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During a composite resin restoration, an anticipating contraction gap is usually tried to seal with low-viscosity resin after successive polishing, etching, rinsing and drying steps, which as a whole is called rebonding procedure. However, the gap might already have been filled with water or debris before applying the sealing resin. We hypothesized that microleakage would decrease if the rebonding agent was applied before the polishing step, i.e., immediately after curing composite resin. On the buccal and lingual surfaces of 35 extracted human molar teeth, class V cavities were prepared withthe occlusal margin in enamel and the gingival margin in dentin. They were restored with a hybrid composite resin Z250 (3M ESPE, USA) using an adhesive AdperTM Single Bond 2 (3M ESPE). As rebonding agents, BisCover LV (Bisco, USA), ScotchBond Multi-Purpose adhesive (3M ESPE) and an experimental adhesive were applied on the restoration margins before polishing step or after successive polishing and etching steps. The infiltration depth of 2% methylene blue into the margin was measured using an optical stereomicroscope. The correlation between viscosity of rebonding agents and mciroleakage was also evaluated. There were no statistically significant differences in the microleakage within the rebonding procedures, within the rebonding agents, and within the margins. However, when the restorations were not rebonded, the microleakage at gingival margin was significantly higher than those groups rebonded with 3 agents (p < 0.05). The difference was not observed at the occlusal margin. No significant correlation was found between viscosity of rebonding agents and microleakage, except very weak correlation in case of rebonding after polishing and etching at gingival margin (r = -0.326, p = 0.041).

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  Seung-Ryong Kim, Dong-Hoon Shin
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The purpose of this study was to compare the microleakage of low and high viscosity flowable resins in class V cavities applied with 1-step adhesives.

Forty class V cavities were prepared on the cervices of buccal and lingual surfaces of extracted molar teeth and divided into four groups (n=8). Cavities were restored with AQ Bond Plus/Metafil Flo α, G-Bond/UniFil LoFlo Plus (Low flow groups), AQ Bond Plus/Metafil Flo and G-Bond/UniFil Flow (High flow group), respectively.

Specimens were immersed in a 2% methylene blue solution for 24 hours, and bisected longitudinally. They were observed microleakages at the enamel and dentinal margins.

In conclusion, the low viscosity flowable resins showed lower marginal microleakage than do the high viscosity flowable resins in class V cavities.

We evaluated in vitro microleakage of Mineral Trioxide Aggregate (MTA) powder with 4-methacryloxyethyl trimellitate anhydride (4-META) / methyl methacrylate (MMA) & tri-n-butylborane (TBB) resin as a retrograde filling material by using methylene blue dye method.

Fifty-two single rooted, extracted teeth were instrumented and obturated with gutta percha and AH plus sealer. The apical 3mm of each root was resected and 3mm deep ultrasonic root end preparation was done. External surface of roots was coated with nail varnish. Prepared teeth were randomly divided into five groups; Negative control: completely covered with nail varnish; Positive control: coated with nail varnish except for apical foramen; Group 1 (retrofilled with Portland cement); Group 2 (retrofilled with MTA); Group 3 (retrofilled with MTA powder mixed with 4-META/MMA & TBB resin). Immediately after completion of root-end filling, all specimens were submerged in methylene blue dye for 72 hours in 37℃ incubator. The roots were longitudinally sectioned and measured for extent of dye penetration by three different examiners under microscope (×10). The results were statistically analyzed using one way ANOVA and Turkey's HSD test. No leakage was evident in negative control and complete leakage in positive control group. Group 3 showed significantly less leakage than group 1 and 2 (p < 0.01). There was no significant difference between group 1 and 2 (p > 0.01).

It was concluded that MTA powder with 4-META/MMA & TBB resin was excellent in reducing initial apical microleakage.

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• Sealing Ability of Three Different Materials Used as Retrograde Filling
  Ji-Hoon Park, Seung-Bok Kang, Yong-Hoon Choi, Ji-Hyun Bae
  Journal of Korean Dental Science.2012; 5(2): 60.     CrossRef
• Physical properties of novel composite using Portland cement for retro-filling material
  Sang-Jin Lee, Ok-In Cho, Jiwan Yum, Jeong-Kil Park, Bock Hur, Hyeon-Cheol Kim
  Journal of Korean Academy of Conservative Dentistry.2010; 35(6): 445.     CrossRef

This study was done to determine if there is any difference in microleakage between experimental composite resins, in which various proportions of three component photoinitiators (Camphoroquinone, OPPI, Amine) were included.

