Analysis of composite restorations functioning success under different cavity configuration parameters

  • V. I. Voytovich Uzhhorod National University
Keywords: success of restoration, prognosis of functioning, cavity configuration

Abstract

Summary. The prognosis of direct composite restorations functioning implies the necessity to take into account the influence of a number of acting factors, which are associated both with the specificity of the cavity design and the quality of the materials used, and with the peculiarities of polymerization mechanism and conversion of monomers under the conditions of different direct restorative techniques used for tooth defect filling.

The aim of the study – to analyze the success of composite restorations functioning under the conditions of different parameters of the cavity configuration and to evaluate the influence of derivative size parameters of hard dental tissues defects on the clinical prognosis of their filling effectiveness.

Materials and Methods. During the realization of the study objective, 49 prepared carious cavities were filled among dental patients, with 27 cavities corresponding to I class of Black classification (I group, C-factor – 5), and 22 cavities corresponding to II class of Black classification (II group, C-factor – 2). The cavities were filled using the universal nanohybrid material Filtek Z550 (3M). The clinical success of the restorations after 12 months of functioning was performed in accordance to USPHS criteria. The volume of the restoration was determined using UP200 (UP3D Tech Co., PRC) extraoral scanner.

Results and Discussion. Analysis of the obtained numerical results helped to found out that in the conditions of the Black’s Class II cavity, which corresponds to mesial-(distal) occlusal type with values ​​of the C-factor equals 2, an increase in the volume parameters of the restoration over a one third of the tooth crown volume provokes a decrease of clinical prognosis of the restoration functioning. In the conditions of the I Class defect according to Black, an increase in the restoration volume due to the simultaneous exceeding of the parameters of its depth more than the half  of the total enamel and dentine thickness to the roof of the pulp chamber, and the increase of the length and width of the filling more than 2/3 of the geometric parameters of the tooth crown without breaking the marginal edges of the tooth enamel, also provokes a statistically significant decrease in the quality of restorations compared to the data recorded during lower initial cavity geometrical parameters.

Conclusions. The volumetric parameters of the restoration were found to be more clinically relevant for the prediction of their functional performance compare to the C-factor values ​​during the filling of Black’s Class I and II defects with the use of universal nano-hybrid composite material during the 1-year of monitoring period.

References

Borgia, E., Baron, R., & Borgia, J. L. (2019). Quality and survival of direct light‐activated composite resin restorations in posterior teeth: A 5‐to 20‐year retrospective longitudinal study. Journal of Prosthodontics, 28 (1), e195-e203.

Angeletaki, F., Gkogkos, A., Papazoglou, E., & Kloukos, D. (2016). Direct versus indirect inlay/onlay composite restorations in posterior teeth. A systematic review and meta-analysis. Journal of Dentistry, 53, 12-21.

Ástvaldsdóttir, Á., Dagerhamn, J., van Dijken, J. W., Naimi-Akbar, A., Sandborgh-Englund, G., Tranaeus, S., & Nilsson, M. (2015). Longevity of posterior resin composite restorations in adults–A systematic review. Journal of Dentistry, 43 (8), 934-954.

Kostenko, S., Dzupa, P., Levandovskyi, R., Bun, Y., Mishalov, V., & Goncharuk-Khomyn, M. (2018). Optimized approach of dental composites identification with the use of original spectrophotometric algorithm. Journal of International Dental and Medical Research, 11 (2), 403-408.

Al-Harbi, F., Kaisarly, D., Bader, D., & El Gezawi, M. (2016). Marginal integrity of bulk versus incremental fill class II composite restorations. Operative Dentistry, 41 (2), 146-156.

Voytovych, V.I., Honcharuk-Khomyn, M.Y., Kostenko, A.E., Savchuk, O.V., & Yavuz, I. (2019). Vplyv factora configuratsiyi porozhnynu na prohnoz funksionuvannia kompozytnoi restavratsii [Influence of the dental cavity configuration factor on the prediction of the composite restoration function]. Klinichna stomatolohiia – Clinical Dentistry, (4), 5-11 [in Ukrainian].

Al Sunbul, H., Silikas, N., & Watts, D. C. (2016). Polymerization shrinkage kinetics and shrinkage-stress in dental resin-composites. Dental Materials, 32 (8), 998-1006.

Ferracane, J.L., & Hilton, T.J. (2016). Polymerization stress–is it clinically meaningful? Dental Materials, 32 (1), 1-10.

Fronza, B.M., Rueggeberg, F.A., Braga, R.R., Mogilevych, B., Soares, L. E.S., Martin, A.A., ... & Giannini, M. (2015). Monomer conversion, microhardness, internal marginal adaptation, and shrinkage stress of bulk-fill resin composites. Dental Materials, 31 (12), 1542-1551.

Marquillier, T., Doméjean, S., Le Clerc, J., Chemla, F., Gritsch, K., Maurin, J. C., ... & Dursun, E. (2018). The use of FDI criteria in clinical trials on direct dental restorations: A scoping review. Journal of dentistry, 68, 1-9.

Bayne, S.C., & Schmalz, G. (2005). Reprinting the classic article on USPHS evaluation methods for measuring the clinical research performance of restorative materials. Clinical Oral Investigations, 9 (4), 209-214.

Hickel, R., Peschke, A., Tyas, M., Mjör, I., Bayne, S., Peters, M., ... & Heintze, S.D. (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.

Moles, D. (2002). Further statistics in dentistry: Introduction. British Dental Journal, 193 (7), 375.

Petrie, A., Bulman, J. S., & Osborn, J. F. (2002). Further statistics in dentistry part 4: clinical trials 2. British Dental Journal, 193 (10), 557.

Bezvushko, E.V., & Shpotyuk, O.O. (2016). Klinichna otsinka yakosti restavratsii zhuvalnoi hrupy zubiv u ditei, vukonanykh kompozitnymy materialamu [Clinical evaluation of quality restorations of molar group of teeth in children made with composite materials]. Klinichna stomatoloiia – Clinical Dentistry, (4), 60-65 [in Ukrainian].

Ozhohan, I.A., Hereliuk, V.I., & Ozhohan, Z.R. (2014). Analiz expertnoi otsinky restavratsii bichnykh zubiv [Expert appraisal analysis of lateral teeth restoration]. Ukrainskyi stomatolohichnyi almanakh – Ukrainian Dental Almanac, 4, 19-21 [in Ukrainian].

Witzel, M.F., Braga, R.R., Ballester, R.Y., & Lima, R.G. (2005). Influence of specimen dimensions on nominal polymerization contraction stress of a dental composite. Journal of the Brazilian Society of Mechanical Sciences and Engineering, 27 (3), 283-287.

Mondelli, R.F.L., Velo, M.M.D.A.C., Gonçalves, R.S., Tostes, B.O., Ishikiriama, S.K., & Bombonatti, J.F. (2016). Influence of composite resin volume and C-factor on the polymerization shrinkage stress. Brazilian Dental Science, 19 (2), 72-81.

Braga, R.R., Boaro, L.C., Kuroe, T., Azevedo, C.L., & Singer, J.M. (2006). Influence of cavity dimensions and their derivatives (volume and ‘C’factor) on shrinkage stress development and microleakage of composite restorations. Dental Materials, 22 (9), 818-823.

Published
2019-11-08
How to Cite
Voytovich, V. I. (2019). Analysis of composite restorations functioning success under different cavity configuration parameters. Clinical Dentistry, (3), 4-10. https://doi.org/10.11603/2311-9624.2019.3.10570
Section
Terapeutic stomatology