The effect of marginal microleakge according to thickness of flowable resin

Gi-Gang Song; Young-Gon Cho

doi:10.5395/JKACD.2005.30.5.363

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Original Article The effect of marginal microleakge according to thickness of flowable resin: Gi-Gang Song, Young-Gon Cho; 2005;30(5):-371.
DOI: https://doi.org/10.5395/JKACD.2005.30.5.363
Published online: September 30, 2005

Department of Conservative Dentistry, College of Dentistry, Chosun University, Korea.

Corresponding author: Young-Gon Cho. Department of Conservative Dentistry, College of Dentistry, Chosun University, 421 Seosuk-dong, Dong-gu, Gwangju, Korea 501-825. Tel: 82-62-220-3840, 3845, Fax: 82-62-232-9064, ygcho@mail.chosun.ac.kr

• Received: January 6, 2005 • Revised: February 18, 2005 • Accepted: March 5, 2005

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Abstract
REFERENCES

Abstract

This study investigated the effect of thickness of flowable resin lining on marginal leakage in class II composite restorations. 80 experimental teeth were prepared with class II preparations with enamel margin or dentin margin. Each group was devided into four groups according to flowable resin lining thickness ; Control group - no flowable resin lining, Group 1 - 0.5 mm flowable resin lining, Group 2 - 1 mm flowable resin lining, Group 3 - 2 mm flowable resin lining. The cavities were restored using Scotchbond Multi-Purpose adhesive system, Filtek Flow and Filtek Z 250 composite resin.

Following one day storage in distilled water, the restored teeth were thermocycled for 500 cycles and immersed in 2% methylene blue for 24 hours.

The results of this study were as follows:

1. Ranking of mean microleakage scores at the enamel margins was Group 1 < Control = Group 2 < Group 3. The microleakage of Group 3 was significantly higher than that of Control, Group 1 and Group 2 (p < 0.05).

2. Ranking of mean microleakage scores at the dentin margins was Group 1 < Group 2 < Control < Group 3. The microleakage of Group 3 was significantly higher than that of Control, Group 1 (p < 0.05).

3. Compared with microleakage between the enamel and dentin margins, enamel margin group were significantly lower than dentin margin group.
Keywords: Flowable resin; Lining; Thickness; Class II cavity; Gingival margin; Microleakage

Figure 1

Numbers of leakage scores of each group at enamel margins.

Figure 2

Numbers of leakage scores of each group at dentin margins.

Table 1

Materials used in this study

HEMA = 2-hydroxyethyl methacrylate, Bis-GMA = bisphenol-glysidyl-methacrylate, TEGDMA = triethylene glycol dimethacrylate, UDMA = urethane dimethacrylate, Bis-EMA = bisphenol-ethylmetacrylate

Table 2

Group classification by thickness of flowable resin

Table 3

Distribution of microleakage scores and mean rank at enamel margins

Table 4

Distribution of microleakage scores and mean rank at dentin margins

Table 5

Statistical analysis of microleakage between each group at enamel margin by Mann-Whitney test

-: no-significant differences (p < 0.05).

^*: significant differences (p < 0.05).

Table 6

Statistical analysis of microleakage between each group at dentin margin by Mann-Whitney test

-: no-significant differences (p < 0.05).

^*: significant differences (p < 0.05).

Table 7

Statistical analysis on the microleakage between enamel and dentin margin in each group by Wilcoxon signed rank sum test

^*: significant differences (p < 0.05).

-: no-significant differences (p < 0.05).

