Clinical Evaluation of Complications for Single Visit Class III and Class V Restorations at the First Recall Appointment

Objective: Clinical evaluation of senior students' Class III and Class V restorations at the first recall (control) appointment, regarding revised FDI criteria. Methods: Seventy-six anterior Class III and V restorations were assessed. A nano-ceramic, simplyshade composite (NeoSpectra-ST, Dentsply) was used. Restorative procedures were checked and approved by an experienced (3 years) restorative dentistry instructor. The first recall (control) appointment was scheduled 1 week after the restorations and a restorative instructor re-evaluated the restorations based on the biological, functional, and esthetic aspects of revised FDI criteria. Results: Significantly greater scores were observed for Esthetic criteria compared to Functional and Biological criteria (p<.001). Six failures were detected forform and contour, two for surface luster and texture, two for marginal staining, and two for color match. Onlyfortheform and contour criteria, Class V restorations obtained significantly higher scores than Class III (p=.033). Conclusion: Although anterior composite restorations were approved by an experienced instructor, various irreversible complications were observed at the first recall. Following the restorative procedure, a control appointment shortly is considered mandatory. The highest risk for failure was detected for Esthetic criteria. Class III restorations are considered more prone to failures compared to Class V.