Validation of a method of quantifying 3D leakage in dental restorations. 2020

Fabio A P Rizzante, and Rana A F Sedky, and Adilson Y Furuse, and Sorin Teich, and Sérgio K Ishikiriama, and Gustavo Mendonça
Assistant Professor, Department of Comprehensive Care, Case Western Reserve University, School of Dental Medicine, Cleveland, Ohio.

BACKGROUND A reliable and validated protocol for nondestructive analysis of the entire restorative interface that could be applicable in studies assessing the adaptation of direct and indirect restorations is lacking. OBJECTIVE The purpose of this in vitro study was to validate a 3D protocol for microleakage assessment in class II mesio-occluso-distal (MOD) cavities restored with composite resin. METHODS Sixteen human third molars received standardized class II MOD preparations with cervical margins located 1 mm apical to the cemento-enamel junction. The specimens were restored with Filtek Bulk Fill Posterior (FBP) or Filtek Bulk Fill Flowable (FBF) and submitted to 10 000 thermocycles (5 °C and 55 °C with a 30-second dwell time at each temperature and 5-second transfer time). The specimens were scanned with microcomputed tomography (μCT) before and after immersion in 50% ammoniacal silver nitrate solution for 12 hours. Scanned data were processed, and the 3D amount of infiltrated silver nitrate was analyzed through the entire adhesive interface. In addition, the linear distance of silver nitrate infiltration was assessed using 3 axial images obtained from each specimen proximal box (2D analysis). Data were tested for homogeneity by using the Shapiro-Wilk test and evaluated by using 1-way ANOVA, followed by the post hoc Tukey HSD test (α=.05). RESULTS FBP showed significantly lower leakage than FBF for both 2D and 3D analyses. A low correlation was observed between the assessment methods. CONCLUSIONS Three-dimensional analysis of microleakage using μCT is a predictable and more reliable method for nondestructive and comprehensive analysis of the entire specimen.

UI MeSH Term Description Entries
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
D003793 Dental Restoration, Permanent A restoration designed to remain in service for not less than 20 to 30 years, usually made of gold casting, cohesive gold, or amalgam. (Jablonski, Dictionary of Dentistry, 1992) Dental Fillings, Permanent,Dental Filling, Permanent,Dental Permanent Filling,Dental Permanent Fillings,Dental Restorations, Permanent,Filling, Dental Permanent,Filling, Permanent Dental,Fillings, Dental Permanent,Fillings, Permanent Dental,Permanent Dental Filling,Permanent Dental Fillings,Permanent Dental Restoration,Permanent Dental Restorations,Permanent Filling, Dental,Permanent Fillings, Dental,Restoration, Permanent Dental,Restorations, Permanent Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D055114 X-Ray Microtomography X-RAY COMPUTERIZED TOMOGRAPHY with resolution in the micrometer range. MicroCT,Microcomputed Tomography,X-Ray Micro-CAT Scans,X-Ray Micro-CT,X-Ray Micro-CT Scans,X-Ray Micro-Computed Tomography,X-Ray Microcomputed Tomography,X-ray MicroCT,Xray Micro-CT,Xray MicroCT,Micro-CAT Scan, X-Ray,Micro-CAT Scans, X-Ray,Micro-CT Scan, X-Ray,Micro-CT Scans, X-Ray,Micro-CT, X-Ray,Micro-CT, Xray,Micro-CTs, X-Ray,Micro-CTs, Xray,Micro-Computed Tomography, X-Ray,MicroCT, X-ray,MicroCT, Xray,MicroCTs,MicroCTs, X-ray,MicroCTs, Xray,Microcomputed Tomography, X-Ray,Microtomography, X-Ray,Scan, X-Ray Micro-CAT,Scan, X-Ray Micro-CT,Scans, X-Ray Micro-CAT,Scans, X-Ray Micro-CT,Tomography, Microcomputed,Tomography, X-Ray Micro-Computed,Tomography, X-Ray Microcomputed,X Ray Micro CAT Scans,X Ray Micro CT,X Ray Micro CT Scans,X Ray Micro Computed Tomography,X Ray Microcomputed Tomography,X Ray Microtomography,X ray MicroCT,X-Ray Micro-CAT Scan,X-Ray Micro-CT Scan,X-Ray Micro-CTs,X-ray MicroCTs,Xray Micro CT,Xray Micro-CTs,Xray MicroCTs
D019237 Tooth Cervix The constricted part of the tooth at the junction of the crown and root or roots. It is often referred to as the cementoenamel junction (CEJ), the line at which the cementum covering the root of a tooth and the enamel of the tooth meet. (Jablonski, Dictionary of Dentistry, 1992, p530, p433) CEJ,Cementoenamel Junction,Cervix Dentis,Cementoenamel Junctions,Cervix, Tooth,Junction, Cementoenamel,Junctions, Cementoenamel

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