The effect of placement technique on marginal adaptation of posterior resins. 1991

F A de Wet, and H V Exner, and I C du Preez, and J P van Niekerk
University of Pretoria.

Polymerization shrinkage of posterior resin restorations leads to margins that pull away from the tooth, or to cracks in the material itself. The purpose of this study was to determine the effect of three different placement techniques on the marginal adaptation (or in effect the amount of polymerization shrinkage) of posterior resin restorative materials. Three posterior resin materials, namely, Distalite, Heliomolar and P30 were included in this study. Each of these materials were placed by means of three different placement techniques (Bulk pack, Horizontal layering and Vertical layering) into class II cavities in extracted human molars. No dentine bonding agents were used. The samples were light cured, the teeth sectioned longitudinally and stored dry before examination in a Scanning Electron Microscope. Results showed polymerization shrinkage with all three techniques, with the poorest the bulk pack technique where large marginal discrepancies were visible. No significant differences were detected between the horizontal and vertical placement techniques, but the two microfilled resins Heliomolar and Distalite showed significantly poorer marginal adaptation than the small particle conventional resin, P30. All three materials had better adaptation on the occlusal margins than on the margins situated along the floor of the cavity or the gingival margins of the proximal box of the cavity. It can be concluded that the bulk pack technique should be avoided as this leads to large contraction gaps at most of the margins of the restoration.

UI MeSH Term Description Entries
D008963 Molar The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821) Molars
D011140 Polyurethanes A group of thermoplastic or thermosetting polymers containing polyisocyanate. They are used as ELASTOMERS, as coatings, as fibers and as foams. Polyisocyanates,Ostamer,Pellethane,Spandex,Ostamers,Pellethanes,Polyisocyanate,Polyurethane,Spandices
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D003737 Dental Cavity Preparation An operation in which carious material is removed from teeth and biomechanically correct forms are established in the teeth to receive and retain restorations. A constant requirement is provision for prevention of failure of the restoration through recurrence of decay or inadequate resistance to applied stresses. (Boucher's Clinical Dental Terminology, 4th ed, p239-40) Cavity Preparation, Dental,Cavity Preparations, Dental,Dental Cavity Preparations,Preparation, Dental Cavity,Preparations, Dental Cavity
D003763 Dental Leakage The seepage of fluids, debris, and micro-organisms between the walls of a prepared dental cavity and the restoration. Dental Leakages,Leakage, Dental,Leakages, Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000180 Acrylic Resins Polymers of high molecular weight which are derived from acrylic acid, methacrylic acid or other related compounds and are capable of being molded and then hardened to form useful components. Acrylic Resin,Resin, Acrylic,Resins, Acrylic

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