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Year 2015, Volume: 18 Issue: 2, 116 - 127, 24.04.2015

Abstract

Objective: The aim of this in-vitro study was to compare the microleakage of self-adhesive flowable composites to their counterparts applied with three different adhesive systems (3-step etch & rinse adhesive, 2-step self-etch adhesive, and 1-step self-etch adhesive) in Class V cavities.Materials and Methods: Seventy-five standardized Class V cavities were prepared on both buccal and lingual/palatinal surfaces of extracted non-carious human molar teeth. The occlusal margins were located on the enamel where the gingival margins were extended 1 mm below the cemento-enamel junction. Following preparation, all specimens were randomly divided into five groups: (1) self-adhesive flowable composite (Fusio Liquid Dentin, FLD), (2) selfadhesive flowable composite (Vertise Flow, VF), (3) 3-step etch & rinse adhesive/Flowable c omposite (Optibond FL/Clearfil Majesty Flowable, 3ER-AK), (4) 2-step self-etch adhesive/Flowable composite (Clearfil SE Bond/Clearfil Majesty Flowable, 2SE-AK), (5) 1-step self-etch adhesive/Flowable composite (Clearfil S3 Bond Plus/Clearfil Majesty Flowable, 1SE-AK). After thermocycling and immersion in a 0.5% basic fuchsin, the restorations were sectioned and dye penetration was evaluated under a stereomicroscope (n=30). The data were statistically analyzed with Kruskal-Wallis, Mann-Whitney U and Wilcoxon Signed Ranks tests (α=0.05).Results: At the enamel interface, no significant differences were observed between the microleakage scores of VF, FLD and 3ER-AK, while they showed significantly lower leakage scores than 2SE-AK and 1SE-AK (p < 0.05). At the dentin interface, 3ER-AK and 2SE-AK exhibited lower leakage scores than VF, FLD and 1SE-AK (p < 0.05). VF, FLD, 1SE-AK had higher leakage scores at the gingival margins (p < 0.05), while higher scores were detected at the enamel margins in 2SE-AK (p<0.05).Conclusions: Both self-adhesive flowable composites showed similar microleakage scores to the 3-step etch & rinse adhesive/flowable composite in enamel, whereas their performance in dentin was worse than 3-step etch & rinse adhesive/flowable composite and 2-step self-etch adhesive/flowable composite

