Microleakage of the class V cavity according to restoration site and cavity size using SEM and three-dimensional reconstruction techniques

In-Seo Yang; Dong-Hoon Shin

doi:10.5395/JKACD.2005.30.2.112

Articles

Page Path: HOME > Restor Dent Endod > Volume 30(2); 2005 > Article

Original Article Microleakage of the class V cavity according to restoration site and cavity size using SEM and three-dimensional reconstruction techniques: In-Seo Yang, Dong-Hoon Shin; 2005;30(2):-120.
DOI: https://doi.org/10.5395/JKACD.2005.30.2.112
Published online: March 31, 2005

Department of Conservative Dentistry, School of Dentistry, Dankook University, Korea.

Corresponding author: Dong-Hoon Shin. Department of Conservative Dentistry, School of Dentistry, Dankook University, San 7-1, Shinbu Dong, Cheonan, Chungnam, Korea, 330-714. Tel : 82-41-550-1965, Fax : 82-41-550-1963, donyshin@dankook.ac.kr

• Received: August 19, 2004 • Revised: November 10, 2004 • Accepted: November 23, 2004

160 Views
2 Download

prev next

Full Article

Download PDF

Abstract
REFERENCES

Abstract

This study was done to evaluate whether there were any differences in microleakage of class V composite restorations according to restoration site and cavity size.

Total sixty-four restorations were made in molar teeth using Esthet-X. Small (2 × 2 × 1.5 mm) and large (4 × 2 × 1.5 mm) restorations were made at the buccal/lingual surface and the proximal surface each. After 1,000 times of thermocycling (5℃ - 55℃), resin replica was made and the percentage of marginal gap to the whole periphery of the restoration was estimated from SEM evaluation.

Thermocycled tooth was dye penetrated with 50% silver nitrate solution. After imbedding in an auto-curing resin, it was serially ground with a thickness of 0.25 mm. Volumetric microleakage was estimated after reconstructing three dimensionally.

Two-way ANOVA and independent T-test for dye volume, Mann-Whitney U test for the percentage of marginal gap, Spearman's rho test for the relationship between two techniques were used.

The results were as follows:

1. The site and size of the restoration affected on the microleakage of restoration. Namely, much more leakage was seen in the proximal and the large restorations rather than the buccal/lingual and the small restorations.

2. Close relationship was found between two techniques (Correlation coefficient = 0.614 / P = 0.000).

Within the limits of this study, it was noted that proximal and the large restorations leaked more than buccal/lingual and the small restorations. Therefore, it should be strictly recommended large exposure of margins should be avoided by reducing unnecessary tooth reduction.
Keywords: Microleakage; Restoration site; Cavity size; Three-dimensional reconstruction; SEM

Figure 1

Occlusal view of three-dimensionally reconstructed image (Green : restoration, Red : dye)

Figure 2

Calculation of marginal gap: Percentage of marginal gap to cavity perimeter (SEM image ; × 35)

(Blue line : cavity perimeter, Red line : area with marginal gap)

Figure 3

Internal view of three-dimensionally reconstructed images of experimental groups

(Green : restoration, Red : dye)

Table 1

Experimental groups

Table 2

Amount of dye penetration (cubic voxels)

Table 3

Two-way ANOVA analysis (dye penetration)

^*indicates significance at the 0.05 level

^**indicates significance at the 0.01 level

Table 4

Significance between restoration surface (dye penetration)

^**indicates significance at the 0.01 level

Table 5

Significance between cavity size (dye penetration)

^*indicates significance at the 0.05 level

Table 6

Percentage of marginal gap (%)

