI: 10.1111/jerd.13181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 11/29/2023] [Accepted: 11/30/2023] [Indexed: 12/19/2023]
Abstract
OBJECTIVE This study aims to compare the clinical and radiographic efficacy of Equia system bulk fill glass hybrid material with composite resins in the permanent restoration of pediatric patients' permanent teeth. MATERIALS AND METHODS The study included 44 pediatric patients aged 8-16 who applied to Necmettin Erbakan University Pediatric Dentistry Department. The groups were formed as symmetrical teeth in the same patient using the split-mouth design. The study included class I caries lesions of 144 permanent teeth. Group 1 was restored with the Equia system bulk fill glass hybrid material (Equia Forte HT + Equia Forte Coat [GC, Co, Tokyo, Japan]) (n = 72) and Group 2 with the Charisma Smart universal composite resin (Kulzer, Gmbh, Hanau, Germany) + Clearfil SE Bond (Kuraray, Noritake, Sakazu, Okayama) (n = 72). Evaluations were performed clinically and radiographically by two physicians in 2nd week, 3rd month, 6th month, and 12th month and the results were recorded. Clinical evaluation was carried out using modified-USPHS criteria. Obtained data were statistically analyzed using Kendall's W test and Cochran's Q test for the comparison within the group, and the Chi-square test for the comparison between groups. RESULTS Among the materials utilized in the study, there was no statistically significant difference in marginal adaptation, marginal discoloration, retention, anatomical form, postoperative sensitivity, and secondary caries according (p > 0.05). Group 2 outperformed statistically significant Group 1 in terms of color match in all periods (p < 0.05). While there was no statistically significant difference in surface structure between the groups in 2nd week and 3rd month (p > 0.05), there was a statistically substantial difference in 6th, and 12th months (p < 0.05). No secondary caries or periapical lesions were found in any restorations during radiographic evaluation. CONCLUSION After a year, the clinical performance of both Equia and composite resins was equivalent and successful in the majority of the measures against which they were evaluated. CLINICAL SIGNIFICANCE Based on the results of the research, Equia system bulk fill glass hybrid restorations are considered a viable alternative to composite resins in class I permanent teeth restorations.
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Affiliation(s)
- Fatma Üzümcü Uyumaz
- Department of Pediatric Dentistry, Bursa Oral and Dental Health Training and Research Hospital, Bursa, Turkey
| | - Merve Abaklı İnci
- Faculty of Dentistry, Department of Pediatric Dentistry, Necmettin Erbakan University, Konya, Turkey
| | - Hazal Özer
- Faculty of Dentistry, Department of Pediatric Dentistry, Necmettin Erbakan University, Konya, Turkey
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González CC, Ñaupari-Villasante R, Dos Santos de Castro A, Mendez-Bauer L, Dávila-Sanchez A, Aliaga-Sancho P, Gutierrez MF, Reis A, Loguercio AD. Clinical evaluation of posterior restorations over wet and dry dentin using an etch-and-rinse adhesive: A 36-month randomized clinical trial. Dent Mater 2024; 40:619-628. [PMID: 38369403 DOI: 10.1016/j.dental.2024.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Revised: 01/30/2024] [Accepted: 02/12/2024] [Indexed: 02/20/2024]
Abstract
OBJECTIVES To evaluate the clinical performance of posterior restorations over wet and dry dentin with an etch-and-rinse adhesive after 36 months of clinical service. METHODS Forty-five participants were recruited, each one had at least two posterior teeth that needed restoration. Ninety restorations were placed on Class I or Class II cavities. For the restoration protocol, a simplified etch-and-rinse adhesive (Adper Single Bond 2) was applied over wet (WD) or dry dentin (DD) and later restored with a bulk-fill composite (Filtek Bulk Fill) under rubber dam isolation. Each restoration was evaluated using the World Dental Federation (FDI) criteria after 6, 12, and 36 months of clinical service, regarding the following principal restoration characteristics: postoperative sensitivity, marginal discoloration, marginal adaptation, fracture of material and retention, and recurrence of caries. Kruskal Wallis analysis of variance rank (α = 0.05) and Kaplan-Meier survival analysis were used for statistical analysis. RESULTS After 36 months of clinical evaluation, no significant difference between groups was observed in each FDI criterion (p > 0.05). Twenty restorations (WD=10, DD=10) showed minor marginal staining, and twenty-two restorations (WD=11, DD=11) presented small marginal adaptation defects (p > 0.05). Four restorations were lost (WD = 2, DD = 2) and the fracture rates (95% confidence interval) were 94.9% for each one, without significant difference between wet and dry dentin (p > 0.05). SIGNIFICANCE The degree of dentin moisture does not seem to affect the clinical performance of a simplified etch-and-rinse adhesive in posterior restorations when the adhesive is applied vigorously over the dentine surface.
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Affiliation(s)
- Claudia C González
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | - Romina Ñaupari-Villasante
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | | | - Luján Mendez-Bauer
- Research Department, Faculty of Dentistry, Francisco Marroquím University, Guatemala city, Guatemala
| | - Andrés Dávila-Sanchez
- Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - Paulina Aliaga-Sancho
- Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - Mario Felipe Gutierrez
- Universidad de los Andes, Facultad de Odontología, Santiago, Chile; University of Chile, Institute for Research in Dental Sciences, Faculty of Dentistry, Santiago, Chile
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil.
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Miletić I, Baraba A, Krmek SJ, Perić T, Marković D, Basso M, Ozkaya CA, Kemaloglu H, Turkun LS. Clinical performance of a glass-hybrid system in comparison with a resin composite in two-surface class II restorations: a 5-year randomised multi-centre study. Clin Oral Investig 2024; 28:104. [PMID: 38243032 PMCID: PMC10799110 DOI: 10.1007/s00784-024-05491-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 01/04/2024] [Indexed: 01/21/2024]
Abstract
OBJECTIVE To evaluate the 5-year clinical performance of a glass hybrid restorative system and a nano-hybrid resin composite in moderate to large two-surface class II cavities. MATERIALS AND METHODS This study was carried out by dental schools in Zagreb, Croatia; Izmir, Turkey; Belgrade, Serbia; and Milan, Italy. A total of 180 patients requiring two class-II two-surface restorations in the molars of the same jaw were recruited. The teeth were randomly restored with either a nano-hybrid resin composite (Tetric EvoCeram, Ivoclar Vivadent) or a glass-hybrid material (EQUIA Forte, GC). During the 5-year follow-up, two calibrated evaluators at each centre scored the restorations annually using the FDI-2 scoring system. The survival rates were calculated using the Kaplan-Meier method and compared using non-parametric matched pair tests (p < 0.05). RESULTS There were no statistically significant differences between the overall survival and success rates of the two types of restorations (p>0.05). The success rates (FDI-2 scores 1-3) for EQUIA Forte were 81.9% (average annual failure rate: 3.9%) and 90.7% for Tetric EvoCeram (average annual failure rate: 1.9%). The survival rates (FDI-2 scores 1-4) for EQUIA Forte and Tetric EvoCeram were 94.5% and 94.4%, respectively, with an average annual failure rate of 1.1%. CONCLUSIONS In terms of success and survival rates, both the glass-hybrid restorative system and the nano-hybrid resin composite have been shown to perform satisfactorily. CLINICAL RELEVANCE The results of this study indicate that EQUIA Forte can be one of the therapeutic options for moderate to large two-surface class II restorations of posterior teeth.
