Microleakage of resin-based liner materials and condensable composites using filled and unfilled adhesives.
OBJECTIVE
To evaluate the efficacy of differing resin based liner materials in reducing microleakage.


METHODS
80 freshly extracted caries-free human premolars and molars were used. MO/DO Class II standardized preparations were performed with the gingival margin placed 1 mm above the CEJ. Teeth were randomly divided into two groups; each one was divided into four subgroups (A-B-C-D for Group 1 and E-F-G-H for Group 2). Each prepared tooth was etched with 32% H3PO4 (Uni Etch); in Group 1, one coat of One Step and in Group 2, two coats and two cures of Prime & Bond NT adhesives were applied. In each group 1 mm layer of three different liners was used: A2 Heliomolar RO for A and E; A2 Heliomolar Flow for B and F; A2 Bisfil 2B for C and G. No liner was used for D and H subgroups. Teeth were then restored using 2 mm increments of Pyramid A2 Dentin and A1 Enamel and cured with a VIP curing light. Teeth were thermocycled x500 between 5 degrees C and 55 degrees C with a dwell of 30 seconds and then placed in a 0.5% methylene blue dye solution for 24 hours at 37 degrees C. Samples were sectioned longitudinally and evaluated for microleakage at the gingival margin under a stereomicroscope at x20 magnification. Dye penetration was scored using an Ordinal Scoring System where 0= no penetration; 1= enamel penetration; and 2= dentin penetration.


RESULTS
A Chi Square Test revealed a statistically significant difference between Group 1 and Groups 2 (P < 0.001). Group 1 yielded the most microleakage. No statistically significant difference was noted between the subgroups of each group; a statistically significant difference of B and D vs. E and H (P < 0.01 > 0.001) and B vs. G and D (P < 0.05 > 0.01) was also noted. The dentin bonding agent in Group 2 contributed to a reduction of microleakage when compared to Group 1.
Deliperi
Simone
S
Tufts University School of Dental Medicine, Boston, MA, USA. simone.deliperi@tufts.edu
Bardwell
David N
DN
Papathanasiou
Aikaterini
A
Perry
Ronald
R
D000134:Acid Etching, Dental; D000180:Acrylic Resins / Q000737:chemistry; D016009:Chi-Square Distribution; D003188:Composite Resins / Q000737:chemistry*; D001840:Dental Bonding; D003736:Dental Cavity Lining; D003737:Dental Cavity Preparation / Q000145:classification; D003743:Dental Enamel / Q000648:ultrastructure; D003763:Dental Leakage / Q000145:classification*; D003793:Dental Restoration, Permanent; D003804:Dentin / Q000648:ultrastructure; D017220:Dentin-Bonding Agents / Q000737:chemistry*; D006801:Humans; D008422:Materials Testing; D008689:Methacrylates / Q000737:chemistry; D011109:Polymethacrylic Acids / Q000737:chemistry; D011140:Polyurethanes / Q000737:chemistry; D019279:Resin Cements / Q000737:chemistry*; D013997:Time Factors
D000180:Acrylic Resins; C103506:Bis-GMA, BPDM, HEMA dental-bonding resin; C029012:Composite Dental Resin; D003188:Composite Resins; D017220:Dentin-Bonding Agents; C513708:Heliomolar; D008689:Methacrylates; D011109:Polymethacrylic Acids; D011140:Polyurethanes; C425843:Prime and Bond NT; C428803:Pyramid Packable Composite; D019279:Resin Cements; C078905:Bisfil