Clinical Performance of Direct Anterior Composite Restorations Using Esthetic Dual-Shade versus Polychromatic Natural Layering Technique: a split mouth randomized controlled clinical trial

Authors

  • Ghada Ahmed Elzayat
  • Mai Elsayed Elsayed
  • Amira El Zoghby

DOI:

https://doi.org/10.14295/bds.2020.v23i4.2064

Abstract

Objective: to evaluate the clinical performance of the dual shade layering and polychromatic resin composite layering techniques using a randomized controlled trail. Material and Methods: 42 participants (84 restorations) of class IV or class III through and through within a pair of anterior contra-lateral teeth   were randomly allocated into two groups according to technique of composite restoration placement: control “polychromatic layering” and intervention “dual-shade layering”. Follow-up was done at 1 month (baseline) and 1 year. Restorations were evaluated using Visual Analog Scale (VAS), restoration color shade match using Vita Easyshade V ®, and blinded assessor using FDI criteria for assessment of dental restorations measuring (aesthetic properties). Chi-square test was used to compare between restorations of both techniques. Results: There was no statistically significant difference between restorations of both techniques for patient satisfaction outcome, restorations color match outcome, and for all tested FDI outcomes except surface luster with 100% success. Conclusion: Both dual-shade layering and polychromatic natural layering techniques, exhibited acceptable clinical and esthetic performance.     

Keywords

Composite; Polychromatic layering technique; Dual-shade layering technique; Clinical performance.

References

Ardu S, Braut V, Uhac I, Benbachir N, Feilzer AJ, Krejci I. Influence of mechanical and chemical degradation on surface gloss of resin composite materials. Am J Dent. 2009 Oct;22(5):264–8.

Ardu S, Krejci I. Biomimetic direct composite stratification technique for the restoration of anterior teeth. Quintessence Int. 2006 Mar;37(3):167–74.

Heintze SD, Forjanic M, Rousson V. Surface roughness and gloss of dental materials as a function of force and polishing time in vitro. Dent Mater. 2006 Feb;22(2):146–65.

Chu SJ, Devigus A, Mieleszko AJ. Fundamentals of color: shade matching and communication in esthetic dentistry. Quintessence Publishing Company Illinois; 2004.

Betrisey E, Krejci I, Di Bella E, Ardu S. The influence of stratification on color and appearance of resin composites. Odontology. 2016 May;104(2):176–83.

Dietschi D, Fahl NJ. Shading concepts and layering techniques to master direct anterior composite restorations: an update. Br Dent J. 2016 Dec;221(12):765–71.

Nahsan FPS, Mondelli RFL, Franco EB, Naufel FS, Ueda JK, Schmitt VL, et al. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection. J Appl Oral Sci. 2012;20(2):151–6.

Gueli AM, Pedullà E, Pasquale S, La Rosa GR, Rapisarda E. Color specification of two new resin composites and influence of stratification on their chromatic perception. Color Res Appl. 2017;42(5):684–92.

Ryan E-A, Tam LE, McComb D. Comparative translucency of esthetic composite resin restorative materials. J Can Dent Assoc. 2010;76:a84.

Vanini¬¬¬ L. Light and color in anterior composite restorations. Pract Periodontics Aesthet Dent. 1996 Sep;8(7):673–82; quiz 684.

Fahl NJ. Achieving ultimate anterior esthetics with a new microhybrid composite. Compend Contin Educ Dent Suppl. 2000;(26):4–13; quiz 26.

Ostervemb N, Jorgensen JN, Horsted-Bindslev P. A new approach to compare the esthetic properties of different composite materials. J Esthet Restor Dent. 2011 Aug;23(4):238–46.

Beddis HP, Nixon PJ. Layering composites for ultimate aesthetics in direct restorations. Dent Update. 2012;39(9):630–6.

Milnar FJ. Achieving natural aesthetics in Class IV restorations. Dent Today. 2012;31(1):144–6.

Peumans M, Van Meerbeek B, Lambrechts P, Vanherle G. The 5-year clinical performance of direct composite additions to correct tooth form and position. Clin Oral Investig. 1997;1(1):12–8.

Julious SA. Sample sizes for clinical trials. Chapman and Hall/CRC; 2009.

Vargas M. Conservative Aesthetic Enhancement of the Anterior Dentinion Using a Predictable Direct Resin Protocol. Pract Proced Aesthetic Dent. 2006;18(8):501.

Ishida Y, Fujimoto K, Higaki N, Goto T, Ichikawa T. End points and assessments in esthetic dental treatment. J Prosthodont Res. 2015;59(4):229–35.

Hickel R, Peschke A, Tyas M, Mjör I, Bayne S, Peters M, et al. FDI World Dental Federation: clinical criteria for the evaluation of direct and indirect restorations—update and clinical examples. Clin Oral Investig. 2010;14(4):349–66.

