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Evaluation of Microleakage in Esthetic Restorations with Class II Cavities Prepared by Different Techniques

Year 2005, Volume: 32 Issue: 3 - Volume: 32 Issue: 3, 171 - 180, 01.08.2005

Abstract

The aim of this study was to evaluate themicroleakage performance of different restorativematerials applied to Class II cavities prepared bydifferent metods.72 freshly extracted, caries free permanenthuman molar teeth were used in this study.Periodontal ligament and debris on the teeth wereremoved after extraction.After cleaning by pumiceand brush, the teeth were stored in distiled waterand were divided into 3 groups each containing 24teeth. In Group I Excite Bond, Tetric Flow, TetricCeram, Sonicsys Insert Class II cavities were prepared by using Sonicsys Approx System. 12 sampleswere polymerized by turbo tip and 12 samples werepolymerized by conventional light tip. In Group II Gluma Comfort Bond, Flow Line, Charisma prepared cavities were restored by a flowable composite resin as a liner and hybrid composite resin. InGroup III Gluma Comfort Bond, Flow Line,Solitaire 2 prepared cavities were restored by aflowable composite resin as a liner and condansable composite resin. These groups were polymerized as in Group I. After storing the samples in distilled water at 37ºC for seven days, 1000x termocycling was applied between 5 ± 2ºC for 30 s. and 55± 2ºC for 30 s. having 10 s. dwell time. The apicesof the teeth were covered with resin composite andthe specimens were sealed with two layers of nailvarnish leaving 1 mm of space around the restorations. All samples were immersed in a 0,5 % basicfuction solution for 24 hours and then were embedded into cold cure acrylic blocks vertically except

