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5 "Class V cavity"
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The effects of dentin bonding agent thickness on stress distribution of composite-tooth interface : Finite element method
Sang-Il Park, Yemi Kim, Byoung-Duk Roh
J Korean Acad Conserv Dent 2009;34(5):442-449.   Published online September 30, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.5.442
AbstractAbstract PDFPubReaderePub

The aim of this study was to examine that thick dentin bonding agent application or low modulus composite restoration could reduce stresses on dentin bonding agent layer.

A mandibular first premolar with abfraction lesion was modeled by finite element method. The lesion was restored by different composite resins with variable dentin bonding agent thickness (50µm, 100µm, 150µm). 170N of occlusal loading was applied buccally or lingually. Von Mises stress on dentin bonding agent layer were measured.

When thickness of dentin bonding agent was increased von Mises stresses at dentin bonding agent were decreased in both composites. Lower elastic modulus composite restoration showed decreased von Mises stresses. On root dentin margin more stresses were generated than enamel margin.

For occlusal stress relief at dentin boning agent layer to applicate thick dentin bonding agent or to choose low elastic modulus composite is recommended.

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Stress analysis of maxillary premolars with composite resin restoration of notch-shaped class V cavity and access cavity; Three-dimensional finite element study
Seon-Hwa Lee, Hyeon-Cheol Kim, Bock Hur, Kwang-Hoon Kim, Kwon Son, Jeong-Kil Park
J Korean Acad Conserv Dent 2008;33(6):570-579.   Published online November 30, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.6.570
AbstractAbstract PDFPubReaderePub

The purpose of this study was to investigate the distribution of tensile stress of canal obturated maxillary second premolar with access cavity and notch-shaped class V cavity restored with composite resin using a 3D finite element analysis.

The tested groups were classified as 8 situations by only access cavity or access cavity with notch-shaped class VS cavity (S or N), loading condition (L1 or L2), and with or without glass ionomer cement base (R1 or R2). A static load of 500 N was applied at buccal and palatal cusps. Notch-shaped cavity and access cavity were filled microhybrid composite resin (Z100) with or without GIC base (Fuji II LC). The tensile stresses presented in the buccal cervical area, palatal cervical area and occlusal surface were analyzed using ANSYS.

Tensile stress distributions were similar regardless of base. When the load was applied on the buccal cusp, excessive high tensile stress was concentrated around the loading point and along the central groove of occlusal surface. The tensile stress values of the tooth with class V cavity were slightly higher than that of the tooth without class V cavity. When the load was applied the palatal cusp, excessive high tensile stress was concentrated around the loading point and along the central groove of occlusal surface. The tensile stress values of the tooth without class V cavity were slightly higher than that of the tooth with class V cavity.

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Estimation of relation between techniques of dye penetration for microleakage and SEM evaluation for marginal adaptation of the restoration
Soon-Joo Hwang, Dong-Hoon Shin
J Korean Acad Conserv Dent 2006;31(5):337-343.   Published online September 30, 2006
DOI: https://doi.org/10.5395/JKACD.2006.31.5.337
AbstractAbstract PDFPubReaderePub

The purpose of this study was to estimate the relation between techniques used for microleakage from dye penetration and for marginal adaptation from SEM evaluation of the restoration.

Using high speed #330 bur, class V cavities (4 × 3 × 1.5 mm around CEJ) were prepared on the buccal surface of 20 extracted human molars. Six dimples as reference points for SEM and dye penetration evaluation were made with 1/2 round bur. Cavity was bulk filled with microhybrid composite resin (Esthet X) and all-in-one adhesive (Xeno III). Teeth were stored in saline solution for one day, after then, they were finished and polished using Sof-Lex system.

Fifty percent silver nitrate dye solution was used for the evaluation of microleakage and resin replica was used for marginal adaptation. All of these were done after 1000 times thermocycling between 5 and 55℃.

