scholarly journals A Restorative Approach for Class II Resin Composite Restorations: A Two-Year Follow-up

2015 ◽  
Vol 40 (1) ◽  
pp. 19-24 ◽  
Author(s):  
MJMC Santos
Keyword(s):  
Light Emitting Diode ◽  
Resin Composite ◽  
Class Ii ◽  
Clinical Report ◽  
Light Emitting ◽  
Tooth Structure ◽  
Composite Restorations ◽  
Rotary Instruments ◽  
Polishing Procedures

SUMMARY This clinical report describes a restorative technique used to replace two Class II resin composite restorations on the upper premolars. A sectional matrix band was used in conjunction with an elastic ring (Composi-Tight) to obtain tight proximal contact. A nanofilled resin composite (Filtek Supreme Ultra) was incrementally applied using oblique layers to reduce the C-factor, each layer being no more than 2 mm thick, and then light cured for 20 seconds with a light-emitting diode lamp (EliparFreeLight 2 LED Curing Light) with a power density of 660 mW/cm2. A centripetal technique was used to restore the lost tooth structure from the periphery toward the center of the cavity in order to achieve a better contour and anatomy with less excess, thereby minimizing the use of rotary instruments during the finishing procedures. Finally, the resin composite restorations were finished and polished, and a surface sealer (Perma Seal) was applied to fill small gaps and defects that may have been present on the surfaces and margins of the restorations after the finishing and polishing procedures.

scholarly journals Microleakage evaluation of resin composite restorations polymerized with different blue light-emitting diode units (LED)

2010 ◽  
Vol 8 (2) ◽  
Author(s):  
Cristiane M. Amaral ◽  
Larissa M. A. Cavalcante ◽  
Alessandra R. Peris ◽  
Glaucia M. B. Ambrosano ◽  
Luiz A. F. Pimenta
Keyword(s):  
Blue Light ◽  
Light Emitting Diode ◽  
Resin Composite ◽  
Light Emitting ◽  
Composite Restorations

Effect of Photoactivation Systems and Resin Composites on the Microleakage of Esthetic Restorations

2007 ◽  
Vol 8 (2) ◽  
pp. 70-79 ◽  
Author(s):  
Gláucia Maria Bovi Ambrosano ◽  
Larissa Maria Assad Cavalcante ◽  
Alessandra Resende Peris ◽  
André Vicente Ritter ◽  
Luiz André Freire Pimenta
Keyword(s):  
Light Emitting Diode ◽  
Resin Composite ◽  
Class Ii ◽  
Resin Composites ◽  
Light Emitting ◽  
Vertical Slot ◽  
Quartz Tungsten Halogen ◽  
Ion Laser ◽  
Blue Solution ◽  
Qth Light

Abstract Aim The aim of this study was to evaluate the influence of four photoactivation systems [quartz tungsten halogen (QTH), light-emitting diode (LED), argon ion laser (AL), and plasma arc curing PAC)] on cementum/ dentin and enamel microleakage of Class II restorations using a microhybrid [Z250 – 3M ESPE] and two packable composites [(SureFil - Dentsply and Tetric Ceram HB – Ivoclair/Vivadent]. Methods and Materials Three hundred sixty “vertical-slot Class II cavities” were prepared at the mesial surface of bovine incisors using a 245 carbide bur in a highspeed handpiece. Specimens were divided into twelve groups (composite-photoactivation systems). Half of the specimens had the gingival margin placed in enamel (n=15) and the other half in cementum/dentin (n=15). Composites were inserted and cured in 2 mm increments according to manufacturers’ recommended exposure times. After polishing, the samples were immersed in 2% methylene blue solution, sectioned, and evaluated at the gingival margins. Data were submitted to statistical analysis using the Kruskal–Wallis and Mann-Whitney tests. Results No significant differences were found among the photoactivation systems and among resin composites (p>0.05). Microleakage was not significantly affected by location (enamel vs. cementum/dentin, p>0.05). These findings suggested neither the photoactivation systems nor the resin composite types might have an effect on the microleakage at gingival margins Class II cavities. Citation Cavalcante LMA, Peris AR, Ambrosano GMB, Ritter AV, Pimenta LAF. Effect of Photoactivation Systems and Resin Composites on the Microleakage of Esthetic Restorations. J Contemp Dent Pract 2007 February;(8)2:070-079.

