title: In vivo interfacial adaptation of class II resin composite restorations with and without a flowable resin composite liner.
abstract: The aim of this study was to evaluate in vivo the interfacial adaptation of class II resin composite restorations with and without a flowable liner. In 24 premolars scheduled to be extracted after 1 month, 48 box-shaped, enamel-bordered class II cavities were prepared and restored with a flowable liner (FRC, Tetric Flow/Tetric Ceram/Syntac Single-Component) or without (TRC), cured with three different curing modes: soft start and 500- or 700-mW/cm2 continuous irradiation. Interfacial adaptation was evaluated by quantitative scanning electron microscopic analysis using replica method. Gap-free adaptation in the cervical enamel (CE) was observed for FRC and TRC in 96.2 and 90.2%, for the dentin (D) in 63.6 and 64.9%, and for occlusal enamel (OE) in 99.7 and 99.5%, respectively. The difference between the two restorations was not statistically significant (ns). Significant better adaptation was observed for OE than CE and D (p<0.01), and for CE than D (p<0.01). Gap-free adaptation with the soft-start and 500- and 700-mW/cm2 continuous-curing modes was observed for CE: 88.7%, 92.7%, 97.9% (ns); OE: 99.8%, 98.7%, 100% (ns); and D: 64.0%, 63.9%, and 64.6% (ns), respectively. It can be concluded that neither the use of flowable resin composite liner nor the curing mode used influenced the interfacial adaptation.
authors.affiliation: Public Dental Health Clinic, Seminariegatan 3, 931 33, Skellefteå, Sweden. anders.lindberg@skelleftemail.se
authors.forename: Anders
authors.initials: A
authors.lastname: Lindberg
authors.forename: J W V
authors.initials: JW
authors.lastname: van Dijken
authors.forename: P
authors.initials: P
authors.lastname: Hörstedt
mesh_terms: D000293:Adolescent; D002648:Child; D003188:Composite Resins / Q000737:chemistry*; D003736:Dental Cavity Lining; D003737:Dental Cavity Preparation / Q000145:classification; D003743:Dental Enamel / Q000648:ultrastructure; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent / Q000145:classification*; D003804:Dentin / Q000648:ultrastructure; D006801:Humans; D008029:Lighting / Q000295:instrumentation; D008855:Microscopy, Electron, Scanning; D019279:Resin Cements / Q000737:chemistry; D013499:Surface Properties; D019237:Tooth Cervix / Q000648:ultrastructure; D014783:Viscosity
chemical_list: D003188:Composite Resins; D019279:Resin Cements; C078484:Syntac dentine adhesive; C121818:Tetric ceram; C111840:flowable hybrid composite; C452226:tetric flow composite resin