Effect of Postoperative Bleaching on Marginal Leakage of Resin Composite and Resin-Modified Glass Ionomer Restorations at Different Delayed Periods of Exposure to Carbamide Peroxide

2009 ◽  
Vol 10 (6) ◽  
pp. 9-16 ◽  
Author(s):  
Horieh Moosavi ◽  
Marjaneh Ghavamnasiri ◽  
Vahideh Manari

Abstract Aim To evaluate the effect of dental bleaching with carbamide peroxide at different exposure times on the microleakage of resin composite and resin-modified glass ionomer restorations after placement in extracted human teeth. Methods and Materials 120 Class V cavity preparations were placed at the cementoenamel junction (CEJ) of human teeth. Half of the cavities were restored with Filtek P60 resin composite(C) and the other half were restored with Fuji II LC resin-modified glass ionomer (G). Each group was randomly divided into four subgroups (n=15). Groups C1 and G1 were not bleached and stored in artificial saliva at 37°C to serve as control groups, while in Groups C2 and G2, C3 and G3, and C4 and G4 specimens were exposed to a 15% carbamide peroxide gel for one day, one week, and two weeks, respectively, following the placement of restorations. Microleakage was assessed using the dye penetration method. Data were analyzed using the Kruskal-Wallis and Wilcoxon tests (p=0.05). Results The Kruskal-Wallis test showed no significant difference among all groups of composite or glass ionomer restorations with either enamel or dentinal margins with regard to microleakage (p>0.05). The Wilcoxon test revealed more marginal leakage in the enamel/ glass ionomer margins than the enamel/ composite margins (p<0.05). In comparisons within each group, the Wilcoxon test showed there was more microleakage in dentinal margins of composite restorations than in the enamel margins in the test groups (p<0.05). The dentinal margins of the glass ionomer in control groups showed more leakage than the enamel margins, but after the bleaching procedure all experimental groups showed statistically similar microleakage in both the enamel and dentinal margins (p>0.05). Conclusions Postoperative bleaching with carbamide peroxide could increase microleakage in the dentinal margins of composite and the enamel margins of resin-modified glass ionomer restorations. Clinical Significance Rebonding of resin composite restorations should be considered following bleaching with 15% carbamide peroxide in order to reseal the margins. Resin-modified glass ionomer is not suitable as a filling material before bleaching because of its susceptibility to increased microleakage. Citation Moosavi H, Ghavamnasiri M, Manari V. Effect of Postoperative Bleaching on Marginal Leakage of Resin Composite and Resin-Modified Glass Ionomer Restorations at Different Delayed Periods of Exposure to Carbamide Peroxide. J Contemp Dent Pract [Internet]. 2009 Nov; 10(6):009-016. Available from: http://www.thejcdp. com/journal/view/volume10-issue6-moosavi.

2009 ◽  
Vol 10 (6) ◽  
pp. 1-8
Author(s):  
Horieh Moosavi ◽  
Marjaneh Ghavamnasiri ◽  
Vahideh Manari

Abstract Aim To evaluate the effect of dental bleaching with carbamide peroxide at different exposure times on the microleakage of resin composite and resin-modified glass ionomer restorations after placement in extracted human teeth. Methods and Materials 120 Class V cavity preparations were placed at the cementoenamel junction (CEJ) of human teeth. Half of the cavities were restored with Filtek P60 resin composite(C) and the other half were restored with Fuji II LC resin-modified glass ionomer (G). Each group was randomly divided into four subgroups (n=15). Groups C1 and G1 were not bleached and stored in artificial saliva at 37°C to serve as control groups, while in Groups C2 and G2, C3 and G3, and C4 and G4 specimens were exposed to a 15% carbamide peroxide gel for one day, one week, and two weeks, respectively, following the placement of restorations. Microleakage was assessed using the dye penetration method. Data were analyzed using the Kruskal-Wallis and Wilcoxon tests (p=0.05). Results The Kruskal-Wallis test showed no significant difference among all groups of composite or glass ionomer restorations with either enamel or dentinal margins with regard to microleakage (p>0.05). The Wilcoxon test revealed more marginal leakage in the enamel/ glass ionomer margins than the enamel/ composite margins (p<0.05). In comparisons within each group, the Wilcoxon test showed there was more microleakage in dentinal margins of composite restorations than in the enamel margins in the test groups (p<0.05). The dentinal margins of the glass ionomer in control groups showed more leakage than the enamel margins, but after the bleaching procedure all experimental groups showed statistically similar microleakage in both the enamel and dentinal margins (p>0.05). Conclusions Postoperative bleaching with carbamide peroxide could increase microleakage in the dentinal margins of composite and the enamel margins of resin-modified glass ionomer restorations. Clinical Significance Rebonding of resin composite restorations should be considered following bleaching with 15% carbamide peroxide in order to reseal the margins. Resin-modified glass ionomer is not suitable as a filling material before bleaching because of its susceptibility to increased microleakage. Citation Moosavi H, Ghavamnasiri M, Manari V. Effect of Postoperative Bleaching on Marginal Leakage of Resin Composite and Resin-Modified Glass Ionomer Restorations at Different Delayed Periods of Exposure to Carbamide Peroxide. J Contemp Dent Pract [Internet]. 2009 Nov; 10(6):009-016. Available from: http://www.thejcdp. com/journal/view/volume10-issue6-moosavi.


