Clinical Behaviour and Marginal Sealing of Bulk-Fill Resin Composite Restorations Using Light Amplified High-Intensity LEDs Curing: A Randomized Controlled Clinical Trial
DOI:
https://doi.org/10.3889/oamjms.2019.216Keywords:
LAHI LED curing, Bulk-fill, Clinical performance, Marginal sealingAbstract
BACKGROUND: Delivering sufficient intensity output of curing lights is mandatory to ensure optimum cure and clinical success of bulk-fill resin composite restorations and to avoid undesirable clinical outcomes.
AIM: To evaluate the effectiveness of using light amplified high intensity LED curing on the clinical performance and marginal sealing of posterior bulk-fill resin composite restorations.
MATERIAL AND METHODS: This study was designed as a randomised, controlled, double-blind, Unicenter, parallel, two arms, superiority trial with 1:1 allocation ratio. Adult patients who required posterior tooth-coloured restorations were asked to participate in this trial. All participants signed written informed consent after being completely aware of the settings of the study. The participants who fulfilled the eligibility criteria were divided into two groups according to the type of light curing mode used. Adhesive compound proximal cavities were prepared. All restorative materials were applied according to the respective manufacturer’s instructions. Assessments of the restorations were done at baseline (one week after placement of the restoration), after 6 months and after 12 months using the modified US Public Health Service (USPHS) criteria. For quantitative assessment of the marginal sealing, resin replicas were analysed using scanning electron microscopy. Statistical analysis was done using Chi-square, Mann Whitney, independent t-test and dependent t-tests.
RESULTS: There were no statistical differences between the two groups for the tested clinical parameters along the study periods. For marginal analysis, there were no statistical differences between the intervention and control group at baseline and six months (p-value = 0.347 and 0.516) respectively. At 12 months the control group showed statistically significant higher percentages (p-value = 0.031).
CONCLUSION: Light amplified high-intensity curing units have clinical performance comparable with the conventional LED.
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Jang J-H, Park S-H, Hwang I-N. Polymerization shrinkage and depth of cure of bulk-fill resin composites and highly filled flowable resin. Oper. Dent. 2014; 39(6):215-220.
Gupta R, Tomer, AK, Kumari A, Mullick S. Bulkfill flowable composite resins - A review. Int J Appl Dent Sci. 2017; 3,38-40.
Hamlin NJ, Bailey C, Motyka NC, Vandewalle KS. Effect of tooth-structure thickness on light attenuation and depth of cure. Oper Dent. 2016; 41(2):200-207. https://doi.org/10.2341/15-067-L PMid:26509234
Ilie N, Stark K. Curing behaviour of high-viscosity bulk-fill composites. J Dent. 2014; 42(8):977-985. https://doi.org/10.1016/j.jdent.2014.05.012 PMid:24887360
Reis A F, Vestphal M, Amaral RCD, Rodrigues JA, Roulet JF, Roscoe MG. Efficiency of polymerization of bulk-fill composite resins: a systematic review. Braz oral res. 2017; 31(spp1):37-48. https://doi.org/10.1590/1807-3107bor-2017.vol31.0059
Palin WM, Leprince JG, Hadis MA. Shining a light on high volume photocurable materials. Dent Mater. 2018; 34 (5):695-710. https://doi.org/10.1016/j.dental.2018.02.009 PMid:29549967
Hegde V, Jadhav S, Aher GB. A clinical survey of the output intensity of 200 light curing units in dental offices across Maharashtra. J Cons Dent. 2009; 12(3):105-108. https://doi.org/10.4103/0972-0707.57633 PMid:20543916 PMCid:PMC2879716
Leprince JG, Leveque P, Nysten B, Gallez B, Jacques Devaux J, Leloup G. New insight into the "depth of cure" of dimethacrylate-based dental composites. Dent Mater. 2012; 28(5):512-520. https://doi.org/10.1016/j.dental.2011.12.004 PMid:22217607
Poon ECM, Smales RJ, Kann H-k. Clinical evaluation of packable and conventional hybrid posterior resin-based composites Results at 3.5 years. JADA. 2005; 136(11):1533-1540. https://doi.org/10.14219/jada.archive.2005.0083
Celik C, Arhun N, Yamanel K. Clinical evaluation of resin-based composites in posterior restorations: 12-month results. Eur J Dent. 2010; 4 (1): 57-65.
