Effect of load cycling on nanoleakage of butt joint and beveled occlusal enamel margins in class V composite resin restorations / Efeito do ciclo de carga na nanoinfi ltração de margens de esmalte oclusal com e sem bisel em restaurações classe V

Objectives: This study evaluated the infl uence of mechanical and thermal cycling on the nanoleakageof Class V composite resin restorations with and without enamel beveling. Material and method:Using 60 Class V cavities prepared on the buccal surfaces of human molars, specimens were dividedinto two groups (n = 30) based on the confi gurations of the enamel cavosurface margins. (beveled andnon-beveled) After restoring the cavity preparations with a fl owable composite, half of the specimenswere mechanically load-cycled. The specimens were sealed leaving a 1 mm window around the cervicaland enamel margins. Specimens were placed in a 50% (W/V) silver nitrate solution then immersedin photodeveloping solution and exposed to fl uorescent light for 8h. The teeth were buccolinguallysectioned, gold sputter coated and examined with a SEM to evaluate the nanoleakage values. The datawere analyzed using two-way ANOVA (α = 0.05). Results: Enamel margin confi guration had no significant effect on nanoleakage (p > 0.05). However, the nanoleakage value was signifi cantly higher inthe load-cycled group than in the group not load-cycled (p < 0.05). Conclusion: Since enamel margin confi guration does not affect nanoleakage, there is no need to bevel enamel margins of Class V cavitypreparations for composite restorations.

Objetivos: O presente estudo avaliou a infl uência dos ciclos de carga mecânico e térmico na nanoinfi ltração derestaurações Classe V em resinas compostas, com e sem biselamento do esmalte. Material e método: Os espécimes(60 cavidades Classe V preparadas na superfície vestibular de molares humanos) foram divididos em dois grupos(n = 30) baseados nas confi gurações das margens cavosuperfi ciais do esmalte (biseladas e não biseladas). Após restauraçãodos preparos cavitários com um compósito tipo fl ow, metade dos espécimes foi carregada mecanicamente.Os espécimes foram selados mantendo janela de 1 mm em torno das margens cervical e de esmalte. Os espécimesforam colocados em solução de nitrato de prata (50%), imersos na sequência em solução processadora fotográfi cae expostos à luz fl uorescente por oito horas. Os dentes foram cortados em sentido vestíbulo-lingual, revestidos emouro e observados em microscopia eletrônica para avaliar os valores de nanoinfi ltração. Os dados foram analisadospelo ANOVA (α = 0,05). Resultados: A confi guração das margens do esmalte não teve efeito signifi cante nananoinfi ltração (p > 0,05). Entretanto, os valores da nanoinfi ltração foram signifi cativamente mais altos no grupode carga que no grupo sem carga (p > 0,05). Conclusão: Uma vez que a confi guração da margem do esmalte nãoafeta a nanoinfi ltração, não há necessidade de biselar as margens do esmalte nos preparos de cavidades Classe V emrestaurações de compósitos.

The effects of dentin bonding agent thickness on stress distribution of composite-tooth interface : Finite element method / 대한치과보존학회지

The aim of this study was to examine that thick dentin bonding agent application or low modulus composite restoration could reduce stresses on dentin bonding agent layer. A mandibular first premolar with abfraction lesion was modeled by finite element method. The lesion was restored by different composite resins with variable dentin bonding agent thickness (50microm, 100microm, 150microm). 170N of occlusal loading was applied buccally or lingually. Von Mises stress on dentin bonding agent layer were measured. When thickness of dentin bonding agent was increased von Mises stresses at dentin bonding agent were decreased in both composites. Lower elastic modulus composite restoration showed decreased von Mises stresses. On root dentin margin more stresses were generated than enamel margin. For occlusal stress relief at dentin boning agent layer to applicate thick dentin bonding agent or to choose low elastic modulus composite is recommended.

Stress analysis of maxillary premolars with composite resin restoration of notch-shaped class V cavity and access cavity; Three-dimensional finite element study / 대한치과보존학회지

The purpose of this study was to investigate the distribution of tensile stress of canal obturated maxillary second premolar with access cavity and notch-shaped class V cavity restored with composite resin using a 3D finite element analysis. The tested groups were classified as 8 situations by only access cavity or access cavity with notch-shaped class VS cavity (S or N), loading condition (L1 or L2), and with or without glass ionomer cement base (R1 or R2). A static load of 500 N was applied at buccal and palatal cusps. Notch-shaped cavity and access cavity were filled microhybrid composite resin (Z100) with or without GIC base (Fuji II LC). The tensile stresses presented in the buccal cervical area, palatal cervical area and occlusal surface were analyzed using ANSYS. Tensile stress distributions were similar regardless of base. When the load was applied on the buccal cusp, excessive high tensile stress was concentrated around the loading point and along the central groove of occlusal surface. The tensile stress values of the tooth with class V cavity were slightly higher than that of the tooth without class V cavity. When the load was applied the palatal cusp, excessive high tensile stress was concentrated around the loading point and along the central groove of occlusal surface. The tensile stress values of the tooth without class V cavity were slightly higher than that of the tooth with class V cavity.

