Evaluation and comparison of silorane resin composite to glass ionomer in occluso-proximal restorations of primary molars: A randomized controlled trial

OBJECTIVE

In general, proximal restorations of primary molars fracture, so it is vital to study the new materials that could solve this problem. Hence, the present trial assessed the success of occluso-proximal atraumatic restorative treatment (ART) restorations using silorane and glass ionomer cement (GIC) in carious primary molars for a period of 2 years.

MATERIALS AND METHODS

One hundred and ninety-two children between the age group of 4 and 9 years were randomly allocated to GIC or silorane. In the clinical set up, they were treated by a pediatric dentist, and their restorations were evaluated at 3, 6, 12, 18, and 24 months. The primary outcome was the survival of restoration, which was analyzed using the Kaplan-Meier and superior Cox regression models. As a sensitivity analysis, intention-to-treat (ITT) was executed. Sex, age, molar, jaw, cavity volume, and caries incidence were the independent variables.

RESULTS

The restoration survival after 24 months for GIC and silorane was 82.75% and 88.88%, respectively, whereas ITT analysis showed a success of 84.37% and 89.58% for GIC and silorane, respectively.

CONCLUSION

With regard to longevity, there was no statistically significant difference between silorane and GIC in primary molar occlusoproximal ART restorations.

Siloranes-Suitability of a Novel Adhesive for Orthodontic Bracket Bonding

Recently, an epoxy-based resin-Filtek Silorane-has been proposed for restorative fillings. It was the aim of the investigation to evaluate the suitability of this novel resin for orthodontic bracket bonding on unground enamel. Shear bond strength was measured for two adhesives-Filtek Silorane, Transbond XT-in combination with steel, ceramic and polymer brackets. For Filtek Silorane etching was performed with the Silorane self-etching primer, as well as phosphoric acid. The Transbond XT samples were etched with phosphoric acid only and served as the control group. All samples were thermo-cycled (1000×, 5-55 °C). Shear testing was carried out with an Instron 3344. In addition, ARI scores were evaluated. The Shear bond strength showed a weak adhesion of Filtek Silorane to unprepared enamel, either with the self-etching primer or the conventional etching (0.87-4.28 MPa). The Shear bond strength of the control group was significantly higher (7.6-16.5 MPa). The ARI scores showed a clear failure at the enamel-adhesive interface for all Filtek Silorane samples. For the combination of Transbond XT and different brackets the failure was found at the adhesive-bracket interface. The novel epoxy-based resin Filtek Silorane is not appropriate for bracket bonding to unprepared enamel.

Marginal Adaptation and Micropermeability of Class II Cavities Restored with Three Different Types of Resin Composites-A Comparative Ten-Month In Vitro Study

The development of composite materials is subject to the desire to overcome polymerization shrinkage and generated polymerization stress. An indicator characterizing the properties of restorative materials, with specific importance for preventing secondary caries, is the integrity and durability of marginal sealing. It is a reflection of the effects of polymerization shrinkage and generated stress. The present study aimed to evaluate and correlate marginal integrity and micropermeability in second-class cavities restored with three different types of composites, representing different strategies to reduce polymerization shrinkage and stress: nanocomposite, silorane, and bulk-fill composite after a ten-month ageing period. Thirty standardized class ΙΙ cavities were prepared on extracted human molars. Gingival margins were 1 mm apical to the cementoenamel junction. Cavities were randomly divided into three groups, based on the composites used: FiltekUltimate-nanocomposite; Filtek Silorane LS-silorane; SonicFill-bulk-fill composite. All specimens were subjected to thermal cycles after that, dipped in saline for 10-mounds. After ageing, samples were immersed in a 2% methylene blue. Thus prepared, they were covered directly with gold and analyzed on SEM for assessment of marginal seal. When the SEM analysis was completed, the teeth were included into epoxy blocks and cut longitudinally on three slices for each cavity. An assessment of microleakage on stereomicroscope followed. Results were statistically analyzed. For marginal seal evaluation: F.Ultimate and F.Silorane differ statistically with more excellent results than SonicFill for marginal adaptation to the gingival margin, located entirely in the dentin. For microleakage evaluation: F.Ultimate and F.Silorane differ statistically with less microleakage than SonicFill. Based on the results obtained: a strong correlation is found between excellent results for marginal adaptation to the marginal gingival ridge and micropermeability at the direction to the axial wall. We observe a more significant influence of time at the gingival margin of the cavities. There is a significant increase in the presence of marginal fissures (p = 0.001). A significant impact of time (p < 0.000) and of the material (p < 0.000) was found in the analysis of the microleakage.