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Affiliation(s)
- Ivana Miletić
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10 000, Zagreb, Croatia.
| | - Anja Baraba
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10 000, Zagreb, Croatia
| | - Silvana Jukić Krmek
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10 000, Zagreb, Croatia
| | - Tamara Perić
- Clinic for Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Dr Subotica 11, Belgrade, 11000, Serbia
| | - Dejan Marković
- Clinic for Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Dr Subotica 11, Belgrade, 11000, Serbia
| | - Matteo Basso
- Center of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopaedic Institute, University of Milan, Via Riccardo Galeazzi 4, 20161, Milan, Italy
| | - Cigdem Atalayin Ozkaya
- Department of Restorative Dentistry, Ege University School of Dentistry, Erzene Mah. Ankara Cad. No:172/109, 35040, Bornova/Izmir, Turkey
| | - Hande Kemaloglu
- Department of Restorative Dentistry, Ege University School of Dentistry, Erzene Mah. Ankara Cad. No:172/109, 35040, Bornova/Izmir, Turkey
| | - Lezize Sebnem Turkun
- Department of Restorative Dentistry, Ege University School of Dentistry, Erzene Mah. Ankara Cad. No:172/109, 35040, Bornova/Izmir, Turkey
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Ge KX, Quock R, Chu CH, Yu OY. The preventive effect of glass ionomer cement restorations on secondary caries formation: A systematic review and meta-analysis. Dent Mater 2023; 39:e1-e17. [PMID: 37838608 DOI: 10.1016/j.dental.2023.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 09/19/2023] [Accepted: 10/05/2023] [Indexed: 10/16/2023]
Abstract
OBJECTIVE The objective is to compare the preventive effect on secondary caries of glass ionomer cement (GIC) restorations with amalgam or resin-composite restorations. METHODS Two independent researchers conducted a systematic search of English publications in PubMed, Web of Science, Cochrane and Scopus. They selected randomized clinical trials comparing secondary caries incidences around GIC restorations (conventional GIC or resin-modified GIC) with amalgam or resin-composite restorations. Meta-analysis of the secondary-caries incidences with risk ratio (RR) and 95% confidence interval (95% CI) as the effect measure was performed. RESULTS This review included 64 studies. These studies included 8310 GIC restorations and 5857 amalgam or resin-composite restorations with a follow-up period from 1 to 10 years. Twenty-one studies with 4807 restorations on primary teeth and thirty-eight studies with 4885 restorations on permanent teeth were eligible for meta-analysis. The GIC restorations had a lower secondary caries incidence compared with amalgam restorations in both primary dentition [RR= 0.55, 95% CI:0.41-0.72] and permanent dentition [RR= 0.20, 95% CI:0.11-0.38]. GIC restorations showed similar secondary caries incidence compared with resin-composite restorations in primary dentition [RR= 0.92, 95% CI:0.77-1.10] and permanent dentition [RR= 0.77, 95% CI:0.39-1.51]. Conventional GIC restorations showed similar secondary caries incidence compared with resin-modified GIC-restored teeth in both primary dentition [RR= 1.12, 95% CI:0.67-1.87] and permanent dentition [RR= 1.63, 95% CI:0.34-7.84]. CONCLUSIONS GIC restorations showed a superior preventive effect against secondary caries compared to amalgam restorations, and a similar preventive effect against secondary caries compared to resin-composite restorations in both primary and permanent teeth. [PROSPERO Registration ID: CRD42022380959].
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Affiliation(s)
| | - Ryan Quock
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China; Department of Restorative Dentistry and Prosthodontics, School of Dentistry, The University of Texas Health Science Center at Houston, TX, USA
| | - Chun-Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - Ollie Yiru Yu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
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Cribari L, Madeira L, Roeder RBR, Macedo RM, Wambier LM, Porto TS, Gonzaga CC, Kaizer MR. High-viscosity glass-ionomer cement or composite resin for restorations in posterior permanent teeth? A systematic review and meta-analyses. J Dent 2023; 137:104629. [PMID: 37499738 DOI: 10.1016/j.jdent.2023.104629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 06/20/2023] [Accepted: 07/19/2023] [Indexed: 07/29/2023] Open
Abstract
OBJECTIVES Answer the PICO question: Do class I and II posterior restorations in permanent teeth placed with high-viscosity glass-ionomer cement (HV-GIC) fail more than composite resin (CR) restorations? DATA The study was registered in the PROSPERO database (CRD42020138290). Randomized and controlled clinical trials, comparing the performance of HV-GIC and CR in load bearing cavities of posterior permanent teeth were included. Cochrane risk of bias tool and GRADE were used to assess the quality and certainty of the evidence. Meta-analyses were performed for clinical outcomes on USPHS and FDI criteria for 12-, 24- and 36-months follow-ups. SOURCES PubMed, Scopus and Web of Science were last searched on April 2, 2022, without language or date restrictions. Reference lists of primary studies and their related article link in PubMed were manually searched. STUDY SELECTION Ten studies were included, while data from 8 were used for the meta-analyses. A total of 849 HV-GIC and 800 CR restorations were followed. The primary outcome was the fracture/retention of the restoration, with a comparable performance for both materials on all follow-ups. The 36 months follow-up for class I restorations (longest) showed risk difference of -0,00 (95%CI -0,03 to 0,03; p = 0,98) and no heterogeneity (p = 0,98, I2=0%). The certainty of the evidence is moderate, as all included studies were at an uncertain risk of bias. CONCLUSIONS HV-GIC and CR presented comparable clinical performance in posterior permanent teeth up to 36 months. HV-GIV wear in class I restorations followed by 24 months was the only poorer result compared to CR. CLINICAL SIGNIFICANCE Conservative load bearing cavities in permanent posterior teeth can be restored with HV-GIC with comparable clinical performance to CR expected at least up to 3 years. HV-GIC is a valuable direct restorative option for posterior teeth in high caries risk patients, in which CR is frequently associated with failure.
