Effect of polymerization sources on the marginal sealing of single-increment resin restorations
Keywords:
composite resins, dental filtration, failure of dental restoration, biomedical and dental materials.Abstract
Introduction: Single-increment resins allow a photoactivation of 4 to 5 mm deep, reducing the clinical time of application. However, factors such as shrinkage that may affect the marginal sealing of the restoration should be considered.
Objective: Evaluate the effect of three polymerization sources on the marginal sealing of Class II restorations, carried out with three single-increment resin systems.
Methods: An in vitro experimental study was conducted. The calculation of the number of study units was carried out with the EPIDAT software, for which the means of two previous studies were taken. Nine subgroups were made according to the restoration material and the polymerization source. Two Class II restorations were made on each tooth, which were carried out according to the manufacturer's instructions. The teeth were subjected to passive immersion in 1% methylene blue for 24h. The teeth were sectioned mesiodistally. Photographs were taken with a Canon camera and a 100mm macro lens. Marginal filtration was measured on a scale of 0 to 4. Data were analyzed with Kruskal-Wallis tests for group comparison. A significance level adjusted to 5% was established.
Results: The resin with the lowest filtration level was Filtek Bulkfill, with 53.3% corresponding to scale 0, while the resin with the highest filtration was Tetric N-Ceram Bulk Fill with 76.7% (scale 4), similar to Sonicfill (70.0%).
Conclusions: The different polymerization sources did not influence the level of filtration between the three single-increment resin systems. Filtek Bulkfill presented a better marginal seal when compared to SonicFill and Tetric N-Ceram Bulk Fill.
Downloads
References
Corral-Núnez C, Vildósola-Grez P, Bersezio-Miranda C, Alves-Dos Campos E, Fernández GE. State of the art of bulk-fill resin-based composites: A review. Rev Fac Odontol Univ Antioq. 2015;27(1):177-196. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-246X2015000200177&lng=en.
Bellinaso MD, Soares FZM, Rocha RO. Do bulk-fill resins decrease the restorative time in posterior teeth? A systematic review and meta-analysis of in vitro studies.? J Investig Clin Dent. 2019;10(4):e12463. doi:10.1111/jicd.12463.
Aggarwal N, Jain A, Gupta H, Abrol A, Singh C, Rapgay T. The comparative evaluation of depth of cure of bulk-fill composites - An? in vitro? study. J Conserv Dent. 2019;22(4):371-375. doi: 10.4103/JCD.JCD_453_18.
Łagocka R, Mazurek-Mochol M, Jakubowska K, Bendyk-Szeffer M, Chlubek D, Buczkowska-Radlińska J. Analysis of base monomer elution from 3 flowable bulk-fill composite resins using high performance liquid chromatography (HPLC). Med Sci Monit. 2018;24:4679-4690. doi: 10.12659/MSM.907390.
Lempel E, Czibulya Z, Kovács B, Szalma J, Tóth Á, Kunsági-Máté S, Varga Z, Böddi K. Degree of Conversion and BisGMA, TEGDMA, UDMA elution from flowable bulk fill composites. Int J Mol Sci. 2016;17(5):732. doi: 10.3390/ijms17050732.
Pereira R, Giorgi MCC, Lins RBE, Theobaldo JD, Lima DANL, Marchi GM, Aguiar FHB. Physical and photoelastic properties of bulk-fill and conventional composites. Clin Cosmet Investig Dent. 2018;10:287-296. doi: 10.2147/CCIDE.S184660.
Savadi OS, Bahari M, Jafari NE, Ajami AA, Ghiasvand N, Savadi OA. Factors affecting marginal integrity of class II bulk-fill composite resin restorations. J Dent Res Dent Clin Dent Prospects. 2017;11(2):101-109. doi: 10.15171/joddd.2017.019.
Abbasi M, Moradi Z, Mirzaei M, Kharazifard MJ, Rezaei S. Polymerization shrinkage of five bulk-fill composite resins in comparison with a conventional composite resin. J Dent (Tehran). 2018;15(6):365-374.
Mosharrafian S, Heidari A, Rahbar P. Microleakage of two bulk fill and one conventional composite in class II restorations of primary posterior teeth. J Dent (Tehran). 2017;14(3):123-131.
Alvarenga FAS, Pinelli C, Loffredo LCM. Reliability of marginal microleakage assessment by visual and digital methods. Eur J Dent. 2015;9(1):1-5. doi: 10.4103/1305-7456.149628.
Swapna MU, Koshy S, Kumar A, Nanjappa N, Benjamin S, Nainan MT. Comparing marginal microleakage of three Bulk Fill composites in Class II cavities using confocal microscope: An in vitro study. J Conserv Dent. 2015;18(5):409-13. doi: 10.4103/0972-0707.164058.
Rizzante FAP, Duque JA, Duarte MAH, Mondelli RFL, Mendonça G, Ishikiriama SK. Polymerization shrinkage, microhardness and depth of cure of bulk fill resin composites.? Dent Mater J. 2019;38(3):403-410. doi:10.4012/dmj.2018-063
Rullman I, Patyna M, Janssen B, Willershausen B. Determination of polymerization shrinkage of different composites using a photoelastic method.? Am J Dent. 2017;30(1):16-22.
Salem HN, Hefnawy SM, Nagi SM. Degree of conversion and polymerization shrinkage of low shrinkage Bulk-Fill resin composites. Contemp Clin Dent. 2019;10(3):465-470. doi: 10.4103/ccd.ccd_756_18.
Farahat F, Daneshkazemi AR, Hajiahmadi Z. The effect of bulk depth and irradiation time on the surface hardness and degree of Cure of Bulk-Fill composites. J Dent Biomater. 2016;3(3):284-291.
Orłowski M, Tarczydło B, Chałas R. Evaluation of marginal integrity of four bulk-fill dental composite materials: in vitro study. Scientific World Journal. 2015;2015:701262. doi: 10.1155/2015/701262.
Agarwal RS, Hiremath H, Agarwal J, Garg A. Evaluation of cervical marginal and internal adaptation using newer bulk fill composites: An in vitro study. J Conserv Dent. 2015;18(1):56-61. doi: 10.4103/0972-0707.148897.
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(3):301-308.
Shimokawa CAK, Turbino ML, Giannini M, Braga RR, Price RB. Effect of light curing units on the polymerization of bulk fill resin-based composites.? Dent Mater. 2018;34(8):1211-1221. doi:10.1016/j.dental.2018.05.002.
Par M, Gamulin O, Marovic D, Klaric E, Tarle Z. Effect of temperature on post-cure polymerization of bulk-fill composites.? J Dent. 2014;42(10):1255-1260. doi:10.1016/j.jdent.2014.08.004.
Downloads
Published
How to Cite
Issue
Section
License
Authors retain all rights to their works, which they can reproduce and distribute as long as they cite the primary source of publication.
The Rev Cubana Estomatol is subject to the Creative Commons Attribution-Non-Commercial 4.0 International License (CC BY-NC 4.0) and follows the publication model of SciELO Publishing Schema (SciELO PS) for publication in XML format.
You are free to:
- Share — copy and redistribute the material in any medium or format.
- Adapt — remix, transform, and build upon the material.
The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
- You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
- No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
Download PDF