scholarly journals Complicações associadas a restaurações realizadas em áreas de contato interproximal

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Sandson Cleyton Ferreira da Silva Oliveira ◽  
Rauhan Gomes de Queiroz ◽  
Basilio Rodrigues Vieira ◽  
Elizandra Silva Penha ◽  
Luanna Abílio Diniz Melquíades de Madeiros ◽  
...  
Keyword(s):  
Dental Caries ◽  
Resin Composite ◽  
Adult Population ◽  
Class Ii ◽  
Caries Experience ◽  
Composite Restorations ◽  
Postural Changes

Introdução: Diversas complicações estão associadas a restaurações realizadas em áreas de contato interproximal levando a tratamentos restauradores insatisfatórios, que poderão acarretar o surgimento de diversas complicações, desde retenção alimentar até formação de bolsas periodontais com perda óssea. Objetivo: Avaliar na literatura quais as principais complicações associadas a restaurações realizadas em áreas de contato interproximal. Metodologia: Realizou-se uma pesquisa de trabalhos nas seguintes bases de dados eletrônica: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Biblioteca Eletrônica Scientific Electronic Library Online (SciELO), PubMed e Bibliografia Brasileira de Odontologia (BBO), entre os anos de 2000 a 2018. Resultados: A busca das bases de dados eletrônicas recuperou 97 artigos. Após a leitura do título e resumo, leitura na íntegra e aplicação dos critérios de inclusão e exclusão foi selecionado um total de 14 estudos. Conclusão: Complicações estão associadas às diferentes etapas do tratamento restaurador interproximal, indo desde o difícil diagnóstico à verificação da adaptação marginal. O estabelecimento de ponto de contato com dispositivos foi a complicação mais encontrada.Descritores: Adaptação Marginal Dentária; Falha de Restauração Dentária; Restauração Dentária Permanente.ReferênciasFejerskov O, Nyvad B, Kidds E. Dental caries: the disease and its clinical management. Oxford: Wiley-Blackwell; 2015.Hopcraft MS, Morgan MV. Pattern of dental caries experience on tooth surfaces in an adult population. Community Dent Oral Epidemiol. 2006;34(3):174–83.Skold UM. On caries prevalence and schoo-based fluoride programmes in Swedish adolescente. Swed Dent J Suppl. 2005;1(178):11-75.Scholtanus JD, Özcan M. Clinical longevity of extensive direct composite restorations in amalgam replacement: up to 3.5 years follow-up. J Dent. 2014;42(11):1404-10.Melo P, Manarte P, Domingues J, Coelho S, Teixeira L. Técnica para obtenção do ponto de contacto em restaurações de classe II com compósito. Rev Fac Ciênc Sáude. 2005;2(1):63-72.Santos MJMC. A restorative approach for class ii resin composite restorations: a two-year follow-up. Oper Dent. 2015;40(1):19-24.Dörfer CE, von Bethlenfalvy ER, Staehle HJ, Pioch T. Factors influencing proximal dental contact strengths. Eur J Oral Sci. 2000;108(5):368-77.Loomans BAC, Opdam NJM, Roeters FJM, Brinkhorst EM, Plasschaert AJM. The long-term effect of a composite resin restoration on proximal contact tightness. J Dent. 2007;35(2):104-08.Cho SD; Browning WD, Walton KS. Clinical use of a sectional matrix and ring. Oper Dent. 2010;35(5):587-91.Meneghel LL, Wang L, Lopes MB, Gonini Junior A.  Interproximal space recovery using an orthodontic elastic separator before prosthetic restoration: a case report. Braz Dent J. 2011;22(1):79-82.Wirsching E, Loomans BAC, Klaiber B, Dörfer CE. Influence of matrix systems on proximal contact tightness of 2-and 3-surface posterior composite restorations in vivo. J Dent. 2011;39(5):386-90.Saber MH, El-Bradawy W, Loomans BAC, Ahamed DR, Dörfer CE, El Zohairy A. Creating tight proximal contacts for MOD resin composite restorations. Oper Dent, 2011;36(3):304-10.Costa TA, Raitz R, Belan LC, Matson MR. Análise do contorno da face proximal obtido em restaurações classe II de resina composta utilizando-se dois tipos diferentes de matrizes metálicas. Rev Odontol Univ São Paulo. 2009;21(1):31-7.Patras M, Doukoudakis S. Class II composite restorations and proximal concavities: clinical implications and management. Oper Dent. 2013;38(2):119-24.Prakki A, Cilli R, Saad JOC; Rodrigues JR. Clinical evaluation of proximal contacts of Class II esthetic direct restorations. Quintessence Int. 2004;35(10):785-89.Kim HS, Na HJ, Kim HJ, Kang DW, Oh SH. Evaluation of proximal contact strength by postural changes. J Adv Prosthodont. 2009;1(3):118-23.El-Shamy H, Saber M, Dörfer CE, El-Bradawy W, Loomans BAC. Influence of volumetric shrinkage and curing light intensity on proximal contact tightness of class II resin composite restorations: in vitro study. Oper Dent. 2012;37(2):205-10.Teich ST, Joseph J, Sartori N, Heima M, Duarte S. Dental floss selection and its impact on evaluation of interproximal contacts in licensure exams. J Dent Educ, 2014;78(6):921-26.Moreira MA, Larentis NL, Arossi GA, Rodruigues ED, Bortoli FR, Haas MF. A radiografia interproximal é necessária para confirmar a adaptação clínica de restaurações proximais com resinas compostas em dentes posteriores? RFO UPF. 2015;20(1):69-74.

