scholarly journals Effect of Cavity Disinfection with Chlorhexidine on Marginal Gap of Class V Composite Restorations Bonded with a Universal Adhesive Using Self-Etch and Etch-and-Rinse Bonding Strategy

Author(s):  
Soodabeh Kimyai ◽  
Narmin Mohammadi ◽  
Mahmoud Bahari ◽  
Elahe Pesyanian ◽  
Farhood Pesyanian

Objectives: This in-vitro study aimed to evaluate the effect of cavity disinfection with chlorhexidine (CHX) on marginal gaps of Class V composite resin restorations bonded with a universal adhesive using self-etch and etch-and-rinse bonding strategy. Materials and Methods: Sixty sound human premolars were randomly assigned to two groups (n=30): group 1 (CHX) and group 2 (no CHX). Each group was divided into two subgroups (n=15) according to the bonding strategy of the universal adhesive (self-etch or etch-and-rinse). Class V cavities were prepared on the buccal surfaces of the teeth. The occlusal and gingival margins of the cavities were placed in enamel and dentin, respectively. In the first and second subgroups of both groups, the All-Bond Universal adhesive was applied with self-etch and etch-and-rinse bonding strategy, respectively. After restoration and thermocycling, the samples were sectioned, and marginal gaps at the gingival margins were measured in micrometer (µm) under a stereomicroscope. Two-way analysis of variance (ANOVA) was used to compare marginal gaps between the groups and the subgroups. Results: The mean marginal gap size was significantly affected by cavity disinfection (P=0.001) and bonding strategy (P=0.002). However, the interaction effect of these two factors on the mean marginal gap size was not significant (P=0.79). Conclusion: The use of CHX resulted in larger marginal gaps at the gingival margins of Class V composite resin restorations. Irrespective of disinfection, the self-etch bonding strategy resulted in larger marginal gaps compared to the etch-and-rinse bonding strategy.

2017 ◽  
Vol 42 (1) ◽  
pp. 19-29 ◽  
Author(s):  
J-H Jang ◽  
H-Y Kim ◽  
S-M Shin ◽  
C-O Lee ◽  
DS Kim ◽  
...  

SUMMARY The aim of this randomized controlled clinical trial was to compare the clinical effectiveness of different polishing systems and self-etch adhesives in class V composite resin restorations. A total of 164 noncarious cervical lesions (NCCLs) from 35 patients were randomly allocated to one of four experimental groups, each of which used a combination of polishing systems and adhesives. The two polishing systems used were Sof-Lex XT (Sof), a multistep abrasive disc, and Enhance/Pogo (EP), a simplified abrasive-impregnated rubber instrument. The adhesive systems were Clearfil SE bond (CS), a two-step self-etch adhesive, and Xeno V (XE), a one-step self-etch adhesive. All NCCLs were restored with light-cured microhybrid resin composites (Z250). Restorations were evaluated at baseline and at 6, 12, 18, and 24 months by two blinded independent examiners using modified FDI criteria. The Fisher exact test and generalized estimating equation analysis considering repeated measurements were performed to compare the outcomes between the polishing systems and adhesives. Three restorations were dislodged: two in CS/Sof and one in CS/EP. None of the restorations required any repair or retreatment except those showing retention loss. Sof was superior to EP with regard to surface luster, staining, and marginal adaptation (p<0.05). CS and XE did not show differences in any criteria (p>0.05). Sof is clinically superior to EP for polishing performance in class V composite resin restoration. XE demonstrates clinically equivalent bonding performance to CS.


2018 ◽  
Vol 55 (2) ◽  
pp. 233-237
Author(s):  
Gianina Iovan ◽  
Cristina Angela Ghiorghe ◽  
Simona Stoleriu ◽  
Galina Pancu ◽  
Irina Nica ◽  
...  

The aim of this study was to evaluate the postoperative effect of one bleaching agent containing 40% peroxide hydrogen on the interface between dental tissues and a microhybrid composite resin bonded with a universal adhesive applied in total-etch and self-etch technique. Standardized Class V restorations were performed in oral surfaces of 40 extracted human molars with the gingival margins placed bellow the cement-enamel junction. For 20 restorations the adhesive was applied with preliminary etching and for the others the adhesive was applied by using the self-etch technique. Half of the samples of each group were bleached using Opalescence Boost in one session 20 minutes-application. The sealing quality of both enamel and cervical margins of the restorations was evaluated using a microleakage test by immersion in 1% methylene blue for 24 hours. The microleakage scores were assessed using an optical microscope and the data were statistically analyzed. No statistical significant differences were recorded between the bleached and control groups and between the study groups according to the etching strategy used for bonding.


1990 ◽  
Vol 63 (5) ◽  
pp. 522-525 ◽  
Author(s):  
R.S. Mathis ◽  
J.P. DeWald ◽  
C.R. Moody ◽  
J.L. Ferracane

2000 ◽  
Author(s):  
Andrea Naddeo Lopes da Cruz ◽  
Narciso Garone Netto ◽  
Adriana Fruges Pagliari ◽  
Juliana Matson ◽  
Ricardo S. Navarro ◽  
...  

