Comparison of occlusal wear between bulk-fill and conventional flowable resin composites

To investigate the occlusal wear of bulk-fill and conventional flowable resin composites.

Four bulk-fill flowable resin composites: (1) Filtek Bulk Fill Flowable Restorative (FB); (2) G-ænial Bulk Injectable (GB); (3) SDR Flow+ (SD); and (4) Tetric EvoFlow Bulk Fill (TB), and four conventional flowable resin composites: (1) Clearfil Majesty IC (CM); (2) Filtek Supreme Ultra Flow (FF); (3) G-ænial Universal Flow (GF); and (4) Herculite XRV Ultra Flow (HF) were evaluated. Localized wear was simulated using 400,000 cycles in a Leinfelder-Suzuki (Alabama) device with a stainless-steel ball bearing antagonist. Volume loss and maximum depth of wear facets were measured using a Proscan 2100 noncontact profilometer in conjunction with analyzing software. Scanning electron microscopy observations were also conducted on the wear specimens.

Simulated occlusal wear was significantly different (P< 0.05) among the materials tested. FF, GB and GF showed significantly less wear than the other tested resin composites. The rank order of volume loss and maximum depth was GF-GB-FF-FB-CM-HF-TB-SD.

Bulk-fill flowable resin composites showed a much wider range of wear properties than conventional flowable resin composites. Some composites of each type may be suitable for use in occlusal contact areas of posterior restorations, but care must be taken when selecting such a resin.