Four kinds of experimental composite resin were made by mixing 3.2% silanated barium glass (78 wt.%, average size; 1 µm) with each monomer system including variously proportioned photoinitiator systems used for photoinitiating BisGMA/BisEMA/TEGDMA monomer blend (37.5:37.5:25 wt.%). The weight percentage of each component were as follows (in sequence Camphoroquinone, OPPI, Amine): Group A - 0.5%, 0%, 1% / Group B - 2%, 0.2%, 2% / Group C - 0.2%, 1%, 0.2% / Group D - 1%, 1%, 2%.

Each composite resin was used as a filling material for round class V cavities (diameter: 2/3 of mesiodistal width; depth: 1.5 mm) made on extracted human premolars and they were polymerized using curing light unit (XL 2500, 3M ESPE) for 40 s with an intensity of 600 mW/cm². Teeth were thermocycled five-hundred times between 50℃ and 550℃ for 30s at each temperature.

Electrical conductivity (µA) was recorded two times (just after thermocycling and after three-month storage in saline solution) by electrochemical method.

Microleakage scores of each group according to evaluation time were as follows [Group: at first record / at second record; unit (µA)]: A: 3.80 (0.69) / 13.22 (4.48), B: 3.42 (1.33) / 18.84 (5.53), C: 4.18 (2.55) / 28.08 (7.75), D: 4.12 (1.86) / 7.41 (3.41).

Just after thermocycling, there was no difference in microleakage between groups, however, group C showed the largest score after three-month storage. Although there seems to be no difference in microleakage between groups just after thermocycling, composite resin with highly concentrated initiation system or classical design (Camphoroquinone and Amine system) would be more desirable for minimizing microleakage after three-month storage.

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• Comparison of polymerization shrinkage of dual-cure core build-up resin according to shade and curing mode
  Yoorina Choi, Karl Lee, Hoon-Sang Chang
  Oral Biology Research.2019; 43(4): 243.     CrossRef
• Optimal combination of 3-component photoinitiation system to increase the degree of conversion of resin monomers
  Chang-Gyu Kim, Ho-Jin Moon, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2011; 36(4): 313.     CrossRef

The purpose of this study was to compare the apical microleakage in root canal filled with Resilon by methacrylate-based root canal sealer or 2 different self-adhesive resin cements. Seventy single-rooted extracted human teeth were sectioned at the CEJ perpendicular to the long axis of the roots with diamond disk. Canal preparation was performed with crown-down technique using Profile NiTi rotary instruments and GG drill. Each canal was prepared to ISO size 40, .04 taper and 1 mm short from the apex. The prepared roots were randomly divided into 4 experimental groups of 15 roots each and 5 roots each for positive and negative control group. The root canals were filled by lateral condensation as follows. Group 1: Guttapercha with AH-26, Group 2: Resilon with RealSeal primer & sealer, Group 3: Resilon with Rely-X Unicem, Group 4: Resilon with BisCem. After stored in 37℃, 100% humidity chamber for 7 days, the roots were coated with 2 layers of nail varnish except apical 3 mm. The roots were then immersed in 1% methylene blue dye for 7 days. Apical microleakage was measured by a maximum length of linear dye penetration after roots were separated longitudinally. One way ANOVA and Scheffe's post-hoc test were performed for statistical analysis. Group 1 showed the least apical leakage and there was no statistical significance between Group 2, 3, 4. According to the results, the self adhesive resin cement is possible to use as sealer instead of primer & sealant when root canal filled by Resilon.

The purpose of this study was to compare the sealing abilities of four endodontic temporary restorative materials using a methylene blue dye penetration test under dynamic loading. Standardized access cavities were prepared in forty-four intact human permanent molar teeth, and the cavities were restored with Caviton, MD-Temp, IRM, or ZOE. After thermocycling, an intermittent load of 98 N at 1 Hz was applied for 1,000 cycles to the long axis of the functional cusp of each of the teeth, which were immersed in a 1% methylene blue solution. The teeth were split in half, and the linear depth of dye penetration was evaluated according to the criteria. The results were analyzed using one-way ANOVA (p = 0.05) and Duncan's multiple range test. The results demonstrated that Caviton and MD-Temp showed significantly lower microleakage than IRM and ZOE. It was concluded that Caviton and MD-Temp exhibited better sealing ability than IRM and ZOE under dynamic loading.

