scholarly journals Effect of At-home and In-office Bleaching on Marginal Microleakage in Composite Resin Restorations using Two Adhesive Systems

2018 ◽  
Vol 19 (3) ◽  
pp. 248-252 ◽  
Author(s):  
Celso A Klein ◽  
Douglas da Silva ◽  
Eduardo G Reston ◽  
Diana LB Borghetti ◽  
Roberto Zimmer
Keyword(s):  
Laser Scanning ◽  
Composite Resin ◽  
Adhesive System ◽  
Composite Resins ◽  
Laser Scanning Microscopy ◽  
Confocal Laser ◽  
Adhesive Systems ◽  
Composite Resin Restorations ◽  
Resin Restorations ◽  
At Home

ABSTRACT Aim The aim of this study is to assess marginal microleakage of cervical cavities restored with composite resins and two different adhesive techniques subjected to at-home and in-office bleaching. Materials and methods In this randomized, blind laboratory experiment, 60 bovine teeth recently extracted were collected and divided into six groups (n = 10 each group). The teeth received cervical cavity preparations (2 mm × 3 mm × 1 mm) with enamel margins. Two different adhesive systems were used (Single Bond 2 and Clearfil SE Bond), in addition to composite resin (Z250). Restored teeth received two different bleaching gels (Opalescence PF and Opalescence Boost). Teeth were thermocycled and analyzed under confocal laser scanning microscopy. Results No significant differences were observed (p > 0.05) in microleakage scores between the two groups not subjected to bleaching nor between the four groups that received bleaching treatment (p > 0.05), regardless of the gel and adhesive system employed. However, when comparing nonbleached with bleached teeth, those not subjected to bleaching showed statistically lower marginal microleakage scores (p < 0.05). Data were statistically analyzed using the Kruskal–Wallis test followed by Student–Newman–Keuls post hoc test, with significance set at 5%. Conclusion Marginal microleakage in composite resin restorations is influenced by the action of bleaching agents used both at-home and in-office, regardless of the adhesive system employed (total-etch or self-etch). Clinical significance Both at-home and in-office bleaching agents have an influence on the adhesive interface of resin restorations, producing changes and inducing marginal leakage. How to cite this article Klein Jr CA, da Silva D, Reston EG, Borghetti DLB, Zimmer R. Effect of At-home and In-office Bleaching on Marginal Microleakage in Composite Resin Restorations using Two Adhesive Systems. J Contemp Dent Pract 2018;19(3):248-252.

One-Year Clinical Evaluation of Composite Restorations in Posterior Teeth: Effect of Adhesive Systems

2012 ◽  
Vol 37 (6) ◽  
pp. E30-E37 ◽  
Author(s):  
RH Sundfeld ◽  
RS Scatolin ◽  
FG Oliveira ◽  
LS Machado ◽  
RS Alexandre ◽  
...  
Keyword(s):  
Composite Resin ◽  
Clinical Performance ◽  
Adhesive System ◽  
Composite Resins ◽  
Adhesive Systems ◽  
Posterior Teeth ◽  
Significance Level ◽  
Marginal Integrity ◽  
Composite Resin Restorations ◽  
One Year

SUMMARY This clinical study assessed the performance of posterior composite resins applied with the Adper™ Single Bond Plus (SB) and Adper™ Scotchbond SE (SE) adhesive systems and Filtek™ Supreme Plus composite resin, using modified US Public Health Service criteria. A total of 97 restorations were placed in posterior teeth by two calibrated operators. Application of the materials followed manufacturers' instructions. The restorations were evaluated by two examiners at baseline and after one year. Statistical analyses were conducted using the proportion test at a significance level of 5% (p&lt;0.05). All the restorations evaluated (ie, 100%) received an alpha rating for the criteria of marginal discoloration and marginal integrity at baseline. At one year, for marginal discoloration, 64.6% of SB and 61.2% of SE received an alpha rating. For marginal integrity, 72.9% of SB and 77.6% of SE received an alpha rating. The other restorations received bravo ratings for both criteria. None of the teeth that received the restorative systems presented caries lesions around the restorations. A total of eight teeth presented postoperative sensitivity one week after baseline, five with SB and three with SE; the symptom had disappeared one year later. One year later, composite resin restorations using either adhesive system showed satisfactory clinical performance.

