Effect of cavity design on microleakage of resin-modified glass ionomer restorations.
OBJECTIVE
To investigate cavity sealing with resin-modified glass ionomer cements (RGIC) and a compomer relative to the design of Class V cavities crossing the CEJ.


METHODS
Three types of cavities, 6 x 3 x 1.5 mm, were prepared buccally in human molars. Type 1: semicircular with 90 degrees cavo-surface angle; Type 2: as type 1, but with bevelled enamel margin; Type 3: V-shaped. The cavities were restored with the compomer Dyract (DYR), with one of the RGIC, Fuji II LC (FUJ), Photac-Fil (PHF) or Vitremer (VIT), or with the bonded resin composite system Gluma-CPS/Pekafill (GLP) as a reference. Six restorations in each group were finished immediately after curing and thermocycled 1500 between 5 degrees C and 55 degrees C. For Type 1 restorations, another set of six samples was stored in 23 degrees C water for 24 hours. After thermocycling and water storage, respectively, the specimens were immersed in 0.1% fuchsin. Two sections were made through the restoration to register microleakage on the four surfaces produced as depth of dye penetration coronally and apically by scores 0 (no) to 4 (beyond deepest part of cavity). The results were statistically analyzed by cavity type, site, and restorative material using Kruskal-Wallis ANOVA and Wilcoxon's two sample test at P = 0.05.


RESULTS
When compared with water storage, thermocycling had no effect on dye penetration with FUJ and PHF, yet more pronounced microleakage at the enamel site was noted with DYR and VIT, and apically with DYR and GLP. Type 1 restorations leaked more than type 2 and 3 cavities for FUJ, VIT and GLP.
Uno
S
S
Department of Operative Dentistry, Hokkaido University, School of Dentistry, Sapporo, Japan.
Finger
W J
WJ
Fritz
U B
UB
D000704:Analysis of Variance; D020770:Compomers; D003188:Composite Resins; D003737:Dental Cavity Preparation; D003763:Dental Leakage; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent / Q000379:methods; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D008689:Methacrylates; D019279:Resin Cements; D012117:Resins, Synthetic; D017640:Silicates; D018709:Statistics, Nonparametric
D020770:Compomers; D003188:Composite Resins; C088486:Dyract; C079765:Fuji II LC cement; D005899:Glass Ionomer Cements; D008689:Methacrylates; C081144:Photac-Fil; D019279:Resin Cements; D012117:Resins, Synthetic; D017640:Silicates; C084550:Vitremer