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• Coronal microleakage of four temporary restorative materials in Class II-type endodontic access preparations
  Sang-Mi Yun, Lorena Karanxha, Hee-Jin Kim, Sung-Ho Jung, Su-Jung Park, Kyung-San Min
  Restorative Dentistry & Endodontics.2012; 37(1): 29.     CrossRef

The purpose of this study was to compare the apical microleakage in root canal filled with Resilon by several self-etching primers and methacrylate-based root canal sealer. Seventy single-rooted human teeth were used in this study. The canals were instrumented by a crown-down manner with Gate-Glidden drills and .04 Taper Profile to ISO #40. The teeth were randomly divided into four experimental groups of 15 teeth each according to root canal filling material and self-etching primers and two control groups (positive and negative) of 5 teeth each as follows: group 1 - gutta percha and AH26® sealer; group 2 - Resilon, RealSeal™ primer and RealSeal™ sealer; group 3 - Resilon, Clearfil SE Bond® primer and RealSeal™ sealer group 4 - Resilon, AdheSe® primer and RealSeal™ sealer. Apical leakage was measured by a maximum length of linear dye penetration of roots sectioned longitudinally by diamond disk. Statistical analysis was performed using the One-way ANOVA followed by Scheffe's test. There were no statistical differences in the mean apical dye penetration among the groups 2, 3 and 4 of self-etching primers. And group 1, 2 and 3 had also no statistical difference in apical dye penetration. But, there was statistical difference between group 1 and 4 (p < 0.05). The group 1 showed the least dye penetration. According to the results of this study, Resilon with self-etching primer was not sealed root canal better than gutta precha with AH26® at sealing root canals. And there was no significant difference in apical leakage among the three self-etching primers.

The purpose of this study was to measure the polymerization shrinkage and hygroscopic expansion of resin-based temporary filling materials and to evaluate microleakage at the interface between the materials and cavity wall.

Five resin-based temporary filing materials were investigated: Fermit (Vivadent), Quicks (Dentkist), Provifil (Promedica), Spacer (Vericom), Clip (Voco). Caviton (GC) was also included for comparison. Polymerization shrinkage of five resin-based temporary filling materials was measured using the bonded disc method. For the measurement of hygroscopic expansion, the discs of six cured temporary filling materials were immersed in saline and a LVDT displacement sensor was used to measure the expansion for 7 days. For estimating of microleakage, Class I cavities were prepared on 120 extracted human molars and randomly assigned to 6 groups of 20 each. The cavities in each group were filled with six temporary filling materials. All specimens were submitted to 1000 thermo-cycles, with temperature varying from 5℃/55℃. Microleakage was determined using a dye penetration test.

The results were as follows:

Fermit had significantly less polymerization shrinkage than the other resin-based temporary filling materials. Fermit (0.22 %) < Spacer (0.38 %) < Quicks (0.64 %), Provifil (0.67 %), Clip (0.67 %)

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• Comparison of color stability, gloss, mechanical and physical properties according to dental temporary filling materials type
  Ji-Won Choi, You-Young Shin, Song-Yi Yang
  Korean Journal of Dental Materials.2022; 49(3): 97.     CrossRef
• Comparative analysis of strain according to two wavelengths of light source and constant temperature bath deposition in ultraviolet-curing resin for dental three-dimensional printing
  Dong-Yeon Kim, Gwang-Young Lee, Hoo-Won Kang, Cheon-Seung Yang
  Journal of Korean Acedemy of Dental Technology.2020; 42(3): 208.     CrossRef
• Effect of cavity disinfectants on antibacterial activity and microtensile bond strength in class I cavity
  Bo-Ram KIM, Man-Hwan OH, Dong-Hoon SHIN
  Dental Materials Journal.2017; 36(3): 368.     CrossRef
• Shear bond strength of a self-adhesive resin cement to resin-coated dentin
  Jee-Youn Hong, Cheol-Woo Park, Jeong-Uk Heo, Min-Ki Bang, Jae-Jun Ryu
  The Journal of Korean Academy of Prosthodontics.2013; 51(1): 27.     CrossRef
• Coronal microleakage of four temporary restorative materials in Class II-type endodontic access preparations
  Sang-Mi Yun, Lorena Karanxha, Hee-Jin Kim, Sung-Ho Jung, Su-Jung Park, Kyung-San Min
  Restorative Dentistry & Endodontics.2012; 37(1): 29.     CrossRef
• Microtensile bond strength of resin inlay bonded to dentin treated with various temporary filling materials
  Tae-Woo Kim, Bin-Na Lee, Young-Jung Choi, So-Young Yang, Hoon-Sang Chang, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
  Journal of Korean Academy of Conservative Dentistry.2011; 36(5): 419.     CrossRef
• The Effect of Temporary Filling Materials on The Adhesion between Dentin Adhesive-coated Surface and Resin Inlay
  Tae-Gun Kim, Kwang-Won Lee, Mi-Kyung Yu
  Journal of Korean Academy of Conservative Dentistry.2008; 33(6): 553.     CrossRef

