A clinical evaluation of a resin composite and a compomer in non-carious Class V lesions. A 3-year follow-up

Purpose: To compare the clinical performance of a resin composite and a polyacid-modified resin composite (compomer) in non-carious cervical lesions using a one-step self-etch adhesive. Methods: Thirty patients, each with two non-carious cervical lesions (60 restorations), received one composite (Pertac-II) restoration and one compomer (Hytac) restoration, both used in conjunction with a self-etch adhesive (Prompt L-Pop) and placed following the manufacturer's instructions. Evaluations were at baseline, 6, 12 and 36 months after placement for retention, margin adaptation, marginal discoloration, anatomic form, secondary caries and postoperative sensitivity. Statistical analysis with the Pearson Chi-square test was undertaken. Results: Retention rates were 86.6% for composite and 86.7% for compomer at 36 months. 3.3% of composite and 6.7% of compomer restorations showed a deficiency in marginal adaptation. Both materials showed a slight marginal discoloration of 7.7%. More deterioration in anatomic form occurred with the compomer (11.5%) than the composite (3.8%). None of the restorations exhibited secondary caries or postoperative sensitivity problems. There was no significant difference in performance between the materials in any of the categories evaluated.