Microleakage in posterior teeth with different materials and different types of cavities

Background

The purpose of this study was to investigate the behavior of a resin-based 2,2-bis (p-[2'-hydroxy-3'-methacryloxypropoxy] phenylene) propane and a composite resin modified with oxirane, regarding the ability of marginal sealing, both with direct restorations and indirect restorations.

Materials and Methods

To achieve this, mesio- and disto-occlusal cavities were made on the same tooth, totalling 100 cavities. These cavities were restored with two materials, Filtek P90 (3M ESPE) and Opallis (FGM). Then, they were divided into two groups: Fifty direct restorations, each sample restored with the two materials, following the manufacturer's protocol and fifty indirect restorations, and then cemented with a paste obtained by diluting the resin in its adhesive. The templates were thermally cycled, 30 s at 5°C and 30 s at 55°C for 500 cycles and then were immersed in methylene blue for 24 h. Afterward, they were trimmed using a plaster trimmer from occlusal toward a gingival direction. These samples were analyzed with stereomicroscope (×3) by two blinded observers. Then, a system which considers the average number of surrounding walls that have suffered infiltration on a scale of 0-3 was used.

Results

Data were subjected to statistical analysis (Mann-Whitney and Kruskal-Wallis tests) with a significance level of 5% maximum.

Conclusion

It was concluded that the indirect restorations showed the greatest number of restorations with score 0 and 1 (34) and lowest score 2 and 3 (16). This suggests that indirect restorations regardless of the material used behaved more effectively regarding the marginal sealing of restorations.

Effect of bleaching protocols on surface roughness and biofilm formation on silorane-based composite resin

BACKGROUND

Knowledge about the effect of bleaching on behavior of composite resins is important to find a suitable composite resin for restoration of teeth undergoing bleaching. This study aimed to assess the effect of different bleaching protocols on surface roughness and biofilm formation on a silorane-based composite resin.

MATERIALS AND METHODS

In this in vitro experimental study, 60 silorane-based composite resin samples measuring 3 mm in thickness and 6 mm in diameter were fabricated and polished. They were then randomly divided into four groups (n = 15). In Group 1, samples were stored in distilled water as control. Samples in Groups 2, 3, and 4 were subjected to bleaching with 15% carbamide peroxide, 35% hydrogen peroxide, and 35% hydrogen peroxide activated by light, respectively. Surface roughness was measured using a profilometer. Streptococcus mutans cultured in brain-heart infusion broth was used for the assessment of biofilm formation on the samples. The bacterial colonies were counted using the pure-plate technique. Data were analyzed using one-way ANOVA and post hoc Tukey's tests. Regression model was used to assess the association between surface roughness and biofilm formation (P < 0.05).

RESULTS

The mean surface roughness of the four groups was not significantly different (P = 0.11); however, a significant difference was noted in the mean biofilm formation among the groups (P = 0.00).

CONCLUSION

Bleaching decreased biofilm formation. The lowest biofilm formation was noted in the group subjected to light-activated 35% hydrogen peroxide. Increased surface roughness enhanced biofilm formation to a certain level; excessive roughness did not increase biofilm formation.

Comparison of Er,Cr:YSGG Laser Handpieces for Class II Preparation and Microleakage of Silorane- or Methacrylate-Based Composite Restorations

OBJECTIVE

The aim of this study was to evaluate the influence of cavity preparation with different Er,Cr:YSGG laser handpieces on microleakage of different posterior composite restorations.

METHODS

Fifty-four extracted intact human premolars were randomly assigned to three groups according to cavity preparation method: Bur Group: high-speed diamond bur (Diatech), MD Group: Er,Cr:YSGG laser Waterlase MD handpiece (Biolase Millennium II), and Turbo Group: Er,Cr:YSGG laser Waterlase MD TURBO handpiece (Biolase Millennium II). One hundred eight Class II slot cavities were prepared on the mesial and distal proximal surfaces of each tooth, and the cavity preparation times required were determined. The groups were then subdivided according to the restorative systems used (n = 12): a conventional methacrylate-based microhybrid composite (Filtek P60+Adper Single Bond 2/3M); a silorane-based resin composite (Filtek Silorane+Silorane System Adhesive/3M); and a nanohybrid methacrylate-based composite (Kalore+G-Bond/GC). The restorative systems were applied according to the manufacturers' recommendations. Following thermocycling (X5000; 5°C-55°C), the teeth were coated with nail varnish except the restoration margins, immersed in 0.5% basic fuchsin dye solution, and sectioned in a mesiodistal direction. Dye penetration was evaluated under a light microscope for occlusal and cervical margins. Data were analyzed with one-way ANOVA and chi-square tests (p < 0.05).