The purpose of this study was to evaluate the effect of a new resin monomer on the microleakage of composite resin restorations. By adding new methoxylated Bis-GMA (Bis-M-GMA, 2,2-bis[4-(2-methoxy-3-methacryloyloxy propoxy) phenyl] propane) having low viscosity, the content of TEGDMA which has adverse effects on polymerization shrinkage might be decreased. As a result, microleakage might be improved.

2 mm × 2 mm × 2 mm cavities with occlusal margins in enamel and gingival margins in dentin were prepared on buccal and lingual surfaces of 40 extracted human premolars. Prepared teeth were randomly divided into four groups and restored with Clearfil SE bond (Kuraray, Japan) and one of experimental composite resins; EX1, Experimental composite resin1 (Bis-M-GMA/TEGDMA = 95/5 wt%, 40 nm nanofillers); EX2, Experimental composite resin2 (Bis-M-GMA/TEGDMA = 95/5 wt%, 20 nm nanofillers); EX3, Experimental composite resin3 (Bis-GMA/TEGDMA = 70/30 wt%, 40 nm nanofillers); and Filtek Z250 (3M ESPE, USA) was filled as a control group. The restored teeth were thermocycled, and immersed in 2% methylene blue solution for 24 hours. The teeth were sectioned buccolingually with a low speed diamond saw and evaluated for microleakage under stereomicroscope. The data were statistically analyzed by Pearson Chi-Square test and Fisher Exact test (p = 0.05).

The microleakage scores seen at the enamel margin were significantly lower than those of dentin margin (p = 0.007). There were no significant differences among the composite resins in the microleakage scores within each margin (p > 0.05). Bis-M-GMA, a new resin monomer having low viscosity, might in part replace high viscous Bis-GMA and might improve the quality of composite resin.

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• Sealing Ability of Three Different Materials Used as Retrograde Filling
  Ji-Hoon Park, Seung-Bok Kang, Yong-Hoon Choi, Ji-Hyun Bae
  Journal of Korean Dental Science.2012; 5(2): 60.     CrossRef
• Surface roughness of experimental composite resins using confocal laser scanning microscope
  JH Bae, MA Lee, BH Cho
  Journal of Korean Academy of Conservative Dentistry.2008; 33(1): 1.     CrossRef

The purpose of this study was to compare the marginal microleakage of different 2-step adhesive systems in Class V cavities prepared with different diamond points.

Forty Class V cavities were prepared with two different (coarse or fine) diamond points on cervical third of extracted molars. The occlusal and gingival margin of cavities was located in enamel and dentin, respectively. They were divided into one of four equal groups (n = 10) and ; Group 1-prepared with coarse diamond point (EX-41), restored with Single Bond and Z 250, Group 2-prepared with fine diamond piont (TF-21F), restored with Single Bond and Z 250, Group 3-prepared with coarse diamond point (EX-41), restored with Clearfil SE Bond and Clearfil AP-X, Group 4-prepared with fine diamond point (TF-21F), restored with Clearfil SE Bond and Clearfil AP-X.

Specimens were thermocycled, immersed in a 2% methylene blue solution for 24 hours, and bisected longitudinally. They were observed leakages at enamel and dentinal margins. Data were analyzed using Mann-Whitney and Wilcoxon signed ranked test.

In this study, marginal microleakage of Single Bond was not affected by type of diamond points. But Clearfil SE Bond showed higher marginal microleakage at both enamel and dentinal margin when Class V cavity was prepared with coarse diamond point.

