Research Article
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Effect of using different base materials on microleakage of class V restorations

Year 2017, Volume: 34 Issue: 1, 31 - 37, 02.01.2017
https://doi.org/10.17214/gaziaot.277726

Abstract

Objective: The aim of this in vitro study was to evaluate and compare the effect of using different base materials on microleakage of class V restorations.

Materials and Method: In this study 60 extracted non-cavitated human molar teeth were used. Class V cavities were prepared on the buccal surfaces in 4 mm mesio-distal, 3 mm gingivo-occlusal width and 3 mm depth. The teeth were randomly divided into five groups: Group 1: resin-modified calcium silicate material (TheraCal LC), Group 2: self-adhesive flowable composite resin (Fusio Liquid Dentin), Group 3: flowable composite resin liner (Tetric N Flow), Group 4: resin-modified glass ionomer liner (Ketac N100), Group 5: control group. Materials in the experimental groups were placed in 1 mm thickness as liner. Then, a nanohybrid composite resin (Grandio) was placed and restorations were completed. In the control group, no base material was applied. After finishing and polishing procedures, thermocycling was performed 5000 times between 5-55 °C. Microleakage of restorations was evaluated by using dye penetration method (basic fuchsin). Results were analyzed by Kruskal Wallis with Bonferroni correction and Mann-Whitney U tests.

Results: Regarding occlusal microleakage, no statistically significant difference was found between the groups (p=0.267); however significant difference was found between the gingival microleakage scores (p=0.004). Compared to Fusio Liquid Dentin and control groups, significantly less dye penetration was found in Theracal LC, Tetric N-Flow and Ketac N-100 groups (p<0.01). No significant difference was found between the occlusal and gingival sides of the restorations in any of the test group (p>0.01).

Conclusion: Within the limitation of this study, the conclusion was that the use of a liner (except Fusio Liquid Dentin) under composite resin in a class V cavity reduced the microleakage of the restoration.

References

  • Demirci M, Özer F, Kuşdemir M, Şar Sancaklı H, Karakaya Ş. Adeziv sistemlerin farklı uygulama şekillerinin V. Sınıf kavitelerdeki mikrosızıntı üzerine etkileri. Selcuk Dent J 2007;16:29-38.
  • Nguyen C. A new in vitro method for the study of micro-leakage of dental restorative materials [tez]. Adelaide: The University of Adelaide; 2007.
  • Larson TD. The clinical significance of marginal fit. Northwest Dent 2012;91:22-9.
  • Oliveira LC, Duarte S, Araujo CA, Abrahão A. Effect of low-elastic modulus liner and base as stress-absorbing layer in composite resin restorations. Dent Mater 2010;26:159-69.
  • Hilton TJ. Keys to clinical success with pulp capping: a review of the literature. Oper Dent 2009;34:615-25.
  • Gupta, PK, Garg G, Kalita C, Saikia A, Srinivasa TS, Satish G. Evaluation of sealing ability of biodentine as retrograde filling material by using two different manipulation methods: An in vitro study. J Int Oral Health 2015;77:111-4.
  • Larson TD. The clinical significance and management of microleakage. Part two. Northwest Dent 2005;84:15-9.
  • Kidd EA. Microleakage: a review. J Dent 1976;4:199-206.
  • Erdemir U, Yaman BC. Diş hekimliğinde mikrosızıntı ve mikrosızıntı araştırma yöntemleri. J Istanbul Univ Fac Dent 2011;45:25-35.
  • Kaplan I, Mincer HH, Harris EF, Cloyd JS. Microleakage of composite resin and glass ionomer cement restorations in retentive and nonretentive cervical cavity preparations. J Prosthet Dent 1992;68:616-23.
  • Sidhu SK. Sealing effectiveness of light-cured glass ionomer cement liner. J Prosthet Dent 1992;68:891-4.
  • Senawongse P, Pongprueksa P, Tagami J. The effect of the elastic modulus of low-viscosity resins on the microleakage of Class V resin composite restorations under occlusal loading. Dent Mater J 2010;29:324-9.
  • Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig 2013;17:1497-506.
  • Mahrous AI, Eltiti HA, Ahmed IM, Alagha EI. Effect of different gingival margin restorations of class II cavities on microleakage: an in-vitro study. Electron Physician 2015;77:1435-40.
  • Celik EU, Kucukyilmaz E, Savas S. Effect of different surface pre-treatment methods on the microleakage of two different self-adhesive composites in Class V cavities. Eur J Paediatr Dent 2015;16:33-8.
  • He Z, Shimada Y, Sadr A, Ikeda M, Tagami J. The effects of cavity size and filling method on the bonding to Class I cavities. J Adhes Dent 2008;10:447-53.
  • Sampaio PC, Almeida Júnior AA, Francisconi LF, Casas-Apayco LC, Pereira JC, Wang L. Effect of conventional and resin-modified glass-ionomer liner on dentin adhesive interface of Class I cavity walls after thermocycling. Oper Dent 2011;36:403-13.
  • Estrela C, Holland R. Calsium hydroxide: study based on scientific evidences. J Appl Oral Sci 2003;11:269-82.
  • Gandolfi MG, Siboni F, Prati C. Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping. Int Endod J 2012;45:571-9.
  • Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent 2015;39:143-8.
  • Alonso RC, Sinhoreti MA, Correr Sobrinho L, Consani S, Goes MF. Effect of resin liners on the microleakage of Class V dental composite restorations. J Appl Oral Sci 2004;12:56-61.
  • Awliya WY, El-Sahn AM. Leakage pathway of Class V cavities restored with different flowable resin composite restorations. Oper Dent 2008;33:31-6
  • Lin A, McIntyre N, Davidson R. Studies on the adhesion of glass ionomer cements to dentin. J Dent Res 1992;71:1831-41
  • Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M, et al. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater 2013;29:221-30.
  • Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig 2013;17:1497-506.
  • Fu J, Kakuda S, Pan F, Hoshika S, Ting S, Fukuoka A, et al. Bonding performance of a newly developed step-less all-in-one system on dentin. Dent Mater J 2013;32:203-11.
  • El-Damanhoury HM, Gaintantzopoulou M. Effect of thermocycling, degree of conversion, and cavity configuration on the bonding effectiveness of all-in-one adhesives. Oper Dent 2015;40:480-91.

