Randomized controlled split-mouth clinical trial of direct laminate veneers with two micro-hybrid resin composites.

OBJECTIVES This randomized, split-mouth clinical study evaluated the survival rate of direct laminate veneers made of two resin-composite materials. METHODS A total of 23 patients (mean age: 52.4 years old) received 96 direct composite laminate veneers using two micro-hybrid composites in combination with two adhesive resins (Ena-Bond-Enamel HFO: n=48, Clearfil SE Bond-Miris2: n=48). Enamel was selectively etched with 38% H(3)PO(4) for 30s, rinsed 30s and the corresponding adhesive resin was applied accordingly. Existing resin composite restorations in good conditions (small or big) were not removed but conditioned using silica coating (CoJet) and silanized (ESPE-Sil). Restorations were evaluated at baseline and thereafter every 6 months. Additional qualitative analysis was performed using modified USPHS criteria. RESULTS Mean observation period was 41.3 months. Altogether, 12 absolute failures were observed [survival rate: 87.5%] (Kaplan-Meier). The survival rates with the two resin composites did not show significant differences [Enamel HFO: 81.2%, Miris2: 93.8%] (p>0.05). The presence of existing composite restorations on the prepared teeth did not affect the survival rate significantly (intact teeth: 100%, small restorations: 90.6%, big restorations: 82.7%) (p>0.05). Surface roughness and marginal discolouration were the main qualitative deteriorations observed until the final recall. Secondary caries and endodontic complications did not occur in any of the teeth. CONCLUSION Early findings of this clinical study with the two micro-hybrid composite laminate veneers showed similar survival rate and their clinical performance was not significantly influenced when bonded onto intact teeth or onto teeth with existing restorations with the protocol applied.