Table 7

Correlation between dye penetration and percentage of marginal gap

^**indicates significance at the 0.01 level

REFERENCES

1. Eick JD, Welch FH. Polymerization shrinkage of posterior composite resins and its possible influence on postoperative sensitivity. Quintessence Int. 1986;17(2):103-111.PubMed
2. Tjan AH, Bergh BH, Lidner C. Effect of various incremental techniques on the marginal adaptation of Class II composite resin restorations. J Prosthet Dent. 1992;67(1):62-66.Article PubMed
3. Lutz F, Krejci , Oldenburg TR. Elimination of polymerization stresses at the margins of posterior composite resin restorations: A new restorative technique. Quintessence Int. 1986;17(12):777-784.PubMed
4. Uno S, Asmussen E. Marginal adaptation of a restorative resin polymerized at reduced rate. Scand J Dent Res. 1991;99: 440-444.Article PubMed
5. Burgess JO, DeGoes M, Walker R, Ripps AH. An evaluation of four light-curing units comparing soft and hard curing. Pract Periodontics Aesthet Dent. 1999;11(1):125-133.PubMed
6. Aboushala A, Kugel G, Hurley E. Class II composite resin restorations using glass-ionomer liners: Microleakage studies. J Clin Pediatr Dent. 1996;21(1):67-71.PubMed
7. Õilo G. Biodegradation of dental composites/glassionomer cements. Adv Dent Res. 1992;6: 50-54.Article PubMed PDF
8. Fortin D, Swift EJ Jr, Denehy GE, Reinhardt JW. Bond strength and microleakage of current dentine adhesives. Dent Mater. 1994;10(4):253-258.PubMed
9. Rigsby DF, Retief DH, Bidez MW, Russell CM. Effect of axial load and temperature cycling on microleakage of resin restorations. Am J Dent. 1992;5(3):155-159.PubMed
10. Donly KJ, Ellis RK. Glass inserts. A new dimension in restorative dentistry. Am J Dent. 1989;2(1):21-24.PubMed
11. Feilzer A, de Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res. 1987;66: 1636-1639.Article PubMed PDF
12. Hobson RS, Rugg-Gunn AJ, Booth TA. Acid-etch patterns on the buccal surface of human permanent teeth. Arch Oral Biol. 2002;47(5):407-412.Article PubMed
13. Sturdevant JR, Pashley DH. Regional dentin permeability of Class I and II cavity preparations. J Dent Res. 1989;68: 203. (abstract No. 173).
14. Saboia Vde P, Pimenta LA, Ambrosano GM. Effect of collagen removal on microleakage of resin composite restorations. Oper Dent. 2002;27(1):38-43.PubMed
15. Adamo HL, Buruiana R, Schertzer L, Boylan RJ. A comparison of MTA, Super-EBA, composite and amalgam as root end filling materials using a bacterial microleakage model. Int Endod J. 1999;32: 197-203.Article PubMed PDF
16. Hembree JH, Andrew JT. Microleakage of several class V anterior restorative materials: a laboratory study. J Am Dent Assoc. 1978;97(2):179-183.Article PubMed
17. Manhart J, Chen HY, Mehl A, Weber K, Hickel R. Marginal quality and microleakage of adhesive class V restorations. J Dent. 2001;29(2):123-130.Article PubMed
18. Youngson CC, Jones JC, Fox K, Smith IS, Wood DJ, Gale M. A fluid filtration and clearing technique to assess microleakage associated with three dentine bonding systems. J Dent. 1999;27(3):223-233.Article PubMed
19. Von Fraunhofer JA, Adachi EI, Barnes DM, Romberg E. The effect of tooth preparation on microleakage behavior. Oper Dent. 2000;25(6):526-533.PubMed
20. Ha SY, Shin DH. New quantitative measuring technique for microleakage of the restored tooth through 3D reconstruction. J Korean Acad Conserv Dent. 2004;29(5):413-422.Article
21. Estafan D, Pines MS, Erakin C, Fuerst PF. Microleakage of Class V restorations using two different compomer systems: an in vitro study. J Clin Dent. 1999;10(4):124-126.PubMed
