Marginal sealing ability of silorane and methacrylate resin composites in class II cavities: A scanning electron microscopic study

Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental Caries

OBJECTIVES

Composites are commonly used for tooth restorations, but recurrent caries often lead to restoration failures due to polymerization shrinkage-stress-induced marginal leakage. The aims of this research were to: (1) develop novel low-shrinkage-stress (L.S.S.) nanocomposites containing dimethylaminododecyl methacrylate (DMADDM) with nanoparticles of calcium fluoride (nCaF2) or amorphous calcium phosphate (NACP) for remineralization; (2) investigate antibacterial and cytocompatibility properties.

METHODS

Nanocomposites were made by mixing triethylene glycol divinylbenzyl ether with urethane dimethacrylate containing 3% DMADDM, 20% nCaF2, and 20% NACP. Flexural strength, elastic modulus, antibacterial properties against Streptococcus mutans biofilms, and cytotoxicity against human gingival fibroblasts and dental pulp stem cells were tested.

RESULTS

Nanocomposites with DMADDM and nCaF2 or NACP had flexural strengths matching commercial composite control without bioactivity. The new nanocomposite provided potent antibacterial properties, reducing biofilm CFU by 6 logs, and reducing lactic acid synthesis and metabolic function of biofilms by 90%, compared to controls (p < 0.05). The new nanocomposites produced excellent cell viability matching commercial control (p > 0.05).

CONCLUSIONS

Bioactive L.S.S. antibacterial nanocomposites with nCaF2 and NACP had excellent bioactivity without compromising mechanical and cytocompatible properties. The new nanocomposites are promising for a wide range of dental restorations by improving marginal integrity by reducing shrinkage stress, defending tooth structures, and minimizing cariogenic biofilms.

Effect of a fiber-reinforcing technique for direct composite restorations of structurally compromised teeth on marginal microleakage

OBJECTIVES

To evaluate if the marginal microleakage of extensive Class I composite resin restorations can be affected by applying ultra-high-molecular-weight polyethylene (UHMWPE) fibers with the wallpapering technique combined with different restorative materials and methods.

MATERIALS AND METHODS

A 120 human molars were selected and one extensive Class I cavity was prepared on the occlusal surface of each tooth. The specimens were divided into 12 groups (n = 10) according to the type of restorative material (Filtek Z550, Beautifil II LS or Beautifil Bulk Restorative), the use or not of reinforcing fibers (ribbond) and the applied restorative technique (incremental or bulk). The specimens were subjected to thermocycling and then immersed into a 50 wt% silver nitrate solution following a dying protocol. Subsequently, the teeth were prepared for SEM observations to evaluate the extent of marginal microleakage.

RESULTS

Three-way ANOVA revealed that the type of material, the use of ribbond fibers and the type of restorative technique significantly affected marginal microleakage (p < 0.001). Application of ribbond fibers decreased marginal microleakage to all tested restorative materials, regardless of the restorative technique, in a range of 31.2-81.4%. In the groups with no-use of ribbond fibers, among the materials there were no significant differences in microleakage when the teeth were restored with the incremental technique (p > 0.05).

CONCLUSIONS

The use of UHMWPE fibers with wallpapering technique in Class I composite restorations may be an effective method to reduce marginal microleakage, regardless of the selected restorative technique or the material.

CLINICAL RELEVANCE

Clinicians may be encouraged to utilize reinforcing fiber restorative techniques for direct restorations of structurally compromised teeth as a valid alternative to indirect restorations.

The effect of repeated preheating of dimethacrylate and silorane-based composite resins on marginal gap of class V restorations

Background. One of the problems with composite resin restorations is gap formation at resin‒tooth interface. The present study evaluated the effect of preheating cycles of silorane- and dimethacrylate-based composite resins on gap formation at the gingival margins of Class V restorations.

