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At least 199 records · Page 11Linked to original sources
PubMed2002

Microleakage of a packable composite associated with different materials.

The aim of this in vitro study was to evaluate the extent of marginal leakage with class II composite resin restorations associated with different materials. Twenty extracted sound molars were disinfected and stored in 0.9% saline solution. Four standardized class II cavities were prepared in each tooth, with the gingival margin 1 mm below the cementum-enamel junction. The teeth were then randomly divided into five groups of 16 restorations each: 1) Prime & Bond NT + Surefil; 2) Prime & Bond NT + Dyract Flow + Surefil; 3) Prime & Bond NT + Flow-it + Surefil; 4) Prime & Bond NT + Dyract AP + Surefil; and 5) Fuji II LC + Prime & Bond NT + Surefil. After a storage time of seven days, the restorations were finished and polished. Then specimens were submitted to thermocycling (500 cycles, 5 degrees-55 degrees C, 15 s-dwell time) and immersed in 0.5% methylene blue solution for 24 hours. They were washed and vertically sliced through the middle of the restoration. Both surfaces were evaluated in the gingival margin and one score (0-3) was assigned under a stereomicroscope (40x magnification) by two examiners. The frequency of the scores was evaluated by Kruskal-Wallis and Mann-Whitney tests for pairwise comparisons. None of the associations prevented dye penetration. The statistical analysis showed similar dye penetration among groups 1, 2, 3 and 4 (p > 0.05). The results of penetration in group 5 were significantly lower compared to the other groups (p < 0.05). It was concluded that the use of Fuji II LC as a base material led to the best sealing of the gingival margins based upon the lowest degree of microleakage observed.

Coloring Agents↗
PubMedDate not supplied

In vitro microleakage study of a condensable and flowable composite resin.

The aim of this study was to evaluate the in vitro microleakage of a condensable composite resin recommended for Class II restorations with and without a flowable composite resin as a liner. There were statistically significant differences between all groups and between individual groups (p < 0.05). The results showed significantly less microleakage in teeth restored with flowable composite resin underneath a condensable composite resin.

Acid Etching, Dental↗
PubMedDate not supplied

Microleakage of high-strength glass ionomer: resin composite restorations in minimally invasive treatment.

Atraumatic Restorative Treatment (ART) has been investigated as an alternative caries treatment. The technique involves removal of loose tooth structure with a spoon excavator, followed by placement of an adhesive restorative material, often a high-strength glass ionomer. This study compares the microleakage of a high-strength glass ionomer/resin composite and two occlusal resin composite restoration techniques.

Acid Etching, Dental↗
PubMed1999

The effects on pulp tissue of microleakage in resin composite restorations.

The purpose of this study was to evaluate histopathologically the effect on pulp tissue of microleakage in resin composite restorations. Seventy-two class V cavities were prepared on buccal surfaces of monkeys and divided into 3 groups, F, O, and S. Every cavity was etched with 37% phosphoric acid. In group F cavities, each cavity was restored with photo-curable composite without any dentin adhesives. In group O, the cavities were left unfilled. In group S, each cavity was treated with a dentin adhesive system and restored with a restorative composite. After 3, 30, or 90 days, animals were sacrificed and the subjected teeth were immediately removed, then fixed and decalcified. Following sectioning and staining with hematoxylin and eosin or Taylor's modified bacteria staining, each sample was examined with a light microscope. In most teeth with group S cavities, bacterial invasion was not found indicating excellent marginal sealing. The pulpal reaction was much less than that in other groups. In group F as well as in group O, bacteria were frequently observed in the cavity; however, bacteria penetrated into dentinal tubules more in group F than in group O at 30 and 90 days. A correlation between the presence of bacteria and pulpal inflammation was strongly indicated. It was suggested that a leaky restoration was more harmful to the pulp than an open prepared cavity without restoration.

Acid Etching, Dental↗
PubMedDate not supplied

Materials and techniques for restoration of primary molars by pediatric dentists in Florida.

PURPOSE: The purpose of this study was to obtain an overview of materials and techniques used by pediatric dentistry clinicians for posterior restorations in primary molars and to compare the results to what is being taught in dental schools. METHODS: A form with questions in different formats was mailed to all 180 members of the American Academy of Pediatric Dentistry in Florida. The information requested included material selection for restorations in primary molars and the type of cavity preparation for amalgam and resin-based materials, and the bonding system in use. The response was anonymous, but information about gender and year of graduation for the clinicians was provided. RESULTS: Seventy percent of the clinicians responded to the survey. Resin-based materials were the most commonly selected for Class I and II restorations, while stainless steel crowns were the predominant material when 3 or more surfaces are involved. The slot-type of preparation was the most commonly used for tooth-colored restorations and the fifth generation ("one-bottle system") of bonding agents was the preferred adhesive system in use in primary molars. CONCLUSIONS: Different opinions were found between clinicians and educators in respect to material selection and contraindication criteria for the use of tooth-colored restorations in primary molars.

