Evaluation of the Quality of Margins in Class ІІ Bulk Fill Composite Restorations when Restored in Bulk and in the Incremental Filling Technique Using the Total Etch and Self Etch Technique

Abstract

Objective: To evaluate the marginal quality of class II composite restorations using a bulk fill composite when restored in bulk compared to an incremental filling technique following two different modes of bonding, total etch and self-etch technique. Methods: Forty-eight standardized class II box-shaped cavities were prepared on both the proximal surfaces of twenty-four mandibular molar teeth. Cavities were prepared with no-245 carbide bur on proximal surfaces. The teeth were divided into two groups, Group 1 which followed the self-etch strategy (n=12) and Group 2 which followed a total etch strategy (n=12). Each group was further divided into two subgroups based on the restorative technique followed, Sub group A – cavities on the mesial side which were bulk filled and Sub group B – cavities on the distal side which were incrementally filled. Specimens were placed in 2% methylene blue dye for 24 hrs and were then sectioned. Specimens were evaluated under stereomicroscope for microleakage. Data obtained was statistically analyzed using Kruskal Wallis test and Dunn’s multiple comparison test. Results: The results showed that between the two groups, the total etch technique showed the highest microleakage. Greater microleakage was observed in bulk fill technique when compared with incremental technique in group II. Conclusion: The degree of microleakage in a class II composite restoration is influenced not only by the adhesion strategy followed for the bonding agent, but also by the technique followed during composite restoration