Marginal seal composition in amalgam restored teeth of varying marginal leakage.

Abstract

An in vitro study was performed to ascertain the marginal seal elemental composition of amalgam restored extracted teeth of known marginal leakage. Occlusal cavities were cut in 400 caries free extracted teeth and left unlined or lined with one of 5 bases. A varnish was applied to half the cavities followed by restoration with a low copper or high copper amalgam to produce 20 restoration combinations. The teeth were stored in 1 per cent NaCl and thymol for 3 and 12 months at 20 degrees C whereafter a standard fluorescent dye marginal leakage test was performed on 320 specimens (eight teeth per treatment). Restoration combinations were grouped into 4 seal classes depending on percentage marginal seal achieved for each combination: 0-25 per cent; 26-50 per cent; 51-75 per cent and 76-100 per cent. The 80 remaining teeth (2 teeth per treatment) were fractured to expose the restoration and cavity surface, covered with marginal seal material and this was analysed by energy dispersive X-ray analysis. Elemental seal composition was compared to percentage marginal seal achieved using ANOVA and Tukey's test with significance set at p < 0.05. Numbers of elemental analysis specimens falling into each marginal seal class was 0-25 per cent = 48; 26-50 per cent = 18; 51-75 per cent = 10; 76-100 per cent = 4. Of the 16 elements detected, nine were significantly linked to sealing/leakage: Ca, Cl, Cu, Mg, Hg, P, Ag, Sn and Zn. The findings have a bearing on the improved longevity of amalgam restorations.