Farklı kaide materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine etkisi

Year 2017, Volume: 34 Issue: 1, 31 - 37, 02.01.2017
https://doi.org/10.17214/gaziaot.277726

Abstract

Amaç: Bu çalışmanın amacı, sınıf V restorasyonların mikrosızıntısı üzerine farklı kaide materyallerinin kullanımının etkisini in vitro olarak incelemektir.

Gereç ve Yöntem: Çalışmada 60 adet çekilmiş, çürüksüz büyük azı dişi kullanıldı. Dişlerin bukkal yüzeyinde mezio-distal genişliği 4 mm, okluzo-gingival genişliği 3 mm ve derinliği 3 mm olan sınıf V kaviteler hazırlandı. Daha sonra, dişler rastgele beş gruba ayrıldı: Grup 1: rezin modifiye kalsiyum silikat materyal (TheraCal LC), Grup 2: kendinden pürüzlendirmeli akışkan kompozit rezin (Fusio Liquid Dentin), Grup 3: akışkan kompozit rezin (Tetric N-Flow), Grup 4: nanodolduruculu rezin modifiye cam iyonomer siman (Ketac N100), Grup 5: kontrol grubu. Deney gruplarında, kaide materyalleri kavite tabanlarına 1 mm kalınlığında yerleştirildi. Üzerlerine A2 renginde nanohibrit dolduruculu kompozit rezin (Grandio) yerleştirilerek restorasyonlar tamamlandı. Kontrol grubunda ise herhangi bir kaide materyali kullanılmadı. Bitim ve polisaj işlemlerinden sonra, dişlere 5-55 °C’de 5000 defa ısısal döngü uygulandı. Dişlerin mikrosızıntı değerlendirmeleri boya sızıntı yöntemi (%0.5 bazik fuksin) kullanılarak gerçekleştirildi. Elde edilen skorlar, Bonferroni düzeltmeli Kruskal Wallis ve Mann-Whitney U testleri kullanılarak istatistiksel olarak incelendi.

