¿Cómo las resinas bulk fill pueden ayudar en la optimización de las restauraciones en la salud pública? Revisión crítica integradora

Autores/as

DOI:

https://doi.org/10.33448/rsd-v11i14.36129

Palabras clave:

Restauración dental permanente; Resinas compuestas; Fenómenos físicos; Odontología en salud pública; Optimización de procesos.

Resumen

Introducción: Las resinas bulk fill surgieron de la búsqueda de un material estético con propiedades biomecánicas favorables y técnica simplificada, convirtiéndose en una estrategia para procedimientos restauradores en salud pública. Sin embargo, su aplicabilidad clínica aún genera incertidumbres para los profesionales. El presente estudio tiene como objetivo analizar, a través de la revisión de la literatura, las características, propiedades y aplicabilidad clínica de las resinas bulk fill. Metodología: Estudio bibliográfico, con enfoque cualitativo, del tipo revisión crítica de literatura, realizado en las bases de datos PubMed/MEDLINE, Scopus, Google Scholar y SciELO, seleccionando artículos de estudios de laboratorio y clínicos de 2015 a 2020. Resultados: Los estudios in vitro y los ensayos clínicos aleatorizados demuestran que las resinas bulk fill de consistencia regular han mostrado propiedades mecánicas similares a las resinas convencionales. Las resinas bulk fill, en diferentes grados de viscosidad, pueden ahorrar tiempo, con una técnica simplificada y obtener resultados satisfactorios. Se sugiere el uso de estas resinas en reconstrucciones extensas, situaciones que requieran agilidad, como el cuidado de niños y personas con discapacidad, incluso en el servicio público. Sin embargo, actualmente el alto costo y la mayor translucidez de algunas resinas que dan un aspecto grisáceo a las restauraciones de los dientes anteriores, son algunos factores que contraindican su uso. Conclusión: Las resinas bulk fill aparecen como un material indicado para restauraciones directas en dientes posteriores, principalmente por la simplificación de la técnica, permitiendo optimizar procedimientos estéticos que demandan mayor tiempo clínico, sin comprometer la calidad del tratamiento.

Citas

Abbasi, M., Moradi, Z., Mirzaei, M., Kharazifard, M. J., & Rezaei, S. (2018). Polymerization shrinkage of five bulk-fill composite resins in comparison with a conventional composite resin. Journal of Dentistry (Tehran, Iran), 15(6), 365–374. https://doi.org/10.18502/jdt.v15i6.330

Akalιn, T. T., Bozkurt, F. O., Kusdemir, M., Özsoy, A., & Özcan, M. (2018). Clinical evaluation of sonic-activated high viscosity bulk-fill nanohybrid resin composite restorations in class II cavities: A prospective clinical study up to 2 years. The European Journal of Prosthodontics and Restorative Dentistry, 26(3), 152–160. https://doi.org/10.1922/EJPRD_01620Akalin09

Almeida, L. J. D. S., Junior, Penha, K. J. de S., Souza, A. F., Lula, E. C. O., Magalhães, F. C., Lima, D. M., & Firoozmand, L. M. (2017). Is there correlation between polymerization shrinkage, gap formation, and void in bulk fill composites? A μCT study. Brazilian Oral Research, 31, e100. https://doi.org/10.1590/1807-3107bor-2017.vol31.0100

Bellinaso, M. D., Soares, F. Z. M., & Rocha, R. de O. (2019). Do bulk-fill resins decrease the restorative time in posterior teeth? A systematic review and meta-analysis of in vitro studies. Journal of Investigative and Clinical Dentistry, 10(4), e12463. https://doi.org/10.1111/jicd.12463

Benetti, A. R., Havndrup-Pedersen, C., Honoré, D., Pedersen, M. K., & Pallesen, U. (2015). Bulk-fill resin composites: polymerization contraction, depth of cure, and gap formation. Operative Dentistry, 40(2), 190–200. https://doi.org/10.2341/13-324-L

Boaro, L. C. C., Lopes, D. P., de Souza, A. S. C., Lie Nakano, E., Ayala Perez, M. D., Pfeifer, C. S., & Gonçalves, F. (2019). Clinical performance and chemical-physical properties of bulk fill composites resin -a systematic review and meta-analysis. Dental Materials: Official Publication of the Academy of Dental Materials, 35(10), e249–e264. https://doi.org/10.1016/j.dental.2019.07.007

Brasil, & Ministério da Saúde. (2012). Política nacional de atenção básica. http://189.28.128.100/dab/docs/publicacoes/geral/pnab.pdf.