RESULTS

The cavity preparation time (mean ± SD) required for Bur, MD, and Turbo group was 31.25 ± 3.82, 222.94 ± 15.85, and 92.5 ± 7.42 sec, respectively, and the differences among the groups were statistically significant (p < 0.05). Comparing the occlusal and cervical microleakage scores, no statistically significant differences were found among the groups and subgroups (p > 0.05).

CONCLUSIONS

Er;Cr:YSGG laser cavity preparation with the Turbo handpiece needed shorter time than the MD handpiece, although it needed longer time than the conventional diamond bur. The use of different handpieces of Er,Cr:YSGG laser did not differ from conventional preparation with diamond bur in terms of microleakage with the tested methacrylate- and silorane-based posterior composite restorative systems.

Effect of Staining and Bleaching on Color stability and Surface Roughness of Three Resin Composites: An in vitro study

Aim:

This study evaluated the effect of staining and subsequent bleaching on the color stability and surface roughness of three resin composites.

Materials and Methods:

One hundred and eight customized plastic disks from a plastic mold with an outer diameter of 10 mm and thickness of 1.02 mm were fabricated. Samples were divided into three groups of 36 specimens each – Group I (Estelite^® α – Supranano), Group II (Filtek™ Z250 XT – Nanohybrid), and Group III (Filtek™ P90–Silorane). Subsequently, baseline surface color and roughness values were tabulated using spectrophotometer and profilometer, respectively. The specimens were then subjected to staining with coffee and turmeric for a period of 3 h/day for 40 days and following this, bleaching of the samples was done using a bleaching agent carbamide peroxide gel 15% for 8 h/day for 14 consecutive days.

Results:

Estelite^® α performed better by maintaining color stability with minimal roughness compared to Filtek™ P90 and Filtek™Z250 XT. Turmeric had a greater potential to stain composites compared to coffee in all the groups.

The effect of home bleaching carbamide peroxide concentration on the microhardness of dental composite resins

Bleaching is a conservative treatment for discolored teeth, but the effect of this treatment on newer, silorane-based composite resins is unclear. This study evaluated the effect of at-home bleaching on the microhardness of methacrylate- and silorane-based composites. Forty blocks each of a methacrylate-based composite and a silorane-based composite were prepared. The 80 specimens were tested in 8 groups (n = 10): 2 composites, each exposed to 3 different carbamide peroxide concentrations (10%, 16%, or 22%) as well as distilled water (control). The surface of the test specimens was covered daily with the bleaching gel at room temperature for the time period recommended by the manufacturer for each carbamide peroxide concentration. A Vickers hardness testing machine was used with a 100-g load for 20 seconds to register specimen microhardness prior to and after 2 weeks of bleaching. The load was applied at 3 points, and the mean microhardness was calculated. Repeated-measures analysis of variance, paired t test, and Tukey test were used to analyze the data. All bleaching concentrations significantly decreased the microhardness of the methacrylate-based composite resin groups, while microhardness was significantly increased in the silorane-based composite resin groups. There was no evident difference in effects among the different gel concentrations (P > 0.05).

Factors affecting marginal integrity of class II bulk-fill composite resin restorations

Background. Bulk-fill composite resins are a new type of resin-based composite resins, claimed to have the capacity to be placed in thick layers, up to 4 mm. This study was carried out to evaluate factors affecting gap formation in Cl II cavities restored using the bulk-fill technique.

Methods. A total of 60 third molars were used in this study. Two Cl II cavities were prepared in each tooth, one on the mesial aspect 1 mm coronal to the CEJ and one on the distal aspect 1 mm apical to the CEJ. The teeth were divided into 4 groups: A: The cavities were restored using the bulk-fill technique with Filtek P90 composite resin and its adhesive system and light-cured with quartz tungsten halogen (QTH) light-curing unit. B: The cavities were restored similar to that in group A but light-cured with an LED light-curing unit. C: The cavities were restored using the bulk-fill technique with X-tra Fil composite resin and Clearfil SE Bond adhesive system and light-cured with a QTH curing unit. D: The cavities were restored similar to that in group C but light-cured with an LED light-curing unit. The gaps were examined under a stereomicroscope at ×60. Data were analyzed with General Linear Model test. In cases of statistical significance (P<0.05), post hoc Bonferroni test was used for further analyses.

Results. The light-curing unit type had no effect on gap formation. However, the results were significant in relation to the composite resin type and margin location (P<0.001). The cumulative effects of light-curing unit*gingival margin and light-curing unit*composite resin type were not significant; however, the cumulative effect of composite rein type*gingival margin was significant (P=0.04)

Conclusion. X-tra Fil composite exhibited smaller gaps compared with Filtek P90 composite with both light-curing units. Both composite resins exhibited smaller gaps at enamel margins.

