One-Year Clinical Aging of Low Stress Bulk-Fill Flowable Composite in Class II Restorations: A Case Report and Literature Review
Source abstract
Abstract
Bulk-fill flowable composites provide functional and aesthetic restorations while eliminating incremental composite layering and saving time. The degradation of the adhesive interface with subsequent gap formation is a concern when adhesively luted restorations are placed. Moreover, the number of adhesive interface failures increases when they are exposed to long-term water storage. The aim of the present study was to evaluate the morphological characteristics of the tooth-composite interface in class II cavities restored with a low stress bulk-fill flowable composite after aging in an oral environment. We describe a case of a patient with class II cavities in four premolars restored with a low stress bulk-fill flowable composite Surefil SDR (Dentsply DeTrey GmbH, Konstanz, Germany). The occlusal part was restored with nano-hybrid resin composite Ceram X Mono (Dentsply DeTrey GmbH). After one year of clinical function, the teeth were extracted and examined in a scanning electron microscope (SEM). It can be concluded that the application of bulk-fill covered with conventional composite seems to provide the homogeneous and stable bond to tooth structure after one year of aging in an oral environment. However, some defects within the dentin-resin composite interface were observed.
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Research context
OpenAlex topics: Dental materials and restorations · Dental Research and COVID-19 · Dental Erosion and Treatment
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon
Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland
Private Practice, “NZOZ SPS Dentist” Dental Clinic and Postgraduate Course Centre—pl. Inwalidow 7/5, 30-033 Cracow, Poland
Dental Materials Laboratory, Academic Area of Dentistry, Autonomous University of Hidalgo State, Circuito Ex Hacienda La Concepción S/N, San Agustín Tlaxiaca, Hgo 42160, Mexico
Department of Restorative Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland
Department of Operative Dentistry, Dental School, University of Chieti, Via Dei Vestini 31, 66100 Chieti, Italy
References (92)
Show source-provided references
1. Miletic, V. (2018). Development of Dental Composites. Dental Composite Materials for Direct Restorations, Springer.10.1007/978-3-319-60961-4 ↗
2. Zarow, M., Vadini, M., Chojnacka-Brozek, A., Szczeklik, K., Milewski, G., Biferi, V., D’Arcangelo, C., and De Angelis, F. (2020). Effect of fiber posts on stress distribution of endodontically treated upper premolars: Finite element analysis. Nanomaterials (Basel), 10.10.3390/nano10091708 ↗
3. A new classification system for the restoration of root filled teeth10.1111/iej.12847 ↗
4. Microleakage at enamel and dentin margins with a bulk fills flowable resin10.4103/1305-7456.126230 ↗
5. Effect of different modes of light curing and resin composites on microleakage of class II restorations
6. Effect of different modes of light curing and resin composites on microleakage of class II restorations—Part II
7. Bociong, K., Szczesio, A., Sokolowski, K., Domarecka, M., Sokolowski, J., Krasowski, M., and Lukomska-Szymanska, M. (2017). the influence of water sorption of dental light-cured composites on shrinkage stress. Materials, 10.10.3390/ma10101142 ↗
8. The effect of flowable materials on the microleakage of class II composite restorations that extend apical to the cemento-enamel junction10.2341/08-91 ↗
9. Marginal quality of flowable 4-mm base vs. conventionally layered resin composite10.1016/j.jdent.2011.07.004 ↗
10. Marginal integrity: Is the clinical performance of bonded restorations predictable in vitro?
11. Internal adaptation and overhang formation of direct class II resin composite restorations10.1007/s007840050103 ↗
12. Buonocore memorial lecture. Adhesion to enamel and dentin: Current status and future challenges
13. Polymerization shrinkage of flowable resin-based restorative materials
14. A prospective, randomized, double-blind clinical trial of one nano-hybrid and one high-viscosity bulk-fill composite restorative systems in class II cavities: 12 months results10.4103/1119-3077.212449 ↗
15. Physico-mechanical characteristics of commercially available bulk-fill composites10.1016/j.jdent.2014.05.009 ↗
16. Evaluation of bulk-fill systems: Microtensile bond strength and non-destructive imaging of marginal adaptation10.1590/1807-3107bor-2018.vol32.0080 ↗
17. The shrinkage stress of modified flowable dental composites10.17219/dmp/59228 ↗
18. Sokolowski, K., Szczesio-Wlodarczyk, A., Bociong, K., Krasowski, M., Fronczek-Wojciechowska, M., Domarecka, M., Sokolowski, J., and Lukomska-Szymanska, M. (2018). Contraction and hydroscopic expansion stress of dental ion-releasing polymeric materials. Polymers, 10.10.3390/polym10101093 ↗
19. Influence of a repeated preheating procedure on mechanical properties of three resin composites10.2341/13-238-L ↗
20. Five-year retrospective clinical study of indirect composite restorations luted with a light-cured composite in posterior teeth10.1007/s00784-013-1001-8 ↗
21. Posterior bulk-filled resin composite restorations: A 5-year randomized controlled clinical study10.1016/j.jdent.2016.05.008 ↗
22. Clinical evaluation of the bulk fill composite QuiXfil in molar class I and II cavities: 10-year results of a RCT10.1016/j.dental.2018.03.023 ↗
23. Clinical performance and chemical-physical properties of bulk fill composites resin -a systematic review and meta-analysis10.1016/j.dental.2019.07.007 ↗
