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      Comparing marginal microleakage of three different dental materials in veneer restoration using a stereomicroscope: an in vitro study

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          Abstract

          Objectives:

          The objectives were to evaluate the degree of dye penetration of three different dental materials as esthetic veneer restorations on anterior teeth using stereomicroscope, and to provide reference for clinical choice.

          Materials and Methods:

          Sixty freshly extracted human maxillary central incisors were selected and randomly divided into three main groups of 20 each. Respectively, the teeth were prepared for veneer restoration by fiber-reinforced composite (FRC) (Everstick NET, Stick Tech), porcelain laminate veneer (PLV) (IPS Empress II(E-Max Press)) and 3M composites (3M ESPE) bonding with G-Cem resin cement (GC). After exposed to thermocycling (500cycles per day (5–55 °C, intervals: 30 s)) and immersed in 2% basic fuchsin dye solution for 24 h, the specimens were then sectioned buccolingual into three halves in a vertical plane parallel and measured dye penetration using stereomicroscope (Zeiss). The data collected was recorded by the dye penetration index (0–5) and statistically analysed using one-way analysis of variance (ANOVA) and T-tests using SPSS 13.

          Results:

          It is evident that the FRC group showed the lowest mean score of 0.333 mm, and the PLV group showed a highest mean score of 0.749 mm, as compared with the FRC group and the 3M composites group. Overall, when the three groups were compared for microleakage using ANOVA, there was significant difference among the groups.

          Conclusions:

          To evaluate the dye penetration of microleakage, the FRC showed a better marginal adaptability for veneer restoration. Therefore, within the limitation of this study, the use of FRC as veneer on anterior teeth can be suggested.

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          Most cited references35

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          Cuspal deflection and microleakage in premolar teeth restored with bulk-fill flowable resin-based composite base materials.

          To assess the cuspal deflection and cervical microleakage of standardised Class II cavities incrementally filled with a dimethacrylate RBC or bulk-fill flowable RBC bases.
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            Polymerization stress, shrinkage and elastic modulus of current low-shrinkage restorative composites.

            To compare currently available low-shrinkage composites with others regarding polymerization stress, volumetric shrinkage (total and post-gel), shrinkage rate and elastic modulus. Seven BisGMA-based composites (Durafill/DU, Filtek Z250/FZ, Heliomolar/HM, Aelite LS Posterior/AP, Point 4/P4, Filtek Supreme/SU, ELS/EL), a silorane-based (Filtek LS, LS), a urethane-based (Venus Diamond, VD) and one based on a dimethacrylate-derivative of dimer acid (N'Durance, ND) were tested. Polymerization stress was determined in 1-mm high specimens inserted between two PMMA rods attached to a universal testing machine. Total volumetric shrinkage was measured using a mercury dilatometer. Maximum shrinkage rate was used as a parameter of the reaction speed. Post-gel shrinkage was measured using strain-gages. Elastic modulus was obtained by three-point bending. Data were submitted to one-way ANOVA/Tukey test (p=0.05), except for elastic modulus (Kruskal-Wallis). Composites ranked differently for total and post-gel shrinkage. Among the materials considered as "low-shrinkage" by the respective manufacturers, LS, EL and VD presented low post-gel shrinkage, while AP and ND presented relatively high values. Polymerization stress showed a strong correlation with post-gel shrinkage except for LS, which presented high stress. Elastic modulus and shrinkage rate showed weak relationships with polymerization stress. Not all low-shrinkage composites demonstrated reduced polymerization shrinkage. Also, in order to effectively reduce polymerization stress, a low post-gel shrinkage must be associated to a relatively low elastic modulus. Copyright © 2010 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
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              Microleakage Comparison of Four Dental Materials as Intra-Orifice Barriers in Endodontically Treated Teeth

              Introduction The aim of this in vitro study was to compare polymicrobial microleakage of calcium enriched mixture (CEM) cement, mineral trioxide aggregate (MTA), amalgam, and composite resin as intra-orifice sealing materials. Materials and Methods Seventy single-rooted mandibular premolars were instrumented and obturated by cold lateral compaction technique. The teeth were randomly divided into four experimental groups according to used material: CEM, MTA, amalgam and composite resin (n=15) and two control groups (n=5). In experimental groups, 2 mm of coronal gutta-percha was removed and replaced with the study material. All the teeth were mounted in a two-chamber apparatus and the coronal portion was exposed to human saliva. The day the turbidity occurred was recorded for each sample. Data were analyzed using one-way ANOVA. Results The negative control group showed no leakage while the average microleakage time in the positive control group was 3.5 days. The average bacterial leakage times for amalgam, composite resin, MTA, and CEM groups were 27.42±3.6, 29.35±3.15, 52.57±2.87, and 50.42±2.73 days, respectively. There was no significant difference between CEM and MTA groups (P=0.27) and also between amalgam and composite resin groups (P=0.36). However, in term of average leakage time, MTA and CEM groups exhibited significant differences with amalgam and composite resin groups (P<0.001). Conclusion According to the results of the present in vitro study, in terms of coronal sealing in endodontically treated teeth, CEM and MTA are more effective than amalgam and composite resin.
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                Author and article information

                Journal
                BDJ Open
                BDJ Open
                BDJ Open
                Nature Publishing Group
                2056-807X
                06 January 2017
                2017
                : 3
                : 16010
                Affiliations
                [1 ]Graduate Prosthodontics, Department of Restorative Dentistry, Shanghai Stomatological Hospital , Shanghai, China
                [2 ]Graduate Prosthodontics, Department of General Dentistry, Shanghai Stomatological Hospital , Shanghai, China
                [3 ]Undergraduate, Department of Restorative Dentistry, Shanghai Stomatological Hospital , Shanghai, China
                [4 ]Doctor of Medicine, Department of Restorative Dentistry, Shanghai Stomatological Hospital , Shanghai, China
                [5 ]Graduate Prosthodontics, Department of Restorative Dentistry, Xuhui District Stomatology disease centre , Shanghai, China
                Author notes
                Author information
                http://orcid.org/0000-0002-6554-3300
                Article
                bdjopen201610
                10.1038/bdjopen.2016.10
                5842826
                29607071
                e7fcf21c-244e-40f0-a9f9-8d2a475fa3e5
                Copyright © 2017 The Author(s)

                This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                History
                : 10 July 2016
                : 20 November 2016
                : 05 December 2016
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