2014 ◽  
Vol 39 (6) ◽  
pp. 578-587 ◽  
Author(s):  
TC Fagundes ◽  
TJE Barata ◽  
E Bresciani ◽  
SL Santiago ◽  
EB Franco ◽  
...  

SUMMARY Purpose The purpose of this study was to comparatively assess the seven-year clinical performance of a one-bottle etch-and-rinse adhesive with resin composite (RC) and resin-modified glass ionomer (RMGI) restorations in noncarious cervical lesions. Methods and Materials One operator placed 70 restorations (35 restorations in each group) in 30 patients under rubber dam isolation without mechanical preparation. The restorations were directly assessed by two independent examiners, using modified US Public Health Service criteria at baseline and 6, 12, 24, 60, and 84 months. The obtained data were tabulated and statistically analyzed using the Fisher and McNemar tests. A difference was significant if p&lt;0.05. Results Twenty patients were available for recall after seven years (66.6%), and 25 RC and 26 RMGI restorations out of 70 restorations were evaluated. Excellent agreement was registered for all criteria between examiners (κ≥0.85). Alfa and bravo scores were classified as clinically acceptable. The McNemar test detected significant differences within RC restorations between baseline and seven-year evaluations for anatomic form, marginal integrity, and retention (p&lt;0.05). For RMGI restorations, a significant difference was identified for marginal integrity (p&lt;0.05). As to material comparison, the Fisher exact showed a better retention performance for RMGI restorations than for RC restorations (p&lt;0.05). Twelve composite restorations were dislodged (52.0% retention) and three ionomer restorations were lost (88.5% retention). The cumulative success rate for RC and RMGI was 30% and 58.1%, respectively. Conclusions After seven years of service, the clinical performance of RMGI restorations was superior to that of the adhesive system/resin composite restorations in this study.


2003 ◽  
Vol 50 (2) ◽  
pp. 59-64 ◽  
Author(s):  
Larisa Blazic ◽  
Slavoljub Zivkovic

The purpose of this study was to evaluate the marginal microleakage in Class II with different materials in resin composite restorations cured by using "soft start" and standard polymerization techniques. Two adhesive Class II cavities were prepared in 50 human teeth with enamel in-between. Samples were divided into 5 groups and filled with composite resins, compatible flow resin composites and bonding systems. The ocluso-mesial restorations were cured with standard curing technique, and the ocluso-distal restorations were cured with "soft start" curing technique. After thermocycling, the teeth were immersed in silver nitrate solution and sectioned for leakage evaluation. The results pointed out, after "soft start" and standard curing techniques, that the best marginal behavior in Class II restorations was obtained with Tetric Ceram / Tetric Flow composite resins, then with Filtek Z 250 / Filtek Flow, followed by Admira Admira Flow and Point / Revolution composite materials. The deepest dye penetration was found in cavities with Diamond Lite / Diamond Link composite restorations. No statistically significant difference was found in the tested composite resin restorations, whether treated with "soft start" polymerization or with standard polymerization technique, in regard to marginal micro leakage.


2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Tabinda Nawaz Khan ◽  
Farhan Raza Khan ◽  
Syed Yawar Ali Abidi

