Meshram Priyatama, Meshram Vikas, Palve Devendra, Patil Sanjay, Gade Vandana, Raut Amber
Department of Conservative Dentistry and Endodontia, Swargiya Dadasaheb Kalmegh Smruti Dental College, Nagpur, Maharashtra, India.
Department of Oral and Maxillofacial Surgery, Govt Dental College and Hospital, Mumbai, Maharashtra, India.
Indian J Dent Res. 2019 May-Jun;30(3):403-407. doi: 10.4103/ijdr.IJDR_767_17.
Marginal adaptability of restorative material is one of the prime factors for success of a restoration.
To evaluate microleakage at enamel restoration and dentin restoration interface of Class V cavities restored with new alkasite restorative material Cention-N, with and without using bonding agent and flowable composite resin.
Thirty Class V tooth preparations were divided into three groups (n = 10): Group-I restored with Cention-N (Ivoclar Vivadent) without adhesive, Group-II was restored with Cention-N after application of eighth-generation bonding agent (3M ESPE, Single Bond Universal Adhesive), and Group-III was restored with flowable composite resin (Tetric-N-Flow, Ivoclar Vivadent). All samples were subjected to 200 thermocycles between temperature baths at 5°C and 55°C. All samples were cut longitudinally through the center of the restorations with the help of isomet diamond saw. The sections were then observed under binocular stereomicroscope at 20×. Two evaluators scored the depth of dye penetration independently at enamel and dentin margins.
Kruskal-Wallis nonparametric analysis followed by Dunn's multiple comparison tests were done to evaluate differences among the experimental groups. Mann-Whitney test was used to compare the difference between occlusal and gingival scores within each restoration.
Microleakage seen in decreasing order: Cention-N without adhesive >Flowable composite >Cention-N with adhesive.
Microleakage at enamel restoration interface was less than microleakage at dentin restoration interface of each group, but the difference was not statistically significant. Least microleakage was seen with Cention-N with adhesive followed by flowable composite. More microleakage was seen with Cention-N without adhesive.
修复材料的边缘适应性是修复成功的主要因素之一。
评估使用新型碱式硅酸盐修复材料Cention - N修复Ⅴ类洞时,在有无使用粘结剂和流动复合树脂的情况下,牙釉质修复体与牙本质修复体界面处的微渗漏情况。
将30个Ⅴ类洞牙齿预备体分为三组(n = 10):第一组使用Cention - N(义获嘉伟瓦登特公司)修复且不使用粘结剂,第二组在应用第八代粘结剂(3M ESPE公司,单组分通用粘结剂)后使用Cention - N修复,第三组使用流动复合树脂(Tetric - N - Flow,义获嘉伟瓦登特公司)修复。所有样本在5℃和55℃的温度浴之间进行200次热循环。所有样本借助等距金刚石锯沿修复体中心纵向切割。然后在双目立体显微镜下以20倍放大倍数观察切片。两名评估者分别对牙釉质和牙本质边缘的染料渗透深度进行评分。
采用Kruskal - Wallis非参数分析,随后进行Dunn多重比较检验以评估各实验组之间的差异。使用Mann - Whitney检验比较每个修复体咬合面和牙龈面评分之间的差异。
微渗漏程度由高到低依次为:不使用粘结剂的Cention - N>流动复合树脂>使用粘结剂的Cention - N。
每组牙釉质修复体界面处的微渗漏小于牙本质修复体界面处的微渗漏,但差异无统计学意义。使用粘结剂的Cention - N微渗漏最少,其次是流动复合树脂。不使用粘结剂的Cention - N微渗漏更多。