References

  • Yazıcı AR, Başeren M, Dayangaç B. The effect of flowable resin composite on microleakage in class V cavities. Oper Dent 2003; 28:42-6.
  • Leinfelder KF. A report on a new conden- sable composite resin. Compendium 1998; 19:230- 237.
  • Leinfelder KF, Bayne SC, Swift EJ. Packable composites: overview and technical considerations. J Esthet Dent 1999; 11:234-49.
  • Manhart J, Kunzelmann KH, Chen HY, Hickel R. Mechanical properties of new composite restorative materials. J Biomed Mater Res 2000; 53:353-61.
  • Manhart J, Kunzelmann KH, Chen HY, Hickel R. Mechanical properties and wear behavior of light-cured packable composite resins. Dent Mater 2000; 16:33-40.
  • Jackson RD, Morgan M. The new posterior resins and a simplified placement technique. JADA 2000; 131:375-83.
  • Franeis FT, Denise E Warren, S. Microleakage of a condensable resin composite: an in vitro investigation. J Dent Res 2000; 31:430- 34.
  • Dayangaç GB. Kompozit rezin restoras- yonlar. Ankara: Güneş Kitapevi Ltd. Şti., 2000; 4- 38.
  • Türkün LŞ, Türkün M, Özata F. Two-year clinical evaluation of a packable resin-based com- posite. JADA 2003; 134:1205-12.
  • Bayne SC, Thompson JY, Swift EJ, Stamatiades P, Wilkerson M. Characterization of first-generation flowable composites. JADA 1998; 129:567-77.
  • Kiremitçi A. Akışkan (flowable) kompo- zitler. HÜ Diş Hek Fak Derg 2000; 24:10-2.
  • Nadia MT. Mechanical properties of flo- wable omposites. Saudi Dental Journal 2001; 13:20- 4.
  • Cilli R, Prakki A, De Araujo MAJ. Microleakage comparison of class II restorations with flowable composite as a liner: condansable composites versus universal composite. Pos-Grad Rev Fac Odontol Jose Dos Compos 2000; 3:25-9.
  • Jain P, Belcher M. Microleakage of class II resin-based composite restorations with flowable composite in the proximal box. Am J Dent 2000; 13:235-8.
  • Vargas DM, Gonzalez ML, Guzman HJ, Cieo NG. Adaptation of packable composites to dentin using a liner of flowable omposite. J Dent Res 2001; 80:964. (Abstract no:197)
  • Van Meerbek B, Vargas M, Inoue S, Yoshida Y, Peumans M, Lambrechts P, Vanherle G. Adhesives and cements to promote preservation den- tistry. Oper Dent 2001; 6: 119-44.
  • Unterbring GL, Lienberg WH. Flowable resin composites as "filled adhesives": literature review and clinical recommendations. Quintessence Int 1999; 30:249-56.
  • Staninec EDK, Kawakami M. Adhesion and microleakage tests of a new dentin bonding system. Dent Mater 1993; 9:204-8.
  • Dauvillier BS, Feilzer AJ, De Gee AJ, Davidson CL. Visco-elastic parameters of dental restorative materials during setting. J Dent Res 2000; 79:818-23.
  • Federlin M, Thonemann B, Schmatz G. Inserts-megafillers in composite restorations: a lite- rature review. Clin Oral Invest 2000; 4:1-8.
  • Görücü J. Fracture resistance of class II pre- formed ceramic insert and direct resin restorations. J Dent 2003; 31:83-8.
  • Hugo B, Stassinnakis A, Hotz P, Klaiber B. Reproducible preparation of standardized class II cavites. Dtsch Zahnarztl Z 1995; 50:832-6.
  • Kargül B, Glockner K, Reich ME, Städtler, P. Evaluation of marginal adaptation in class II restoration with sonicsys approx system. J Marmara Univ Dent Fac 1999; 3:922-7.
  • Unterbring GL. Sonicsys approx-die os- zillierend präparierte normkavität als grundlage einer vereinfachten directen klasse II versorgung. Quintessence Int 1997; 48:557-72.
  • Ünlü İ, Bala O. Sonik ve ultrasonik sistem- lerin diş hekimliğinde kullanımı. Atatürk Üniv Diş Hek Fak Derg 2002; 12:58-65.
  • Attar N, Turgut MD, Güngör HC. The effect of flowable resin composites as gingival incre- ments on the microleakage of posterior resin com- posites. Oper Dent 2004; 29:162-7.
