Evaluation of the ceramic laminate veneer-tooth interface after different resin cement excess removal techniques.

Abstract

To compare, in vitro, resin cement excess removal techniques at the veneer-tooth interface. Anterior human teeth were restored with ceramic veneers and randomly divided according to the following techniques (n = 10): removal of excess resin cement with brush and dental floss, followed by light-curing with Valo (Group 1) or Elipar (Group 2) for 1min and 40s; tack-curing with Valo (Group 3) or Elipar (Group 4) for 1s; and tack-curing with Valo (Group 5) or Elipar (Group 6) for 5s. The tack-curing was followed by removal of excess with probe and dental floss and light-curing for 1min and 40s. The area of excess resin cement (mm2) was measured in micro-CT images using AutoCAD program. The failures at the cervical margin in the X, Y, and Z axes (µm) of greater value were measured using the DataViewer program. The specimens were submitted to microleakage with 2% basic fuchsin. According to the Kruskal-Wallis and multiple comparison test, the highest area of excess resin cement was found in Group 1 (5.06 mm2), which did not differ statistically from Groups 2 (3.70 mm2) and 5 (2.19 mm2). Groups 2, 3 (1.73 mm2), 4 (1.14 mm2), and 5 (2.18 mm2) did not differ statistically. Group 6 (0.77 mm2) obtained the lowest value, which did not differ statistically from Groups 3 and 4. According to the Kruskal-Wallis and Dunn test, there was no significant difference in failures in X (p = 0.981), Y (p = 0.860), and Z (p = 0.638) axes and no significant difference in microleakage (p = 0.203) among the groups. Tack-curing for 1s or 5s, followed by removal of excess resin cement using a probe and a dental floss, tended to result in a lower amount of excess material around the margin. The technique used for resin cement excess removal influences the amount of excess leaved at the veneer-tooth interface. Tack-curing for 1s or 5s is recommended to mitigate the excess resin cement.