Polymerization shrinkage-strain and microleakage in dentin-bordered cavities of chemically and light-cured restorative materials.
OBJECTIVE
The aim of this study was to evaluate in vitro the relationship between polymerization shrinkage and microleakage in dentin-bordered restorations.


METHODS
Four light-cured restorative materials in combination with their respective dental bonding agents (DBA) were investigated: Tetric Ceram/Syntac classic (Vivadent), Solitaire/Gluma Solid bond (Heraeus Kulzer), Definite/Etch & Prime 3.0 (Degussa), Solitaire 2/Gluma Solid bond (Heraeus Kulzer). The chemically cured resin Degufill sc microhybrid (Degussa) in combination with ART Bond (Coltène) was also included. Polymerization shrinkage of the restorative materials was measured using three different methods (dilatometer, linometer, buoyancy method) and analyzed with ANOVA. For the determination of microleakage, caries-free human molars were embedded in acrylic resin and subsequently abraded with a wet abrasion machine to produce four level dentin surfaces. One hundred sixty cavities (3 mm diameter/1.5 mm deep) were randomly assigned to four groups of equal size. The groups were restored without (group 1 and 2) and with DBA (group 3 and 4), and either not subjected (group 1 and 3) or subjected (group 2 and 4) to 2000 cycles from 5-55 degrees C. Each group was further divided into five material subgroups of eight cavities each. Microleakage was determined using a dye penetration test assessed at depths of 200, 400 and 600 microm into the fillings. Data were analyzed with the Kruskal-Wallis and the Mann-Whitney test.


RESULTS
All three methods of measuring polymerization shrinkage (PS) generated the same, statistically secured ranking for the four light-cured restorative materials: PS Definite < PS Tetric Ceram < PS Solitaire 2 < PS Solitaire. In the microleakage study, only a few statistically significant differences were observed. Etch & Prime 3.0/Definite in group 3 and Solid Bond/Solitaire 2 in group 4 tended to exhibit the least microleakage. Correlation coefficients between aggregated shrinkage and microleakage data were 0.3 for group 3 and -0.2 for group 4.


CONCLUSIONS
The results do not suggest any correlation between polymerization shrinkage and microleakage in dentin of direct adhesive restorations.
Department of Operative Dentistry, Periodontology and Pediatric Dentistry, University of Greifswald, Rotgerberstr. 8, 17489 Greifswald, Germany. rosin@uni-greifswald.de
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Rosin
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Urban
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Gärtner
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Bernhardt
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Splieth
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Meyer
D000704:Analysis of Variance; D003188:Composite Resins / Q000737:chemistry*; D003763:Dental Leakage; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent; D003804:Dentin; D017220:Dentin-Bonding Agents; D006801:Humans; D008027:Light; D008422:Materials Testing; D008963:Molar; D011108:Polymers / Q000737:chemistry; D011897:Random Allocation; D012833:Siloxanes / Q000737:chemistry; D018709:Statistics, Nonparametric; D013729:Terpenes / Q000737:chemistry
D003188:Composite Resins; C421785:Definite composite resin; D017220:Dentin-Bonding Agents; D011108:Polymers; D012833:Siloxanes; C113049:Solitaire composite resin; D013729:Terpenes; C121818:Tetric ceram; C113132:degufill M