REFERENCES

1. Munro GA, Hilton TJ, Hermesch CB. In vitro microleakage of etched and rebonded class 5 composite resin restorations. Oper Dent. 1996;21: 203-208.PubMed
2. Malmstrom H, Schlueter M, Roach T, Moss ME. Effect of thickness of flowable resins on marginal leakage in class II composite restorations. Oper Dent. 2002;27: 373-380.PubMed
3. Davidson CL, de Gee AJ. Relaxation of polymerization contraction stresses by flow in dental composites. J Dent Res. 1984;63(2):146-148.Article PubMed PDF
4. Bayne SC, Thompson JY, Swft EJ, Stamatiades P, Wilkerson M. A characterization of first-generation flowable composites. J Am Dent Assoc. 1998;129: 567-577.Article PubMed
5. Beznos C. Microleakage at the cervical margin of composite class II cavities with different restorative techniques. Oper Dent. 2001;26: 60-69.PubMed
6. Estafan AM, Denise E. Microleakage study of flowable composite resin systems. Compend Contin Educ Dent. 2000;21(9):705-708.PubMed
7. Lutz F, Krejei I, Schupbach F. Adhesive systems for tooth colored restorations: A review. Schweiz Monatsschr Zahnmed. 1993;103: 537-549.PubMed
8. Krejci I, Lutz F, Krejci D. The influence of different base materials on marginal adaptation and wear of conventional class II composite resin restorations. Quintessence Int. 1988;19: 191-198.PubMed
9. Payne JH 4th. The marginal seal of class II restorations: Flowable composite resin compared to injectable glass ionomer. J Clin Pediatr Dent. 1999;23(2):123-130.PubMed
10. Bayne SC, Jeffrey YT, Edward JS, Perry S, Michelle W. A characterization of first-generation flowable composites. J Am Dent Assoc. 1998;129: 567-577.Article PubMed
11. Peutzfeldt A, Asmussen E. Composite restorations: influence of flowable and self-curing resin composite lining on microleakage in vitro. Oper Dent. 2002;27: 569-575.PubMed
12. Yazici AR, Baseren M, Dayangac B. The effect of flowable composite resin on microleakage in class V cavities. Oper Dent. 2003;28: 42-46.PubMed
13. Chuang SF, Jin YT, Lin TS, Chang CH, Godoy FG. Effect of lining materials on microleakage and internal voids of class II resin-based composite restorations. Am J Dent. 2003;16: 84-90.PubMed
14. Chuang SF, Liu JK, Chao CC, Liao FP, Chen YHM. Effect of flowable composite lining and operator experience on micoleakage and internal voids in class II composite restorations. J Prosthet Dent. 2001;85: 177-183.PubMed
15. Feilzer AJ, de Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res. 1987;66(11):1636-1639.Article PubMed PDF
16. Phillips RW, Avery DR. Observation on a composite resin for class II restoration: Two-year report. J Prosthet Dent. 1972;28: 164-169.PubMed
17. Gordon M, Plasschaert AJM, Saiku JM, Pelzner RB. Microleakage of posterior composite resin materials and an experimental urethane restorative material, tested in vitro above and below the cementoenamel junction. Quintessence Int. 1986;17(1):11-15.PubMed
18. Alonso RC, Mario CS, Lourenco CS, Simonides C. Effect of resin liners on microleakage of class V dental composite restorations. J Appl Oral Sci. 2004;12(1):56-61.Article PubMed
19. Kwon HC, Kim JU, No BD, Moon JH, Park SJ, Park SH, Park JW, Son HH, Sin DH, Eom JM, Yun TC, Lee GW, Lee SJ, Jeong IY, Jo GM, Jo BH, Jo YG, Choe GG, Heo B, Hwang IN. Conservative dentistry. 2001;Seoul: Sinheung International; 99-104.
20. Unterbrink GL, Liebenberg WH. Flowable resin composites as "filled adhesives": Literature review and clinical recommendations. Quintessence Int. 1999;30: 249-257.PubMed
21. Civelek M, Erosy M, L'Hotelier E, Soyman M, Say EC. Polymerization shrinkage and microleakage in class II cavities of various resin composites. Oper Dent. 2003;28(5):635-641.PubMed
22. Watts and Cash. The method for determining volumetric shrinkage. Meas Sci Technol. 1991;2: 788-794.Article
23. Amaral CM, Hara AT. Microleakage of hydrophilic adhesive systems in class V composite restorations. Am J Dent. 2001;14(1):31-33.PubMed
24. Gordan VV, Vargas MA, Cobb DS, Denehy GE. Evaluation of acidic primers in microleakage of class 5 composite resin restorations. Oper Dent. 1998;23: 244-249.PubMed
25. Chuang SF, Jin YT, Liu JK, Chang CH, Shieh DB. Influence of flowable composite lining thickness on class II composite restorations. Oper Dent. 2004;29: 301-308.PubMed
26. Tung FF, Hsieh WW, Estafan D. In vitro microleakage study of a condensable and flowable composite resin. Gen Dent. 2000;48(6):711-715.PubMed
27. Peris AR, Duarte S, Andrade MF. Evaluation of marginal microleakage in class II cavities: Effect of microhybrid, flowable, and compactable resins. Quintessence Int. 2003;34: 93-98.PubMed
28. Fayyad MA, Shortall AC. Microleakage of dentin-bonded posterior composite restoration. J Dent. 1987;15(2):67-72.PubMed

Tables & Figures

Figure 1

Numbers of leakage scores of each group at enamel margins.

Figure 2

Numbers of leakage scores of each group at dentin margins.

