title: Clinical performance of Class I nanohybrid composite restorations with resin-modified glass-ionomer liner and flowable composite liner: A randomized clinical trial.
abstract: BACKGROUND
  Liners play a vital role in minimizing polymerization shrinkage stress by elastic bonding concept and increase the longevity and favorable outcome for composite restorations.
  
  
  OBJECTIVE
  The aim of this study was to evaluate the clinical performance of nanohybrid composite restorations using resin-modified glass-ionomer and flowable composite liners.
  
  
  METHODS
  A single-centered, double-blinded randomized clinical trial, with split-mouth design and equal allocation ratio that was conducted in the Department of Conservative Dentistry and Endodontics.
  
  
  METHODS
  In forty patients, a total of eighty Class I restorations were placed with resin-modified glass-ionomer cement (RMGIC) liner (FUJI II LC, GC America) in one group and flowable composite liner (smart dentin replacement/SDR, Dentsply Caulk, Milford, DE, USA) in another group. All restorations were clinically evaluated by two examiners, immediately (baseline), 3, 6, and 12 months using US Public Health Service modified criteria.
  
  
  METHODS
  Statistical analysis was performed using McNemar's test (P< 0.05).
  
  
  RESULTS
  There was no significant difference in the color match, marginal discoloration, surface roughness, and marginal adaptation. Restorations with RMGIC liner group show 20% Bravo scores on anatomic form at 12 months but are still clinically acceptable.
  
  
  CONCLUSIONS
  Nanohybrid composite restorations with RMGIC (Fuji II LC) and flowable composite liner (SDR) demonstrated clinically acceptable performance after 12 months.
authors.affiliation: Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.
authors.forename: Krishtipati
authors.initials: K
authors.lastname: Suhasini
authors.affiliation: Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.
authors.forename: Koppolu
authors.initials: K
authors.lastname: Madhusudhana
authors.affiliation: Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.
authors.forename: Chinni
authors.initials: C
authors.lastname: Suneelkumar
authors.affiliation: Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.
authors.forename: Anumula
authors.initials: A
authors.lastname: Lavanya
authors.affiliation: Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Chandrababu
authors.affiliation: Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.
authors.forename: Perisetty Dinesh
authors.initials: PD
authors.lastname: Kumar
keywords: Clinical trial; flowable composite liner; nanohybrid composite; resin-modified glass ionomer