A 24-month clinical evaluation of composite resins with different viscosity and chemical compositions: a randomized clinical trial

Objectives: To evaluate the clinical performance of two methac-rylate-based flowable composites and an ormocer-based flow -able composite in noncarious cervical lesions (NCCLs) in adult participants. Method and materials: In total, 183 restorations were performed on NCCLs. All cavities were restored using a uni-versal adhesive system (Futurabond U, Voco) with selective enamel etching and with one of the three evaluated flowable composites (n = 61): low-viscosity methacrylate-based compos-ite (GrandioSO Flow, LV), high-viscosity methacrylate-based com-posite (GrandioSO Heavy Flow, HV), and an ormocer-based flow -able composite (Admira Fusion Flow, ORM). All restorations were evaluated using FDI and USPHS criteria after 24 months. Kruskall-Wallis analysis of variance rank (a = .05) was used for statistical analysis. Results: After 24 months of clinical evaluation, 16 res-torations were lost (LV = 3, HV =10, ORM = 3) and the retention??rates (95% confidence interval) were 95.0% for LV, 82.2% for HV, and 95.0% for ORM, with statistical differences observed between HV and LV as well as HV and ORM (P .05). When secondary par-ameters were evaluated, no significant differences between groups were observed (P .05). Thirty-three restorations (LV = 8, HV = 13, ORM = 12) showed minor marginal staining, 71 restor-ations (LV = 26, HV = 20, ORM = 25) presented small marginal ad-aptation defects, and one restoration for HV presented recur-rence of caries. Conclusion: The universal adhesive associated with the ormocer-based and methacrylate-bas ed flowable com-posite showed promising clinical performance after 24 months. However, the heavy-flow restorations showed significantly more failures. (Quintessence Int 2023;54: 186???199; doi: 10.3290/j.qi.b3631841)