Abstract
The aim of this study was to evaluate in vivo the interfacial adaptation of class II resin composite restorations with and without a flowable liner. In 24 premolars scheduled to be extracted after 1 month, 48 box-shaped, enamel-bordered class II cavities were prepared and restored with a flowable liner (FRC, Tetric Flow/Tetric Ceram/Syntac Single-Component) or without (TRC), cured with three different curing modes: soft start and 500- or 700-mW/cm2 continuous irradiation. Interfacial adaptation was evaluated by quantitative scanning electron microscopic analysis using replica method. Gap-free adaptation in the cervical enamel (CE) was observed for FRC and TRC in 96.2 and 90.2%, for the dentin (D) in 63.6 and 64.9%, and for occlusal enamel (OE) in 99.7 and 99.5%, respectively. The difference between the two restorations was not statistically significant (ns). Significant better adaptation was observed for OE than CE and D (p<0.01), and for CE than D (p<0.01). Gap-free adaptation with the soft-start and 500- and 700-mW/cm2 continuous-curing modes was observed for CE: 88.7%, 92.7%, 97.9% (ns); OE: 99.8%, 98.7%, 100% (ns); and D: 64.0%, 63.9%, and 64.6% (ns), respectively. It can be concluded that neither the use of flowable resin composite liner nor the curing mode used influenced the interfacial adaptation.
Similar content being viewed by others
References
Davidson CL, Feilzer AJ (1997) Polymerization shrinkage and polymerization shrinkage stress in polymer-based restoratives. J Dent 25:435–440
Venhoven BAM, de Gee AJ, Davidson CL (1993) Polymerization contraction and conversion of light-curing BisGMA-based methacrylate resins. Biomaterials 14:871–875
Feilzer AJ, Dooren LH, de Gee AJ, Davidson CL (1995) Influence of light intensity on polymerization shrinkage and integrity of restoration–cavity interface. Eur J Oral Sci 103:322–326
Lindberg A, van Dijken JWV, Hörstedt P (2000) Interfacial adaptation of a Class II polyacid-modified resin composite/resin composite laminate restoration in vivo. Acta Odontol Scand 58:77–84
Brännström M (1984) Communication between the oral cavity and the dental pulp associated with restorative treatment. Oper Dent 9:57–68
Knibbs P (1992) The clinical performance of a glass polyalkenoate (glass ionomer) cement used in a “sandwich” technique with a composite resin to restore Class II cavities. Br Dent J 172:102–107
Davidson CL (1994) Glass ionomer bases under posterior composites. J Esthet Dent 6:223–224
van Dijken JWV (1994) A 6-year evaluation of a direct composite resin inlay/onlay system and glass ionomer cement–composite resin sandwich restorations. Acta Odontol Scand 52:368–376
Welbury RR, Murray JJ (1990) A clinical trial of the glass ionomer cement–composite resin “sandwich” technique in class II cavities in permanent premolar and molar teeth. Quintessence Int 21:507–512
Dietrich T, Kraemer M, Lösche GM, Wernecke K-D, Roulet J-F (2000) Influence of dentin conditioning and contamination on the marginal integrity of sandwich Class II restorations. Oper Dent 25:401–410
Uno S, Asmussen E (1991) Marginal adaptation of a restorative resin polymerized at reduced rate. Scand J Dent Res 99:440–444
Goracci G, Mori G, Casa de Matinis L (1996) Curing light intensity and marginal leakage of resin composite restorations. Quintessence Int 27:355–362
Kanca J, Suh BI (1999) Pulse activation: reducing resin-based composite contraction stresses at the enamel cavosurface margins. Am J Dent 12:107–112
Peutzfeldt A, Asmussen E (2002) Composite restorations: influence of flowable and self-curing resin composite linings on microleakage in vitro. Oper Dent 27:569–575
Asmussen E (1982) Restorative resins: hardness and strength vs quantity of remaining double bonds. Scand J Dent Res 90:484–489
Caughman WF, Caughman GB, Shiflett RA, Rueggeberg F, Schuster GS (1991) Correlation of cytotoxicity, filler loading and curing time of dental composites. Biomaterials 12:737–740
Prati C (1989) Early marginal microleakage in Class II resin composite restorations. Dent Mater 5:392–398
Andersson-Wenckert IE, van Dijken JWV, Kieri C (2004) Durability of extensive Class II open-sandwich restorations with a resin-modified glass ionomer cement after 6 years. Am J Dent 17:43–50
Kemp-Scholte CM, Davidson CL (1990) Complete marginal seal of Class V resin composite restorations effected by increased flexibility. J Dent Res 69:1240–1243
Bayne SC, Thompson JY, Swift EJ Jr, Stamatiades P, Wilkerson M (1998) A characterization of first-generation flowable composites. J Am Dent Assoc 129:567–577