Curtis AR, Palin WM, Fleming GJP, Shortall ACC, Marquis PM. The mechanical properties of nanofilled resin-based composites: the impact of dry and wet cyclic pre-loading on bi-axial flexure strength. Dent Mater. 2009;25(2):188–97.

Ten Bosch JJ, Coops JC. Tooth color and reflectance as related to light scattering and enamel hardness. J Dent Res. 1995;74(1):374–80.

Baratieri LN, Araujo E, Monteiro Jr S. Color in natural teeth and direct resin composite restorations: Essential aspects. Eur J Esthet Dent. 2007;2(2).

Manauta J, Salat A, Putignano A, Devoto W, Paolone G, Hardan LS. Stratification in anterior teeth using one dentine shade and a predefined thickness of enamel: a new concept in composite layering–Part I. Odontostomatol Trop. 2014;37.

Fahl Jr N. A polychromatic composite layering approach for solving a complex Class IV/direct veneer-diastema combination: part I. Pr Proced Aesthet Dent. 2006;18(10):641–5.

Mulimani PS. Evidence-based practice and the evidence pyramid: A 21st century orthodontic odyssey. Elsevier; 2017.

Shaalan OO, Abou-Auf E, El Zoghby AF. Clinical evaluation of flowable resin composite versus conventional resin composite in carious and noncarious lesions: Systematic review and meta-analysis. J Conserv Dent JCD. 2017;20(6):380.

Celik EU, Aka B, Yilmaz F. Six-month clinical evaluation of a self-adhesive flowable composite in noncarious cervical lesions. J Adhes Dent. 2015;17(4):361–8.

Romero MF, Haddock FJ, Freites AG, Brackett WW, Brackett MG. Restorative technique selection in class IV direct composite restorations: a simplified method. Oper Dent. 2016;41(3):243–8.

Ruschel VC, Martins M V, Bernardon JK, Maia HP. Color match between composite resin and tooth remnant in Class IV restorations: a case series. Oper Dent. 2018;43(5):460–6.

Baratieri LN, Ritter A V, Swift Jr EJ. To bevel or not in anterior composites. J Esthet Restor Dent. 2005;17(4):264.

Mackenzie L, Parmar D, Shortall ACC, Burke FJT. Direct anterior composites: a practical guide. Dent Update. 2013;40(4):297–317.

Lopes IAD, Monteiro PJVC, Mendes JJB, Goncalves JMR, Caldeira FJF. The effect of different finishing and polishing techniques on surface roughness and gloss of two nanocomposites. Saudi Dent J. 2018;30(3):197–207.

Afroz S, Rathi S, Rajput G, Rahman SA. Dental esthetics and its impact on psycho-social well-being and dental self confidence: A campus based survey of North Indian University students. J Indian Prosthodont Soc. 2013;13(4):455–60.

Khurana R, Tredwin CJ, Weisbloom M, Moles DR. A clinical evaluation of the individual repeatability of three commercially available colour measuring devices. Br Dent J. 2007;203(12):675.

Kielbassa AM, Beheim-Schwarzbach NJ, Neumann K, Zantner C. In vitro comparison of visual and computer-aided pre-and post-tooth shade determination using various home bleaching procedures. J Prosthet Dent. 2009;101(2):92–100.

Hickel R, Roulet J-F, Bayne S, Heintze SD, Mjoer IA, Peters M, et al. Recommendations for conducting controlled clinical studies of dental restorative materials. Science Committee Project 2/98--FDI World Dental Federation study design (Part I) and criteria for evaluation (Part II) of direct and indirect restorations includi. J Adhes Dent. 2007;9:121–47.

Marquillier T, Doméjean S, Le Clerc J, Chemla F, Gritsch K, Maurin J-C, et al. The use of FDI criteria in clinical trials on direct dental restorations: A scoping review. J Dent. 2018;68:1–9.

Naeimi Akbar H, Moharamzadeh K, Wood DJ, Van Noort R. Relationship between color and translucency of multishaded dental composite resins. Int J Dent. 2012;2012.

Cadenaro M, Marchesi G, Antoniolli F, Davidson C, Dorigo EDS, Breschi L. Flowability of composites is no guarantee for contraction stress reduction. Dent Mater. 2009;25(5):649–54.

Aslam A, Ahmed B, AZAD AALI, OVAIS N, NAYYER M. Layers to a beautiful smile: composite resin stratification. Pakistan Oral Dent J. 2016;36(2).

Harris ED. Multi-Shade Composite Layering. J Cosmet Dent. 2017;33(1).

Ragain J. A Review of Color Science in Dentistry: Colorimetry and Color Space. J Dent Oral Disord Ther. 2016 Jan 26;4:1–5.

Chu SJ, Trushkowsky RD, Paravina RD. Dental color matching instruments and systems. Review of clinical and research aspects. J Dent. 2010;38:e2–16.

Moodley DS, Patel N, Moodley T, Ranchod H. Comparison of colour differences in visual versus spectrophotometric shade matching. South African Dent J. 2015;70(9):402–7.

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Published

2020-09-30

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Section

Clinical or Laboratorial Research