The Effect of Flowable Materials on the Microleakage of Class II Composite Restorations That Extend Apical to the Cemento-enamel Junction

10.2341/08-91 ◽  
2009 ◽  
Vol 34 (3) ◽  
pp. 306-311 ◽  
Author(s):  
M. Sadeghi ◽  
C. D. Lynch

Clinical Relevance The use of a flowable resin composite or compomer may reduce microleakage at the gingival floor of a deep Class II composite restoration that extends apical to the cemento-enamel junction.

2006 ◽  
Vol 31 (6) ◽  
pp. 688-693 ◽  
Author(s):  
B. A. C. Loomans ◽  
N. J. M. Opdam ◽  
F. J. M. Roeters ◽  
E. M. Bronkhorst ◽  
R. C. W. Burgersdijk

Clinical Relevance When placing a Class II resin composite restoration, the use of sectional matrix systems and separation rings to obtain tight proximal contacts is recommended.


10.2341/06-86 ◽  
2007 ◽  
Vol 32 (3) ◽  
pp. 298-305 ◽  
Author(s):  
O. El-Mowafy ◽  
W. El-Badrawy ◽  
A. Eltanty ◽  
K. Abbasi ◽  
N. Habib

Clinical Relevance Fiber inserts incorporated at the gingival floor of Class II composite restorations resulted in a significant reduction of microleakage scores as compared to restorations made without inserts. This may lead to a reduced incidence of recurrent caries.


10.2341/06-16 ◽  
2007 ◽  
Vol 32 (1) ◽  
pp. 60-66 ◽  
Author(s):  
S. Idriss ◽  
T. Abduljabbar ◽  
C. Habib ◽  
R. Omar

Clinical Relevance Even though marginal gap size was not shown to be a direct predictor for the extent of microleakage in resin composite restorations, both material and placement technique appear to be important determinants in microleakage and, thus, probably in clinical outcomes.


2010 ◽  
Vol 35 (4) ◽  
pp. 454-462 ◽  
Author(s):  
D. Kampouropoulos ◽  
C. Paximada ◽  
M. Loukidis ◽  
A. Kakaboura

Clinical Relevance The types of matrices assessed, metal or transparent, circumferential or sectional, straight or pre-contoured, were not able to adequately reconstruct all the characteristics of the proximal contact area of an intact tooth in Class II resin composite restorations.


2010 ◽  
Vol 35 (1) ◽  
pp. 37-43 ◽  
Author(s):  
M. H. Saber ◽  
A. C. Loomans ◽  
A. El Zohairy ◽  
C. E. Dörfer ◽  
W. El-Badrawy

Clinical Relevance The use of sectional matrix bands combined with a separation ring and wedge is recommended to reconstruct the proximal contact area of Class II resin composite restorations


10.2341/07-99 ◽  
2008 ◽  
Vol 33 (2) ◽  
pp. 209-214 ◽  
Author(s):  
S. Deliperi

Clinical Relevance The proper utilization of fiber-reinforced resin composite restorations in endodontically-treated molars may preclude the use of more extensive restorative treatment, possibly delaying the need for expensive indirect restorations.


2011 ◽  
Vol 36 (2) ◽  
pp. 187-195 ◽  
Author(s):  
T Laegreid ◽  
NR Gjerdet ◽  
PV von Steyern ◽  
A-K Johansson

Clinical Relevance The presence of enamel at the cervical margin of a class II preparation increases the fracture strength of the composite restoration at the marginal ridge, but fractures are more complicated when they occur.


2010 ◽  
Vol 35 (3) ◽  
pp. 308-313 ◽  
Author(s):  
A. Fabianelli ◽  
A. Sgarr ◽  
C. Goracci ◽  
A. Cantoro ◽  
S. Pollington ◽  
...  

Clinical Relevance Use of the centripetal open-sandwich technique may allow for placement of a Class II resin composite restoration with better marginal adaptation, fewer voids and reduced microleakage than the closed sandwich technique.


10.2341/06-84 ◽  
2007 ◽  
Vol 32 (3) ◽  
pp. 291-297 ◽  
Author(s):  
P. R. Schmidlin ◽  
K. Wolleb ◽  
T. Imfeld ◽  
M. Gygax ◽  
A. Lussi

Clinical Relevance Beveling box-only Class II cavities is necessary to improve the marginal quality of restorations. Where beveling is impossible or difficult to achieve, ultrasound may improve marginal quality.


2014 ◽  
Vol 39 (1) ◽  
pp. E9-E15 ◽  
Author(s):  
V Dhingra ◽  
S Taneja ◽  
M Kumar ◽  
M Kumari

SUMMARY This study evaluated the influence of fiber inserts, type of composites, and location of the gingival seat on microleakage in Class II resin composite restorations. Fifty noncarious human third molars were selected for the study. Standardized Class II box type cavities were prepared on the mesial and distal side of 45 teeth. The gingival margin was placed above the cementoenamel junction (CEJ) on the mesial side and below the CEJ on the distal side. The remaining five teeth received no cavity preparations. The prepared samples were divided randomly on the basis of type of composite and presence or absence of fiber inserts, into four experimental groups of 10 teeth each and two control groups of five teeth each. The groups were defined as follows: group I (n=10) – Z350 XT; group II (n=10) – Z350 XT with fibers; group III (n=10) – P90; group IV (n=10) – P90 with fibers; and group V (n=5) – positive controls, cavities were not restored; group VI (n=5) – negative controls, no cavities were prepared. The samples were stored in distilled water in incubator at 37°C for 24 hours and then subjected to 500 cycles of thermocycling (5°C and 55°C) with a dwell time of 15 seconds. They were then placed in a 2% methylene blue dye solution for 24 hours at 37°C. Samples were sectioned longitudinally and evaluated for microleakage at the occlusal and gingival margin under a stereomicroscope at 20× magnification. Kruskal-Wallis and Mann-Whitney U-tests were used to compare the mean leakage scores. Restorations with gingival margins in enamel showed significantly less microleakage. Significant reduction in microleakage was observed in groups restored with P90 composite than those restored with Z350 XT. No improvement in microleakage was observed with the use of fiber inserts (p>0.05).


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