Clinical Performance of Direct Composite Restorations in Patients with Amelogenesis Imperfecta - Anterior Restorations.

PURPOSE: To evaluate the clinical performance of direct composite restorations using nanohybrid and nanofill composite materials in anterior teeth in patients with amelogenesis imperfecta (AI). MATERIALS AND METHODS: The study included 15 patients with AI aged 14-30 years. During the study, the patients received anterior direct composite laminate veneer restorations using either a nanohybrid (Clearfil Majesty ES-2 and Clearfil Universal Bond, Kuraray Noritake) or a nanofill resin composite (Filtek Ultimate Universal Restorative and Single Bond Universal Adhesive, 3M Oral Care). The restorations were evaluated according to the modified USPHS criteria at baseline and at 1-, 2-, 3- and 4-year follow-up periods. RESULTS: The cumulative success rate of anterior restorations was 80.5% for nanohybrid and 92.5% for nanofill composite after 4 years. Eight restorations with nanohybrid and three restorations with nanofill resin composites failed. Ten restorations failed due to fracture; the fracture rate was 12.3%. Statistically significant differences were found between nanohybrid and nanofill composites regarding marginal discoloration and surface texture after 3 years. Furthermore, statistically significant differences were observed with respect to color match after 4 years. CONCLUSION: The use of a nanohybrid or nanofill composite for anterior direct restorations in patients with AI was observed to be satisfactory, based on the rate of ideal and clinically acceptable restorations. The primary reason for restoration failure was fracture. The failure rate of nanohybrid composite restorations was higher than with nanofill composite restorations with respect to survival and marginal adaptation criteria.

Correlation between three-dimentional surface topography and color stability of different nanofilled composites.

AIM: The aim of this study was to evaluate the 3-dimensional (3D) surface topography and color stability of four different resin composites after immersion in different soft-beverages. MATERIALS AND METHODS: One hundred sixty disk-shaped specimens (diameter: 10 mm, and thickness: 2 mm) were made from four different resin composites (i.e., Filtek Z550, Tetric N-Ceram, Clearfil Majesty Esthetic, and Cavex Quadrant Universal LC). Each specimen was cured under mylar strips for 20 sec for both top and bottom surfaces. All of the specimens were stored in distilled water for 24 h at 37°C. Surface measurements were carried out using a noncontact 3D-optical-profilometer in terms of surface topography (Ra values). Color measurements of each specimen were performed with Vita Easy Shade system. All the measurements were performed at baseline and after 30 days of immersion in the selected soft-beverages (Redbull, Coca-Cola and Dimes-Lemonade). Control groups were stored in distilled water during the study. Ra values and color changes (ΔE values) of the groups were recorded. The data were statistically analyzed using a one way ANOVA and Tukey's post-hoc tests (SPSS 18.0). RESULTS: The tested soft-beverages in the present study caused color changes at a 30-day evaluation period for the tested resin composites (p < 0.05). However, 3D surface topography of resin composites was not influenced by the tested soft-beverages (p > 0.05). There was no significant interaction between the composite and beverage type on the Ra values of the resin composites (p > 0.05). CONCLUSIONS: No correlation was found between color stability and 3D surface topography of the resin composites. Color stability of resin composites may be affected by soft beverages.