Introduction. Shrinkage during polymerization of resin-based composite materials may lead to gap formation and hamper the marginal adaptaion of the restorations. To reduce the problem of polymerization shrinkage, a new composite material (Filtek™ Silorane, 3M-ESPE, Germany), with a reduced shrinkage, has been marketed. Objective. To investigate whether reduced polymerization shrinkage improves the marginal adaptation of composite restorations. Material and methods. A total of 156 scanning electron microscopy (SEM) pictures (78 baseline, 78 follow-up) of the occlusal part of Class II restorations in molars were included in the study. The restorations originated from a randomized clinical trial, conducted in 2007-2009 which compared the clinical performance of a low-shrinkage composite material (Filtek™ Silorane) with that of a methacrylate-based composite material (Ceram•X™mono). Epon-casts of the restorations were used for SEM pictures at x 16 magnification. Pictures from baseline and follow-up (398 days, SD 29 days) were randomized and the examiner was blinded to the material and the age of the restoration. Stereologic measurements were used to calculate the length and the width of the marginal discrepancies. Results. No statistically significant difference in gap formation and chipping was found between the two materials. Conclusion. The results of the present study do not support the hypothesis that reduced polymerization shrinkage improves the marginal adaptation.
Tandlaegebladet, 2012, Vol 116, Issue 10, p. 736-742