Table 1

Materials used in this study

HEMA = 2-hydroxyethyl methacrylate, Bis-GMA = bisphenol-glysidyl-methacrylate, TEGDMA = triethylene glycol dimethacrylate, UDMA = urethane dimethacrylate, Bis-EMA = bisphenol-ethylmetacrylate

Table 2

Group classification by thickness of flowable resin

Table 3

Distribution of microleakage scores and mean rank at enamel margins

Table 4

Distribution of microleakage scores and mean rank at dentin margins

Table 5

Statistical analysis of microleakage between each group at enamel margin by Mann-Whitney test

-: no-significant differences (p < 0.05).

^*: significant differences (p < 0.05).

Table 6

Statistical analysis of microleakage between each group at dentin margin by Mann-Whitney test

-: no-significant differences (p < 0.05).

^*: significant differences (p < 0.05).

Table 7

Statistical analysis on the microleakage between enamel and dentin margin in each group by Wilcoxon signed rank sum test

^*: significant differences (p < 0.05).

-: no-significant differences (p < 0.05).

REFERENCES

1. Munro GA, Hilton TJ, Hermesch CB. In vitro microleakage of etched and rebonded class 5 composite resin restorations. Oper Dent. 1996;21: 203-208.PubMed
2. Malmstrom H, Schlueter M, Roach T, Moss ME. Effect of thickness of flowable resins on marginal leakage in class II composite restorations. Oper Dent. 2002;27: 373-380.PubMed
3. Davidson CL, de Gee AJ. Relaxation of polymerization contraction stresses by flow in dental composites. J Dent Res. 1984;63(2):146-148.Article PubMed PDF
4. Bayne SC, Thompson JY, Swft EJ, Stamatiades P, Wilkerson M. A characterization of first-generation flowable composites. J Am Dent Assoc. 1998;129: 567-577.Article PubMed
5. Beznos C. Microleakage at the cervical margin of composite class II cavities with different restorative techniques. Oper Dent. 2001;26: 60-69.PubMed
6. Estafan AM, Denise E. Microleakage study of flowable composite resin systems. Compend Contin Educ Dent. 2000;21(9):705-708.PubMed
7. Lutz F, Krejei I, Schupbach F. Adhesive systems for tooth colored restorations: A review. Schweiz Monatsschr Zahnmed. 1993;103: 537-549.PubMed
8. Krejci I, Lutz F, Krejci D. The influence of different base materials on marginal adaptation and wear of conventional class II composite resin restorations. Quintessence Int. 1988;19: 191-198.PubMed
9. Payne JH 4th. The marginal seal of class II restorations: Flowable composite resin compared to injectable glass ionomer. J Clin Pediatr Dent. 1999;23(2):123-130.PubMed
10. Bayne SC, Jeffrey YT, Edward JS, Perry S, Michelle W. A characterization of first-generation flowable composites. J Am Dent Assoc. 1998;129: 567-577.Article PubMed
11. Peutzfeldt A, Asmussen E. Composite restorations: influence of flowable and self-curing resin composite lining on microleakage in vitro. Oper Dent. 2002;27: 569-575.PubMed
12. Yazici AR, Baseren M, Dayangac B. The effect of flowable composite resin on microleakage in class V cavities. Oper Dent. 2003;28: 42-46.PubMed
13. Chuang SF, Jin YT, Lin TS, Chang CH, Godoy FG. Effect of lining materials on microleakage and internal voids of class II resin-based composite restorations. Am J Dent. 2003;16: 84-90.PubMed
14. Chuang SF, Liu JK, Chao CC, Liao FP, Chen YHM. Effect of flowable composite lining and operator experience on micoleakage and internal voids in class II composite restorations. J Prosthet Dent. 2001;85: 177-183.PubMed
15. Feilzer AJ, de Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res. 1987;66(11):1636-1639.Article PubMed PDF
16. Phillips RW, Avery DR. Observation on a composite resin for class II restoration: Two-year report. J Prosthet Dent. 1972;28: 164-169.PubMed
17. Gordon M, Plasschaert AJM, Saiku JM, Pelzner RB. Microleakage of posterior composite resin materials and an experimental urethane restorative material, tested in vitro above and below the cementoenamel junction. Quintessence Int. 1986;17(1):11-15.PubMed
18. Alonso RC, Mario CS, Lourenco CS, Simonides C. Effect of resin liners on microleakage of class V dental composite restorations. J Appl Oral Sci. 2004;12(1):56-61.Article PubMed
19. Kwon HC, Kim JU, No BD, Moon JH, Park SJ, Park SH, Park JW, Son HH, Sin DH, Eom JM, Yun TC, Lee GW, Lee SJ, Jeong IY, Jo GM, Jo BH, Jo YG, Choe GG, Heo B, Hwang IN. Conservative dentistry. 2001;Seoul: Sinheung International; 99-104.
20. Unterbrink GL, Liebenberg WH. Flowable resin composites as "filled adhesives": Literature review and clinical recommendations. Quintessence Int. 1999;30: 249-257.PubMed
21. Civelek M, Erosy M, L'Hotelier E, Soyman M, Say EC. Polymerization shrinkage and microleakage in class II cavities of various resin composites. Oper Dent. 2003;28(5):635-641.PubMed
22. Watts and Cash. The method for determining volumetric shrinkage. Meas Sci Technol. 1991;2: 788-794.Article
23. Amaral CM, Hara AT. Microleakage of hydrophilic adhesive systems in class V composite restorations. Am J Dent. 2001;14(1):31-33.PubMed
24. Gordan VV, Vargas MA, Cobb DS, Denehy GE. Evaluation of acidic primers in microleakage of class 5 composite resin restorations. Oper Dent. 1998;23: 244-249.PubMed
25. Chuang SF, Jin YT, Liu JK, Chang CH, Shieh DB. Influence of flowable composite lining thickness on class II composite restorations. Oper Dent. 2004;29: 301-308.PubMed
26. Tung FF, Hsieh WW, Estafan D. In vitro microleakage study of a condensable and flowable composite resin. Gen Dent. 2000;48(6):711-715.PubMed
27. Peris AR, Duarte S, Andrade MF. Evaluation of marginal microleakage in class II cavities: Effect of microhybrid, flowable, and compactable resins. Quintessence Int. 2003;34: 93-98.PubMed
28. Fayyad MA, Shortall AC. Microleakage of dentin-bonded posterior composite restoration. J Dent. 1987;15(2):67-72.PubMed