24. Arbildo-Vega, H.I., Lapinska, B., Panda, S., Lamas-Lara, C., Khan, A.S., and Lukomska-Szymanska, M. (2020). Clinical effectiveness of bulk-fill and conventional resin composite restorations: Systematic Review and Meta-Analysis. Polymers, 12.10.3390/polym12081786 ↗
25. 3D assessment of void and gap formation in flowable resin composites using optical coherence tomography
26. Influence of the compliance and layering method on the wall deflection of simulated cavities in bulk-fill composite restoration10.2341/15-260-L ↗
27. Investigations on a methacrylate-based flowable composite based on the SDR™ technology10.1016/j.dental.2010.11.014 ↗
28. Bulk-fill resin-based composites: An in vitro assessment of their mechanical performance10.2341/12-395-L ↗
29. Effect of different curing protocols on the mechanical properties of low-viscosity bulk-fill composites10.1007/s00784-014-1262-x ↗
30. Long-term degradation of enamel and dentin bonds: 6-year results in vitro vs. in vivo10.1016/j.dental.2010.07.012 ↗
31. Bond strength of composite resin to enamel: Assessment of two ethanol wet-bonding techniques
32. The role of polymerization in adhesive dentistry10.1016/j.dental.2018.11.012 ↗
33. In vivo degradation of resin-dentin bonds produced by a self-etch and an etch-and-rinse adhesive10.1111/j.1600-0722.2005.00222.x ↗
34. Hardan, L., Bourgi, R., Kharouf, N., Mancino, D., Zarow, M., Jakubowicz, N., Haikel, Y., and Cuevas-Suárez, C.E. (2021). bond strength of universal adhesives to dentin: A systematic review and meta-analysis. Polymers, 13.10.3390/polym13050814 ↗
35. Four-year water degradation of total-etch adhesives bonded to dentin10.1177/154405910308200212 ↗
36. Extracted human teeth and their utility in dental research. Recommendations on proper preservation: A literature review10.17219/dmp/105252 ↗
37. Lapinska, B., Klimek, L., Sokolowski, J., and Lukomska-Szymanska, M. (2018). Dentine surface morphology after chlorhexidine application-SEM study. Polymers, 10.10.3390/polym10080905 ↗
38. Chemistry of novel and contemporary resin-based dental adhesives10.1016/j.jmbbm.2020.103875 ↗
39. Current aspects on bonding effectiveness and stability in adhesive dentistry10.1111/j.1834-7819.2011.01294.x ↗
40. In vivo degradation of resin-dentin bonds in humans over 1 to 3 years10.1177/00220345000790060601 ↗
41. Bonding performance of universal adhesives: An updated systematic review and meta-analysis
42. The effects of varied etching time and etching solution viscosity on bond strength and enamel morphology
43. Influence of different phosphoric acids before application of universal adhesive on the dental enamel10.1111/jerd.12636 ↗
44. Fatigue limits of enamel bonds with moist and dry techniques10.1016/j.dental.2009.07.005 ↗
45. Influence of enamel border and regional variability on durability of resin-dentin bonds10.1016/j.jdent.2006.11.005 ↗
46. Influence of cavity margin design and restorative material on marginal quality and seal of extended class II resin composite restorations in vitro
47. Clinical performance of cervical restorations—A meta-analysis10.1016/j.dental.2010.06.003 ↗
48. Self-etch and etch-and-rinse adhesive systems in clinical dentistry
49. Dental adhesion: Mechanism, techniques and durability10.17796/jcpd.36.3.68805rl1r037m063 ↗
50. Six-year clinical performance of etch-and-rinse and self-etch adhesives10.1016/j.dental.2016.06.003 ↗
51. Effect of warm-air stream for solvent evaporation on bond strength of adhesive systems: A systematic review and meta-analysis of in vitro studies10.1016/j.ijadhadh.2020.102794 ↗
52. Bourgi, R., Daood, U., Bijle, M.N., Fawzy, A., Ghaleb, M., and Hardan, L. (2021). Reinforced universal adhesive by ribose crosslinker: A novel strategy in adhesive dentistry. Polymers, 13.10.3390/polym13050704 ↗
53. A review of polymerization contraction: The influence of stress development versus stress relief
54. A threshold gap size for in situ secondary caries lesion development10.1016/j.jdent.2018.10.014 ↗
55. Minimal gap size and dentin wall lesion development next to resin composite in a microcosm biofilm model10.1159/000478536 ↗
56. Clinical performance of different solvent-based dentin adhesives with nanofill or nanohybrid composites in class III restorations: Five year results10.2341/16-326-C ↗
57. Six-month clinical evaluation of XP BOND in noncarious cervical lesions
58. Two-year clinical performance of a two-step etch-and-rinse adhesive in non-carious cervical lesions: Influence of subject’s age and dentin etching time10.1007/s00784-015-1399-2 ↗
59. One-year bonding performance of one-bottle etch-and-rinse adhesives to dentin at different moisture conditions10.1080/01694243.2019.1677138 ↗
60. Effect of cyclic loading on the microtensile bond strengths of total-etch and self-etch adhesives10.2341/04-161 ↗
61. Differential effect of in vitro degradation on resin-dentin bonds produced by self-etch versus total-etch adhesives10.1002/jbm.a.30656 ↗
62. Directly placed restorative materials: Review and network meta-analysis10.1177/0022034516631285 ↗
63. Effect of bulk/incremental fill on internal gap formation of bulk-fill composites10.1016/j.jdent.2014.01.005 ↗
64. A randomized controlled three year evaluation of “bulk-filled” posterior resin restorations based on stress decreasing resin technology10.1016/j.dental.2014.05.028 ↗
65. Shahidi, C. (2014). Évaluation In Vitro de L’adaptation Marginale de Restaurations de Classe II en Composite Réalisées Avec Différents Systèmes de Restauration à” Contraction de Polymérisation Réduite. [Ph.D. Thesis, University of Geneva].