A comparative evaluation of microleakage of restorations using silorane-based dental composite and methacrylate-based dental composites in Class II cavities: An in vitro study

Aim:

The aim of this in vitro study was to evaluate and compare the microleakage of restorations using low shrinkage silorane-based dental composite and methacrylate-based dental composites in Class II cavity at the occlusal and gingival margins.

Materials and Methods:

Sixty mandibular molars were collected and divided into three experimental groups and one negative control group. Class II slot cavity was prepared on the mesial surface. Experimental groups were restored with Group I: silorane-based microhybrid composite, Group II: methacrylate-based nanohybrid composite, and Group III: Methacrylate-based microhybrid composite, respectively. Group IV: negative control. The samples were thermocycled, root apices were sealed with sticky wax and coated with nail varnish except 1 mm around the restoration. This was followed by immersion in 2% Rhodamine-B dye solution under vacuum at room temperature for 24 h. Then, the samples were sectioned longitudinally in the mesiodistal direction and evaluated under stereomicroscope ×40 magnification. Scoring was done according to the depth of dye penetration in to the cavity. Statistical analysis of the data was done.

Results:

The results were that no statistically significant difference in the microleakage at the occlusal margin for all the restorative materials, whereas at the gingival margin, silorane-based microhybrid composite showed less microleakage than the methacrylate-based nano- and micro-hybrid composites.

Conclusion:

In general, silorane-based microhybrid composite had less microleakage among the other materials used in this in vitro study.

Comparison of fracture resistance of endodontically treated teeth restored with nanohybrid, silorane, and fiber reinforced composite: An in vitro study

BACKGROUND

The present study was undertaken to evaluate the most suitable restorative for badly mutilated endodontically treated teeth.

AIMS

To evaluate and compare the fracture resistance of endodontically treated premolars restored with conventional nanohybrid, silorane composite with glass fibers and newer fiber-reinforced composite in mesio-occluso-distal (MOD) cavities.

MATERIALS AND METHODS

Sixty extracted human maxillary premolars were selected. Fifteen intact teeth served as positive controls (Group 1). Endodontic therapy was done in the remaining 45 teeth. MOD cavities were prepared in all the teeth with standardized dimensions and were randomly divided into three groups (Group 2 - nanohybrid + glass fibers, Group 3 - silorane + glass fibers, and Group 4 - fiber-reinforced composite). Restorations were done for all groups. Fracture resistance was measured by Instron universal testing machine.

STATISTICAL ANALYSIS USED

One-way anova test and Tukey's post hoc test.

RESULTS

Highest fracture resistance was shown by intact teeth group followed by fiber-reinforced composite, nanohybrid, and silorane, respectively. Statistically Significant difference was revealed by anova test (P < 0.0001) and Tukey's post hoc test (P < 0.0001).

CONCLUSIONS

Among the experimental groups, fiber-reinforced composite showed the highest fracture resistance. Statistically significant difference was observed for all the groups.

Mechanical properties of silorane-based and methacrylate-based composite resins after artificial aging

The aim of this study was to compare the compressive strength of a silorane-based composite resin (Filtek P90) to that of conventional composite resins (Charisma, Filtek Z250, Fill Magic, and NT Premium) before and after accelerated artificial aging (AAA). For each composite resin, 16 cylindrical specimens were prepared and divided into 2 groups. One group underwent analysis of compressive strength in a universal testing machine 24 hours after preparation, and the other was subjected first to 192 hours of AAA and then the compressive strength test. Data were analyzed by analysis of variance, followed by the Tukey HSD post hoc test (α = 0.05). Some statistically significant differences in compressive strength were found among the commercial brands (P < 0.001). The conventional composite resin Fill Magic presented the best performance before (P < 0.05) and after AAA (P < 0.05). Values for compressive strength of the silorane-based composite were among the lowest obtained, both before and after aging. Comparison of each material before and after AAA revealed that the aging process did not influence the compressive strength of the tested resins (P = 0.785).

Evaluation of cuspal deflection in premolar teeth restored with low shrinkable resin composite (in vitro study)

Objectives:

This study evaluated cuspal deflection in premolar teeth restored with low shrinkable resin composite.

Materials and Methods:

A total of 40 human premolars were used for cuspal deflection evaluation in this study. Each group was divided into four equal groups according to the type of resin composite and the adhesive used as follows: group A: Using low shrinkable resin composite (silorane) with its adhesive system; group B: Using low shrinkable composite (silorane) with G-bond; group C: Using Filtek Z350 composite with G-bond; and group D: Using Filtek Z350 composite with AdheSE. Cusp deflection was detected using Universal measuring microscope and laser horizontal metroscope.