Canali, G. D., Ignácio, S. A., Rached, R. N., & Souza, E. M. (2019). One-year clinical evaluation of bulk-fill flowable vs. regular nanofilled composite in non-carious cervical lesions. Clinical Oral Investigations, 23(2), 889–897. https://doi.org/10.1007/s00784-018-2509-8

Caneppele, T. M. F., & Bresciani, E. (2016). Resinas bulk-fill - O estado da arte. Revista da Associação Paulista de Cirurgiões Dentistas, 70(3), 242–248. http://revodonto.bvsalud.org/scielo.php?pid=S0004-52762016000300003&script=sci_abstract&tlng=pt

Carvalho, G. A. O., & Pierote, J. J. A. (2020). Aspectos gerais das resinas bulk fill: uma revisão da literatura. Research, Society and Development, 9(7), e266974130. https://doi.org/10.33448/rsd-v9i7.4130

Chesterman, J., Jowett, A., Gallacher, A., & Nixon, P. (2017). Bulk-fill resin-based composite restorative materials: a review. British Dental Journal, 222(5), 337–344. https://doi.org/10.1038/sj.bdj.2017.214

Chisini, L. A., Collares, K., Cademartori, M. G., de Oliveira, L. J. C., Conde, M. C. M., Demarco, F. F., & Corrêa, M. B. (2018). Restorations in primary teeth: a systematic review on survival and reasons for failures. International Journal of Paediatric Dentistry, 28(2), 123–139. https://doi.org/10.1111/ipd.12346

da Silveira Pedrosa, D. M., Martins, L. R. M., & de Freitas Pedrosa-Filho, C. (2011). Resistência à fratura de pré-molares com preparos extensos do tipo inlay submetidos a diferentes procedimentos restauradores. Oral Sciences, 6–11. https://gamersbeyond.com/index.php/oralsciences/article/view/7551

de Oliveira Correia, A. M., Tribst, J. P. M., de Souza Matos, F., Platt, J. A., Caneppele, T. M. F., & Borges, A. L. S. (2018). Polymerization shrinkage stresses in different restorative techniques for non-carious cervical lesions. Journal of Dentistry, 76, 68–74. https://doi.org/10.1016/j.jdent.2018.06.010

Demarchi, K. M. (2018). Avaliação de dois protocolos restauradores atraumáticos em molares decíduos. https://repositorio.unb.br/handle/10482/32301

dos Santos, J. A., Rodrigues, B., Candido, M., Ribeiro, D., Guimarães, D., Fetter, J., de Paula Lima, J., de Paiva, C., de Oliveira, S., Damé-Teixeira, N., & Silva, M. B. (2017). Uso atual e futuro do amálgama dental. Oral Sciences, 11–17. https://gamersbeyond.com/index.php/oralsciences/article/view/11130

Ehlers, V., Gran, K., Callaway, A., Azrak, B., & Ernst, C.-P. (2019). One-year clinical performance of flowable bulk-fill composite vs conventional compomer restorations in primary molars. The Journal of Adhesive Dentistry, 21(3), 247–254. https://doi.org/10.3290/j.jad.a42519

Ferreira, A. B. R., Ferreira, S. A. M., Almeida, L. N., Firmiano, T. C., & Oliveira, A. P. (2022). COMPORTAMENTO CLÍNICO DE RESTAURAÇÕES CLASSE II REALIZADAS COM RESINA BULK-FILL: REVISÃO DE LITERATURA. Revista Odontólogica Integrativa do Centro Oeste, 2(1), 110–128. http://fug.edu.br/revistas/index.php/ROICO/article/view/298

