Clinical evaluation of restorations with self-etch adhesive and nanofilled composite in class I and class II cavities.

INTRODUCTION: In the era of adhesive restorative dentistry the principles of conventional cavity preparation have acquired a new meaning. The emphasis is shifted from "widening for preventive purposes" and preparation of macro-mechanical retention to "consciously limited" preparation. The clinical and biological durability of restorations depends on the adhesive bond and the quality of the composite material. OBJECTIVE: The aim of the study was to conduct a clinical evaluation of restorations with a self-etch single-step adhesive and nanofilled composite in class I and class II cavities over a period of 15 months. PATIENTS AND METHODS: The clinical trial involved 34 patient (volunteers) who received 76 posterior restorations of medium and deep cavities with the self-etch adhesive Adper Prompt L-Pop and nanofilled composite Filtek Supreme (3MESPE Dental products USA). All restorations were evaluated by the modified Ryge and Cvar criteria at 6- and 15-month intervals. RESULTS: Loss of restorations with a self-etch single-step adhesive and nanofilled composite at 6 months and 15 months was 0% and 6.7%, respectively. The evaluation of discolouration in the restorations at 6 months revealed no significant changes (P > 0.05, u = 1.72). There was certain deterioration in the colour at 15 months (P < 0.05, u = 2.96). Statistically significant changes in the marginal discolouration were observed at 6 months (P < 0.05, u = 2.79) in comparison with the initial scores. During the 15-month follow-up the discolouration on the margins of the restorations was statistically nonsignificant compared to the 6-month follow-up (P > 0.05, u = 0.36). There were no C (Charlie) scores recorded during the 15-month follow-up study within the continuing observation. CONCLUSION: The restorations with nanofilled composite and self-etch single-step adhesive fulfill the requirements for clinical use in posterior restorations.

A study of post-operative sensitivity in class I and class II restorations with self-etching adhesive and nanofilled composite.

AIM: The aim of the study was to determine the type, intensity and duration of post operative sensitivity (POS) in class I and II cavity restorations with self-etching adhesive and nanofilled composite. PATIENTS AND METHODS: The clinical study included 34 patients, who received a total of 76 restorations by undergraduate dental students. The restorations were made in medium and deep cavities. Self-etching adhesive Adper Promp L-Pop and nanocomposite Filtek Supreme (3MESPE Dental products USA) were placed. The type, the magnitude and the duration of postoperative sensitivity were examined on days 1, 3, 5, 7, 14 and 30. Intensity of sensitivity perceptions were recorded on a visual analogue scale using the method of self-observation. Parametric and non-parametric analyses were employed at a significance level of P < 0.05. RESULTS: Pressure-dependent POS was present in most of the cases (15.78% +/- 4.209), followed by discomfort (9.21% +/- 3.340) and pressure- and cold-induced pain (1.33% +/- 1.147). A statistically significant difference was found between days 1 and 3, and between days 5 and 30, as well as between days 7 and 30 (Wilcoxon Signed Ranks Test, P < 0.05). Rapidly disappearing POS (within 1 week) had the highest percentage: 75% +/- 9.934. CONCLUSIONS: Following restoration of class I and II cavities with self-etching adhesive and nanofilled composite POS was established in 26.3% of the cases.