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Microhybrid versus nanofill composite in combination with a three step etch and rinse adhesive in occlusal cavities: five year results

Restorative Dentistry & Endodontics 2017³â 42±Ç 4È£ p.253 ~ 263
Tuncer Safa, Demirci Mustafa, Oztas Evren, Tekce Neslihan, Uysal Omer,
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 ( Tuncer Safa ) - Istanbul University Faculty of Dentistry Department of Restorative Dentistry
 ( Demirci Mustafa ) - Istanbul University Faculty of Dentistry Department of Restorative Dentistry
 ( Oztas Evren ) - Istanbul University Faculty of Dentistry Department of Orthodontics
 ( Tekce Neslihan ) - Kocaeli University Faculty of Dentistry Department of Restorative Dentistry
 ( Uysal Omer ) - Bezmialem Vakif University Faculty of Medicine Department of Biostatistics and Medical Informatics

Abstract


Objectives: The aim of the study was to evaluate the 5-year clinical performance of occlusal carious restorations using nanofill and microhybrid composites, in combination with 3-step etch-and-rinse adhesives, in patients who were going to commence orthodontic treatment.

Materials and Methods: A total of 118 restorations for occlusal caries were conducted prior to orthodontic treatment. Occlusal restorations were performed both with Filtek Supreme XT (3M ESPE) and Filtek Z250 (3M ESPE) before beginning orthodontic treatment with fixed orthodontic bands. Restorations were clinically evaluated at baseline and at 1, 2, 3, 4, and 5-year recalls.

Results: None of the microhybrid (Filtek Z250) and nanofill (Filtek Supreme XT) composite restorations was clinically unacceptable with respect to color match, marginal discoloration, wear or loss of anatomical form, recurrent caries, marginal adaptation, or surface texture. A 100% success rate was recorded for both composite materials. There were no statistically significant differences in any of the clinical evaluation criteria between Filtek Z250 and Filtek Supreme XT restorations for each evaluation period.

Conclusions: The composite restorations showed promising clinical results relating to color matching, marginal discoloration, wear or loss of anatomical form, recurrent caries, marginal adaptation, and surface texture at the end of the 5-year evaluation period.

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Occlusal restoration; Clinical performance; Dental composite; Orthodontics

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