References

  • KAYNAKLAR
  • Van Meerbeek B, Vargas M, Inoue S, Yoshida Y, Peumans M, Lambrechts P, et al. Adhesives and cements to promote preservation dentistry. Oper Dent 2001;6:119-44.
  • Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P, et al. Buonocore memorial lecture. Adhesion to enamel and dentin: current status and future challenges. Oper Dent 2003;28:215-35
  • Geurtsen W, Schoeler J. 4-year retrospective clinical study of Class I and II composite fillings J Dent 1997;25:229-232.
  • Miyasaka T, Okamura H. Dimensional change measurements of conventional and flowable composite resins using a laser displacement sensor. Dent Mater J 2009;28:544–51.
  • Attar N, Tam LE, McComb D. Flow, strength, stiffness and radiopacity of flowable resin composites. J Can Dent Assoc 2003;69:516–21.
  • Kleverlaan CJ, Feilzer AJ. Polymerization shrinkage and contraction stress of dental resin composites. Dent Mater 2005;21:1150–7.
  • Qin M, Liu H. Clinical evaluation of a flowable resin composite and flowable compomer for preventive resin restorations. Oper Dent 2005;30:580–7.
  • Sidhu SK, Henderson LJ. Dentin adhesives and microleakage in cervical resin composites. Am J Dent 1992;5:240-4.
  • Retief DH, Denys FR. Adhesion to enamel and dentin. Am J Dent 1989;2:133-144.
  • Barkmeier WW, Cooley RL. Laboratory evaluation of adhesive systems. Oper Dent 1992;5:50-61.
  • Neme AL, Evans DB, Maxson BB. Evaluation of dental adhesive systems with amalgam and resin composite restorations: comparison of microleakage and bond strength results. Oper Dent 2000;25:512-519.
  • http://www.kerrdental.com/kerrdental-composites-vertiseflow-2; access date: 20/06/2014.
  • http://www.pentron.com/index.php/products/product_detail/fusio_liquid_dentin; access date: 20/06/2014.
  • Ulker M, Ozcan M, Sengün A, Ozer F, Belli S. Effect of artificial aging regimens on the performance of self-etching adhesives. J Biomed Mater Res B Appl Biomater 2010;93:175-84.
  • Van Meerbeek B, Peumans M, Poitevin A, Mine A, Van Ende A, Neves A, De Munck J. Relationship between bond-strength tests and clinical outcomes Dent Mater 2010;26:100–121.
  • Rengo C, Goracci C, Juloski J, Chieffi N, Giovannetti A, Vichi A, Ferrari M. Influence of phosphoric acid etching on microleakage of a self-etch adhesive and a self-adhering composite. Aust Dent J 2010;2:220-226.
  • Bektas OO, Eren D, Akin EG, Akin H, Evaluation of a self-adhering flowable composite in terms of micro-shear bond strength and microleakage. Acta Odontol Scand 2013;271: 541-546.
  • Pavan S, dos Santos PH, Berger S, Bedran-Russo AK. The effect of dentin pretreatment on the microtensile bond strength of self-adhesive resin cements J Prosthet Dent 2010;104:258-264.
  • Radovic I, Monticelli F, Goracci C, Vulicevic ZR, Ferrari M. Self-adhesive resin cements: a literature review. J Adhes Dent 2008;10:251–258.
  • Hosseini MH, Namvar F, Chalipa J, Saber K, Chiniforush N, Sarmadi S, Mirhashemi AH. Comparison of Shear Bond Strength of Orthodontic Brackets Bonded to Enamel Prepared By Er:YAG Laser and Conventional Acid-Etching. J Dent (Tehran) 2012;9:20-26
  • Fortin D, Swift EJ, Denehy GE, Reinhardt JW. Bond strength and microleakage of current dentin adhesives. Dental Mater 1994;10:253–258.
  • Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M, Van Meerbeek B. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater 2013;29:221-230.
  • Heintze S, Blunck U, Göhring T, Rousson V. Marginal adaptation in vitro and clinical outcome of Class V restorations. Dent Mater 2009;25:605–20.
  • Van Meerbeek B, Kanumili P, Munck J, van Landuyt K, Lambrechts P, Peumans M. A randomized controlled study evaluating the effectiveness of a two-step self-etch adhesive with and without selective phospho-ric-acid etching of enamel. Dent Mater 2005;21:375-83.
  • Nilgun Ozturk A, Usumez A, Ozturk B, Usumez S. Influence of different light sources on microleakage of class V composite resin restorations. J Oral Rehabil 2004;31:500-4.
  • Crim GA, Sarartz ML, Philipps RW. Comparison of four thermocycling techniques. J Prosthet Dent 1985;53:50-3.
  • Türkün LS, Çelik EU. Farklı kavite tiplerinde kendinden asitli adeziv sistemlerin kenar sızıntılarının incelenmesi. EÜ Dis Hek Fak Derg 2004;25:55-61.
  • Feilzer AJ, De Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res 1987;66:1636-1639.
  • Jang KT, Chung DH, Shin D, Garcia-Godoy F. Effect of eccentric load cycling on microleakage of Class V flowable and packable composite resin restorations. Oper Dent. 2001;26:603–8.
  • Fu J, Kakuda S, Pan F, Hoshika S, Ting S, Fukuoka A, Bao Y, Ikeda T, Nakaoki Y, Selimovic D, Sano H, Sidhu SK. Bonding performance of a newly developed step-less all-in-one system on dentin. Dent Mater J 2013;32:203-211.
  • Eliades A, Birpou E, Eliades T, Eliades G. Self-adhesive restoratives as pit and fissure sealants: a comparative laboratory study. Dental Mater 2013;29:752-762.
  • Tuloglu N, Sen Tunc E, Ozer S, Bayrak S. Shear bond strength of self-adhering flowable composite on dentin with and without application of an adhesive system. J Appl Biomater Funct Mater 2014;12:97-101.
  • Yoshida Y, Nagakane K, Fukuda R, Nakayama Y, Okazaki M, Shintani H, Inoue S, Tagawa Y, Suzuki K, De Munck J, Van Meerbeek B. Comparative study on adhesive performance of functional monomers. J Dent Res 2004;83:454-8.
  • Ozel E, Korkmaz Y, Attar N. Influence of location of the gingival margin on the microleakage and internal voids of nanocomposites. J Contemp Dent Pract 2008;9:65‑72.
  • Arisu HD, Eliguzeloglu E, Uctasli MB, Omurlu H, Turkoz E. Effect of multiple consecutive adhesive coatings on microleakage of class v cavities. Eur J Dent 2009;3:178–84.
  • Owens BM, Johnson WW. Effect of new generation surface sealants on the marginal permeability of Class V resin composite restorations. Oper Dent 2006;31:481–8.
  • Ramos RP, Chimello DT, Chinelatti MA, Dibb RG, Mondelli J. Effect of three surface sealants on marginal sealing of Class V composite resin restorations. Oper Dent 2000;25:448–53.

