Clinical Relevance

The clinical behavior of pure ormocer composite is reliable when used in class II restorations after 24 months of evaluation.


The aim of this study was to evaluate the clinical performance of class II restorations made using pure ormocer and methacrylate composites in a period of 24 months, using a split-mouth double-blinded randomized design.

Methods and Materials:

Thirty patients received two class II restorations (n=60) performed with different composites: GrandioSO (methacrylate, nanohybrid) and Admira Fusion (pure ormocer, nanohybrid). The universal adhesive system (Futurabond M+) was applied in all restorations using the self-etching mode. The composites were placed by the incremental technique. The restorations were evaluated using the FDI World Dental Federation criteria after 7 days and 6, 12, and 24 months postoperatively.


After 24 months, 23 patients attended the recall and 46 restorations were evaluated. Fisher's statistical analysis (5%) showed no difference between the materials. One pure ormocer restoration and one methacrylate restoration presented small fractures. Only one tooth suffered a fracture of the remaining tooth structure. Admira Fusion presented, respectively, 100%, 95.66%, and 100% of acceptable performance in general scores for esthetic, functional, and biological properties. GrandioSO presented, respectively, 100%, 91.31%, and 95.66% of acceptable performance in the same scores.


After 24-month follow-up, nonsignificant differences between the tested composites was detected. Both materials provided acceptable clinical performance in class II restorations.

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