Are there universal restorative composites for anterior and posterior teeth?

Author: Baldissera RA, Correa MB, Schuch HS, Collares K, Nascimento GG, Jardim PS, Moraes RR, Opdam NJ, Demarco FF.

Source: J Dent.

Year: 2013

Comment:

This study offers evidence that composite fillings, including posterior restorations, are durable.

Abstract / Excerpt:

“OBJECTIVE:

This retrospective, longitudinal clinical study investigated the longevity up to 20 years of posterior restorations placed with 3 universal composites (Charisma, Herculite XR, Z100) and of anterior restorations placed with 2 universal composites (Charisma, Herculite XR).

METHODS:

Records from 90 patients were retrieved from a private practice (374 posterior, 219 anterior restorations). Clinical evaluation was performed by the FDI criteria. Survival analysis was assessed using Kaplan-Meier method and Log-Rank test, and factors associated with failure by multivariate Cox regression with shared frailty.

RESULTS:

In the first 10 years, almost 95% of the restorations were satisfactory, showing increased failure thereafter. Charisma showed the most failures in anterior and posterior areas. Annual failure rates varied between 0.3% and 2.5%, with slightly better performance for anterior restorations. Fracture (posterior) and aesthetics (anterior) were the main reasons for failure.

CLINICAL SIGNIFICANCE:

Differences were observed between restorative materials with different properties, but these became apparent only after more than 10 years of clinical service. The present study provides evidence that in a patient group with low caries risk, anterior and posterior restorations placed with universal composites may have excellent long-term clinical performance.”

Citation:

Baldissera RA, Correa MB, Schuch HS, Collares K, Nascimento GG, Jardim PS, Moraes RR, Opdam NJ, Demarco FF. Are there universal restorative composites for anterior and posterior teeth? J Dent. 2013;41(11):1027-35.