Assessment of the Quality of Composite Resin Restorations

Z. A. Ijaimi^1,2, N. H. Abu-Bakr^1,3*, Y. E. Ibrahim¹

¹Conservative Dentistry Division, Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan.
²Conservative Dentistry Division, Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan.
³Department Clinical Dental Science, College of Dentistry, Princess Nourah Bint Abdelrahman University, Riyadh, KSA.

DOI: 10.4236/ojst.2015.52004                

Abstract

Purpose: To evaluate the quality of the composite restorations. Material and Methods: A total of 246 composite restorations in 125 patients attending the Conservative Dentistry Clinics at the Faculty of Dentistry, University of Khartoum were examined. Both anterior and posterior composite restorations were included. California Dental Association Quality Evaluation System was used for the evaluation. Results: Fifty two percent of all restorations were found to be satisfactory, while the remaining 48% were not satisfactory. With regard to surface and colour criteria, colour mismatch within the range (34.8%) and slight surface roughness (26.6%) were the most common defects. The most frequent defects of the anatomical form were restoration overhang (26.8%). The majority of the restorations above 4 years old were of unacceptable anatomical form (66.7%), and their marginal integrity was less acceptable than more recent restorations (46.7%). Conclusions: Forty eight percent of the examined composite restorations needed to be replaced, and the unacceptable anatomic form was the main cause of failure of composite restorations.

Keywords

Composite Resin Restorations, Marginal Defect, Overhang Restoration, Colour Mismatch

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Brunthaler, A., Konig, F., Lucas, T., Sperr, W. and Schedle, A. (2003) Longevity of Direct Resin Composite Restorations in Posterior Teeth. Clinical Oral Investigations, 7, 63-70. http://dx.doi.org/10.1007/s00784-003-0206-7
[2]	Manhart, J., Chen, H., Hamm, G. and Hickel, R. (2004) Buonocore Memorial Lecture. Review of the Clinical Survival of Direct and Indirect Restorations in Posterior Teeth of the Permanent Dentition. Operative Dentistry, 29, 481-508.
[3]	Da Rosa Rodolpho, P.A., Cenci, M.S., Donassollo, T.A., Loguércio, A.D. and Demarco, F.F. (2007) A Clinical Evaluation of Posterior Composite Restorations: 17-Year Findings. Journal of Dentistry, 34, 427-435. http://dx.doi.org/10.1016/j.jdent.2005.09.006
[4]	Opdam, N.J.M., Bronkhorst, E.M., Roeters, J.M. and Loomans, B.A.C. (2007) A Retrospective Clinical Study on Longevity of Posterior Composite and Amalgam Restorations. Dental Materials, 23, 2-8. http://dx.doi.org/10.1016/j.dental.2005.11.036
[5]	Lynch, C.D., McConnell, R.J. and Wilson, N.H.F. (2007) Trends in the Placement of Posterior Composites in Dental Schools. Journal of Dental Education, 71, 430-434.
[6]	Opdam, N.J.M., Loomans, B.A.C., Roeters, F.J.M. and Bronkhorst, E.M. (2004) Five Year Clinical Performance of Posterior Resin Composite Restorations Placed by Dental Students. Journal of Dentistry, 32, 379-383. http://dx.doi.org/10.1016/j.jdent.2004.02.005
[7]	Smalles, R.J. and Webster, D.A. (1993) Restoration Deterioration Related to Later Failure. Operative Dentistry, 18, 130-137.
[8]	Qualtrough, A.J.E., Satterthwaite, J.D., Morrow, L.A. and Brunton, P.A. (2005) Principles of Operative Dentistry. Blackwell, 154-155.
[9]	Djemal, S., Setchell, D., King, P. and Wickens, J. (1999) Long Term Survival Characteristics of 832 Resin-Retained Bridges and Splints Provided in a Post-Graduate Teaching Hospital between 1978 and 1993. Journal of Oral Rehabilitation, 26, 302-320. http://dx.doi.org/10.1046/j.1365-2842.1999.00374.x
[10]	Cvar, J. and Ryge, G. (2005) Reprint of Criteria for the Clinical Evaluation of Dental Restorative Materials. Clinical Oral Investigations, 9, 215-232. http://dx.doi.org/10.1007/s00784-005-0018-z
[11]	Roberson, T.M., Heymann, H.O. and Swift, E.J. (2002) Sturdevant’s Art & Science of Operative Dentistry. 4th Edition, Mosby Inc., Orlando, 476-483.
[12]	Powers, J.M. and Fan, P.L. (1980) Erosion of Composite Resins. Journal of Dental Research, 59, 815-819. http://dx.doi.org/10.1177/00220345800590051101
[13]	Brukiene, V., Aleksejuniene, J. and Balciuniene, I. (2005) Dental Restorations Quality in Lithuanian Adolescents. Stomatologija, Baltic Dental and Maxillofacial Journal, 7, 103-109.
[14]	Gilmore, N. and Sheiham, A. (1971) Overhanging Dental Restorations and Periodontal Disease. Journal of Periodontology, 42, 8-12. http://dx.doi.org/10.1902/jop.1971.42.1.8
[15]	Tervonen, T. and Ainamo, J. (1986) Relative Influence of Calculus and Overhangs of Fillings on the Frequency of Score 2 of the CPITN. Community Dentistry and Oral Epidemiology, 14, 136-217. http://dx.doi.org/10.1111/j.1600-0528.1986.tb01516.x
[16]	Jansson, L., Ehnevid, H., Lindskog, S. and Blomlof, L. (1994) Proximal Restorations and Periodontal Status. Journal of Clinical Periodontology, 21, 577-582. http://dx.doi.org/10.1111/j.1600-051X.1994.tb00746.x
[17]	Hakkarainen, K. and Ainamo, J. (1980) Influence of Overhanging Posterior Tooth Restorations on Alveolar Bone Height in Adults. Journal of Clinical Periodontology, 7, 114-120. http://dx.doi.org/10.1111/j.1600-051X.1980.tb01954.x
[18]	Pires-de-Souza Fde, C., Garcia Lda, F., Hamida, H.M. and Casemiro, L.A. (2007) Color Stability of Composites Subjected to Accelerated Aging after Curing Using Either a Halogen or a Light Emitting Diode Source. Brazilian Dental Journal, 18, 119-123.
[19]	Mjor, I.A. (1998) The Location of Clinically Diagnosed Secondary Caries. Quintessence International, 29, 313-317.
[20]	Ahmed, M.F., Elseed, A.I. and Ibrahim, Y.E. (2000) Root Canal Treatment in General Practice in Sudan. International Endodontic Journal, 33, 316-319. http://dx.doi.org/10.1046/j.1365-2591.2000.00282.x
[21]	Opdam, N., Bronkhorst, E., Loomans, B. and Huysman, M. (2010) 12-Year Survival of Composite vs. Amalgam Restorations. Journal of Dental Research, 89, 1063-1067. http://dx.doi.org/10.1177/0022034510376071
[22]	Cetin, A.R., Unlu, N. and Co-banoglu, N. (2013) A Five-Year Clinical Evaluation of Direct Nanofilled and Indirect Composite Resin Restorations in Posterior Teeth. Operative Dentistry, 38, 1-11.