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Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment

Year 2025, Volume: 15 Issue: 2, 409 - 420, 30.06.2025
https://doi.org/10.33808/clinexphealthsci.1615250

Abstract

Objective: Clinical evaluation of senior students’ Class III and Class V restorations at the first recall (control) appointment, regarding revised FDI criteria.
Methods: Seventy-six anterior Class III and V restorations were assessed. A nano-ceramic, simplyshade composite (NeoSpectra-ST, Dentsply) was used. Restorative procedures were checked and approved by an experienced (3 years) restorative dentistry instructor. The first recall (control) appointment was scheduled 1 week after the restorations and a restorative instructor re-evaluated the restorations based on the biological, functional, and esthetic aspects of revised FDI criteria.
Results: Significantly greater scores were observed for Esthetic criteria compared to Functional and Biological criteria (p<.001). Six failures were detected for form and contour, two for surface luster and texture, two for marginal staining, and two for color match. Only for the form and contour criteria, Class V restorations obtained significantly higher scores than Class III (p=.033).
Conclusion: Although anterior composite restorations were approved by an experienced instructor, various irreversible complications were observed at the first recall. Following the restorative procedure, a control appointment shortly is considered mandatory. The highest risk for failure was detected for Esthetic criteria. Class III restorations are considered more prone to failures compared to Class V.

Ethical Statement

This study was approved by Ethics Committee of Marmara University Faculty of Medicine Clinical Research Ethics Comittee (Approval date: July 14, 2024; Number: 09.2023.888). Consent was obtained from the patients during the study.