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• Microshear bond strength of a self-etching primer adhesive to enamel according to the type of bur
  Jin-Ho Jeong, Young-Gon Cho, Myung-Seon Lee
  Journal of Korean Academy of Conservative Dentistry.2011; 36(6): 477.     CrossRef
• Effect of cutting instruments on the dentin bond strength of a self-etch adhesive
  Young-Gon Lee, So-Ra Moon, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2010; 35(1): 13.     CrossRef

Present tooth bonding system can be categorized into total etching bonding system (TE) and self-etching boding system (SE) based on their way of smear layer treatment. The purposes of this study were to compare the effectiveness between these two systems and to evaluate the effect of number of themocycling on microleakage of class V composite resin restorations.

Total forty class V cavities were prepared on the single-rooted bovine teeth and were randomly divided into four experimental groups: two kinds of bonding system and another two kinds of thermocycling groups. Half of the cavities were filled with Z250 follwing the use of TE system, Single Bond and another twenty cavities were filled with Metafil and AQ Bond, SE system. All composite restoratives were cured using light curing unit (XL2500, 3M ESPE, St. Paul, MN, USA) for 40 seconds with a light intensity of 600 mW/cm².

Teeth were stored in distilled water for one day at room temperature and were finished and polished with Sof-Lex system. Half of teeth were thermocycled 500 times and the other half were thermocycled 5,000 times between 5℃ and 55℃ for 30 second at each temperature.

Teeth were isolated with two layers of nail varnish except the restoration surface and 1 mm surrounding margins. Electrical conductivity (µA) was recorded in distilled water by electrochemical method. Microleakage scores were compared and analyzed using two-way ANOVA at 95% level.

From this study, following results were obtained: There was no interaction between variables of bonding system and number of thermocycling (p = 0.485). Microleakage was not affected by the number of thermocycling either (p = 0.814). However, Composite restoration of Metafil and AQ Bond, SE bond system showed less microleakage than composite restoration of Z250 and Single Bond, TE bond system (p = 0.005).

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• Evaluation of Shear Bond Strength and Microleakage of Bulk-fill Resin Composites
  Hanbyeol Lee, Hyunwoo Seo, Juhyun Lee, Howon Park
  THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY.2015; 42(4): 281.     CrossRef
• Effect of Er:YAG lasing on the dentin bonding strength of two-step adhesives
  Byeong-Choon Song, Young-Gon Cho, Myung-Seon Lee
  Journal of Korean Academy of Conservative Dentistry.2011; 36(5): 409.     CrossRef
• Microleakage of the experimental composite resin with three component photoinitiator systems
  Ji-Hoon Kim, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2009; 34(4): 333.     CrossRef

The purpose of this study was to evaluate the effect of burs on microleakage of Class V resin restorations when a self-etching primer adhesive was used.

Forty Class V cavities were prepared with four different cutting burs on extracted third molars, and divided into one of four equal groups (n = 10); Group 1-plain cut carbide bur (no. 245), Group 2-cross cut carbide bur (no. 557), Group 3-fine diamond bur (TF-21F), Group 4-standard diamond bur (EX-41).

The occlusal and gingival margin of cavities was located in enamel and dentin, respectively. Cavities were treated with Clearfil SE Bond and restored with Clearfil AP-X. Specimens were thermocycled, immersed in a 2% methylene blue solution for 24 hours, and bisected longitudinally. They were observed leakages at enamel and dentinal margins. Data were analyzed using Mann-Whitney and Wilcoxon signed ranked test.

The results of this study were as follows;

1. At enamel margin, microleakage of group 4 was statistically higher than those of group 1, 2 and 3 (p < 0.01).

2. At dentinal margin, microleakage of group 4 was statistically higher than group 3 (p < 0.01), but group 1 and 2 were not statistically different with group 3 and 4.

3. Enamel microleakage was statistically higher than dentinal microleakage in group 1, 2 and 3 (p < 0.05), but statistical difference between the microleakage of enamel and dentinal margin was not in group 4.

In conclusion, the use of coarse diamond bur showed high microleakage at both enamel and dentinal margin when Clearfil SE Bond was used in class V cavity.

Citations

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• Microshear bond strength of a self-etching primer adhesive to enamel according to the type of bur
  Jin-Ho Jeong, Young-Gon Cho, Myung-Seon Lee
  Journal of Korean Academy of Conservative Dentistry.2011; 36(6): 477.     CrossRef
• Effect of cutting instruments on the dentin bond strength of a self-etch adhesive
  Young-Gon Lee, So-Ra Moon, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2010; 35(1): 13.     CrossRef

Competition will usually develop between the opposing walls as the restorative resin shrinks during polymerization. Magnitude of this phenomenon may be depended upon cavity configuration and volume.