22. Hatibovic-Kofman S, Wright GZ, Braverman I. Microleakage of sealants after conventional, bur, and air-abrasion preparation of pits and fissures. Pediatr Dent. 1998;20(3):173-176.PubMed
23. Grande RH, Ballester R, Singer Jda M, Santos JF. Microleakage of a universal adhesive used as a fissure sealant. Am J Dent. 1998;11(3):109-113.PubMed
24. Mixson J, Eick JD, Chappell RP, Tira DE, Moore DL. Comparison of two-surface and multi-surface scoring methodologies for in vitro microleakage studies. Dent Mater. 1991;7(3):191-196.PubMed
25. Shin DH. Dentinal microleakage study on the light curable restorative glass ionomer cement. J Korean Acad Conserv Dent. 1995;20(2):832-838.
26. Arnold WH, Gaengler P, Kalkutschke L. Three-dimensional reconstruction of approximal subsurface caries lesions in deciduous molars. Clin Oral Investig. 1998;2(4):174-179.Article PubMed PDF
27. Mikrogeorgis G, Lyroudia KL, Nikopoulos N, Pitas I, Molyvdas I, Lambrianidis TH. 3D computer-aided reconstruction of six teeth with morphological abnormalities. Int Endod J. 1999;32(2):88-93.Article PubMed
28. Jacobs R, Adriansens A, Verstreken K, Suetens P, van Steenberghe D. Predictability of a three-dimensional planning system for oral implant surgery. Dentomaxillofac Radiol. 1999;28(2):105-111.Article PubMed
29. Jung EH, Shin DH. Morphological analysis of Cshaped root using 3D reconstruction. J Korean Acad Conserv Dent. 2002;27(4):421-431.Article
30. Veis A, Lambrianides T, Nicolaou A. Area-metric analysis of dye leakage for evaluation of sealing ability of root canal obturation techniques. Endod Dent Traumatol. 1996;12(5):222-226.Article PubMed
31. Gale MS, Darvell BW, Cheung GS. Three-dimensional reconstruction of microleakage pattern using a sequential grinding technique. J Dent. 1994;22(6):370-375.Article PubMed
32. Dorminey JC, Dunn WJ, Taloumis LJ. Shear bond strength of orthodontic brackets bonded with a modified 1-step etchant-and-primer technique. Am J Orthod Dentofacial Orthop. 2003;124(4):410-413.Article PubMed
33. Carvalho RM, Pereira JC, Yoshiyama M, Pashley DH. A review of polymerization contraction: The influence of stress development versus stress relief. Oper Dent. 1996;21: 17-24.PubMed
34. Asmussen E, Munksgaard EC. Bonding of restorative resins to dentine: Status of dentin adhesives and impact on cavity design and filling techniques. Int Dent J. 1988;38: 97-104.PubMed
35. Marshall GW Jr, Chang YJ, Gansky SA, Marshall SJ. Demineralization of caries-affected transparent dentin by citric acid: an atomic force microscopy study. Dent Mater. 2001;17(1):45-52.PubMed
36. Saunders WP, Saunders EM. Microleakage of bonding agents with wet and dry bonding techniques. Am J Dent. 1996;9(1):34-36.PubMed
37. Walls AW, Lee J, McCabe JF. The bonding of composite resin to moist enamel. Br Dent J. 2001;191(3):148-150.Article PubMed
38. Youngson CC, Jones JC, Manogue M, Smith IS. In vitro dentinal penetration by tracers used in microleakage studies. Int Endod J. 1998;31(2):90-99.Article PubMed
39. Hakimeh S, Vaidyanathan J, Houpt ML, Vaidyanathan TK, Von Hagen S. effect of load cycling, thermal cycling, and cavity shape differences. J Prosthet Dent. 2000;83: 194-203.PubMed
40. Crim GA. Marginal leakage of visible light-cured glass ionomer restorative materials. J Prosthet Dent. 1993;69: 561-563.Article PubMed
41. Hilton TJ, Ferracane JL. Cavity preparation factors and microleakage of Class II composite restorations filled at intraoral temperatures. Am J Dent. 1999;12: 123-130.PubMed
42. Santini A, Mitchell S. Microleakage of composite restorations bonded with three new dentin bonding agents. J Esthet Dent. 1998;10(6):296-304.Article PubMed