scholarly journals Effect of Three Different Mouthrinses on Microleakage of Composite Resin Restorations with Two Adhesive Systems after Bleaching with 10% Carbamide Peroxide

2012 ◽  
Vol 13 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Soodabeh Kimyai ◽  
Siavash Savadi Oskoee ◽  
Amir Ahmad Ajami ◽  
Mahmoud Bahari ◽  
Mehdi Abed Kahnamoui ◽  
...  
Keyword(s):  
Composite Resin ◽  
Resin Composite ◽  
Adhesive System ◽  
Adhesive Systems ◽  
Carbamide Peroxide ◽  
Etch And Rinse ◽  
Composite Resin Restoration ◽  
Bonferroni Test ◽  
Composite Resin Restorations ◽  
Resin Restorations

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.

scholarly journals Longevity of restorations in direct composite resin: literature review

2016 ◽  
Vol 64 (3) ◽  
pp. 320-326 ◽  
Author(s):  
Marilia Mattar de Amôedo Campos VELO ◽  
Livia Vieira Braga Ferraz COELHO ◽  
Roberta Tarkany BASTING ◽  
Flávia Lucisano Botelho do AMARAL ◽  
Fabiana Mantovani Gomes FRANÇA
Keyword(s):  
Literature Review ◽  
Composite Resin ◽  
Dental Treatment ◽  
Clinical Performance ◽  
Composite Resins ◽  
Adhesive Systems ◽  
Different Types ◽  
Composite Resin Restorations ◽  
Postoperative Sensitivity ◽  
Resin Restorations

ABSTRACT Composite resin restorations have increased considerably in popularity and predictability, enabling the realization of a minimally invasive dental treatment. However, to obtain the success of composite resin restorations, knowledge of adhesives and the use of the technique are required, otherwise failure may appear quickly. The objective of the present work was to conduct a literature review on the clinical performance of different types of composite resins and adhesive systems with regard to longevity. For this evaluation, some characteristics of the restorations were immediately verified after they were completed and after a determined time. Characteristics such as postoperative sensitivity, color, marginal integrity, secondary caries, texture, marginal adaptation, retention, displacement, marginal discoloration and anatomical shape had their performances compared. The influence of different adhesive systems on the longevity of the restorations was also observed as a function of its fundamental importance in the union between the tooth and the restorative material. It was concluded that most restorations performed clinically acceptable when hybrid, nanoparticle or microhybrid composite resins and conventional adhesive systems were used.

Triacrylamide-Based Adhesives Stabilize Bonds in Physiologic Conditions

2022 ◽  
pp. 002203452110617
Author(s):  
F.S. de Lucena ◽  
S.H. Lewis ◽  
A.P.P. Fugolin ◽  
A.Y. Furuse ◽  
J.L. Ferracane ◽  
...  
Keyword(s):  
Bond Strength ◽  
Cross Sections ◽  
Laser Scanning ◽  
Adhesive System ◽  
Laser Scanning Microscopy ◽  
Confocal Laser ◽  
Gap Formation ◽  
Bond Stability ◽  
Occlusal Surfaces ◽  
Before And After

In this study, an acrylamide-based adhesive was combined with a thiourethane-based composite to improve bond stability and reduce polymerization stress, respectively, of simulated composite restorations. The stability testing was conducted under physiologic conditions, combining mechanical and bacterial challenges. Urethane dimethacrylate was combined with a newly synthesized triacrylamide (TMAAEA) or HEMA (2-hydroxyethyl-methacrylate; control) to produce a 2-step total-etch adhesive system. Methacrylate-based composites (70 wt% silanized filler) were formulated, containing thiourethane oligomers at 0 (control) or 20 wt%. Standardized preparations in human third molars were restored; then, epoxy replicas were obtained from the occlusal surfaces before and after 7-d storage in water or with Streptococcus mutans biofilm, which was tested after storage in an incubator (static) or the bioreactor (mechanical challenge). Images were obtained from the replicas (scanning electron microscopy) and cross sections of the samples (confocal laser scanning microscopy) and then analyzed to obtain measurements of gap, bacterial infiltration, and demineralization. Microtensile bond strength of specimens stored in water or biofilm was assessed in 1-mm2 stick specimens. Data were analyzed with analysis of variance and Tukey’s test (α = 0.05). HEMA-based materials had greater initial gap measurements, indicating more efficient bonding for the acrylamide materials. When tested in water, the triacrylamide-based adhesive had smaller gaps in the incubator or bioreactor. In the presence of biofilm, there was less difference among materials, but the acrylamide/thiourethane combination led to statistically lower gap formation in the bioreactor. HEMA and TMAAEA-based adhesives produced statistically similar microtensile bond strengths after being stored in water for 7 d, but after the same period with biofilm-challenged specimens, the TMAAEA-based adhesives were the only ones to retain the initial bond strength values. The use of a stable multiacrylamide-based adhesive led to the preservation of the resin-dentin bonded interface after a physiologically relevant challenge. Future studies will include a multispecies biofilm model.

