What is the clinical evidence of Bulk Fill resins performance of in primary and permanent teeth? a systematic review and meta-analysis
DOI:
https://doi.org/10.33448/rsd-v10i10.18981Keywords:
Dentin sensitivity; Dental caries; Dental restoration, permanent; Bulk fill.Abstract
With the increasing acceptance of the clinical use of bulk-fill resins, it is necessary to investigate the in vivo performance of these restorative materials. In this perspective, this systematic review to evaluate the clinical performance of Bulk-fill resins in restorations of vital, primary and permanent posterior teeth. PubMed, Cochrane, Scopus, LILACS, BBO and Capes publications search base were searched without restriction regarding the year of publication or language of the article. The inclusion criteria were clinical trials that evaluated the efficacy of resins composed of bulk-fill compared to the incremental technique. For the selection of articles and data extraction, two calibrated evaluators evaluated abstracts and complete articles. A total of 1443 abstracts were identified, of which 14 articles were included in the review. Of these, 01 was classified with a high level of evidence; 08 were moderate and 05 with a low level of evidence. The studies presented an average follow-up of the restorations of 35.1 months. A large part of the studies (75%) demonstrated that the occurrence of postoperative sensitivity. The high failure rate was more prevalent in class II restorations. The marginal adaptation/color change was material dependent and the occurrence of secondary caries in bulk-fill resin restorations was not significant concerning conventional resins in most studies. In the short term, the satisfactory clinical performance of bulk-fill resins used in primary and permanent restorations, with clinical outcomes and results equivalent to conventional composite resins were observed.
References
Al Sunbul, H., Silikas, N., & Watts, D. (2016). Polymerization shrinkage kinetics and shrinkage-stress in dental resin-composites. Dental Materials, 32(8), 998–1006. https://doi.org/10.1016/j.dental.2016.05.006
Alkurdi, R., & Abboud, S. (2016). Clinical evaluation of class II composite: Resin restorations placed by two different bulk-fill techniques. Journal of Orofacial Sciences, 8, 34–39. https://doi.org/10.4103/0975-8844.181926
Almeida Junior, L., Penha, K., Souza, A., Lula, E., Magalhães, F., Lima, D., & Firoozmand, L. (2017). Is there correlation between polymerization shrinkage, gap formation, and void in bulk fill composites? A μCT study. Brazilian Oral Research, 31(0), 1–10. https://doi.org/10.1590/1807-3107bor-2017.vol31.0100
Alshali, R., Silikas, N., & Satterthwaite, J. (2013). Degree of conversion of bulk-fill compared to conventional resin-composites at two time intervals. Dental Materials, 29(9), e213–e217. https://doi.org/10.1016/j.dental.2013.05.011
Arhun, N., Celik, C., & Yamanel, K. (2010). Clinical Evaluation of Resin-based Composites in Posterior Restorations: Two-year Results. Operative Dentistry, 35(4), 397–404. https://doi.org/10.2341/09-345-c
Ástvaldsdóttir, Á., Dagerhamn, J., van Dijken, J., Naimi-Akbar, A., Sandborgh-Englund, G., Tranæus, S., & Nilsson, M. (2015). Longevity of posterior resin composite restorations in adults – A systematic review. Journal of Dentistry, 43(8), 934–954. https://doi.org/10.1016/j.jdent.2015.05.001
Atabek, D., Aktas, N., Sakaryali, D., & Bani, M. (2017). Two-year clinical performance of sonic-resin placement system in posterior restorations. Quintessence International, 48(9), 743–751. https://doi.org/10.3290/j.qi.a38855
Bayraktar, Y., Ercan, E., Hamidi, M. M., & Çolak, H. (2017). One-year clinical evaluation of different types of bulk-fill composites. Journal of Investigative and Clinical Dentistry, 8(2), 1–9. https://doi.org/10.1111/jicd.12210
Braga, R., Ballester, R., & Ferracane, J. (2005). Factors involved in the development of polymerization shrinkage stress in resin-composites: A systematic review. Dental Materials, 21(10), 962–970.
Casagrande, L., Dalpian, D. M., Ardenghi, T. M., Zanatta, F. B., Balbinot, C. E. A., García-Godoy, F., & De Araujo, F. B. (2013). Randomized clinical trial of adhesive restorations in primary molars. 18-month results. American Journal of Dentistry, 26(6), 351–355.
