Microshear Bond Strength of Composite Resin to Enamel Treated With Titanium Tetrafluoride and the Carbon Dioxide Laser (10.6 µm): An In Vitro Study.

Introduction: The present study aims to assess the microshear bond strength (µSBS) of composite to enamel treated with titanium tetrafluoride (TiF4 ) and CO2 laser irradiation. Methods: Fifteen human molars were sectioned and their enamel surfaces were abraded. The sections were randomly assigned to 5 groups (n=15): (CO); control group, (AP); treated with 1.23% acidulated phosphate fluoride (APF) for 4 minutes, (Ti); 4% TiF4 for 1 minute, (L+AP); CO2 laser irradiation (10.6 µm wavelength, 1 W peak power, 10 ms pulse duration, 500 ms repetition time, 0.2 mm beam spot size at the tissue level, 2 cm distance of handpiece tip to tissue surface (DSE, South Cores) followed by 1.23% APF, and (L+ Ti); 10.6µm CO2 laser irradiation followed by 4% TiF4 for one minute. Using Tygon tubes, Z250 (3M/ESPE) composite was bonded to the surface of the samples. The µSBS of composite to enamel was measured using a microtensile testing machine after 500 thermal cycles. The data were analyzed by one-way ANOVA and the Tukey HSD test (P <0.05). Results: The mean µSBS was 20.66, 20.21, 13.44, 23.01, and 10.16 MPa in CO, AP, Ti, L+AP, and L+Ti groups respectively. Significant differences were observed between CO and Ti (P =0.026) and also CO and L+ Ti (P <0.0001). Conclusion: The application of TiF4 per se and after CO2 laser irradiation on enamel decreased the µSBS of composite to enamel; on the other hand, APF alone and after laser irradiation did not have any adverse effect on the µSBS of composite to enamel.

The Effect of Titanium Tetrafluoride Treatment and the CO2 Laser on Acid Resistance of Human Enamel.

Introduction: Titanium tetrafluoride (TiF4 ) is deemed more effective than the previous fluoride compounds. To enhance the effect of the fluoride compounds, researchers have suggested their association with lasers, although there are conflicting results in this area. We evaluated the acid resistance of enamel after treatment with the CO2 laser and TiF4 . Methods: Thirteen human premolar teeth were sectioned into 5 parts and each segment was assigned to a study group: co (control): without treatment, AF: enamel treatment with APF 1.23% for 4 minutes, TF: enamel treatment with TiF4 4% for 1 minute, TF-L: enamel treatment with TiF4 4% and then the CO2 laser (Peak power: 1 W, pulse duration: 10 ms, interval time: 500 ms, Beam spot size: 0.2 mm, distance: 2 cm), L-TF: enamel treatment with the CO2 laser and then TiF4 4%. Each sample was kept for 7 days in acidic solution of hydroxyethyl cellulose at pH=4.5, and the amount of the calcium ion released in the solution was measured by atomic absorption spectrometry. Data were analyzed by ANOVA and Bonferroni tests. The significance level was set at 0.05. Results: The average concentration of the calcium ion released in acidic solution was 197.46, 153.30, 99.23, 61.23, 55.46 ppm in the groups respectively. There was a significant difference between the study groups (P<0.0001). Only the difference between TF-L and L-TF was not significant (P>0.05). Conclusion: The loss of calcium from the enamel samples in the groups treated with a combination of the laser and TiF4 was significantly lower than the groups treated with fluoride alone, or the control group. It did not make a significant difference whether the CO2 laser was applied before or after TiF4 .

The effect of dentin pre-treatment with activated riboflavin on the bond strength of a two-step self-etch adhesive system.

