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Vertise Flow as a Liner for Composite Restorations (1 yr)

Kerr Corporation www.kerrdental.com

Consultants’ Comments

  • “Herculite Ultra has maintained the natural esthetics observed at placement.”
  • “I see no diff erence in the esthetics when recalling Herculite Ultra restorations with OptiBond XRT or Vertise Flow.”
  • “Th e minimal postoperative sensitivity was consistent with that found in other restorations I have placed.”

Description

Purpose

The purpose of the study was to determine the one-year clinical performance of Vertise Flow when used as a liner with Herculite Ultra as compared with OptiBond XTR used with Herculite Ultra.

Evaluation Protocol

Vertise Flow is a self-adhesive, resin composite available in shades A1, A2, A3, A3.5, B1, B2, Universal Opaque, XL and Translucent. It is designed for direct placement and incorporates OptiBond adhesion technology that is designed to eliminate the additional steps of etching, priming and bonding. Vertise Flow is indicated for small Class I and base/liner for Class I and II restorations, as a pit and fi ssure sealant, for the repair of enamel defects, repair of porcelain restorations, blocking of undercuts, minor occlusal buildups in non-stress bearing areas, and incisal abrasions. Vertise Flow is delivered from a syringe.
Placement – Vertise Flow and Hercultie Ultra

• 92 restorations using Vertise Flow as a liner and Herculite Ultra were placed in 59 patients.
• All restorations were placed on permanent posterior teeth.
• Restorations were categorized as: Class I – 20, Class II – 69, and Class V – 3.
• Shades used were predominantly A1, A2 and A3. Other shades used in five or less restorations were B1, B2, C1, and C2. Six restorations were layered using multiple shades.

Placement – OptiBond XTR and Herculite Ultra

• 168 restorations using OptiBond XTR and Herculite Ultra were
placed in 92 patients.
• 155 restorations were placed on permanent posterior teeth, and 13 were placed on permanent anterior teeth.
• Restorations were categorized as: Class I – 36, Class II – 105, Cl III – 4, Class IV – 4, and Class V – 19.
• Shades used predominately A1, A2, and A3. Other shades used in 10 or less restorations were B1, B2, C1, and C2.

Results at One-year

At one-year recall of Vertise Flow and OptiBond XRT with Herculite Ultra, the following parameters were assessed: resistance to marginal discoloration, lack of postoperative sensitivity (as reported by patient) and retention. Restorations were evaluated on a 1-5 rating scale: 1 = poor, 2 = fair, 3 = good, 4 = very good, 5 = excellent.

Vertise Flow and Herculite Ultra

• 81 restorations were recalled during the fi rst year.
• Resistance to Marginal Staining – One restoration exhibited minor marginal staining.
• Lack of Sensitivity – No postoperative sensitivity was reported by patients.
• Retention – No restorations debonded.

OptiBond XTR and Herculite Ultra

• 112 restorations were recalled during the first year.
• Resistance to Marginal Staining – No restorations exhibited staining.
• Lack of Sensitivity – No postoperative sensitivity was reported by patients.
• Retention – No restorations debonded.

Summary

Vertise Flow and OptiBond XRT provided excellent bonding systems for the plccement of Herculite Ultra. During the first year in service, no differences in resistance to marginal staining, lack of sensitivity or retention between the two restorative systems were noted. Vertise Flow received a 99% clinical rating.