Flowable composites for restoration of non-carious cervical lesions: Results after five years

Scholz, Konstantin J.; Tabenski, Isabelle; May, Sabine; Hiller, Karl‐Anton; Schmalz, Gottfried; Buchalla, Wolfgang; Federlin, Marianne

doi:10.1016/j.dental.2017.09.012

Cited by 30 publications

(28 citation statements)

References 27 publications

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“…When the aesthetic is not a concern, glass ionomer should be used, because these restorations revealed the best results in the context of clinical effectiveness 15,27 . However, methacrylate-based composites are usually the first choice to restore these lesions, being the gold-standard, due to their mechanical properties and better esthetic compared to glass ionomers 32 . Microfilled composites demonstrate a greater elasticity than hybrid composites, even presenting excellent polishing properties 16 .…”

Section: A B Cmentioning

confidence: 99%

Treatment of non-carious lesions: Diagnosis, restorative materials and techniques

et al. 2018

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Management of non-carious cervical lesions (NCCLs) still is a challenge in clinical practice. The diagnosis is the key to treat these lesions successfully. Aim/Case report: Therefore, the aim of this case report is to describe the diagnosis and treatment of generalized abfraction lesions associated to abrasion lesions of a 43 years old patient and to discuss considerations about the technique and materials to be used appropriately. After the diagnosis, a treatment plan with preventive and restorative approach was elaborated. The occlusal adjustment was performed to distribute the contact points and the patient was instructed in relation to tooth brushing habits. It was also recommended that the patient use a dentifrice with potassium nitrate for the control of sensitivity. For lesions over 1mm deep, the restorative treatment was performed using the self-etching adhesive system and nanohybrid composite by the stratification technique. Unsatisfactory restorations have been replaced. Occlusal splint was done and the patient was instructed to use the device every day overnight. One year after treatment, follow-up was performed. The appearance of new NCCLs was not observed. There was no progression of lesions smaller than 1 mm. There was no loss of restorations. All restorations were fully satisfactory and the patient reported absence of dentin hypersensitivity. Conclusion: The treatment performed besides being aesthetically satisfactory after 1 year resulted in the control of the disease, preventing the appearance of new lesions and guaranteeing a better quality of life to the patient.

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Section: A B Cmentioning

confidence: 99%

Treatment of non-carious lesions: Diagnosis, restorative materials and techniques

et al. 2018

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“…Basically, glass ionomer cements, compomers and composites in various viscosities can be used to restore NCCLs (Cieplik et al, 2017). However, composites are the materials of choice, due to their esthetic and physical properties (Pecie, Krejci, Garcia‐Godoy, & Bortolotto, 2011; Perez et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…To date, only few in‐vivo data on Class V restorations involving composites of different viscosities or comparisons of different preparation designs have been published (Cieplik et al, 2017; Correia et al, 2018; Karaman, Yazici, Ozgunaltay, & Dayangac, 2012; Li, Jepsen, Albers, & Eberhard, 2006; Mullejans et al, 2003; Szesz, Parreiras, Martini, Reis, & Loguercio, 2017). Therefore, the aim of this prospective randomized clinical study was to investigate the influence of dentin surface pretreatment (cleaning vs. roughening vs. groove preparation) and the application of a flowable composite on the clinical long‐term stability of cervical restorations.…”

Section: Introductionmentioning

confidence: 99%

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Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?

Lührs

Jacker‐Guhr

Günay

et al. 2020

Clinical & Exp Dental Res

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The purpose of this in-vivo study was to evaluate the clinical performance of restorations placed in non-carious cervical lesions (NCCLs), using different cavity preparation designs, after 7.7 years. A total of 85 NCCLs with coronal margins in enamel and cervical margins in dentin were randomly assigned to the following treatment protocols: dentin surface cleaning, dentin surface roughening with round bur plus flowable composite, dentin surface roughening/cervical groove preparation with round bur, dentin surface roughening/cervical groove preparation with round bur plus flowable composite. After enamel beveling and selective enamel etching, the defects were restored with composite. The restorations were assessed by two independent, calibrated and blinded investigators, using modified USPHS criteria. At 7 years (7.7 (± 0.35)), a total of 64 restorations (75.3%) were available for follow-up examination. The total retention rate, irrespective of the test groups, was 82.8%. Restorations placed without any preparation showed the highest loss rate (27.8%). Esthetic appearance, marginal adaptation, anatomic form and marginal discoloration did not differ significantly between the groups. Composites are long-term stable materials for restoring NCCLs. Restorations placed without any dentin preparation (cavity cleaning only) showed the highest loss rate.

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“…Non-carious cervical lesions (NCCL) are defined as a loss of dental hard tissue at the cemento-enamel junction not related to a carious process (CIEPLIK et al, 2017). They usually result from a multifactorial process associated with abrasive and/or biocorrosive mechanisms but also from occlusal stress when the action of paraaxial occlusal biomechanical loads promote loss of tooth structure (GRIPPO; SIMRING; COLEMAN, 2012;JAKUPOVIC et al, 2014;TEIXEIRA et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Ceramic veneers on teeth with non-carious cervical lesions: case report and finite element analysis

et al. 2020

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On ceramic veneers rehabilitation, teeth with non-carious cervical lesions (NCCLs), especially premolars, are often involved. Preparation to remove deep NCCLs may lead to excessive wear and a less conservative approach, which goes against the current principles of minimal wear and maximum preservation. However, no evidence exists indicating which technique could avoid excessive wear during the dental preparation for veneers associated with NCCL. Thus, this manuscript has two main purposes: 1) to present an aesthetic treatment with ceramic veneers and follow-up of 24 months of a patient with various levels of NCCL severity and 2) to evaluate various wear protocols for dental veneers associated with NCCL via Finite Element Analysis (FEA) to guide and justify the clinical decision of the clinical case described. A 37-year-old male patient presented for treatment with wear on the anterior teeth and with NCCLs of various severity degrees on the posterior teeth. The treatment chosen was rehabilitation with ceramic veneers on teeth 15 to 25. The best restorative approach for the NCCL teeth was evaluated via an FEA, simulating various protocols and lesion depths while also calculating the percentage of tooth structure loss. Restoring the premolar’s deeper NCCL with a composite resin core, before a ceramic veneer impression, presented better mechanical behavior in FEA and less tooth wear. For the 1.0 mm NCCL, beveling the lesion promoted good stress distribution, less invasive wear and an easier clinical procedure, as it did not involve a previous restorative procedure. It could be concluded that the restorative decision for premolars with NCCLs that will receive veneers should consider the set biomechanical behavior and especially the tooth structure wear necessary. For the case report presented, after two years of follow-up, no changes from the immediate result were observed, indicating that the cause of the lesions was eliminated, and that the treatment was effective, at least in the short-term. For FEA analysis, restoring the deeper NCCL prior to ceramic veneer impression, presented better mechanical behavior and less tooth wear. For the 1.0 mm NCCL, beveling the margin of the lesion generated the same good results.

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Flowable composites for restoration of non-carious cervical lesions: Results after five years

Cited by 30 publications

References 27 publications

Treatment of non-carious lesions: Diagnosis, restorative materials and techniques

Treatment of non-carious lesions: Diagnosis, restorative materials and techniques

Composite restorations placed in non‐carious cervical lesions—Which cavity preparation is clinically reliable?

Ceramic veneers on teeth with non-carious cervical lesions: case report and finite element analysis

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