BACKGROUND: The cross-linking of collagen fibers in the hybrid layer has been suggested as a way to create more durable bonds. OBJECTIVES: This study evaluated the effect of visible light-activated riboflavin (RF) as a cross-linking agent on the durability of the dentin microtensile bond strength (µTBS) in a 2-step self-etch (SE) adhesive system. MATERIAL AND METHODS: The occlusal surfaces of 21 human premolar teeth were ground down to expose the dentin, and were then randomly divided into 3 groups. The Clearfil® SE Bond was used in the control group. In the RF/BL group, a 0.1 wt% aqueous solution of RF was applied to the dentin surface before applying the adhesive and irradiating with blue light (BL) for 2 min. In the 3rd group, the RF-P/BL group, the RF powder was added to the adhesive primer (P) at a concentration of 0.1 wt%. The teeth were built up using composite resin. After thermocycling, 14 resin-dentin beams from each group were prepared and stored in water for 3 months. The µTBS was determined and the data was analyzed using a linear model with a generalized estimating equation (GEE) (p = 0.05). RESULTS: The highest and the lowest µTBS belonged to the control group (41.15 ±3.50 MPa) and the RF-P/BL group (19.84 ±3.80 MPa), respectively. The mean µTBS in the control group was significantly higher than in the RF/BL and RF-P/BL groups (p < 0.001), but no significant difference was found between the RF/BL and RF-P/BL groups (p = 0.598). CONCLUSIONS: Pre-treatment of dentin surfaces with RF activated with BL had a negative impact on the µTBS of the Clearfil SE Bond as a 2-step SE adhesive.

Comparison of enamel remineralization potential after application of titanium tetra fluoride and carbon dioxide laser.

BACKGROUND AND AIMS: The aim was comparison of enamel remineralization after application of APF, TiF4 and CO2 laser alone or in combination. MATERIALS AND METHODS: Enamel blocks were prepared from human third molars. The initial surface hardness was determined by Vicker's hardness tester. The samples underwent a demineralization regimen for 7 days to produce artificial initial caries. The hardness of enamel blocks with white spot lesions was measured, and the samples which had the mean hardness change of 65-90%, were selected, and randomly divided into 5 groups (N=15): G1: control; G2: APF 1.23%; G3: TiF4 4%; G4: TiF4 4% followed by CO2 laser (10.6 µm wavelength, 1 W peak power, 10 ms pulse duration, 500 ms repeat time, 0.2 mm beam spot size, 2 cm distance); G5: CO2 laser (same parameters) followed by TiF4 4%. Surface hardness recovery was measured after the treatments. Three samples in each group were observed under scanning electron microscope at ×1,000 magnification. Data were analyzed by repeated measure ANOVA and Bonferrouni tests. Significance level was set at 0.05. RESULTS: G2, G3, G4 indicated significant differences with control and G5 (p<0.05). Surface hardness in G5 was not significantly different from control (p=0.7) in enamel hardness test. There was not a significant difference between G2 & G3, G2 & G4, and G3 & G4 (p=1). The SEM results indicated globules of calcium fluoride on the surface in G2, and a smooth glaze-like surface layer in G3 and G4. In G5, some micro-cracks without any glaze-like layer were observed. CONCLUSIONS: APF, TiF4 and TiF4 before CO2 laser irradiation significantly increased the micro-hardness of initially demineralized enamel surfaces. CO2 laser irradiation before TiF4 application could not remineralize the white-spot lesions.

The antibacterial effect of sage extract (Salvia officinalis) mouthwash against Streptococcus mutans in dental plaque: a randomized clinical trial.

BACKGROUND AND OBJECTIVE: The aim of the study was to evaluate the clinical effects of a mouthwash containing Sage (Salvia officinalis) extracts on Streptococcus mutans (SM) causing dental plaque in school-aged children. MATERIAL AND METHODS: A double blind clinical trial study was conducted in a dormitory on 70 girls aged 11-14 years having the same socioeconomic and oral hygiene conditions. These students were randomly divided into 2 groups; the first group (N=35) using Sage mouthwash, and the second group (N=35) using placebo mouthwash without active any ingredients. At the baseline, plaque samples obtained from the buccal surfaces of teeth were sent to laboratory to achieve SM colony count. These tests were reevaluated after 21 days of using the mouthwashes. Statistical data analysis was performed using t-student tests with p<0.05 as the level of significance. RESULTS: Sage mouthwash significantly reduced the colony count (P=0.001). Average number of colonies in test group was 3900 per plaque sample at the baseline, and 300 after mouthwash application. In the control group, pre-test colony count was 4400 that was reduced to 4000; although this reduction wasn't significant. CONCLUSION: The Sage mouthwash effectively reduced the number of Streptococcus mutans in dental plaque.

