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Fouquet V, Larsen N, Stchepinsky AC, Vennat E, Benoit A, Tapie L. A parametrical finite element analysis for functionally graded material overlay restoration. J Mech Behav Biomed Mater 2024; 152:106409. [PMID: 38277910 DOI: 10.1016/j.jmbbm.2024.106409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 01/13/2024] [Accepted: 01/15/2024] [Indexed: 01/28/2024]
Abstract
The main cause of failure in bonded ceramic restorations is material fracture due to excessive stress concentration at the base of the prosthesis. The design of restorative functionally graded materials (FGM) could represent a major advance in dissipating mechanical stresses during occlusal contacts. The aim of this paper is to carry out a complete factorial design of finite element analyses to optimize a multilayer FGM introduced at the bottom of an overlay prosthesis. The number and thickness of layers vary within a spectrum compatible with ceramic shaping processes whereas Young's moduli variations are set in the range of dental tissues. For a 1.5-mm thick prosthesis, the optimal FGM configuration appears to be a 5 layers of 0.2 mm thickness with a linear distribution of Young's modulus from 30 to 70 GPa. This configuration was implemented in a 3D model of a restored tooth with realistic geometry to validate the proof-of-concept.
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Affiliation(s)
- Vincent Fouquet
- Université Paris Cité, Université Sorbonne Paris Nord, URB2i, F-92120, Montrouge, France; Université Sorbonne Paris Nord, F-93430, Villetaneuse, France; AP-HP, Louis-Mourier Hospital, Oral Medecine Department, F-92700, Colombes, France
| | - Nicoline Larsen
- Université Paris Cité, Université Sorbonne Paris Nord, URB2i, F-92120, Montrouge, France
| | | | - Elsa Vennat
- Université Paris Cité, Université Sorbonne Paris Nord, URB2i, F-92120, Montrouge, France; Université Paris-Saclay, CentraleSupélec, ENS Paris-Saclay, CNRS, LMPS - Laboratoire de Mécanique Paris-Saclay, 91190, Gif sur Yvette, France
| | - Aurélie Benoit
- Université Paris Cité, Université Sorbonne Paris Nord, URB2i, F-92120, Montrouge, France.
| | - Laurent Tapie
- Université Paris Cité, Université Sorbonne Paris Nord, URB2i, F-92120, Montrouge, France; EPF Engineering School, F-94230, Cachan, France.
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Ghahramani Y, Shafiei F, Jowkar Z, Kazemian S. The Effects of Various Restorative Techniques on the Fracture Resistance of Pulpotomized Permanent Premolars. Int J Dent 2021; 2021:5590911. [PMID: 34046063 PMCID: PMC8128608 DOI: 10.1155/2021/5590911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 04/04/2021] [Accepted: 05/03/2021] [Indexed: 11/17/2022] Open
Abstract
AIM This study aimed to evaluate the effects of various restorative techniques on the fracture resistance of pulpotomized premolars with mesioocclusodistal (MOD) cavities treated with mineral trioxide aggregate (MTA) or calcium enriched mixture (CEM) cement. MATERIALS AND METHODS One hundred and eight sound extracted maxillary premolars were randomly assigned to nine experimental groups (n = 12). The teeth in group 1 did not receive any preparation. Class II MOD cavities were prepared in the other experimental groups. In groups 2, 4, 6, and 8, tooth-colored MTA was used for pulpotomy. In groups 3, 5, 7, and 9, CEM cement was used for pulpotomy. Groups 2 and 3 were left unrestored. Groups 4 and 5 were restored with amalgam. Groups 6 and 7 were restored with a conventional composite resin, and groups 8 and 9 were restored with bulk-fill giomers. Fracture resistance was measured, the fracture pattern of each specimen was assessed, and the results were statistically analyzed. RESULTS The fracture resistance of group 1 was significantly higher than those of the other groups (p < 0.05). The fracture resistance of group 2 (MTA + amalgam) was statistically lower than those of all experimental groups (p values < 0.05) except groups 3, 4, and 5 (p values > 0.05). No statistically significant differences were found between the groups restored with amalgam, conventional composite resin, and bulk-fill giomer (groups 4, 5, 6, 7, 8, and 9) (p values < 0.05). The highest rate of mode 1 fracture (restorable fracture) was observed in group 1 followed by groups 8 and 9. CONCLUSION No significant differences were found among the fracture resistances of the restored teeth using various restorative techniques. Bulk-fill giomers followed by conventional composite resin were better able to prevent unfavorable fractures compared to amalgam. Therefore, they seem to be more reliable for the restoration of pulpotomized teeth with MOD cavities.
