Effect of new generation surface sealants on the marginal permeability of Class V resin composite restorations.

This study evaluated, in vitro, the effectiveness of 5 surface sealants (Biscover, Optiguard, Seal-n-Shine, PermaSeal and DuraFinish); 1 pit and fissure sealant (Helioseal) and 1 dentin bonding agent (Adper Scotchbond MultiPurpose Adhesive) on the marginal sealing ability of Class V hybrid resin composite (Esthet.X) restorations. Ninety-six non-carious human molars were randomly assigned to 8 groups (n=12). Class V cavities were prepared on either the facial or lingual surfaces, with coronal margins in enamel and apical margins in cementum (dentin), and restored following manufacturers' instructions. Following finishing and polishing procedures, the covering agents were applied to each restoration and adjacent tooth surface, except for the control group restorations, which were not sealed. The teeth were thermocycled, immersed in a 1% methylene blue dye solution, sectioned and analyzed for dye penetration (leakage) using a 20x binocular microscope. Microleakage was evaluated at the coronal and apical margins using an 0-3 ordinal grading scale. Non-parametric data was analyzed at a p< or =0.05 level of significance. The Kruskal-Wallis test showed a significant difference was exhibited among groups at the coronal margins, with Helioseal pit/fissure sealant and DuraFinish surface sealant exhibiting significantly less leakage than the control and Adper Scotchbond MultiPurpose adhesive. At the apical margins, DuraFinish surface sealant showed significantly less leakage than the Biscover, Seal-n-Shine and PermaSeal surface sealants or Helioseal pit/fissure sealant, Adper Scotchbond MultiPurpose adhesive and the control group. According to the Wicoxon signed-rank test, significantly greater leakage was revealed at the apical margins compared to the enamel margins of the material groups.

RCT Entities:   Population Interventions Outcomes