Estimation of relation between techniques of dye penetration for microleakage and SEM evaluation for marginal adaptation of the restoration / 대한치과보존학회지

The purpose of this study was to estimate the relation between techniques used for microleakage from dye penetration and for marginal adaptation from SEM evaluation of the restoration. Using high speed #330 bur, class V cavities (4 x 3 x 1.5 mm around CEJ) were prepared on the buccal surface of 20 extracted human molars. Six dimples as reference points for SEM and dye penetration evaluation were made with 1/2 round bur. Cavity was bulk filled with microhybrid composite resin (Esthet X) and all-in-one adhesive (Xeno III). Teeth were stored in saline solution for one day, after then, they were finished and polished using Sof-Lex system. Fifty percent silver nitrate dye solution was used for the evaluation of microleakage and resin replica was used for marginal adaptation. All of these were done after 1000 times thermocycling between 5 and 55degrees C. Vertical sections were made through three dimples of restoration to obtain samples for the evaluation of dye penetration and inner marginal adaptation. Outer adaptational estimation was done with an intact restoration before sectioning. Dye penetration was determined in three degrees and percentage of outer and inner leaky margin was estimated from SEM image. The data were analysed statistically: Spearman's rho test were used to check relationships between two methods. The result were as follows: 1. There were significant relationships between degree of dye penetration and inner and outer marginal adaptations each (p < 0.01). 2. However, there was no significant relationship between the results of inner and outer marginal adaptation. Within the results of this study, relationship between the percentage of marginal adaptation and microleakage shows significant relationship. However, inner and outer marginal adaptation did not show any significant relationship mutually.

Effect of biscover on the marginal microleakage of composite resin restoration / 대한치과보존학회지

The purpose of this study was to compare the effect on marginal leakage of a resin surface sealant (Biscover) applied before or after polymerization of composite resin to unsealed composite restorations. Thirty Class V cavities with the occlusal margin in enamel and cervical margin in dentin or cementum were prepared on the buccal surfaces of sound extracted molars and restored with a microfilled light-cured composite resin (Micronew). Restorations were randomly assigned into one of three equal groups (n = 10): a control group - no surface sealing, group 1 - applied Biscover after polymerization of the composite resin, and group 2 - applied Biscover before polymerization of the composite resin. Specimens were thermocycled, immersed in a 2% methylene blue solution for 4 hours, sectioned longitudinally, and analyzed for leakage at the occlusal and gingival margins. The results of this study were as follows; 1. In sealed group, group 2 showed higher microleakage than group 1 at both occlusal and gingival margins, but there was no significant difference between two groups (p > 0.05). 2. Unsealed control group showed a little higher microleakage than sealed group at occlusal margins, and a little higher or similar microleakage than sealed group at gingival margins (p > 0.05). 3. Control group and group 2 showed significantly less microleakage at the occlusal margins, but group 1 showed no significantly difference between microleakage at the occlusal and gingival margins.

Marginal microleakage of single step adhesives / 대한치과보존학회지

This study evaluated the marginal microleakage of five single step adhesives. Class V cavity preparations with occlusal margins in enamel and gingival margins in dentin were prepared on both buccal and lingual surfaces of extracted human molar teeth. Prepared teeth were randomly divided into five groups and restored using one of the single step adhesives and composite resins: Prompt L-Pop/Filtek Z-250 (Group 1), AQ Bond/Metafil CX (Group 2), One-Up Bond F/Palfique Toughwell (Group 3), Futurabond/Admira (Group 4), Xeno III/Spectrum TPH (Group 5). The restored teeth were thermocycled. Microleakage was assessed by dye penetration using 2% methylene blue dye solution. The teeth were bisected buccolingually and evaluated for microleakage under steromicroscope. The data were statistically analysed by Kruskal-Wallis test and Mann-Whitney tests. The results of this study were as follows; 1. Microleakage of enamel margins in group 3 was statistically higher than that in groups 1, 2, 4, 5 (p < 0.05). 2. Microleakage of dentin margins in group 1 was statistically higher than that in groups 2, 5, and that in group 3 was statistically higher than that in groups 2, 4, 5 (p < 0.05). 3. Dentin marginal microleakage was higher than enamel marginal microleakage in all experimental groups. In conclusion, Prompt L-Pop showed the least leakage at enamel margin, and AQ Bond showed at dentin margin in this study. Marginal miroleakage in dentin was higher than that in enamel.