Trends in restorative composites research: what is in the future?

MAAS, Mariel Soeiro; ALANIA, Yvette; NATALE, Livia Camargo; RODRIGUES, Marcela Charantola; WATTS, David Christopher; BRAGA, Roberto Ruggiero

doi:10.1590/1807-3107BOR-2017.vol31.0055

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Critical Review • Braz. oral. res. 31 (suppl 1) • Aug 2017 • https://doi.org/10.1590/1807-3107BOR-2017.vol31.0055 copy

Trends in restorative composites research: what is in the future?

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Clinical trials have identified secondary caries and bulk fracture as the main causes for composite restoration failure. As a measure to avoid frequent reinterventions for restoration replacement, composites with some sort of defense mechanism against biofilm formation and demineralization, as well as materials with lower susceptibility to crack propagation are necessary. Also, the restorative procedure with composites are very time-consuming and technically demanding, particularly concerning the application of the adhesive system. Therefore, together with bulk-fill composites, self-adhesive restorative composites could reduce operator error and chairside time. This literature review describes the current stage of development of remineralizing, antibacterial and self-healing composites. Also, an overview of the research on fiber-reinforced composites and self-adhesive composites, both introduced for clinical use in recent years, is presented.

Composite Resins; Calcium Phosphates; Anti-Bacterial Agents; Adhesives

Material	Manufacturer	Composition
Fusio Liquid Dentin^*	Pentron Clinical, Orange, CA, USA	Resin: aliphatic diurethane dimethacrylate (UEDMA), triethylene glycol dimethacrylate (TEGDMA), hydroxyethyl methacrylate (HEMA), trimelitic acid methacrylate (4-MET), catalyst
Fusio Liquid Dentin^*	Pentron Clinical, Orange, CA, USA	Fillers: SiO₂ (65 wt%), silanated barium glass, NaF
Vertise Flow^*	Kerr, Orange, CA, USA	Resin: glycerolphosphoric acid dimethacrylate (GPDMA), HEMA, bisphenol glycidil dimethacrylate (Bis-GMA), catalysts
Vertise Flow^*	Kerr, Orange, CA, USA	Fillers: pre-polymerized filler, silanated barium glass, nano-sized colloidal SiO₂, YF₃ (70 wt%)
Embrace Wetbond**	Pulpdent, Watertown, MA, USA	Resin: aliphatic diurethane dimethacrylate (UEDMA), bis-methacryloyloxy ethyl phosphate (BMEP), trimethyloyl propane trimethacrylate (TMPTMA), HEMA, water, catalysts
Embrace Wetbond**	Pulpdent, Watertown, MA, USA	Fillers: SiO₂, NaF (37 wt%)