Tables & Figures

Figure 1

Occlusal view of three-dimensionally reconstructed image (Green : restoration, Red : dye)

Figure 2

Calculation of marginal gap: Percentage of marginal gap to cavity perimeter (SEM image ; × 35)

(Blue line : cavity perimeter, Red line : area with marginal gap)

Figure 3

Internal view of three-dimensionally reconstructed images of experimental groups

(Green : restoration, Red : dye)

Table 1

Experimental groups

Table 2

Amount of dye penetration (cubic voxels)

Table 3

Two-way ANOVA analysis (dye penetration)

^*indicates significance at the 0.05 level

^**indicates significance at the 0.01 level

Table 4

Significance between restoration surface (dye penetration)

^**indicates significance at the 0.01 level

Table 5

Significance between cavity size (dye penetration)

^*indicates significance at the 0.05 level

Table 6

Percentage of marginal gap (%)

Table 7

Correlation between dye penetration and percentage of marginal gap

^**indicates significance at the 0.01 level

REFERENCES

1. Eick JD, Welch FH. Polymerization shrinkage of posterior composite resins and its possible influence on postoperative sensitivity. Quintessence Int. 1986;17(2):103-111.PubMed
2. Tjan AH, Bergh BH, Lidner C. Effect of various incremental techniques on the marginal adaptation of Class II composite resin restorations. J Prosthet Dent. 1992;67(1):62-66.Article PubMed
3. Lutz F, Krejci , Oldenburg TR. Elimination of polymerization stresses at the margins of posterior composite resin restorations: A new restorative technique. Quintessence Int. 1986;17(12):777-784.PubMed
4. Uno S, Asmussen E. Marginal adaptation of a restorative resin polymerized at reduced rate. Scand J Dent Res. 1991;99: 440-444.Article PubMed
5. Burgess JO, DeGoes M, Walker R, Ripps AH. An evaluation of four light-curing units comparing soft and hard curing. Pract Periodontics Aesthet Dent. 1999;11(1):125-133.PubMed
6. Aboushala A, Kugel G, Hurley E. Class II composite resin restorations using glass-ionomer liners: Microleakage studies. J Clin Pediatr Dent. 1996;21(1):67-71.PubMed
7. Õilo G. Biodegradation of dental composites/glassionomer cements. Adv Dent Res. 1992;6: 50-54.Article PubMed PDF
8. Fortin D, Swift EJ Jr, Denehy GE, Reinhardt JW. Bond strength and microleakage of current dentine adhesives. Dent Mater. 1994;10(4):253-258.PubMed
9. Rigsby DF, Retief DH, Bidez MW, Russell CM. Effect of axial load and temperature cycling on microleakage of resin restorations. Am J Dent. 1992;5(3):155-159.PubMed
10. Donly KJ, Ellis RK. Glass inserts. A new dimension in restorative dentistry. Am J Dent. 1989;2(1):21-24.PubMed
11. Feilzer A, de Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res. 1987;66: 1636-1639.Article PubMed PDF
12. Hobson RS, Rugg-Gunn AJ, Booth TA. Acid-etch patterns on the buccal surface of human permanent teeth. Arch Oral Biol. 2002;47(5):407-412.Article PubMed
13. Sturdevant JR, Pashley DH. Regional dentin permeability of Class I and II cavity preparations. J Dent Res. 1989;68: 203. (abstract No. 173).
14. Saboia Vde P, Pimenta LA, Ambrosano GM. Effect of collagen removal on microleakage of resin composite restorations. Oper Dent. 2002;27(1):38-43.PubMed
15. Adamo HL, Buruiana R, Schertzer L, Boylan RJ. A comparison of MTA, Super-EBA, composite and amalgam as root end filling materials using a bacterial microleakage model. Int Endod J. 1999;32: 197-203.Article PubMed PDF
16. Hembree JH, Andrew JT. Microleakage of several class V anterior restorative materials: a laboratory study. J Am Dent Assoc. 1978;97(2):179-183.Article PubMed
17. Manhart J, Chen HY, Mehl A, Weber K, Hickel R. Marginal quality and microleakage of adhesive class V restorations. J Dent. 2001;29(2):123-130.Article PubMed
18. Youngson CC, Jones JC, Fox K, Smith IS, Wood DJ, Gale M. A fluid filtration and clearing technique to assess microleakage associated with three dentine bonding systems. J Dent. 1999;27(3):223-233.Article PubMed
19. Von Fraunhofer JA, Adachi EI, Barnes DM, Romberg E. The effect of tooth preparation on microleakage behavior. Oper Dent. 2000;25(6):526-533.PubMed