References

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  • Korkut B. Composite restorations in anterior esthetics 1st edition ed. QP Deutschland: Quintessence Publishing; 2024.
  • Demirci M, Tuncer S, Öztaş E, Tekçe N, Uysal Ö. A 4-year clinical evaluation of direct composite build-ups for space closure after orthodontic treatment. Clin Oral Investig. 2015;19:2187-2199. https://doi.org/10.1007/s00784-015-1458-8
  • Demarco FF, Collares K, Coelho-de-Souza FH, Correa MB, Cenci MS, Moraes RR, Opdam NJ. Anterior composite restorations: a systematic review on long-term survival and reasons for failure. Dent Mater. 2015;31(10):1214-1224. https://doi.org/10.1016/j.dental.2015.07.005
  • Begeç ÖA, Bahşi E. Evaluation of the clinical performance of different bulk-fill composites according to clinical evaluation criteria. Ann Dent Spec. 2021;9(1):53-61. https://doi.org/10.51847/jRo0pUvJrR
  • Korkut B, Türkmen C. Longevity of direct diastema closure and recontouring restorations with resin composites in maxillary anterior teeth: a 4‐year clinical evaluation. J Esthet Restor Dent. 2021;33(4):590-604. https://doi.org/10.1111/jerd.12697
  • Korkut B, Özcan M. Longevity of direct resin composite restorations in maxillary anterior crown fractures: a 4-year clinical evaluation. Oper Dent. 2022;47(2):138-148. https://doi.org/10.2341/20-162-C
  • Korkut B, Ünal T, Can E. Two‐year retrospective evaluation of monoshade universal composites in direct veneer and diastema closure restorations. J Esthet Restor Dent. 2023;35(3):525-537. https://doi.org/10.1111/jerd.12992
  • Marquillier T, Doméjean S, Le Clerc J, Chemla F, Gritsch K, Maurin J-C, Millet P, Perard M, Grosgogeat B, Dursun E. The use of FDI criteria in clinical trials on direct dental restorations: a scoping review. J Dent. 2018;68:1-9. https://doi.org/10.1016/j.jdent.2017.10.007
  • Hickel R, Mesinger S, Opdam N, Loomans B, Frankenberger R, Cadenaro M, Burgess J, Peschke A, Siegward DH, Kühnisch J. Revised FDI criteria for evaluating direct and indirect dental restorations—recommendations for its clinical use, interpretation, and reporting. Clin Oral Investig. 2023;27(6):2573-2592. https://doi.org/10.1007/s00784-022-04814-1
  • Derchi G, Marchio V, Giuca MR, Lardani L. Clinical performance of cention alkasite restorative material vs. glass ionomer cement used in deciduous teeth: one-year evaluation. Appl Sci. 2022;12(21):10845. https://doi.org/10.3390/app122110845
  • Manhart J, Chen H, Hamm G, Hickel R. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent. 2004;29:481-508.
  • Macedo G, Raj V, Ritter AV, Swift Jr EJ. Longevity of anterior composite restorations. J Esthet Restor Dent. 2006;18(6):310-311. https://doi.org/10.1111/j.1708-8240.2006.00042.x
  • Altun C, Esenlik E, Tözüm TF. Hypoplasia of a permanent incisor produced by primary incisor intrusion: a case report. J Can Dent Assoc. 2009;75(3):215-218.
  • Antonson SA, Yazici AR, Kilinc E, Antonson DE, Hardigan PC. Comparison of different finishing/polishing systems on surface roughness and gloss of resin composites. J Dent. 2011;39:e9-e17. https://doi.org/10.1016/j.jdent.2011.01.006
  • Scheibe KGBA, Almeida KGB, Medeiros IS, Costa JF, Alves CMC. Effect of different polishing systems on the surface roughness of microhybrid composites. J App Oral Sci. 2009;17:21-26. https://doi.org/10.1590/S1678-77572009000100005
  • Bayne SC, Schmalz G. Reprinting the classic article on USPHS evaluation methods for measuring the clinical research performance of restorative materials. Clin Oral Invest. 2005;9:209-214. https://doi.org/10.1007/s00784-005-0017-0
  • de Paula EA, Tay LY, Kose C, Mena-Serrano A, Reis A, Perdigão J, Loguercio AD. Randomized clinical trial of four adhesion strategies in cervical lesions: 12-month results. Int J Esthet Dent. 2015;10(1):122-145. PMID: 25625130
