Effect of Mechanical Load Cycling on Microleakage of Restorative Glass Ionomers Compared to Flowable Composite Resin in Class V Cavities
Abstract
Objectives: Microleakage is the most important factor responsible for the destruction of restoration margins. The aim of this study was to assess the effect of mechanical load cycling on microleakage of four types of glass ionomer cement (GIC) in comparison with a flowable composite resin.
Materials and Methods: In this in-vitro experimental study, 100 Class V cavities were prepared on the buccal and lingual surfaces of 50 intact premolars. The prepared cavities were divided into five groups of (A) Z350, (B) Equia Forte, (C) encapsulated Fuji II LC, (D) hand-mixed Fuji II LC, and (E) Ketac Molar. All the samples were thermocycled (×2,000, 5-55°C), and half of the samples in each group were load cycled. All the teeth were then immersed in 0.5% basic fuchsine for 24 hours, sectioned, and observed under a stereomicroscope. Data were analyzed with Kruskal-Wallis and Mann-Whitney-U tests. Comparison between the incisal and gingival microleakage was made with Wilcoxon test. P<0.05 was considered statistically significant.
Results: Load cycling and type of restorative material had a significant effect on microleakage. Gingival microleakage was significantly higher than occlusal microleakage with Equia Forte, encapsulated Fuji II LC, hand-mixed Fuji II LC, and Ketac Molar in the absence of loading, and with Z350 after loading.
Conclusions: The sealing ability of Z350 under load cycling was better than that of Equia Forte, hand-mixed Fuji II LC, and Ketac Molar. The marginal integrity of encapsulated Fuji II LC was not significantly different than that of Z350.
Bergenholtz G, Cox CF, Loesche WJ, Syed SA. Bacterial leakage around dental restorations: its effect on the dental pulp. J Oral Pathol. 1982 Dec; 11(6):439-50.
Parveen N, Ahmed B, Butt AM, Bari A. The effects of mechanical stresses on the comparative microleakage of two different restorative materials. J Univ Med Dent Col. 2012 Jan-Jun; 3(1):48-53.
Manhart J, Chen HY, Mehl A, Weber K, Hickel R. Marginal quality and microleakage of adhesive class V restorations. J Dent. 2001 Feb; 29(2):123-30.
Castro A, Feigal RE. Microleakage of a new improved glass ionomer restorative material in primary and permanent teeth. Pediatr Dent. 2002 Jan-Feb; 24(1):23-8.
Smith DC. Development of glass-ionomer cement systems. Biomaterials. 1998 Apr ; 19(6):467-78.
Powell L, Gordon GE, Johnson GH. Clinical evaluation of direct esthetic restorations in cervical abrasion/erosion lesions: one-year results. Quintessence Int. 1991; 22(9):687-92.
Cho SY, Cheng AC. A review of glass ionomer restorations in the primary dentition. J Can Dent Assoc. 1999 Sep; 65(9):491-5.
Abd El Halim S, Zaki D. Comparative evaluation of microleakage among three different glass ionomer types. Oper Dent. 2011 Jan-Feb; 36(1):36-42.
Dowling AH, Fleming GJ. Is encapsulation of posterior glass-ionomer restoratives the solution to clinically induced variability introduced on mixing?. Dent Mater. 2008 Jul; 24(7):957-66.
EQUIA® Forte product brochure. Available at: https://cdn.gceurope.com/v1/PID/equiaforte/ifu/IFU_EQUIA_Forte_W.pdf
Kubo S, Yokota H, Sata Y, Hayashi Y. The effect of flextural load cycling on the microleakage of cervical resin composites. Oper Dent. 2001 Sep-Oct;26(5):451-459
Mirzaie M, Yasini E, Kermanshah H, Omidi BR. The effect of mechanical load cycling and polishing time on microleakage of class V glass-ionomer and composite restorations: A scanning electron microscopy evaluation. Dent Res J (Isfahan). 2014 Jan; 11(1):100-8.
