Scanning electron microscope analysis of internal adaptation of materials used for pulp protection under composite resin restorations.
OBJECTIVE
The aim of this study was to evaluate the interfacial microgap with different materials used for pulp protection. The null hypothesis tested was that the combination of calcium hydroxide, resin-modified glass ionomer, and dentin adhesive used as pulp protection in composite restorations would not result in a greater axial gap than that obtained with hybridization only.


METHODS
Standardized Class V preparations were performed in buccal and lingual surfaces of 60 caries-free, extracted human third molars. The prepared teeth were randomly assessed in six groups: (1) Single Bond (SB) (3M ESPE, St. Paul, MN, USA); (2) Life (LF) (Kerr Co., Romulus, MI, USA) + SB; (3) LF + Vitrebond (VT) (3M ESPE) + SB; (4) VT + SB; (5) SB + VT; (6) SB + VT + SB. They were restored with microhybrid composite resin Filtek Z250 (3M ESPE), according to the manufacturer's instructions. However, to groups 5 and 6, the dentin bonding adhesive was applied prior to the resin-modified glass ionomer. The specimens were then thermocycled, cross-sectioned through the center of the restoration, fixed, and processed for scanning electron microscopy. The specimens were mounted on stubs and sputter coated. The internal adaptation of the materials to the axial wall was analyzed under SEM with x1,000 magnification.


RESULTS
The data obtained were analyzed with nonparametric tests (Kruskal-Wallis, p < or = .05). The null hypothesis was rejected. Calcium hydroxide and resin-modified glass ionomer applied alone or in conjunction with each other (p < .001) resulted in statistically wider microgaps than occurred when the dentin was only hybridized prior to the restoration.
Peliz
Maria Inez Lemos
MI
Department of Prevention and Oral Rehabilitation, Federal University of Goiás, Goiânia, Brazil.
Duarte
Sillas
S
Dinelli
Wellington
W
D017438:Bisphenol A-Glycidyl Methacrylate / Q000737:chemistry; D002126:Calcium Hydroxide / Q000737:chemistry; D003188:Composite Resins / Q000737:chemistry*; D003736:Dental Cavity Lining; D003737:Dental Cavity Preparation / Q000145:classification; D003743:Dental Enamel / Q000648:ultrastructure; D018772:Dental Marginal Adaptation; D003764:Dental Materials / Q000737:chemistry*; D003793:Dental Restoration, Permanent; D003804:Dentin / Q000648:ultrastructure; D017220:Dentin-Bonding Agents / Q000737:chemistry; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D008855:Microscopy, Electron, Scanning; D019279:Resin Cements / Q000737:chemistry; D013499:Surface Properties
D003188:Composite Resins; D003764:Dental Materials; D017220:Dentin-Bonding Agents; C444701:Filtek Z250; D005899:Glass Ionomer Cements; D019279:Resin Cements; C115612:single bond; C067790:Vitrabond; D017438:Bisphenol A-Glycidyl Methacrylate; C040408:Life (dental material); D002126:Calcium Hydroxide