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Affiliation(s)
- Lisiane Cribari
- School of Dentistry, Universidade Positivo, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR 81280-330, Brazil
| | - Luciano Madeira
- School of Dentistry, Universidade Positivo, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR 81280-330, Brazil
| | - Renata B R Roeder
- School of Dentistry, Universidade Positivo, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR 81280-330, Brazil
| | - Rander M Macedo
- School of Dentistry, Universidade Positivo, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR 81280-330, Brazil
| | - Leticia M Wambier
- School of Dentistry, Universidade Positivo, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR 81280-330, Brazil
| | - Thiago S Porto
- Department of Operative Dentistry, University of Iowa College of Dentistry, 801 Newton Rd, Iowa City, IA 52242, United States
| | - Carla C Gonzaga
- School of Dentistry, Universidade Positivo, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR 81280-330, Brazil
| | - Marina R Kaizer
- School of Dentistry, Universidade Positivo, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR 81280-330, Brazil.
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Sengupta A, Naka O, Mehta SB, Banerji S. The clinical performance of bulk-fill versus the incremental layered application of direct resin composite restorations: a systematic review. Evid Based Dent 2023; 24:143. [PMID: 37402908 PMCID: PMC10516750 DOI: 10.1038/s41432-023-00905-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 06/09/2023] [Indexed: 07/06/2023]
Abstract
OBJECTIVES To systematically review the scientific evidence comparing the clinical effectiveness of bulk-fill versus incrementally layered conventional resin composites and to evaluate if one method offers clear merits with specific clinical outcomes. MATERIALS AND METHODS Using relevant mesh terms and pre-established eligibility criteria in PubMed, Embase, Scopus and Web of Science, a thorough scientific search was conducted with an end-date of 30.04.2023. Randomized controlled clinical trials that involved the direct comparison of Class I and Class II resin composite restorations applied using incremental layering techniques versus bulk-filled in permanent teeth with an observation period of at least six months were considered. To evaluate the bias risk of the finalized records, a revised version of the Cochrane risk-of-bias tool for randomized trials was implemented. RESULTS Out of the 1445 records determined, 18 eligible reports were chosen for qualitative analysis. Data obtained was categorized as per, the cavity design, the intervention, the comparator(s), the methods of success/failure assessment, the outcomes, and follow-up. Two studies demonstrated an overall low-risk of bias, fourteen studies raised some concerns, and two studies exhibited high-risk. CONCLUSION Bulk filled resin composite restorations demonstrated clinical outcomes similar to those of incrementally layered resin composite restorations within a review interval of 6 months to 10 years.
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Affiliation(s)
- Arjita Sengupta
- Faculty of Dentistry Oral and Craniofacial Sciences, King's College London, London, UK
| | - Olga Naka
- Faculty of Dentistry Oral and Craniofacial Sciences, King's College London, London, UK.
- School of Dentistry, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
| | - Shamir B Mehta
- Faculty of Dentistry Oral and Craniofacial Sciences, King's College London, London, UK
| | - Subir Banerji
- Faculty of Dentistry Oral and Craniofacial Sciences, King's College London, London, UK
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Pinto NS, Jorge GR, Vasconcelos J, Probst LF, De-Carli AD, Freire A. Clinical efficacy of bioactive restorative materials in controlling secondary caries: a systematic review and network meta-analysis. BMC Oral Health 2023; 23:394. [PMID: 37322456 PMCID: PMC10268411 DOI: 10.1186/s12903-023-03110-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 06/06/2023] [Indexed: 06/17/2023] Open
Abstract
BACKGROUND This systematic review and network meta-analysis aimed to compare the clinical efficacy of bioactive and conventional restorative materials in controlling secondary caries (SC) and to provide a classification of these materials according to their effectiveness. METHODS A search was performed in Pubmed, Web of Science, Embase, BBO, Lilacs, Cochrane Library, Scopus, IBECS and gray literature. Clinical trials were included, with no language or publication date limitations. Paired and network meta-analyses were performed with random-effects models, comparing treatments of interest and classifying them according to effectiveness in the permanent and deciduous dentition and at 1-year or 2/more years of follow-up. The risk of bias and certainty of evidence were evaluated. RESULTS Sixty-two studies were included in the qualitative syntheses and 39 in the quantitative ones. In permanent teeth, resin composite (RC) (RR = 2.00; 95%CI = 1.10, 3.64) and amalgam (AAG) (RR = 1.79; 95%CI = 1.04, 3.09) showed a higher risk of SC than Glass Ionomer Cement (GIC). In the deciduous teeth, however, a higher risk of SC was observed with RC than with AAG (RR = 2.46; 95%CI = 1.42, 4.27) and in GIC when compared to Resin-Modified Glass Ionomer Cement (RMGIC = 1.79; 95%CI = 1.04, 3.09). Most randomized clinical trials studies showed low or moderate risk of bias. CONCLUSION There is a difference between bioactive restorative materials for SC control, with GIC being more effective in the permanent teeth and the RMGIC in the deciduous teeth. Bioactive restorative materials can be adjuvants in the control of SC in patients at high risk for caries.
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Affiliation(s)
- Noeleni Souza Pinto
- School of Dentistry, Universidade Federal de Mato Grosso Do Sul, Av. Costa E Silva, S/N, Universitário, Campo Grande, MS 79070-900 Brazil
| | - Gabriela Rebouças Jorge
- School of Dentistry, Universidade Federal de Mato Grosso Do Sul, Av. Costa E Silva, S/N, Universitário, Campo Grande, MS 79070-900 Brazil
| | | | - Livia Fernandes Probst
- Unidade de Avaliação de Tecnologias Em Saúde, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
| | - Alessandro Diogo De-Carli
- School of Dentistry, Universidade Federal de Mato Grosso Do Sul, Av. Costa E Silva, S/N, Universitário, Campo Grande, MS 79070-900 Brazil
| | - Andrea Freire
- School of Dentistry, Universidade Federal de Mato Grosso Do Sul, Av. Costa E Silva, S/N, Universitário, Campo Grande, MS 79070-900 Brazil
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Di Lauro A, Di Duca F, Montuori P, Dal Piva AMDO, Tribst JPM, Borges ALS, Ausiello P. Fluoride and Calcium Release from Alkasite and Glass Ionomer Restorative Dental Materials: In Vitro Study. J Funct Biomater 2023; 14:jfb14020109. [PMID: 36826908 PMCID: PMC9967494 DOI: 10.3390/jfb14020109] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/10/2023] [Accepted: 02/13/2023] [Indexed: 02/17/2023] Open
Abstract
This study evaluated the effect of pH and temperature on the ion (F- and Ca2+) release of a resin-based material containing alkaline fillers and a self-setting high-viscous glass ionomer cement. Disks were prepared according to manufacturers' instructions for both materials: the EF group (Equia Forte HT filling, GC) and the CN group (Cention N, Ivoclar). Specimens were immersed in 50 mL buffer solution with three different pHs (4.8, 6.8, and 8.8), and stored at 0°, 18°, 37°, and 44 °C. After 24 h, 7 d, and 28 d, cumulative F- and Ca2+ releases were analyzed by chromatography and mass spectrometry, and pH was measured. Both materials showed minimal changes in pH with final values after 28 d of 5.17 ± 0.56 for CN and 5.12 ± 0.24 for EF. In all experimental conditions, the percentages of ion release were higher for EF than for CF. In particular, both materials showed a significant difference in temperature in F- release. Regardless of the pH values, the highest Ca2+ ion release was after 28 days, with a significant difference in temperature for CN and EF. Within the limit of this study, the temperature storage influenced ion release and the high-viscous glass ionomer showed the maximum values.
