Knowledge, Awareness and Practice Survey On Bulk Filled Composites For Class 1 And 2 Among Dental Students

Authors

  • Ashna Y
  • J Mahalakshmi

Keywords:

Awareness, eco friendly, Bulk filled composites, class 1 and 2 restoration, dental students, composite resins, innovative technology

Abstract

Introduction: Bulk-fill composites have been developed as a result of recent advancements to mitigate the shortcomings of the incremental process. Bulk-fill composites can be put in layers up to 4 mm thick, and in some cases, thicker, in a single application, which speeds up restorative treatments. Some bulk-fill composites are designed to be used as posterior restorative materials, whereas others are designed to be used merely as a base material to be coated with a typical resin composite. According to the manufacturers, these materials have a reduced polymerization shrinkage and a higher cure depth.

Materials And Methods: A self administered questionnaire was prepared and distributed online among 100 undergraduate and postgraduate dental college students in chennai. The results were obtained and statistically analysed using SPSS chi square test and represented graphically. (p<0.05).

Results: 88.89% of the participants were aware about bulk filled cavity preparation whereas 11.11% of them were unaware. 81.82% of the participants agreed that bulk filled cavity restoration is done mostly in the posterior tooth whereas 18.18% of the participants disagreed with it. The level of significance was found to be p value 0.001 (p value < 0.05) which was statistically significant.

Conclusion: From our study we can conclude that the Post graduate dental students have more knowledge and awareness about bulk filled composites in class 1 and class 2 restoration.

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References

Heck K, Manhart J, Hickel R, Diegritz C. Clinical evaluation of the bulk fill composite QuiXfil in molar class I and II cavities: 10-year results of a RCT. Dent Mater [Internet]. 2018 Jun [cited 2021 Jun 20];34(6). Available from: https://pubmed.ncbi.nlm.nih.gov/29636239/

Manhart J, Chen HY, Hickel R. Three-year results of a randomized controlled clinical trial of the posterior composite QuiXfil in class I and II cavities. Clin Oral Investig [Internet]. 2009 Sep [cited 2021 Jun 20];13(3). Available from: https://pubmed.ncbi.nlm.nih.gov/18998173/

Manhart J, Chen HY, Hickel R. Clinical evaluation of the posterior composite Quixfil in class I and II cavities: 4-year follow-up of a randomized controlled trial. J Adhes Dent [Internet]. 2010 Jun [cited 2021 Jun 20];12(3). Available from: https://pubmed.ncbi.nlm.nih.gov/20157663/

Loguercio A. Polymerization shrinkage: effects of constraint and filling technique in composite restorations [Internet]. Vol. 20, Dental Materials. 2004. p. 236–43. Available from: http://dx.doi.org/10.1016/s0109-5641(03)00098-8

Talukder MFH, Hossain M, Moral MAA. Clinical evaluation of bulk-fill composite resin and layered composite resin restoration in class I cavity of permanent molar teeth. Bangabandhu Sheikh Mujib Medical University Journal. 2018 Mar 4;11(1):29–33.

Francci C, Loguercio AD, Reis A, Carrilho MRO. A Novel Filling Technique for Packable Composite Resin in Class II Restorations [Internet]. Vol. 14, Journal of Esthetic and Restorative Dentistry. 2002. p. 149–57. Available from: http://dx.doi.org/10.1111/j.1708-8240.2002.tb00515.x

Majety K, Pujar M. In vitro evaluation of microleakage of class II packable composite resin restorations using flowable composite and resin modified glass ionomers as intermediate layers [Internet]. Vol. 14, Journal of Conservative Dentistry. 2011. p. 414. Available from: http://dx.doi.org/10.4103/0972-0707.87215

Hardness comparison of bulk-filled/transtooth and incremental-filled/occlusally irradiated composite resins. J Prosthet Dent. 2007 Aug 1;98(2):129–40.

van Dijken JWV, Pallesen U. Bulk-filled posterior resin restorations based on stress-decreasing resin technology: a randomized, controlled 6-year evaluation [Internet]. Vol. 125, European Journal of Oral Sciences. 2017. p. 303–9. Available from: http://dx.doi.org/10.1111/eos.12351

Posterior bulk-filled resin composite restorations: a 5-year randomized controlled clinical study [Internet]. Vol. 221, British Dental Journal. 2016. p. 409–409. Available from: http://dx.doi.org/10.1038/sj.bdj.2016.731

Katona TR, Winkler MM. Stress Analysis of a Bulk-filled Class V Light-cured Composite Restoration [Internet]. Vol. 73, Journal of Dental Research. 1994. p. 1470–7. Available from: http://dx.doi.org/10.1177/00220345940730081201

Stavridakis M, Kakaboura A, Ardu S, Krejci I. Marginal and internal adaptation of bulk-filled Class I and Cuspal coverage direct resin composite restorations. Oper Dent. 2007;32(5):513–23.

