Effect of cyclical lateral forces on microleakage in cervical resin composite restorations.
OBJECTIVE
The aim of this study was to assess the effect on microleakage of cyclic lateral fatigue forces in different types of cervical resin composite restorations.


METHODS
V-notch cavities were prepared at the cementoenamel junction in 60 extracted human premolars and restored with a bonding system along with one of the following resin composites: hybrid resin composite, microfilled resin composite, and flowable resin composite (20 each). Ten specimens from each group of 20 were subjected to 8,400 cycles of lateral fatigue forces (44 N) at the occlusal half of the clinical crown in a machine specifically developed for this purpose. The other 10 specimens of each group served as controls, representing the microleakage that occurred without lateral fatigue forces. All specimens were stained with a 50% silver nitrate solution and sectioned sagittally. A scoring system of 0 to 6 was used to record the amount of die penetration along the restoration-tooth interface.


RESULTS
There was leakage in both the fatigued specimens and the nonfatigued control specimens. There were significant differences in the mean values of microleakage for the restorative materials studied. In the nonfatigued groups, hybrid resin specimens exhibited significantly more microleakage at the dentin-resin interface than did microfilled or flowable resin specimens. In the fatigued groups, hybrid resin specimens exhibited significantly more leakage at the dentin-resin interface than did microfilled resin specimens.


CONCLUSIONS
The least elastic resin composite tested, the hybrid material, generally showed the most leakage. This suggests that the elasticity of these resin composite restorative materials may be a factor in the amount of microleakage in cervical restorations.
Fruits
Terry J
TJ
Department of Operative Dentistry, University of Oklahoma, College of Dentistry, 1001 Stanton L. Young Boulevard, Oklahoma City, Oklahoma 73190, USA. terry-fruits@ouhsc.edu
VanBrunt
Corbyn L
CL
Khajotia
Sharukh S
SS
Duncanson
Manville G
MG
D017609:Barium Compounds; D001641:Bicuspid; D017438:Bisphenol A-Glycidyl Methacrylate; D001732:Bite Force; D003188:Composite Resins; D003763:Dental Leakage / Q000209:etiology*; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent / Q000009:adverse effects / Q000379:methods; D003799:Dental Stress Analysis; D004548:Elasticity; D006801:Humans; D008422:Materials Testing; D012822:Silicon Dioxide; D018709:Statistics, Nonparametric; D019237:Tooth Cervix
C121035:Aeliteflo; D017609:Barium Compounds; D003188:Composite Resins; C113300:TPH hybrid; C074741:Silux Plus; D017438:Bisphenol A-Glycidyl Methacrylate; D012822:Silicon Dioxide