Cidreira Boaro, L., Pereira Lopes, D., de Souza, A., Lie Nakano, E., Ayala Perez, M., Pfeifer, C., & Gonçalves, F. (2019). Clinical performance and chemical-physical properties of bulk fill composites resin — a systematic review and meta-analysis. Dental Materials, 19(S0109-5641), 30683–30689. https://doi.org/10.1016/j.dental.2019.07.007
Çolak, H., Tokay, U., Uzgur, R., Hamidi, M., & Ercan, E. (2017). A prospective, randomized, double-blind clinical trial of one nano-hybrid and one high-viscosity bulk-fill composite restorative systems in class II cavities: 12 months results. Nigerian Journal of Clinical Practice, 20(7), 822–831. https://doi.org/10.4103/1119-3077.212449
Costa, T., Rezende, M., Sakamoto, A., Bittencourt, B., Dalzochio, P., Loguercio, A., & Reis, A. (2017). Influence of adhesive type and placement technique on postoperative sensitivity in posterior composite restorations. Operative Dentistry, 42(2), 143–154. https://doi.org/10.2341/16-010-C
Czasch, P., & Ilie, N. (2013). In vitro comparison of mechanical properties and degree of cure of bulk fill composites. Clinical Oral Investigations, 17(1), 227–235. https://doi.org/10.1007/s00784-012-0702-8
Dennison, J., & Sarrett, D. (2012). Prediction and diagnosis of clinical outcomes affecting restoration margins. Journal of Oral Rehabilitation, 39(4), 301–318. https://doi.org/10.1111/j.1365-2842.2011.02267.x
Ferracane, J., & Hilton, T. (2016). Polymerization stress - Is it clinically meaningful? Dental Materials, 32(1), 1–10. https://doi.org/10.1016/j.dental.2015.06.020
Fosse, G., Saele, P., & Eide, R. (1992). Numerical density and distributional pattern of dentin tubules. Acta Odontologica Scandinavica, 50(4), 201–210.
Fronza, B., Rueggeberg, F., Braga, R., Mogilevych, B., Soares, L., Martins, A., Ambrosano, G., & Giannini, M. (2015). Monomer conversion, microhardness, internal marginal adaptation, and shrinkage stress of bulk-fill resin composites. Dental Materials, 31(12), 1542–1551. https://doi.org/10.1016/j.dental.2015.10.001
Gonçalves, F., Pfeifer, C., Ferracane, J., & Braga, R. (2008). Contraction Stress Determinants in Dimethacrylate Composites. J Dent Res, 87(4), 367–371.
Han, S., & Park, S. (2017). Comparison of Internal Adaptation in Class II Bulk-fill Composite Restorations Using Micro-CT. Operative Dentistry, 42(2), 203–214.
Heintze, S., Blunck, U., Göhring, T., & Rousson, V. (2009). Marginal adaptation in vitro and clinical outcome of Class V restorations. Dental Materials, 25(5), 605–620. https://doi.org/10.1016/j.dental.2008.11.004
Heintze, S., Rousson, V., & Mahn, E. (2015). Bond strength tests of dental adhesive systems and their correlation with clinical results - A meta-analysis. Dental Materials, 31(4), 423–434. https://doi.org/10.1016/j.dental.2015.01.011
Hickel, R., Peschke, A., Tyas, M., Mjör, I., Bayne, S., Peters, M., Hiller, K., Randall, R., Vanherle, G., & Heintze, S. (2010). FDI World Dental Federation: Clinical criteria for the evaluation of direct and indirect restorations-update and clinical examples. Clinical Oral Investigations, 14(4), 349–366. https://doi.org/10.1007/s00784-010-0432-8
Hickel, R., Roulet, J., Bayne, S., Heintze, S., Mjör, I., Peters, M., & Et, A. (2007). Recommendations for conducting controlled clinical studies of dental restorative materials. Clin Oral Investig, 5–33.
Hickey, D., Sharif, O., Janjua, F., & Brunton, P. A. (2016). Bulk dentine replacement versus incrementally placed resin composite: A randomised controlled clinical trial. Journal of Dentistry, 46, 18–22. https://doi.org/10.1016/j.jdent.2016.01.011
Higgins, J., Altman, D., Gøtzsche, P., Jüni, P., Moher, D., Oxman, A., Savović, J., Schulz, K., Weeks, L., & Sterne, J. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ (Online), 343, 1–9. https://doi.org/10.1136/bmj.d5928
Karaman, E., Keskin, B., & Inan, U. (2016). 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
Khatri, C., Stansbury, J., Schultheisz, C., & Antonucci, J. (2003). Synthesis, characterization and evaluation of urethane derivatives of Bis-GMA. Dental Materials, 19(7), 584–588.
Kidd, E., & Beighton, D. (1996). Prediction of secondary caries around tooth-colored restorations: a clinical and microbiological study. J Dent Res, 75, 1942–1946.
Kurdi, R., & Abboud, S. (2016). Clinical evaluation of class II composite resin restorations using two different bulk-fill techniques. International Arab Journal of Dentistry, 7(2).
Kwon, Y., Ferracane, J., & Lee, I. (2012). Effect of layering methods, composite type, and flowable liner on the polymerization shrinkage stress of light cured composites. Dental Materials, 28(7), 801–809.