Bulgular: Çalışmadaki tüm deney gruplarında, restorasyonların okluzal bölgelerindeki mikrosızıntı skorları arasında istatistiksel olarak anlamlı fark bulunmazken (p=0.267), gingival bölgedeki mikrosızıntı skorları arasında istatistiksel olarak anlamlı farklılık olduğu görüldü (p=0.004). Buna göre, Fusio Liquid Dentin ve kontrol gruplarına göre sırasıyla, Theracal LC, Tetric N-Flow ve Ketac N-100 gruplarının sızdırmazlıklarının anlamlı olarak daha iyi olduğu görüldü (p<0.01). Tüm deney gruplarında okluzal ve gingival bölgelerde gözlenen mikrosızıntı skorları arasında istatistiksel olarak anlamlı farklılığın olmadığı tespit edildi (p>0.01).

Sonuç: Bu çalışmanın sınırları dahilinde sınıf V restorasyonlarda kaide materyali kullanımının (Fusio Liquid Dentin hariç) gingival bölgedeki mikrosızıntıyı azalttığı görüldü.

References

  • Demirci M, Özer F, Kuşdemir M, Şar Sancaklı H, Karakaya Ş. Adeziv sistemlerin farklı uygulama şekillerinin V. Sınıf kavitelerdeki mikrosızıntı üzerine etkileri. Selcuk Dent J 2007;16:29-38.
  • Nguyen C. A new in vitro method for the study of micro-leakage of dental restorative materials [tez]. Adelaide: The University of Adelaide; 2007.
  • Larson TD. The clinical significance of marginal fit. Northwest Dent 2012;91:22-9.
  • Oliveira LC, Duarte S, Araujo CA, Abrahão A. Effect of low-elastic modulus liner and base as stress-absorbing layer in composite resin restorations. Dent Mater 2010;26:159-69.
  • Hilton TJ. Keys to clinical success with pulp capping: a review of the literature. Oper Dent 2009;34:615-25.
  • Gupta, PK, Garg G, Kalita C, Saikia A, Srinivasa TS, Satish G. Evaluation of sealing ability of biodentine as retrograde filling material by using two different manipulation methods: An in vitro study. J Int Oral Health 2015;77:111-4.
  • Larson TD. The clinical significance and management of microleakage. Part two. Northwest Dent 2005;84:15-9.
  • Kidd EA. Microleakage: a review. J Dent 1976;4:199-206.
  • Erdemir U, Yaman BC. Diş hekimliğinde mikrosızıntı ve mikrosızıntı araştırma yöntemleri. J Istanbul Univ Fac Dent 2011;45:25-35.
  • Kaplan I, Mincer HH, Harris EF, Cloyd JS. Microleakage of composite resin and glass ionomer cement restorations in retentive and nonretentive cervical cavity preparations. J Prosthet Dent 1992;68:616-23.
  • Sidhu SK. Sealing effectiveness of light-cured glass ionomer cement liner. J Prosthet Dent 1992;68:891-4.
  • Senawongse P, Pongprueksa P, Tagami J. The effect of the elastic modulus of low-viscosity resins on the microleakage of Class V resin composite restorations under occlusal loading. Dent Mater J 2010;29:324-9.
  • Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig 2013;17:1497-506.
  • Mahrous AI, Eltiti HA, Ahmed IM, Alagha EI. Effect of different gingival margin restorations of class II cavities on microleakage: an in-vitro study. Electron Physician 2015;77:1435-40.
  • Celik EU, Kucukyilmaz E, Savas S. Effect of different surface pre-treatment methods on the microleakage of two different self-adhesive composites in Class V cavities. Eur J Paediatr Dent 2015;16:33-8.
  • He Z, Shimada Y, Sadr A, Ikeda M, Tagami J. The effects of cavity size and filling method on the bonding to Class I cavities. J Adhes Dent 2008;10:447-53.
  • Sampaio PC, Almeida Júnior AA, Francisconi LF, Casas-Apayco LC, Pereira JC, Wang L. Effect of conventional and resin-modified glass-ionomer liner on dentin adhesive interface of Class I cavity walls after thermocycling. Oper Dent 2011;36:403-13.
  • Estrela C, Holland R. Calsium hydroxide: study based on scientific evidences. J Appl Oral Sci 2003;11:269-82.
  • Gandolfi MG, Siboni F, Prati C. Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping. Int Endod J 2012;45:571-9.
  • Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent 2015;39:143-8.
  • Alonso RC, Sinhoreti MA, Correr Sobrinho L, Consani S, Goes MF. Effect of resin liners on the microleakage of Class V dental composite restorations. J Appl Oral Sci 2004;12:56-61.
  • Awliya WY, El-Sahn AM. Leakage pathway of Class V cavities restored with different flowable resin composite restorations. Oper Dent 2008;33:31-6
  • Lin A, McIntyre N, Davidson R. Studies on the adhesion of glass ionomer cements to dentin. J Dent Res 1992;71:1831-41
  • Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M, et al. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater 2013;29:221-30.
  • Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig 2013;17:1497-506.
  • Fu J, Kakuda S, Pan F, Hoshika S, Ting S, Fukuoka A, et al. Bonding performance of a newly developed step-less all-in-one system on dentin. Dent Mater J 2013;32:203-11.
  • El-Damanhoury HM, Gaintantzopoulou M. Effect of thermocycling, degree of conversion, and cavity configuration on the bonding effectiveness of all-in-one adhesives. Oper Dent 2015;40:480-91.
There are 27 citations in total.