Cervical Margin Integrity of Class II Resin Composite Restorations in Laser- and Bur-Prepared Cavities Using Three Different Adhesive Systems

2012 ◽  
Vol 37 (3) ◽  
pp. 316-323 ◽  
Author(s):  
PA Oskoee ◽  
S Kimyai ◽  
ME Ebrahimi ◽  
S Rikhtegaran ◽  
F Pournaghi-Azar
Keyword(s):  
Resin Composite ◽  
Class Ii ◽  
Marginal Adaptation ◽  
Single Bond ◽  
Gap Formation ◽  
Adhesive Systems ◽  
Tooth Structure ◽  
Composite Restorations ◽  
Etch And Rinse ◽  
Gap Width

SUMMARY One of the challenges in durability of posterior tooth-colored restorative materials is polymerization shrinkage, which results in gap formation between the restoration and tooth structure. The aim of the present study was to investigate marginal adaptation of Class II composite restorations using a self-etching and two etch-and-rinse adhesive systems in cavities prepared either with bur or Er,Cr:YSGG laser. A total of 45 extracted sound human premolars were selected. In each tooth, mesial and distal Class II cavities were prepared either by a diamond bur or by Er,Cr:YSGG laser with the margins 1 mm apical to the cemento-enamel junction. Then the teeth were randomly divided into three groups of 15 each, according to the type of the adhesive system used (Single Bond, Single Bond 2, and Adper Easy One adhesive systems). Subsequent to restoring the teeth, the specimens were subjected to thermal cycling between 5 ± 2°C and 55 ± 2°C for 500 cycles and were then cut longitudinally into two halves using a diamond disk. Marginal adaptation was evaluated using a stereomicroscope, and the values for gap widths were obtained in micrometers. Data were analyzed using two-factor analysis of variance and post hoc tests. There were statistically significant differences in mean marginal gap widths between the adhesive type and preparation groups (p<0.05). The interfacial gap width in bur-prepared cavities was significantly less than that in laser-prepared cavities, and the lowest gap width was observed in Adper Easy One regardless of the type of the preparation.

scholarly journals Comparison of Proximal Contacts of Class II Resin Composite Restorations In Vitro