Sınıf V Kavitelerde Kendinden Bağlanabilen Akışkan Kompozitlerin Mikrosızıntılarının Karşılaştırılması

Year 2015, Volume: 18 Issue: 2, 116 - 127, 24.04.2015

Abstract

Amaç: Bu in vitro çalışmanın amacı; sınıf V kavitelere uygulanan kendinden bağlanabilen akışkan kompozitler ile üç farklı adeziv sistemle (etch & rinse, iki aşamalı self-etch ve tek aşamalı self-etch) birlikte uygulanan akışkan kompozitlerin mikrosızıntı değerlerinin karşılaştırılmasıdır.

Gereç-Yöntem: Çürüksüz insan molar dişlerinin bukkal ve lingual/palatinal yüzeylerinde yetmiş beş adet standart sınıf V kavite hazırlandı. Kavitelerin oklüzal kenarları minede gingival kenarları dişeti kenarından mine-sement birleşiminin 1 mm altında olacak şekilde yer aldı. Preperasyonu tamamlanan örnekler, rastgele 5 alt gruba ayrıldı: (1) self-adeziv [Fusio Liquid Dentin (FLD)], (2) self-adeziv [Vertise Flow (VF)], (3) adeziv (etch & rinse) [Gel Etchant/Optibond FL/Clearfil Majesty Flowable] (3ER-AK), (4) adeziv (iki aşamalı self-etch) [Clearfil SE Bond/Clearfil Majesty Flowable] (2SE-AK), (5) adeziv (tek aşama self-etch) [Clearfil S3 Bond Plus/Clearfil Majesty Flowable] (1SE-AK). Termal siklüs ve %0.5’lik bazik fuksin boya uygulamasından sonra, örneklerden kesitler alındı ve stereomikroskop altında boya penetrasyon dereceleri skorlandı (n=30). Sonuçlar istatiksel olarak Kruskal-Wallis, Mann-Whitney U ve Wilcoxon Signed Ranks testleri uygulanarak değerlendirildi.

Bulgular: Kavitelerin mine yüzeyinde; VF, FLD, 3ER-AK grupları arasında istatistiksel olarak anlamlı bir fark göstermezken, 2SE-AK ve 1SE-AK grupları istatistiksel olarak anlamlı derecede daha yüksek mikrosızıntı değerleri gösterdi (p < 0.05). Kavitelerin dentin yüzeyinde ise 3ER-AK ve 2SE-AK grupları, VF, FLD ve 1SE-AK gruplarından istatistiksel olarak anlamlı derecede düşük mikrosızıntı değerleri gösterdi (p< 0.05). 2SE-AK ve 1SE-AK grupları mine yüzeyinde daha yüksek mikrosızıntı değerleri gösterirken, VF ve FLD grupları dentin yüzeyinde daha fazla mikrosızıntı değeri gösterdi (p<0.05).