Objective: To compare the microleakage around resin modified glass ionomer cement (RMGIC) based sealants and flowable resin based sealants placed with or without ameloplasty in extracted human teeth. Methods: This in-vitro experimental study was conducted at the Operative Dentistry Department, Dow University of Health Sciences, Karachi, Pakistan from June 2017 to December 2018. Sixty extracted human molars and premolars were assigned to four groups (n=15) each, according to the type of fissure sealant (flowable resin based sealant or resin modified glass ionomer based sealant) used and either placed with or without ameloplasty. Specimens were thermocycled and then immersed in 1% methylene blue for 24 hours. Specimens were then sectioned and examined using stereo-microscope (50X) for microleakage that was scored on an ordinal scale. Mann-Whitney U test and Ordinal regression were applied. Level of significance kept at 0.05. Results: There was a statistically significant difference (p-value <0.001) between the two sealant types for the microleakage scores. Sealants placed with ameloplasty demonstrated significantly higher microleakage values (p-value <0.001). Conclusion: Microleakage was found to be more pronounced in RMGIC based sealants compared to the resin based sealants. Ameloplasty resulted in higher leakage around the sealants irrespective of the chemistry of material. doi: https://doi.org/10.12669/pjms.36.3.1268 How to cite this:Khan TN, Khan FR, Abidi SYA. Ameloplasty is counterproductive in reducing microleakage around Resin Modified Glass Ionomer and Resin based fissure sealants. Pak J Med Sci. 2020;36(3):---------. doi: https://doi.org/10.12669/pjms.36.3.1268 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2016 ◽  
Vol 695 ◽  
pp. 3-11 ◽  
Author(s):  
Sanda Mihaela Popescu ◽  
Mihaela Jana Ţuculină ◽  
Horia Octavian Manolea ◽  
Veronica Mercuţ ◽  
Monica Scrieciu

AIM: To evaluate the clinical performance of adhesive restorations of resin-modified glass-ionomer cements (RMGIC) compared with of resin composite (RC), and RMGIC liner base laminated with a resin composite in non carious cervical lesions (NCCL).METHODS: The randomized clinical trial included 45 patients (25-65 year-old), with at least two similar sized NCCL on premolars. After sample size calculation, 220 restorations were placed, according to one of the following groups: (G1) Resin-modified glass-ionomer cement (Vitremer); (G2) a resin composite and an adhesive layer (Versaflo); (G3) RMGIC liner base laminated with a resin composite (Vitremer and Versaflo). The restorations were clinically followed every 6 months for up to 24 months using the USPHS modified criteria for clinical evaluation. Survival estimates for restoration longevity were evaluated using the Kaplan-Meier method. Log-rank test (P< 0.05) was used to compare the differences in the success rate according to the type of the restorative material.RESULTS: At the end of 24 months, 172 restorations were evaluated in 37 patients, with a recall rate of 82.22%. The type of restorative material used did not influence the longevity of the restorations. The survival rates for the follow-up were similar regarding the number of restored surfaces and the tooth (upper or lower premolar). Estimated survival rates of the restorations were 100%, 100%, 98,25% and 90,69% at 6, 12, 18 and 24 months of clinical evaluations, respectively. A statistically significant difference was observed between RMGIC and RC or RMGIC laminated with RC for color match, but no other significant difference was observed among the three types of restorations.CONCLUSIONS: The survival rates were similar for the three types of restorations in NCCL. Different types of materials demonstrated acceptable clinical performance in non-carious cervical lesions.


2010 ◽  
Vol 57 (1) ◽  
pp. 14-20
Author(s):  
Natasa Gajic ◽  
Aleksandra Djeri ◽  
Zeljka Kojic ◽  
Natasa Trtic

Introduction. Although the technology of production resin composite materials has been improved in the past years, polymerization shrinkage and microleakage still remain the main problem of the resin composite restorations. The most important issues are polymerization control, light source choice, quality and polymerization technique. The aim of this study was to evaluate the effect of the halogen light source on the marginal microleakage of the resin composite restorations class V. Material and Methods. The study included 40 extracted human teeth (20 intact and 20 with caries lesion). Class V cavity was prepared in each tooth. The light curing unit used in this study had irradiance 540 mW/cm2. Cavities were restored with the two resin composite materials, Filtek Supreme (3M ESPE) and Luksogal - Galenika. Microleakage was determined using colored solution of 50% silver-nitrate. Results were obtained using stereomicroscope with 6 times magnification. Color penetration was evaluated on the occlusal and gingival wall. Results. Linear color penetration was observed in all cavities restored using Luksogal. There was significant difference (p<0.01) in color penetration between the occlusal (20.30 ?m) and gingival wall (34.00 ?m). Color penetration was shown in all cavities prepared on intact and caries teeth and restored using Filtek Supreme. Also, color penetration on the occlusal wall (13.80 ?m) was significantly lower (p<0.01) than the penetration on the gingival wall (33.00 ?m). Conclusion. All the tested cavities showed marginal leakage, regardless the tooth or material used. Greater microleakage was noticed when Luksogal was used.


