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Long Term Esthetic and Functional Success of Two Different Composite Materials in Fractured Anterior Teeth of Children

Year 2024, Volume: 11 Issue: 3, 242 - 250, 23.12.2024
https://doi.org/10.15311/selcukdentj.1381011

Abstract

Abstract
Aim: Crown fracture is the most common traumatic dental injury in children’s permanent maxillary central incisors. The study aims to evaluate long term clinical success of two different composite materials used for the restoration of fractured maxillary central incisors by dental trauma. Material and Methods: The study was carried out on 132 teeth in 106 patients aged between 7-13 years. Patients with enamel-dentine fractures not involving the pulp, pulp unaffected were randomly divided into two groups utilizing a composite with nanoseramic particles and a submicrohybrid composite material. Composite restorations were evaluated according to the Modified Ryge (USPHS) and FDI criteria by two experienced and calibrated examiners at 6, 12, 18, 24 months follow-up visits. Color changes of the restorations were also evaluated by spectrophotometer and color measurements were done by the standardised digital photographs. Results: At the 24-months follow-up, 3 restorations were lost and no statistically significant differences were found between composites at all follow up periods. However significant esthetic and functional changes were observed at 6 and 12-months periods for both materials. Conclusions: Both microhybrid and nanoceramic composites showed satisfactory clinical results at 24-months follow-up. It could be suggested that longer clinical success of composite restorations could be achieved by doing polishing, refurbishment, repair where needed at the frequent follow-ups.
KeyWords: dental trauma, enamel-dentine fractures, microhybrid composites
ÖZ
Amaç: Kron kırığı, çocukların daimî maksiller santral kesici dişlerde en sık görülen travmatik dental yaralanmadır. Bu çalışmanın amacı, çocuklarda gözlenen diş travmaları sonucu kırılmış maksiller santral kesici dişlerin restorasyonunda kullanılan iki farklı içeriğe sahip kompozit restorasyon materyalinin uzun dönem klinik başarısını değerlendirmektir. Gereç ve Yöntemler: Çalışmamız yaşları 7-13 arasında değişen 106 çocuk hastanın 132 dişi üzerinde gerçekleştirilmiştir. Dişlerinde pulpayı içermeyen, pulpanın etkilenmediği mine-dentin kırığı olan çocuk hastalar rastgele iki gruba ayrılarak nanoseramik partiküllü kompozit ve submikrohibrit kompozit materyali kullanılarak tedavi edilmiştir. Yapılan kompozit restorasyonlar 6, 12, 18, 24 aylık takip dönemlerinde iki deneyimli ve kalibre edilmiş araştırıcı tarafından Modifiye Ryge (USPHS) ve FDI kriterlerine göre değerlendirilmiştir. Restorasyonların renk değişimleri spektrofotometre cihazı ile değerlendirilmiş ve ayrıca renk ölçümleri de destandardize edilmiş dijital fotoğraflar ile gerçekleştirilmiştir. Bulgular: 24 aylık takip sonucu hastalara yapılan 3 restorasyonun kaybedildiği gözlenmekle birlikte ve tüm takip dönemlerinde kompozitler restorasyon grupları arasında istatistiksel olarak anlamlı bir fark bulunmamıştır. Ancak her iki kompozit materyali için de 6 ve 12 aylık dönemlerde anlamlı estetik ve fonksiyonel değişiklikler gözlenmiştir. Sonuçlar: Hem mikrohibrit kompozitler hem de nanoseramik kompozitler 24 aylık takip sonucunda tatmin edici ve başarılı klinik sonuçlar göstermiştir. Dental travma sonrası yapılacak kompozit restorasyonların daha uzun dönem klinik başarısının cilalama, yenileme ve tamir gibi işlemlerle elde edilebileceği düşünülmektedir.

