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Effect of resealing on microleakage of resin composite restorations in relationship to margin design and composite type. - PubMed - NCBI
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Eur J Dent. 2012 Oct;6(4):389-95.

Effect of resealing on microleakage of resin composite restorations in relationship to margin design and composite type.

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1
Department of Restorative Dentistry, University at Buffalo State University of New York School of Dental Medicine, Buffalo, NY, USA.

Abstract

OBJECTIVE:

To determine the relationship between margin preparation design and resin-composite type on microleakage with or without re-application of surface-penetrating sealant.

METHODS:

Class-I resin-composite restorations were completed for 128 extracted human molars. Half of the margins were beveled, the other half, butt-joint. Half of each group was restored with Filtek-Supreme (FS), the other half with Esthet-X (EX) using their respective adhesive systems. Margins were etched and sealed with a surface-penetrating sealant, Fortify. The samples were stored in water 24h, and thermocycled (5,000 cycles, 5°C-55°C). Then, samples were abraded using a toothbrush machine (6,000 strokes). Half of the restorations from each sealant group (n=16) were resealed, and the other half had no further treatment. Thermocycling and tooth brushing were repeated. The samples were sealed with nail polish, immersed in methylene-blue for 8h, sectioned, and magnified digital photographs were taken. Three examiners assessed dye penetration. A 2×2×2 multi-layered Chi-Square analysis, using Cochran-Mantel-Haenszel test was conducted for statistical analysis.

RESULTS:

No difference was observed between sealed and resealed FS and EX restorations with butt-joint margins. In beveled margins, resealing caused significantly less microleakage (P<.01). No differences were found between restorations either sealed or resealed with bevel margins. In butt-joint margins, at the leakage level deeper than 2/3 of the preparation depth, resealed FS showed less microleakage than EX resealed restorations (P<.01).

CONCLUSION:

Resealing reduced microleakage in bevel margins, however, in butt-joint margins resealing did not affect the leakage. A significant statistical relationship exists between and within resealing, margin preparation design, type of composite, and microleakage.

KEYWORDS:

Resin-composite margin design; bevel; butt-joint; microleakage; surface penetrating sealant

PMID:
23077418
PMCID:
PMC3474553
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