Comparing bond strength and marginal integrity with direct bulk-fill resin composites and indirect composites

Introduction: The clinical longevity of tooth restoration - whether directly or indirectly using composites - greatly depends on the quality and stability of the marginal adaptation. Even today, dental restoration failure is a major complication in everyday dental practice. Objective: To evaluate th...

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Main Authors: Yolanda Barros (Author), Mateus Bandéca (Author), Andrés Millán (Author), Fabiana Siqueira (Author), Milton Kuga (Author), Eduardo Fernandez (Author), Alain Manuel Chaple Gil (Author), Álvaro Henrique Borges (Author), Mateus Tonetto (Author)
Format: Book
Published: Editorial Ciencias Médicas, 2019-05-01T00:00:00Z.
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Summary:Introduction: The clinical longevity of tooth restoration - whether directly or indirectly using composites - greatly depends on the quality and stability of the marginal adaptation. Even today, dental restoration failure is a major complication in everyday dental practice. Objective: To evaluate the effect of restoration techniques on the microtensile bond strength and marginal integrity of class II cavities. Methods: An experimental in vitro investigation was conducted. Preparations (5 × 4 × 2 mm) below the cement-enamel junction were performed in 45 human maxillary premolars (n= 15), which were the randomly selected study sample. Group G1 incrementally received Spectrum TPH3 Dentsply (De Trey) in three horizontal incremental layers. Group G2 received a bulk restoration technique (one 4-mm increment of Surefill SDR flow plus one 1-mm horizontal capping layer of Spectrum TPH3 Dentsply (De Trey) using a metal matrix band. For Group G3, impressions were made from each cavity preparation, and Spectrum was used to complete an indirect composite restoration. After storage (24 h/37 °C), the proximal surfaces of each tooth were polished with Sof-Lex disks. For microtensile bond strength testing, all premolars were sectioned into resin-dentine beams (0.8 mm2) and were tested under tension (0.5 mm/min). Results: Microtensile bond strength testing and marginal integrity values were not statistically significantly affected by the type of restoration technique used (p> 0.05). Conclusions: The Surefill SDR flow that uses a capping layer made of conventional composite can be an alternative to reduce procedure durations as well as additional steps in the restorative technique.
Item Description:0034-7507
1561-297X