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Affiliation(s)
- Alessandro Di Lauro
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
| | - Fabiana Di Duca
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy
- Correspondence:
| | - Paolo Montuori
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy
| | - Amanda Maria de Oliveira Dal Piva
- Department of Dental Materials, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, 1081 LA Amsterdam, The Netherlands
| | - João Paulo Mendes Tribst
- Department of Oral Regenerative Medicine, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit Amsterdam, 1081 LA Amsterdam, The Netherlands
| | - Alexandre Luiz Souto Borges
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos 12245-000, Brazil
| | - Pietro Ausiello
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
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The influence of different placement techniques on the clinical success of bulk-fill resin composites placed in Class II cavities: a 4-year randomized controlled clinical study. Clin Oral Investig 2023; 27:541-557. [PMID: 36222961 DOI: 10.1007/s00784-022-04749-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Accepted: 10/02/2022] [Indexed: 02/03/2023]
Abstract
OBJECTIVE The purpose of this double-blind and split-mouth randomized controlled clinical trial was to evaluate the clinical success of the placement technique (bulk-filling and incremental techniques) of a bulk-fill resin composite in Class II carious lesions. MATERIALS AND METHODS Two different bulk-fill resin composites, X-tra fil (Voco) and Filtek Bulk Fill (3M ESPE), were used in the bulk-filling and incremental techniques for 20 patients. The study was carried out in 4 groups, with 20 restorations in each group. Restorations were appraised at baseline, 6-month, 2-year, and 4-year recall. World Dental Federation (FDI) and the US Public Health Service (USPHS) criteria were used in the evaluations. The Friedman, Kruskal-Wallis, and Mann-Whitney U tests were used for the statistical analysis. RESULTS At the end of year 4, there was no loss of restoration in any group. According to the USPHS and FDI criteria, there was a difference in the baseline and 4-year in marginal adaptation and marginal discoloration of the restorations (P < 0.05). When Filtek-Bulk was placed as an incremental technique, there was a minor fracture in four restorations (P > 0.05). In addition, Filtek-Bulk showed a color change according to the results based on both the USPHS and FDI criteria (P < 0.05). The difference between the two placement techniques of each resin composite was not significant at the year 4 recall when all criteria were evaluated (P ˃ 0.05). CONCLUSIONS The 4-year clinical success of the evaluated bulk-fill composites is not dependent on the placement technique used. CLINICAL RELEVANCE This study can help clinicians choose which technique (bulk fill and incremental techniques) bulk-fill composites can be used. TRIAL REGISTRATION US National Library of Medicine, www. CLINICALTRIALS gov , ID: NCT04565860 Registered on 10/09/2020. Clinical Evaluation of Bulk-fill resin Composites in Class II Restorations.
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Pilcher L, Pahlke S, Urquhart O, O'Brien KK, Dhar V, Fontana M, González-Cabezas C, Keels MA, Mascarenhas AK, Nascimento MM, Platt JA, Sabino GJ, Slayton RL, Tinanoff N, Young DA, Zero DT, Tampi MP, Purnell D, Salazar J, Megremis S, Bienek D, Carrasco-Labra A. Direct materials for restoring caries lesions: Systematic review and meta-analysis-a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2023; 154:e1-e98. [PMID: 36610925 DOI: 10.1016/j.adaj.2022.09.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 07/26/2022] [Accepted: 09/28/2022] [Indexed: 01/07/2023]
Abstract
BACKGROUND The goal of restoring caries lesions is to protect the pulp, prevent progression of the disease process, and restore the form and function of the tooth. The purpose of this systematic review was to determine the effect of different direct restorative materials for treating cavitated caries lesions on anterior and posterior primary and permanent teeth. TYPE OF STUDIES REVIEWED The authors included parallel and split-mouth randomized controlled trials comparing the effectiveness of direct restorative materials commercially available in the United States placed in vital, nonendodontically treated primary and permanent teeth. Pairs of reviewers independently conducted study selection, data extraction, and assessments of risk of bias and certainty of the evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. The authors conducted pair-wise meta-analyses to summarize the evidence and calculated measures of association and their 95% CIs. RESULTS Thirty-eight randomized controlled trials were eligible for analysis, which included data on Class I and Class II restorations on primary teeth and Class I, Class II, Class III, Class V, and root surface restorations on permanent teeth. Included studies assessed the effect of amalgam, resin composite, compomer, conventional glass ionomer cement, resin-modified glass isomer cement, and preformed metal crowns. Moderate to very low certainty evidence suggested varying levels of effectiveness across restorative materials. CONCLUSIONS AND PRACTICAL IMPLICATIONS Owing to a relatively low event rate across various outcomes indicating restoration failure, there was limited evidence to support important differences between direct restorative materials used in practice.