A Five-Year Clinical Evaluation of Direct Nanofilled and Indirect Composite Resin Restorations in Posterior Teeth

2013 ◽  
Vol 38 (2) ◽  
pp. E31-E41 ◽  
Author(s):  
AR Cetin ◽  
N Unlu ◽  
N Cobanoglu
Keyword(s):  
Composite Resin ◽  
Clinical Performance ◽  
United States Public Health ◽  
The United States ◽  
Composite Resins ◽  
Posterior Teeth ◽  
Indirect Composite ◽  
Composite Resin Restorations ◽  
Clinical Conditions ◽  
Resin Restorations

SUMMARY Aim: To assess the clinical efficacy of posterior composite resin restorations placed directly and indirectly in posterior teeth after five years. Materials and Methods: A total of 108 cavities in 54 patients were restored with three direct composite resins (Filtek SupremeXT [FSXT], Tetric Evo Ceram [TEC], AELITE Aesthetic [AA]) and two indirect composite resins (Estenia [E] and Tescera ATL [TATL]). All restorations were evaluated by two examiners using the United States Public Health Service criteria at baseline and five years after placement. Statistical analysis was completed with Fisher exact and McNemar χ2 tests. Results: At baseline, 4% (five) of the restored teeth presented postoperative sensitivity; however, only one of them (a member of the E group) required canal treatment and replacement after two years. At the five-year evaluation, all restorations were retained, with Alpha ratings at 100%. Only one tooth (in the TEC group) required replacement after three years due to secondary caries. Color match, surface texture, and marginal integrity were predominantly scored as Alpha after five years for all groups. After that time, marginal discoloration was scored as Alpha in 64% of AE restorations, 70% of TATL restorations, 73% of E restorations, and 87% of FSXT restorations. There were no Charlie scores recorded for any of the restorative systems. Conclusions: Under controlled clinical conditions, indirect composite resin inlays and direct composite resin restorations exhibited an annual failure rate of 2.5% and 1.6%, respectively, after five years. Therefore, the investigated materials showed acceptable clinical performance, and no significant differences were found among them.

scholarly journals The Effect of Thermocycling on Interfacial Bonding Stability of Self-Etch Adhesives: OCT Study

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
T. A. Bakhsh ◽  
A. Turkistani
Keyword(s):  
Laser Scanning ◽  
Adhesive System ◽  
Laser Scanning Microscopy ◽  
Confocal Laser ◽  
Gap Formation ◽  
Swept Source ◽  
Before And After ◽  
One Step ◽  
Self Etch ◽  
Filled Composite

Objective. The aim of this study was to monitor the behavior of interfacial gaps formed under different bonded polymeric restorations before and after thermocycling (TC), using swept-source optical coherence tomography (SS-OCT) and confirming the obtained findings with confocal laser scanning microscopy (CLSM). Materials and Methods. Cylindrical class I cavities were prepared in twenty noncarious human premolar teeth ( 1.5   mm   depth × 3.5   mm   diameter ) and divided randomly into two groups: TS and SN, according to the adhesive system ( n = 10 ). In the TS group, one-step self-etch adhesive Clearfil Tri-S Bond Plus (Kuraray Noritake Dental, Japan) was used, followed by composite restoration using Estelite Sigma Quick (Tokuyama Dental, Japan). In the SN group, the cavities were restored with the two-step self-etch/composite silorane-based resin restoration system (3M ESPE, USA). All specimens were restored in bulk filling technique and cured in accordance with the manufacturers’ instructions. Both groups were imaged under SS-OCT after 24 h and recorded as controls. Then, each group was subjected to thermal challenge using the TC machine (5–55°C) and B-scans were recorded at different TC intervals (2600, 5200, and 10000). In order to confirm the SS-OCT findings, additional specimens were prepared, scanned, and sectioned for CLSM observation. Results. B-scans demonstrated white clusters at the tooth-resin interface that corresponded to the gap location on CLSM images. The TS group showed significantly less gap formation than the SN group before and after TC ( p < 0.001 ). Conclusions. An optimal composite adaptation can be achieved when the bonded restoration comprises a combination of an adhesive containing 10-MDP monomer and a considerable highly filled composite.