  • Peutzfeldt A, Asmussen E. Composite restorations: influence of flowable and self-curing resin composite linings on microleakage in vitro. Oper Dent 2002; 27:569-75.
  • Gür G, Özyurt P, Nalçacı A, Tarakçıoğlu A. Farklı tekniklerle restore edilen class II kompo- zit restorasyonların marjinal sızıntısının değerlendirilmesi. AÜ Diş Hek Fak Derg 2003; 30:23-32.
  • Hürmüzlü F, Siso HŞ, Işın D. Sınıf II restorasyonlarda beş restoratif materyalin mikrosızıntı değerlendirilmesi. CÜ Diş Hek Fak Derg 2002; 5:67-70.
  • Charles WW, Kelly RK. Advances in restorative materials. Dent Clin North Am 2001; 45:7-27.
  • Herrero AA, Yaman P, Dennison JB. Polymerization shrinkage and depth of cure of packable composites. Quintessence Int 2005; 36:25- 31.
  • Herrero AA, Yaman P, Dennison JB. Polymerization shrinkage and depth of cure of packable composites. J Dent Res 2000; 79:449. (Abstract no:2444)
  • Gayosso CA, Santana FB, Ibarra JG, Espinola GS, Martinez MAC. Calculation of con- traction rates due to shrinkage in light-cured com- posites. Dent Mater 2004; 20:228-35.
  • Bala O, Üçtaşlı MB, Ünlü İ, Sabuncuoğlu B. Tepilebilir kompozit rezinlerin sınıf II kavite duvarlarına adaptasyonlarının yüzey tarama elektron mikroskop ile incelenmesi. AÜ Diş Hek Fak Derg 2003; 30:97-103.
  • Prager MC. Using flowable composites in direct posterior restorations. Dent. Today 1997; 16:- 62-9.
  • Leevailoj C, Cochran MA, Matis BA, Moore BK, Platt JA. Microleakage of posterior packable resin composites with and without flowable liners. Oper Dent 2001; 26:302-7.
  • Batitucci M, Mussel R, Sotello M, Miranda M, Dias K. Microleakage control in class II resin restorations, "in vitro" study. J Dent Res 2000; 79:182. (Abstract no:311)
  • Civelek A, Ersoy M, L'hotelier E, Soyman M, Say EC. Polymerization shrinkage and microleakage in class II cavities of various resin composites. Oper Dent 2003; 28:635-41.
  • Malmstrom H, Schlueter M, Roach T, Moss ME. Effect of thickness of flowable resins on mar- ginal leakage in class II composite restorations. Oper Dent 2002; 27:373-80.
  • Ölmez A, Öztaş N, Bodur H. The effect of flowable resin composite on microleakage and inter- nal voids in class II composite restorations. Oper Dent 2004; 29:713-9.
  • Bağış YH, Ertaş E, Kasar B. Farklı ışık cihazları kullanılarak hazırlanan kompozit restoras- yonlarda mikrosızıntının değerlendirilmesi: in vitro. T Klin J Dental Sci 1999; 5:177-83.
  • Curtis JW, Rueggeberg FA, Lea AJ. Curing efficiency of turbo tip. Gen Dent 1995; 43:444.
  • Özcan M, Pfeiffer P, Nergiz I. Marjinal adaptation of ceramic inserts after cementation. Oper Dent 2002; 27:132-6.
  • Mara JBC, Cardaso PE, Ballester RY. Microleakage of class II restoration using patterned porcelain inserts. J. Dent. Res 2000; 79:369. (Abstract no:1806).
  • Ünlü İ, Bala O. Sonicsys approx kullanımının sınıf II restorasyonların mikrosızıntısı üzerine etkisi. G.Ü. Diş. Hek. Fak. 2. Uluslararası Bilimsel Kongresi 2001; Poster no:34. In: Ünlü İ, Bala O. Sonik ve ultrasonik sistemlerin diş hekim- liğinde kullanımı. Atatürk Üniv Diş Hek Fak Derg 2002; 12:58-65.
  • Hugo B, Otto A, Stassinnakis A, Hofmann N, Klaiber B. A retrospective in vivo study of sonicsys approx restorations. Schweiz Monatsschr Zahnmed 2001; 111:152-8.
  • Kiremitçi A, Bolay Ş, Gürgan S. Two-year performance of glass-ceramic insert-resin composite restorations: clinical and scanning electron mic- roscopic evaluation. Quintessence Int 1998; 29:417- 20.
  • Tjan AHL, Dunn JR, Thresher WJ. Microleakage of posterior composite restorations with glass-ceramic inserts. J Dent Res 1993; 72:308. (Abstract no:1639).

