Influence of different restorative techniques on marginal seal of class II composite restorations.
OBJECTIVE
To evaluate the gingival marginal seal in class II composite restorations using different restorative techniques.


METHODS
Class II box cavities were prepared in both proximal faces of 32 sound human third molars with gingival margins located in either enamel or dentin/cementum. Restorations were performed as follows: G1 (control): composite, conventional light curing technique; G2: composite, soft-start technique; G3: amalgam/composite association (amalcomp); and G4: resin-modified glass ionomer cement/composite, open sandwich technique. The restored specimens were thermocycled. Epoxy resin replicas were made and coated for scanning electron microscopy examination. For microleakage evaluation, teeth were coated with nail polish and immersed in dye solution. Teeth were cut in 3 slices and dye penetration was recorded (mm), digitized and analyzed with Image Tool software. Microleakage data were analyzed statistically by non-parametric Kruskal-Wallis and Mann-Whitney tests.


RESULTS
Leakage in enamel was lower than in dentin (p<0.001). G2 exhibited the lowest leakage values (p<0.05) in enamel margins, with no differences between the other groups. In dentin margins, groups G1 and G2 had similar behavior and both showed less leakage (p<0.05) than groups G3 and G4. SEM micrographs revealed different marginal adaptation patterns for the different techniques and for the different substrates.


CONCLUSIONS
The soft-start technique showed no leakage in enamel margins and produced similar values to those of the conventional (control) technique for dentin margins.
Rodrigues Junior
Sinval Adalberto
SA
Department of Semiology and Clinics, Dental School, Federal University of Pelotas, Pelotas, RS, Brazil. rodriguesjr2002@yahoo.com.br
Pin
Lúcio Fernando da Silva
LF
Machado
Giovanna
G
Della Bona
Alvaro
A
Demarco
Flávio Fernando
FF
D000134:Acid Etching, Dental; D017438:Bisphenol A-Glycidyl Methacrylate / Q000737:chemistry; D004396:Coloring Agents; D003188:Composite Resins / Q000737:chemistry*; D003723:Dental Amalgam / Q000737:chemistry; D001840:Dental Bonding; D003737:Dental Cavity Preparation / Q000145:classification; D003739:Dental Cementum / Q000648:ultrastructure; D003743:Dental Enamel / Q000648:ultrastructure; D003763:Dental Leakage / Q000145:classification; D018772:Dental Marginal Adaptation; D003764:Dental Materials / Q000737:chemistry*; D003775:Dental Polishing; D003793:Dental Restoration, Permanent / Q000145:classification / Q000379:methods*; D003804:Dentin / Q000648:ultrastructure; D017220:Dentin-Bonding Agents / Q000737:chemistry; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D008422:Materials Testing; D008855:Microscopy, Electron, Scanning; D019279:Resin Cements / Q000737:chemistry; D013499:Surface Properties; D013696:Temperature; D013997:Time Factors
D004396:Coloring Agents; 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; D003723:Dental Amalgam