Three-year clinical evaluation of a compomer and a resin composite as Class V filling materials

The purpose of this study was to evaluate the placement of two restorative materials, including a compomer (F2000, 3M ESPE) and a resin composite (Silux Plus, 3M ESPE), in non-carious cervical lesions using a self-etching bonding agent (F2000 self-etching primer/adhesive) and a fifth generation bonding agent (Single Bond, 3M ESPE) and to evaluate and compare these restorations for marginal discoloration, secondary caries, anatomical form, retention, surface texture and marginal adaptation at baseline and annually for three years. F2000 and Silux Plus were used to restore the teeth with moderate-sized non-carious cervical lesions. F2000 was placed using two different bonding agents: F2000 self-etching primer/adhesive (F2000SE group) and Single Bond (F2000SB group); Silux Plus was placed as a control using Single Bond (SiluxSB group). Thirty restorations of each material/dentin adhesive combination were placed. All restorations were evaluated at baseline and annually for three years using a modified USPHS scale. At the end of the three-year recall, Silux Plus had significantly better surface texture than F2000 (p < 0.0001). In addition, marginal adaptation significantly worsened over time starting at one year, as compared with baseline, for all groups (p < 0.0001). When anatomic form was compared between F2000 and Silux Plus, the p-value was 0.085, demonstrating that F2000 was slightly better than Silux Plus. Likewise, when comparing marginal adaptation between the F2000SE and SiluxSB groups, the p-value was 0.064, demonstrating that F2000 with the self-etching primer had better margins than Silux Plus with Single Bond. No other differences were found among the groups.