  • Loguercio AD, De Paula EA, Hass V, Luque-Martinez I, Reis A, Perdigão J. A new universal simplified adhesive: 36-month randomized double-blind clinical trial. J Dent. 2015;43(9):1083-92. https://doi.org/10.1016/j.jdent.2015.07.005
  • Mesinger S, Heck K, Crispin A, Frankenberger R, Cadenaro M, Burgess J, Peschke A, Heintze AD, Loomans B, Opdam N, Hickel R, Kühnisch J. Evaluation of direct restorations using the revised FDI criteria: results from a reliability study. Clin Oral Investig. 2023;27(4):1519-1528. https://doi.org/10.1007/s00784-022-04771-9
  • Shah YR, Shiraguppi VL, Deosarkar BA, Shelke UR. Long-term survival and reasons for failure in direct anterior composite restorations: a systematic review. J Conserv Dent. 2021;24(5):415-420. https://doi.org/10.4103/jcd.jcd_527_21
  • Freitas BNd, Silva POd, Pintado-Palomino K, Almeida CVVBd, Souza-Gabriel AE, Corona SAM, Geraldeli S, Grosgogeat B, Roulet J-F, Tirapelli C. Patients´ satisfaction concerning direct anterior dental restoration. Braz Dent J. 2023;34:82-93. https://doi.org/10.1590/0103-6440202305260
  • Liu J, Zhang H, Sun H, Liu Y, Liu W, Su B, Li S. The development of filler morphology in dental resin composites: a review. Mater. 2021;14(19):5612. https://doi.org/10.3390/ma14195612
  • Korkut B, Hacıali Ç, Tüter Bayraktar E, Yanıkoğlu F. The assessment of color adjustment potentials for monoshade universal composites. Sci Eng Compos Marter. 2023;30(1):20220189. https://doi.org/10.1088/1742-6596/1073/5/052011.
  • Korkut B, Tarçın B, Atalı PY, Özcan M. Introduction of a new classification for resin composites with enhanced color adjustment potential. Curr Oral Health Rep. 2023;10(4):223-232. https://doi.org/10.1007/s40496-023-00351-2
  • Ruiz-Lopez J, Pulgar R, Lucena C, Pelaez-Cruz P, Cardona JC, Perez MM, Ghinea R. Impact of short-term dental dehydration on in-vivo dental color and whiteness. J Dent. 2021;105:103560. https://doi.org/10.1016/j.jdent.2020.103560
  • Nahsan FPS, Mondelli RFL, Franco EB, Naufel FS, Ueda JK, Schmitt VL, Baseggio W. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection. J App Oral Sci. 2012;20:151-156. https://doi.org/10.1590/S1678-77572012000200005
  • Vargas MA, Margeas R. A systematic approach to contouring and polishing anterior resin composite restorations: a checklist manifesto. J Esthet Restor Dent. 2021;33(1):20-26. https://doi.org/10.1111/jerd.12698
  • Wierichs RJ, Kramer E, Meyer-Lückel H. Risk factors for failure of direct restorations in general dental practices. J Dent Res. 2020;99(9):1039-1046. https://doi.org/10.1177/0022034520924390
  • Shoaib L, Safii S, Naimie Z, Ahmad N, Sukumaran P, Yunus R. Dental students' perceptions on the contribution and impact role of a clinical teacher. Eur J Dent Educ. 2018;22(1):e26-e34. https://doi.org/10.1111/eje.12252
  • Gözetici-Çil B, Öztürk-Bozkurt F, Genç-Çalışkan G, Yılmaz B, Aksaka N, Özcan M. Clinical performance of posterior indirect resin composite restorations with the proximal box elevation technique: a prospective clinical trial up to 3 years. J Adhes Dent. 2024;26(1):19-30. https://doi.org/10.3290/j.jad.b4908449
  • Velayo BC, Stark PC, Eisen SE, Kugel G. Using dental students’ preclinical performance as an indicator of clinical success. J Dent Educ. 2014;78(6):823-828. https://doi.org/10.1002/j.0022-0337.2014.78.6.tb05735.x
  • Moraes RR, Cenci MS, Moura JR, Demarco FF, Loomans B, Opdam N. Clinical performance of resin composite restorations. Curr Oral Health Rep. 2022;9(2):22-31. https://doi.org/10.1007/s40496-022-00308-x
  • Ertas E, Gueler AU, Yuecel AC, Köprülü H, Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006;25(2):371-376. https://doi.org/10.4012/dmj.25.371
  • Guler AU, Yilmaz F, Kulunk T, Guler E, Kurt S. Effects of different drinks on stainability of resin composite provisional restorative materials. J Prosthet Dent. 2005;94(2):118-124. https://doi.org/10.1016/j.prosdent.2005.05.004
Year 2025, Volume: 15 Issue: 2, 409 - 420, 30.06.2025
https://doi.org/10.33808/clinexphealthsci.1615250

