Clinical Challenges and Longevity of Bulk-Fill Materials

Miletić, Vesna

doi:10.1007/978-3-031-16388-3_9

Cited by 2 publications

(3 citation statements)

References 68 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 More recently, it was shown that flowable bulk-fill composites, recommended in increments thicker than 2 mm, do not improve clinical performance of composite restorations. [4][5][6] Additionally, flowable bulk-fill composite do not seem to reduce clinical working time, 7 which is one of the expectations of bulk-fill composites.…”

Section: Introductionmentioning

confidence: 99%

“…No significant effect on marginal leakage was reported when flowable composites were used as liners on gingival or other cavity walls in vitro as was no significant effect on clinical performance reported in clinical studies 3 . More recently, it was shown that flowable bulk‐fill composites, recommended in increments thicker than 2 mm, do not improve clinical performance of composite restorations 4–6 . Additionally, flowable bulk‐fill composite do not seem to reduce clinical working time, 7 which is one of the expectations of bulk‐fill composites.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preheating and “snow‐plow” composite application technique affect double bond conversion but not bond strength to dentine

Miletic,

Komlenic,

Bajuk‐Bogdanović

et al. 2024

J Esthet Restor Dent

Self Cite

View full text Add to dashboard Cite

ObjectiveTo measure degree of conversion (DC) of a flowable composite, microtensile bond strength (MTBS) to dentine in the snow‐plow technique with/without preheating and temperature in the preheated composite.Materials and MethodsFor DC, snow‐plow specimens of Filtek Ultimate Flowable (Flow) and Filtek Bulk Fill (Bulk) (3M) were prepared by light‐curing composites simultaneously in standardized molds while in control groups light‐curing was separate. DC of Flow was measured using micro‐Raman spectroscopy. For MTBS, specimens were prepared on dentine of human extracted molars by simultaneous (snow‐plow) or separate (control) light‐curing. MTBS was measured using a universal testing machine after 24 h and 6 months. Data were analyzed using ANOVA with Tukey's post hoc (α = 0.05).ResultsIncreased curing time significantly increased DC in snow‐plow from 13.4% ± 11.6% (10 s) to 31.8% ± 4.4% (40 s) albeit significantly lower than controls (p < 0.05). Preheated Bulk improved conversion in snow‐plow (44.3% ± 1.7%) and control (50.5% ± 2.6%) (p < 0.05). No significant differences occurred in MTBS between groups (p > 0.05). MTBS values ranged between 66.7 ± 8.4 MPa (snow‐plow group_21°C_baseline) and 54.1 ± 15.8 MPa (control_21°C_long‐term). Temperature in the preheated Bulk dropped to ~38°C after 30 s.ConclusionsSnow‐plow technique, irrespective of preheating, resulted in lower DC of Flow than separate light‐curing of composite increments. Snow‐plow, irrespective of preheating, resulted in similar initial and long‐term MTBS to dentine.Clinical SignificanceClinicians with preference for flowable composite liners in Class II restorations should be aware that the snow‐plow technique of simultaneous light‐curing of flowable and bulk‐fill composite increments affects monomer‐to‐polymer conversion, albeit no effect on immediate, and long‐term bonding to dentine was detected. Preheating sculptable bulk‐fill composite improves conversion of the flowable liner in the snow‐plow technique but has no detectable effect on bond strength to dentine.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preheating and “snow‐plow” composite application technique affect double bond conversion but not bond strength to dentine

Miletic,

Komlenic,

Bajuk‐Bogdanović

et al. 2024

J Esthet Restor Dent

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, conflicting evidence has reported decreased adaptation and higher polymerization shrinkage stress compared with the high-viscosity counterpart. 10 It remains unclear whether these restorative systems would be susceptible to proximal contact defects similar to those reported in glass ionomer restoratives. 11 The resin matrix plays a crucial role in determining the shrinkage behavior of resin composite restorations.…”

Section: Introductionmentioning

confidence: 99%

Bulk-Fill Ormocer versus Methacrylate-Based Resin Composite Restorative Systems: The Effect of Flowable Lining on Two-Year Clinical Performance in Class II Cavities

Elsharkawy,

Ibrahim,

Hamama

et al. 2024

European Journal of General Dentistry

View full text Add to dashboard Cite

Objective The aim of this study was to assess and compare the impact of bulk-fill flowable resin composite liners (BFFL) on the 2-year clinical performance of bulk-fill ormocer (BORC) in comparison to methacrylate-based resin composites (BMRC) in Class II cavities. Materials and Methods Thirty participants, each aged between 18 and 30 years, were included in the study, each presenting four class II cavities. A total of 120 restorations were placed, with participants randomly assigned to one of four restorative systems through a blind drawing: Admira Fusion X-Tra (AFX) alone, AFX after lining with Admira Fusion Xtra-Base (AFB), X-Tra Fill (XF) for complete cavity filling, and XF after lining with Xtra-Base (XB). The universal adhesive system (Futura U bond Voco, Germany) was consistently applied for all restoration techniques using selective enamel etching. A single operator, following the manufacturer's instructions for each material, performed all restorations, and finishing/polishing occurred immediately after placement. Clinical evaluation, based on World Dental Federation (FDI) criteria, was conducted by two blinded examiners at baseline (7 days) and at 6, 12, and 24 months postoperatively. Results The chi-squared test was used to compare the four applied restorative systems within each follow-up period, while the marginal homogeneity test was employed to assess changes over time. No statistically significant differences were observed among the four restorative systems at any evaluation period. Conclusions After 2 years, the clinical performance of BFFL or complete bulk-fill technique remained similar, regardless of the material composition.

show abstract

Clinical Challenges and Longevity of Bulk-Fill Materials

Cited by 2 publications

References 68 publications

Preheating and “snow‐plow” composite application technique affect double bond conversion but not bond strength to dentine

Preheating and “snow‐plow” composite application technique affect double bond conversion but not bond strength to dentine

Bulk-Fill Ormocer versus Methacrylate-Based Resin Composite Restorative Systems: The Effect of Flowable Lining on Two-Year Clinical Performance in Class II Cavities

Contact Info

Product

Resources

About