Microleakage of Four Dental Cements in Metal Ceramic Restorations With Open Margins.

BACKGROUND: Fixed prosthodontics is a routine dental treatment and microleakage is a major cause of its failure. OBJECTIVES: The aim of this study was to assess the marginal microleakage of four cements in metal ceramic restorations with adapted and open margins. MATERIALS AND METHODS: Sixty sound human premolars were selected for this experimental study performed in Tehran, Iran and prepared for full-crown restorations. Wax patterns were formed leaving a 300 µm gap on one of the proximal margins. The crowns were cast and the samples were randomly divided into four groups based on the cement used. Copings were cemented using zinc phosphate cement (Fleck), Fuji Plus resin-modified glass ionomer, Panavia F2.0 resin cement, or G-Cem resin cement, according to the manufacturers' instructions. Samples were immersed in 2% methylene blue solution. After 24 hours, dye penetration was assessed under a stereomicroscope and analyzed using the respective software. Data were analyzed using ANOVA, paired t-tests, and Kruskal-Wallis, Wilcoxon, and Mann-Whitney tests. RESULTS: The least microleakage occurred in the Panavia F2.0 group (closed margin, 0.18 mm; open margin, 0.64 mm) and the maximum was observed in the Fleck group (closed margin, 1.92 mm; open margin, 3.32 mm). The Fleck group displayed significantly more microleakage compared to the Fuji Plus and Panavia F2.0 groups (P < 0.001) in both closed and open margins. In open margins, differences in microleakage between the Fuji Plus and G-Cem as well as between the G-Cem and Panavia F2.0 groups were significant (P < 0.001). In closed margins, only the G-Cem group displayed significantly more microleakage as compared to the Panavia F2.0 group (P < 0.05). Paired t-test results showed significantly more microleakage in open margins compared to closed margins, except in the Fuji Plus group (P = 0.539). CONCLUSIONS: Fuji Plus cement exhibited better sealing ability in closed and open margins compared to G-Cem and Fleck cements. When using G-Cem and Fleck cements for full metal ceramic restorations, clinicians should try to minimize marginal gaps in order to reduce restoration failure. In situations where there are doubts about perfect marginal adaptation, the use of Fuji Plus cement may be helpful.

Shear Bond Strength of Orthodontic Brackets to Tooth Enamel After Treatment With Different Tooth Bleaching Methods.

BACKGROUND: Bleaching treatments decrease shear bond strength between orthodontic brackets and teeth; although definite results have not been reported in this regard. OBJECTIVES: This study determined the effects of different bleaching protocols on the shear bond strength of orthodontic brackets to teeth. MATERIALS AND METHODS: This experimental study was performed in Iran. Forty-eight extracted human premolars were randomly assigned into four groups. In the control group, no bleaching treatment was performed. In groups 2 - 4, the bleaching procedures were performed using carbamide peroxide 45%, carbamide peroxide 20% and diode laser, respectively. Two weeks later, brackets were bonded to teeth and thermocycled. The shear bond strengths of the brackets to the teeth were measured. Data was analyzed by one-way ANOVA and Dunnett post-hoc test. RESULTS: Shear bond strength of the brackets to the teeth were 10.54 ± 1.51, 6.37 ± 0.92, 7.67 ± 1.01 and 7.49 ± 1.19 MPa, in groups 1 - 4, respectively. Significant differences were found between control group and all other groups (P < 0.001); and also between groups 2 and 3 (P < 0.05). No significant differences were found between the other groups. CONCLUSIONS: The bleaching procedures using 20% carbamide peroxide and 45% carbamide peroxide and diode laser significantly decreased shear bond strength of brackets to the teeth. 45% carbamide peroxide had a more significant effect on bond strength compared to 20% carbamide peroxide. The difference in bond strength was not significant between laser group and either carbamide peroxide groups.