2006 ◽  
Vol 31 (6) ◽  
pp. 688-693 ◽  
Author(s):  
B. A. C. Loomans ◽  
N. J. M. Opdam ◽  
F. J. M. Roeters ◽  
E. M. Bronkhorst ◽  
R. C. W. Burgersdijk
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
Class Ii ◽  
Composite Restorations ◽  
Composite Restoration

Clinical Relevance When placing a Class II resin composite restoration, the use of sectional matrix systems and separation rings to obtain tight proximal contacts is recommended.

scholarly journals Influence of Fiber Inserts, Type of Composite, and Gingival Margin Location on the Microleakage in Class II Resin Composite Restorations

2014 ◽  
Vol 39 (1) ◽  
pp. E9-E15 ◽  
Author(s):  
V Dhingra ◽  
S Taneja ◽  
M Kumar ◽  
M Kumari
Keyword(s):  
Resin Composite ◽  
Class Ii ◽  
Blue Dye ◽  
Group Vi ◽  
Group V ◽  
Gingival Margin ◽  
Composite Restorations ◽  
Group I ◽  
Distal Side ◽  
Fiber Inserts

SUMMARY This study evaluated the influence of fiber inserts, type of composites, and location of the gingival seat on microleakage in Class II resin composite restorations. Fifty noncarious human third molars were selected for the study. Standardized Class II box type cavities were prepared on the mesial and distal side of 45 teeth. The gingival margin was placed above the cementoenamel junction (CEJ) on the mesial side and below the CEJ on the distal side. The remaining five teeth received no cavity preparations. The prepared samples were divided randomly on the basis of type of composite and presence or absence of fiber inserts, into four experimental groups of 10 teeth each and two control groups of five teeth each. The groups were defined as follows: group I (n=10) – Z350 XT; group II (n=10) – Z350 XT with fibers; group III (n=10) – P90; group IV (n=10) – P90 with fibers; and group V (n=5) – positive controls, cavities were not restored; group VI (n=5) – negative controls, no cavities were prepared. The samples were stored in distilled water in incubator at 37°C for 24 hours and then subjected to 500 cycles of thermocycling (5°C and 55°C) with a dwell time of 15 seconds. They were then placed in a 2% methylene blue dye solution for 24 hours at 37°C. Samples were sectioned longitudinally and evaluated for microleakage at the occlusal and gingival margin under a stereomicroscope at 20× magnification. Kruskal-Wallis and Mann-Whitney U-tests were used to compare the mean leakage scores. Restorations with gingival margins in enamel showed significantly less microleakage. Significant reduction in microleakage was observed in groups restored with P90 composite than those restored with Z350 XT. No improvement in microleakage was observed with the use of fiber inserts (p>0.05).

Gingival Microleakage of Class II Resin Composite Restorations with Fiber Inserts

10.2341/06-86 ◽  
2007 ◽  
Vol 32 (3) ◽  
pp. 298-305 ◽  
Author(s):  
O. El-Mowafy ◽  
W. El-Badrawy ◽  
A. Eltanty ◽  
K. Abbasi ◽  
N. Habib
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
Class Ii ◽  
Composite Restorations ◽  
Fiber Inserts

Clinical Relevance Fiber inserts incorporated at the gingival floor of Class II composite restorations resulted in a significant reduction of microleakage scores as compared to restorations made without inserts. This may lead to a reduced incidence of recurrent caries.

Three-year Randomized Prospective Clinical Trial of Class II Restorations Using Flowable Bulk-fill Resin Composites

2021 ◽  
Author(s):  
MD Moda ◽  
AF Briso ◽  
IAE Hoshino ◽  
SMB Frascino ◽  
PH Santos ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Resin Composite ◽  
Oral Care ◽  
Class Ii ◽  
Resin Composites ◽  
Single Bond ◽  
Surface Staining ◽  
Equality Test ◽  
Over Time

