Comparison of pulse activation vs conventional light-curing on marginal adaptation of a compomer conditioned using a total-etch or a self-etch technique.
OBJECTIVE
This study investigated the effect of two factors: conditioning methods and light-curing techniques on the marginal adaptation of Dyract AP (Dentsply DeTrey, Germany). The 'pulse activation' curing technique was compared with a conventional light-curing technique for their effectiveness in reducing marginal gaps in restorations that were conditioned with three different protocols.


METHODS
Cylindrical cavities, 3mm in diameter, were prepared in extracted human molar teeth. They were restored with Dyract AP using Prime&Bond NT (PBNT; Dentsply DeTrey) as the adhesive. Cavities were etched with: Conditioner36/PBNT (group 1), Non-Rinse Conditioner (NRC)/PBNT (group 2), and PBNT only (group 3). Either conventional or the 'pulse activation' technique was used for light-curing of the material. Epoxy resin replicas were obtained from longitudinal sections of the specimens, and the restoration-tooth interfaces were examined using scanning electron microscopy. Marginal qualities along the resin-dentin interfaces were further measured using image analysis and analyzed using nonparametric statistical methods.


RESULTS
With the conventional curing technique, enamel margin fractures were frequently observed. Marginal gaps were found along the compomer-dentin interfaces irrespective of the conditioning protocol. A significantly lower percentage of gap-containing margins were found in cavities that were conditioned with 36% phosphoric acid. With the 'pulse activation' technique, no marginal gap was found along compomer-dentin interfaces that were etched with either Conditioner36 or NRC. More than 90% of the total margin length were excellent. No cohesive failure of enamel could be observed along cavosurface margins.


CONCLUSIONS
The 'pulse activation' curing technique significantly improves the marginal integrity of Dyract AP when Conditioner36/Prime&Bond NT and NRC/Prime&Bond NT are used as conditioning/bonding systems. The use of Prime&Bond NT without etching is not recommended, as marginal gaps are present irrespective of the curing techniques employed.
Luo
Y
Y
Faculty of Dentistry, The Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Hong Kong.
Lo
E C M
EC
Wei
S H Y
SH
Tay
F R
FR
D000134:Acid Etching, Dental / Q000379:methods*; D020770:Compomers / Q000737:chemistry*; D001840:Dental Bonding; D003737:Dental Cavity Preparation; D003743:Dental Enamel / Q000648:ultrastructure; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent; D003804:Dentin / Q000648:ultrastructure; D017220:Dentin-Bonding Agents / Q000737:chemistry; D004853:Epoxy Resins; D006801:Humans; D008027:Light; D008298:Maleates / Q000737:chemistry; D008422:Materials Testing; D008689:Methacrylates / Q000737:chemistry; D008855:Microscopy, Electron, Scanning; D008963:Molar; D010756:Phosphoric Acids / Q000737:chemistry; D011109:Polymethacrylic Acids / Q000737:chemistry; D016628:Replica Techniques; D017640:Silicates / Q000737:chemistry; D013223:Statistics as Topic; D018709:Statistics, Nonparametric; D013499:Surface Properties
D020770:Compomers; D017220:Dentin-Bonding Agents; C088486:Dyract; D004853:Epoxy Resins; D008298:Maleates; D008689:Methacrylates; D010756:Phosphoric Acids; D011109:Polymethacrylic Acids; C425843:Prime and Bond NT; D017640:Silicates; C444699:non-rinse conditioner