Abstract
Objective
The purpose of this double-blind, randomised trial was to compare the clinical performance of a hybrid composite (Clearfil AP-X, Kuraray, Tokyo) and a nanocomposite (Filtek Z350, 3M ESPE, St. Paul, MN) over a period of 2 years in non-carious class V lesions using a modified US Public Health Service (USPHS) system.
Methods
Forty-six patients with at least one pair of equivalent non-carious cervical lesions under occlusion and a mean age of 44.1 years (range 27–66 years; median 45 years) were enrolled in this study. A total of 116 restorations (58 with each material) were placed according to manufacturer's instructions by two calibrated operators. The restorations were evaluated at baseline and at 6, 12 and 24 months after placement using the USPHS criteria for retention, colour match, marginal discolouration, marginal adaptation, anatomic form, surface texture and secondary caries. Statistical analysis was conducted using the Cochran and the McNemar tests at a significance level of 5 % (P < 0.05).
Results
No surface texture changes or secondary caries were detected in association with any restorations. The retention rates for Clearfil AP-X (100 %) and for Filtek Z350 (91.38 %) did not differ significantly (P > 0.05). Two Z350 restorations were completely lost after 2 years. No significant differences were observed in the colour match, marginal discolouration, marginal adaptation or anatomic form.
Conclusions
There were no significant differences in the clinical performances between the materials.
Clinical relevance
Both restorative materials exhibited acceptable clinical performance in class V non-carious lesions 2 years post-restoration.
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References
Borcic J, Anic I, Urek MM, Ferreri S (2004) The prevalence of non-carious cervical lesions in permanent dentition. J Oral Rehabil 31:117–123
Levitch LC, Bader JD, Shugars DA, Heymann HO (1994) Non-carious cervical lesions. J Dent 22:195–207
Demirci M, Sancakli HS, Uysal O (2008) Clinical evaluation of a polyacid-modified resin composite (Dyract) in class V carious lesions: 5-year results. Clin Oral Investig 12:157–163
Loguercio AD, Zago C, Leal K, Ribeiro NR, Reis A (2005) One-year clinical evaluation of a flowable resin liner associated with a microhybrid resin in noncarious cervical lesions. Clin Oral Investig 9:18–20
Peumans M, De Munck J, Van Landuyt KL, Poitevin A, Lambrechts P, Van Meerbeek B (2012) A 13-year clinical evaluation of two three-step etch-and-rinse adhesives in non-carious class-V lesions. Clin Oral Investig 16:129–137
Mitra SB, Wu D, Holmes BN (2003) An application of nanotechnology in advanced dental materials. J Am Dent Assoc 134:1382–1390
Beun S, Glorieux T, Devaux J, Vreven J, Leloup G (2007) Characterization of nanofilled compared to universal and microfilled composites. Dent Mater 23:51–59
Rodrigues JS, Zanchi CH, Carvalho RV, Demarco FF (2007) Flexural strength and modulus of elasticity of different types of resin-based composites. Braz Oral Res 21:16–21
Ryge G (1980) Clinical criteria. Int Dent J 30:347–358
Maneenut C, Tyas MJ (1995) Clinical evaluation of resin-modified glass-ionomer restorative cements in cervical ‘abrasion’ lesions: one-year results. Quintessence Int 26:739–743
Inoue S, Vargas MA, Abe Y, Yoshida Y, Lambrechts P, Vanherle G, Sano H, Van Meerbeek B (2001) Microtensile bond strength of eleven contemporary adhesives to dentin. J Adhes Dent 3:237–245
Van Landuyt KL, Kanumilli P, De Munck J, Peumans M, Lambrechts P, Van Meerbeek B (2006) Bond strength of a mild self-etch adhesive with and without prior acid-etching. J Dent 34:77–85
Miyazaki M, Oshida Y, Xirouchaki L (1996) Dentin bonding system. Part I: Literature review. Biomed Mater Eng 6:15–31
Perdigao J, Lopes M (1999) Dentin bonding—questions for the new millennium. J Adhes Dent 1:191–209