Methods. In this in vitro study, standard Class V cavities were prepared on the buccal surfaces of 48 bovine incisors. For restorative procedure, the samples were randomly divided into 2 groups based on the type of composite resin (group 1: di-methacrylate composite [Filtek Z250]; group 2: silorane composite [Filtek P90]) and each group was randomly divided into 2 subgroups based on the composite temperature (A: room temperature; B: after 40 preheating cycles up to 55°C). Marginal gaps were measured using a stereomicroscope at ×40 and analyzed with two-way ANOVA. Inter- and intra-group comparisons were analyzed with post-hoc Tukey tests. Significance level was defined at P < 0.05.

Results. The maximum and minimum gaps were detected in groups 1-A and 2-B, respectively. The effects of composite resin type, preheating and interactive effect of these variables on gap formation were significant (P<0.001). Post-hoc Tukey tests showed greater gap in dimethacrylate compared to silorane composite resins (P< 0.001). In each group, gap values were greater in composite resins at room temperature compared to composite resins after 40 preheating cycles (P<0.001).

Conclusion. Gap formation at the gingival margins of Class V cavities decreased due to preheating of both composite re-sins. Preheating of silorane-based composites can result in the best marginal adaptation.

Clinical Evaluation of Silorane and Nano-hybrid Resin Composite Restorations in Class II Cavities up to 3 Years

In this study, the clinical performance of a silorane-based resin composite (SC) vs a nano-hybrid resin composite (NHC) was evaluated in Class II cavities. From January 2012 to February 2013, a total of 29 patients (eight men, 21 women; mean age, 24 ± 5 years) received 29 pairs of restorations using both SC (Filtek Silorane, 3M ESPE) and NHC (Filtek Z550, 3M ESPE) materials. Patients were followed until February 2015. One operator performed all restorations using the corresponding adhesive resins according to the manufacturers' instructions. Two calibrated independent examiners evaluated the restorations at one week, six months, and then annually using the modified United States Public Health Service (USPHS) criteria for anatomic form, marginal adaptation, color match, surface roughness, marginal discoloration, secondary caries, and postoperative sensitivity. Changes in the USPHS parameters were analyzed with the McNemar test (α=0.05). The mean observation period was 31.2 months. Marginal adaptation was the only parameter that showed a significant difference and was worse for SC than NHC (p=0.012). At the final recall, 17 restorations from the SC group and five from the NHC group received a score of 1 (explorer catches). These scores were significantly different between baseline and final recall for SC (p&lt;0.001) but not for NHC (p&gt;0.05). Both NHC and SC performed similarly in Class II restorations up to three years except for marginal adaptation, for which the latter demonstrated significant deterioration at the final recall compared with baseline.

Evaluation of Shear Bond Strength of Methacrylate- and Silorane-based Composite Resin Bonded to Resin-Modified Glass-ionomer Containing Micro- and Nano-hydroxyapatite

STATEMENT OF THE PROBLEM

The adhesion of resin-modified glass-ionomer (RMGI) to composite resin has a very important role in the durability of sandwich restorations. Hydroxyapatite is an excellent candidate as a filler material for improving the mechanical properties of glass ionomer cement.

PURPOSE

The aim of this study was to assess the effect of adding micro- and nano-hydroxyapatite (HA) powder to RMGI on the shear bond strength (SBS) of nanofilled and silorane-based composite resins bonded to RMGI containing micro- and nano-HA.

