Marginal ridge strength of Class II tunnel restorations. 1995

J H Purk, and R S Roberts, and D A Elledge, and R P Chappell, and J D Eick
University of Missouri, School of Dentistry, Kansas City 64108, USA.

OBJECTIVE To test the strength, at the marginal ridge, of the tunnel preparation vs the Class II traditional box preparation when restored with composite or glass ionomer (GI). METHODS Eighty-four extracted maxillary molars stored in normal saline and thymol were randomly divided into six groups of 14 each (determined by pilot study where alpha = 0.05, beta = 0.2). Group A and C were tunnel preparations. Group B and D were traditional Class II preparations. Group E-whole tooth (negative control), and Group F-tunnel preparation unrestored (positive control). Group A and B were restored with Scotchbond 2/P-50 composite. Group C and D were restored with Ketac Fil-GI. The marginal ridge of each tooth was loaded at 0.5 mm/minute on the Instron. A loading rod produced a contact point of 1.0 mm in diameter. RESULTS The mean compressive loads (kg) required for fracture were: (A): 42.2 +/- 11.9, (B): 53.1 +/- 10.7, (C): 52.0 +/- 10.9, (D): 23.8 +/- 8.4. (E): 79.1 +/- 16.1, (F): 27.0 +/- 10.6. A significant difference was found between whole teeth (E) and all other groups (P < 0.05). The Newman-Keuls test showed a significant difference between Class II composite (B) and tunnel composite (A) (P < 0.05), between tunnel GI (C) and tunnel composite (A) (P < 0.05) but no difference between tunnel GI (C) and Class II composite (B).

UI MeSH Term Description Entries
D008298 Maleates Derivatives of maleic acid (the structural formula (COO-)-C
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
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
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
D003799 Dental Stress Analysis The description and measurement of the various factors that produce physical stress upon dental restorations, prostheses, or appliances, materials associated with them, or the natural oral structures. Analyses, Dental Stress,Analysis, Dental Stress,Stress Analyses, Dental,Stress Analysis, Dental,Dental Stress Analyses
D004548 Elasticity Resistance and recovery from distortion of shape.
D005899 Glass Ionomer Cements A polymer obtained by reacting polyacrylic acid with a special anion-leachable glass (alumino-silicate). The resulting cement is more durable and tougher than others in that the materials comprising the polymer backbone do not leach out. Glass Ionomer Cement,Glass Polyalkenoate Cement,Polyalkenoate Cement,Polyalkenoate Cements,Glass Polyalkenoate Cements,Glass-Ionomer Cement,Cement, Glass Ionomer,Cement, Glass Polyalkenoate,Cement, Glass-Ionomer,Cement, Polyalkenoate,Cements, Glass Ionomer,Cements, Glass Polyalkenoate,Cements, Glass-Ionomer,Cements, Polyalkenoate,Glass-Ionomer Cements,Ionomer Cement, Glass,Polyalkenoate Cement, Glass
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses

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