Yoshida Y, Nagakane K, Fukuda R, Nakayama Y, Okazaki M, Shintani H, Inoue S, Tagawa Y, Suzuki K, De Munck J, Van Meerbeek B (2004) Comparative study on adhesive performance of functional monomers. J Dent Res 83:454–458
Turkun SL (2003) Clinical evaluation of a self-etching and a one-bottle adhesive system at two years. J Dent 31:527–534
Peumans M, Munck J, Van Landuyt K, Lambrechts P, Van Meerbeek B (2005) Three-year clinical effectiveness of a two-step self-etch adhesive in cervical lesions. Eur J Oral Sci 113:512–518
van Dijken JW (2010) A prospective 8-year evaluation of a mild two-step self-etching adhesive and a heavily filled two-step etch-and-rinse system in non-carious cervical lesions. Dent Mater 26:940–946
Armstrong SR, Vargas MA, Fang Q, Laffoon JE (2003) Microtensile bond strength of a total-etch 3-step, total-etch 2-step, self-etch 2-step, and a self-etch 1-step dentin bonding system through 15-month water storage. J Adhes Dent 5:47–56
Brackett WW, Covey DA, St GHJ (2002) One-year clinical performance of a self-etching adhesive in class V resin composites cured by two methods. Oper Dent 27:218–222
van Dijken JW (2004) Durability of three simplified adhesive systems in class V non-carious cervical dentin lesions. Am J Dent 17:27–32
Powell LV, Gordon GE, Johnson GH (1991) Clinical evaluation of direct esthetic restorations in cervical abrasion/erosion lesions: one-year results. Quintessence Int 22:687–692
Neo J, Chew CL, Yap A, Sidhu S (1996) Clinical evaluation of tooth-colored materials in cervical lesions. Am J Dent 9:15–18
Turkun LS (2005) The clinical performance of one- and two-step self-etching adhesive systems at one year. J Am Dent Assoc 136:656–664
Tyas MJ, Burrow MF (2002) Three-year clinical evaluation of One-Step in non-carious cervical lesions. Am J Dent 15:309–311
Kubo S, Kawasaki K, Yokota H, Hayashi Y (2006) Five-year clinical evaluation of two adhesive systems in non-carious cervical lesions. J Dent 34:97–105
Akimoto N, Takamizu M, Momoi Y (2007) 10-year clinical evaluation of a self-etching adhesive system. Oper Dent 32:3–10
Burrow MF, Tyas MJ (2007) Five-year clinical evaluation of One-Up Bond F in non-carious cervical lesions. Am J Dent 20:361–364
Peumans M, De Munck J, Van Landuyt K, Lambrechts P, Van Meerbeek B (2007) Five-year clinical effectiveness of a two-step self-etching adhesive. J Adhes Dent 9:7–10
Folwaczny M, Loher C, Mehl A, Kunzelmann KH, Hinkel R (2000) Tooth-colored filling materials for the restoration of cervical lesions: a 24-month follow-up study. Oper Dent 25:251–258
Kurokawa H, Miyazaki M, Takamizawa T, Rikuta A, Tsubota K, Uekusa S (2007) One-year clinical evaluation of five single-step self-etch adhesive systems in non-carious cervical lesions. Dent Mater J 26:14–20
Folwaczny M, Mehl A, Kunzelmann KH, Hickel R (2001) Clinical performance of a resin-modified glass-ionomer and a compomer in restoring non-carious cervical lesions. 5-year results. Am J Dent 14:153–156
Loguercio AD, Reis A, Barbosa AN, Roulet JF (2003) Five-year double-blind randomized clinical evaluation of a resin-modified glass ionomer and a polyacid-modified resin in noncarious cervical lesions. J Adhes Dent 5:323–332
Acknowledgments
We thank Dr. Rao for the statistical analysis and Ms. Yu-Ting Yang (University of London) for editorial assistance with the manuscript. This study was supported by a Scientific Research grant (No. 07B031000002) from the Guang-dong Province, China.
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Qin, W., Song, Z., Ye, YY. et al. Two-year clinical evaluation of composite resins in non-carious cervical lesions. Clin Oral Invest 17, 799–804 (2013). https://doi.org/10.1007/s00784-012-0780-7
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DOI: https://doi.org/10.1007/s00784-012-0780-7