Color Match of a Universal-shade Composite Resin for Restoration of Non-carious Cervical Lesions: An Equivalence Randomized Clinical Trial
The objective of this double-blind, split-mouth, randomized clinical trial was to evaluate the color match of a single-shade composite resin Admira Fusion X-tra in comparison with a multi-shade composite resin Admira Fusion in non-carious cervical lesion restorations (NCCLs). One hundred and twenty restorations were performed on NCCLs with two restorative materials (n=60). After prophylaxis, the teeth were isolated with a rubber dam, and one universal adhesive was applied in the selective enamel etching strategy. For both groups, the restorations were inserted incrementally and light-cured. The values of the coordinates L*, a*, and b* in the cervical third before vs after the restorations and cervical vs middle third after the restorations were evaluated using a digital spectrophotometer after the coordinate values were used to calculate the CIEDE (ΔE00). The restorations were evaluated at baseline and after 7 days of clinical performance according to the FDI criteria. Statistical analysis was performed using the Chi-square test for all parameters. Color change was analyzed by Student t-test for paired samples (α=0.05). All restorations were evaluated after 7 days. Regarding the color measurement, no significant difference was observed when Admira Fusion was compared to Admira Fusion X-tra for any of the comparisons performed (p>0.05). However, the values of ΔE00 in the cervical third before vs after the restorations were higher when compared with ΔE00 observed when the cervical vs middle third after restorations were compared. All restorations received the score “clinically very good” after 7 days for all outcomes, including the subjective color match, when evaluated for FDI criterion. The single-shade composite resin used achieves the same color match when compared to a multi-shade composite resin after 7 days in NCCLs.SUMMARY
Purpose
Methods and Materials
Results
Conclusions
Initial appearance of the non-carious cervical lesions to be evaluated (A). Two impressions of the tooth to be restored (B and C). Window created, using a circular metallic device, in the cervical third (D and E). Window created, in the middle third (F and G). The spectrophotometer tip inserted into the holes of the silicone guide, in the cervical third (H). The spectrophotometer tip inserted into the holes of the silicone guide, in the middle third (I).
CONSORT flow diagram.
Non-carious cervical lesions before (A and C) and after restoration (B and D) with Admira VOCO and Fusion X-tra VOCO resins. In B, tooth #4 with single-shade composite and tooth #5 was restored with multi-shade composite. In D, tooth #12 was restored with multi-shade composite and tooth #13 with singleshade composite.
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