Child↗
PubMed2002

Microleakage in class II composite resin restorations: total bonding and open sandwich technique.

PURPOSE: The objective of this in vitro study was to evaluate gingival microleakage in Class II total bond resin restorations in comparison to open sandwich technique restorations using different materials. MATERIALS AND METHODS: Forty-eight human molar teeth were disinfected and stored in a 0.9% saline solution. In each tooth, two standardized Class II cavities (3 mm x 6 mm x 2 mm) were prepared with the gingival cavosurface margins located 1 mm below the cementoenamel junction. The teeth were divided into 4 equally sized groups (n = 12), and the proximal boxes were treated as follows: in Group 1, no base material was used and the cavity was restored using SyntacSprint (SS) and Tetric Ceram (TC); in Groups 2, 3, and 4 the gingival portion of the cavity was restored with different base materials (Group 2, Dyract; Group 3, Vitremer; Group 4, Chelon-fil) prior to the placement of the composite resin. After a storage time of 7 days, the restorations were finished and polished. Then, specimens were submitted to thermocycling (500 cycles, 5 degrees C to 55 degrees C, 15 s dwell time) and immersed in a 0.5% methylene blue solution for 24 h. After washing, they were sectioned in a mesio-distal direction. Each restoration was evaluated under a stereomicroscope at 20x by 2 examiners and scored on a 0 to 3 scale according to the marginal leakage. Kappa statistics were used to evaluate the agreement between the examiners. Given the ordinal nature of the scoring system, data were submitted to a nonparametric repeated measures ANOVA. The results were confirmed with a parametric repeated measures ANOVA. RESULTS: Significant differences (p < 0.001) among the four groups with respect to dye penetration were detected, with the association Vitremer/Tetric showing the best results. CONCLUSION: The use of Vitremer in the open sandwich technique presents the lowest degree of microleakage among the treatments considered in this study.

Analysis of Variance↗
PubMedDate not supplied

Removal of amalgam, glass-ionomer cement and compomer restorations: changes in cavity dimensions and duration of the procedure.

This study investigated changes in the dimensions of Class II cavities following the removal of amalgam, glass ionomer and compomer restorations. In 30 extracted caries-free human molars, preparation for 60 mesio-occlusal and occluso-distal cavities (two cavities per tooth) occurred. With a CEREC 3 laser triangulation sensor and software-based construction analysis, the dimensions of the cavities at seven defined sites were measured. The cavities were randomized into four groups. Group 1 was restored with Ketac-Fil glass-ionomer cement, Group 2 with amalgam and Group 3 with Compoglass F compomer. In Group 4, Compoglass F was used in combination with photochromic Tetric Flow Chroma as a cavity liner. The completed restorations were then removed using 2x magnification and the cavities were once again controlled using the laser system. The duration of the removal procedure was also recorded. Changes in cavity dimensions (depth, height and width) following removal of the restorations were significantly smaller in Groups 1 and 2. Groups 3 and 4 were characterized by a significant overextension of the cavities compared to Groups 1 and 2 in all three dimensions. Group 4, with Tetric Flow Chroma as a cavity liner, showed better results than Group 3, but this improvement was not statistically significant. The duration of the removal procedure was significantly shorter in Group 2 than in the other groups.

Compomers↗
PubMed2002

Can modern restorative procedures and materials reliably seal cavities? In vitro investigations. Part 1.

Secondary caries, marginal discoloration and marginal gap/fracture account for a significant majority of clinical diagnoses of restoration failure and reason for restoration replacement. These failures occur at the interface between the restoration and the cavity preparation. It is an underlying belief, or at least an underlying assumption of the dental profession, that improving the seal between a restorative material and tooth structure will reduce the frequency of such occurrences, which will in turn lead to enhanced restoration longevity. This paper reviews the current status of in vitro literature regarding the ability of modern restorative materials and techniques to reliably seal cavity preparations. In addition, methodology for accomplishing in vitro research is reviewed for the purpose of elucidating trends, areas of interest and controversial topics.

Composite Resins↗
PubMedDate not supplied

The effect of a "resin coating" on the interfacial adaptation of composite inlays.