Anahtar Kelimeler: diş travmaları, mine-dentin kırıkları, mikrohibrit kompozitler

References

  • 1. Belcheva A. Reconstruction of fractured permanent incisors in schoolchildren using composite resin build-up (review). J of IMAB 2008; 14(2):93-6.
  • 2. Wang G, Wang C, Qin M. Pulp prognosis following conservative pulp treatment in teeth with complicated crown fractures-A retrospective study. Dent Traumatol 2017; 33(4):255-60.
  • 3. Oliveira GM, Ritter AV. Composite resin restorations of permanent incisors with crown fractures. Pediatr Dent 2009; 31(2):102-9.
  • 4. Paolone G, Scolavino S, Gherlone E, Spagnuolo G, Cantatore G. The "Pre-Finishing" Approach in Direct Anterior Restorations. A Case Series. Dent J (Basel). 2021; 7(7):79
  • 5. Wang G , Wang C, Qin M. Pulp prognosis following conservative pulp treatment in teeth with complicated crown fractures-A retrospective study. Dent Traumatol 2017; 33(4):255-60.
  • 6. Vanini L. Conservative composite restorations that mimic nature. A step–by-step anatomical stratification technique. J Cosmet Dent 2010; 26(3):80–9.
  • 7. Fahl JR “Mastering Composite Artistry to Create Anterior Masterpieces- Part 2”. J Cosm Dent 2011: 42-55.
  • 8. Siddiqui I, Mathur VP, Tewari N, Jain V, Bansal K, Morankar R. Comparative evaluation of putty index and custom template for direct composite restoration of uncomplicated crown fractures in permanent anterior teeth. Int J Burns Trauma 2023; 15:13(4):156-65.
  • 9. Sirintawat N, Leelaratrungruang T, Poovarodom P, Kiattavorncharoen S, Amornsettachai P. The Accuracy and Reliability of Tooth Shade Selection Using Different Instrumental Techniques: An In Vitro Study. Sensors (Basel). 2021 Nov 11; 21(22):7490.
  • 10. Urkande NK, Mankar N, Nikhade PP, Chandak M, Ikhar A, Patel A. Anterior Matrix Systems for Composite Restorations: A Review. Cureus. 2023 Apr 4; 15(4):e37145.
  • 11. Nahsan FP, Mondelli RF, Franco EB, Naufel FS, Ueda JK, Schmitt VL, Baseggio W. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection.Oral Sci. 2012 Mar-Apr; 20(2):151-6.
  • 12. McMahon S.M, Evron E. Biomimetic principles applied to cosmetic dentistry, Cosmetic Tribune 2011;4(7), available from www.dental-tribune.com
  • 13. Hickel R, Peschke A, Tyas M, Mjör I, Bayne S, Peters M, et al. FDI World Dental Federation: clinical criteria for the evaluation of direct and indirect restorations-update and clinical examples. Clin Oral Investig 2010; 14(4):349-66.
  • 14. Ryge G. Clinical criteria. Int Dent J 1980 Dec;30(4):347-58.
  • 15. Engin Ö. Dental fotoğrafçılık. İstanbul Quintessence yayıncılık ltd. şti. 2011.
  • 16. Burke FJ, Mackenzie L, Sands P. Dental materials--what goes where? Class I and II cavities. Dent Update. 2013 May; 40(4):260-2.
  • 17. Sagsoz O, Ildayı NO, Sagsoz NP, Bayindir YZ, Alsaran A. Investigation of Hardness and Wear Behavior of Dental Composite Resins. International Journal of Composite Materials 2014; 4(4):179-84
  • 18. Ilie N, Rencz A, Hickel R. Investigations towards nano-hybrid resin-based composites. Clin Oral Investig 2013 Jan; 17(1):185-93.
  • 19. Kim SJ, Son HH, Cho BH, Lee IB, Um CM. Translucency and masking ability of various opaque-shade composite resins. J Dent 2009 Feb; 37(2):102-7.
  • 20. Ryan EA, Tam LE, McComb D. Comparative translucency of esthetic composite resin restorative materials. J Can Dent Assoc 2010; 76:84.
  • 21. Manhart J. Aesthetic Layering Technique. The Dentist 2009; 25(3):66-72.
  • 22. Mopper KW. Anterior Direct Composites: Direct Anterior Bonding: Minimally Invasive Dentistry at Its Best. İn: Freedman G (editor) Contemporary Esthetic Dentistry, St Louis: Mosby, 2012; 214-31.
  • 23. Xu H, Jiang Z, Xiao X, Fu J, Su Q. Influence of cavity design on the biomechanics of direct composite resin restorations in Class IV preparations. Eur J Oral Sci 2012; 120:161-7.
  • 24. Mena-Serrano A, Kose C, De Paula EA, Tay LY, Reis A, Loguercio AD, Perdigão J. A new universal simplified adhesive: 6-month clinical evaluation. J Esthet Restor Dent 2013 Feb; 25(1):55-69.
  • 25. Ferracane JL. Resin composite--state of the art. Dent Mater 2011; 27(1):29-38.
  • 26. Angerame D, De Biasi M. Do Nanofilled/Nanohybrid Composites Allow for Better Clinical Performance of Direct Restorations Than Traditional Microhybrid Composites? A Systematic Review. Oper Dent. 2018 Jul/Aug; 43(4):191-209.
  • 27. Paolone G, Formiga S, De Palma F, Abbruzzese L, Chirico L, Scolavino S, Goracci C, Cantatore G, Vichi A.J. Color stability of resin-based composites: Staining procedures with liquids-A narrative review. Esthet Restor Dent. 2022 Sep; 34(6):865-87
  • 28. Badakar CM, Shashibhushan KK, Naik NS, Reddy VV. Fracture resistance of microhybrid composite, nano composite and fibre-reinforced composite used for incisal edge restoration. Dent Traumatol 2011; 27(3):225-9.
  • 29. van Dijken JW, Pallesen U. Fracture frequency and longevity of fractured resin composite, polyacid-modified resin composite, and resin-modified glass ionomer cement class IV restorations: an up to 14 years of follow-up. Clin Oral Investig 2010 Apr; 14(2):217-22.
  • 30. Ozel E, Karapinar-Kazandag M, Soyman M, Bayirli G. Resin composite restorations of permanent incisors with crown fractures: a case report with a six-year follow-up. Oper Dent. 2011 Jan-Feb; 36(1):112-5.