Vertical sections were made through three dimples of restoration to obtain samples for the evaluation of dye penetration and inner marginal adaptation. Outer adaptational estimation was done with an intact restoration before sectioning. Dye penetration was determined in three degrees and percentage of outer and inner leaky margin was estimated from SEM image.

The data were analysed statistically: Spearman's rho test were used to check relationships between two methods.

The result were as follows:

There were significant relationships between degree of dye penetration and inner and outer marginal adaptations each (p < 0.01).

However, there was no significant relationship between the results of inner and outer marginal adaptation.

Within the results of this study, relationship between the percentage of marginal adaptation and microleakage shows significant relationship. However, inner and outer marginal adaptation did not show any significant relationship mutually.

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Effect of biscover on the marginal microleakage of composite resin restoration
Young-Gon Cho, Hee-Young Choi
J Korean Acad Conserv Dent 2005;30(5):355-362.   Published online September 30, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.5.355
AbstractAbstract PDFPubReaderePub

The purpose of this study was to compare the effect on marginal leakage of a resin surface sealant (Biscover) applied before or after polymerization of composite resin to unsealed composite restorations. Thirty Class V cavities with the occlusal margin in enamel and cervical margin in dentin or cementum were prepared on the buccal surfaces of sound extracted molars and restored with a microfilled light-cured composite resin (Micronew). Restorations were randomly assigned into one of three equal groups (n = 10): a control group - no surface sealing, group 1 - applied Biscover after polymerization of the composite resin, and group 2 - applied Biscover before polymerization of the composite resin. Specimens were thermocycled, immersed in a 2% methylene blue solution for 4 hours, sectioned longitudinally, and analyzed for leakage at the occlusal and gingival margins. The results of this study were as follows;

1. In sealed group, group 2 showed higher microleakage than group 1 at both occlusal and gingival margins, but there was no significant difference between two groups (p > 0.05).

2. Unsealed control group showed a little higher microleakage than sealed group at occlusal margins, and a little higher or similar microleakage than sealed group at gingival margins (p > 0.05).

3. Control group and group 2 showed significantly less microleakage at the occlusal margins, but group 1 showed no significantly difference between microleakage at the occlusal and gingival margins.

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Marginal microleakage of single step adhesives
Young-Gon Cho, Jin-Ho Jeong, Young-Jae Ki, Hee-Young Choi, Cheul-Hee Jin, Sang-Hoon Yoo, Jong-Uk Kim, Byung-Cheul Park
J Korean Acad Conserv Dent 2004;29(2):162-169.   Published online March 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.2.162
AbstractAbstract PDFPubReaderePub

This study evaluated the marginal microleakage of five single step adhesives. Class V cavity preparations with occlusal margins in enamel and gingival margins in dentin were prepared on both buccal and lingual surfaces of extracted human molar teeth. Prepared teeth were randomly divided into five groups and restored using one of the single step adhesives and composite resins: Prompt L-Pop/Filtek Z-250 (Group 1), AQ Bond/Metafil CX (Group 2), One-Up Bond F/Palfique Toughwell (Group 3), Futurabond/Admira (Group 4), Xeno III/Spectrum TPH (Group 5).

The restored teeth were thermocycled. Microleakage was assessed by dye penetration using 2% methylene blue dye solution. The teeth were bisected buccolingually and evaluated for microleakage under steromicroscope. The data were statistically analysed by Kruskal-Wallis test and Mann-Whitney tests.

The results of this study were as follows;

Microleakage of enamel margins in group 3 was statistically higher than that in groups 1, 2, 4, 5 (p < 0.05).

Microleakage of dentin margins in group 1 was statistically higher than that in groups 2, 5, and that in group 3 was statistically higher than that in groups 2, 4, 5 (p < 0.05).

Dentin marginal microleakage was higher than enamel marginal microleakage in all experimental groups.

In conclusion, Prompt L-Pop showed the least leakage at enamel margin, and AQ Bond showed at dentin margin in this study. Marginal miroleakage in dentin was higher than that in enamel.

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