title: Marginal adaptation and seal of direct and indirect Class II composite resin restorations: an in vitro evaluation.
abstract: The aim of this in vitro study was to evaluate the marginal adaptation and seal of posterior composite resin restorations made with direct (three-sited multilayering) or indirect (extraoral inlay) techniques. The influence on the marginal quality of the cervical finishing design (butt or beveled) and residual enamel height (0.5, 1.0, and 1.5 mm up to the cementoenamel junction) was also evaluated. This trial was performed on sound, freshly extracted human molars. When residual enamel was less than 1.0 mm in height or 0.5 mm in thickness, indirect restoration resulted in superior marginal quality. For preparations with sufficient residual enamel height (greater than 1.0 mm), beveling of gingival margins appeared mandatory for good adaptation of direct restorations and beneficial to the adaptation of indirect restorations. Residual gingival enamel height and thickness demonstrated an influence on marginal quality only in indirect restorations with butt margins.
authors.affiliation: Department of Preventive and Restorative Dentistry, University of Geneva, School of Dental Medicine, Switzerland.
authors.forename: D
authors.initials: D
authors.lastname: Dietschi
authors.forename: U
authors.initials: U
authors.lastname: Scampa
authors.forename: G
authors.initials: G
authors.lastname: Campanile
authors.forename: J
authors.initials: J
authors.lastname: Holz
mesh_terms: D000180:Acrylic Resins; D002126:Calcium Hydroxide; D003188:Composite Resins; D003736:Dental Cavity Lining; D003737:Dental Cavity Preparation; D003738:Dental Cements; D003743:Dental Enamel; D003763:Dental Leakage; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent / Q000379:methods*; D005069:Evaluation Studies as Topic; D006801:Humans; D007284:Inlays; D011140:Polyurethanes; D012044:Regression Analysis; D018709:Statistics, Nonparametric
chemical_list: D000180:Acrylic Resins; D003188:Composite Resins; D003738:Dental Cements; D011140:Polyurethanes; C059495:dicor cement; D002126:Calcium Hydroxide