Short-term effect of adhesive system on clinical performance of bulk fill composite

randomized clinical trial

Authors

DOI:

https://doi.org/10.20396/bjos.v21i00.8665042

Keywords:

Composite resins, Phosphoric acids, Adhesives, Dental restoration, permanent, Esthetics, dental, Clinical studies as topic

Abstract

Aim: Although bulk fill composites have been widely used as restorative material, there is no consensus regarding the best clinical protocol in terms of composite technique and adhesive system. Therefore, this clinical trial evaluated the clinical performance of bulk fill composites for class I restorations under different protocols. Methods: A randomized clinical trial including 155 class I restorations was conducted using different adhesive systems: conventional technique (phosphoric acid + conventional three-step adhesive system) (Group 1, 2 and 3); or self-etching adhesive system (Groups 4, 5 and 6). Control groups 1 and 4 were restored with conventional composite; groups 2 and 5 with low viscosity bulk fill and conventional composite as occlusal coverage; groups 3 and 6 with high viscosity bulk fill. The FDI criteria was used for clinical evaluation at baseline and after 6 months. Results: All groups showed good clinical performance. At baseline, the adhesive system did not affect postoperative hypersensitivity. After 6 months, group 5 showed a significant reduction in color and translucency; group 6 a reduction in terms of anatomical form and for postoperative sensitivity and an improvement in patient satisfaction (p<0.05). Considering the same restorative technique, the use of the self-etching adhesive system showed a significant decrease in color and translucency (p<0.05). Conclusion: All groups showed favorable clinical performance, and promising results were found for the conventional adhesive system and high viscosity bulk fill protocol.

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Author Biographies

Vanessa Cristiane Araújo Oliveira, State University of Montes Claros

State University of Montes Claros, Montes Claros, Brazil.

Fernanda Piana Santos Lima de Oliveira, Pitágoras Integrated Colleges

Dental School, Pitágoras Integrated Colleges, Montes Claros, MG, Brazil.

Claudia Silami Magalhães, Federal University of Minas Gerais

School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Fabíola Belkiss Santos de Oliveira, United Colleges of Northern Minas

Dental School, United Colleges of Northern Minas (FUNORTE), Brazil.

Isabella Pereira Marques, United Colleges of Northern Minas

Dental School, United Colleges of Northern Minas (FUNORTE), Brazil.

Mayara dos Santos Noronha, Faculty of Dental Sciences

Faculty of Dental Sciences (FCO), Montes Claros, Brazil.

João Gabriel Silva Souza, Dental Science School; Guarulhos University

Dental Science School (FCO), Montes Claros, Brazil. Dental Research Division, Guarulhos University, Guarulhos, Brazil.

Daniela Araújo Veloso Popoff, State University of Montes Claros

State University of Montes Claros, Montes Claros, Brazil. Dental School, Pitágoras Integrated Colleges, Montes Claros, MG, Brazil.

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Published

2021-11-29

How to Cite

1.
Oliveira VCA, Oliveira FPSL de, Magalhães CS, Oliveira FBS de, Marques IP, Noronha M dos S, Souza JGS, Popoff DAV. Short-term effect of adhesive system on clinical performance of bulk fill composite: randomized clinical trial. Braz. J. Oral Sci. [Internet]. 2021 Nov. 29 [cited 2022 May 25];21(00):e225042. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8665042

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Original Research

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