Sonuç: Kendiden bağlanabilen akışkan kompozitlerin her ikisi de mine yüzeyinde etch & rinse adeziv/akışkan kompozitle benzer mikrosızıntı değerleri göstermiştir. Dentin yüzeyinde ise kendiden bağlanabilen akışkan kompozitler, etch & rinse adeziv/akışkan kompozit ve iki aşamalı self-etch adeziv/akışkan kompozit gruplarına göre daha fazla mikrosızıntı oluşturmuştur. 

References

  • KAYNAKLAR
  • Van Meerbeek B, Vargas M, Inoue S, Yoshida Y, Peumans M, Lambrechts P, et al. Adhesives and cements to promote preservation dentistry. Oper Dent 2001;6:119-44.
  • Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P, et al. Buonocore memorial lecture. Adhesion to enamel and dentin: current status and future challenges. Oper Dent 2003;28:215-35
  • Geurtsen W, Schoeler J. 4-year retrospective clinical study of Class I and II composite fillings J Dent 1997;25:229-232.
  • Miyasaka T, Okamura H. Dimensional change measurements of conventional and flowable composite resins using a laser displacement sensor. Dent Mater J 2009;28:544–51.
  • Attar N, Tam LE, McComb D. Flow, strength, stiffness and radiopacity of flowable resin composites. J Can Dent Assoc 2003;69:516–21.
  • Kleverlaan CJ, Feilzer AJ. Polymerization shrinkage and contraction stress of dental resin composites. Dent Mater 2005;21:1150–7.
  • Qin M, Liu H. Clinical evaluation of a flowable resin composite and flowable compomer for preventive resin restorations. Oper Dent 2005;30:580–7.
  • Sidhu SK, Henderson LJ. Dentin adhesives and microleakage in cervical resin composites. Am J Dent 1992;5:240-4.
  • Retief DH, Denys FR. Adhesion to enamel and dentin. Am J Dent 1989;2:133-144.
  • Barkmeier WW, Cooley RL. Laboratory evaluation of adhesive systems. Oper Dent 1992;5:50-61.
  • Neme AL, Evans DB, Maxson BB. Evaluation of dental adhesive systems with amalgam and resin composite restorations: comparison of microleakage and bond strength results. Oper Dent 2000;25:512-519.
  • http://www.kerrdental.com/kerrdental-composites-vertiseflow-2; access date: 20/06/2014.
  • http://www.pentron.com/index.php/products/product_detail/fusio_liquid_dentin; access date: 20/06/2014.
  • Ulker M, Ozcan M, Sengün A, Ozer F, Belli S. Effect of artificial aging regimens on the performance of self-etching adhesives. J Biomed Mater Res B Appl Biomater 2010;93:175-84.
  • Van Meerbeek B, Peumans M, Poitevin A, Mine A, Van Ende A, Neves A, De Munck J. Relationship between bond-strength tests and clinical outcomes Dent Mater 2010;26:100–121.
  • Rengo C, Goracci C, Juloski J, Chieffi N, Giovannetti A, Vichi A, Ferrari M. Influence of phosphoric acid etching on microleakage of a self-etch adhesive and a self-adhering composite. Aust Dent J 2010;2:220-226.
  • Bektas OO, Eren D, Akin EG, Akin H, Evaluation of a self-adhering flowable composite in terms of micro-shear bond strength and microleakage. Acta Odontol Scand 2013;271: 541-546.
  • Pavan S, dos Santos PH, Berger S, Bedran-Russo AK. The effect of dentin pretreatment on the microtensile bond strength of self-adhesive resin cements J Prosthet Dent 2010;104:258-264.
  • Radovic I, Monticelli F, Goracci C, Vulicevic ZR, Ferrari M. Self-adhesive resin cements: a literature review. J Adhes Dent 2008;10:251–258.
  • Hosseini MH, Namvar F, Chalipa J, Saber K, Chiniforush N, Sarmadi S, Mirhashemi AH. Comparison of Shear Bond Strength of Orthodontic Brackets Bonded to Enamel Prepared By Er:YAG Laser and Conventional Acid-Etching. J Dent (Tehran) 2012;9:20-26