FARKLI YÖNTEMLERLE HAZIRLANAN SINIF II KAVİTELERDE ESTETİK RESTORASYONLARIN MİKROSIZINTISININ DEĞERLENDİRİLMESİ

Year 2005, Volume: 32 Issue: 3 - Volume: 32 Issue: 3, 171 - 180, 01.08.2005

Abstract

Bu çalışmanının amacı; farklı yöntemlerlehazırlanan Sınıf II kavitelere uygulanan çeşitlirestoratif materyallerin, iki farklı ışık ucu ilepolimerize edildikleri zaman mikrosızıntı performanslarının değerlendirilmesidir.Bu çalışmada 72 adet çürüksüz yeni çekilmişinsan molar dişi kullanılmıştır. Çekim sonrasında dişler üzerindeki yumuşak dokular ve art›klar bir kretuar, pomza ve f›rça yard›m›yla uzaklaşt›r›lm›şt›r. Dişler distile su içinde saklanm›şt›r. Her bir grupta 24 adet olacak şekilde dişler üç gruba ayr›lm›şlard›r. Grup 1’de Sonicsys Approx sistem Excite Bond, Tetric Flow, Tetric Ceram, Sonicsys Insert kullan›larak S›n›f II kaviteler haz›rlanm›ş, 12 örnek turbo ›ş›k ucu ile 12 örnek de geleneksel ›ş›k ucu ile polimerize edilmiştir. Grup 2’de kontrol haz›rlanan kaviteler ak›c› kompozit rezin kaide ve hibrit kompozit rezin Gluma Comfort Bond, Flow Line, Charisma ile Grup 3’de haz›rlanan kaviteler de ak›c› kompozit rezin kaide ve kondanse edilebilir kompozit rezin Gluma Comfort Bond, Flow Line, Solitaire 2 kullan›larak Grup 1’deki gibi polimerize edilmişlerdir. Örnekler 37ºC distile suda yedi gün etüvde bekletildikten sonra 5 ± 2ºC ve 55 ± 2ºC aras› ›s› banyolar›nda; her banyoda 10 s’lik transfer süresiyle bir siklus 30 s olacak şekilde 1000 kez termal siklus işlemine tabi tutulmuştur. Daha sonra örneklerin kök uçlar› kompozit rezinle kapat›lm›ş ve dişler iki kat aside dirençli cila ile restorasyon marjinlerinin 1 mm d›ş›nda kalacak şekilde kaplanm›şt›r. Tüm örnekler % 0,5’lik bazik fuksin solüsyonuna dald›r›larak 24 saat bekletilmiştir. Daha sonra dişlerin kron k›sm› aç›kta kalacak şekilde soğuk akrilik dikdörtgen bloklara dik olarak gömülmüş ve örnekler elmas bir kesici uca sahip "mikrocut" yard›m›yla su soğutmal› olarak mezio-distal olarak kesitlere ayr›lm›şt›r. Her restorasyon binoküler stereomikroskop alt›nda x20 büyütme ile incelenmiş ve skorlanm›şt›r.S›z›nt› değerlerini iki grupta karş›laşt›rmak için Mann-Whitney U testi, üç grupta karş›laşt›rmak için ise Kruskal Wallis non-parametrik varyans analiz testi kullan›lm›şt›r. Her grupta okluzal ve gingival kavite kenarlar›ndaki mikros›z›nt› değerleri karş›laşt›rmas›nda Wilcoxon Matched-Pairs Signed Rank testi kullan›lm›şt›r. P

