Clinical Long-Term Success of Contemporary Nano-Filled Resin Composites in Class I And II Restorations Cured by LED or Halogen Light

Authors

Torsten Pflaum, Jena University Hospital
Stefan Kranz, Jena University Hospital
Regina Montag, Jena University Hospital
Arndt Guentsch, Marquette UniversityFollow
Andrea Völpel, Jena University Hospital
Robin Mills, University of Bristol
Klaus Jandt, Otto Schott Institute for Materials Research
Bernd Sigusch, Jena University Hospital

Document Type

Article

Language

Eng

Publication Date

5-2018

Publisher

Elsevier

Source Publication

Clinical Oral Investigations

Source ISSN

1432-6981

Abstract

Objectives

The use of LED light-curing units (LED LCUs) for polymerising resin-based composite restorations has become widespread throughout dentistry. Unfortunately, there is a paucity of clinical longitudinal studies that evaluate the comparative efficacy of LED-based polymerisation in direct posterior composite restorations. The aim of the present study was to investigate the performance of class I and II resin composite restorations for two successful composite restorative materials cured with LED versus halogen LCUs.

Methods

One hundred restorations were placed using the nano-filled composites Grandio® or Filtek™ Supremé. The following test groups were established: LED-Grandio® n = 23 (LG), LED-Filtek™ Supremé n = 21 (LS). As controls were used: Halogen-Grandio® n = 28 (HG), Halogen-Filtek™ Supremé n = 28 (HS). All restorations were evaluated according to the clinical criteria of the CPM index (C-criteria) at baseline and after 6, 12 and 36 months.

Results

After 12 and 36 months, there were no significant differences between restorations polymerised with LED or halogen light. At the end of the study, 97% of the restorations showed sufficient results regardless of the employed LCU or composite. Globally, after 36 months, 56% of all restorations were assessed with code 0 (excellent) and 41% with code 1 (acceptable). In detail, excellent results (code 0) among the criteria surface quality; marginal integrity and marginal discoloration were assigned in 72, 70 and 69%.

Conclusions

For the current limitations in the clinical trial design, the results showed that LED-polymerisation is appropriate to ensure clinical success of direct posterior resin composite restorations in a range of 3 years.

Clinical significance

The choice of LCU has no significant influence on the clinical performance of posterior direct resin composite restorations within 3 years of wear.

Comments

Accepted version. Clinical Oral Investigations, Vol. 22, No. 4 (May 2018): 1651-1662. DOI. © 2017 Springer-Verlag GmbH Germany. Used with permission.

Recommended Citation

Pflaum, Torsten; Kranz, Stefan; Montag, Regina; Guentsch, Arndt; Völpel, Andrea; Mills, Robin; Jandt, Klaus; and Sigusch, Bernd, "Clinical Long-Term Success of Contemporary Nano-Filled Resin Composites in Class I And II Restorations Cured by LED or Halogen Light" (2018). School of Dentistry Faculty Research and Publications. 303.
https://epublications.marquette.edu/dentistry_fac/303