MATERIALS AND METHOD

Sixty cylindrical acrylic blocks containing a hole of 5.5×2.5 mm (diameter × height) were prepared and randomly divided into 6 groups as Group 1 with RMGI (Fuji II LC) plus Adper Single Bond/Z350 composite resin (5.5×3.5 mm diameter × height); Group 2 with RMGI containing 25 wt% of micro-HA plus Adper Single Bond/Z350 composite resin; Group3 with RMGI containing 25 wt% of nano-HA plus Adper Single Bond/Z350 composite resin; Group 4 with RMGI plus P90 System Adhesive/P90 Filtek composite resin (5.5×3.5 mm diameter × height); Group 5 with RMGI containing 25 wt% of micro-HA plus P90 System Adhesive/P90Filtek composite resin; and Group 6 with RMGI containing 25 wt% of nano-HA plus P90 System Adhesive/P90 Filtek composite resin. The specimens were stored in water (37° C, 1 week) and subjected to 1000 thermal cycles (5°C/55°C). SBS test was performed by using a universal testing machine at a crosshead speed of 1 mm/min. Data were analyzed by two-way ANOVA and Tukey test (p< 0.05).

RESULTS

There were significant differences between groups 1 and 4 (RMGI groups, p= 0.025), and groups 3 and 6 (RMGI+ nano-HA groups, p= 0.012). However, among Z350 and P90 specimens, no statistically significant difference was detected in the SBS values (p= 0.19, p= 0.083, respectively).

CONCLUSION

RMGI containing HA can improve the bond strength to methacrylate-based in comparison to silorane-based composite resins. Meanwhile, RMGI without HA has the best bond strength to silorane-based composite resins.

Comparative evaluation of surface hardness and depth of cure of silorane and methacrylate-based posterior composite resins: An in vitro study

Aim:

This in vitro study was carried out to compare the effect of LED light curing system on polymerization and hardness of silorane-based and methacrylate-based posterior composite resin.

Materials and Methods:

A total of 40 samples, 20 of silorane-based composite Filtek P-90 and 20 of methacrylate-based composite Heliomolar HB measuring 2 mm thickness and 8 mm diameter were prepared using Teflon molds and cured using LED curing light. The samples were polished and tested in Knoop hardness tester using a 50-gram load and dwell time of 15 seconds on top and bottom surfaces. The percentage depth of cure was calculated, and statistical analysis was performed using two-way ANOVA test and Student t- test.

Results:

Higher statistically significant values were seen for both the top and bottom surface hardness in silorane-based resins than methacrylate-based resins on LED light curing.

Conclusion:

Greater depth of cure was achieved in silorane-based posterior composite than in methacrylate-based posterior composite resins with a statistically significant difference.

Comparative evaluation of microleakage in Class II restorations using open vs. closed centripetal build-up techniques with different lining materials

Background:

Evaluation of microleakage is important for assessing the success of new restorative materials and methods.

Aim and Objectives:

Comparative evaluation of microleakage in Class II restorations using open vs. closed centripetal build-up techniques with different lining materials.

Materials and Methods:

Standardized mesi-occlusal (MO) and distoocclusal (DO) Class II tooth preparations were preparedon 53 molars and samples were randomly divided into six experimental groups and one control group for restorations. Group 1: Open-Sandwich technique (OST) with flowable composite at the gingival seat. Group 2: OST with resin-modified glass ionomer cement (RMGIC) at the gingival seat. Group 3: Closed-Sandwich technique (CST) with flowable composite at the pulpal floor and axial wall. Group 4: CST with RMGIC at the pulpal floor and axial wall. Group 5: OST with flowable composite at the pulpal floor, axial wall, and gingival seat. Group 6: OST with RMGIC at the pulpal floor, axial wall, and gingival seat. Group 7: Control — no lining material, centripetal technique only. After restorations and thermocycling, apices were sealed and samples were immersed in 0.5% basic fuchsin dye. Sectioning was followed by stereomicroscopic evaluation.

Results:

Results were analyzed using Post Hoc Bonferroni test (statistics is not a form of tabulation). Cervical scores of control were more than the exprimental groups (P < 0.05). Less microleakage was observed in CST than OST in all experimental groups (P < 0.05). However, insignificant differences were observed among occlusal scores of different groups (P > 0.05).

Conclusion:

Class II composite restorations with centripetal build-up alone or when placed with CST reduces the cervical microleakage when compared to OST.