Peris Alessandra Rezende, Duarte Sillas, de Andrade Marcelo Ferrarezi
Department of Restorative Dentistry, School of Dentistry of Piracicaba, State University of Campinas, São Paulo, Brazil.
Quintessence Int. 2003 Feb;34(2):93-8.
The goal of the present study was to evaluate the microleakage on the cementum/dentin and enamel surfaces in Class II restorations, using different kinds of resin composite (microhybrid, flowable, and compactable).
Forty human caries-free molars were extracted and selected. Eighty Class II standardized cavities were made in the cervical wall at the cementoenamel junction (CEJ) and at the mesial and distal surfaces. The teeth were divided into four groups: G1--adhesive system + microhybrid resin composite Z100; G2--adhesive system + compactable resin composite Prodigy Condensable; G3--adhesive system + flowable resin composite Revolution + Z100 resin composite; G4--adhesive system + Revolution fluid resin + compactable resin composite Prodigy Condensable. The adhesive system used in this study was Scotchbond Multi-Purpose Plus. The specimens were thermocycled in baths of 5 degrees C and 55 degrees C for 1,000 cycles and immersed in 50% silver nitrate solution. The specimens then were sectioned and evaluated on degree of dye penetration.
The results were evaluated using the nonparametric Kruskall-Wallis test, which showed a statistically significant difference between groups G1 and G4, G2 and G4, and G3 and G4.
None of the materials was able to eliminate the marginal microleakage at the cervical wall; the application of a low-viscosity resin composite combined with a compactable resin composite significantly decreased the microleakage.
本研究的目的是评估使用不同类型的树脂复合材料(微混合、可流动和可压实)时,II类修复体中牙骨质/牙本质和釉质表面的微渗漏情况。
提取并选择40颗无龋的人类磨牙。在牙釉质牙骨质界(CEJ)以及近中和远中表面的颈部壁上制备80个II类标准化洞形。将牙齿分为四组:G1——粘结系统+微混合树脂复合材料Z100;G2——粘结系统+可压实树脂复合材料Prodigy Condensable;G3——粘结系统+可流动树脂复合材料Revolution+Z100树脂复合材料;G4——粘结系统+Revolution流体树脂+可压实树脂复合材料Prodigy Condensable。本研究中使用的粘结系统是Scotchbond Multi-Purpose Plus。将标本在5℃和55℃的浴中进行1000次热循环,然后浸入50%的硝酸银溶液中。然后将标本切片并评估染料渗透程度。
使用非参数Kruskal-Wallis检验对结果进行评估,结果显示G1和G4组、G2和G4组以及G3和G4组之间存在统计学上的显著差异。
没有一种材料能够消除颈部壁的边缘微渗漏;低粘度树脂复合材料与可压实树脂复合材料联合应用可显著降低微渗漏。