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Marginal Adaptation of Flowable vs Sonically Activated or Preheated Resin Composites in Cervical Lesions


Scepanovic, Danica; Par, Matej; Attin, Thomas; Tauböck, Tobias T (2022). Marginal Adaptation of Flowable vs Sonically Activated or Preheated Resin Composites in Cervical Lesions. Journal of Adhesive Dentistry, 24(1):247-257.

Abstract

PURPOSE
To investigate marginal integrity of restorations applied with preheated and non-preheated composite, flowable composite, sonically activated composite, and a new thermo-viscous bulk-fill composite using near-infrared technology for preheating, in class V cavities of human molars.
MATERIALS AND METHODS
Standardized cavities were prepared on the buccal surfaces of 60 human mandibular molars and restored with one of the following resin composite materials after application of an etch-and-rinse adhesive (OptiBond FL, Kerr): non-preheated or preheated conventional composite (Filtek Supreme XTE, 3M Oral Care), preheated thermo-viscous composite (VisCalor bulk, Voco), soncially activated composite (SonicFill 3, Kerr), or flowable composite (Filtek Supreme XTE Flowable, 3M Oral Care) applied in bulk or as a lining material using the snow-plow technique. After light curing and polishing, the percentage of continuous margins (PCM) of the restorations in enamel and dentin was assessed using SEM both before and after thermomechanical loading (TML). TML was carried out with 3000 thermal cycles (5°C-50°C) and a simultaneous mechanical stress application with 1.2 million load-cycles (1.7 Hz, 49 N) in a computer-controlled masticator. Non-parametric statistical analysis was performed using Wilcoxon, Kruskal-Wallis, and Mann-Whitney U-tests (α = 0.05).
RESULTS
All groups revealed a significant decline in marginal integrity after TML in both enamel and dentin. Although the flowable group in enamel and the snow-plow group in dentin showed the highest PCM before TML, the differences between the groups were compensated after TML.
CONCLUSION
All of the tested composites and application methods showed similar marginal integrities after thermomechanical loading and can be recommended for clinical implementation.

Abstract

PURPOSE
To investigate marginal integrity of restorations applied with preheated and non-preheated composite, flowable composite, sonically activated composite, and a new thermo-viscous bulk-fill composite using near-infrared technology for preheating, in class V cavities of human molars.
MATERIALS AND METHODS
Standardized cavities were prepared on the buccal surfaces of 60 human mandibular molars and restored with one of the following resin composite materials after application of an etch-and-rinse adhesive (OptiBond FL, Kerr): non-preheated or preheated conventional composite (Filtek Supreme XTE, 3M Oral Care), preheated thermo-viscous composite (VisCalor bulk, Voco), soncially activated composite (SonicFill 3, Kerr), or flowable composite (Filtek Supreme XTE Flowable, 3M Oral Care) applied in bulk or as a lining material using the snow-plow technique. After light curing and polishing, the percentage of continuous margins (PCM) of the restorations in enamel and dentin was assessed using SEM both before and after thermomechanical loading (TML). TML was carried out with 3000 thermal cycles (5°C-50°C) and a simultaneous mechanical stress application with 1.2 million load-cycles (1.7 Hz, 49 N) in a computer-controlled masticator. Non-parametric statistical analysis was performed using Wilcoxon, Kruskal-Wallis, and Mann-Whitney U-tests (α = 0.05).
RESULTS
All groups revealed a significant decline in marginal integrity after TML in both enamel and dentin. Although the flowable group in enamel and the snow-plow group in dentin showed the highest PCM before TML, the differences between the groups were compensated after TML.
CONCLUSION
All of the tested composites and application methods showed similar marginal integrities after thermomechanical loading and can be recommended for clinical implementation.

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Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic of Conservative and Preventive Dentistry
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Orthodontics
Health Sciences > Oral Surgery
Health Sciences > Periodontics
Language:English
Date:16 May 2022
Deposited On:19 Jan 2023 07:59
Last Modified:28 Apr 2024 01:45
Publisher:Quintessence Publishing
ISSN:1461-5185
OA Status:Gold
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.3290/j.jad.b3032461
Related URLs:https://www.zora.uzh.ch/id/eprint/221674/
PubMed ID:35575657
  • Content: Published Version
  • Language: English
  • Licence: Creative Commons: Attribution 4.0 International (CC BY 4.0)