CASE REPORT

 

Use of flowable composite as intermediary layer in non-carious cervical lesions restored with composite resin: 48-month follow-up

 

Avaliação clínica de uma resina flow como uma camada intermediária em restaurações de lesões cervicais não cariosas: 48 meses

 

 

Alessandro Dourado Loguercio^I; Roberto César do Amaral^II; Eugênio Garcia^III; Alessandra Reis^I

^IDepartment of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil and Master's Program in Dentistry
^IIDental Materials and Restorative Dentistry Department, "Universidade do Oeste de Santa Catarina", Joaçaba, SC, Brazil
^IIIGradute Program in Dental Materials, University of São Paulo, São Paulo, SP, Brazil

Correspondence

 

 

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ABSTRACT

PURPOSE: In this case report, the clinical performance of a microhybrid resin composite placed with or without a flowable resin composite was compared, over a 48-month period.
CASE DESCRIPTION: The patient of this case report presented 2 pairs of equivalent cervical abfraction lesions, under occlusion. Four restorations were placed in teeth 34, 35, 44 and 45. The restorations were divided into groups (Single Bond + Filtek-Flow + Filtek Z250 or Single Bond + Filtek Z250) and the materials were applied according to the manufactures instructions. Two previously calibrated operators placed the restorations and two other independent examiners evaluated the restorations at baseline and after 48 months, according to the USPHS criteria and modified criteria for color match.
CONCLUSION: After 48 months of evaluation the lesions restored with Filtek-Flow as a liner under Filtek Z250 did not show better clinical performance than the restorations without Filtek-Flow. All restorations showed a trend toward dark yellowing after 48 months.

Key words: Clinical evaluation; adhesive systems; composite resin; flowable composite

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RESUMO

OBJETIVO: Este relato de caso compara o desempenho clínico após 48 meses de restaurações de lesões cervicais não cariosas com uma resina composta microhíbrida associada ou não a uma camada de resina flow como um agente intermediário.
DESCRIÇÃO DO CASO: O paciente do presente caso apresentava 2 pares de lesões cervicais não cariosas ocasionadas por abfração sob oclusão. Nos elementos dentários 35 e 44 as restaurações foram feitas com Single Bond + Filtek-Flow + Filtek Z250 e nos elementos 45 e 34 com Single Bond + Filtek Z250, sendo os materiais empregados de acordo com as recomendações do fabricante. Dois operadores previamente calibrados colocaram as restaurações e dois outros examinadores avaliaram as restaurações no período imediato (baseline) e após 48 meses, de acordo os critérios USPHS modificado para o critério cor.
CONCLUSÃO: Após 48 meses as lesões restauradas com a resina flow como uma camada intermediária não demonstraram melhor desempenho clínico em relação às restaurações sem a resina flow. Todos os grupos apresentaram uma tendência à descoloração após 48 meses de acompanhamento clínico.

Palavras-chaves: Avaliação clínica; sistemas adesivos; resina composta; resina flow

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Correspondence:
Alessandro Dourado Loguercio
Universidade Estadual de Ponta Grossa
Mestrado em Odontologia
Av. General Carlos Cavalcanti, 4748; Bloco M - Sala 64A - Uvaranas
Ponta Grossa, PR - Brasil 84030-900
Email: aloguercio@hotmail.com

Received: October 27, 2009
Accepted: March 1, 2010

 

 

Conflict of Interest Statement: The authors state that there are no financial and personal conflicts of interest that could have inappropriately influenced their work.