Results:

This study was done to investigate the effect of polymerization shrinkage stresses of two resin composite materials (Filtek Z350 and Filtek P90) on cuspal deflection of mesio-occluso-distal restoration. For this study, the extracted non-carious maxillary second premolars were selected. Forty teeth that showed no more than 5% variation in their dimensions were used. A significant increase in cuspal deflection of cavities restored with the methacrylate-based (Filtek Z350) compared with the silorane (P90) resin-based composites was obtained.

Conclusion:

The change in the organic matrix or materials formulation of the resin composite using silorane has a positive effect on controlling the cusp deflection.

Effect of preheating and shade on surface microhardness of silorane-based composites

AIM

The aim of the present study was to evaluate the effect of preheating and shade on the surface microhardness of silorane-based composites.

METHODS

Three shades of two different types of composites were evaluated: a silorane-based composite and a methacrylate-based composite. The composites were tested at 23°C, and after preheating at 55°C. Five specimens were prepared for each experimental group. The top surface of the specimens was irradiated for 20 s using an LED unit. Vickers microhardness test was used to evaluate both top and bottom surfaces of the specimens, followed by 24-h storage in the dark. Statistical analysis was performed using one-way anova and Tukey's post-hoc test at a level of significance of α = 0.05.

RESULTS

There was a significant rise in microhardness as the temperature increased from 23 to 55°C for both the top and bottom surfaces of the tested composites (P < 0.05). The C2 shade of both composites exhibited the lowest microhardness (P < 0.05), while the A2 and A3 shades did not show significant differences compared to each other (P > 0.05) Filtek Silorane presented significantly lower microhardness than Filtek Z250 (P < 0.05), regardless of the temperature, shade, or depth of measurement.

CONCLUSIONS

Preheating, shade, and composition of the tested composite resins affected their surface microhardness.

Shear Bond Strengths of Methacrylate- and Silorane-based Composite Resins to Feldspathic Porcelain using Different Adhesive Systems

Background and aims. Use of porcelain as inlays, laminates and metal-ceramic and all-ceramic crowns is common in modern dentistry. The high cost of ceramic restorations, time limitations and difficulty of removing these restorations result in delays in replacing fractured restorations; therefore, their repair is indicated. The aim of the present study was to compare the shear bond strengths of two types of composite resins (methacrylate-based and silorane-based) to porcelain, using three adhesive types.

Materials and methods. A total of 156 samples of feldspathic porcelain surfaces were prepared with air-abrasion and randomly divided into 6 groups (n=26). In groups 1-3, Z250 composite resin was used to repair porcelain samples with Ad-per Single Bond 2 (ASB), Clearfil SE Bond (CSB) and Silorane Adhesive (SA) as the bonding systems, afterapplication of silane, respectively. In groups 4-6, the same adhesives were used in the same manner with Filtek Silorane composite resin. Finally, the shear bond strengths of the samples were measured. Two-way ANOVA and post hoc Tukey tests were used to compare bond strengths between the groups with different adhesives at P<0.05.

Results. There were significant differences in the mean bond strength values in terms of the adhesive type (P<0.001). In addition, the interactive effect of the adhesive type and composite resin type had no significant effect on bond strength (P=0.602).

Conclusion. The results of the present study showed the highest repair bond strength values to porcelain with both composite resin types with the application of SA and ASB.

Low-shrinkage composites: an in vitro evaluation of sealing ability after occlusal loading

The objective of this in vitro study was to compare the microleakage of a flowable low-shrinkage-stress resin composite--in a Class II fatigue-loading design when used as a 4 mm dentin replacement--to a conventionally layered silorane-based resin composite. Eighty standardized 4 mm deep cavities, divided into 4 subgroups, were restored with the 2 tested materials. Half of the restorations were submitted to mechanical loading, and all of the restorations were prepared for microleakage evaluation. The evaluation of the marginal adaptation to dentin was performed with scanning electron microscopy. The results showed that both silorane-based composite groups had higher rates of microleakage in comparison to the low-shrinkage-stress resin composite groups.

Evaluation of Microleakage of Silorane and Methacrylate Based Composite Materials in Class I Restorations by Using Two Different Bonding Techniques

BACKGROUND

To evaluate the microleakage of silorane-based composite material (Filtek P90) with that of two homologous methacrylate-based composites materials (Filtek Z250 and Filtek Z250 XT), by using two different bonding techniques.