Marí, L., Gil, A., & Puy, C. (2019). In vitro evaluation of microleakage in Class II composite restorations : High- viscosity bulk-fill vs conventional composites. Dental Materials Journal, 38(5), 721–727. https://doi.org/10.4012/dmj.2018-160
Mjor IA. (1998). The location of clinically diagnosed secondary caries. Quintessence Int, 29, 313–317.
Moher, D., Liberati, A., Tetzlaff, J., Altman, D., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med, 6(7). https://doi.org/10.3736/jcim20090918
Olegário, I., Hesse, D., Bonecker, M., Imparato, J., Braga, M., Mendes, F., & Raggio, D. (2017). 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(34), 1–8. https://doi.org/10.1186/s12903-016-0260-6
Orlowski, M., Tarczydło, B., & Chałas, R. (2015). Evaluation of marginal integrity of four bulk-fill dental composite materials: In vitro study. The Scientific World Journal. https://doi.org/10.1155/2015/701262
Oter, B., Deniz, K., & Çehreli, S. (2018). Preliminary data on clinical performance of bulk-fill restorations in primary molars. Nigerian Journal of Clinical Practice, 21(11), 1484–1491. https://doi.org/10.4103/njcp.njcp_151_18
Poggio, C., Chiesa, M., Scribante, A., Mekler, J., & Colombo, M. (2013). Microleakage in Class II composite restorations with margins below the CEJ : In vitro evaluation of different restorative techniques. Med Oral Patol Oral Cir Bucal, 18(5), 793–798. https://doi.org/10.4317/medoral.18344
Reis, A., Loguercio, A., Schroeder, M., Luque-Martinez, I., Masterson, D., & Maia, L. (2015). Does the adhesive strategy influence the post-operative sensitivity in adult patients with posterior resin composite restorations?: A systematic review and meta-analysis. Dental Materials, 31(9), 1052–1067. https://doi.org/10.1016/j.dental.2015.06.001
Roggendorf, M., Kramer, N., Appelt, A., Naumann, M., & Frankenberger, R. (2011). Marginal quality of flowable 4-mm base vs . conventionally layered resin composite. Journal of Dentistry, 39(10), 643–647. https://doi.org/10.1016/j.jdent.2011.07.004
Sarrett DC. (2007). Prediction of clinical outcomes of a restoration based on in vivo marginal quality evaluation. J Adhes Dent, 9(1), 117–120.
Schneider, L., Cavalcante, L., & Silikas, N. (2010). Shrinkage stresses generated during resin-composite applications: A review. Journal of Dental Biomechanics, 1–14. https://doi.org/10.4061/2010/131630
Schulz, K., Altman, D., & Moher, D. (2011). CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomized trials. International Journal of Surgery, 9, 672–677. https://doi.org/10.1136/bmj.c332
Sideridou, I., Tserki, V., & Papanastasiou, G. (2002). Effect of chemical structure on degree of conversion in light-cured dimethacrylate-based dental resins. Biomaterials, 23(8), 1819–1829.
Stansbury, J., Trujillo-Lemon, M., Lu, H., Ding, X., Lin, Y., & Ge, J. (2005). Conversion-dependent shrinkage stress and strain in dental resins and composites. Dental Materials, 21(1), 56–67. https://doi.org/10.1016/j.dental.2004.10.006
van Dijken, J. W. V., & Pallesen, U. (2014). A randomized controlled three year evaluation of bulk-filled posterior resin restorations based on stress decreasing resin technology. Dental Materials, 30(9), e245–e251. https://doi.org/10.1016/j.dental.2014.05.028
van Dijken, J. W. V., & Pallesen, U. (2015). Randomized 3-year clinical evaluation of class I and II posterior resin restorations placed with a bulk-fill resin composite and a one-step self-etching adhesive. Journal of Adhesive Dentistry, 17(1), 81–88. https://doi.org/10.3290/j.jad.a33502
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 Dijken, J. W. V., & Pallesen, U. (2017). Bulk-filled posterior resin restorations based on stress-decreasing resin technology: a randomized, controlled 6-year evaluation. European Journal of Oral Sciences, 125(4), 303–309. https://doi.org/10.1111/eos.12351
Veloso, S., Lemos, C., de Moraes, S., do Egito Vasconcelos, B., EP, P., & de Melo Monteiro, G. (2018). Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a systematic review and meta-analysis. Clinical Oral Investigations, 23(1), 221–233. https://doi.org/10.1007/s00784-018-2429-7
Yazici, A., Antonson, S., Kutuk, Z., & Ergin, E. (2017). Thirty-Six-Month Clinical Comparison of Bulk Fill and Nanofill Composite Restorations. Operative Dentistry, 42(5), 478–485. https://doi.org/10.2341/16-220-c
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