Braga SSL, Oliveira LRS, Rodrigues RB, Bicalho AA, Novais VR, Armstrong S, et al. The Effects of Cavity Preparation and Composite Resin on Bond Strength and Stress Distribution Using the Microtensile Bond Test. Oper Dent. 2018 Jan 1;43(1):81–9.

Muthukrishnan L. Imminent antimicrobial bioink deploying cellulose, alginate, EPS and synthetic polymers for 3D bioprinting of tissue constructs. Carbohydr Polym. 2021 May 15;260:117774.

PradeepKumar AR, Shemesh H, Nivedhitha MS, Hashir MMJ, Arockiam S, Uma Maheswari TN, et al. Diagnosis of Vertical Root Fractures by Cone-beam Computed Tomography in Root-filled Teeth with Confirmation by Direct Visualization: A Systematic Review and Meta-Analysis. J Endod. 2021 Aug;47(8):1198–214.

Chakraborty T, Jamal RF, Battineni G, Teja KV, Marto CM, Spagnuolo G. A Review of Prolonged Post-COVID-19 Symptoms and Their Implications on Dental Management. Int J Environ Res Public Health [Internet]. 2021 May 12;18(10). Available from: http://dx.doi.org/10.3390/ijerph18105131

Muthukrishnan L. Nanotechnology for cleaner leather production: a review. Environ Chem Lett. 2021 Jun 1;19(3):2527–49.

Teja KV, Ramesh S. Is a filled lateral canal - A sign of superiority? J Dent Sci. 2020 Dec;15(4):562–3.

Narendran K, Jayalakshmi, Ms N, Sarvanan A, Ganesan S A, Sukumar E. Synthesis, characterization, free radical scavenging and cytotoxic activities of phenylvilangin, a substituted dimer of embelin. ijps [Internet]. 2020;82(5). Available from: https://www.ijpsonline.com/articles/synthesis-characterization-free-radical-scavenging-and-cytotoxic-activities-of-phenylvilangin-a-substituted-dimer-of-embelin-4041.html

Reddy P, Krithikadatta J, Srinivasan V, Raghu S, Velumurugan N. Dental Caries Profile and Associated Risk Factors Among Adolescent School Children in an Urban South-Indian City. Oral Health Prev Dent. 2020 Apr 1;18(1):379–86.

Sawant K, Pawar AM, Banga KS, Machado R, Karobari MI, Marya A, et al. Dentinal Microcracks after Root Canal Instrumentation Using Instruments Manufactured with Different NiTi Alloys and the SAF System: A Systematic Review. NATO Adv Sci Inst Ser E Appl Sci. 2021 May 28;11(11):4984.

Bhavikatti SK, Karobari MI, Zainuddin SLA, Marya A, Nadaf SJ, Sawant VJ, et al. Investigating the Antioxidant and Cytocompatibility of Mimusops elengi Linn Extract over Human Gingival Fibroblast Cells. Int J Environ Res Public Health [Internet]. 2021 Jul 4;18(13). Available from: http://dx.doi.org/10.3390/ijerph18137162

Karobari MI, Basheer SN, Sayed FR, Shaikh S, Agwan MAS, Marya A, et al. An In Vitro Stereomicroscopic Evaluation of Bioactivity between Neo MTA Plus, Pro Root MTA, BIODENTINE & Glass Ionomer Cement Using Dye Penetration Method. Materials [Internet]. 2021 Jun 8;14(12). Available from: http://dx.doi.org/10.3390/ma14123159

Rohit Singh T, Ezhilarasan D. Ethanolic Extract of Lagerstroemia Speciosa (L.) Pers., Induces Apoptosis and Cell Cycle Arrest in HepG2 Cells. Nutr Cancer. 2020;72(1):146–56.

Ezhilarasan D. MicroRNA interplay between hepatic stellate cell quiescence and activation. Eur J Pharmacol. 2020 Oct 15;885:173507.

Romera A, Peredpaya S, Shparyk Y, Bondarenko I, Mendonça Bariani G, Abdalla KC, et al. Bevacizumab biosimilar BEVZ92 versus reference bevacizumab in combination with FOLFOX or FOLFIRI as first-line treatment for metastatic colorectal cancer: a multicentre, open-label, randomised controlled trial. Lancet Gastroenterol Hepatol. 2018 Dec;3(12):845–55.

Raj R K, D E, S R. β-Sitosterol-assisted silver nanoparticles activates Nrf2 and triggers mitochondrial apoptosis via oxidative stress in human hepatocellular cancer cell line. J Biomed Mater Res A. 2020 Sep;108(9):1899–908.

