Comparative Evaluation of Marginal Leakage of Various Bevel Designs Using Direct Composite Restoration in Fractured Anterior Teeth: An In Vitro Study.

Abstract

Background and objective Resin-based restorative materials are the backbone of modern restorative dentistry. But in spite of being an excellent material, there are many shortcomings with direct resin restorative materials such as polymerization shrinkage and microleakage that complicate the rate of clinical success. Hence, the aim of the present study is to compare the microleakage caused by composite restorations usingtwo different bevels, primary and zigzag bevels, while restoring fractured anterior teeth. Materials and methodology Thirty non-carious maxillary central incisors were split into two divisions wherein Group I received the primary bevel and Group II received the zigzag bevel. After receiving the bevel, the samples are restored with direct filling composite material (Neo Spectra ST, Dentsply Sirona, Charlotte, NC, USA). The restored samples underwent thermocycling (Holmarc, Kochi, India) and were assessed for microleakage under a stereomicroscope (Leica M205, Wetzlar, Germany).For the statistical analysis, IBM SPSS Statistics for Windows, V. 23.0 (IBM Corp., Armonk, NY) was used. Descriptive statistics were expressed in mean and standard deviation. Analytical statistics including the independent Student t-test was used to assess the difference derived from both groups at p<0.05. The normality of the data was assessed using the Shapiro-Wilk test. Results In the primary bevel, 53.3% of the samples showed first-degree microleakage, and 46.7% showed second-degree microleakage, respectively, and in samples restored using the zigzag bevel, 66.7% of the samples had no microleakage, and 33.3%of the samples had first-degree microleakage. The independent t-test revealed that the microleakage of the zigzag bevel showed a significantdifference, being superior to the primary bevel at p<0.01. Conclusion Acknowledging the limitations of the study conducted, both bevel designs had a certain degree of microleakage when restored with composite material in anterior fractured teeth. However, the zigzag bevel produced significantly lesser microleakage as compared to the primary bevel restorations.