Ranjbar Omidi B, Madani L, Mirnejad Joybari A, Rashvand E, Oveisi S. Effect of mechanical load cycling on the microleakage of three different glass ionomer restorations in class V cavities. jdm. 2015 Jul; 28(2) :95-102
Mandras RS, Retief DH, Russell CM. The effects of thermal and occlusal stresses on the microleakage of the Scotchbond 2 dentinal bonding system. Dent Mater. 1991 Jan; 7(1):63-7.
Rigsby DF, Retief DH, Bidez MW, Russell CM. Effect of axial load and temperature cycling on microleakage of resin restorations. Am J Dent. 1992 Jun; 5(3):155-9.
Davidson CL, Abdalla AI. Effect of occlusal load cycling on the marginal integrity of adhesive Class V restorations. Am J Dent. 1994 Apr; 7(2):111-4.
Litonjua LA, Andreana S, Bush PJ, Tobias TS, Cohen RE. Noncarious cervical lesions and abfractions: a re-evaluation. J Am Dent Assoc. 2003 Jul; 134(7):845-50.
Heymann HO, Sturdevant JR, Bayne S, Wilder AD, Sluder TB, Brunson WD. Examining tooth flexure effects on cervical restorations: a two-year clinical study. J Am Dent Assoc. 1991 May; 122(5):41-7.
Fruits TJ, VanBrunt CL, Khajotia SS, Duncanson MG. Effect of cyclical lateral forces on microleakage in cervical resin composite restorations. Quintessence int. 2002 Mar; 33(3):205-12.
Curtis AR, Palin WM, Fleming GJ, Shortall AC, Marquis PM. The mechanical properties of nanofilled resin-based composites: The impact of dry and wet cyclic pre-loading on bi-axial flexure strength. Dent Mater. 2009 Feb; 25(2):188-97.
Kwon Y, Ferracane J, Lee IB. Effect of layering methods, composite type, and flowable liner on the polymerization shrinkage stress of light cured composites. Dent Mater, 2012 Jul; 28(7):801-9.
Singla T, Pandit IK, Srivastava N, Gugnani N, Gupta M. An evaluation of microleakage of various glass ionomer based restorative materials in deciduous and permanent teeth: An in vitro study. Saudi Dent J. 2012 Jan; 24(1):35-42.
Shneider LFJ, LConsani S, Mundstock GV, Tango RN, Milan FML Sinhoreti MAC. Microleakage evaluation of composite restorations submitted to load cycling. Cienc Odontol Bras. 2004; 7(4): 27-33.
Arisu HD, Uctasli MB, Eliguzeloglu E, Ozcan S, Omurlu H. The effect of occlusal loading on the microleakage of class V restorations. Oper Dent. 2008 Mar-Apr; 33(2):135-41.
Li H, Burrow MF, Tyas MJ. The effect of load cycling on the nanoleakage of dentin bonding systems. Dent Mater. 2002 Mar; 18(2):111-19.
Qvist V. The effect of mastication on marginal adaptation of composite restorations in vivo. J Dent Res. 1983 Aug; 62(8):904-6.
Papacchini, F, Goracci C, Sadek, FT, Monticelli, F, Garcia-Godoy F, Ferrari M. Microtensile bond strength to ground enamel by glass-ionomers, resin-modified glass-ionomers, and resin composites used as pit and fissure sealants. J dent. 2005 Jul; 33(6):459-67.
Ichim I, Loughran J, Li Q, Swain MV, Kieser J. Restoration of non-carious cervical lesions.Part I. Modelling of restorative fracture. Dent Mater. 2007 Dec; 23(12):1553-61
Castro A, Feigal RE. Microleakage of a new improved glass ionomer restorative material in primary and permanent teeth. Pediatr Dent. 2002 Jan-Feb; 24(1):23-8.
Dowling, AH, Fleming, GJ. Are encapsulated anterior glass-ionomer restoratives better than their hand-mixed equivalents?. J Dent. 2009 Feb; 37(2):133-40
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Issue | Vol 16, No 2 (2019) | |
Section | Original Article | |
DOI | https://doi.org/10.18502/fid.v16i2.1365 | |
Keywords | ||
Dental Leakage Flowable Composite Glass Ionomer Cements |
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