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The effect of marginal microleakge according to thickness of flowable resin

J Korean Acad Conserv Dent. 2005;30(5):363-371. Published online September 30, 2005

DOI: https://doi.org/10.5395/JKACD.2005.30.5.363

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The effect of marginal microleakge according to thickness of flowable resin

Figure 1 Numbers of leakage scores of each group at enamel margins.

Figure 2 Numbers of leakage scores of each group at dentin margins.

Figure 1

Figure 2

The effect of marginal microleakge according to thickness of flowable resin

Table 1

Materials used in this study

HEMA = 2-hydroxyethyl methacrylate, Bis-GMA = bisphenol-glysidyl-methacrylate, TEGDMA = triethylene glycol dimethacrylate, UDMA = urethane dimethacrylate, Bis-EMA = bisphenol-ethylmetacrylate

Table 2

Group classification by thickness of flowable resin

Table 3

Distribution of microleakage scores and mean rank at enamel margins

Table 4

Distribution of microleakage scores and mean rank at dentin margins

Table 5

Statistical analysis of microleakage between each group at enamel margin by Mann-Whitney test

-: no-significant differences (p < 0.05).

^*: significant differences (p < 0.05).

Table 6

Statistical analysis of microleakage between each group at dentin margin by Mann-Whitney test

-: no-significant differences (p < 0.05).

^*: significant differences (p < 0.05).

Table 7

Statistical analysis on the microleakage between enamel and dentin margin in each group by Wilcoxon signed rank sum test

^*: significant differences (p < 0.05).

-: no-significant differences (p < 0.05).

Table 1 Materials used in this study

HEMA = 2-hydroxyethyl methacrylate, Bis-GMA = bisphenol-glysidyl-methacrylate, TEGDMA = triethylene glycol dimethacrylate, UDMA = urethane dimethacrylate, Bis-EMA = bisphenol-ethylmetacrylate

Table 2 Group classification by thickness of flowable resin

Table 3 Distribution of microleakage scores and mean rank at enamel margins

Table 4 Distribution of microleakage scores and mean rank at dentin margins

Table 5 Statistical analysis of microleakage between each group at enamel margin by Mann-Whitney test

-: no-significant differences (p < 0.05).

^*: significant differences (p < 0.05).

Table 6 Statistical analysis of microleakage between each group at dentin margin by Mann-Whitney test

-: no-significant differences (p < 0.05).

^*: significant differences (p < 0.05).

Table 7 Statistical analysis on the microleakage between enamel and dentin margin in each group by Wilcoxon signed rank sum test