The relatively low bond strengths of resin cements to dentin may result in poor interfacial adaptation of composite inlays. This study determined whether the interfacial adaptation of composite inlays could be improved by applying an adhesive system and a low viscosity microfilled resin to the prepared cavity walls before making an impression. Ten MOD cavities were prepared on extracted human premolars with gingival margins located above and below the cemento-enamel junction. A "resin coat" consisting of a self-etching primer system (Clearfil SE Bond) and a low viscosity microfilled resin (Protect Liner F) was applied to the cavities of half of the prepared teeth, while the remaining teeth served as non-coated control specimens. All the teeth were restored with composite inlays (Estenia) fabricated by the indirect method and cemented with a dual-cured resin cement (Panavia F). After finishing the margins with superfine burs, the bonded inlays were thermocycled between 4 degrees C and 55 degrees C for 400 cycles. Specimens were sectioned with a diamond saw and the tooth-restoration interfaces were observed with a confocal laser scanning microscope. The data were analyzed with two-way ANOVA and Fisher's PLSD test (p < 0.05). The percentage length of gap formation at the dentin-restoration interface of the "resin coated" teeth (7.1 +/- 3.5) was significantly less than that of the non-coated teeth (85.7 +/- 6.7) (p < 0.05). The concept of coating the prepared cavity with an adhesive system and a low viscosity microfilled resin resulted in observing fewer gaps at the internal dentin-restoration interface compared with the non-coated specimens.

Analysis of Variance↗
PubMedDate not supplied

The effect of flowable resin composite on microleakage in class V cavities.

This in vitro study investigated the microleakage of flowable resin composite as a restorative material and as a liner (either light cured separately or co-cured with hybrid resin composite) in Class V cavities. A light-cured hybrid resin composite was used as a control. Twenty extracted human premolars were prepared with standardized Class V cavity outlines on the buccal and lingual surfaces. The occlusal margin of the cavities was on enamel and the gingival margin was on dentin. One bottle adhesive system (Single Bond) was used after etching enamel and dentin with 34.5% phosphoric acid for 15 seconds. The cavities were randomly divided into four groups of 10 each and restored according to the manufacturers' instructions: Group I-Hybrid resin composite (Z100); Group II-Flowable resin composite (Filtek Flow); Group III-Flowable resin composite (Filtek Flow)+Hybrid resin composite (Z100); light cured separately; Group IV-Flowable resin composite (Filtek Flow)+Hybrid resin composite (Z100); co-cured. The samples were thermocycled 200 times with a 30-second dwell time. They were then immersed in a 0.5% basic fuchsin solution for 24 hours, sectioned and analyzed by stereomicroscopy. The degree of dye penetration was recorded and analyzed with the Kruskal-Wallis and Mann-Whitney U tests. The results of this study indicate that there was no leakage at the occlusal margin for either restoration. Statistically significant differences were found among the groups at the gingival margin. No statistically significant difference was observed between the occlusal and gingival margins except in Group IV. The combination of flowable resin composite and hybrid composite light cured separately yielded the best result in this study. The most leakage was observed when this combination was co-cured. The resistance to microleakage of flowable resin composite as a restorative material is similar to that of hybrid resin composite.

Acid Etching, Dental↗
PubMed2002

A comparative study of microleakage below cemento-enamel junction using light cure and chemically cured glass ionomer cement liners.

Posterior composite resins have gained considerable importance over last few years. However, improper placement techniques continue to be a prime cause of failure of these restorations. This study was done to compare the microleakage at the tooth restoration interface extending below cementoenamel junction when posterior composite restorations were placed directly in the cavity or when placed over a glass ionomer cement liner, both chemically cured and light cured. The results have shown that light cured glass ionomer when used as a liner under a composite restoration used below gingival cementum/dentin margin has the best sealing capability.

Acid Etching, Dental↗
PubMedDate not supplied

Dental amalgam: success or failure?

A review of recent literature suggests that reasons for amalgam failure can generally be identified and avoided. These include: retentive failure, marginal breakdown, fracture of the tooth or restoration, reasons for sensitivity, poor surface characteristics, and contributions to periodontal disease. Materials themselves are least often the source of problems; rather, most of the failures can be attributed to lack of attention to detail in cavity preparation and handling of the materials.

Dental Amalgam↗
PubMed1992

Microleakage of amalgam restorations using Amalgambond and Copalite.

This study compared the effect of using either Amalgambond as a cavity liner or Copalite in the reduction of microleakage in amalgam Class V restorations. Both retentive traditional and non-retentive cavity preparations were compared with gingival cavosurface margin locations both in enamel and in dentin. Cavity preparations were restored with their appropriate liner, thermocycled, and stored in erythrosin red stain for 10 days. The samples were then sectioned and degrees of microleakage determined. Statistical interpretation with the Wilcoxon test showed that microleakage was significantly greater (alpha = 0.05) with the non-traditional cavity design and with cavity margins located in dentin. The results also showed that Amalgambond as a cavity liner significantly reduced microleakage when compared to Copalite.

Dental Amalgam↗