Evaluation of Microleakage and Marginal Ridge Fracture Resistance of Primary Molars Restored with Three Restorative Materials: A Comparative in vitro Study.

Tapan Satish Yeolekar,Nk Kiran,Ks Mukunda,Nagalakshmi Ramesh Chowdhary

doi:10.5005/jp-journals-10005-1294

Tapan Satish Yeolekar, Nk Kiran + Show 2 more

Open Access

https://doi.org/10.5005/jp-journals-10005-1294

Copy DOI

Abstract

ABSTRACTComposite restorations are popular because of their superior esthetics and acceptable clinical performance. But shrinkage is still a drawback. Polymerization shrinkage results in volumetric contraction, leading to deformation of the cusps, microleakage, decrease of marginal adaptation, enamel micro-cracks and postoperative sensitivity.A new class of ring opening resin composite based on silorane chemistry has been introduced with claims of less than 1% shrinkage during polymerization. The present study was conducted to evaluate and compare the ability of low shrink silorane based material, a packable composite and a compomer to resist microleakage in class II restorations on primary molars and evaluate marginal ridge fracture resistance of these materials.Sixty human primary molars were selected. Class II cavities were prepared and the teeth were divided into three groups of twenty each. Groups were as follows group I: low shrink composite resin (Filtek P90). Group II: packable composite (Filtek P60) and Group III: compomer (Compoglass F). Half of the teeth were used for microleakage and the rest for marginal ridge fracture resistance. For microleakage testing, dye penetration method was used with 1% methylene blue dye. Followed by evaluation and grading under stereomicroscope at 10* magnification. Fracture resistance was tested with universal testing machine.It was concluded that low shrink silorane based composite resin showed the least amount of microleakage, whereas compomer showed the highest microleakage. Packable composite resisted fracture of marginal ridge better than other composite resins. Marginal ridge fracture resistance of packable composite was comparable to the intact side.How to cite this article: Yeolekar TS, Chowdhary NR, Mukunda KS, Kiran NK. Evaluation of Microleakage and Marginal Ridge Fracture Resistance of Primary Molars Restored with Three Restorative Materials: A Comparative in vitro Study. Int J Clin Pediatr Dent 2015;8(2):108-113.

Highlights

IntroductionResin-based composite materials have been widely used in restorative dentistry
In recent years, resin-based composite materials have been widely used in restorative dentistry
Teeth were divided into three groups, group I consisted of teeth restored with low shrink composite resin (Filtek P90) (3M ESPE,MN, USA)

Summary

Introduction

Resin-based composite materials have been widely used in restorative dentistry. The popularity of these restorations has increased because of a demand for cosmetic, tooth-colored restorations and a decreased acceptance of traditional amalgam by the patients. Despite recent dramatic improvements in the technology of composite resins and their adhesive systems, polymerization shrinkage, which occurs as the material cures, remains a major problem. This shrinkage pulls the restorative material away from the cavity walls, resulting in rupture of the adhesion and the formation of marginal gaps. These gaps cause postoperative sensitivity, discoloration and secondary caries at the restoration interface, and pulpal pathology, eventually leading to failure of the restorations.[1]

Methods

Results

Conclusion