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One-year clinical evaluation of SureFil packable composite
R Perry1, G Kugel, K Leinfelder
1Department of Biomaterials, University of Alabama, School of Dentistry, Birmingham, USA.
Summary
SureFil high-density composite demonstrated excellent clinical performance for posterior Class II restorations over one year. Most restorations maintained high ratings, with only minor surface staining noted at the final evaluation.
Area of Science:
- Dentistry
- Dental Materials Science
- Restorative Dentistry
Background:
- Class II restorations are common in permanent molars.
- Evaluating new composite materials is crucial for long-term dental health.
- SureFil is a high-density posterior composite for dental restorations.
Purpose of the Study:
- To clinically evaluate SureFil high-density posterior composite.
- Assess its suitability for Class II restorations in permanent first and second molars.
- Determine its performance over a one-year period.
Main Methods:
- Cavity preparation followed by enamel etching and adhesive application (Prime and Bond 2.1).
- Restorations placed in increments and light-cured.
- Evaluations at baseline, 3, 6, 9, and 12 months for retention, leakage, marginal integrity, color stability, wear, staining, and secondary caries.
- Indirect wear assessment using modified USPHS and cast comparison.
Main Results:
- All 25 restorations achieved 'Alfa' grades in all categories at baseline.
- At 3, 6, and 9 months (N=24), all restorations maintained 'Alfa' grades.
- At 1 year (N=20), three restorations received 'Bravo' for surface staining; others remained 'Alfa'.
Conclusions:
- SureFil high-density composite shows promising clinical durability for Class II molar restorations.
- The material exhibits excellent retention, marginal integrity, and resistance to wear and leakage.
- Minor surface staining was observed in a small percentage of restorations at one year.