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BARCELEIRO MDO, TARDEM C, ALBUQUERQUE EG, LOPES LDS, MARINS SS, POUBEL LA, BARCELOS R, ÑAUPARI-VILLASANTE R, LOGUERCIO AD, CALAZANS FS. Can composite packaging and selective enamel etching affect the clinical behavior of bulk-fill composite resin in posterior restorations? 24-month results of a randomized clinical trial. J Appl Oral Sci 2023; 31:e20220323. [PMID: 36790298 PMCID: PMC9972856 DOI: 10.1590/1678-7757-2022-0323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 12/27/2022] [Indexed: 02/16/2023] Open
Abstract
OBJECTIVES This is a double-blind, split-mouth, randomized clinical study that aims to evaluate the influence of bulk-fill composite packaging presented in syringes (BSy) and capsules (BCa), and the effect of selective enamel etching (SEE) on the clinical performance of class I and II bulk-fill resin composite restorations after 24 months. METHODOLOGY A total of 295 class I or class II restorations were performed on 70 patients. One universal adhesive was applied in all restorations. SEE was used in 148 restorations and self-etching mode (SET) in 147 restorations. After the adhesive application, cavities were restored with Filtek Bulk-fill Posterior Restorative in syringes (BSy), Filtek One Bulk-fill in capsules (BCa), or Filtek Supreme Ultra in syringes with the incremental technique (In). All restorations were evaluated using the FDI criteria after one week and after six, 12, and 24 months. Kaplan-Meier survival analysis and Pearson's Chi-square test were used (α=0.05) for statistical analysis. RESULTS After 24 months, 62 patients were evaluated and four restorations were lost due to fracture (one for SEEBSy, two for SEEIn, and one for SETIn). No significant differences in the fracture and retention rate were found between groups (p>0.05). SEE showed significantly fewer marginal adaptation defects than SET (p<0.05). BCa and BSy groups showed fewer marginal discrepancies compared to In (p<0.05). Restorations performed with BCa showed less color mismatch than BSy or In (p<0.05). CONCLUSION Although all restorations exhibited satisfactory clinical performance after 24 months of clinical service, the clinical behavior of class I and II restorations' improved when performed with a bulk-fill composite in capsules, mainly when associated with a universal adhesive applied with SEE.
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Affiliation(s)
- Marcos de Oliveira BARCELEIRO
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
| | - Chane TARDEM
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNiteróiRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Niterói, Rio de Janeiro, Brasil.
| | - Elisa Gomes ALBUQUERQUE
- Universidade Federal de Juiz de ForaDepartamento de Odontologia RestauradoraJuiz de Fora,Minas GeraisBrasilUniversidade Federal de Juiz de Fora, Departamento de Odontologia Restauradora, Juiz de Fora, Minas Gerais, Brasil.
| | - Leticia de Souza LOPES
- Universidade Estadual de Rio de JaneiroDepartamento de Odontologia RestauradoraRio de JaneiroRio de JaneiroBrasilUniversidade Estadual de Rio de Janeiro, Departamento de Odontologia Restauradora, Rio de Janeiro, Rio de Janeiro, Brasil.
| | - Stella Soares MARINS
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
| | - Luiz Augusto POUBEL
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
| | - Roberta BARCELOS
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
| | - Romina ÑAUPARI-VILLASANTE
- Universidade Estadual de Ponta GrossaDepartamento de Odontologia RestauradoraPonta GrossaParanáBrasilUniversidade Estadual de Ponta Grossa, Departamento de Odontologia Restauradora, Ponta Grossa, Paraná, Brasil.
| | - Alessandro Dourado LOGUERCIO
- Universidade Estadual de Ponta GrossaDepartamento de Odontologia RestauradoraPonta GrossaParanáBrasilUniversidade Estadual de Ponta Grossa, Departamento de Odontologia Restauradora, Ponta Grossa, Paraná, Brasil.
| | - Fernanda Signorelli CALAZANS
- Universidade Federal FluminenseDepartamento de Odontologia RestauradoraNova FriburgoRio de JaneiroBrasilUniversidade Federal Fluminense, Departamento de Odontologia Restauradora, Nova Friburgo, Rio de Janeiro, Brasil.
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Albelasy EH, Hamama HH, Chew HP, Montaser M, Mahmoud SH. Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials. Sci Rep 2022; 12:19244. [PMID: 36357453 PMCID: PMC9649593 DOI: 10.1038/s41598-022-19622-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Accepted: 08/31/2022] [Indexed: 11/12/2022] Open
Abstract
This systematic review was aimed to evaluate occurrence of secondary caries and marginal adaptation in ion-releasing materials versus resin composite. Electronic search of PubMed, Scopus, and Open Grey databases with no date or language restrictions until May 21st, 2021, was conducted. Randomized clinical trials that compared ion-releasing restorations versus resin composite were included. For quantitative analysis, a random-effects meta-analysis with risk difference as an effect measure and a 95% confidence interval was used. Quality of evidence was assessed using The Grading of Recommendations, Assessment, Development, and Evaluation criteria. The risk of bias was evaluated using the Cochran Collaboration Risk of Bias tool. The inclusion criteria were met by 22 studies, and 10 studies were included in the meta-analysis. Three follow-up periods (1 year, 18 months-2 years, and 3 years) were evaluated. The overall quality of evidence for secondary caries and marginal adaptation outcomes was low. The results of the meta-analysis showed no significant difference (p > 0.05) in both outcomes between ion-releasing materials and resin composite. The occurrence of secondary caries was not dependent on the nature of the restorative material. It is more likely a complex process that involves the same risk factors as primary carious lesions.
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Affiliation(s)
- Eman H. Albelasy
- grid.10251.370000000103426662Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Algomhoria Street, Mansoura, Aldakhlia 35516 Egypt ,grid.17635.360000000419368657Research Visiting Scholar, Minnesota Dental Research Centre for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, Minneapolis, MN 55455 USA
| | - Hamdi H. Hamama
- grid.10251.370000000103426662Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Algomhoria Street, Mansoura, Aldakhlia 35516 Egypt ,grid.10251.370000000103426662Restorative Dentistry Department, Faculty of Dentistry, New-Mansoura University, New-Mansoura, Egypt
| | - Hooi Pin Chew
- grid.17635.360000000419368657Minnesota Dental Research Centre for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, Minneapolis, MN 55455 USA
| | - Marmar Montaser
- grid.10251.370000000103426662Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Algomhoria Street, Mansoura, Aldakhlia 35516 Egypt
| | - Salah H. Mahmoud
- grid.10251.370000000103426662Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Algomhoria Street, Mansoura, Aldakhlia 35516 Egypt ,Conservative Dentistry Department, Faculty of Dentistry, Horus University, New-Damietta, Egypt
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Endo Hoshino IA, Fraga Briso AL, Bueno Esteves LM, Dos Santos PH, Meira Borghi Frascino S, Fagundes TC. Randomized prospective clinical trial of class II restorations using flowable bulk-fill resin composites: 4-year follow-up. Clin Oral Investig 2022; 26:5697-5710. [PMID: 35556174 DOI: 10.1007/s00784-022-04526-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 04/29/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES This randomized, prospective, and split-mouth study aimed to evaluate flowable bulk-fill resin composites in class II restorations, comparing it with a conventional layering technique after 4-year follow-up. MATERIALS AND METHODS Fifty-three subjects received three class II restorations according to the restorative systems: conventional microhybrid composite resin (PA - Peak Universal + Amelogen Plus, Ultradent); flowable bulk-fill and nanoparticulate composite resins (ABF - Adper Single Bond 2 + Filtek Bulk Fill Flow + Filtek Z350XT, 3M/Espe); and flowable bulk-fill and microhybrid composite resins, (XST - XP Bond + SDR + TPH3, Dentsply). The clinical performance and interproximal contacts were evaluated. Statistical analyses were performed using the Kaplan-Meier, equality test of two proportions, Friedman, Wilcoxon, Kruskal-Wallis, Mann-Whitney, and Logistic regression analysis tests (alpha = 0.05). RESULTS In total, 106 restorations were evaluated at 4 years. Both systems with bulk-fill composites presented higher marginal discoloration than PA. About surface texture, ABF restorative system showed superior bravo scores being statistically similar to XST. Better performance for wear and surface staining was found for XST restorative system. All restorative systems resulted in the decreased interproximal contacts, occurring early for XST. CONCLUSIONS The restorative systems that used flowable bulk-fill resin composites showed satisfactory clinical performance compared with conventional resin composite after 4 years. All restorative systems had decreased proximal contact after 4 years. CLINICAL RELEVANCE Initial marginal discoloration was observed in more than 50% of class II restorations performed with restorative systems that used flowable bulk-fill resin composite. All restorative systems had decreased proximal contact strength over time.