MATERIALS AND METHODS

Sixty extracted human maxillary first premolars prepared for standardized Class I cavities (4 mm × 2 mm × 2 mm) were randomly divided into three groups. Group A (n = 20) was filled with Filtek Z250 (Methacrylate) using single bond universal total etching technique, Group B (n = 20) was filled with Filtek Z250 XT (Methacrylate) using single bond universal self-etching technique and Group C (n = 20) restored with Filtek P90 (Silorane) with dedicated two-step self-etching prime and bond adhesive system (P90 system adhesive). Teeth were subjected to thermocycling regime (500×, 5-55°C), and dye penetration by immersing in 2% methylene blue for 24 h. Tooth sectioning was performed, and extent of the dye penetration was scored based on dye penetration scale to evaluate the microleakage. Statistical analysis included descriptive statistics and inferential statistics of Kruskal-Wallis test to compare the mean ranks between groups.

RESULTS

There was no significant difference observed for microleakage among the three composite materials tested in the present study. However, the cavities restored with silorane (Filtek P90) based composite displayed higher microleakage than the Filtek Z250, Z250 XT.

CONCLUSION

All the restorative systems tested in this study exhibited microleakage, but the silorane technology showed more microleakage when compared to the methacrylate-based composite systems.

In Vitro Solubility and Wear Rates of Silorane and Dimethacrylate Resin Based Composite Restorative Materials under Different pH Conditions

BACKGROUND

The purpose of this study was to evaluate the effect of different pH solutions on the solubility and wear resistance of Silorane and dimethacrylate resin based composite restorative materials.

MATERIALS AND METHODS

Two different resin based restorative materials (Filtek Silorane P90 and hybrid composite Z100) were tested. Different pH solutions (2.5 and 5) also were used. A total of 60 samples of each type of selected composite were prepared. Specimens were immersed in each type of pH solutions (2.5 and 5) and distilled water as a control group for 24 h then the specimens was subjected to the required mechanical tests.

RESULTS

Significant statistical differences were observed regarding water solubility and wear values in different pH solutions. Filtek Silorane presented the smallest values of water solubility and wear values.

CONCLUSION

Under tested experimental conditions, the pH solutions used in this study showed pronounced effect on water solubility and wear values of both two restorative materials. Finally, within the limitation of this study we recommended to use Filtek Silorane (P90) instead of hybrid (Z100) due to its low solubility values under different pH solutions.

Effect of different monomer-based composites and acid etching pre-treatment of enamel on the microleakage using self-etch adhesives systems

OBJECTIVE

To evaluate quantitatively the marginal microleakage of restorations carried out with self-etching adhesives with or without prior phosphoric enamel acid etching of silorane or methacrylate resin-based composite restorations subjected to thermal cycling.

MATERIALS AND METHODS

Forty cavities were prepared at the proximal surface of bovine incisors and randomly divided according to the etching of the enamel and restorative system used. The groups were restored with methacrylate [Adper SE Plus adhesive (3M ESPE) + Filtek Z250 (3M ESPE)] or silorane [Filtek LS adhesive (3M ESPE) + Filtek LS composite (3M ESPE)] restorative systems, light-cured using a LED unit (Bluephase 16i, Vivadent). After restorative procedure and thermocycling (1000 cycles), the specimens were immersed in methylene blue for 2 h. The specimens were triturated and the powder was used for analysis in an absorbance spectrophotometer. Data were statistically analyzed by 2-way ANOVA (alpha = 0.05).

RESULTS

No statistical difference between the restorative materials tested with or without previous acid etching of enamel in Class II marginal microleakage was observed (p > 0.05).

CONCLUSIONS

The use of acid etching prior to self-etching adhesives did not interfere on the microleakage of methacrylate- or silorane-based restorations.

The effect of an erbium, chromium: yttrium-scandium-gallium-garnet laser on the microleakage and bond strength of silorane and micro-hybrid composite restorations

Objective:

The aim of this in vitro study was to compare the microleakage and bond strength of Class V silorane-based and universal micro-hybrid composite restorations prepared either with diamond bur or with an erbium, chromium: yttrium-scandium-gallium-garnet (Er, Cr:YSGG) laser.

Materials and Methods:

A total of 160 molar teeth were used for microleakage assessment and shear bond strength (SBS) test. The specimens were prepared using either diamond bur or 3 W-, 4 W- and 5 W-20 Hz Er, Cr:YSGG laser irradiation. All specimens were subjected to thermocycling (500 times at 5 ± 2°C to 55 ± 2°C, dwell time 15 s and transfer time 10 s). Microleakage was assessed using a 0.5% basic-fuchsin solution. The bond strengths were determined using a microtensile tester at a crosshead speed of 0.5 mm/min. The Kruskal Wallis test was used for the analysis of microleakage and a one-way analysis of variance test was used to analyze the SBS (P < 0.05).

Results:

No statistically significant differences were found (P > 0.05) between Er, Cr:YSGG laser and bur preparation methods regarding microleakage and bond strength values.

Conclusion:

Irradiation with Er, Cr:YSGG laser was confirmed to be as effective as conventional methods for preparing cavities before adhesive restorations.