Reference	Bonding substrate	Testing method	Self-adhesive composite	Control group	Outcome
Giachetti et al. (2012) ²⁵25. Giachetti L, Scaminaci Russo D, Baldini M, Bertini F, Steier L, Ferrari M. Push-out strength of translucent fibre posts cemented using a dual-curing technique or a light-curing self-adhering material. Int Endod J. 2012;45(3):249-56. https://doi.org/10.1111/j.1365-2591.2011.01969.x https://doi.org/10.1111/j.1365-2591.2011...	radicular dentin	Push-out	Vertise flow	etch-and-rinse adhesive + resin cement	SAC: 21.6–23.2 MPa
	radicular dentin	Push-out	Vertise flow	etch-and-rinse adhesive + resin cement	Control: 20.4–24.7 MPa
Mobarak and Seyam (2013) ²⁶26. Mobarak E, Seyam R. Interfacial nanoleakage and bonding of self-adhesive systems cured with a modified-layering technique to dentin of weakened roots. Oper Dent. 2013;38(5):E154-65. https://doi.org/10.2341/12-103-L https://doi.org/10.2341/12-103-L...	radicular dentin	Push-out	Vertise flow	etch-and-rinse adhesive + resin cement or dual cure self-etch resin cement	SAC: 18.0–19.1 MPa
	radicular dentin	Push-out	Vertise flow		Control: 11.3–14.4 MPa
Vichi et al. (2013)¹²12. Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig. 2013;17(6):1497-506. https://doi.org/10.1007/s00784-012-0846-6 https://doi.org/10.1007/s00784-012-0846-...	enamel/dentin	Shear	Vertise flow	self-etch adhesive + flowable composite	Enamel:
					SAC: 2.6 ± 2.6 MPa; Control: 5.0–12.1 MPa
					Dentin:
					SAC: 3.4 ± 1.6 MPa; Control: 5.8–12.2 MPa
Poitevin et al. (2013)¹⁹19. Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M et al. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater. 2013;29(2):221-30. https://doi.org/10.1016/j.dental.2012.10.001 https://doi.org/10.1016/j.dental.2012.10...	enamel/dentin	Micro-tensile	Vertise flow Fusio liquid dentin	self-etch adhesive + flowable composite	SAC (enamel):
					Vertise flow: 11.0 ± 4.2 MPa
					Vertise flow with previous etching: 23.1 ± 7.1 MPa
					Fusio liquid dentin: 13.0 ± 4.3 MPa
					Control (enamel): 28.0 ± 9.8 MPa
					SAC (dentin):
					Vertise flow: 1.8 ± 2.7 MPa
					Vertise flow with previous etching: 18.7 ± 11.0 MPa
					Fusio liquid dentin: 17.7 ± 8.6 MPa
					Control (dentin): 7.9–44.8 MPa
Goracci et al. (2013)⁹9. Goracci C, Margvelashvili M, Giovannetti A, Vichi A, Ferrari M. Shear bond strength of orthodontic brackets bonded with a new self-adhering flowable resin composite. Clin Oral Investig. 2013;17(2):609-17. https://doi.org/10.1007/s00784-012-0729-x https://doi.org/10.1007/s00784-012-0729-...	enamel	Shear	Vertise flow	etch-and-rinse or self-etch adhesive + orthodontic cement	SAC:
					Vertise flow: 3.0 ± 1.2 MPa
					Vertise flow with previous etching: 6.6 ± 1.1 MPa
					Control: 9.0–11.7 MPa
Fu et al. (2013)²⁴24. Fu J, Kakuda S, Pan F, Hoshika S, Ting S, Fukuoka A et al. Bonding performance of a newly developed step-less all-in-one system on dentin. Dent Mater J. 2013;32(2):203-11. https://doi.org/10.4012/dmj.2012-204 https://doi.org/10.4012/dmj.2012-204...	dentin	Micro-tensile	Vertise flow Fusio liquid dentin	self-etch primer adhesive system + resin composite	SAC:
					Vertise flow: 13.0 ± 9.9 MPa
					Fusio Liquid Dentin: 25.2 ± 6.1 MPa
					Control: 79 ± 16.1 MPa
Tuloglu et al. (2014)²¹21. Tuloglu N, Sen Tunc E, Ozer S, Bayrak S. Shear bond strength of self-adhering flowable composite on dentin with and without application of an adhesive system. J Appl Biomater Funct Mater. 2014;12(2):97-101. https://doi.org/10.5301/jabfm.5000166 https://doi.org/10.5301/jabfm.5000166...	primary and permanent dentin	Shear	Vertise flow	self-etch adhesive + flowable composite	SAC (primary dentin):
					Vertise flow: 4.1 ± 2.3 MPa
					Vertise flow with previous self-etch adhesive: 8.7 ± 1.7 MPa
					Control (primary dentin): 15.6 ± 2.6 MPa
					SAC (permanent dentin):
					Vertise flow: 19.3 ± 2.3 MPa
					Vertise flow with previous self-etch adhesive: 25.6 ±3.0 MPa
					Control (permanent dentin): 35.7 ± 2.9 MPa
Makishi et al. (2015)²²22. Makishi P, Pacheco RR, Sadr A, Shimada Y, Sumi Y, Tagami J et al. Assessment of Self-Adhesive Resin Composites: Nondestructive Imaging of Resin-Dentin Interfacial Adaptation and Shear Bond Strength. Microsc Microanal. 2015;21(6):1523-9. https://doi.org/10.1017/S1431927615015354 https://doi.org/10.1017/S143192761501535...	dentin	Shear	Vertise flow Fusio liquid dentin	etch-and-rinse adhesive + resin composite	SAC:
					Vertise flow: 13.9 ± 3.6 MPa
					Fusio liquid dentin: 11.3 ± 3.2 MPa
					Control: 27.3 ± 6.1 MPa
Sachdeva et al. (2016)²³23. Sachdeva P, Goswami M, Singh D. Comparative evaluation of shear bond strength and nanoleakage of conventional and self-adhering flowable composites to primary teeth dentin. Contemp Clin Dent. 2016;7(3):326-31. https://doi.org/10.4103/0976-237X.188549 https://doi.org/10.4103/0976-237X.188549...	primary dentin	Shear	Vertise flow Fusio liquid dentin	conventional flowable composite	SAC:
					Vertise flow: 12.0 ± 3.1 MPa
					Fusio liquid dentin: 14.2 ± 4.1 MPa
					Control: 21.1 ± 3.8 MPa

Sociedade Brasileira de Pesquisa Odontológica - SBPqO Av. Prof. Lineu Prestes, 2227, 05508-000 São Paulo SP - Brazil, Tel. (55 11) 3044-2393/(55 11) 9-7557-1244 - São Paulo - SP - Brazil
E-mail: office.bor@ingroup.srv.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding Author: Roberto Ruggiero Braga. E-mail: rrbraga@usp.br