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Affiliation(s)
- Isis Almela Endo Hoshino
- Department of Preventive and Restorative Dentistry, School of Dentistry Araçatuba, São Paulo State University (UNESP), José Bonifácio, Araçatuba, São Paulo, Vila Mendonça, 1193, Brazil
| | - André Luiz Fraga Briso
- Department of Preventive and Restorative Dentistry, School of Dentistry Araçatuba, São Paulo State University (UNESP), José Bonifácio, Araçatuba, São Paulo, Vila Mendonça, 1193, Brazil
| | - Lara Maria Bueno Esteves
- Department of Preventive and Restorative Dentistry, School of Dentistry Araçatuba, São Paulo State University (UNESP), José Bonifácio, Araçatuba, São Paulo, Vila Mendonça, 1193, Brazil
| | - Paulo Henrique Dos Santos
- Department of Dental Materials and Prosthodontics, School of Dentistry Araçatuba, São Paulo State University (UNESP), José Bonifácio, Araçatuba, São Paulo, Vila Mendonça, 1193, Brazil
| | - Sandra Meira Borghi Frascino
- Department of Preventive and Restorative Dentistry, School of Dentistry Araçatuba, São Paulo State University (UNESP), José Bonifácio, Araçatuba, São Paulo, Vila Mendonça, 1193, Brazil
| | - Ticiane Cestari Fagundes
- Department of Preventive and Restorative Dentistry, School of Dentistry Araçatuba, São Paulo State University (UNESP), José Bonifácio, Araçatuba, São Paulo, Vila Mendonça, 1193, Brazil.
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Is the clinical performance of composite resin restorations in posterior teeth similar if restored with incremental or bulk-filling techniques? A systematic review and meta-analysis. Clin Oral Investig 2022; 26:2281-2297. [DOI: 10.1007/s00784-021-04337-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 12/04/2021] [Indexed: 11/26/2022]
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Santos MHD, Santos LRD, Alves LNS, Moura HS, Carvalho MMSGD, Lins RBE. Do Bulk-Fill Resin Composites Present More Susceptibility to Marginal Degradation in Different Clinical Scenarios? A Systematic Review and Meta-Analysis. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
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Moda MD, Briso AF, Hoshino I, Frascino S, Santos PH, Gonçalves DM, Fagundes TC. Three-year Randomized Prospective Clinical Trial of Class II Restorations Using Flowable Bulk-fill Resin Composites. Oper Dent 2021; 46:516-528. [PMID: 34520538 DOI: 10.2341/20-031-c] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES This randomized, prospective, and split-mouth study aimed to evaluate flowable bulk-fill resin composites in class II restorations and to compare with a conventional layering technique after a 3-year follow-up. METHODS AND MATERIALS Fifty-three subjects received three class II restorations according to the restorative systems: conventional microhybrid resin composite (PA, Peak Universal + Amelogen Plus, Ultradent), flowable bulk-fill and nanoparticulate resin composites (ABF, Adper Single Bond 2 + Filtek Bulk Fill Flow + Filtek Z350XT, 3M Oral Care), and flowable bulk-fill and microhybrid resin composites (XST, XP Bond + SDR + TPH3, Dentsply). The clinical performance and interproximal contacts were evaluated. Statistical analyses were performed using the equality test of two proportions, Logistic regression analysis, Friedman, Wilcoxon, Kruskal-Wallis, and Mann-Whitney tests (α=0.05). RESULTS Forty-seven patients were evaluated at 3 years. XST bulk-fill restorative system presented higher marginal discoloration than PA, and the opposite occurred for surface staining. All restorative systems resulted in decreased interproximal contacts, occurring early for XST. CONCLUSIONS Although the restorative system using incremental technique presented better performance for marginal discoloration, one of the restorative systems that used flowable bulk-fill resin composite (XST) showed the lowest surface staining. All restorative systems had decreased proximal contact over time.
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Affiliation(s)
- M D Moda
- Mariana Dias Moda, DDS, MS, PhD, Department of Preventive and Restorative Dentistry, São Paulo State University, School of Dentistry, Araçatuba
| | - A F Briso
- André Fraga Briso, DDS, MS, PhD, associate professor; Department of Preventive and Restorative Dentistry, São Paulo State University, School of Dentistry, Araçatuba
| | - Iae Hoshino
- Isis Almela Endo Hoshino, DDS, MS, PhD student, Department of Preventive and Restorative Dentistry, São Paulo State University, School of Dentistry, Araçatuba
| | - Smb Frascino
- Sandra Meira Borghi Frascino, DDS, MS, Department of Preventive and Restorative Dentistry, São Paulo State University, School of Dentistry, Araçatuba
| | - P H Santos
- Paulo Henrique dos Santos, DDS, MS, PhD, associate professor, Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba
| | - D M Gonçalves
- Diego Mardegan Gonçalves, DDS, MS student, Department of Preventive and Restorative Dentistry, São Paulo State University, School of Dentistry, Araçatuba
| | - T C Fagundes
- *Ticiane Cestari Fagundes, DDS, MS, PhD, assistant professor; Department of Preventive and Restorative Dentistry, São Paulo State University, School of Dentistry, Araçatuba
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Zotti F, Falavigna E, Capocasale G, De Santis D, Albanese M. Microleakage of Direct Restorations-Comparisonbetween Bulk-Fill and Traditional Composite Resins:Systematic Review and Meta-Analysis. Eur J Dent 2021; 15:755-767. [PMID: 34450679 PMCID: PMC8630972 DOI: 10.1055/s-0041-1724155] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Since the bulk-fill composites were produced, there was a progressive diffusion of their use for direct conservative treatment in posterior teeth. Their chemical structure increases the depth of cure and decreases the polymerization contraction; in this manner, bulk-fill composites can be placed in 4 mm single layers and the treatment times are considerably reduced. However, aesthetic and mechanical properties and impact on microleakage of bulk-fill resins are still unclear. This systematic review and meta-analysis aimed to assess the risk of microleakage of direct posterior restorations made of bulk-fill versus conventional composite resins. Researches were performed on PubMed and Scopus databases. Eligible in vivo studies, published since 2006, were reviewed. Outcomes of marginal discoloration, marginal adaptation, and recurrent caries were considered to conduct the systematic review and meta-analysis. Secondary data were examined to implement additional analysis and assess the risk of bias. Eight randomized clinical trials were analyzed, involving 778 direct restorations. The summary of RCTs led to significant but inconsistent results; the marginal discoloration and recurrent caries were found to be improved respectively by 5.1 and 1.4%, whereas the marginal adaptation was reduced of 6.5%. Secondary analyses revealed that follow-up periods, the adhesive system used and the class of carious lesions evaluated are confounding factors, and they result in a risk of bias across studies. Bulk-fill composites are innovative materials for conservative dentistry and they can be used to reduce treatment steps and duration of operative times. There are insufficient data to explore the relationship between bulk-fill composites and microleakage and further investigations are needed.
