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The influence of a liner on deep bulk-fill restorations: Randomized clinical trial
Carlos Rocha Gomes Torres1, Mariane Cintra Mailart1, Rafael Santos Rocha1
1Sao Paulo State University - UNESP, Institute of Science and Technology, Department of Restorative Dentistry, São José Dos Campos, Avenida Engenheiro Francisco José Longo, 777, Jardim São Dimas, SP, 12245-000, Brazil.
Objective:
The aim of this study was to evaluate the influence of a liner on the clinical performance of deep posterior restorations performed with bulk-fill composite.
Methods:
30 subjects received two restorations on deep preparations in posterior teeth, without pulpal exposure, after selective carious-tissue removal in one-stage. The internal walls reached the inner quarter of dentin, but with a radiographically detectable zone of firm dentin remaining. The pulpal protection using a layer of glass ionomer composite liner (Ionoseal, Voco) was applied in just one preparation. The adhesive system Futurabond U (Voco) was applied in all preparations, which were restored with the bulk-fill pure Ormocer nanohybrid composite (Admira Fusion Xtra - Voco), in up to 4 mm thick increments. All restorations were evaluated using the FDI criteria after 7 days, 6, 12 and 24 months postoperatively.
Results:
After 24-months, 25 patients attended the recall and 50 restorations were evaluated. The Fisher's statistical analysis (5%) showed no difference between the techniques for the esthetic, functional and biological properties. No postoperative sensitivity was reported for both groups.
Conclusion:
The application of a liner did not influence the clinical performance of deep restorations with bulk-fill Ormocer composite.
Clinical Relevance:
The application of a liner with a GIC-based material did not have a significant effect on the clinical performance of bulk-fill restorations and seems to be unnecessary for the material tested.