Keratoameloblastoma, a very rare variant of ameloblastoma.

The keratoameloblastoma is a rare histologic variant of ameloblastoma. Fewer than 15 cases of keratoameloblastoma have been documented in the literature. We report a new case of keratoameloblastoma in a 21-year-old female patient with a unilocular radiolucent lesion between the roots of the right mandibular incisors. We describe the clinical, radiographic, and histopathologic features of this lesion along with a review on the characteristics of previous cases. We also discuss about classification and management of this lesion.

Effect of Ethylene diamine tetra acetic acid and sodium hypochlorite solution conditioning on microtensile bond strength of one-step self-etch adhesives.

BACKGROUND: Attempts to improve bond strength of self-etch adhesives can enhance the durability of composite restorations. AIMS: The aim of the present study was to evaluate the effect of collagen and smear layer removal with sodium hypochlorite solution (NaOCl) and EDTA on micro-tensile bond strength (µTBS) of self-etch adhesives to dentin. SETTINGS AND DESIGN: It was an in-vitro study. MATERIALS AND METHODS: Seventy-two teeth were divided into eight groups and their crowns were ground perpendicular to their long axis to expose dentin. The teeth were polished with silicon-carbide papers. The groups were treated as follows: No conditioning, 0.5-M EDTA conditioning, 2.5% NaOCl conditioning, NaOCl + EDTA conditioning. The surfaces were rinsed and blot-dried. Clearfil S3 and I-Bond were applied according to manufacturers' instructions and restored with Z100 composite. After 500 cycles of thermo-cycling between 5°C and 55°C, the samples were sectioned and tested for µTBS. STATISTICAL ANALYSIS: Data were analyzed by two-way ANOVA and Tukey-HSD test. RESULTS: The highest µTBS was recorded with Clearfil S3 + NaOCl + EDTA, and the lowest was recorded with I-Bond without conditioning. µTBS in EDTA-and EDTA + NaOCl-treated groups was significantly higher than the control and NaOCl-conditioned groups. CONCLUSIONS: Application of EDTA or EDTA + NaOCl before one-step self-etch adhesives increased µTBS.

Effect of eugenol-containing sealer and post diameter on the retention of fiber reinforced composite posts.

BACKGROUND: Fiber reinforced composite (FRC) posts are cemented with resin cements. It is reported that using resin cements in canals sealed with eugenol-containing sealers reduces the post retention. However, there is controversy on the subject. AIMS: The aim was to investigate the influence of eugenol-containing sealers and the amount of dentin removal from root canal with different post diameters on retention of FRC posts. SETTINGS AND DESIGN: It was an in vitro study MATERIALS AND METHODS: The roots of sixty teeth were cut with 14 mm distance from the apex and were instrumented to the working-length of 13 mm. The teeth were randomly distributed into 2 groups (n = 30). Following storage in normal saline for 7 days, the samples in both the groups were further divided into 3 subgroups (n = 10). Canals in the experimental subgroups (I, II, III) were obturated by gutta-percha and eugenol-containing sealer; and in the control subgroups (IV, V, VI) without any sealer. After storage in normal saline for 7 days, the post space was prepared by #3, #2, and #1 drills of DT Light-Post system. Post was cemented with Panavia-F2.0 resin-cement. A composite core was built for each sample. All samples were thermo cycled for 1000 cycles. The samples were tested for post retention with a mechanical testing machine. STATISTICAL ANALYSIS: Data were analyzed by two-way ANOVA and Tukey-HSD test. RESULTS: There was not a significant difference in retention between FRC posts #1 and #2 (P > 0.05). Post #3 was more retentive than posts #1and #2 (P < 0.05). ZOE sealer significantly reduced the retention of posts (P = 0.024), however, increasing post-space diameter significantly increased post retention in canals coated with ZOE sealer (P = 0.002). CONCLUSIONS: Eugenol-containing sealer reduced the retention of FRC posts cemented with resin cement. Removing more dentin from root-canals treated with eugenol-containing sealer for placing larger diameter posts caused an increase in post retention.

