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Effect of self-etch adhesives on the internal adaptation of composite restoration: a CP-OCT Study

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Abstract

Despite improvements in dental adhesive materials, internal adaptation remains a challenge in bonded restorations. The aim of this study was to compare microgaps and internal floor adaptation between two different self-etch adhesives in class-V cavities using cross-polarization optical coherence tomography (CP-OCT). In this in vitro study, standardized round class-V cavities were prepared in 20 non-carious human upper central incisor teeth. They were randomly divided into two groups, TN and SE, with each group receiving a different dental adhesive. In TN group, the adhesive used was all-in-one Tetric N-Bond Self-Etch (TN; Ivoclar/Vivadent, Liechtenstein), while SE group was bonded with two-step self-etch Clearfil SE Bond 2 adhesive (SE; Kuraray Noritake Dental Inc, Japan). The prepared cavities were restored with flowable composite and then stored in distilled water for 24 h. Next, they were immersed in silver nitrate, followed by immersion in a photo-developing solution. Optical comparison was carried out by CP-OCT to assess microgaps and composite adaptation at the cavity floor. A Mann–Whitney test was applied to the data, which showed a statistically significant difference in composite adaptation among the two groups (p < 0.001) with the SE group showing superior adaptation. CP-OCT is a reliable tool for non-invasive imaging that gives an insight into composite performance. Better adaptation was found with the two-step self-adhesive for the composite used in this study.

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Acknowledgements

This work was partially supported by the Academy of International Medical Center, Jeddah, Saudi Arabia and partly by Saudi Dental Research group (SDR). The authors therefore acknowledge with thanks the International Medical Center and SDR for technical support. We would also like to show our gratitude to Muhannad Shuman, Malek Eldesouky, Nadyah Althafir, Shahad Almaghamsi and Ather Aljarullah for their assistance in this research.

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Authors and Affiliations

  1. Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia

    Turki A. Bakhsh, Alaa Turkistani & Fatin Hasanain

  2. Dental Department, International Medical Center, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia

    Turki A. Bakhsh

  3. Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia

    Nour H. Altouki, Lina S. Baeesa, Ruba A. Baamer, Reema M. Alshebany & Adnan Nasir

  4. Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia

    Zuhair Natto

  5. Division of Biomaterials, Department of Operative Dentistry, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia

    Ghada H. Naguib

  6. Department of Oral Biology, Faculty of Dentistry, Cairo University, Manual Al Roda, Cairo, Egypt

    Ghada H. Naguib

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  1. Turki A. Bakhsh
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  2. Nour H. Altouki
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Correspondence to Turki A. Bakhsh.

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Bakhsh, T.A., Altouki, N.H., Baeesa, L.S. et al. Effect of self-etch adhesives on the internal adaptation of composite restoration: a CP-OCT Study. Odontology 107, 165–173 (2019). https://doi.org/10.1007/s10266-018-0381-2

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