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Affiliation(s)
- Francesca Zotti
- Department of Surgical Sciences, Paediatrics and Gynaecology, University of Verona Policlinico G. B. Rossi, Verona, Italy
| | - Edoardo Falavigna
- Department of Surgical Sciences, Paediatrics and Gynaecology, University of Verona Policlinico G. B. Rossi, Verona, Italy
| | - Giorgia Capocasale
- Department of Surgical Sciences, Paediatrics and Gynaecology, University of Verona Policlinico G. B. Rossi, Verona, Italy
| | - Daniele De Santis
- Department of Surgical Sciences, Paediatrics and Gynaecology, University of Verona Policlinico G. B. Rossi, Verona, Italy
| | - Massimo Albanese
- Department of Surgical Sciences, Paediatrics and Gynaecology, University of Verona Policlinico G. B. Rossi, Verona, Italy
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Sabbagh J, El Masri L, Fahd JC, Nahas P. A three-year randomized clinical trial evaluating direct posterior composite restorations placed with three self-etch adhesives. Biomater Investig Dent 2021; 8:92-103. [PMID: 34240061 PMCID: PMC8238063 DOI: 10.1080/26415275.2021.1939034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
Aim To compare the clinical performance of composite restorations placed with a universal adhesive, one-step and two-step self-etch adhesives in class I and II posterior cavities. Materials and methods In this in vivo study, 46 volunteers presenting with at least three carious lesions were included. Each participant received the three restorative systems: universal adhesive/nanofilled composite (Scotchbond Universal/Filtek Z350 XT: SBU/FZXT), one-step self-etch adhesive/microhybrid composite (G-aenial bond/G-aenial Posterior: GB/GP) and the two-step self-etch adhesive/nanohybrid composite (OptiBond XTR/Herculite Ultra: OBX/HU). The adhesives were all placed in self-etch mode. In total, 138 restorations were evaluated at baseline and at 6,12 and 36 months using the modified United States Public Health Service criteria. Data were analysed using Kruskal-Wallis, Mann-Whitney U, Friedman and Wilcoxon non-parametric tests (p < .05). Ninety-one restorations were evaluated at 36 months. Results Seven restorations, three SBU/FZXT, three GB/GP and one OBX/HU failed during this study. The reasons for failure were marginal fracture and secondary caries. SBU/FZXT restorations showed significant marginal deterioration in all parameters. Overall success rates were: 93.5% (SBU/FZXT), 96.6% (GB/GP) and 96.8% (OBX/HU). Conclusions After three years, the three restorative systems have comparable clinical effectiveness and success rates, except for the marginal integrity, that was suboptimal for both the SBU/FZXT and GB/GP restorations in comparison to the OBX/HU restorations.
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Affiliation(s)
- Joseph Sabbagh
- Department of Restorative and aesthetic dentistry and Endodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Layal El Masri
- Department of Restorative and aesthetic dentistry and Endodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Jean Claude Fahd
- Department of Restorative and aesthetic dentistry and Endodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Paul Nahas
- Department of Restorative and aesthetic dentistry and Endodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
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Six-year clinical evaluation of bulk-fill and nanofill resin composite restorations. Clin Oral Investig 2021; 26:417-426. [PMID: 34110494 DOI: 10.1007/s00784-021-04015-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Accepted: 05/31/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVES This study aims to compare the performance of a bulk-fill and a nanofill resin composite in class II restorations after 6 years. MATERIALS AND METHODS Fifty patients having at least two class II carious lesions were recruited for the study. One lesion in each patient was randomly assigned to be restored using either the Tetric EvoCeram Bulk Fill (TB) or Filtek Ultimate (FU) resin composites with their respective adhesives. One hundred four restorations were placed by two calibrated operators. Restorations were evaluated at baseline and annually over the course of 6 years by two examiners using modified USPHS criteria. Data were statistically analyzed using the Chi-square and Cochran Q tests (p < 0.05). RESULTS Sixty-six restorations in 33 patients were evaluated after 6 years. Only one restoration was lost from FU group at 5 years. At the end of 6 years, marginal discoloration was observed in three (9.1%) TB and eight (36.4%) FU restorations creating a significant difference between the groups (p < 0.05). The FU group showed a significant increase in marginal discoloration at 6 years from the baseline (p < 0.05). Marginal adaptation was rated as Bravo for 9.1% and 24.2% of TB and FU restorations, respectively (p > 0.05). Significant degradation was observed within each group in terms of marginal adaptation (p < 0.05). There were no statistically significant differences between the groups for the other criteria tested (p > 0.05). CONCLUSIONS Bulk-fill restorations performed better for marginal discoloration. The remaining clinical performance criteria of bulk-fill and nanofill resin composite restorations were similar after 6 years. CLINICAL RELEVANCE Bulk-fill resin might be a better alternative to incrementally placed restorative in terms of marginal discoloration under clinical conditions.
