COMPARISON OF CLINICAL PERFORMANCE OF DIRECT RESTORATIONS OF TWO COMPOSITE RESINS IN ABFRACTION LESIONS: A DOUBLE BLIND RANDOMIZED CLINICAL STUDY
Composite resin. Tooth abfraction. Randomized Clinical Trial.
Introduction: Technological advances in Dentistry have allowed the emergence of a population with more permanence of dental elements. However, this is related to the increased prevalence and incidence of Non-Carious Cervical Lesions (NCCL), such as abfraction. This is characterized by the loss of tooth structure, with composite resin restoration as a possible treatment. Objective: Evaluate clinically and compare the effectiveness of direct restorations of two composite resins in the treatment of abfraction lesions. Methodology: This is a randomized, longitudinal and double-blind clinical study in which 26 participants were analyzed, with at least two abfractions in different premolars and, respectively, two restorations performed in the same clinical time, one of them using Zirconfill® Resin (Maquira/BM4) and the other with Opallis Flow® Resin (FGM). Subsequently, the restorations were evaluated using a modification of the USPHS model (United States Public Health Service), which includes the criteria of marginal integrity, wear, marginal discoloration, retention, secondary caries and postoperative hypersensitivity. The evaluations were carried out immediately, 01 month and 06 months after the restoration was made. Results: Both composites presented satisfactory indexes in the evaluated criteria. With Zirconfill® resin, there was a significant difference (p<0.05) in the criteria of marginal integrity and immediate postoperative hypersensitivity. While in Opallis flow ® resin there was difference in retention, immediately and after 01 month, and in operative hypersensitivity, immediately and after 06 months. Conclusions: Both showed satisfactory clinical performances. Since Zirconfill ® Resin is the one that presents the best cost-benefit ratio.