Gaintantzopoulou, M. D., Gopinath, V. K., & Zinelis, S. (2017). Evaluation of cavity wall adaptation of bulk esthetic materials to restore class II cavities in primary molars. Clinical Oral Investigations, 21(4), 1063–1070. https://doi.org/10.1007/s00784-016-1848-6

Gibilini, C., de Paula, J. S., Marques, R., & da Luz Rosário Sousa, M. (2012). Atraumatic Restorative Treatment used for caries control at public schools in Piracicaba, SP, Brazil. Brazilian journal of oral sciences, 11(1), 14–18. https://doi.org/10.20396/bjos.v11i1.8641456.

Goumans, C., Veerkamp, J. S. J., & Aartman, I. H. A. (2004). Dental anxiety and behavioural problems: what is their influence on the treatment plan? European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry, 5(1), 15–18. https://pubmed.ncbi.nlm.nih.gov/15038784/

Güler, E., & Karaman, E. (2014). Cuspal deflection and microleakage in pre molar teeth restored with bulk-fill resin-based composites. Journal of Adhesion Science and Technology, 28(20), 2089–2099. https://doi.org/10.1080/01694243.2014.945233

Han, S. H., Sadr, A., Tagami, J., & Park, S. H. (2016). Internal adaptation of resin composites at two configurations: Influence of polymerization shrinkage and stress. Dental Materials: Official Publication of the Academy of Dental Materials, 32(9), 1085–1094. https://doi.org/10.1016/j.dental.2016.06.005

Heck, K., Manhart, J., Hickel, R., & Diegritz, C. (2018). Clinical evaluation of the bulk fill composite QuiXfil in molar class I and II cavities: 10-year results of a RCT. Dental Materials: Official Publication of the Academy of Dental Materials, 34(6), e138–e147. https://doi.org/10.1016/j.dental.2018.03.023

Hirata, R., Kabbach, W., de Andrade, O. S., Bonfante, E. A., Giannini, M., & Coelho, P. G. (2015). Bulk fill composites: An anatomic sculpting technique: Sculpting technique for bulk fill composites. Journal of Esthetic and Restorative Dentistry, 27(6), 335–343. https://doi.org/10.1111/jerd.12159

Karaman, E., Keskin, B., & Inan, U. (2017). Three-year clinical evaluation of class II posterior composite restorations placed with different techniques and flowable composite linings in endodontically treated teeth. Clinical Oral Investigations, 21(2), 709–716. https://doi.org/10.1007/s00784-016-1940-y

Kim, E. H., Jung, K. H., Son, S. A., Hur, B., Kwon, Y. H., & Park, J. K. (2015). Effect of resin thickness on the microhardness and optical properties of bulk-fill resin composites. Restorative Dentistry & Endodontics, 40(2), 128–135. https://doi.org/10.5395/rde.2015.40.2.128

Loguercio, A. D., Rezende, M., Gutierrez, M. F., Costa, T. F., Armas-Vega, A., & Reis, A. (2019). Randomized 36-month follow-up of posterior bulk-filled resin composite restorations. Journal of Dentistry, 85, 93–102. https://doi.org/10.1016/j.jdent.2019.05.018

Lohbauer, U. (2009). Dental glass ionomer cements as permanent filling materials? – properties, limitations and future trends. Materials, 3(1), 76–96. https://doi.org/10.3390/ma3010076

Olegário, I. C., Hesse, D., Bönecker, M., Imparato, J. C. P., Braga, M. M., Mendes, F. M., & Raggio, D. P. (2016). Effectiveness of conventional treatment using bulk-fill composite resin versus Atraumatic Restorative Treatments in primary and permanent dentition: a pragmatic randomized clinical trial. BMC Oral Health, 17(1), 34. https://doi.org/10.1186/s12903-016-0260-6

Opdam, N. J. M., Bronkhorst, E. M., Loomans, B. A. C., & Huysmans, M. C. D. N. J. M. (2010). 12-year survival of composite vs. amalgam restorations. Journal of Dental Research, 89(10), 1063–1067. https://doi.org/10.1177/0022034510376071