SUMMARY Objectives: This randomized, prospective, and split-mouth study aimed to evaluate flowable bulk-fill resin composites in class II restorations and to compare with a conventional layering technique after a 3-year follow-up. Methods and Materials: Fifty-three subjects received three class II restorations according to the restorative systems: conventional microhybrid resin composite (PA, Peak Universal + Amelogen Plus, Ultradent), flowable bulk-fill and nanoparticulate resin composites (ABF, Adper Single Bond 2 + Filtek Bulk Fill Flow + Filtek Z350XT, 3M Oral Care), and flowable bulk-fill and microhybrid resin composites (XST, XP Bond + SDR + TPH3, Dentsply). The clinical performance and interproximal contacts were evaluated. Statistical analyses were performed using the equality test of two proportions, Logistic regression analysis, Friedman, Wilcoxon, Kruskal-Wallis, and Mann-Whitney tests (α=0.05). Results: Forty-seven patients were evaluated at 3 years. XST bulk-fill restorative system presented higher marginal discoloration than PA, and the opposite occurred for surface staining. All restorative systems resulted in decreased interproximal contacts, occurring early for XST. Conclusions: Although the restorative system using incremental technique presented better performance for marginal discoloration, one of the restorative systems that used flowable bulk-fill resin composite (XST) showed the lowest surface staining. All restorative systems had decreased proximal contact over time.

scholarly journals Marginal Integrity of Bulk Versus Incremental Fill Class II Composite Restorations

2016 ◽  
Vol 41 (2) ◽  
pp. 146-156 ◽  
Author(s):  
F Al-Harbi ◽  
D Kaisarly ◽  
D Bader ◽  
M El Gezawi
Keyword(s):  
Resin Composite ◽  
Class Ii ◽  
Chi Square ◽  
Sandwich Technique ◽  
Thermomechanical Cycling ◽  
Composite Restorations ◽  
Marginal Integrity ◽  
Chi Square Test ◽  
Maxillary Premolars ◽  
Self Etch

SUMMARY Bulk-fill composites have been introduced to facilitate the placement of deep direct resin composite restorations. This study aimed at analyzing the cervical marginal integrity of bulk-fill vs incremental and open-sandwich class II resin composite restorations after thermomechanical cycling using replica scanning electron microscopy (SEM) and ranking according to the World Dental Federation (FDI) criteria. Box-only class II cavities were prepared in 91 maxillary premolars with the gingival margin placed 1 mm above and below the cemento-enamel junction. Eighty-four premolars were divided into self-etch and total-etch groups, then subdivided into six restorative subgroups (n=7): 1-Tetric Ceram HB (TC) was used incrementally and in the open-sandwich technique with 2-Tetric EvoFlow (EF) and 3-Smart Dentin Replacement (SD). Bulk-fill restoratives were 4-SonicFill (SF), 5-Tetric N-Ceram Bulk Fill (TN), and 6-Tetric EvoCeram Bulk Fill (TE). In subgroups 1-5, Tetric N-Bond self-etch and Tetric N-Bond total-etch adhesives were used, whereas in subgroup 6, AdheSE self-etch and ExciTE F total etch were used. One more group (n=7) was restored with Filtek P90 Low Shrink Posterior Restorative (P9) only in combination with its self-etch P90 System Adhesive. Materials were manipulated and light cured (20 seconds, 1600 mW/cm2), and restorations were artificially aged by thermo-occlusal load cycling. Polyvinyl-siloxane impressions were taken and poured with epoxy resin. Resin replicas were examined by SEM (200×) for marginal sealing, and percentages of perfect margins were analyzed. Moreover, samples were examined using loupes (3.5×) and explorers and categorized according to the FDI criteria. Results were statistically analyzed (SEM by Kruskal-Wallis test and FDI by chi-square test) without significant differences in either the replica SEM groups (p=0.848) or the FDI criteria groups (p>0.05). The best SEM results at the enamel margin were in TC+EF/total-etch and SF/total-etch and at the cementum margins were in SF/total-etch and TE/self-etch, while the worst were in TC/self-etch at both margins. According to FDI criteria, the best was TE/total-etch at the enamel margin, and the poorest was P9/self-etch at the cementum margin. Groups did not differ significantly, and there was a strong correlation in results between replica SEM and FDI ranking.

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