20. Ha SY, Shin DH. New quantitative measuring technique for microleakage of the restored tooth through 3D reconstruction. J Korean Acad Conserv Dent. 2004;29(5):413-422.Article
21. Estafan D, Pines MS, Erakin C, Fuerst PF. Microleakage of Class V restorations using two different compomer systems: an in vitro study. J Clin Dent. 1999;10(4):124-126.PubMed
22. Hatibovic-Kofman S, Wright GZ, Braverman I. Microleakage of sealants after conventional, bur, and air-abrasion preparation of pits and fissures. Pediatr Dent. 1998;20(3):173-176.PubMed
23. Grande RH, Ballester R, Singer Jda M, Santos JF. Microleakage of a universal adhesive used as a fissure sealant. Am J Dent. 1998;11(3):109-113.PubMed
24. Mixson J, Eick JD, Chappell RP, Tira DE, Moore DL. Comparison of two-surface and multi-surface scoring methodologies for in vitro microleakage studies. Dent Mater. 1991;7(3):191-196.PubMed
25. Shin DH. Dentinal microleakage study on the light curable restorative glass ionomer cement. J Korean Acad Conserv Dent. 1995;20(2):832-838.
26. Arnold WH, Gaengler P, Kalkutschke L. Three-dimensional reconstruction of approximal subsurface caries lesions in deciduous molars. Clin Oral Investig. 1998;2(4):174-179.Article PubMed PDF
27. Mikrogeorgis G, Lyroudia KL, Nikopoulos N, Pitas I, Molyvdas I, Lambrianidis TH. 3D computer-aided reconstruction of six teeth with morphological abnormalities. Int Endod J. 1999;32(2):88-93.Article PubMed
28. Jacobs R, Adriansens A, Verstreken K, Suetens P, van Steenberghe D. Predictability of a three-dimensional planning system for oral implant surgery. Dentomaxillofac Radiol. 1999;28(2):105-111.Article PubMed
29. Jung EH, Shin DH. Morphological analysis of Cshaped root using 3D reconstruction. J Korean Acad Conserv Dent. 2002;27(4):421-431.Article
30. Veis A, Lambrianides T, Nicolaou A. Area-metric analysis of dye leakage for evaluation of sealing ability of root canal obturation techniques. Endod Dent Traumatol. 1996;12(5):222-226.Article PubMed
31. Gale MS, Darvell BW, Cheung GS. Three-dimensional reconstruction of microleakage pattern using a sequential grinding technique. J Dent. 1994;22(6):370-375.Article PubMed
32. Dorminey JC, Dunn WJ, Taloumis LJ. Shear bond strength of orthodontic brackets bonded with a modified 1-step etchant-and-primer technique. Am J Orthod Dentofacial Orthop. 2003;124(4):410-413.Article PubMed
33. Carvalho RM, Pereira JC, Yoshiyama M, Pashley DH. A review of polymerization contraction: The influence of stress development versus stress relief. Oper Dent. 1996;21: 17-24.PubMed
34. Asmussen E, Munksgaard EC. Bonding of restorative resins to dentine: Status of dentin adhesives and impact on cavity design and filling techniques. Int Dent J. 1988;38: 97-104.PubMed
35. Marshall GW Jr, Chang YJ, Gansky SA, Marshall SJ. Demineralization of caries-affected transparent dentin by citric acid: an atomic force microscopy study. Dent Mater. 2001;17(1):45-52.PubMed
36. Saunders WP, Saunders EM. Microleakage of bonding agents with wet and dry bonding techniques. Am J Dent. 1996;9(1):34-36.PubMed
37. Walls AW, Lee J, McCabe JF. The bonding of composite resin to moist enamel. Br Dent J. 2001;191(3):148-150.Article PubMed
38. Youngson CC, Jones JC, Manogue M, Smith IS. In vitro dentinal penetration by tracers used in microleakage studies. Int Endod J. 1998;31(2):90-99.Article PubMed
39. Hakimeh S, Vaidyanathan J, Houpt ML, Vaidyanathan TK, Von Hagen S. effect of load cycling, thermal cycling, and cavity shape differences. J Prosthet Dent. 2000;83: 194-203.PubMed
40. Crim GA. Marginal leakage of visible light-cured glass ionomer restorative materials. J Prosthet Dent. 1993;69: 561-563.Article PubMed
41. Hilton TJ, Ferracane JL. Cavity preparation factors and microleakage of Class II composite restorations filled at intraoral temperatures. Am J Dent. 1999;12: 123-130.PubMed
42. Santini A, Mitchell S. Microleakage of composite restorations bonded with three new dentin bonding agents. J Esthet Dent. 1998;10(6):296-304.Article PubMed

