title: Interfacial adaptation of a calcium aluminate cement used in class II cavities, in vivo.
abstract: The aim of this in vivo study was to evaluate the interfacial marginal adaptation of a calcium aluminate cement, Doxadent (DD), and to compare it intra-individually with a resin composite, Tetric Ceram/Syntac Single-Component (TC/SS), in Class II cavities. Sixteen Class II box-shaped, enamel-bordered cavities were prepared in eight premolars scheduled to be extracted after 1 month's service for orthodontic reasons. The interfacial marginal adaptation (internal surfaces) of the restorations was evaluated by a quantitative scanning electron microscope analysis using a replica method. DD showed a statistically significant, lower degree of gap-free adaptation to enamel compared with TC/SS: 84% vs. 93%. To dentin, DD showed a significantly better adaptation than TC/SS: 72% vs. 49%. A high frequency of enamel fractures perpendicular to the margins was observed for the DD restorations, which may be explained by an expansion of the calcium-aluminate cement. It can be concluded that DD showed a better adaptation to dentin while TC/SS showed a better adaptation to enamel. The dimensional changes of DD have to be investigated before clinical use can be recommended.
authors.affiliation: Department of Odontology, Dental School, University of Umeå, 901 85 Umeå, Sweden. Karin.Sunnegardh@odont.umu.se
authors.forename: K
authors.initials: K
authors.lastname: Sunnegårdh-Grönberg
authors.forename: J W V
authors.initials: JW
authors.lastname: van Dijken
authors.forename: A
authors.initials: A
authors.lastname: Lindberg
authors.forename: P
authors.initials: P
authors.lastname: Hörstedt
mesh_terms: D000293:Adolescent; D017607:Aluminum Compounds / Q000737:chemistry*; D017610:Calcium Compounds / Q000737:chemistry*; D002648:Child; D003188:Composite Resins / Q000737:chemistry; D001840:Dental Bonding; D003737:Dental Cavity Preparation / Q000379:methods*; D003738:Dental Cements / Q000737:chemistry*; D003743:Dental Enamel / Q000648:ultrastructure; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent; D003804:Dentin / Q000648:ultrastructure; D006801:Humans; D008422:Materials Testing; D008855:Microscopy, Electron, Scanning; D019279:Resin Cements / Q000737:chemistry; D018709:Statistics, Nonparametric; D013499:Surface Properties
chemical_list: D017607:Aluminum Compounds; D017610:Calcium Compounds; D003188:Composite Resins; D003738:Dental Cements; C462459:DoxaDent; D019279:Resin Cements; C078484:Syntac dentine adhesive; C121818:Tetric ceram