The purpose of this sturdy was to evaluate the effect of cavity configuration and volume on microleakage of composite resin restoration that has margins on the enamel site only.

The labial enamel of forty bovine teeth was ground using a model trimmer to expose a flat enamel surface. Four groups with cylindrical cavities were defined, according to volume and configuration factor (Depth × Diameter / C-factor) - Group I: 1.5 mm × 2.0 mm / 4.0, Group II: 1.5 mm × 6.0 mm / 2.0, Group III: 2.0 mm × 1.72 mm / 5.62, Group IV: 2.0 mm × 5.23 mm / 2.54.

After treating with fifth-generation one-bottle adhesive - BC Plus™ (Vericom, AnYang, Korea), cavities were bulk filled with microhybrid composite resin - Denfill™ (Vericom). Teeth were stored in distilled water for one day at room temperature and were finished and polished with Sof-Lex system. Specimens were thermocycled 500 times between 5℃ and 55℃ for 30 second at each temperature.

Teeth were isolated with two layers of nail varnish except the restoration surface and 1 mm surrounding margins. Electrical conductivity (µA) was recorded in distilled water by electrochemical method. Microleakage scores were compared and analyzed using two-way ANOVA at 95% level.

The results were as follows:

1. Small cavity volume showed lower microleakage score than large one, however, there was no statistically significant difference.

2. There was no relationship between cavity configuration and microleakage.

Factors of cavity configuration and volume did not affect on microleakage of resin restorations with enamel margins only.

Citations

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• Influence of rebonding procedures on microleakage of composite resin restorations
  Mi-Ae Lee, Duck-Kyu Seo, Ho-Hyun Son, Byeong-Hoon Cho
  Journal of Korean Academy of Conservative Dentistry.2010; 35(3): 164.     CrossRef
• Microleakage of the experimental composite resin with three component photoinitiator systems
  Ji-Hoon Kim, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2009; 34(4): 333.     CrossRef
• A survey on the use of composite resin in Class II restoration in Korea
  Dong-Ho Shin, Se-Eun Park, In-Seok Yang, Juhea Chang, In-Bog Lee, Byeong-Hoon Cho, Ho-Hyun Son
  Journal of Korean Academy of Conservative Dentistry.2009; 34(2): 87.     CrossRef
• Difference in bond strength according to filling techniques and cavity walls in box-type occlusal composite resin restoration
  Eun-Joo Ko, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2009; 34(4): 350.     CrossRef

The purpose of this study was to estimate the relation between techniques used for microleakage from dye penetration and for marginal adaptation from SEM evaluation of the restoration.

Using high speed #330 bur, class V cavities (4 × 3 × 1.5 mm around CEJ) were prepared on the buccal surface of 20 extracted human molars. Six dimples as reference points for SEM and dye penetration evaluation were made with 1/2 round bur. Cavity was bulk filled with microhybrid composite resin (Esthet X) and all-in-one adhesive (Xeno III). Teeth were stored in saline solution for one day, after then, they were finished and polished using Sof-Lex system.

Fifty percent silver nitrate dye solution was used for the evaluation of microleakage and resin replica was used for marginal adaptation. All of these were done after 1000 times thermocycling between 5 and 55℃.

Vertical sections were made through three dimples of restoration to obtain samples for the evaluation of dye penetration and inner marginal adaptation. Outer adaptational estimation was done with an intact restoration before sectioning. Dye penetration was determined in three degrees and percentage of outer and inner leaky margin was estimated from SEM image.

The data were analysed statistically: Spearman's rho test were used to check relationships between two methods.

The result were as follows:

There were significant relationships between degree of dye penetration and inner and outer marginal adaptations each (p < 0.01).

Within the results of this study, relationship between the percentage of marginal adaptation and microleakage shows significant relationship. However, inner and outer marginal adaptation did not show any significant relationship mutually.

