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5 "Composite resin restoration"
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Influence of rebonding procedures on microleakage of composite resin restorations
Mi-Ae Lee, Duck-Kyu Seo, Ho-Hyun Son, Byeong-Hoon Cho
J Korean Acad Conserv Dent 2010;35(3):164-172.   Published online May 31, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.3.164
AbstractAbstract PDFPubReaderePub

During a composite resin restoration, an anticipating contraction gap is usually tried to seal with low-viscosity resin after successive polishing, etching, rinsing and drying steps, which as a whole is called rebonding procedure. However, the gap might already have been filled with water or debris before applying the sealing resin. We hypothesized that microleakage would decrease if the rebonding agent was applied before the polishing step, i.e., immediately after curing composite resin. On the buccal and lingual surfaces of 35 extracted human molar teeth, class V cavities were prepared withthe occlusal margin in enamel and the gingival margin in dentin. They were restored with a hybrid composite resin Z250 (3M ESPE, USA) using an adhesive AdperTM Single Bond 2 (3M ESPE). As rebonding agents, BisCover LV (Bisco, USA), ScotchBond Multi-Purpose adhesive (3M ESPE) and an experimental adhesive were applied on the restoration margins before polishing step or after successive polishing and etching steps. The infiltration depth of 2% methylene blue into the margin was measured using an optical stereomicroscope. The correlation between viscosity of rebonding agents and mciroleakage was also evaluated. There were no statistically significant differences in the microleakage within the rebonding procedures, within the rebonding agents, and within the margins. However, when the restorations were not rebonded, the microleakage at gingival margin was significantly higher than those groups rebonded with 3 agents (p < 0.05). The difference was not observed at the occlusal margin. No significant correlation was found between viscosity of rebonding agents and microleakage, except very weak correlation in case of rebonding after polishing and etching at gingival margin (r = -0.326, p = 0.041).

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The effect of Er,Cr:YSGG irradiation on microtensile bond strength of composite resin restoration
Jeong-Hye Son, Hyeon-Cheol Kim, Bock Hur, Jeong-Kil Park
J Korean Acad Conserv Dent 2010;35(2):134-142.   Published online March 31, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.2.134
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the effect of Er,Cr:YSGG laser irradiation with hypersensitivity mode on microtensile bond strength of composite resin. Twenty extracted permanent molars were randomly assigned to six groups, according to the irradiation of Er,Cr:YSGG laser, adhesive system (Optibond FL or Clearfil SE bond) and application time of etchant (15 sec or 20 sec). Then composite resin was build up on each conditioned surface. The restored teeth were stored in distilled water at room temperature for 24 h and twelve specimens for each group were prepared. All specimens were subjected to microtensile bond strength and the fracture modes were evaluated. Also, the prepared dentin surface and laser irradiated dentin surface were examined under SEM.

The results were as follows:

The microtensile bond strength of laser irradiated group was lower than that of no laser irradiated group.

Regardless of laser irradiation, the microtensile bond strength of Optibond FL was higher than that of Clearfil SE bond. And the microtensile bond strength of 20 sec etching group was higher than that of 15 sec etching group when using Optibond FL.

The SEM image of laser irradiated dentin surface showed prominent peritubular dentin, opened dentinal tubules and no smear layer.

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Original Articles
The effect of different curing modes on composite resin/dentin bond strength in class icavities
Shin-young Baek, Young-Gon Cho, Byeong-Choon Song
J Korean Acad Conserv Dent 2008;33(5):428-434.   Published online September 30, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.5.428
AbstractAbstract PDFPubReaderePub

The purpose of this study was to compare the microtensile bond strength in Class I cavities associated with different light curing modes of same light energy density.

Occlusal enamel was removed to expose a flat dentin surface and twenty box-shaped Class I cavities were prepared in dentin. Single Bond (3M Dental product) was applied and Z 250 was inserted using bulk technique. The composite was light-cured using one of four techniques; pulse delay (PD group), soft-start (SS group), pulse cure (PC group) and standard continuous cure (CC group). The light-curing unit capable of adjusting time and intensity (VIP, Bisco Dental product) was selected and the light energy density for all curing modes was fixed at 16 J/cm2. After storage for 24 hours, specimens were sectioned into beams with a rectangular cross-sectional area of approximately 1 mm2. Microtensile bond strength (µTBS) test was performed using a universal testing machine (EZ Test, Shimadzu Co.). The results were analyzed using oneway ANOVA and Tukey's test at significance level 0.05. The µTBS of PD group and SS group was higher than that of PC group and CC group.

Within the limitations of this in vitro study, modification of curing modes such as pulse delay and soft start polymerization can improve resin/dentin bond strength in Class I cavities by controlling polymerization velocity of composite resin.

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Effect of calcium hydroxide on bond strength of dentin bonding systems
No-Hoon Park, Sang-Hyuk Park, Gi-Woon Choi, Sang-Jin Park
J Korean Acad Conserv Dent 2007;32(3):198-207.   Published online May 31, 2007
DOI: https://doi.org/10.5395/JKACD.2007.32.3.198
AbstractAbstract PDFPubReaderePub

The purpose of this study was to investigate the effect of calcium hydroxide on dentin bonding strength of various dentin bonding systems as a function of time in composite resin restoration.

Dentin adhesives used in this study were Scotchbond Multipurpose, Single Bond, SE Bond and Prompt L-Pop. Flat dentin surfaces adjacent to pulp chamber were created, then Ca(OH)2 and saline were mixed and applied on dentin surface of experimental group, then IRM was used to cover the mixture on dentin surface and the specimens were stored at 36.5℃ for experiment period (7 days, 30 days). After removing IRM and Ca(OH)2, each dentin adhesives were treated on dentin surfaces.

Composite resin (Z-250, 3M) was placed with 5 mm height and was light-cured for 20 seconds. After stored in distilled water for 24 hours, each dentin-composite bonded spicemen was embedded in epoxy resin and sectioned into 1.0 × 1.0 mm2 cross section composite-dentin beams. Specimen was mounted on zig of Universal testing machine and µTBS test was performed. SEM analysis was performed to examine the fractured surfaces.

The results suggested that applying calcium hydroxide did not show significant difference in dentin bonding strength.

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Effect of resin sealants on the reduction of microleakage in composite restorations
Young-Gon Cho, Mun-Hong Kim, Myung-Goo Lee
J Korean Acad Conserv Dent 2006;31(4):282-289.   Published online July 31, 2006
DOI: https://doi.org/10.5395/JKACD.2006.31.4.282
AbstractAbstract PDFPubReaderePub

The purpose of this study was to compare the ability of three resin surface sealants to prevent microleakage in Class V composite resin restorations. Forty Class V cavities with the occlusal margin in enamel and gingival margin in dentin were prepared on the buccal surfaces of sound extracted molars, and restored with composite resin. Restorations were randomly assigned into one of four equal groups (n = 10): a control group, without resin sealing, and three experimental groups in which margins were sealed with Fortify Plus, Biscover and Permaseal, respectively. Specimens were thermocycled, immersed in a 2% methylene blue solution for 4 hours, sectioned longitudinally, and observed the leakage at the occlusal and gingival margins. The result was analyzed using Kruskal-Wallis test, Mann-Whitney test and Wilcoxon signed rank test.

In conclusion, the ability to reduce microleakage at occlusal margins was similar in all of three sealants. However at gingival margin, it depended on the type of used resin surface sealant. At gingival margin, control and Fortify Plus group showed statistically higher microleakage than PermaSeal group, and Fortify Plus group also showed higher microleakage than BisCover group (p < 0.05).

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