Microleakage of etched-dentin composite resin restorations.

Some clinicians now advocate dentinal etching to eliminate microleakage around composite resin margins. This study evaluated the "Kanca technique" and three commercial dentinal adhesives, including Clearfil Photo Bond, which uses phosphoric acid to etch dentin. The Kanca technique and Tenure were the most effective systems tested. However, none of the bonding systems completely eliminated microleakage. Total sealing of dentinal margins is not predictable with current adhesives and composite resins.     

Microleakage between composite resin and basing materials.

This study investigated the microleakage between a composite resin restorative material and six basing materials. Cavities were prepared in polymerized composite resin samples and "restored" with Cavitec, Life, Ketac-Bond, BaseLine, Cavalite, and VLC Dycal. The samples were thermocycled and immersed in 0.05 percent crystal violet solution for 2 hours, then embedded in clear casting resin, sectioned and examined with an optical microscope. Our results indicated that Cavalite and VLC Dycal allowed no dye penetration. Cavitec and Life had a moderate degree of dye penetration and Ketac-Bond and BaseLine had a relatively high degree of penetration.     

Microleakage and marginal adaptation of composite resin restorations.

It has been shown that the use of a sealant offers no advantage with respect to the retentive strength of a composite resin restoration. However, for the improvement of marginal seal and adaptation, the present findings indicate that enamel etching and the application of a sealant, in conjunction with use of a cavity geometry which reduces shrinkage strain, are absolute necessities.     

Microleakage of resin composite restorations with glass-ceramic inserts.

OBJECTIVE: The purpose of this study was to evaluate the effects of glass-ceramic inserts and different application techniques of resin composites on marginal leakage. METHOD AND MATERIALS: Three groups of 10 standardized, round, Class V cavities were prepared on the buccal surface of 30 extracted human molar teeth. Group 1 received resin composite restorations, placed in one increment (bulk). Group 2 received resin composite restorations that were placed in two increments, and group 3 received resin composite restorations with beta-quartz ceramic inserts. After the teeth were thermocycled and placed in 0.5% basic fuchsin for 24 hours, they were sectioned and examined for microleakage. RESULTS: On the occlusal margins, there was no statistically significant difference between the restorations placed with the incremental technique and the restorations with beta-quartz inserts. The restorations placed with the bulk technique had significantly more microleakage than did the others. On the gingival margins, the restorations with beta-quartz inserts exhibited significantly less microleakage than did the other groups. The restorations placed with the bulk technique showed significantly more dye penetration than did the others. CONCLUSION: The use of a glass-ceramic insert reduced the marginal leakage of Class V resin composite restorations.     

Microleakage and gap formation of resin composite restorations polymerized with different techniques

PURPOSE: To evaluate the effect of different polymerization techniques on microleakage and gap formation of resin-based composite restorations. One correlation test was also carried out between these methodologies. METHODS: 180 vertical slot cavities were prepared in bovine teeth and filled with Z250/Single Bond system, for the following six groups (n=30): Soft-start I - 10 seconds at 75 mW/cm2 + 30 seconds at 560 mW/cm2; Soft-start II - 10 seconds at 190 mW/cm2 + 30 seconds at 560 mW/cm2; Pulse delay - 3 seconds at 300 mW/cm2 + 5 minutes waiting + 30 seconds at 560 mW/cm2; Plasma arc - 3 seconds at 1,500 mW/cm2; High intensity - 40 seconds at 810 mW/cm2; Conventional (control) - 40 seconds at 560 mW/cm2. After polishing, epoxy replicas were prepared for electron microscopy analysis (n=10), at x500 magnification. The samples were thermocycled, new epoxy replicas were prepared, and the teeth were immersed in 2% methylene blue dye solution for 4 hours. Marginal gaps were evaluated again and the microleakage was assessed. RESULTS: No statistical difference among polymerization techniques was observed for microleakage (Kruskal-Wallis test). For gap formation there was no statistical difference among polymerization techniques either before or after thermocycling (Tukey test). Conversely, thermocycling significantly increased the gap formation for all groups. No correlation (Spearman correlation test) was observed for the results of microleakage and gap formation.     