Pattern of odontogenic infections at a tertiary hospital in tehran, iran: a 10-year retrospective study of 310 patients.

OBJECTIVE: To retrospectively evaluate the treated cases with odontogenic abscess and identify the outcome of odontogenic infections, their characteristics and treatment modalities. MATERIALS AND METHODS: This retrospective study was performed by collecting data from 310 patient records at the oral and maxillofacial surgery department of Taleghani hospital, Tehran, Iran from January 2001 to January 2011. The variables were age, gender, affected teeth, affected facial spaces, type of bacterial source, type of antibiotic therapy, previous medication, hospital stay, body temperature on admission and past medical history. RESULTS: The patients' ages were between 2 and 84 years and 62.6% of the patients with odontogenic infection were younger than 35 years old. Most of the patients had a body temperature of 37-37.5°C. The most involved teeth were mandibular third molar. Deciduous teeth contained 6.4% of the involved teeth, among which mandibular molars were the most involved. 24.3% of the patients were hospitalized for 4 days. Streptococci were the most detected bacterial strain. The most involved anatomic space was the buccal space and 22.5% of the cases had multi space involvement and 17 cases had Ludwig's angina. The most common used antibiotic regimens were penicillin G and metronidazole or cefazolin and metronidazole. The mortality rate was 1%, all of whom had Ludwig's angina. CONCLUSION: The main affected facial spaces were buccal and submandibular spaces. The most common used antibiotic was penicillin, proving its effectiveness in the treatment of jaw infections. Odontogenic abscesses are mostly related to the eruption of mandibular molars.

The antibacterial properties of composite resin containing nanosilver against Streptococcus mutans and Lactobacillus.

AIM: The aim was to evaluate the antibacterial properties of composite resin containing nanosilver against Streptococcus mutans (SM) and Lactobacillus (L). MATERIALS AND METHODS: Nanosilver was added to Z250 composite at 0.5 and 1% by weight. In order to confirm the homogenous distribution of the nanoparticles in the composite resin, SEM-EDX analysis was performed on one sample in each group. Z250 composite without nanosilver was used as control. Direct contact test was used to test the antibacterial properties of nanoparticle-loaded composites: 0.001 ml of 0.5 Mc Farland suspension of MS and L was placed on composite disks, and incubated for 1 hour in 5 to 10% CO2 incubator at 37°C. Samples were placed in 0.5 ml of sterile BHI broth and incubated for 2 hours in CO2 incubator. Afterwards, 0.001 ml liquid from each medium was distributed on blood agar plates and incubated for 48 hours in CO2 incubator. The numbers of bacterial colonies were counted visually. Data were analyzed using Two-way ANOVA and Tukey HSD test. Significance level was set at 0.05. RESULTS: Addition of nanosilver to composite resin had a significant effect on reduction of the number of SM and L colonies (p = 0.000). The antibacterial properties of composite resins are different depending on the concentration of nanosilver (p = 0.014). Tukey test indicated that increase in the concentration of nanosilver caused the increase in antibacterial properties of composite resin. CONCLUSION: Addition of silver nanoparticles to Z250 composite could significantly inhibit the growth of Streptococcus mutans and Lactobacillus on the surface of this composite. CLINICAL SIGNIFICANCE: The addition of nanosilver to Z250 composite could inhibit the growth of SM and L on the surface of the restoration and therefore prevent the occurrence of secondary caries.

Addition of silver nanoparticles reduces the wettability of methacrylate and silorane-based composites