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Affiliation(s)
- Yasamin Ghahramani
- Department of Endodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fereshteh Shafiei
- Oral and Dental Disease Research Center, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Jowkar
- Oral and Dental Disease Research Center, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Sepideh Kazemian
- Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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Kochotwuttinont S, Wayakanon K. Evaluating the Failure of Resin-based Materials on the Proximal Cervical Dentin. Open Dent J 2020. [DOI: 10.2174/1874210602014010631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
Resin-based materials are the popular restorative material in dentistry. The majority of these materials are light cured with a major disadvantage: marginal leakage.
Objective:
To evaluate the gap width of different resin-based materials at the cervical dentin when achieved mechanical force.
Methods:
Class II cavities were prepared on extracted premolar teeth with the gingival margin 1 mm below the Cementoenamel Junction (CEJ). In the first three experimental groups, three different lining materials (flowable resin composite, bulk-fill flowable resin composite, and resin-modified glass ionomer cement) were placed at the cervical dentin with a thickness of 1 mm. The rest of the cavities were restored with conventional resin composite. The other two groups were restored with conventional resin composite (control) or high viscosity bulk-fill resin composite, respectively. All groups were thermocycled and underwent vacuum pressure 2.6 KPa for 30 min in a Scanning Electron Microscope (SEM).
Results:
There was no gap formation at the cervical dentin on the external surface when restored with high-viscosity bulk fill resin composite. Almost all gaps occurred at the interface between restorative materials and the hybrid layer. The flowable bulk fill resin composite showed a significantly smaller gap width on both the external and internal surfaces compared to the other groups (p< 0.05). The resin-modified glass ionomer cement showed the largest gaps in the cervical dentin (p < 0.05).
Conclusion:
The different types of resin-based materials demonstrated a different failure of gap width under mechanical force. It clearly occurred at the restorative material-hybrid layer interface.
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Tosco V, Vitiello F, Furlani M, Gatto ML, Monterubbianesi R, Giuliani A, Orsini G, Putignano A. Microleakage Analysis of Different Bulk-Filling Techniques for Class II Restorations: µ-CT, SEM and EDS Evaluations. MATERIALS (BASEL, SWITZERLAND) 2020; 14:E31. [PMID: 33374708 PMCID: PMC7793523 DOI: 10.3390/ma14010031] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 12/18/2020] [Accepted: 12/21/2020] [Indexed: 12/29/2022]
Abstract
This study aimed to compare two different bulk-filling techniques, evaluating the internal and external adaptation of class II resin-composite restorations, by analysing the gap formation using microcomputed tomography (µ-CT) and scanning electronic microscopy (SEM) coupled with energy-dispersive X-ray spectroscopy (EDS). Two standardized mesio/disto-occlusal (MO/DO) cavities were prepared in eight extracted human third molars that were divided, according to the filling technique used, in the following two groups (n = 4): BG (Bulk&Go group) and BT (Bulk Traditional group). After universal bonding application, followed by the light curing, all teeth were restored using a bulk-fill composite. Specimens were scanned with µ-CT to evaluate 3D interfacial gaps. Acquired µ-CT data were analysed to quantify the gap formation. Complementary information to the µ-CT analysis were obtained by SEM. Thereafter, the chemical composition of tooth-restoration interface was analysed using EDS. The µ-CT analysis revealed gaps formation at the tooth-restoration interface for both the BG and BT groups, while within the restoration, only in the BT group there was evidence of microleakage formation. The scanning electron micrographs of both groups showed that the external marginal integrity of the restoration was preserved, while EDS showed the three different structures (tooth surface, adhesive layer and resin composite) of the tooth-restoration interface, highlighting the absence of gap formation. In both BG and BT, the two filling techniques did not show significant differences regarding the internal and external marginal adaptation of the restoration. To achieve a successful restoration, the clinician could be advised to restore a class II cavity using a single increment bulk-filling technique (BG), thus treating it as a class I cavity.
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Affiliation(s)
- Vincenzo Tosco
- Department of Clinical Sciences and Stomatology (DISCO), Polytechnic University of Marche, 60126 Ancona, Italy; (V.T.); (F.V.); (M.F.); (R.M.); (A.P.)
| | - Flavia Vitiello
- Department of Clinical Sciences and Stomatology (DISCO), Polytechnic University of Marche, 60126 Ancona, Italy; (V.T.); (F.V.); (M.F.); (R.M.); (A.P.)
| | - Michele Furlani
- Department of Clinical Sciences and Stomatology (DISCO), Polytechnic University of Marche, 60126 Ancona, Italy; (V.T.); (F.V.); (M.F.); (R.M.); (A.P.)