Abstract

References

  • Demarco FF, Cenci MS, Montagner AF, de Lima VP, Correa MB, Moraes RR, Opdam NJM. Longevity of composite restorations is definitely not only about materials. Dent Mater. 2023;39(1):1-12. https://doi.org/10.1016/j.dental.2022.11.009
  • Korkut B. Composite restorations in anterior esthetics 1st edition ed. QP Deutschland: Quintessence Publishing; 2024.
  • Demirci M, Tuncer S, Öztaş E, Tekçe N, Uysal Ö. A 4-year clinical evaluation of direct composite build-ups for space closure after orthodontic treatment. Clin Oral Investig. 2015;19:2187-2199. https://doi.org/10.1007/s00784-015-1458-8
  • Demarco FF, Collares K, Coelho-de-Souza FH, Correa MB, Cenci MS, Moraes RR, Opdam NJ. Anterior composite restorations: a systematic review on long-term survival and reasons for failure. Dent Mater. 2015;31(10):1214-1224. https://doi.org/10.1016/j.dental.2015.07.005
  • Begeç ÖA, Bahşi E. Evaluation of the clinical performance of different bulk-fill composites according to clinical evaluation criteria. Ann Dent Spec. 2021;9(1):53-61. https://doi.org/10.51847/jRo0pUvJrR
  • Korkut B, Türkmen C. Longevity of direct diastema closure and recontouring restorations with resin composites in maxillary anterior teeth: a 4‐year clinical evaluation. J Esthet Restor Dent. 2021;33(4):590-604. https://doi.org/10.1111/jerd.12697
  • Korkut B, Özcan M. Longevity of direct resin composite restorations in maxillary anterior crown fractures: a 4-year clinical evaluation. Oper Dent. 2022;47(2):138-148. https://doi.org/10.2341/20-162-C
  • Korkut B, Ünal T, Can E. Two‐year retrospective evaluation of monoshade universal composites in direct veneer and diastema closure restorations. J Esthet Restor Dent. 2023;35(3):525-537. https://doi.org/10.1111/jerd.12992
  • Marquillier T, Doméjean S, Le Clerc J, Chemla F, Gritsch K, Maurin J-C, Millet P, Perard M, Grosgogeat B, Dursun E. The use of FDI criteria in clinical trials on direct dental restorations: a scoping review. J Dent. 2018;68:1-9. https://doi.org/10.1016/j.jdent.2017.10.007
  • Hickel R, Mesinger S, Opdam N, Loomans B, Frankenberger R, Cadenaro M, Burgess J, Peschke A, Siegward DH, Kühnisch J. Revised FDI criteria for evaluating direct and indirect dental restorations—recommendations for its clinical use, interpretation, and reporting. Clin Oral Investig. 2023;27(6):2573-2592. https://doi.org/10.1007/s00784-022-04814-1
  • Derchi G, Marchio V, Giuca MR, Lardani L. Clinical performance of cention alkasite restorative material vs. glass ionomer cement used in deciduous teeth: one-year evaluation. Appl Sci. 2022;12(21):10845. https://doi.org/10.3390/app122110845
  • Manhart J, Chen H, Hamm G, Hickel R. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent. 2004;29:481-508.
  • Macedo G, Raj V, Ritter AV, Swift Jr EJ. Longevity of anterior composite restorations. J Esthet Restor Dent. 2006;18(6):310-311. https://doi.org/10.1111/j.1708-8240.2006.00042.x
  • Altun C, Esenlik E, Tözüm TF. Hypoplasia of a permanent incisor produced by primary incisor intrusion: a case report. J Can Dent Assoc. 2009;75(3):215-218.
  • Antonson SA, Yazici AR, Kilinc E, Antonson DE, Hardigan PC. Comparison of different finishing/polishing systems on surface roughness and gloss of resin composites. J Dent. 2011;39:e9-e17. https://doi.org/10.1016/j.jdent.2011.01.006
  • Scheibe KGBA, Almeida KGB, Medeiros IS, Costa JF, Alves CMC. Effect of different polishing systems on the surface roughness of microhybrid composites. J App Oral Sci. 2009;17:21-26. https://doi.org/10.1590/S1678-77572009000100005
  • Bayne SC, Schmalz G. Reprinting the classic article on USPHS evaluation methods for measuring the clinical research performance of restorative materials. Clin Oral Invest. 2005;9:209-214. https://doi.org/10.1007/s00784-005-0017-0
  • de Paula EA, Tay LY, Kose C, Mena-Serrano A, Reis A, Perdigão J, Loguercio AD. Randomized clinical trial of four adhesion strategies in cervical lesions: 12-month results. Int J Esthet Dent. 2015;10(1):122-145. PMID: 25625130