Incorporation of silver nanoparticles into composite resins is recommended for their reported antibacterial properties, but this incorporation can affect the wettability of such materials. Therefore, this study evaluated the effect of nano-silver addition to silorane-based and methacrylate-based composites on their contact angle. Nano-silver particles were added to Z250 (methacrylate-based) and P90 (silorane-based) composites at 0.5% and 1% by weight. The control group had no additions. SEM-EDX analysis was performed to confirm the homogeneity of the nano-silver distribution. Seventy-two composite discs were prepared and standardized to the identical surface roughness values, and then distributed randomly into 6 groups containing 12 samples each (N = 12). Two random samples from each group were observed by atomic force microscopy. Distilled water contact angle measurements were performed for the wettability measurement. Two-way ANOVA, followed by the Tukey-HSD test, with a significance level of 5%, were used for data analysis. It was observed that wettability was significantly different between the composites (p = 0.0001), and that the addition of nano-silver caused a significant reduction in the contact angle (p = 0.0001). Wettability varied depending on the concentration of the nano silver (p = 0.008). Silorane-based composites have a higher contact angle than methacrylate-based composites. Within the limitations of this study, it can be concluded that the addition of 0.5% nano-silver particles to the composites caused a decrease in the contact angle of water.

Addition of silver nanoparticles reduces the wettability of methacrylate and silorane-based composites.

Incorporation of silver nanoparticles into composite resins is recommended for their reported antibacterial properties, but this incorporation can affect the wettability of such materials. Therefore, this study evaluated the effect of nano-silver addition to silorane-based and methacrylate-based composites on their contact angle. Nano-silver particles were added to Z250 (methacrylate-based) and P90 (silorane-based) composites at 0.5% and 1% by weight. The control group had no additions. SEM-EDX analysis was performed to confirm the homogeneity of the nano-silver distribution. Seventy-two composite discs were prepared and standardized to the identical surface roughness values, and then distributed randomly into 6 groups containing 12 samples each (N = 12). Two random samples from each group were observed by atomic force microscopy. Distilled water contact angle measurements were performed for the wettability measurement. Two-way ANOVA, followed by the Tukey-HSD test, with a significance level of 5%, were used for data analysis. It was observed that wettability was significantly different between the composites (p = 0.0001), and that the addition of nano-silver caused a significant reduction in the contact angle (p = 0.0001). Wettability varied depending on the concentration of the nano silver (p = 0.008). Silorane-based composites have a higher contact angle than methacrylate-based composites. Within the limitations of this study, it can be concluded that the addition of 0.5% nano-silver particles to the composites caused a decrease in the contact angle of water.

Effect of storage time on microtensile bond strength between quartz fiber post and composite core after different post surface treatments.

AIM: The aim was to evaluate the influence of water storage on fiber post-resin composite adhesion after different postsurface treatments. MATERIALS AND METHODS: Forty-two fiber posts were used. Half of them were treated by hydrogen-peroxide and the other half were sandblasted. The adhesive (Single Bond, 3M, USA) was applied on the post. Core was built-up using flowable composite (Ælite Flow, Bisco, USA). The specimens were divided into eight groups. Group 1 was treated with H(2)O(2). Groups 2-4 were treated with H2O2 but stored for 3, 6, and 9 months, respectively. Groups 5-8 were sandblasted and stored for 0, 3, 6, and 9 months. µTBS was measured and data analyzed using one-way ANOVA and Tukey HSD. The fractured surfaces were evaluated by a stereomicroscope. The morphology of interfaces was assessed under SEM. H(2)O(2)-treated groups showed higher bond-strength. RESULTS: The effect of "surface-treatment method" and "storage-time" was significant (P<0.0001), but there was no significant difference for their interaction effect (P=0.05). Water aging significantly decreased µTBS. CONCLUSIONS: Water aging significantly decreased microtensile bond strength regardless of the type of post surface treatment.

Microtensile bond strength of quartz fiber posts to different composite cores.

The aim of this in vitro study was to assess the microtensile bond strength of quartz fiber posts to different composites, and to composite combinations used as core materials. Thirty fiber posts were treated with a 24% hydrogen peroxide solution and silanized. The posts were divided into 5 groups according to the resin composite used as follows (n = 6): G1 - Ælite Flow (Bisco, Inc), G2 - Filtek Z250 (3M ESPE), G3 - Biscore (Bisco, Inc), G4 - Ælite Flow + Filtek Z250, G5 - Ælite Flow + Biscore. The resin composites were placed around the posts to produce cylindrical specimens. Two 1-mm² thick sticks containing the post in the center and composite cores on both ends were provided from each cylinder and tested for microtensile strength with a crosshead speed of 0.5 mm/min. One-way ANOVA and Tukey HSD tests were used for statistical analysis. Fractured surfaces were observed using a stereomicroscope with 20× magnification. Scanning electron microscopy (SEM) was used to evaluate the interface of the fractured sticks. The results showed that G2 had the highest bond strength values, and the lowest values were seen with G3. There were significant differences between groups 1, 2, 4 and groups 3, 5 (p < 0.05). Under the stereomicroscope, most of the failures were adhesive between the post and core material. Under SEM, Ælite and Z250 had smoother surfaces than Biscore, containing less porosities and voids.

