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Bulk‐filled posterior resin restorations based on stress‐decreasing resin technology: a randomized, controlled 6‐year evaluation
Author(s) -
Dijken Jan W. V.,
Pallesen Ulla
Publication year - 2017
Publication title -
european journal of oral sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.802
H-Index - 93
eISSN - 1600-0722
pISSN - 0909-8836
DOI - 10.1111/eos.12351
Subject(s) - composite number , materials science , molar , resin composite , dentistry , adhesive , composite material , orthodontics , medicine , layer (electronics)
This randomized study evaluated a flowable resin composite bulk‐fill technique in posterior restorations and compared it intraindividually with a conventional 2‐mm resin composite layering technique over a 6‐yr follow‐up period. Thirty‐eight pairs of Class II restorations and 15 pairs of Class I restorations were placed in 38 adults. In all cavities a single‐step self‐etch adhesive (Xeno V) was applied. In the first cavity of each pair, the flowable resin composite ( SDR ) was placed, in bulk increments of up to 4 mm. The occlusal part was completed with a layer of nanohybrid resin composite (Ceram X mono). In the second cavity of each pair, the hybrid resin composite was placed in 2‐mm increments. The restorations were evaluated using slightly modified US Public Health Service ( USPHS ) criteria at baseline and then annually for a time period of 6 yr. After 6 yr, 72 Class II restorations and 26 Class I restorations could be evaluated. Six failed Class II molar restorations, three in each group, were observed, resulting in a success rate of 93.9% for all restorations and an annual failure rate ( AFR ) of 1.0% for both groups. The AFR for Class II and Class I restorations in both groups was 1.4% and 0%, respectively. The main reason for failure was resin composite fracture.