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International Journal of Dentistry
Volume 2017, Article ID 5041529, 7 pages
Clinical Study

Randomized Clinical Trial of a Self-Adhering Flowable Composite for Class I Restorations: 2-Year Results

1Department of Restorative Dentistry, Lebanese University, Beirut, Lebanon
2Department of Pedodontics, Saint-Joseph University, Beirut, Lebanon
3Department of Public Health, Saint-Joseph University, Beirut, Lebanon
4Dental College, Beirut, Lebanon

Correspondence should be addressed to J. Sabbagh; moc.liamtoh@hgabbashpesoj

Received 27 November 2016; Accepted 5 February 2017; Published 1 March 2017

Academic Editor: Carlos A. Munoz-Viveros

Copyright © 2017 J. Sabbagh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. To compare the clinical performances of a self-adhering resin composite and a conventional flowable composite with a self-etch bonding system on permanent molars. The influence of using rubber dam versus cotton roll isolation was also investigated. Materials and Methods. Patients aged between 6 and 12 years and presenting at least two permanent molars in need of small class I restorations were selected. Thirty-four pairs of restorations were randomly placed by the same operator. Fifteen patients were treated under rubber dam and nineteen using cotton rolls isolation and saliva ejector. They were evaluated according to the modified USPHS criteria at baseline, 6 months, and 1 and 2 years by two independent evaluators. Results. All patients attended the two-year recall. For all measured variables, there was no significant difference between rubber dam and cotton after 2 years of restoration with Premise Flowable or Vertise Flow ( value > 0.05). The percentage of restorations scored alpha decreased significantly over time with Premise Flowable and Vertise Flow for marginal adaptation and surface texture as well as marginal discoloration while it did not vary significantly for color matching. After 2 years, Vertise Flow showed a similar behaviour to the Premise Flowable used with a self-adhesive resin system.