| | - Maria Laura Gatto
- Department of Materials, Environmental Sciences and Urban Planning (SIMAU), Polytechnic University of Marche, 60131 Ancona, Italy;
| | - Riccardo Monterubbianesi
- Department of Clinical Sciences and Stomatology (DISCO), Polytechnic University of Marche, 60126 Ancona, Italy; (V.T.); (F.V.); (M.F.); (R.M.); (A.P.)
| | - Alessandra Giuliani
- Department of Clinical Sciences and Stomatology (DISCO), Polytechnic University of Marche, 60126 Ancona, Italy; (V.T.); (F.V.); (M.F.); (R.M.); (A.P.)
| | - Giovanna Orsini
- Department of Clinical Sciences and Stomatology (DISCO), Polytechnic University of Marche, 60126 Ancona, Italy; (V.T.); (F.V.); (M.F.); (R.M.); (A.P.)
| | - Angelo Putignano
- Department of Clinical Sciences and Stomatology (DISCO), Polytechnic University of Marche, 60126 Ancona, Italy; (V.T.); (F.V.); (M.F.); (R.M.); (A.P.)
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Ferracane JL, Lawson NC. Probing the hierarchy of evidence to identify the best strategy for placing class II dental composite restorations using current materials. J ESTHET RESTOR DENT 2020; 33:39-50. [PMID: 33206440 DOI: 10.1111/jerd.12686] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 11/02/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The objective of this review is to present a synopsis of the existing clinical and in vitro evidence regarding placement of direct class II restorations with dental composites of varying viscosities, focusing on the marginal integrity achievable. OVERVIEW The literature on class II composites placed with various techniques was searched through PubMed, Scopus, and the citations of identified articles, focusing on aspects related to adaptation and clinical performance. Studies comparing layering of conventional composite to layering with a flowable liner, including the "snow plow technique," use of warmed composite, flowable bulk-fill liners with a conventional composite capping layer, and bulk-fill restorative in a single or incremental fill (including placement with sonic energy and dual-curing) CONCLUSIONS: In vitro and clinical evidence does not support any one specific method or material type for achieving optimal performance when restoring class II cavity preparations with current dental composites. CLINICAL SIGNIFICANCE Although there are many available placement methods and types of composite materials on the market for use in class II restorations, the reasonable success presented in the clinical and laboratory literature for the various approaches suggests that the most important factor for achieving success is likely careful and proper placement and light-curing technique, independent of the approach.
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Affiliation(s)
- Jack L Ferracane
- Department of Restorative Dentistry, Oregon Health and Science University, School of Dentistry, Portland, Oregon, USA
| | - Nathaniel C Lawson
- Division of Biomaterials, University of Alabama at Birmingham, School of Dentistry, Birmingham, Alabama, USA
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Rizzante FAP, Duque JA, Duarte MAH, Mondelli RFL, Mendonça G, Ishikiriama SK. Polymerization shrinkage, microhardness and depth of cure of bulk fill resin composites. Dent Mater J 2019; 38:403-410. [PMID: 30918231 DOI: 10.4012/dmj.2018-063] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The present in vitro study assessed the polymerization shrinkage/PS, Knoop microhardness/KHN and depth of cure/DC of 9 different resin composites : Filtek Bulk Fill Flowable (FBF), Surefill SDR flow (SDR), Xtra Base (XB), Filtek Z350XT Flowable (Z3F), Filtek Bulk Fill Posterior (FBP), Xtra Fill (SF), Tetric Evo Ceram Bulk Fill (TBF), Admira Fusion Xtra (ADM), and Filtek Z350XT (Z3XT). PS was assessed with a µ-CT machine, scanning 64 mm3 samples (n=8) before and after 20 s curing. KHN and DC were performed with a microhardness tester (n=8 for each group) right after 20 s light curing, with 3 readings per depth at every 0.5 mm. Low viscosity resin composites showed lower KHN values when compared with high viscosity resins. Z3XT showed the highest microhardness among the tested resin composites. Z3XT and Z3F showed lower DC when compared with bulk fill resin composites. All bulk fill resin composites presented depth of cure higher than 4.5 mm and similar or lower PS than conventional resin composites.
