Three-Dimensional Analysis of Morphological Adaptation and Wear in Restorations Performed Using the Stamp Technique...

The stamp technique is a biomimetic approach that enables accurate reproduction of preoperative occlusal morphology in direct composite restorations; however, the rheological properties of restorative materials may influence both morphological adaptation and wear behavior. This in vitro study aimed to evaluate the morphological accuracy of different composite resins applied using the stamp technique and to quantify volumetric changes after toothbrushing simulation using three-dimensional analysis. Sixty standardized mandibular first molar model teeth were assigned to four groups (n = 15): Filtek Z250, Filtek One Bulk Fill, SonicFill 3, and G-ænial Universal Injectable. Digital scans were obtained at baseline, after restoration, and after brushing, and analyzed using OraCheck software to calculate volumetric gain (T0-T1) and volumetric loss (T1-T2). Significant differences were observed among groups for both outcomes (p < 0.001). G-ænial Universal Injectable showed the highest morphological accuracy but also the greatest wear, whereas SonicFill demonstrated lower morphological accuracy with superior wear resistance. No significant correlation was found across all groups; however, within each group, restorations with lower morphological accuracy tended to exhibit greater wear. These findings indicate that morphological accuracy and wear resistance are material-dependent and suggest that achieving a balance between accurate reproduction and long-term preservation of occlusal morphology remains a challenge.