Joseph Asha, Santhosh Lekha, Hegde Jayshree, Panchajanya Srinivas, George Reshmi
Department of Conservative Dentistry and Endodontics, The Oxford Dental College, Research Centre and Hospital, Bangalore, India.
Indian J Dent Res. 2013 Jan-Feb;24(1):148. doi: 10.4103/0970-9290.114943.
The aim of this study was to compare the microleakage in Class II box preparations with the gingival margin above and below the cemento-enamel junction (CEJ) restored with Silorane composite and methacrylate composite using two different layering techniques.
Standardized box preparations (mesial box 1 mm above the CEJ and distal box 1 mm below the CEJ) were prepared in 60 upper premolars. The teeth were randomly divided into four groups containing 15 samples each; Group I: Restored with a Silorane composite using an oblique layering technique, Group II: Restored with Silorane composite using a vertical layering technique, Group III: Restored with methacrylate composite using the oblique layering technique, and Group IV: Restored with methacrylate composite using the vertical layering technique. The samples were stored in distilled water, followed by thermocycling and immersed in 2% methylene blue. The samples were sectioned and evaluated for microleakage at the gingival margin.
Kruskal-Wallis, Fischer exact test, Wilicoxon test, and Mann-Whitney U test.
Silorane composite had significantly lesser microleakage. No significant difference in microleakage was observed above and below the CEJ for Silorane-based composite.
Silorane composite resin showed lesser microleakage compared to methacrylate composite resin.
The Silorane-based composites improve the marginal adaptation due to their reduced shrinkage, thereby decreasing the residual stress at the adhesive-tooth interface.
本研究旨在比较使用两种不同分层技术,用硅氧烷复合树脂和甲基丙烯酸酯复合树脂修复牙骨质-釉质界(CEJ)上方和下方的Ⅱ类盒状洞形时的微渗漏情况。
在60颗上颌前磨牙上制备标准化的盒状洞形(近中洞在CEJ上方1mm,远中洞在CEJ下方1mm)。将牙齿随机分为四组,每组15个样本;第一组:使用倾斜分层技术用硅氧烷复合树脂修复,第二组:使用垂直分层技术用硅氧烷复合树脂修复,第三组:使用倾斜分层技术用甲基丙烯酸酯复合树脂修复,第四组:使用垂直分层技术用甲基丙烯酸酯复合树脂修复。样本储存在蒸馏水中,接着进行热循环,然后浸泡在2%亚甲蓝中。将样本切片并评估牙龈边缘的微渗漏情况。
采用Kruskal-Wallis检验、Fisher精确检验、Wilicoxon检验和Mann-Whitney U检验。
硅氧烷复合树脂的微渗漏明显较少。对于基于硅氧烷的复合树脂,在CEJ上方和下方观察到的微渗漏无显著差异。
与甲基丙烯酸酯复合树脂相比,硅氧烷复合树脂的微渗漏较少。
基于硅氧烷的复合树脂因其收缩减少而改善边缘适应性,从而降低粘结剂与牙齿界面处的残余应力。