Clinical evaluation of a low-shrinkage resin composite in endodontically treated premolars: 3-year follow-up

  • Nihan GönülolEmail author
  • Elif Kalyoncuoğlu
  • Ertan Ertaş
  • Tuğba Misilli
Original Article



This study compared the 3-year clinical performance of a low-shrinkage silorane-based composite material with that of a methacrylate-based composite material in the restoration of endodontically treated premolar teeth.

Materials and methods

A total of 70 patients requiring a Class II composite-resin restoration of a premolar tooth following root-canal treatment participated in the study. Cavities were restored with either a silorane-based restorative (Filtek Silorane + Silorane System Adhesive) or a methacrylate-based restorative (Filtek Z250 + Clearfil SE Bond) system applied according to the manufacturer’s instructions. Restorations were evaluated by two blinded observers at five different time intervals (baseline; 6 months; 1, 2, and 3 years) according to modified USPHS criteria. Pearson’s chi-square tests were used to examine differences in the clinical performance of the materials (retention, color match, marginal discoloration, secondary caries, anatomical form, marginal adaptation, and surface roughness), and Friedman and Wilcoxon tests were used to compare changes between baseline and each recall time, with a level of 0.05 considered statistically significant.


After 3 years, no statistically significant differences in clinical performance were observed between the two materials (p > 0.05). Intra-system comparisons revealed a statistically significant deterioration in color match, marginal discoloration, anatomical form, marginal adaptation, and surface roughness scores after 3 years for both systems. Although the difference was not significant at 3 years of follow-up, the level of deterioration in marginal adaptation and surface roughness was greater for the Filtek Silorane restoration than for the Filtek Z250 restoration at the 1 year follow-up (p > 0.05).


Restorations of both materials were clinically acceptable after 3 years. The Filtek Silorane system did not appear to offer any clinical advantages over the methacrylate-based system when used in the restoration of Class II cavities in endodontically treated premolars.

Clinical relevance

The restoration of endodontically treated premolars with minor or moderate loss of tooth structure can be directly performed either with silorane or methacrylate-based composite resins.


Class II restoration Endodontic treatment Randomized clinical trial Resin-based composite Silorane 



The study had no funding source.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the Institutional Review Board of Ondokuz Mayis University Human Ethics Committee (OMU-TAEK 2013/227) and was conducted in line with the Helsinki Declaration’s ethical principles for medical research involving human subjects.

Informed consent

All subjects gave their written, informed consent for participation.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Nihan Gönülol
    • 1
    Email author
  • Elif Kalyoncuoğlu
    • 2
  • Ertan Ertaş
    • 1
  • Tuğba Misilli
    • 3
  1. 1.Faculty of Dentistry, Department of Restorative DentistryOndokuz Mayis UniversitySamsunTurkey
  2. 2.Faculty of Dentistry, Department of EndodonticsOndokuz Mayis UniversitySamsunTurkey
  3. 3.Faculty of Dentistry, Department of Restorative DentistryÇanakkale Onsekizmart UniversityÇanakkaleTurkey

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