Literature DB >> 20613929

Microleakage of flowable composite restorations.

Vasudev Ballal1.   

Abstract

Entities:  

Year:  2010        PMID: 20613929      PMCID: PMC2897874     

Source DB:  PubMed          Journal:  Eur J Dent


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I read with great interest the article entitled “Effects of different light curing units/modes on the microleakage of flowable composite resins” by A. Ruya Yazici et al which has been published in your esteemed journal (Eur J Dent 2008;2:240–246). I want to share few of my thoughts regarding this study. It was a good study comparing different curing units/modes and flowable composite resins, but the authors can further redefine the study by incorporating few parameters. First, the teeth with class V cavities which were restored with flowable composite resin could have been subjected to occlusal loading prior to microleakage testing. Studies have proven that, the teeth (especially posteriors) are subjected to heavy occlusal stresses at the cervical area during the normal function and parafunction. These stresses tend to flex the teeth. As the teeth flexes, tensile and shear stresses are generated at the cervical region.1 These stresses may cause debonding of composite resin from the cavity margins and thereby increases the potential for microleakage. Second, dye leakage studies can be conducted under vacuum pressure, since the validity of dye leakage studies has been questioned because of the possible effect of entrapped air on the ingress of the dye solution.2 Studies have reported that vacuum pressure decreases the volume of entrapped air and allows complete dye penetration.3 Hence, authors can perform further similar studies using the above mentioned parameters for the better appreciation of the results. The aim of this study was to evaluate the effects of different light curing units/modes on the microleakage of flowable composite resins. If the specimens were subjected to load cycling, they might similarly resistant to load cycling as the other parameters were constant. On the other hand the load cycling parameter could be a scope of another study. There are also contradictory findings related with load cycling. Yap reported that mechanical load cycling had no appreciable effects on microleakage at the enamel–cement interface but caused an increase in microleakage at the dentine–cement interface.1 In another study, it was found that mechanical loading had no influence on leakage patterns either cervically or occlusally.2 The use of a vacuum has been suggested as a means to eliminate the air within the dentinal structure, in other words entrapped air is removed by vacuuming. When we evaluate the literature, dye leakage studies under vacuum pressure are generally performed in endodontic studies. However there are also controversial results about the effects of vacuum pressure. Pathomvanich and Edmunds3 assessed the extent of apical dye leakage in relation to root fillings under conditions of passive dye penetration, centrifugation, a vacuum technique and an increased air pressure technique. They found no significant differences between the four microleakage techniques. Another study was conducted to verity whether different conditions of contact with a dye solution would result in different levels of the impregnation by the marker agent in human radicular dentin were evaluated. The teeth were immersed in methylene blue dye under six different conditions: passive immersion; pre-agitation for 10 min using an endodontic ultrasound; pre-agitation for 10 min using a cleaning ultrasound; 25 mmHg vacuum for 10 min followed by passive immersion; 30 mmHg and 650 mmHg vacuum for 24 h. They also found no significant difference among the different methods for dye impregnation.4 These results are in accordance with those of other authors who did not observe significant differences in the results obtained with a vacuum, specimen pressurization or passive immersion.5,6 That’s why we did not evaluate microleakage pattern under vacuum pressure.
  9 in total

1.  The effect of variation in occlusal loading on the development of abfraction lesions: a finite element study.

Authors:  J S Rees
Journal:  J Oral Rehabil       Date:  2002-02       Impact factor: 3.837

2.  Entrapped air and its effects on dye penetration of voids.

Authors:  C M Oliver; P V Abbott
Journal:  Endod Dent Traumatol       Date:  1991-06

3.  In vitro analysis of the penetration of methylene blue dye in human radicular dentin using different methods of impregnation.

Authors:  Ronise Ferreira; Antonio C Bombana; Isaac J Sayeg
Journal:  Aust Endod J       Date:  2008-12       Impact factor: 1.659

4.  Effects of vacuuming on dye penetration patterns in root canals and glass tubes.

Authors:  J Masters; R Higa; M Torabinejad
Journal:  J Endod       Date:  1995-06       Impact factor: 4.171

5.  An in vitro microleakage study of a new multi-purpose dental adhesive system.

Authors:  A Yap; A N Stokes; G J Pearson
Journal:  J Oral Rehabil       Date:  1996-05       Impact factor: 3.837

6.  Effects of storage, thermal and load cycling on a new reinforced glass-ionomer cement.

Authors:  A U Yap
Journal:  J Oral Rehabil       Date:  1998-01       Impact factor: 3.837

7.  The sealing ability of Thermafil obturators assessed by four different microleakage techniques.

Authors:  S Pathomvanich; D H Edmunds
Journal:  Int Endod J       Date:  1996-09       Impact factor: 5.264

8.  Leakage evaluation with and without vacuum of two gutta-percha fill techniques.

Authors:  S S Dickson; D D Peters
Journal:  J Endod       Date:  1993-08       Impact factor: 4.171

9.  The relative sealing ability of paste-type filling materials.

Authors:  P M Spradling; E S Senia
Journal:  J Endod       Date:  1982-12       Impact factor: 4.171

  9 in total

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