Details

Subjects Health Care Administration
Journal Section Original Research Article
Authors

İhsan Yıkılgan

Sinem Akgül

Aslı Kuşoğlu This is me

Oya Bala

Hüma Ömürlü

Mehmet Emin Türköz This is me

Publication Date January 2, 2017
Published in Issue Year 2017 Volume: 34 Issue: 1

Cite

APA Yıkılgan, İ., Akgül, S., Kuşoğlu, A., Bala, O., et al. (2017). Farklı kaide materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine etkisi. Acta Odontologica Turcica, 34(1), 31-37. https://doi.org/10.17214/gaziaot.277726
AMA Yıkılgan İ, Akgül S, Kuşoğlu A, Bala O, Ömürlü H, Türköz ME. Farklı kaide materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine etkisi. Acta Odontol Turc. January 2017;34(1):31-37. doi:10.17214/gaziaot.277726
Chicago Yıkılgan, İhsan, Sinem Akgül, Aslı Kuşoğlu, Oya Bala, Hüma Ömürlü, and Mehmet Emin Türköz. “Farklı Kaide Materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine Etkisi”. Acta Odontologica Turcica 34, no. 1 (January 2017): 31-37. https://doi.org/10.17214/gaziaot.277726.
EndNote Yıkılgan İ, Akgül S, Kuşoğlu A, Bala O, Ömürlü H, Türköz ME (January 1, 2017) Farklı kaide materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine etkisi. Acta Odontologica Turcica 34 1 31–37.
IEEE İ. Yıkılgan, S. Akgül, A. Kuşoğlu, O. Bala, H. Ömürlü, and M. E. Türköz, “Farklı kaide materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine etkisi”, Acta Odontol Turc, vol. 34, no. 1, pp. 31–37, 2017, doi: 10.17214/gaziaot.277726.
ISNAD Yıkılgan, İhsan et al. “Farklı Kaide Materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine Etkisi”. Acta Odontologica Turcica 34/1 (January 2017), 31-37. https://doi.org/10.17214/gaziaot.277726.
JAMA Yıkılgan İ, Akgül S, Kuşoğlu A, Bala O, Ömürlü H, Türköz ME. Farklı kaide materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine etkisi. Acta Odontol Turc. 2017;34:31–37.
MLA Yıkılgan, İhsan et al. “Farklı Kaide Materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine Etkisi”. Acta Odontologica Turcica, vol. 34, no. 1, 2017, pp. 31-37, doi:10.17214/gaziaot.277726.
Vancouver Yıkılgan İ, Akgül S, Kuşoğlu A, Bala O, Ömürlü H, Türköz ME. Farklı kaide materyali kullanımının sınıf V restorasyonların mikrosızıntısı üzerine etkisi. Acta Odontol Turc. 2017;34(1):31-7.