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Affiliation(s)
| | - Jussaro Alves Duque
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo
| | - Marco Antônio Húngaro Duarte
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo
| | - Rafael Francisco Lia Mondelli
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo
| | - Gustavo Mendonça
- Department of Biologic and Material Sciences, Division of Prosthodontics, University of Michigan School of Dentistry
| | - Sérgio Kiyoshi Ishikiriama
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo
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Gonçalves F, Campos LMDP, Rodrigues-Júnior EC, Costa FV, Marques PA, Francci CE, Braga RR, Boaro LCC. A comparative study of bulk-fill composites: degree of conversion, post-gel shrinkage and cytotoxicity. Braz Oral Res 2018. [DOI: 10.1590/1807-3107bor-2018.vol32.0017] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Suhasini K, Madhusudhana K, Suneelkumar C, Lavanya A, Chandrababu KS, Kumar PD. Clinical performance of Class I nanohybrid composite restorations with resin-modified glass-ionomer liner and flowable composite liner: A randomized clinical trial. J Conserv Dent 2016; 19:510-515. [PMID: 27994310 PMCID: PMC5146764 DOI: 10.4103/0972-0707.194030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Liners play a vital role in minimizing polymerization shrinkage stress by elastic bonding concept and increase the longevity and favorable outcome for composite restorations. Aims: The aim of this study was to evaluate the clinical performance of nanohybrid composite restorations using resin-modified glass-ionomer and flowable composite liners. Settings and Design: A single-centered, double-blinded randomized clinical trial, with split-mouth design and equal allocation ratio that was conducted in the Department of Conservative Dentistry and Endodontics. Materials and Methods: In forty patients, a total of eighty Class I restorations were placed with resin-modified glass-ionomer cement (RMGIC) liner (FUJI II LC, GC America) in one group and flowable composite liner (smart dentin replacement/SDR, Dentsply Caulk, Milford, DE, USA) in another group. All restorations were clinically evaluated by two examiners, immediately (baseline), 3, 6, and 12 months using US Public Health Service modified criteria. Statistical Analysis Used: Statistical analysis was performed using McNemar's test (P < 0.05). Results: There was no significant difference in the color match, marginal discoloration, surface roughness, and marginal adaptation. Restorations with RMGIC liner group show 20% Bravo scores on anatomic form at 12 months but are still clinically acceptable. Conclusion: Nanohybrid composite restorations with RMGIC (Fuji II LC) and flowable composite liner (SDR) demonstrated clinically acceptable performance after 12 months.
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Affiliation(s)
- Krishtipati Suhasini
- Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Koppolu Madhusudhana
- Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Chinni Suneelkumar
- Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Anumula Lavanya
- Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - K S Chandrababu
- Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Perisetty Dinesh Kumar
- Department of Conservative Dentistry and Endodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
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Algamaiah H, Sampaio CS, Rigo LC, Janal MN, Giannini M, Bonfante EA, Coelho PG, Reis AF, Hirata R. Microcomputed Tomography Evaluation of Volumetric Shrinkage of Bulk-Fill Composites in Class II Cavities. J ESTHET RESTOR DENT 2016; 29:118-127. [PMID: 27925387 DOI: 10.1111/jerd.12275] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
PURPOSE This study aimed to quantify polymerization shrinkage of one conventional and three bulk-fill composites, under bonded and unbonded conditions, in Class II preparations using 3D microcomputed tomography (μCT) and report its location. MATERIALS AND METHODS Preparations (2.5 mm occlusal depth × 4 mm wide × 4 mm mesial box and 1 mm beyond the CEJ distal box depth) were made in 48 human extracted molars (n = 6). Four composites were tested, one regular (Vitalescence/VIT) and three bulk-fill: SureFil SDR Flow (SDR), Tetric EvoCeram Bulk Fill (TET), and Filtek flowable Bulk Fill (FIL). Teeth were divided into four groups according to restorative material used and subdivided into two subgroups, according to the presence of an adhesive system (XP Bond) application (bonded [-B]) or its absence (unbonded [-U]). Each tooth was scanned three times: (1) after cavity preparation, (2) before and (3) after composite light-curing. Acquired μCT images were imported into 2D and 3D software for analysis. RESULTS Significantly different volumetric shrinkage between bonded and unbonded conditions was observed only for TET group (p < 0.05), unbonded presenting significantly higher volumetric shrinkage. Among the bonded groups, TET-B presented significantly lower shrinkage than both SDR-B and FIL-B but not significantly different from VIT-B. Generally, shrinkage occurred at occlusal and distal surfaces. CONCLUSIONS When applied to bonded Class II cavities, TET exhibited significantly lower volumetric shrinkage compared to the other bulk-fill composites. However, it also exhibited the highest difference of volumetric shrinkage values between unbonded and bonded cavities. CLINICAL SIGNIFICANCE Volumetric polymerization shrinkage occurred with all composites tested, regardless of material type (conventional or bulk-fill) or presence or absence of bonding. However, volumetric shrinkage has been reduced or at least maintained when bulk-fill composites were used compared to a conventional composite resin, which makes them a potential time saving alternative for clinicians. (J Esthet Restor Dent 29:118-127, 2017).