scholarly journals Color Stability and Surface Roughness of Hybrid and Nanofilled Composites Brushed with Abrasive Dentifrices

2021 ◽  
Vol 23 (2) ◽  
pp. 85-91
Author(s):  
Guilherme Ortiz Pinto Cruz ◽  
Larissa Martins Costa ◽  
Cesar Penazzo Lepri ◽  
Ruchele Dias Nogueira ◽  
Regina Guenka Palma-Dibb ◽  
...  
Keyword(s):  
Surface Roughness ◽  
Laser Scanning ◽  
Color Change ◽  
Color Stability ◽  
Composite Resins ◽  
Laser Scanning Microscopy ◽  
Confocal Laser ◽  
Test Surface ◽  
Initial Color ◽  
Level Of Significance

AbstractThe aim of this study was to evaluate the color stability and the surface roughness of different composites brushed with toothpastes presenting different levels of abrasivity. Thirty discs of each material were obtained using michohybrid composites (Brilliant NG and Charisma Diamond) and a nanocomposite (Filtek Z350XT). The initial color (CIELab) and surface roughness (confocal laser scanning microscopy) of resin discs were evaluated. Afterwards, 10 specimens per group were brushed with the following dentifrices: Maximum Cavity Protection, Sensodyne Repair & Protect and Colgate Sensitive Pro-Relief. Brushing was performed with an electric toothbrush equipped with soft bristle head, with standard power and weight, for 30 minutes. Every 30 seconds, 1.0 ml of the slurry was injected between the bristles of the brush and the specimen. After abrasive challenge, the samples had their color and roughness reevaluated. Data were submitted to the Kruskal-Wallis test (color change) or the t-test (surface roughness). The level of significance was 5%. Results: Brushing did not significantly change the color of the composites tested in the study herein . On the other hand, the surface roughness of the composites was significantly affected by the abrasive challenge, regardless of the toothpaste used. The surface roughness change was similar for all the composites. The abrasive challenge with the toothpastes Maximum Cavity protection, Sensodyne Repair & Protect and Colgate Sensitive Pro-Relief was not able to significantly change the color of the composite resins. Nevertheless, the abrasive challenges significantly altered the surface roughness of all the evaluated composites. However, the changes in surface roughness were statistically similar in the microhybrid and nanofilled composites. Keywords: Composites Resins. Dentifrices. Color. ResumoO objetivo deste estudo foi avaliar a estabilidade de cor e a rugosidade superficial de diferentes resinas compostas escovadas com dentifrícios de diferentes níveis de abrasividade. Trinta discos de cada material foram obtidos utilizando compósitos micro-híbridos (Brilliant NG e Charisma Diamond) e um nanocompósito (Filtek Z350XT). A cor inicial (CIELab) e a rugosidade superficial (microscopia confocal de varredura a laser) dos discos de resina foram avaliadas. Em seguida, 10 amostras por grupo foram escovadas com os dentifrícios Máxima Proteção Anticáries, Sensodyne Repair & Protect e Colgate Sensitive Pro-Alívio. A escovação foi realizada com uma escova elétrica com cabeça de cerdas macias, com potência e peso padronizados, durante 30 minutos. A cada 30 segundos, 1,0 ml da pasta era injetada entre as cerdas da escova e a amostra. Após o desafio abrasivo, as amostras tiveram sua cor e rugosidade reavaliadas. Os dados foram submetidos ao teste de Kruskal-Wallis (alteração de cor) ou ao teste t (rugosidade da superfície) (α=5%). A escovação não alterou significativamente a cor dos compósitos. Por outro lado, a rugosidade superficial dos compósitos foi significativamente afetada pelo desafio abrasivo, independentemente do dentifrício utilizado. A alteração da rugosidade superficial foi semelhante para todos os compósitos. O desafio abrasivo com a Máxima Proteção Anticáries, o Sensodyne Repair & Protect e o Colgate Sensitive Pro-Alívio não foi capaz de alterar significativamente a cor das resinas. Diferentemente, os desafios abrasivos alteraram significativamente a rugosidade superficial de todos os compósitos avaliados. No entanto, as mudanças na rugosidade foram estatisticamente semelhantes nos compósitos micro-híbridos e nanoparticulado. Palavras-chave: Resinas Compostas. Dentifrícios. Cor.