References

  • Yazıcı AR, Başeren M, Dayangaç B. The effect of flowable resin composite on microleakage in class V cavities. Oper Dent 2003; 28:42-6.
  • Leinfelder KF. A report on a new conden- sable composite resin. Compendium 1998; 19:230- 237.
  • Leinfelder KF, Bayne SC, Swift EJ. Packable composites: overview and technical considerations. J Esthet Dent 1999; 11:234-49.
  • Manhart J, Kunzelmann KH, Chen HY, Hickel R. Mechanical properties of new composite restorative materials. J Biomed Mater Res 2000; 53:353-61.
  • Manhart J, Kunzelmann KH, Chen HY, Hickel R. Mechanical properties and wear behavior of light-cured packable composite resins. Dent Mater 2000; 16:33-40.
  • Jackson RD, Morgan M. The new posterior resins and a simplified placement technique. JADA 2000; 131:375-83.
  • Franeis FT, Denise E Warren, S. Microleakage of a condensable resin composite: an in vitro investigation. J Dent Res 2000; 31:430- 34.
  • Dayangaç GB. Kompozit rezin restoras- yonlar. Ankara: Güneş Kitapevi Ltd. Şti., 2000; 4- 38.
  • Türkün LŞ, Türkün M, Özata F. Two-year clinical evaluation of a packable resin-based com- posite. JADA 2003; 134:1205-12.
  • Bayne SC, Thompson JY, Swift EJ, Stamatiades P, Wilkerson M. Characterization of first-generation flowable composites. JADA 1998; 129:567-77.
  • Kiremitçi A. Akışkan (flowable) kompo- zitler. HÜ Diş Hek Fak Derg 2000; 24:10-2.
  • Nadia MT. Mechanical properties of flo- wable omposites. Saudi Dental Journal 2001; 13:20- 4.
  • Cilli R, Prakki A, De Araujo MAJ. Microleakage comparison of class II restorations with flowable composite as a liner: condansable composites versus universal composite. Pos-Grad Rev Fac Odontol Jose Dos Compos 2000; 3:25-9.
  • Jain P, Belcher M. Microleakage of class II resin-based composite restorations with flowable composite in the proximal box. Am J Dent 2000; 13:235-8.
  • Vargas DM, Gonzalez ML, Guzman HJ, Cieo NG. Adaptation of packable composites to dentin using a liner of flowable omposite. J Dent Res 2001; 80:964. (Abstract no:197)
  • Van Meerbek B, Vargas M, Inoue S, Yoshida Y, Peumans M, Lambrechts P, Vanherle G. Adhesives and cements to promote preservation den- tistry. Oper Dent 2001; 6: 119-44.
  • Unterbring GL, Lienberg WH. Flowable resin composites as "filled adhesives": literature review and clinical recommendations. Quintessence Int 1999; 30:249-56.
  • Staninec EDK, Kawakami M. Adhesion and microleakage tests of a new dentin bonding system. Dent Mater 1993; 9:204-8.
  • Dauvillier BS, Feilzer AJ, De Gee AJ, Davidson CL. Visco-elastic parameters of dental restorative materials during setting. J Dent Res 2000; 79:818-23.
  • Federlin M, Thonemann B, Schmatz G. Inserts-megafillers in composite restorations: a lite- rature review. Clin Oral Invest 2000; 4:1-8.
  • Görücü J. Fracture resistance of class II pre- formed ceramic insert and direct resin restorations. J Dent 2003; 31:83-8.
  • Hugo B, Stassinnakis A, Hotz P, Klaiber B. Reproducible preparation of standardized class II cavites. Dtsch Zahnarztl Z 1995; 50:832-6.
  • Kargül B, Glockner K, Reich ME, Städtler, P. Evaluation of marginal adaptation in class II restoration with sonicsys approx system. J Marmara Univ Dent Fac 1999; 3:922-7.
  • Unterbring GL. Sonicsys approx-die os- zillierend präparierte normkavität als grundlage einer vereinfachten directen klasse II versorgung. Quintessence Int 1997; 48:557-72.
  • Ünlü İ, Bala O. Sonik ve ultrasonik sistem- lerin diş hekimliğinde kullanımı. Atatürk Üniv Diş Hek Fak Derg 2002; 12:58-65.
  • Attar N, Turgut MD, Güngör HC. The effect of flowable resin composites as gingival incre- ments on the microleakage of posterior resin com- posites. Oper Dent 2004; 29:162-7.
  • Peutzfeldt A, Asmussen E. Composite restorations: influence of flowable and self-curing resin composite linings on microleakage in vitro. Oper Dent 2002; 27:569-75.