Rodrigues, B. B., Silva, L. J. T., Silva, G. C. B., Vieira, H. S., Campos, F., & Lins, R. B. E. (2021). Propriedades da resina composta bulk fill: uma revisão da literatura. Research, Society and Development, 10(13), e136101320852. https://doi.org/10.33448/rsd-v10i13.20852

Sarapultseva, M., & Sarapultsev, A. (2019). Flowable bulk-fill materials compared to nano ceramic composites for class I cavities restorations in primary molars: A two-year prospective case-control study. Dentistry Journal, 7(4), 94. https://doi.org/10.3390/dj7040094

Silva, D. K. C. da, Menezes, C. F. S., Brito, A. C. R., Lima, D. M., & Firoozmand, L. M. (2021). Século XXI: A filosofia de uma Odontologia minimamente invasiva, o que mudou do diagnóstico ao tratamento da cárie dental? Research, Society and Development, 10(12), e440101220385. https://doi.org/10.33448/rsd-v10i12.20385

Soares, A. F., & Pinto, A. C. D. S. (2019). Taxa de sucesso de restaurações com resina composta bulk-fill: Revisão de literatura / Success rate of bulk-fill composite restorations: Literature review. REVISTA DE PSICOLOGIA, 13(47), 397–409. https://doi.org/10.14295/idonline.v13i47.2027

Souza, M. T. de, Silva, M. D. da, & Carvalho, R. de. (2010). Integrative review: what is it? How to do it? Einstein (Sao Paulo, Brazil), 8(1), 102–106. https://doi.org/10.1590/S1679-45082010RW1134

Tauböck, T. T., Tarle, Z., Marovic, D., & Attin, T. (2015). Pre-heating of high-viscosity bulk-fill resin composites: effects on shrinkage force and monomer conversion. Journal of Dentistry, 43(11), 1358–1364. https://doi.org/10.1016/j.jdent.2015.07.014

Thongbai-On, N., Chotvorrarak, K., Banomyong, D., Burrow, M. F., Osiri, S., & Pattaravisitsate, N. (2019). Fracture resistance, gap and void formation in root-filled mandibular molars restored with bulk-fill resin composites and glass-ionomer cement base. Journal of Investigative and Clinical Dentistry, 10(4), e12435. https://doi.org/10.1111/jicd.12435

Tsujimoto, A., Barkmeier, W. W., Takamizawa, T., Latta, M. A., & Miyazaki, M. (2016). Mechanical properties, volumetric shrinkage and depth of cure of short fiber-reinforced resin composite. Dental Materials Journal, 35(3), 418–424. https://doi.org/10.4012/dmj.2015-280

Van Dijken, J. W. V., & Pallesen, U. (2016). Posterior bulk-filled resin composite restorations: A 5-year randomized controlled clinical study. Journal of Dentistry, 51, 29–35. https://doi.org/10.1016/j.jdent.2016.05.008

Van Ende, A., De Munck, J., Lise, D. P., & Van Meerbeek, B. (2017). Bulk-fill composites: A review of the current literature. The Journal of Adhesive Dentistry, 19(2), 95–109. https://doi.org/10.3290/j.jad.a38141

Vianna-de-Pinho, M. G., Rego, G. F., Vidal, M. L., Alonso, R. C. B., Schneider, L. F. J., & Cavalcante, L. M. (2017). Clinical Time Required and Internal Adaptation in Cavities restored with bulk-fill composites. The Journal of Contemporary Dental Practice, 18(12), 1107–1111. https://doi.org/10.5005/jp-journals-10024-2184

Publicado

25/10/2022

Cómo citar

JOSINO , F. B. da F. .; MAIA , M. de F. L. e .; FIROOZMAND, L. M. . ¿Cómo las resinas bulk fill pueden ayudar en la optimización de las restauraciones en la salud pública? Revisión crítica integradora. Research, Society and Development, [S. l.], v. 11, n. 14, p. e231111436129, 2022. DOI: 10.33448/rsd-v11i14.36129. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/36129. Acesso em: 30 jun. 2024.

Número

Sección

Ciencias de la salud