scholarly journals Clinical performance of class I occlusal composite resin restorations: a multicenter double-blinded randomized clinical trial

2018 ◽  
Vol 21 (3) ◽  
pp. 288
Author(s):  
Bruno Mendonça Lucena De Veras ◽  
Geórgia Pires dos Santos Menezes ◽  
Hugo Leonardo Mendes Barros ◽  
Marcelya Chrystian Moura Rocha ◽  
Aditonio De Carvalho Monteiro ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Composite Resin ◽  
Clinical Performance ◽  
Dental Restoration ◽  
Composite Resins ◽  
Class I ◽  
Color Match ◽  
Marginal Integrity ◽  
Composite Resin Restorations ◽  
Resin Restorations

<p><strong>Objective: </strong>The objective of this study was to evaluate the 6-month clinical performance of class I occlusal composite resin restorations through a multicenter, randomized, double-blind, clinical trial. <strong>Material e Métodos: </strong>Two hundred and eighty class I occlusal restorations were performed in 70 patients (aged between 17 to 50 years).  The restorations were divided into four groups: G1 (Filtek P60/3M ESPE); G2 (Rok/SDI); G3 (Filtek™ P90/3M ESPE); G4 (Evolux/Dentsply). Two pre-calibrated dental practitioners performed and evaluated the restorative procedures regarding to color match, marginal discoloration, recurrent caries, wear (anatomic form) and marginal integrity according to the USPHS criteria. <strong>Resultados: </strong>In 85.8% of the evaluated restorations was observed the ideal score (A) for color match; 91.4% for marginal discoloration; 100% for recurrent caries; 87.7% for wear (anatomic form) and 99.3% for marginal integrity.<strong> Conclusion: </strong>The composite resins used in this study presented satisfactory and similar clinical performance in a 6-month clinical evaluation.</p><p><strong>Keywords</strong></p><p>Dentistry; Composite resins; Permanent dental restoration; Molar; Bicuspid.</p>

scholarly journals Cavity Preparation with Er:YAG Laser or Rotary Instruments: Investigation of the Composite Resin Restorations Interface

2011 ◽  
Vol 2 (2) ◽  
pp. 83-87 ◽  
Author(s):  
Carlos Rocha Gomes Torres ◽  
Maria Filomena Rocha Lima Huhtala ◽  
Maria Amélia Máximo de Araújo ◽  
Simone Cristina Teixeira ◽  
Rodrigo Máximo de Araújo
Keyword(s):  
High Speed ◽  
Composite Resin ◽  
Er:Yag Laser ◽  
Statistical Tests ◽  
Statistical Significance ◽  
Nitrate Solution ◽  
Adhesive Systems ◽  
Cavity Preparation ◽  
Composite Resin Restorations ◽  
Resin Restorations

ABSTRACT This study evaluated the sealing of composite resin restorations after cavity preparation with high speed diamonds burs or Er:YAG laser. Two different adhesive systems were used; conventional and self-etching. Seventy bovine incisors were divided into groups according to the cavity treatment (N = 10): G1 (bur + acid + Excite); G2 (bur + One Up); G3 (bur + laser + Excite); G3 (bur + laser + One Up); G4 (laser + acid + Excite); G5 (laser + One Up) and G6 (laser + Excite). Restorations were performed with Filtek Z250 3M/ESPE. The specimes were then thermocycled and placed in a vacuum machine, at a negative atmosphere of 20 inch Hg for 5 minutes, for removal of entrapped air. This procedure was followed by immersion in a 50% silver nitrate solution. The teeth were sectioned and the evaluation of the marginal leakage was performed in a light stereomicroscope. The results were submitted to the ANOVA and Tukey statistical tests. It was concluded that preparations performed with high-speed turbines and Er:YAG laser presented the same performance; preparations with Er:YAG laser submitted to acid-etching and conventional adhesive system presented high values of marginal leakage, with statistical significance; conventional and self-etching adhesive systems presented the same performance as to marginal microleakage.

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