The Use of Bulk Fill Resin-Based Composite in the Sealing of Cavity with Margins in Radicular Cementum

Puleio Francesco; Cervino Gabriele; Luca Fiorillo; Miragliotta Giuseppe; Squillacioti Antonella; Bruno Giancarlo; Pinizzotto Mirta; João Paulo Mendes Tribst; Roberto Lo Giudice

doi:10.1055/s-0041-1731834

The Use of Bulk Fill Resin-Based Composite in the Sealing of Cavity with Margins in Radicular Cementum

Eur J Dent. 2022 Feb;16(1):1-13. doi: 10.1055/s-0041-1731834. Epub 2021 Sep 10.

Authors

Puleio Francesco¹, Cervino Gabriele¹, Luca Fiorillo^{1

2}, Miragliotta Giuseppe¹, Squillacioti Antonella¹, Bruno Giancarlo¹, Pinizzotto Mirta¹, João Paulo Mendes Tribst³, Roberto Lo Giudice⁴

Affiliations

¹ Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy.
² Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli," Naples, Italy.
³ Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University, São José dos Campos, Brazil.
⁴ Department of Clinical and Experimental Medicine, Messina University, Messina, Italy.

Abstract

The aim of this systematic review was to evaluate if the newly introduced bulk fill resin-based composite provides a better marginal sealing in cavity preparations with margins in dental cementum. The population investigation comparison outcome (PICO) framework was: in cavity preparation with margins in dental cementum of human extracted teeth, do bulk fill resin base composites provide a better marginal sealing than non-bulk fill resin-based composites? We performed our research on April 21, 2020. Two authors independently evaluated the abstract and titles for eligibility criteria. Two authors independently extracted the data and assessed the risk of bias in single studies. After the initial screening of 400 abstract and titles, the full text of the articles, that could meet the eligibility criteria, were obtained via the university library. A total of 36 full-text articles were evaluated; 11 articles were finally eligible for the review. Eight studies showed statistically differences, but not significant, in the marginal sealing between bulk fill and nonbulk fill resin-based composite (p > 0.05). One study showed statistically significant differences: SonicFill and Grandio showed better marginal sealing than GrandioSo and SDR(r) (Sirona Dentsply, New York, United States) and the latter two showed better marginal sealing than Filtek Supreme (p < 0.05). One study showed statistically significant less marginal gap of SDR than Filtek Bulk Fill (p = 0.0015) and Filtek Supreme (p < 0.0001). One study showed SDR to have a significantly higher microleakage than the other materials tested (p < 0.05). Based on our current literature review, there are not enough data to establish if bulk fill resin base composite provides a better or a worse marginal sealing at cementum margins.

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).