  • Fortin D, Swift EJ, Denehy GE, Reinhardt JW. Bond strength and microleakage of current dentin adhesives. Dental Mater 1994;10:253–258.
  • Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M, Van Meerbeek B. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater 2013;29:221-230.
  • Heintze S, Blunck U, Göhring T, Rousson V. Marginal adaptation in vitro and clinical outcome of Class V restorations. Dent Mater 2009;25:605–20.
  • Van Meerbeek B, Kanumili P, Munck J, van Landuyt K, Lambrechts P, Peumans M. A randomized controlled study evaluating the effectiveness of a two-step self-etch adhesive with and without selective phospho-ric-acid etching of enamel. Dent Mater 2005;21:375-83.
  • Nilgun Ozturk A, Usumez A, Ozturk B, Usumez S. Influence of different light sources on microleakage of class V composite resin restorations. J Oral Rehabil 2004;31:500-4.
  • Crim GA, Sarartz ML, Philipps RW. Comparison of four thermocycling techniques. J Prosthet Dent 1985;53:50-3.
  • Türkün LS, Çelik EU. Farklı kavite tiplerinde kendinden asitli adeziv sistemlerin kenar sızıntılarının incelenmesi. EÜ Dis Hek Fak Derg 2004;25:55-61.
  • Feilzer AJ, De Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res 1987;66:1636-1639.
  • Jang KT, Chung DH, Shin D, Garcia-Godoy F. Effect of eccentric load cycling on microleakage of Class V flowable and packable composite resin restorations. Oper Dent. 2001;26:603–8.
  • Fu J, Kakuda S, Pan F, Hoshika S, Ting S, Fukuoka A, Bao Y, Ikeda T, Nakaoki Y, Selimovic D, Sano H, Sidhu SK. Bonding performance of a newly developed step-less all-in-one system on dentin. Dent Mater J 2013;32:203-211.
  • Eliades A, Birpou E, Eliades T, Eliades G. Self-adhesive restoratives as pit and fissure sealants: a comparative laboratory study. Dental Mater 2013;29:752-762.
  • Tuloglu N, Sen Tunc E, Ozer S, Bayrak S. Shear bond strength of self-adhering flowable composite on dentin with and without application of an adhesive system. J Appl Biomater Funct Mater 2014;12:97-101.
  • Yoshida Y, Nagakane K, Fukuda R, Nakayama Y, Okazaki M, Shintani H, Inoue S, Tagawa Y, Suzuki K, De Munck J, Van Meerbeek B. Comparative study on adhesive performance of functional monomers. J Dent Res 2004;83:454-8.
  • Ozel E, Korkmaz Y, Attar N. Influence of location of the gingival margin on the microleakage and internal voids of nanocomposites. J Contemp Dent Pract 2008;9:65‑72.
  • Arisu HD, Eliguzeloglu E, Uctasli MB, Omurlu H, Turkoz E. Effect of multiple consecutive adhesive coatings on microleakage of class v cavities. Eur J Dent 2009;3:178–84.
  • Owens BM, Johnson WW. Effect of new generation surface sealants on the marginal permeability of Class V resin composite restorations. Oper Dent 2006;31:481–8.
  • Ramos RP, Chimello DT, Chinelatti MA, Dibb RG, Mondelli J. Effect of three surface sealants on marginal sealing of Class V composite resin restorations. Oper Dent 2000;25:448–53.
There are 38 citations in total.

Details

Primary Language Turkish
Journal Section Original Research Articles
Authors

Ebru Küçükyılmaz

Esra Uzer Çelik

Selçuk Savaş

Başak Bölükbaşı

Publication Date April 24, 2015
Submission Date October 16, 2014
Published in Issue Year 2015Volume: 18 Issue: 2

Cite

EndNote Küçükyılmaz E, Uzer Çelik E, Savaş S, Bölükbaşı B (April 1, 2015) Sınıf V Kavitelerde Kendinden Bağlanabilen Akışkan Kompozitlerin Mikrosızıntılarının Karşılaştırılması. Cumhuriyet Dental Journal 18 2 116–127.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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