Are the low-shrinking composites suitable for orthodontic bracket bonding?

Purpose:

To evaluate the shear bond strength (SBS), adhesive remnant index (ARI), and microleakage of low-shrinking and conventional composites used as an orthodontic bracket bonding adhesive.

Materials and Methods:

A hundred twenty non-caries human premolars, extracted for orthodontic purposes, were used in this study. Sixty of them were separated into two groups. Brackets were bonded to the teeth in the test group with Silorane (3M-Espe) and control group with Transbond-XT (3M-Unitek). SBS values of these brackets were recorded in MPa using a universal testing machine. ARI scores were determined after the failure of brackets. The remaining 60 teeth were divided into two groups and microleakage was evaluated by the dye penetration method. Statistical analyses were performed by Wilcoxon, Pearson Chi-square, and Mann–Whitney U tests at P < 0.05 level.

Results:

The mean SBS for Transbond XT was significantly greater than low-shrinking composite (P < 0.001). Significant differences (χ² =29.60, P < 0.001) were present between the two groups for the ARI scores. Microleakage values were lower in low-shrinking composite than in the control group, and this difference was found to be statistically significant (P < 0.001).

Conclusions:

Although low-shrinking composite produced insufficient SBS and ARI scores, microleakage values were lower in low-shrinking composite than in the control group on the etched enamel surfaces, when used as a bracket bonding composite.

Effect of Mechanical Surface Treatment on the Repair Bond Strength of the Silorane-based Composite Resin

Background and aims. A proper bond must be created between the existing composite resin and the new one for successful repair. The aim of this study was to compare the effect of three mechanical surface treatments, using diamond bur, air abrasion, and Er,Cr:YSGG laser, on the repair bond strength of the silorane-based composite resin. Materials and methods. Sixty cylindrical composite resin specimens (Filtek Silorane) were fabricated and randomly divided into four groups according to surface treatment: group 1 (control group) without any mechanical surface treatment, groups 24 were treated with air abrasion, Er,Cr:YSGG laser, and diamond bur, respectively. In addition, a positive control group was assigned in order to measure the cohesive strength. Silorane bonding agent was used in groups 14 before adding the new composite resin. Then, the specimens were subjected to a shear bond strength test and data was analyzed using one-way ANOVA and post hoc Tukey tests at a significance level of P &0.05. The topographical effects of surface treatments were characterized under a scanning electron microscope. Results. There were statistically significant differences in the repair bond strength values between groups 1 and 2 and groups 3 and 4 (P &0.001). There were no significant differences between groups 1 and 2 (P = 0.98) and groups 3 and 4 (P= 0.97). Conclusion. Surface treatment using Er,Cr:YSGG laser and diamond bur were effective in silorane-based composite resin repair.

Effect of Surface Treatment with Er;Cr:YSSG, Nd:YAG, and CO2 Lasers on Repair Shear Bond Strength of a Silorane-based Composite Resin

Background and aims. The aim of the present study was to compare the effect ofsurface treatment with Er; Cr:YSSG, Nd:YAG, and CO₂ lasers on repair shear bond strength of a silorane-based composite resin.

Materials and methods. Sixty eight cylindrical samples of a silorane-based composite resin (Filtek Silorane) were pre-pared and randomly divided into 4 groups as follows: group 1: without surface treatment; groups 2, 3 and 4 with surface treatments using Er; Cr:YSSG, Nd:YAG, and CO₂ lasers, respectively. A positive control group (group 5) was assigned in order to measure cohesive strength. Repair shear bond strength values were measured and data was analyzed using one-way ANOVA and a post hoc Tukey test at a significance level of α=0.05.

Results. There were statistically significant differences in repair shear bond strength values between group 2 and other groups (P < 0.05); and between group 1and groups 3and 4 (P < 0.001); however, there were no significant differences be-tween groups 3 and 4 (P = 0.91).

Conclusion. The repair shear bond strength of silorane-based composite resin was acceptable by surface treatment with lasers

Comparative evaluation of microleakage in class II cavities restored with Ceram X and Filtek P-90: An in vitro study

Context:

Polymerization shrinkage in composite resins is responsible for microleakage. Methacrylate-based composite resins have linear reactive groups resulting in high polymerization shrinkage. A recently introduced composite resin Filtek P90 is based on siloxanes and oxiranes which polymerize by cationic “ring opening” polymerization resulting in reduced polymerization shrinkage.

Objectives:

Aim of this study was to compare microleakage in class II cavities restored with a nanoceramic restorative (Ceram X) and a silorane composite (Filtek P90).