  • Loguercio AD, De Paula EA, Hass V, Luque-Martinez I, Reis A, Perdigão J. A new universal simplified adhesive: 36-month randomized double-blind clinical trial. J Dent. 2015;43(9):1083-92. https://doi.org/10.1016/j.jdent.2015.07.005
  • Mesinger S, Heck K, Crispin A, Frankenberger R, Cadenaro M, Burgess J, Peschke A, Heintze AD, Loomans B, Opdam N, Hickel R, Kühnisch J. Evaluation of direct restorations using the revised FDI criteria: results from a reliability study. Clin Oral Investig. 2023;27(4):1519-1528. https://doi.org/10.1007/s00784-022-04771-9
  • Shah YR, Shiraguppi VL, Deosarkar BA, Shelke UR. Long-term survival and reasons for failure in direct anterior composite restorations: a systematic review. J Conserv Dent. 2021;24(5):415-420. https://doi.org/10.4103/jcd.jcd_527_21
  • Freitas BNd, Silva POd, Pintado-Palomino K, Almeida CVVBd, Souza-Gabriel AE, Corona SAM, Geraldeli S, Grosgogeat B, Roulet J-F, Tirapelli C. Patients´ satisfaction concerning direct anterior dental restoration. Braz Dent J. 2023;34:82-93. https://doi.org/10.1590/0103-6440202305260
  • Liu J, Zhang H, Sun H, Liu Y, Liu W, Su B, Li S. The development of filler morphology in dental resin composites: a review. Mater. 2021;14(19):5612. https://doi.org/10.3390/ma14195612
  • Korkut B, Hacıali Ç, Tüter Bayraktar E, Yanıkoğlu F. The assessment of color adjustment potentials for monoshade universal composites. Sci Eng Compos Marter. 2023;30(1):20220189. https://doi.org/10.1088/1742-6596/1073/5/052011.
  • Korkut B, Tarçın B, Atalı PY, Özcan M. Introduction of a new classification for resin composites with enhanced color adjustment potential. Curr Oral Health Rep. 2023;10(4):223-232. https://doi.org/10.1007/s40496-023-00351-2
  • Ruiz-Lopez J, Pulgar R, Lucena C, Pelaez-Cruz P, Cardona JC, Perez MM, Ghinea R. Impact of short-term dental dehydration on in-vivo dental color and whiteness. J Dent. 2021;105:103560. https://doi.org/10.1016/j.jdent.2020.103560
  • Nahsan FPS, Mondelli RFL, Franco EB, Naufel FS, Ueda JK, Schmitt VL, Baseggio W. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection. J App Oral Sci. 2012;20:151-156. https://doi.org/10.1590/S1678-77572012000200005
  • Vargas MA, Margeas R. A systematic approach to contouring and polishing anterior resin composite restorations: a checklist manifesto. J Esthet Restor Dent. 2021;33(1):20-26. https://doi.org/10.1111/jerd.12698
  • Wierichs RJ, Kramer E, Meyer-Lückel H. Risk factors for failure of direct restorations in general dental practices. J Dent Res. 2020;99(9):1039-1046. https://doi.org/10.1177/0022034520924390
  • Shoaib L, Safii S, Naimie Z, Ahmad N, Sukumaran P, Yunus R. Dental students' perceptions on the contribution and impact role of a clinical teacher. Eur J Dent Educ. 2018;22(1):e26-e34. https://doi.org/10.1111/eje.12252
  • Gözetici-Çil B, Öztürk-Bozkurt F, Genç-Çalışkan G, Yılmaz B, Aksaka N, Özcan M. Clinical performance of posterior indirect resin composite restorations with the proximal box elevation technique: a prospective clinical trial up to 3 years. J Adhes Dent. 2024;26(1):19-30. https://doi.org/10.3290/j.jad.b4908449
  • Velayo BC, Stark PC, Eisen SE, Kugel G. Using dental students’ preclinical performance as an indicator of clinical success. J Dent Educ. 2014;78(6):823-828. https://doi.org/10.1002/j.0022-0337.2014.78.6.tb05735.x
  • Moraes RR, Cenci MS, Moura JR, Demarco FF, Loomans B, Opdam N. Clinical performance of resin composite restorations. Curr Oral Health Rep. 2022;9(2):22-31. https://doi.org/10.1007/s40496-022-00308-x
  • Ertas E, Gueler AU, Yuecel AC, Köprülü H, Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006;25(2):371-376. https://doi.org/10.4012/dmj.25.371
  • Guler AU, Yilmaz F, Kulunk T, Guler E, Kurt S. Effects of different drinks on stainability of resin composite provisional restorative materials. J Prosthet Dent. 2005;94(2):118-124. https://doi.org/10.1016/j.prosdent.2005.05.004
There are 35 citations in total.

