Effect of dual-cure composite resin as restorative material on marginal adaptation of Class 2 restorations

Objective: The present study attempted to find a simple direct adhesive restorative technique for the restoration of Class 2 cavities. Method and Materials: A self-etch adhesive system with a dual-cured core buildup composite resin (paste 1 + paste 2) was evaluated in its ability to restore proximo-occlusal cavities with margins located on enamel and dentin. The groups were: A, cavity filling (cf) with paste 1 (light-curing component) by using a layering technique; B, cf by mixing both pastes, bulk insertion, and dual curing; and C, cf by mixing both pastes, bulk insertion, and chemical curing. Two control groups (D, negative, bulk; and E, positive, layering technique) were included by restoring cavities with a classic three-step etch-and-rinse adhesive and a universal restorative composite resin. SEM margin analysis was performed before and after thermomechanical loading in a chewing simulator. Results: Percentages (mean ± SD) of "continuous margins" were improved by applying the material in bulk and letting it self cure (54 ± 6) or dual cure (59 ± 9), and no significant differences were observed between these two groups and the positive control (44 ± 19). Conclusion: The present study showed that the dual-cured composite resin tested has the potential to be used as bulk filling material for Class 2 restorations. Clinical relevance: When used as filling materials, dual-cure composite resins placed in bulk can provide marginal adaptation similar to light-cured composites applied with a complex stratification technique. Parole chiave: amalgam substitute, bulk filling, Class 2 restoration, dual cure, marginal adaptation, self cure