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(9):e245-e251. https://doi.org/10.1016/j.dental.2014.05.028
Olegário IC, Hesse D, Bönecker M, Imparato JC, Braga MM, Mendes FM, Raggio DP. Effectiveness of conventional treatment using bulk-fill composite resin versus atraumatic restorative treatments in primary and permanent dentition: a pragmatic randomized clinical trial. BMC Oral Health. 2015; 17(1):34-41. https://doi.org/10.1186/s12903-016-0260-6 PMid:27485432 PMCid:PMC4970260
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; 17(1):81-88.
Cvar JF, Ryge G. Reprint of criteria for the clinical evaluation of dental restorative materials. Clin Oral Investig. 2005; 9:215-232. https://doi.org/10.1007/s00784-005-0018-z PMid:16315023
Wilson MA, Cowan AJ, Randall RC, Crisp RJ, Wilson NH. A practice-based, randomized, controlled clinical trial of a new resin composite restorative: one-year results. Oper Dent. 2002; 27:423-429.
Campos EA, Ardu S, Lefever D, Jassé FF, Bortolotto T, Krejci I. Marginal adaptation of class II cavities restored with bulk-fill composites. J Dent. 2014; 42(5):575-581. https://doi.org/10.1016/j.jdent.2014.02.007 PMid:24561041
Gamarra VSS, Borges GA, Júnior LHB, Spohr AM. Marginal adaptation and microleakage of a bulk-fill composite resin photopolymerized with different techniques. Odontology. 2018; 106(1):56-63. https://doi.org/10.1007/s10266-017-0294-5 PMid:28160094
Chesterman J, Jowett A, Gallacher A, Nixon P. Bulk-fill resin-based composite restorative materials : a review. Br Dent J. 2017; 222(5):337-344. https://doi.org/10.1038/sj.bdj.2017.214 PMid:28281590
Van Ende A, De Munck J, Lisec DP, Van Meerbeek B. Bulk-fill composites: a review of the current literature. J Adhes Dent. 2017; 19:95-109.
Hickel R, Roulet JF, Bayne S, Heintze SD, Mjör IA, Peters M, Rousson V, Randall R, Schmalz G, Tyas M, Vanherle G. Recommendations for conducting controlled clinical studies of dental restorative materials. Clin Oral Invest. 2007; 11:5-33. https://doi.org/10.1007/s00784-006-0095-7 PMid:17262225
Hickel R, Peschke A, Tyas M, Mjör I, Bayne S, Peters M, Hiller KA, Randall R, Vanherle G, Heintze SD. FDI World Dental Federation-Clinical criteria for the evaluation of direct and indirect restorations. Update and clinical examples. J Adhes Dent. 2010; 12(4):259-272. https://doi.org/10.1007/s00784-010-0432-8
Thomas M, Sophie D, Florence C, Kerstin G, Jean-Christophe M, Pierre M, Matthieu P, Brigitte G, Elisabeth D. The use of FDI criteria in clinical trials on direct dental restorations: A scoping review. J Dent. 2017; 68:1-9. https://doi.org/10.1016/j.jdent.2017.10.007
Heintze SD. Clinical relevance of tests on bond strength, microleakage and marginal adaptation. Dent Mater. 2013; 29(1):59-84. https://doi.org/10.1016/j.dental.2012.07.158 PMid:22920539
Ferracane, J.L., Hilton, T.J. Polymerization stress-Is it clinically meaningful? Dent Mater. 2016; 32(1):1-10. https://doi.org/10.1016/j.dental.2015.06.020 PMid:26220776
Atabek D, AktaÅŸ N, Sakaryali D, Bani M. Two-year clinical performance of sonic-resin placement system in posterior restorations. Quintessence Int. 2017; 48(9):743-751.
Çolak H, Tokay U, Uzgur R, Hamidi MM, Ercan E. 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 results. Niger J Clin Pract. 2017; 20(7):822-831.