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Kielbassa AM, Oehme EP, Shakavets N, Wolgin M. In vitro wear of (resin-coated) high-viscosity glass ionomer cements and glass hybrid restorative systems. J Dent 2020; 105:103554. [PMID: 33309807 DOI: 10.1016/j.jdent.2020.103554] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 12/08/2020] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES The aim of the present study was to investigate the volumetric abrasive wear of a high-viscosity glass ionomer cement (hvGIC; Equia Fil) and a glass hybrid restorative system (ghRS; Equia Forte), each being recommended as amalgam alternatives. Both materials were applied with or without their respective resinous coating, and were compared with a conventional GIC (Ketac Fil) and a hybrid composite resin (CR; G-ænial Posterior). METHODS 78 standardized occlusal Class I cavities were restored with the various materials (n = 13 per group). Before and after chewing simulation (30,000 cycles at 40 N), each sample underwent optical scanning procedures (Omnicam). A comparison of the total wear using a fluorescence-aided identification technique (OraCheck) followed, and differences (α = 5%) between groups were compared by means of MANOVA. RESULTS Regarding the wear rates of hvGIC and ghRS, no differences could be observed (p > .050), and this was not affected by the resinous coating. All hvGIC and ghRS restorations showed significantly higher abrasive wear than CR (p < .001), while the conventional GIC displayed a significant underperformance compared with any other material (p < .001). CONCLUSIONS Resinous coating of hvGIC or ghRS does not appear to exert an effective long-term protection against advanced abrasive wear. Compared to the conventional GIC showing a considerable substance loss, both hvGIC and ghRS materials revealed an improved abrasion resistance, but clearly failed to meet the excellent values of the CR. CLINICAL SIGNIFICANCE Occlusal loading should be carefully considered when using hvGIC or ghRS as amalgam (or composite resin) alternatives for the restoration of posterior teeth.
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Affiliation(s)
- Andrej M Kielbassa
- Department of Operative Dentistry, Periodontology, and Endodontology, University School of Dental Medicine and Oral Health, Danube Private University (DPU), Steiner Landstraße 124, 3500, Krems, Austria.
| | - Eric Paul Oehme
- Department of Operative Dentistry, Periodontology, and Endodontology, University School of Dental Medicine and Oral Health, Danube Private University (DPU), Steiner Landstraße 124, 3500, Krems, Austria
| | - Natalia Shakavets
- Department of Pediatric Dentistry, Faculty of Dentistry, Belarusian State Medical University (BSMU), Dzerzhinsky Avenue 83, 220116, Minsk, Belarus
| | - Michael Wolgin
- Department of Operative Dentistry, Periodontology, and Endodontology, University School of Dental Medicine and Oral Health, Danube Private University (DPU), Steiner Landstraße 124, 3500, Krems, Austria
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Arbildo-Vega HI, Lapinska B, Panda S, Lamas-Lara C, Khan AS, Lukomska-Szymanska M. Clinical Effectiveness of Bulk-Fill and Conventional Resin Composite Restorations: Systematic Review and Meta-Analysis. Polymers (Basel) 2020; 12:polym12081786. [PMID: 32785019 PMCID: PMC7464794 DOI: 10.3390/polym12081786] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 08/01/2020] [Accepted: 08/07/2020] [Indexed: 12/11/2022] Open
Abstract
The objective of this systematic review and meta-analysis was to determine the clinical effectiveness of bulk-fill and conventional resin in composite restorations. A bibliographic search was carried out until May 2020, in the biomedical databases Pubmed/MEDLINE, EMBASE, Scopus, CENTRAL and Web of Science. The study selection criteria were: randomized clinical trials, in English, with no time limit, with a follow-up greater than or equal to 6 months and that reported the clinical effects (absence of fractures, absence of discoloration or marginal staining, adequate adaptation marginal, absence of post-operative sensitivity, absence of secondary caries, adequate color stability and translucency, proper surface texture, proper anatomical form, adequate tooth integrity without wear, adequate restoration integrity, proper occlusion, absence of inflammation and adequate point of contact) of restorations made with conventional and bulk resins. The risk of bias of the study was analyzed using the Cochrane Manual of Systematic Reviews of Interventions. Sixteen articles were eligible and included in the study. The results indicated that there is no difference between restorations with conventional and bulk resins for the type of restoration, type of tooth restored and restoration technique used. However, further properly designed clinical studies are required in order to reach a better conclusion.
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Affiliation(s)
- Heber Isac Arbildo-Vega
- Department of General Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo 14012, Peru;
- Department of General Dentistry, Dentistry School, Universidad Particular de Chiclayo, Chiclayo 14012, Peru
| | - Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland;
| | - Saurav Panda
- Department of Periodontics and Oral Implantology, Siksha ‘O’ Anusandhan Univeristy, Bhubaneswar 751003, India;
- Department of Biomedical, Surgical and Dental Sciences, Universita Degli Studi di Milano, 20122 Milano, Italy
| | - César Lamas-Lara
- Department of General Dentistry, Stomatology School, Universidad Peruana Los Andes, Lima 15072, Peru;
| | - Abdul Samad Khan
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia;
| | - Monika Lukomska-Szymanska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland;
- Correspondence: ; Tel.: +48-42-675-74-61
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Flexural strength and surface microhardness of materials used for temporary dental disocclusion submitted to thermal cycling: An in vitro study. Int Orthod 2020; 18:519-527. [PMID: 32417201 DOI: 10.1016/j.ortho.2020.04.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 04/15/2020] [Accepted: 04/18/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The objective of this study was to evaluate the effect of temperature variation on surface microhardness and resistance to flexion of different materials used for making a temporary dental disocclusion. METHODS One hundred specimens were made of the following materials (n=20): glass ionomer cement (GIC); compomer (CP); composite resin (CR); Blue colour resin composite for temporary dental disocclusion (BTDD); ultraviolet colour resin composite for temporary dental disocclusion (UVTDD). They were stored in distilled water for 24hours and, subsequently, half of the specimens in each group were subjected to thermal cycling (n=10). All samples were subjected to the microhardness test (HMV-2000) and the flexural strength analysis (INSTRON). The data were submitted to parametric statistical analysis (ANOVA) and Tukey's complementary test with a significance level of 5%. In the mechanical tests, all materials except the GIC showed a statistically significant difference between the groups subjected to thermal cycling and not submitted, and thermal cycling (P<0.05) was responsible for the reduction of the values found, except for GIC. RESULTS In the mechanical tests, all materials except the GIC showed a statistically significant difference between the groups subjected to thermal cycling and not submitted, and thermal cycling (P<0.05) was responsible for the reduction of the values found, except for GIC. For microhardness, the highest average was found for BTDD and UVTDD (P≤0.05). As for the resistance, the flexion was found that in the groups not submitted to thermal cycling there was no statistically significant difference for all materials, except for GIC, for the groups with thermal cycling the materials BTDD and UVTDD showed a statistically significant difference from GIC, however, they did not differ statistically from the CP and CR groups. CONCLUSION BTDD and UVTDD presented higher average results of surface microhardness and, in the resistance test, the flexion of these materials behaved similarly to the CP and the CR studied. The temperature variation has an effect on the properties of these materials.
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