  • Gür G, Özyurt P, Nalçacı A, Tarakçıoğlu A. Farklı tekniklerle restore edilen class II kompo- zit restorasyonların marjinal sızıntısının değerlendirilmesi. AÜ Diş Hek Fak Derg 2003; 30:23-32.
  • Hürmüzlü F, Siso HŞ, Işın D. Sınıf II restorasyonlarda beş restoratif materyalin mikrosızıntı değerlendirilmesi. CÜ Diş Hek Fak Derg 2002; 5:67-70.
  • Charles WW, Kelly RK. Advances in restorative materials. Dent Clin North Am 2001; 45:7-27.
  • Herrero AA, Yaman P, Dennison JB. Polymerization shrinkage and depth of cure of packable composites. Quintessence Int 2005; 36:25- 31.
  • Herrero AA, Yaman P, Dennison JB. Polymerization shrinkage and depth of cure of packable composites. J Dent Res 2000; 79:449. (Abstract no:2444)
  • Gayosso CA, Santana FB, Ibarra JG, Espinola GS, Martinez MAC. Calculation of con- traction rates due to shrinkage in light-cured com- posites. Dent Mater 2004; 20:228-35.
  • Bala O, Üçtaşlı MB, Ünlü İ, Sabuncuoğlu B. Tepilebilir kompozit rezinlerin sınıf II kavite duvarlarına adaptasyonlarının yüzey tarama elektron mikroskop ile incelenmesi. AÜ Diş Hek Fak Derg 2003; 30:97-103.
  • Prager MC. Using flowable composites in direct posterior restorations. Dent. Today 1997; 16:- 62-9.
  • Leevailoj C, Cochran MA, Matis BA, Moore BK, Platt JA. Microleakage of posterior packable resin composites with and without flowable liners. Oper Dent 2001; 26:302-7.
  • Batitucci M, Mussel R, Sotello M, Miranda M, Dias K. Microleakage control in class II resin restorations, "in vitro" study. J Dent Res 2000; 79:182. (Abstract no:311)
  • Civelek A, Ersoy M, L'hotelier E, Soyman M, Say EC. Polymerization shrinkage and microleakage in class II cavities of various resin composites. Oper Dent 2003; 28:635-41.
  • Malmstrom H, Schlueter M, Roach T, Moss ME. Effect of thickness of flowable resins on mar- ginal leakage in class II composite restorations. Oper Dent 2002; 27:373-80.
  • Ölmez A, Öztaş N, Bodur H. The effect of flowable resin composite on microleakage and inter- nal voids in class II composite restorations. Oper Dent 2004; 29:713-9.
  • Bağış YH, Ertaş E, Kasar B. Farklı ışık cihazları kullanılarak hazırlanan kompozit restoras- yonlarda mikrosızıntının değerlendirilmesi: in vitro. T Klin J Dental Sci 1999; 5:177-83.
  • Curtis JW, Rueggeberg FA, Lea AJ. Curing efficiency of turbo tip. Gen Dent 1995; 43:444.
  • Özcan M, Pfeiffer P, Nergiz I. Marjinal adaptation of ceramic inserts after cementation. Oper Dent 2002; 27:132-6.
  • Mara JBC, Cardaso PE, Ballester RY. Microleakage of class II restoration using patterned porcelain inserts. J. Dent. Res 2000; 79:369. (Abstract no:1806).
  • Ünlü İ, Bala O. Sonicsys approx kullanımının sınıf II restorasyonların mikrosızıntısı üzerine etkisi. G.Ü. Diş. Hek. Fak. 2. Uluslararası Bilimsel Kongresi 2001; Poster no:34. In: Ünlü İ, Bala O. Sonik ve ultrasonik sistemlerin diş hekim- liğinde kullanımı. Atatürk Üniv Diş Hek Fak Derg 2002; 12:58-65.
  • Hugo B, Otto A, Stassinnakis A, Hofmann N, Klaiber B. A retrospective in vivo study of sonicsys approx restorations. Schweiz Monatsschr Zahnmed 2001; 111:152-8.
  • Kiremitçi A, Bolay Ş, Gürgan S. Two-year performance of glass-ceramic insert-resin composite restorations: clinical and scanning electron mic- roscopic evaluation. Quintessence Int 1998; 29:417- 20.
  • Tjan AHL, Dunn JR, Thresher WJ. Microleakage of posterior composite restorations with glass-ceramic inserts. J Dent Res 1993; 72:308. (Abstract no:1639).
There are 48 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Eda Özlem Yılmaz This is me

Nuran Ulusoy This is me

Publication Date August 1, 2005
Published in Issue Year 2005 Volume: 32 Issue: 3 - Volume: 32 Issue: 3

Cite

Vancouver Yılmaz EÖ, Ulusoy N. FARKLI YÖNTEMLERLE HAZIRLANAN SINIF II KAVİTELERDE ESTETİK RESTORASYONLARIN MİKROSIZINTISININ DEĞERLENDİRİLMESİ. EADS. 2005;32(3):171-80.