El-Damanhoury HM, Platt JA. Polymerisation shrinkage stress kinetics and related properties of bulk-fill resin composites. Oper Dent. 2014; 39(4):374-382. https://doi.org/10.2341/13-017-L PMid:23865582
Shah PK, Stansbury JW, Bowman CN. Application of an addition-fragmentation-chain transfer monomer in di(meth)acrylate network formation to reduce polymerisation shrinkage stress. Polym Chem. 2017; 8:4339-4351. https://doi.org/10.1039/C7PY00702G PMid:29104618 PMCid:PMC5665588
Miletic V, Pongprueksa P, De Munck J, Brooks NR, Van Meerbeek B. Curing characteristics of flowable and sculptable bulk-fill composites. Clin Oral Invest. 2017; 21(4):1201-1212. https://doi.org/10.1007/s00784-016-1894-0 PMid:27383375
Garcia D, Yaman P, Dennison J, Neiva GF. Polymerization shrinkage and depth of cure of bulk fill flowable composite resins. Oper Dent. (2014); 39(4):441-448. https://doi.org/10.2341/12-484-L
Meereis CTW, Münchow EA, de Oliveira da Rosa, WL, da Silva AF, Piva E. Polymerization shrinkage stress of resin-based dental materials: a systematic review and meta- analyses of composition strategies. J Mech Behav Biomed Mater. 2018; 82:268-281. https://doi.org/10.1016/j.jmbbm.2018.03.019 PMid:29627738
Yazici AR, Antonson SA, Kutuk ZB, Ergin E. Thirty-six-month clinical comparison of bulk fill and nanofill composite restorations. Oper Dent. 2017; 42(5):478-485. https://doi.org/10.2341/16-220-C PMid:28581919
Berkowitz GS, Spielman H, Matthews AG, Vena D, Craig RG, Curro FA, Thompson VP. Postoperative hypersensitivity and its relationship to preparation variables in class I resin-based composite restorations: findings from the practitioners engaged in applied research and learning (PEARL) network. Part 1. Compend Contin Educ Dent. 2013; 34(3):e44-e52. https://doi.org/10.12816/0010811
Kruly PC, Giannini M, Pascotto RC, Tokubo LM, Suga USG, Marques ACR, Terada RSS. Meta-analysis of the clinical behavior of posterior direct resin restorations : low polymerization shrinkage resin in comparison to methacrylate composite resin. PLoS One. 2018; 13(2):1-18. https://doi.org/10.1371/journal.pone.0191942 PMid:29466366 PMCid:PMC5842874
Reis A, Loguercio AD, Schroeder M, Luque-Martinez I, Masterson D, Cople Maia L. Does the adhesive strategy influence the post-operative sensitivity in adult patients with posterior resin composite restorations? A systematic review and meta-analysis. Dent Mater. 2015; 31(9):1052-1067. https://doi.org/10.1016/j.dental.2015.06.001 PMid:26122377
Benetti AR, Havndrup-Pedersen C, Honoré D, Pedersen MK, Pallesen U. Bulk-fill resin composites: polymerization contraction, depth of cure, and gap formation. Oper Dent. 2015; 40(2):190-200. https://doi.org/10.2341/13-324-L PMid:25216940
Roggendorf MJ, Krämer N, Appelt A, Naumann M, Frankenberger R. Marginal quality of flowable 4-mm base vs. conventionally layered resin composite. J Dent. 2011; 9:643-647. https://doi.org/10.1016/j.jdent.2011.07.004 PMid:21801799
Savadi Oskoee S, Bahari M, Jafari Navimipour E, Ajami AA, Ghiasvand N, Savadi Oskoee A. Factors affecting marginal integrity of class II bulk-fill composite resin restorations. J Dent Res Dent Clin Dent Prospects. 2017; 11(2):101-109. https://doi.org/10.15171/joddd.2017.019 PMid:28748051 PMCid:PMC5519990
Jung JH, Park SH. Comparison of polymerization shrinkage, physical properties, and marginal adaptation of flowable and restorative bulk fill resin-based composites. Oper Dent. 2017; 42(4):375-386. https://doi.org/10.2341/16-254-L PMid:28402737
Peutzfeldt A, Mühlebach S, Lussi A, Flury S. Marginal gap formation in approximal "bulk fill" resin composite restorations after artificial ageing. Oper Dent. 2018; 43(2):180-189. https://doi.org/10.2341/17-068-L PMid:29148914
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Copyright (c) 2019 Shereen Essameldin Fahim, Mostafa Abdelhamid Mostafa, Mohsen Hussein Abi-Elhassan, HebatAllah Mohamed Taher
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