66. Polymerization shrinkage stress of resin-based dental materials: A systematic review and meta-analyses of composition strategies10.1016/j.jmbbm.2018.03.019 ↗
67. Polymerization shrinkage stress of composite resins and resin cements—What do we need to know?10.1590/1807-3107bor-2017.vol31.0062 ↗
68. Bulk fill restoratives: To cap or not to cap—that is the question?10.1016/j.jdent.2015.01.010 ↗
69. A novel technique for bulk-fill resin-based restorations: Achieving function and esthetics in posterior teeth
70. Influence of enamel composite thickness on value, chroma and translucency of a high and a nonhigh refractive index resin composite
71. Comparison of flowable bulk-fill and flowable resin-based composites: An in vitro analysis10.1007/s00784-015-1700-4 ↗
72. A randomized clinical trial of “class II” composite restorations in second temporary molars: A comparison between bulk filling and incremental filling
73. Characterization and comparative analysis of voids in class II composite resin restorations by optical coherence tomography10.2341/18-290-L ↗
74. Porosities and voids in class I restorations placed by six operators using a packable or syringable composite10.1016/S0109-5641(01)00020-3 ↗
75. Porosity in composite resins-an Achilles’ heel?10.1016/0300-5712(85)90030-2 ↗
76. Cavity wall adaptation and voids in adhesive Class I resin composite restorations10.1016/S0109-5641(96)80028-5 ↗
77. Resin restorations: Causes of porosities
78. A pilot study investigating the presence of voids in bulk fill flowable composites10.17159/2519-0105/2017/v72no10a3 ↗
79. Is there correlation between polymerization shrinkage, gap formation, and void in bulk fill composites? A μCT study
80. Efficiency of polymerization of bulk-fill composite resins: A systematic review10.1590/1807-3107bor-2017.vol31.0059 ↗
81. Correlation of the hybrid layer thickness and resin tags length with the bond strength of a self-etching adhesive system
82. Correlation between hybrid layer thickness, resin tag length and microtensile bond strength of a self-etching adhesive system
83. Relationship between bond-strength tests and clinical outcomes10.1016/j.dental.2009.11.148 ↗
84. The effect of five different universal adhesives on the clinical success of class I restorations: 24-month clinical follow-up10.1007/s00784-018-2708-3 ↗
85. Comparative SEM and TEM examination of the ultrastructure of the resin-dentin interdiffusion zone10.1177/00220345930720020501 ↗
86. Effect of pulp pressure on the micropermeability and sealing ability of etch & rinse and self-etching adhesives10.2341/06-69 ↗
87. Zecin-Deren, A., Sokolowski, J., Szczesio-Wlodarczyk, A., Piwonski, I., Lukomska-Szymanska, M., and Lapinska, B. (2019). Multi-layer application of self-etch and universal adhesives and the effect on dentin bond strength. Molecules, 24.10.3390/molecules24020345 ↗
88. Effect of different conditioning/deproteinization protocols on the bond strength and degree of conversion of self-adhesive resin cements applied to dentin10.1016/j.ijadhadh.2017.03.013 ↗
89. Kharouf, N., Ashi, T., Eid, A., Maguina, L., Zghal, J., Sekayan, N., Bourgi, R., Hardan, L., Sauro, S., and Haikel, Y. (2021). Does adhesive layer thickness and tag length influence short/long-term bond strength of universal adhesive systems? An in-vitro study. Appl. Sci., 11.10.3390/app11062635 ↗
90. Influence of selective caries excavation on marginal penetration of class II composite restorations in vitro10.1111/eos.12726 ↗
91. OCT evaluation of the internal adaptation of ceramic veneers depending on preparation design and ceramic thickness10.1016/j.dental.2020.11.021 ↗
92. Scholz, K.J., Bittner, A., Cieplik, F., Hiller, K.A., Schmalz, G., Buchalla, W., and Federlin, M. (2021). Micromorphology of the adhesive interface of self-adhesive resin cements to enamel and dentin. Materials, 14.10.3390/ma14030492 ↗