Microleakage study of flowable composite resin systems

The purpose of this in vitro microleakage study was to evaluate four low-viscosity composite resin systems. Each resin system included the corresponding bonding agent for each respective flowable composite. A hybrid material was used as a control. A total of 75 noncarious, freshly extracted human teeth were prepared with a Class 5 occlusal preparation and a gingival preparation at the cementoenamel junction. The materials were inserted according to the manufacturers' recommendations using the single-component bonding agent for each system. Teeth were thermocycled 800 times between 5 degrees C and 55 degrees C with 30-second dwell times. The teeth were then coated with nail polish 1 mm short of the restoration, placed in a basic fuchsin dye for 24 hours, and sectioned with a diamond wheel. Enamel and dentin/cementum margins were analyzed for microleakage on a scale of 0 (no leakage) to 3 (axial wall). Results were evaluated with the Fisher's exact test. The results of the study indicate that there was no leakage at the enamel margin of any restorations. No statistically significant differences in microleakage were found in dentin/cementum margins among the samples in the experimental group or between the experimental group and control group. The results indicate flowable composites demonstrate resistance to microleakage in both enamel and cementum/dentin margins similar to TPH hybrid composite.     

Microleakage of a microhybrid composite resin using three different adhesive placement techniques

PURPOSE: To evaluate the efficacy of two adhesive systems in reducing microleakage when applied with three different adhesive placement techniques. MATERIALS AND METHODS: Sixty freshly extracted caries-free human premolars and molars were used. MO/DO Class II standardized preparations were performed with the gingival margin placed 1 mm above the CEJ. Teeth were randomly divided into 2 groups (group I: Prime& Bond NT, Dentsply/Caulk; group II: Single Bond, 3M Espe). Each group was divided into 3 subgroups: (A) application of 2 coats and one cure: IA-IIA; (B) 2 coats and 2 cures of each adhesive system: IB-IIB; and (C) one coat of each adhesive along with the manufacturers' B1 flowable resin (0.5-mm thick layer) cured together at once: IC-IIC. Each coat was cured for 20 s at 800 mW/cm2 using a quartz-tungsten halogen light (Elipar Trilight, 3M ESPE). Teeth were then restored using 2-mm increments of an A2 microhybrid composite (Esthet-X, Dentsply/Caulk). All teeth were stored in distilled water at 37 degrees C for 24 h, thermocycled (500x, 5 degrees to 55 degrees C, 30 s dwell) and then placed in a 0.5% methylene blue dye solution for 24 h at 37 degrees C. Samples were sectioned longitudinally and evaluated for microleakage at the gingival margin under a stereomicroscope at 20x magnification. Dye penetration was scored using an ordinal scoring system, where 0: no penetration; 1: enamel penetration; 2: gingival dentin penetration; 3: axial dentin penetration. Kruskal-Wallis and Mann-Whitney tests were used. RESULTS: A Mann-Whitney U-Test revealed no statistically significant difference between subgroups. Although not statistically significant, P&B NT (two coats and one cure) revealed the lowest microleakage scores. CONCLUSION: In the experimental model adopted for this study, microleakage was not affected either by the adhesive or its placement technique.     

Microleakage between different types of base materials.

This study investigated the sealing properties of various combinations of base materials. Three chemically cured and three light-activated base materials were combinationally used to make 15 sample groups. The samples were thermocycled and immersed in 0.05% crystal violet solution for 1 hour. They were then embedded in clear casting resin, sectioned, and photographed. The interfaces of the samples were digitized. The ratio of the total interface length to the penetration of leakage was calculated and compared. The results indicated that the combination of Cavalite and VLC Dycal materials had the least microleakage and was significantly different from the other 14 groups.     

Microleakage in class V gingiva-shaded composite resin restorations

The purpose of this study was to evaluate the microleakage in Class V cavities restored with a new gingiva-shaded microhybrid composite resin and with a conventional microhybrid composite resin using three different dentin bonding systems (DBS). Class V cavities were prepared in sixty freshly extracted human teeth with the incisal margin in enamel and the apical margin in dentin/cementum. Restored specimens, after thermocycling, were placed in 2% methylene blue solution for 24 hours. Longitudinal sections were obtained and studied with a stereomicroscope for assessment of the microleakage according to degree of dye penetration (scale 0-3). Data were analyzed with Kruskal-Wallis test and with Mann-Whitney U-test.IN THIS STUDY THERE WAS NO LEAKAGE IN ENAMEL: all the cavities showed no dye penetration at the incisal margins (located in enamel). None of the DBS used eliminated microleakage in apical margins (located in dentin or cementum): three-step total-etch and single-step self-etch were more effective in reducing microleakage in dentin margins when compared with two-step total-etch. This in vitro study concluded that microleakage in Class V cavities restored with the composite resins tested is similar.     