Details

Primary Language English
Subjects Restorative Dentistry
Journal Section Articles
Authors

Bengü Doğu Kaya 0000-0002-3116-2016

Bora Korkut 0000-0001-6360-9436

Ezgi Kızıl Öztürk 0009-0009-0016-9360

Elif Alkan 0000-0001-7167-6946

Pınar Yılmaz Atalı 0000-0003-3121-360X

Early Pub Date June 27, 2025
Publication Date June 30, 2025
Submission Date January 8, 2025
Acceptance Date March 7, 2025
Published in Issue Year 2025 Volume: 15 Issue: 2

Cite

APA Doğu Kaya, B., Korkut, B., Kızıl Öztürk, E., Alkan, E., et al. (2025). Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment. Clinical and Experimental Health Sciences, 15(2), 409-420. https://doi.org/10.33808/clinexphealthsci.1615250
AMA Doğu Kaya B, Korkut B, Kızıl Öztürk E, Alkan E, Yılmaz Atalı P. Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment. Clinical and Experimental Health Sciences. June 2025;15(2):409-420. doi:10.33808/clinexphealthsci.1615250
Chicago Doğu Kaya, Bengü, Bora Korkut, Ezgi Kızıl Öztürk, Elif Alkan, and Pınar Yılmaz Atalı. “Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment”. Clinical and Experimental Health Sciences 15, no. 2 (June 2025): 409-20. https://doi.org/10.33808/clinexphealthsci.1615250.
EndNote Doğu Kaya B, Korkut B, Kızıl Öztürk E, Alkan E, Yılmaz Atalı P (June 1, 2025) Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment. Clinical and Experimental Health Sciences 15 2 409–420.
IEEE B. Doğu Kaya, B. Korkut, E. Kızıl Öztürk, E. Alkan, and P. Yılmaz Atalı, “Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment”, Clinical and Experimental Health Sciences, vol. 15, no. 2, pp. 409–420, 2025, doi: 10.33808/clinexphealthsci.1615250.
ISNAD Doğu Kaya, Bengü et al. “Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment”. Clinical and Experimental Health Sciences 15/2 (June 2025), 409-420. https://doi.org/10.33808/clinexphealthsci.1615250.
JAMA Doğu Kaya B, Korkut B, Kızıl Öztürk E, Alkan E, Yılmaz Atalı P. Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment. Clinical and Experimental Health Sciences. 2025;15:409–420.
MLA Doğu Kaya, Bengü et al. “Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment”. Clinical and Experimental Health Sciences, vol. 15, no. 2, 2025, pp. 409-20, doi:10.33808/clinexphealthsci.1615250.
Vancouver Doğu Kaya B, Korkut B, Kızıl Öztürk E, Alkan E, Yılmaz Atalı P. Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment. Clinical and Experimental Health Sciences. 2025;15(2):409-20.

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