Microtensile bond strength of quartz fiber posts to different composite cores

The aim of this in vitro study was to assess the microtensile bond strength of quartz fiber posts to different composites, and to composite combinations used as core materials. Thirty fiber posts were treated with a 24 percent hydrogen peroxide solution and silanized. The posts were divided into 5 groups according to the resin composite used as follows (n = 6): G1 - Ælite Flow (Bisco, Inc), G2 - Filtek Z250 (3M ESPE), G3 - Biscore (Bisco, Inc), G4 - Ælite Flow + Filtek Z250, G5 - Ælite Flow + Biscore. The resin composites were placed around the posts to produce cylindrical specimens. Two 1-mm² thick sticks containing the post in the center and composite cores on both ends were provided from each cylinder and tested for microtensile strength with a crosshead speed of 0.5 mm/min. One-way ANOVA and Tukey HSD tests were used for statistical analysis. Fractured surfaces were observed using a stereomicroscope with 20× magnification. Scanning electron microscopy (SEM) was used to evaluate the interface of the fractured sticks. The results showed that G2 had the highest bond strength values, and the lowest values were seen with G3. There were significant differences between groups 1, 2, 4 and groups 3, 5 (p < 0.05). Under the stereomicroscope, most of the failures were adhesive between the post and core material. Under SEM, Ælite and Z250 had smoother surfaces than Biscore, containing less porosities and voids.

In vitro comparison of microleakage of posterior resin composites with and without liner using two-step etch-and-rinse and self-etch dentin adhesive systems.

BACKGROUND AND AIMS: Composite restorations frequently have gingival margins apical to the cemento-enamel junction (CEJ). Microleakage at the cementodentinal margins is one of the most important causes of failure in these restorations. The current study evaluated microleakage at the occlusal and gingival margins of Class II packable composite restorations using resin-modified glass ionomer and flowable composite as liners, using the two-step etch-and-rinse and self-etch dentin-bonding systems. MATERIALS AND METHODS: This in vitro study was carried out on 48 intact human premolars. Class II preparations were made with the gingival margins placed 1.0 mm apical to the CEJ. The teeth were randomly assigned to six groups of 16 boxes and restored using the following techniques: Group 1: Single Bond (3M ESPE) + Filtek P60 (3M ESPE); Group 2: Clearfil SE Bond (Kuraray) + Filtek P60; Group 3: Single Bond + Filtek Flow (3M ESPE) + Filtek P60; Group 4: Clearfil SE Bond + Filtek Flow + Filtek P60. Group 5: Single Bond + Fuji II LC (GC) + Filtek P60; Group 6: Clearfil SE Bond + Fuji II LC + Filtek P60. The restorations were thermocycled for 1000 cycles at 5{degree sign}C and 55°C, soaked in 2% methylene blue for 48 hours, then sectioned mesiodistally and viewed under a stereomicroscope for leakage at the gingival margin. The data were statistically analyzed using the Kruskal-Wallis, two-way ANOVA and Mann-Whitney U-tests. RESULTS: The resin-modified glass-ionomer liner demonstrated significantly less leakage than flowable composite (p<0.05). There was no difference between restorations with flowable resin composite liners and those without the liner; in addition, no significant difference was observed between the two kinds of adhesive systems. CONCLUSIONS: The current study supports the use of resin-modified glass ionomer as a liner in closed-sandwich technique to decrease microleakage of Class II packable composite restorations, applying either the two-step etch-and-rinse or the self-etch dentin adhesive system.