Çocuklarda Gözlenen Ön Diş Travmalarında Kullanılan İki Farklı Kompozit Materyalin Uzun Dönem Estetik ve Fonksiyonel Başarısı

Year 2024, Volume: 11 Issue: 3, 242 - 250, 23.12.2024
https://doi.org/10.15311/selcukdentj.1381011

Abstract

Abstract
Aim: Crown fracture is the most common traumatic dental injury in children’s permanent maxillary central incisors. The study aims to evaluate long term clinical success of two different composite materials used for the restoration of fractured maxillary central incisors by dental trauma.
Material and Methods: The study was carried out on 132 teeth in 106 patients aged between 7-13 years. Patients with enamel-dentine fractures not involving the pulp, pulp unaffected were randomly divided into two groups utilizing a composite with nanoseramic particles and a submicrohybrid composite material. Composite restorations were evaluated according to the Modified Ryge (USPHS) and FDI criteria by two experienced and calibrated examiners at 6, 12, 18, 24 months follow-up visits. Color changes of the restorations were also evaluated by spectrophotometer and color measurements were done by the standardised digital photographs.
Results: At the 24-months follow-up, 3 restorations were lost and no statistically significant differences were found between composites at all follow up periods. However significant esthetic and functional changes were observed at 6 and 12-months periods for both materials.
Conclusions: Both microhybrid and nanoceramic composites showed satisfactory clinical results at 24-months follow-up. It could be suggested that longer clinical success of composite restorations could be achieved by doing polishing, refurbishment, repair where needed at the frequent follow-ups.
KeyWords: dental trauma, enamel-dentine fractures, microhybrid composites

