Kaushik M, Yadav M
Department of Conservative Dentistry and Endodontics, Army College of Dental Sciences, Secunderabad, Telangana 500087, India.
J West Afr Coll Surg. 2017 Apr-Jun;7(2):1-14.
In clinical practice, the restoration of non-carious cervical lesions is a challenge, because most of the time the cervical margin is located in cementum or dentin. This characteristic makes the cervical margin more susceptible to microleakage, causing cavosurface stains, postoperative sensitivity and also favours the incidence of carious lesions.
To compare and evaluate the microleakage in class V lesions restored with Activa Bioactive restorative and nanohybrid composite resin using two different bonding agents.
In this study, 50 class V cavities were prepared in freshly extracted teeth. The samples were randomly divided into 5 groups (n=10), depending on the type of restorative material and bonding agent: Group 1 - Activa Bioactive (Pulpdent, USA) + No bonding, Group 2 - Activa Bioactive + Tetric N Bond (Ivoclar Vivadent, Colombia),Group 3 - Activa Bioactive + G Bond (GC Corp., Tokyo, Japan), Group 4 - Nanohybrid Composite (Ivoclar Vivadent, Colombia) + Tetric N Bond, Group 5 - Nanohybrid Composite + G Bond. The samples were restored with their respective material based on the group. After curing all the specimens were subjected to thermocycling and cyclic loading. Specimens were stained with 2% rhodamin b dye and evaluated for dye penetration.
Results were obtained based on Kruskal Wallis and Mann Whitney U- test.
Within the limitations of this study, none of the materials were free from microleakage. All the materials showed more microleakage at gingival margins compared to occlusal margins. Among all the groups Activa Bioactive restorative when used in combination with Tetric N Bond showed the least microleakage.
在临床实践中,非龋性颈部病变的修复是一项挑战,因为大多数情况下颈部边缘位于牙骨质或牙本质中。这一特性使颈部边缘更容易发生微渗漏,导致洞缘染色、术后敏感,也增加了龋病病变的发生率。
使用两种不同的粘结剂,比较和评估用Activa生物活性修复材料和纳米混合复合树脂修复的Ⅴ类洞的微渗漏情况。
在本研究中,在新鲜拔除的牙齿上制备50个Ⅴ类洞。根据修复材料和粘结剂的类型,将样本随机分为5组(n = 10):第1组 - Activa生物活性材料(美国Pulpdent公司)+不使用粘结剂,第2组 - Activa生物活性材料+Tetric N Bond粘结剂(义获嘉伟瓦登特公司,哥伦比亚),第3组 - Activa生物活性材料+G Bond粘结剂(日本东京GC公司),第4组 - 纳米混合复合树脂(义获嘉伟瓦登特公司,哥伦比亚)+Tetric N Bond粘结剂,第5组 - 纳米混合复合树脂+G Bond粘结剂。根据分组情况用各自的材料进行修复。所有标本固化后进行热循环和循环加载。标本用2%的罗丹明b染料染色,并评估染料渗透情况。
基于Kruskal Wallis检验和Mann Whitney U检验得出结果。
在本研究的局限性内,所有材料均存在微渗漏。与咬合边缘相比,所有材料在牙龈边缘的微渗漏更多。在所有组中,Activa生物活性修复材料与Tetric N Bond粘结剂联合使用时微渗漏最少。