2006 ◽  
Vol 14 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Marcelo Giannini ◽  
Alessandra Peres Silva ◽  
Vanessa Cavalli ◽  
Adriana Franco Paes Leme

OBJECTIVE: The aim of this study was to evaluate the effects of carbamide peroxide-based bleaching agents (CPG) containing fluoride (CF) or calcium (CCa) on the ultimate tensile strength of enamel (UTS). METHOD: A "cube-like" resin composite structure was built-up on the occlusal surface of twenty-two sound third molars to facilitate specimen preparation for the micro-tensile test. The restored teeth were serially sectioned in buccal-lingual direction in slices with approximate 0.7 mm thickness. Each slice was trimmed with a fine diamond bur to reduce the buccal, internal slope enamel of the cusps to a dumb-bell shape with a cross-sectional area at the "neck" of less than 0.5 mm². The samples were randomly divided into 12 groups (n=11). The control groups were not submitted to the bleaching regimen. Specimens were treated with 10% CPG gel or with 10% CPG formulations containing CF (0.2% and 0.5%) or CCa (0.05% and 0.2%). Bleached groups received the application of the 10% CPGs for 6 hours/day at 37º C, during 14 consecutive days and were stored in artificial saliva (AS) or 100% relative humidity (RH) among each application. After bleaching, specimens were tested with the microtensile method at 0.5 mm/min. Data were analyzed by two-way ANOVA and Tukey test (5%). RESULTS: No significant difference was observed between groups stored in AS or RH. Specimens treated with CF or CCa presented similar UTS as unbleached control groups. CONCLUSION: Either 10% CPG formulations containing CF or CCa can preserve the UTS after bleaching regimen.


2020 ◽  
Vol 8 (02) ◽  
pp. 49-54
Author(s):  
Salil Mehra ◽  
Ashu K. Gupta ◽  
Bhanu Pratap Singh ◽  
Mandeep Kaur ◽  
Ashwath Kumar

Abstract Introduction The aim of the current study was to evaluate shear bond strength of resin composite bonded to Theracal LC, Biodentine, and resin-modified glass ionomer cement (RMGIC) using universal adhesive and mode of fracture. Materials and Methods A total of 50 caries-free maxillary and mandibular molars extracted were taken; occlusal cavities were prepared, mounted in acrylic blocks, and divided into five groups based on the liner used. Group 1: Biodentine liner placed into the cavity and bonding agent and resin composite applied after 12 minutes. Group 2: Biodentine liner placed into the cavity and bonding agent and resin composite applied after 14 days. Group 3: RMGIC liner placed into the cavity and bonding agent and resin composite applied immediately. Group 4: RMGIC liner placed into the cavity and bonding agent and resin composite applied after 7 days. Group 5: Theracal LC liner placed into the cavity and bonding agent and resin composite applied immediately. Each sample was bonded to resin composite using universal adhesive. Shear bond strength analysis was performed at a cross-head speed of 0.1 mm/min. Statistical Analysis  Statistical analysis was performed with one-way analysis of variance and posthoc Bonferroni test using SPSS version 22.0. Results and Conclusion Biodentine liner when bonded immediately to resin composite showed minimum shear bond strength. RMGIC when bonded to resin composite after 7 days showed maximum shear bond strength. Mode of fracture was predominantly cohesive in groups having Biodentine and Theracal LC as liner.


2011 ◽  
Vol 22 (2) ◽  
pp. 129-133 ◽  
Author(s):  
Patrícia Lima Moreira ◽  
Michel Reis Messora ◽  
Stela Márcia Pereira ◽  
Solange Maria de Almeida ◽  
Adriana Dibo da Cruz

The aim of this study was to evaluate the accuracy on the diagnosis of secondary caries-like lesions simulated on esthetic restorations of different materials, changing the incidence vertical angle (IVA) of the x-ray beam. Twenty human teeth received MOD inlay preparations. In the experimental group (n=10), a round cavity was made in the floor of the proximal box to simulate the caries-like lesion. All teeth were restored with 3 composite resins (Charisma, Filtek-Z250 and TPH-Spectrum) at 3 moments. Two radiographic images were acquired with 0º and 10º IVA. Ten observers evaluated the images using a 5-point confidence scale. Intra- and interobserver reliability was analyzed with the Interclass Correlation Coefficient and the diagnostic accuracy was evaluated using the area under the ROC curve (Az), Friedman test and Wilcoxon test (α=0.05). Higher accuracy values were obtained with 10º IVA (Az=0.66, Filtek-Z250>Az=0.56, TPH-Spectrum) compared to 0º (Az=0.55, Charisma>Az=0.37, TPH-Spectrum), though without statistically significant difference (p>0.05). The detection of secondary caries-like lesions simulated on esthetic restorations of different materials suffered no negative influence by changing the IVA of the x-ray beam.


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