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Marginal adaptation of Class 2 adhesive restorations.

Authors: Duarte Jr., Sillas; Saad, José Roberto Cury;

Marginal adaptation of Class 2 adhesive restorations.

Abstract

Control of microleakage represents a challenge for posterior composite restorations. The technique for composite placement may reduce microleakage. The null hypothesis of this in vitro study was that centripetal incremental insertion of composite resin would result in less microleakage than that obtained with the oblique incremental technique or bulk technique.Standardized Class 2 preparations were made in 60 caries-free extracted third molars and randomly assigned to 3 groups (n = 20): (1) oblique incremental insertion technique (control), (2) centripetal incremental insertion technique, and (3) bulk insertion. The teeth were restored with a total-etch adhesive and microhybrid composite resin. The specimens were isolated with nail varnish except for a 2-mm-wide area around the restoration and then thermocycled (1,000 thermal cycles, 5 degrees C/55 degrees C; 30-second dwell time). The specimens were immersed in an aqueous solution of 50% silver nitrate for 24 hours, followed by 8 hours of immersion in a photo-developing solution and subsequently evaluated for leakage. The microleakage scores (0 to 4) obtained from the occlusal and cervical walls were analyzed with median nonparametric tests (P < .05).The null hypothesis was rejected. All techniques attained statistically similar dentin microleakage scores (P = .15). The centripetal insertion technique displayed significantly less microleakage than the oblique technique at the enamel margins (P = .04).None of the techniques eliminated marginal microleakage in Class 2 preparations. However, in occlusal areas, the centripetal technique performed significantly better than the other techniques.

Country
Brazil
Keywords

Centripetal placement, centripetal placement, Bulk, dentin, marginal adaptation, Composite Resins, oblique placement, Matrix Bands, Humans, bulk, Class 2 composite resin, Dental Restoration, Permanent, Dental Leakage, 621, enamel, Oblique placement, Dental Marginal Adaptation, Silicon Dioxide, Molar, Resin Cements, Enamel, Dentin-Bonding Agents, Dentin, Zirconium, Dental Cavity Preparation, Marginal adaptation

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Average
Average
Average
Green