Vijayashree Priyadharsini J. In silico validation of the non-antibiotic drugs acetaminophen and ibuprofen as antibacterial agents against red complex pathogens. J Periodontol. 2019 Dec;90(12):1441–8.

Priyadharsini JV, Vijayashree Priyadharsini J, Smiline Girija AS, Paramasivam A. In silico analysis of virulence genes in an emerging dental pathogen A. baumannii and related species [Internet]. Vol. 94, Archives of Oral Biology. 2018. p. 93–8. Available from: http://dx.doi.org/10.1016/j.archoralbio.2018.07.001

Uma Maheswari TN, Nivedhitha MS, Ramani P. Expression profile of salivary micro RNA-21 and 31 in oral potentially malignant disorders. Braz Oral Res. 2020 Feb 10;34:e002.

Gudipaneni RK, Alam MK, Patil SR, Karobari MI. Measurement of the Maximum Occlusal Bite Force and its Relation to the Caries Spectrum of First Permanent Molars in Early Permanent Dentition. J Clin Pediatr Dent. 2020 Dec 1;44(6):423–8.

Chaturvedula BB, Muthukrishnan A, Bhuvaraghan A, Sandler J, Thiruvenkatachari B. Dens invaginatus: a review and orthodontic implications. Br Dent J. 2021 Mar;230(6):345–50.

Kanniah P, Radhamani J, Chelliah P, Muthusamy N, Joshua Jebasingh Sathiya Balasingh E, Reeta Thangapandi J, et al. Green synthesis of multifaceted silver nanoparticles using the flower extract of Aerva lanata and evaluation of its biological and environmental applications. ChemistrySelect. 2020 Feb 21;5(7):2322–31.

Arbildo-Vega HI, Lapinska B, Panda S, Lamas-Lara C, Khan AS, Lukomska-Szymanska M. Clinical Effectiveness of Bulk-Fill and Conventional Resin Composite Restorations: Systematic Review and Meta-Analysis. Polymers [Internet]. 2020 Aug 10;12(8). Available from: http://dx.doi.org/10.3390/polym12081786

Yadav R, Kumar M. Dental restorative composite materials: A review [Internet]. Vol. 61, Journal of Oral Biosciences. 2019. p. 78–83. Available from: http://dx.doi.org/10.1016/j.job.2019.04.001

Leprince JG, Palin WM, Vanacker J, Sabbagh J, Devaux J, Leloup G. Physico-mechanical characteristics of commercially available bulk-fill composites [Internet]. Vol. 42, Journal of Dentistry. 2014. p. 993–1000. Available from: http://dx.doi.org/10.1016/j.jdent.2014.05.009

Elsherbeny A, Shalaby RM, Ghorab SM. Comparative Study on The Structure, Physical Properties and Hardness Indentation of a Bulk Fill & An Incremental Composite Resin Restorative Materials [Internet]. Vol. 17, JOURNAL OF ADVANCES IN PHYSICS. 2020. p. 204–14. Available from: http://dx.doi.org/10.24297/jap.v17i.8695

Núñez CC, Universidad de Chile, Grez PV, Miranda CB, Dos Campos EA, Godoy EF, et al. Revisión del estado actual de resinas compuestas bulk-fill [Internet]. Vol. 27, Revista Facultad de Odontología. 2015. Available from: http://dx.doi.org/10.17533/udea.rfo.v27n1a9

Wawrzynkiewicz A, Rozpedek-Kaminska W, Galita G, Lukomska-Szymanska M, Lapinska B, Sokolowski J, et al. The Cytotoxicity and Genotoxicity of Three Dental Universal Adhesives-An In Vitro Study. Int J Mol Sci [Internet]. 2020 May 31;21(11). Available from: http://dx.doi.org/10.3390/ijms21113950

Costa TRF, Rezende M, Sakamoto A, Bittencourt B, Dalzochio P, Loguercio AD, et al. Influence of Adhesive Type and Placement Technique on Postoperative Sensitivity in Posterior Composite Restorations [Internet]. Vol. 42, Operative Dentistry. 2017. p. 143–54. Available from: http://dx.doi.org/10.2341/16-010-c

Bulk Fill Composite Resins. A Novelty in Resin-Based Restorative Materials [Internet]. Vol. 1, ARC Journal of Dental Science. 2016. Available from: http://dx.doi.org/10.20431/2456-0030.0102001

Chesterman J, Jowett A, Gallacher A, Nixon P. Bulk-fill resin-based composite restorative materials: a review. Br Dent J. 2017 Mar 10;222(5):337–44.

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Published

2025-05-15

How to Cite

1.
Ashna Y AY, J Mahalakshmi JM. Knowledge, Awareness and Practice Survey On Bulk Filled Composites For Class 1 And 2 Among Dental Students. J Neonatal Surg [Internet]. 2025May15 [cited 2025Sep.11];14(24S):52-9. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/5892

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