Development of gingivitis around different types of composite resin

Earlier studies have demonstrated signs of gingivitis around conventional composite resin restorations. Newly developed resin types differ considerably in composition and surface characteristics. The purpose of this study was to compare the initiation of gingival inflammation around aged restorations of 3 types of composite resins and around enamel, during a 7-day period of experimental gingivitis. Plaque index, gingival index and crevicular exudate were registered at days 0 and 7. There was significantly less exudate around the intact enamel surfaces than around the composite fillings at both registration times. The plaque and gingival indices showed no significant differences among the composite resins and enamel. The results indicate that differences among the resins with regard to surface roughness and composition did not result in clinically measurable differences in the development of plaque and gingivitis.     

Microleakage of a condensable resin composite: an in vitro investigation.

OBJECTIVE: The purpose of this investigation was to evaluate microleakage in Class II cavities restored with the condensable resin composite SureFil, placed with or without a liner and 1 of 2 different dentin bonding agents. METHOD AND MATERIALS: Extracted noncarious human teeth were randomly divided into 4 groups of 15 each and restored according to manufacturer's instructions: group 1, SureFil and Prime & Bond NT; group 2, SureFil and PQ1; group 3, SureFil, PermaFlow, and PQ1; group 4, Heliomolar and Syntac Single-Component (control). Specimens were stored in 37 degrees C water for 24 hours. All specimens were thermocycled between 5 degrees C and 55 degrees C for 500 cycles. Each specimen was immersed in 0.2% basic fuchsin dye for 24 hours and then sectioned longitudinally and horizontally. Dye penetration at enamel and cementum margins were viewed at x30 magnification by 2 independent, calibrated evaluators. Specimens exhibiting dye penetration > or = 0.1 mm beyond the cavosurface margin were considered to have leakage. RESULTS: Chi-square tests revealed no statistically significant differences in the presence of microleakage when all groups were analyzed together. However, 2 by 2 comparisons revealed that group 3 had significantly fewer specimens with microleakage than did group 1, 2, or 4. CONCLUSION: To limit microleakage, a flowable composite should be used as a liner when a condensable composite material is used.     

Microleakage of different amalgams bonded with dual cure resin cements.

INTRODUCTION: To reduce microleakage in high-copper amalgam restorations, bonding of amalgam was introduced. AIM: This study compared the microleakage of admixed and spherical amalgams when bonded with different bonding intermediates under thermo- and non-thermocycling conditions. METHOD AND MATERIALS: Class II butt-joint cavities were prepared in 200 extracted human molar teeth, and randomly divided into 5 groups. Calibra, Duo Cement Plus, RelyX ARC and Amalgambond Plus were applied to 4 of these groups. The fifth group was left untreated. The groups were further divided and restored with either Dispersalloy or Oralloy Magicap S. Ten specimens of each group were thermocycled between 5 degrees C and 55 degrees C, placed in basic fuchsin for 8 hours, sectioned and evaluated for dye penetration under 40X magnification. The mean microleakage scores were analysed using the chi-squared test at a confidence level of 95%. RESULTS: Microleakage of the non-bonded amalgams was significantly higher (p < 0.0001) than for the bonded amalgams (thermocycled and non-thermocycled). The microleakage of the different intermediates bonded to Dispersalloy (thermocycled and non-thermocycled) was not significantly different (p > 0.05). The microleakage of the different intermediates was not significant different except for Duo Cement compared to Calibra (p < 0.0001), RelyX (p < 0.0001) and Amalgambond (p = 0.0433) and Amalgambond compared to Calibra (p = 0.0433) and RelyX (p = 0.0433). The microleakage of the bonded amalgams was not significantly increased by thermocycling (p > 0.05). The microleakage of the two amalgams when bonded with the same resin cements (thermocycled and non-thermocycled) was not significantly different except for Duo Cement (thermocycled) (p = 0.0051) and RelyX (non-thermocycled) (p = 0.0356). CONCLUSIONS: Bonding amalgam restorations to tooth structure in butt-joint cavities will reduce microleakage of both admixed and spherical amalgam restorations. Thermal stress does not affect the bond adversely.