Öz
Amaç: Kron kırığı, çocukların daimî maksiller santral kesici dişlerde en sık görülen travmatik dental yaralanmadır. Bu çalışmanın amacı, çocuklarda gözlenen diş travmaları sonucu kırılmış maksiller santral kesici dişlerin restorasyonunda kullanılan iki farklı içeriğe sahip kompozit restorasyon materyalinin uzun dönem klinik başarısını değerlendirmektir.
Gereç ve Yöntemler: Çalışmamız yaşları 7-13 arasında değişen 106 çocuk hastanın 132 dişi üzerinde gerçekleştirilmiştir. Dişlerinde pulpayı içermeyen, pulpanın etkilenmediği mine-dentin kırığı olan çocuk hastalar rastgele iki gruba ayrılarak nanoseramik partiküllü kompozit ve submikrohibrit kompozit materyali kullanılarak tedavi edilmiştir. Yapılan kompozit restorasyonlar 6, 12, 18, 24 aylık takip dönemlerinde iki deneyimli ve kalibre edilmiş araştırıcı tarafından Modifiye Ryge (USPHS) ve FDI kriterlerine göre değerlendirilmiştir. Restorasyonların renk değişimleri spektrofotometre cihazı ile değerlendirilmiş ve ayrıca renk ölçümleri de destandardize edilmiş dijital fotoğraflar ile gerçekleştirilmiştir.
Bulgular: 24 aylık takip sonucu hastalara yapılan 3 restorasyonun kaybedildiği gözlenmekle birlikte ve tüm takip dönemlerinde kompozitler restorasyon grupları arasında istatistiksel olarak anlamlı bir fark bulunmamıştır. Ancak her iki kompozit materyali için de 6 ve 12 aylık dönemlerde anlamlı estetik ve fonksiyonel değişiklikler gözlenmiştir.
Sonuçlar: Hem mikrohibrit kompozitler hem de nanoseramik kompozitler 24 aylık takip sonucunda tatmin edici ve başarılı klinik sonuçlar göstermiştir. Dental travma sonrası yapılacak kompozit restorasyonların daha uzun dönem klinik başarısının cilalama, yenileme ve tamir gibi işlemlerle elde edilebileceği düşünülmektedir.
Anahtar Kelimeler: diş travmaları, mine-dentin kırıkları, mikrohibrit kompozitler

