Computer-aided design and computer-aided manufacturing indirect versus direct composite restorations: A randomized clinical trial

• Autor(a) principal: Rocha Gomes Torres, Carlos [UNESP]
• Data de Publicação: 2021
• Outros Autores: Caroline Moreira Andrade, Adrielle [UNESP], Valente Pinho Mafetano, Ana Paula [UNESP], Stabile de Abreu, Fabrícia [UNESP], de Souza Andrade, Danilo [UNESP], Cintra Mailart, Mariane [UNESP], Aun de Barros Lima Rocha Campello de Souza, Maria Luíza [UNESP], Guimarães Alarça Nunes, Lilian [UNESP], Ariel Rodrigues de Araújo, Carlos [UNESP], Di Nicoló, Rebeca [UNESP], Bühler Borges, Alessandra [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1111/jerd.12820; http://hdl.handle.net/11449/222529
• topic: CAD/CAM; clinical trial; composite; indirect restoration

Objective: This study compared the clinical performance of large indirect restorations (IRs) versus direct restorations (DRs) in posterior teeth. Methods: Thirty subjects received two class II restorations (n = 60), one fabricated from a precured composite block (Grandio Blocs, VOCO) for the indirect technique (IT) and the other with light-cured composite (GrandioSO, VOCO) for the direct technique (DT). For IT, the restoration was created using the computer-aided design and computer-aided manufacturer (CAD/CAM) system. For DT, the material was applied light-cured by using a layering technique. All restorations were evaluated by using the World Dental Federation criteria. Results: Twenty-three subjects attended the 2-year recall, and 46 restorations were evaluated. No significant differences were detected between the techniques for most parameters analyzed (p > 0.05). For “color match” at 7 days and 6 months, better results were observed for the DT. In relation to the overall scores, all restorations were esthetically acceptable after 2 years, while 93.3% of DT and 90% of IT showed acceptable function. For biological scores, 96.67% of DRs and 100% of IRs was acceptable after 24 months. Considering all properties, the success rates were 93.3% for DRs and 90% for IRs. Conclusions: After 2 years, both restorations presented similar and good clinical behavior for all the properties analyzed. Clinical significance: Light-cured direct posterior composite restorations may perform similarly to indirect composite restorations made with precured CAD/CAM composite blocks up to 2 years.