Clinical evaluation of the posterior composite Quixfil in class I and II cavities: 4-year follow-up of a randomized controlled trial.
OBJECTIVE
This longitudinal randomized controlled clinical trial evaluated direct composite restorations for clinical acceptability as posterior restoratives in single- or multi-surface cavities and provides a survey of the 4-year results.


METHODS
Three dentists placed 46 Quixfil (Xeno III) and 50 Tetric Ceram (Syntac Classic) composite restorations in stress-bearing Class I and II cavities in first or second molars (43 adult patients). Clinical evaluation was performed at baseline and after 4 years by 2 other dentists using modified USPHS criteria. At the last recall period, 37 Quixfil and 46 Tetric Ceram restorations were assessed.


RESULTS
A total of 89.2% of Quixfil and 97.8% of Tetric Ceram posterior composites were assessed to be clinically excellent or acceptable with predominating alfa scores. Up to the 4-year recall, four Quixfil restorations failed because of bulk fracture, partial tooth fracture (2x) and postoperative symptoms. One Tetric Ceram restoration was lost due to problems with tooth integrity. No significant differences between the two composites could be detected at 4 years for any of the evaluated clinical criteria (p > 0.05). The comparison of restoration performance with time within both groups yielded a significant increase in marginal discoloration and decrease in marginal integrity for both materials. After 4 years, small restorations exhibited significantly less marginal discoloration than large restorations.


CONCLUSIONS
Clinical assessment of stress-bearing Quixfil and Tetric Ceram posterior composite restorations showed good clinical results with predominantly alfa scores for both materials.
Department of Restorative Dentistry, School of Dentistry, Ludwig Maximillians University, Munich, Germany. manhart@manhart.com
Juergen
J
Manhart
Hong-Yan
HY
Chen
Reinhard
R
Hickel
D000134:Acid Etching, Dental; D000328:Adult; D000368:Aged; D003116:Color; D003188:Composite Resins / Q000737:chemistry*; D003737:Dental Cavity Preparation / Q000145:classification*; D018772:Dental Marginal Adaptation; D003764:Dental Materials / Q000737:chemistry*; D003775:Dental Polishing; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000145:classification*; D017220:Dentin-Bonding Agents / Q000737:chemistry; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D008963:Molar / Q000293:injuries / Q000473:pathology; D019279:Resin Cements / Q000737:chemistry; D013499:Surface Properties; D014082:Tooth Fractures / Q000503:physiopathology; D055815:Young Adult
D003188:Composite Resins; D003764:Dental Materials; D017220:Dentin-Bonding Agents; C510379:QuiXfil; D019279:Resin Cements; C078484:Syntac dentine adhesive; C121818:Tetric ceram; C487957:Xeno III