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Dental Science:Scientifi c InformationVenus® Diamond

Class II cavities – TRAC Research, CRF, Provo, UT, USA3 year practice-based controlled clinical trial.

Each restorative material which is approved for posterior restorations needs to resist high occlusal forces during mastication. But restoration fracture is together with secondary caries still one of the main reasons for failures1 which necessitate filling replacements. The usage of very resistant materials therefore, could be one of the key factors improving the longevity of restorations.

The following practice-based trial by the TRAC research centre confirms the high mechanical resistance Venus Diamond features.

1404_875_NCC_Scientific_Venus_Diamond_CRA_Clinical_Study_3years_GB.indd 11404_875_NCC_Scientific_Venus_Diamond_CRA_Clinical_Study_3years_GB.indd 1 16.07.14 14:3916.07.14 14:39

Heliomolar

Microfi ller composite Nano-hybrid composites

IPS Empress Direct

N’Durance Clearfi l Majesty

Filtek Supreme Plus

Herculite Ultra

Esthet-X HD Venus Diamond

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3.0 4.0 3.3 3.2 3.1 1.9 1.8 1.8

Objective

Comparison of the clinical performance of different nanofiller-containing low shrinkage composite materials in class II cavities versus a microfiller-composite.

Materials and Methods

55 dentists from the U.S. and Canada have treated 198 patients and placed randomly 429 class II restorations in molars (average 4 each/dentist). Materials used were Clearfil Majesty, IPS Empress Direct, Esthet-X HD, Filtek Supreme Plus, Herculite Ultra, N’Durance, Venus Diamond and Heliomolar as microfiller control. Performance was monitored annually using visual direct clinically and indirect grading of dies. 12 criteria were graded and grades were statistically analysed. Evaluated criteria were caries, cracks, endodontic need, marginal adaptation, sensitivity duration, abrasion of antagonists, chips and fractures, colour match, interproximal contact, post-op sensitivity, surface smoothness, abrasion of restoration.

Results

In this study, material performance was ultimately ranked by the criteria that cause replacement since durability in posterior restorations is of primary importance to patients. Below is the listing of brands studied in order of frequency of occurrence of problems causing replacement:

Venus Diamond, Esthet-X HD, and Herculite Ultra were comparable and statistically superior to the other five composites having the fewest issues with cracks, chips, large fractures and surface degradation. Venus Diamond and Esthet-X HD best tolerated clinical problems and patient’s habits. The other five materials served well also, showing performance statistically the same as the microfill control. Based on results of this study, IPS Empress Direct would serve best as an anterior restorative only.

The quantitative abrasion of the restorations was not statistically significant different between the tested composites. Values ranked from 62 – 108 μm after 3 years. Post-op sensitivity, open contacts and caries were not seen as an issue in this study.

Conclusion

All materials evaluated after 3 years in this practice-based clinical trial demonstrated clinically acceptable performance. Venus Diamond and Esthet-X HD possessed best ability to overcome clinical problems and patients habits.

Source

Christensen GJ: Clinicians Report, A publication of CR Foundation, Provo, UT, USA, Newsletter April 2014, Volume 7, Issue 4.The study was abbreviated and summarised and all diagrams and titles have been established by Heraeus Kulzer.

1 Bernardo M, Luis H, Martin MD, Leroux BG, Rue T, Leitão J, DeRouen TA: Survival and reasons for failure of amalgam versus com-posite posterior restorations placed in a randomized clinical trial. JADA, 2007, 138 (6): 775-783.

Venus Diamond belongs to the group of composites showing superior mechanical stability

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Heraeus Kulzer GmbH • Grüner Weg 11 • 63450 Hanau • www.heraeus-kulzer.com

Class II cavities – TRAC Research, CRF, Provo, UT, USA.3 year practice-based controlled clinical trial.

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