Labella R, Lambrechts P, Van Meerbeek B, Vanherle G (1999) Polymerization shrinkage and elasticity of flowable composites and filled adhesives. Dent Mater 15:128–137
Estafan D, Estafan A, Leinfelder KF (2000) Cavity wall adaptation of resin-based composite lined with flowable composites. Am J Dent 13:192–194
Belli S, Inokoshi S, Özer F, Pereira PN, Ogata M, Tagami J (2001) The effect of additional enamel etching and a flowable composite to the interfacial integrity of Class II adhesive composite restorations. Oper Dent 26:70–75
Jain P, Belcher M (2000) Microleakage of Class II resin-based composite restorations with flowable composite in the proximal box. Am J Dent 13:235–238
Chuang SF, Lie JK, Jin YT (2001) Microleakage and internal voids in Class II composite restorations with flowable composite linings. Oper Dent 26:193–200
Beznos C (2001) Microleakage at the cervical margin of composite Class II cavities with different restorative techniques. Oper Dent 26:60–69
Poonam J, Belcher M (2000) Microleakage of Class II resin-based composite restorations with flowable composite in the proximal box. Am J Dent 13:235–238
van Dijken JWV, Hörstedt P, Waern R (1998) Directed polymerization shrinkage versus a horizontal incremental filling technique. Interfacial adaptation in vivo in class II cavities. Am J Dent 11:165–172
Roulet JF, Reich T, Blunck U, Noack M (1989) Quantitative margin analysis in the scanning electron microscope. Scanning Microsc 3:147–158
Sjödin L, Uusitalo M, van Dijken JWV (1996) Resin modified glass ionomer cements. In vitro microleakage in class II sandwich- and direct class V fillings. Swed Dent J 20:77–86
Perdigão J, Lambrechts P, van Meerbeek B, Vanherle G, Lopes ALB (1995) Field emission SEM comparison of four postfixation drying techniques for human dentin. J Biomed Mater Res 29:1111–1120
Grundy JR (1971) An intra-oral replica technique for use with the scanning electron microscope. Br Dent J 130:113–117
van Dijken JWV (1999) Multiple versus one-bottle bonding systems. Réal Clin 10:199–222
van Dijken JWV, Hörstedt P (1987) Effect of the use of rubberdam on marginal adaptation of composite fillings placed with the acid etch technique. Acta Odontol Scand 45:303–308
Vargas MA, Cobb DS, Deneby GE (1997) Interfacial micromorphology and shear bond strength of single-bottle primer/adhesives. Dent Mater 13:316–324
Manhart J, Chen HY, Mehl A, Weber K, Hickel R (2001) Marginal quality and microleakage of adhesive class V restorations. J Dent 29:123–130
Sunnegardh-Gronberg K, van Dijken JWV, Lindberg A, Horstedt P (2004) Interfacial adaptation of a calcium aluminate cement used in class II cavities, in vivo. Clin Oral Invest 8:75–80
Ernst CP, Cortain G, Spohn M, Rippin G, Willershausen B (2002) Marginal integrity of different resin-based composites for posterior teeth: an in vitro dye-penetration study on eight resin–composite and compomer–/adhesive combinations with a particular look at the additional use of flow-composites. Dent Mater 18:351–358
Chuang SF, Liu JK, Chao CC, Liao FP, Chen YH (2001) Effects of flowable composite lining and operator experience on microleakage and internal voids in class II composite restorations. J Prosthet Dent 85:177–183
Chuang SF, Jin YT, Liu JK, Chang CH, Shieh DB (2004) Influence of flowable composite lining thickness on Class II composite restorations. Oper Dent 29:301–308
Jackson RD, Morgan M (2000) The new posterior resins and a simplified placement technique. J Am Dent Assoc 131:375–383
Ernst CP, Canbek K, Aksogan K, Willershausen B 2003 Two-year clinical performance of a packable posterior composite with and without a flowable composite liner. Clin Oral Investig 7:129–134
Sahafi A, Peutzfeldt A, Asmussen E (2001) Soft-start polymerization and marginal gap formation in vitro. Am J Dent 14:145–147
Amaral CM, Peris AR, Ambrosano GM, Pimenta LA (2004) Microleakage and gap formation of resin composite restorations polymerized with different techniques. Am J Dent 17:156–160
Acknowledgements
This study was supported in part by the County Council of Västerbotten and the Swedish Dental Society. We are grateful for the supply of the curing units and the resin composite material by the manufacturers.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lindberg, A., van Dijken, J.W.V. & Hörstedt, P. In vivo interfacial adaptation of class II resin composite restorations with and without a flowable resin composite liner. Clin Oral Invest 9, 77–83 (2005). https://doi.org/10.1007/s00784-005-0311-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-005-0311-x