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Affiliation(s)
- Hamad Algamaiah
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA.,Department of Restorative Dental Science, King Saud University, Riyadh, Saudi Arabia
| | - Camila S Sampaio
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA.,Research Professor, Department of Biomaterials, Universidad de Los Andes, Santiago, Chile.,Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP, Piracicaba, SP, Brazil
| | - Lindiane C Rigo
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
| | - Malvin N Janal
- Department of Epidemiology and Health Promotion, New York University College of Dentistry, New York, NY, USA
| | - Marcelo Giannini
- Associate Professor, Department of Restorative Dentistry, State University of Campinas, Piracicaba Dental School, Piracicaba, SP, Brazil
| | - Estevam A Bonfante
- Assistant Professor, Department of Phosthodontics, University of São Paulo, Bauru School of Dentistry, Bauru, SP, Brazil
| | - Paulo G Coelho
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
| | - Andre F Reis
- Associate Professor, Department of Operative Dentistry, Guarulhos University, Guarulhos, SP, Brazil
| | - Ronaldo Hirata
- Assistant Professor, Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
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Baroudi K, Mahmoud S. Improving Composite Resin Performance Through Decreasing its Viscosity by Different Methods. Open Dent J 2015; 9:235-42. [PMID: 26312094 PMCID: PMC4541310 DOI: 10.2174/1874210601509010235] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2015] [Revised: 04/25/2015] [Accepted: 04/27/2015] [Indexed: 11/22/2022] Open
Abstract
The aim of this work was to present the different current methods of decreasing viscosity of resin composite materials such as (using flowable composites, lowering the viscosity of the monomer mixture, heating composites and applying sonic vibration) and furnish dentists with a basis that can provide criteria for choosing one or another to suit their therapeutic requirements. The four discussed methods proved that lowering composite viscosity improves its handling and facilitates its application to cavities with complicated forms, decreasing time for procedure and improving marginal adaptation. Other properties improved by decreasing composite resin viscosity were controversial between the four methods and affected by other factors such as composite brand and light cure unit.
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Affiliation(s)
- Kusai Baroudi
- Department of Restorative Dental Sciences, Al-Farabi College, Riyadh, Saudi Arabia
| | - Said Mahmoud
- Department of Restorative Dental Sciences, Al-Farabi College, Riyadh, Saudi Arabia
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Dionysopoulos D, Papadopoulos C, Koliniotou-Koumpia E. The evaluation of various restoration techniques on internal adaptation of composites in class v cavities. Int J Biomater 2014; 2014:148057. [PMID: 25349611 PMCID: PMC4202201 DOI: 10.1155/2014/148057] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2014] [Accepted: 09/25/2014] [Indexed: 11/18/2022] Open
Abstract
Aim. The aim of this study was to evaluate the effect of different restoration techniques on the formation of internal microgaps between materials and dentin in class V restorations. Materials and Methods. Twenty-five extracted human premolars were prepared with standardized class V cavity outlines (3 mm × 2 mm × 2 mm). The cavities were randomly divided into 5 groups of 10 cavities each and restored according to manufacturer's instructions: Group 1: preheating (55°C) conventional composite (Filtek Z250), Group 2: flowable composite (Filtek Flow), Group 3: Filtek Flow + Filtek Z250 light-cured separately, Group 4: Filtek Flow + Filtek Z250 light-cured simultaneously, and Group 5 (control): Filtek Z250 at room temperature (23°C). The specimens were then thermocycled and cross-sectioned through the center of the restoration. Subsequently, impressions were taken, and epoxy resin replicas were made. The internal adaptation of the materials to the axial wall was analyzed under SEM. Results. The preheated Filtek Z250 (Group 1) showed better internal adaptation than the room temperature groups (P < 0.05). The combination of Filtek Flow with Filtek Z250 which was light-cured separately (Group 3) exhibited better internal adaptation than control group (P < 0.05). Conclusion. Different restoration techniques exhibit different behavior regarding internal adaptation to dentin after photopolymerization.
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Affiliation(s)
- D. Dionysopoulos
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - C. Papadopoulos
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - E. Koliniotou-Koumpia
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
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Aggarwal V, Singla M, Yadav S, Yadav H. Effect of flowable composite liner and glass ionomer liner on class II gingival marginal adaptation of direct composite restorations with different bonding strategies. J Dent 2014; 42:619-25. [DOI: 10.1016/j.jdent.2014.02.016] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2013] [Revised: 02/11/2014] [Accepted: 02/20/2014] [Indexed: 11/29/2022] Open
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