Microleakage Evaluation of a Silorane-Based and Methacrylate-Based Packable and Nanofill Posterior Composites (in vitro comparative study)

Manhal A. Majeed
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Abstract

This study compared in vitro the microleakage of a new low shrink silorane-based posterior composite (Filtek™ P90) and two methacrylate-based composites: a packable posterior composite (Filtek™ P60) and a nanofill composite (Filtek™ Supreme XT) through dye penetration test. Thirty sound human upper premolars were used in this study. Standardized class V cavities were prepared at the buccal surface of each tooth. The teeth were then divided into three groups of ten teeth each: (Group 1: restored with Filtek™ P90, Group 2: restored with Filtek™ P60, and Group 3: restored with Filtek™ Supreme XT). Each composite system was used according to the manufacturer's instructions with their corresponding adhesive systems. The teeth were then thermocycled, immersed in 1% methylene blue dye for 24 hours at room temperature, embedded in auto-polymerizing acrylic resin and sectioned longitudinally bucco-lingually. Microleakage was evaluated by assessing the linear dye penetration at the tooth/restoration interface occlusally and gingivally. The highest microleakage score occlusally or gingivally was recorded and the results were analyzed statistically using SPSS version 13. The results of this study showed that the silorane-based posterior composite Filtek™ P90 showed significantly less microleakage than the methacrylate-based packable composite (Filtek™ P60) and the nano-filled composite (Filtek™ Supreme XT) when the tooth-restoration interface is located in enamel.
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硅烷基和甲基丙烯酸甲酯基可填料和纳米填充后复合材料的微渗漏评估(体外比较研究)
本研究通过染料渗透测试,在体外比较了一种新型低收缩硅烷基后牙复合材料(Filtek™ P90)和两种甲基丙烯酸酯基复合材料的微渗漏情况:一种可包装后牙复合材料(Filtek™ P60)和一种纳米填充复合材料(Filtek™ Supreme XT)。本研究使用了 30 颗健全的人类上前磨牙。在每颗牙齿的颊面制备了标准化的 V 级龋洞。然后将牙齿分为三组,每组十颗:(第一组:用 Filtek™ P90 修复,第二组:用 Filtek™ P60 修复,第三组:用 Filtek™ Supreme XT 修复)。每种复合材料系统都按照制造商的说明使用相应的粘合剂系统。然后对牙齿进行热循环处理,在室温下将其浸泡在 1%亚甲基蓝染料中 24 小时,嵌入自动聚合丙烯酸树脂中,并在颊舌侧纵向切片。通过评估染料在咬合面和龈沟面牙齿/修复体界面的线性渗透情况来评估微渗漏情况。记录咬合面或龈沟面的最高微渗漏分数,并使用 SPSS 13 版对结果进行统计分析。研究结果表明,当牙齿与修复体界面位于珐琅质时,硅烷基后处理复合材料 Filtek™ P90 的微渗漏明显少于甲基丙烯酸酯基可包装复合材料(Filtek™ P60)和纳米填充复合材料(Filtek™ Supreme XT)。
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