Chandran Dhivya, Thangaraju Anitha, Vishwanath Sankar, Mathew Sebeena, Kumaravadivel Karthick, Thangavel Hema Kumari
Conservative Dentistry and Endodontics, KSR Institute of Dental Science and Research, Tiruchencode, IND.
Conservative Dentistry and Endodontics, KSR Institute of Dental Science and Research, TIRUCHENGODE, IND.
Cureus. 2025 Jul 10;17(7):e87694. doi: 10.7759/cureus.87694. eCollection 2025 Jul.
Objective To evaluate the marginal integrity of proximal cavities restored with three different types of composite, varying in fillers. Methodology Freshly extracted 84 intact human maxillary and mandibular premolars were used in the study, proximal cavities were prepared with a buccolingual dimension of 4 mm and mesiodistal dimension of 2 mm and the gingival seat was placed 1 mm below the cementoenamel junction (CEJ) and randomly divided into three groups: Group I ( = 28), NeoSpectra; Group II ( = 28), Tetric EvoCeram; and Group III (= 28), Filtek Z250. They were restored with composites of experimental groups. The samples were subjected to thermocycling and dye penetration to evaluate marginal adaptation using scanning electron microscopy (SEM) and microleakage using a stereomicroscope. Results It was observed that an MQ4 score was present only in Group III, while an MQ1 score was more frequently observed in Group I. For microleakage, the expression of score 3 was higher in Group III with Tetric EvoCeram. NeoSpectra specimens predominantly showed scores of 1 and 2. There was no significant difference among the groups. Conclusions Within the limitations of this study, it is established that NeoSpectra outperformed other composites in marginal adaptation due to its pre-polymerized filler content. In terms of microleakage, there is not much difference between the groups, which may be attributed to their lack of active bond sites.
目的 评估用三种不同类型、填料各异的复合树脂修复近中洞的边缘完整性。方法 本研究使用84颗新鲜拔除的完整人类上颌和下颌前磨牙,制备近中洞,颊舌径为4 mm,近远中径为2 mm,龈壁位于牙骨质釉质界(CEJ)下方1 mm处,并随机分为三组:第一组(n = 28),使用NeoSpectra;第二组(n = 28),使用Tetric EvoCeram;第三组(n = 28),使用Filtek Z250。用实验组的复合树脂进行修复。对样本进行热循环和染料渗透试验,使用扫描电子显微镜(SEM)评估边缘适应性,使用体视显微镜评估微渗漏情况。结果 观察到仅在第三组出现MQ4评分,而在第一组中更频繁观察到MQ1评分。对于微渗漏,使用Tetric EvoCeram的第三组中3分的表达更高。NeoSpectra样本主要显示1分和2分。各组之间无显著差异。结论 在本研究的局限性内,已证实由于其预聚合填料含量,NeoSpectra在边缘适应性方面优于其他复合树脂。在微渗漏方面,各组之间差异不大,这可能归因于它们缺乏活性结合位点。