Materials and Methods:

Standardized class II box type cavities were prepared on mesial (Groups Ia and IIa) and distal (Groups Ib and IIb) surfaces of twenty extracted permanent molar teeth with gingival floor ending 1 mm coronal and apical to the cementoenamel junction, respectively. The teeth in Group Ia and Ib were restored with Ceram X and Group IIa and IIb with Filtek P90. The specimens were thermocycled and microleakage evaluated.

Statistical Analysis Used:

The data were statistically analyzed using Wilcoxon Signed-Rank test at the 0.05 level of significance.

Results:

Mean microleakage score of group la and lb was 1 ± 2.260 and 2.8 ± 1.229, respectively. And that of group Ila and llb was 0.2 ± .869 and 0.3 ± .588, respectively. When groups I and II were compared, results were statistically significant (P<0.05).

Conclusion:

It was concluded that silorane-based composite may be a better substitute for methacrylate-based composites.

An in vitro evaluation of shear bond strength of silorane and bis-GMA resin-based composite using different curing units

AIM

To evaluate shear bond strength of silorane and bis-GMA based composite resins using self-etch and total-etch adhesive systems, and compare the effect of Quartz-tungten-halogen (QTH) and Light emitting diode (LED) on the shear bond strength of the experimental materials.

MATERIALS AND METHODS

Flat dentin surfaces were exposed on intact extracted molars and composite resin was built 2 mm in diameter. Teeth were divided randomly into four groups. Groups 1 and 2 were restored with P90 system adhesive and Filtek P90 and cured with QTH and LED units respectively. Groups 3 and 4 were restored with total etch adhesive and Filtek Z100 and cured with QTH and LED units respectively. Specimens were subjected to shear bond strength testing using Instrom Universal testing machine.

RESULTS

Data was subjected to one-way analysis of variance. Total-etch groups gave significantly higher shear bond strength values than the self-etch groups. No significant difference in shear bond strength was found between Groups 3 and 4, while Group 1 showed significantly higher values than Group 2.

CONCLUSION

Type of light curing unit is not a significant factor affecting shear bond strength for bis-GMA RBCs using total-etch technique; while for curing silorane resin based composite (RBCs), conventional halogen curing units showed better results.

An in vitro evaluation of microleakage in class V preparations restored with Hybrid versus Silorane composites

Aim:

To compare the difference in microleakage values using conventional and new low-shrink Silorane composites using the dye penetration method.

Background:

With improvement in adhesive technology, problems associated with composites have been largely overcome. However, microleakage due to polymerization shrinkage still remains a challenge. New Silorane-based composites are alleged to have less than 1% polymerization shrinkage, which would potentially decrease the microleakage, and hence, resolve this longstanding issue.

Materials and Methods:

The teeth were randomly divided into three groups (A,B, and C). Group A was restored with conventional composite (Valux^™ Plus), with a total-etch protocol, Group B was restored with conventional composite, with a self-etch protocol, and group C were restored with a silorane-based composite (Filtek TMP90). Thermocycling at 200 cycles between 5 and 55°C ± 2°C with a dwell time of 60 seconds was conducted. The teeth were stained with methylene blue dye and then sectioned and viewed under a dissection microscope, afer which the microleakage was evaluated.

Results:

The interexaminer reliability was evaluated using the kappa score, which was acceptable (61 – 78%). The total-etch group performed statistically and significantly better (P < 0.001) at the occlusal margin and was marginally and statistically significant (P = 0.05) at the gingival margin compared to the self-etch conventional and Silorane groups.

Conclusions:

The Silorane composite did not perform better than the conventional composites, however, it may have its uses and requires further research.

Microleakage evaluation of silorane based composite versus methacrylate based composite

AIM

Our study aimed to analyze the microleakage of silorane-based composite in comparison to two homologous methacrylate-based composites.

MATERIALS AND METHODS

Standardized class I cavities (4 × 2.5 × 3 mm) were prepared on extracted human premolars and randomly assigned into three groups (N = 15) as follows: Group A, Filtek P90 (silorane) with its dedicated adhesive system (P90 system adhesive); Group B, Adper SE Plus with Filtek Z250; Group C, Peak SE with Amelogen Plus. The teeth were subjected to thermocycling regime (200×, 5-55°C) and dye penetration of tooth sections were evaluated following 30 minute immersion in 2% Methylene Blue dye. Statistical analysis was performed with Kruskal-Wallis and Mann-Whitney U test at 95% significance level.

RESULTS

Silorane exhibited significantly decreased microleakage compared with any other resin based composite (RBC). The cavities restored with Amelogen Plus displayed nonsignificantly higher microleakage than with Filtek Z250.

CONCLUSION

Although all of the restorative systems had microleakage, silorane technology showed less microleakage comparable to clinically successful methacrylate-based composite. This will improve the clinical performance and extend the composite durability.