2005 ◽  
Vol 13 (2) ◽  
pp. 193-197 ◽  
Author(s):  
Maria Jacinta M. Coelho Santos ◽  
Mário Honorato da Silva e Souza Júnior ◽  
Gildo Coelho Santos Júnior ◽  
Omar El-Mowafy ◽  
Ana Paula Chedid Cavalcanti ◽  
...  

The aim of this study was to determine the effect of a softstart polymerization method from Quartz-Tungsten-Halogen (QTH) and Plasma Arc (PAC) curing units on microleakage of Class V composite resin restorations with dentin cavosurface margins. Seventy-five bovine incisors received standardized class V cavities in all dentin margins. Teeth were divided into 5 equal groups according to the curing cycle. The cavities were incrementally restored with a composite resin (Single Bond/Z-100, 3M). Light curing was applied as follows: Group I: PAC light continuous-cycle curing at 1600 mW/cm² for 3s; Group II: PAC light step-cycle curing (2s at 800 mW/cm² then 4s at 1600 mW/cm²); Group III: QTH light continuous-cycle curing at 400 mW/cm² for 40s; Group IV: QTH light ramp-cycle curing (from 100 to 600 mW/cm² in 15s followed by 25s at 600 mW/cm²); Group V: QTH light pulse-delay curing (200 mW/cm² for 3s followed by 3 min delay then 600 mW/cm² for 30s). Teeth were stored in distilled water at 37ºC for 30 days and then subjected to thermocycling for 500 cycles at 5 and 55ºC. Root apices were sealed and teeth coated with nail varnish before they were immersed in 0.5% fuchsine red dye solution. Teeth were then sectioned and slices were scanned with a computer scanner to determine the area of dye leakage using a computer program (Image Tools). Images of tooth slices were also visually examined under magnification and dye penetration along the tooth/restoration interface was scored. Significant differences in the degree of dye penetration and leakage were detected between groups (p<.05). Groups I and II had significantly higher values of dye penetration and leakage than groups III, IV and V. In conclusion, the use of PAC light curing in a continuous or step cycle modes resulted in increased microleakage of Class V resin composite restorations compared with medium intensity QTH light curing. Pulse, ramp and continuous-cycle curing modes with QTH light resulted in similar degrees of microleakage.


2012 ◽  
Vol 13 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Soodabeh Kimyai ◽  
Siavash Savadi Oskoee ◽  
Amir Ahmad Ajami ◽  
Mahmoud Bahari ◽  
Mehdi Abed Kahnamoui ◽  
...  

ABSTRACT Aim The aim was to evaluate the effects of Oral-B (OB), Listerine (LN) and Rembrandt Plus (RM) mouthrinses on microleakage of composite resin restorations bonded with two adhesive systems after bleaching with 10% carbamide peroxide. Materials and methods A total of 60 Cl V cavities were prepared on human premolars. The occlusal and gingival margins were placed 1 mm occlusal to and apical to CEJ respectively. The teeth were randomly divided into two groups based on the adhesive system used: Excite (EX) and Clearfil SE Bond (CSE) groups. After composite resin restoration of cavities, thermocycling and bleaching with 10% carbamide peroxide for 2 hours daily for 14 days, the teeth in each adhesive group were further subdivided into three subgroups and were immersed for 12 hours in the three OB, RM and LN mouthrinses. The teeth were then placed in 2% basic fuschin for 24 hours. After dissecting the teeth, microleakage was evaluated under a stereomicroscope at 16×. Data was analyzed with multifactor ANOVA and Bonferroni test at p < 0.05. Results Microleakage with EX was significantly higher than that with CSE (p = 0.009). Microleakage at gingival margins was significantly higher than that at occlusal margins (p = 0.15). Microleakage with OB was higher than that with LN (p = 0.02). However, there were no significant differences in microleakage between LN and RM (p = 1) and between RM and OB (p = 0.15). In addition, with the EX adhesive system, microleakage with OB was higher than that with LN and RM (p = 0.02). Conclusion In the present study, microleakage of composite resin restorations was influenced by the type of the adhesive system, mouthrinse type and the location of the cavity margin. Clinical significance Use of some mouthrinses, such as OB after bleaching can increase postrestoration microleakage of resin composite restorations bonded with etch-and-rinse adhesive systems. How to cite this article Ajami AA, Bahari M, Oskoee SS, Kimyai S, Kahnamoui MA, Rikhtegaran S, Ghaffarian R. Effect of Three Different Mouthrinses on Microleakage of Composite Resin Restorations with Two Adhesive Systems after Bleaching with 10% Carbamide Peroxide. J Contemp Dent Pract 2012;13(1):16-22.


Sign in / Sign up

Export Citation Format

Share Document