A prospective randomised clinical trial of one bis-GMA-based and two ormocer-based composite restorative systems in class II cavities: three-year results.
OBJECTIVE
Ormocer composites, consisting of a silicon-based polymer, have been developed recently as a tooth-coloured restorative material. The purpose of this prospective randomised clinical trial was to evaluate the performance of two small-particle hybrid ormocer-based restorative systems (AD, Admira/Admira Bond, VOCO; DE, Definite/Etch & Prime 3.0, Dentsply) and one small-particle hybrid bis-GMA-based composite restorative system (TC, Tetric-Ceram/Syntac, Ivoclar-Vivadent) in occlusal stress-bearing restorations.


METHODS
One hundred and twenty-eight occlusal-proximal restorations (44 AD, 43 DE and 41 TC) were placed according to the manufacturer's instructions in thirty-two adult patients. Their clinical performance was scored according to the USPHS criteria and evaluation of bite-wing radiographs.


RESULTS
After 3 years, four AD, five DE and four TC restorations had failed due to fracture or marginal gap formation. Surface roughness improved significantly when compared to the baseline in AD and TC (Friedman test, p<0.05) during the first year but returned to baseline values after 3 years. DE had a significant tendency towards discolouration (p<0.05). Bite-wing radiographs showed two AD and one TC restorations with internal porosities. ANOVA showed that larger restorations (> or = 3 surfaces) showed significantly more degradation than smaller ones.


CONCLUSIONS
In a group of class II restorations, there was no significant difference in failures after 3 years between ormocer-based and bis-GMA-based restorative systems.
Bottenberg
P
P
Department of Restorative Dentistry, Vrije Universiteit Brussel, Laarbeeklaan 103, B-1090 Brussels, Belgium. pbottenb@vub.ac.be
Alaerts
M
M
Keulemans
F
F
D000179:Acrylates / Q000737:chemistry; D000328:Adult; D017438:Bisphenol A-Glycidyl Methacrylate / Q000737:chemistry; D002516:Ceramics / Q000737:chemistry; D003116:Color; D003188:Composite Resins / Q000737:chemistry; D001840:Dental Bonding; D003737:Dental Cavity Preparation / Q000145:classification*; D018772:Dental Marginal Adaptation; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000145:classification* / Q000379:methods; D017220:Dentin-Bonding Agents / Q000737:chemistry; D000431:Ethanol / Q000737:chemistry; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008298:Maleates / Q000737:chemistry; D008689:Methacrylates / Q000737:chemistry; D008875:Middle Aged; D063225:Organically Modified Ceramics; D010710:Phosphates / Q000737:chemistry; D016062:Porosity; D011446:Prospective Studies; D016300:Radiography, Bitewing; D012821:Silanes / Q000737:chemistry; D012833:Siloxanes / Q000737:chemistry; D013499:Surface Properties; D013729:Terpenes / Q000737:chemistry
D000179:Acrylates; D003188:Composite Resins; C421785:Definite composite resin; D017220:Dentin-Bonding Agents; C469823:Etch&Prime 3.0; D008298:Maleates; D008689:Methacrylates; D063225:Organically Modified Ceramics; D010710:Phosphates; D012821:Silanes; D012833:Siloxanes; C443859:Syntac Sprint; D013729:Terpenes; C121818:Tetric ceram; C479084:admira; C479085:admira bond; D000431:Ethanol; D017438:Bisphenol A-Glycidyl Methacrylate