Citations

Citations to this article as recorded by

CanvasJS.com

ePub Link

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Microleakage of the class V cavity according to restoration site and cavity size using SEM and three-dimensional reconstruction techniques

J Korean Acad Conserv Dent. 2005;30(2):112-120. Published online March 31, 2005

DOI: https://doi.org/10.5395/JKACD.2005.30.2.112

XML Download

Figure

Microleakage of the class V cavity according to restoration site and cavity size using SEM and three-dimensional reconstruction techniques

Figure 1 Occlusal view of three-dimensionally reconstructed image (Green : restoration, Red : dye)

Figure 2 Calculation of marginal gap: Percentage of marginal gap to cavity perimeter (SEM image ; × 35) (Blue line : cavity perimeter, Red line : area with marginal gap)

Figure 3 Internal view of three-dimensionally reconstructed images of experimental groups (Green : restoration, Red : dye)

Figure 1

Figure 2

Figure 3

Microleakage of the class V cavity according to restoration site and cavity size using SEM and three-dimensional reconstruction techniques

Table 1

Experimental groups

Table 2

Amount of dye penetration (cubic voxels)

Table 3

Two-way ANOVA analysis (dye penetration)

^*indicates significance at the 0.05 level

^**indicates significance at the 0.01 level

Table 4

Significance between restoration surface (dye penetration)

^**indicates significance at the 0.01 level

Table 5

Significance between cavity size (dye penetration)

^*indicates significance at the 0.05 level

Table 6

Percentage of marginal gap (%)

Table 7

Correlation between dye penetration and percentage of marginal gap

^**indicates significance at the 0.01 level

Table 1 Experimental groups

Table 2 Amount of dye penetration (cubic voxels)

Table 3 Two-way ANOVA analysis (dye penetration)

^*indicates significance at the 0.05 level

^**indicates significance at the 0.01 level

Table 4 Significance between restoration surface (dye penetration)

^**indicates significance at the 0.01 level

Table 5 Significance between cavity size (dye penetration)

^*indicates significance at the 0.05 level

Table 6 Percentage of marginal gap (%)

Table 7 Correlation between dye penetration and percentage of marginal gap

^**indicates significance at the 0.01 level