References

  • 1. Belcheva A. Reconstruction of fractured permanent incisors in schoolchildren using composite resin build-up (review). J of IMAB 2008; 14(2):93-6.
  • 2. Wang G, Wang C, Qin M. Pulp prognosis following conservative pulp treatment in teeth with complicated crown fractures-A retrospective study. Dent Traumatol 2017; 33(4):255-60.
  • 3. Oliveira GM, Ritter AV. Composite resin restorations of permanent incisors with crown fractures. Pediatr Dent 2009; 31(2):102-9.
  • 4. Paolone G, Scolavino S, Gherlone E, Spagnuolo G, Cantatore G. The "Pre-Finishing" Approach in Direct Anterior Restorations. A Case Series. Dent J (Basel). 2021; 7(7):79
  • 5. Wang G , Wang C, Qin M. Pulp prognosis following conservative pulp treatment in teeth with complicated crown fractures-A retrospective study. Dent Traumatol 2017; 33(4):255-60.
  • 6. Vanini L. Conservative composite restorations that mimic nature. A step–by-step anatomical stratification technique. J Cosmet Dent 2010; 26(3):80–9.
  • 7. Fahl JR “Mastering Composite Artistry to Create Anterior Masterpieces- Part 2”. J Cosm Dent 2011: 42-55.
  • 8. Siddiqui I, Mathur VP, Tewari N, Jain V, Bansal K, Morankar R. Comparative evaluation of putty index and custom template for direct composite restoration of uncomplicated crown fractures in permanent anterior teeth. Int J Burns Trauma 2023; 15:13(4):156-65.
  • 9. Sirintawat N, Leelaratrungruang T, Poovarodom P, Kiattavorncharoen S, Amornsettachai P. The Accuracy and Reliability of Tooth Shade Selection Using Different Instrumental Techniques: An In Vitro Study. Sensors (Basel). 2021 Nov 11; 21(22):7490.
  • 10. Urkande NK, Mankar N, Nikhade PP, Chandak M, Ikhar A, Patel A. Anterior Matrix Systems for Composite Restorations: A Review. Cureus. 2023 Apr 4; 15(4):e37145.
  • 11. Nahsan FP, Mondelli RF, Franco EB, Naufel FS, Ueda JK, Schmitt VL, Baseggio W. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection.Oral Sci. 2012 Mar-Apr; 20(2):151-6.
  • 12. McMahon S.M, Evron E. Biomimetic principles applied to cosmetic dentistry, Cosmetic Tribune 2011;4(7), available from www.dental-tribune.com
  • 13. Hickel R, Peschke A, Tyas M, Mjör I, Bayne S, Peters M, et al. FDI World Dental Federation: clinical criteria for the evaluation of direct and indirect restorations-update and clinical examples. Clin Oral Investig 2010; 14(4):349-66.
  • 14. Ryge G. Clinical criteria. Int Dent J 1980 Dec;30(4):347-58.
  • 15. Engin Ö. Dental fotoğrafçılık. İstanbul Quintessence yayıncılık ltd. şti. 2011.
  • 16. Burke FJ, Mackenzie L, Sands P. Dental materials--what goes where? Class I and II cavities. Dent Update. 2013 May; 40(4):260-2.
  • 17. Sagsoz O, Ildayı NO, Sagsoz NP, Bayindir YZ, Alsaran A. Investigation of Hardness and Wear Behavior of Dental Composite Resins. International Journal of Composite Materials 2014; 4(4):179-84
  • 18. Ilie N, Rencz A, Hickel R. Investigations towards nano-hybrid resin-based composites. Clin Oral Investig 2013 Jan; 17(1):185-93.
  • 19. Kim SJ, Son HH, Cho BH, Lee IB, Um CM. Translucency and masking ability of various opaque-shade composite resins. J Dent 2009 Feb; 37(2):102-7.
  • 20. Ryan EA, Tam LE, McComb D. Comparative translucency of esthetic composite resin restorative materials. J Can Dent Assoc 2010; 76:84.
  • 21. Manhart J. Aesthetic Layering Technique. The Dentist 2009; 25(3):66-72.
  • 22. Mopper KW. Anterior Direct Composites: Direct Anterior Bonding: Minimally Invasive Dentistry at Its Best. İn: Freedman G (editor) Contemporary Esthetic Dentistry, St Louis: Mosby, 2012; 214-31.
  • 23. Xu H, Jiang Z, Xiao X, Fu J, Su Q. Influence of cavity design on the biomechanics of direct composite resin restorations in Class IV preparations. Eur J Oral Sci 2012; 120:161-7.
  • 24. Mena-Serrano A, Kose C, De Paula EA, Tay LY, Reis A, Loguercio AD, Perdigão J. A new universal simplified adhesive: 6-month clinical evaluation. J Esthet Restor Dent 2013 Feb; 25(1):55-69.
  • 25. Ferracane JL. Resin composite--state of the art. Dent Mater 2011; 27(1):29-38.
  • 26. Angerame D, De Biasi M. Do Nanofilled/Nanohybrid Composites Allow for Better Clinical Performance of Direct Restorations Than Traditional Microhybrid Composites? A Systematic Review. Oper Dent. 2018 Jul/Aug; 43(4):191-209.
  • 27. Paolone G, Formiga S, De Palma F, Abbruzzese L, Chirico L, Scolavino S, Goracci C, Cantatore G, Vichi A.J. Color stability of resin-based composites: Staining procedures with liquids-A narrative review. Esthet Restor Dent. 2022 Sep; 34(6):865-87
  • 28. Badakar CM, Shashibhushan KK, Naik NS, Reddy VV. Fracture resistance of microhybrid composite, nano composite and fibre-reinforced composite used for incisal edge restoration. Dent Traumatol 2011; 27(3):225-9.
  • 29. van Dijken JW, Pallesen U. Fracture frequency and longevity of fractured resin composite, polyacid-modified resin composite, and resin-modified glass ionomer cement class IV restorations: an up to 14 years of follow-up. Clin Oral Investig 2010 Apr; 14(2):217-22.
  • 30. Ozel E, Karapinar-Kazandag M, Soyman M, Bayirli G. Resin composite restorations of permanent incisors with crown fractures: a case report with a six-year follow-up. Oper Dent. 2011 Jan-Feb; 36(1):112-5.
There are 30 citations in total.

Details

Primary Language English
Subjects Paedodontics, Restorative Dentistry
Journal Section Research
Authors

Menije Menderes 0000-0002-5411-835X

Nazan Ersin 0000-0002-5425-9582

Publication Date December 23, 2024
Submission Date October 27, 2023
Acceptance Date June 24, 2024
Published in Issue Year 2024 Volume: 11 Issue: 3

Cite

Vancouver Menderes M, Ersin N. Long Term Esthetic and Functional Success of Two Different Composite Materials in Fractured Anterior Teeth of Children. Selcuk Dent J. 2024;11(3):242-50.