Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, 901 Limeira Avenue, Piracicaba, SP, Brazil.
Department of Restorative Dental Science - Operative Division, College of Dentistry, University of Florida, 1395 Center Dr. Gainesville, Gainesville, FL, USA.
Lasers Med Sci. 2023 Feb 11;38(1):69. doi: 10.1007/s10103-023-03731-3.
The aim was to evaluate the marginal-gap formation and curing profile of a new restorative technique using a liner with long-wavelength-absorbing photoinitiator (LWAP). Box-shaped preparations (6 mm × 4 mm × 4 mm) were made in third molars. All samples were treated with Clearfill SE Bond and divided into 4 groups (n = 5), according to restorative technique used: (1) incremental technique (INC-Technique); (2) camphorquinone-based liner (CQ-Liner) + bulk-fill resin composite; (3) LWAP-based liner (LWAP-Liner) + bulk-fill resin composite; and (4) bulk-fill technique without liner (BF-Technique). The marginal gaps (%) for all the samples were measured using micro-computed tomography. The restorations were cross-sectioned, and the degree of conversion (DC) and Knoop microhardness were evaluated at different depths (0.3, 1, 2, 3, and 4 mm). INC-Technique, CQ-Liner, and LWAP-Liner groups showed significantly fewer marginal gaps than those from the BF-Technique group. The BF-Technique specimens had the lowest DC and microhardness in depth. All the other techniques presented similar degree of conversion and microhardness at all the depths. The use of liners, regardless of the photoinitiator system, decreased the marginal-gap formation and improved the curing profile of bulk-filling restoration technique.
目的是评估使用具有长波长吸收光引发剂 (LWAP) 的衬垫的新型修复技术的边缘间隙形成和固化情况。在第三磨牙上制作盒状预备体(6mm×4mm×4mm)。所有样本均用 Clearfill SE Bond 处理,并根据使用的修复技术分为 4 组(n=5):(1)增量技术(INC-Technique);(2)基于樟脑醌的衬垫(CQ-Liner)+ 团注型树脂复合材料;(3)基于 LWAP 的衬垫(LWAP-Liner)+ 团注型树脂复合材料;和(4)无衬垫的团注技术(BF-Technique)。使用微计算机断层扫描测量所有样本的边缘间隙(%)。对修复体进行横剖面切割,并在不同深度(0.3、1、2、3 和 4mm)评估转化率(DC)和努氏硬度。INC-Technique、CQ-Liner 和 LWAP-Liner 组的边缘间隙明显少于 BF-Technique 组。BF-Technique 标本在深度上具有最低的 DC 和显微硬度。所有其他技术在所有深度均表现出相似的转化率和显微硬度。衬垫的使用,无论光引发剂系统如何,都减少了边缘间隙的形成,并改善了团注修复技术的固化情况。