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• Evaluation of Shear Bond Strength and Microleakage of Bulk-fill Resin Composites
  Hanbyeol Lee, Hyunwoo Seo, Juhyun Lee, Howon Park
  THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY.2015; 42(4): 281.     CrossRef
• Comparison of marginal microleakage between low and high flowable resins in class V cavity
  Sang-Bae Bae, Young-Gon Cho, Myeong-Seon Lee
  Journal of Korean Academy of Conservative Dentistry.2009; 34(6): 477.     CrossRef

The purpose of this study was to compare the ability of three resin surface sealants to prevent microleakage in Class V composite resin restorations. Forty Class V cavities with the occlusal margin in enamel and gingival margin in dentin were prepared on the buccal surfaces of sound extracted molars, and restored with composite resin. Restorations were randomly assigned into one of four equal groups (n = 10): a control group, without resin sealing, and three experimental groups in which margins were sealed with Fortify Plus, Biscover and Permaseal, respectively. Specimens were thermocycled, immersed in a 2% methylene blue solution for 4 hours, sectioned longitudinally, and observed the leakage at the occlusal and gingival margins. The result was analyzed using Kruskal-Wallis test, Mann-Whitney test and Wilcoxon signed rank test.

In conclusion, the ability to reduce microleakage at occlusal margins was similar in all of three sealants. However at gingival margin, it depended on the type of used resin surface sealant. At gingival margin, control and Fortify Plus group showed statistically higher microleakage than PermaSeal group, and Fortify Plus group also showed higher microleakage than BisCover group (p < 0.05).

Citations

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• Influence of rebonding procedures on microleakage of composite resin restorations
  Mi-Ae Lee, Duck-Kyu Seo, Ho-Hyun Son, Byeong-Hoon Cho
  Journal of Korean Academy of Conservative Dentistry.2010; 35(3): 164.     CrossRef
• A survey on the use of composite resin in Class II restoration in Korea
  Dong-Ho Shin, Se-Eun Park, In-Seok Yang, Juhea Chang, In-Bog Lee, Byeong-Hoon Cho, Ho-Hyun Son
  Journal of Korean Academy of Conservative Dentistry.2009; 34(2): 87.     CrossRef
• Microleakage of 2-step adhesive systems in diamond-prepared cavity
  Myung-Goo Lee, Kwon-Hwan Cho, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2007; 32(5): 437.     CrossRef

This study investigated the effect of thickness of flowable resin lining on marginal leakage in class II composite restorations. 80 experimental teeth were prepared with class II preparations with enamel margin or dentin margin. Each group was devided into four groups according to flowable resin lining thickness ; Control group - no flowable resin lining, Group 1 - 0.5 mm flowable resin lining, Group 2 - 1 mm flowable resin lining, Group 3 - 2 mm flowable resin lining. The cavities were restored using Scotchbond Multi-Purpose adhesive system, Filtek Flow and Filtek Z 250 composite resin.

Following one day storage in distilled water, the restored teeth were thermocycled for 500 cycles and immersed in 2% methylene blue for 24 hours.

The results of this study were as follows:

1. Ranking of mean microleakage scores at the enamel margins was Group 1 < Control = Group 2 < Group 3. The microleakage of Group 3 was significantly higher than that of Control, Group 1 and Group 2 (p < 0.05).

2. Ranking of mean microleakage scores at the dentin margins was Group 1 < Group 2 < Control < Group 3. The microleakage of Group 3 was significantly higher than that of Control, Group 1 (p < 0.05).

3. Compared with microleakage between the enamel and dentin margins, enamel margin group were significantly lower than dentin margin group.

The purpose of this study was to compare the effect on marginal leakage of a resin surface sealant (Biscover) applied before or after polymerization of composite resin to unsealed composite restorations. Thirty Class V cavities with the occlusal margin in enamel and cervical margin in dentin or cementum were prepared on the buccal surfaces of sound extracted molars and restored with a microfilled light-cured composite resin (Micronew). Restorations were randomly assigned into one of three equal groups (n = 10): a control group - no surface sealing, group 1 - applied Biscover after polymerization of the composite resin, and group 2 - applied Biscover before polymerization of the composite resin. Specimens were thermocycled, immersed in a 2% methylene blue solution for 4 hours, sectioned longitudinally, and analyzed for leakage at the occlusal and gingival margins. The results of this study were as follows;

1. In sealed group, group 2 showed higher microleakage than group 1 at both occlusal and gingival margins, but there was no significant difference between two groups (p > 0.05).

2. Unsealed control group showed a little higher microleakage than sealed group at occlusal margins, and a little higher or similar microleakage than sealed group at gingival margins (p > 0.05).

3. Control group and group 2 showed significantly less microleakage at the occlusal margins, but group 1 showed no significantly difference between microleakage at the occlusal and gingival margins.

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• The role of surface-sealant application on bond effectiveness of all-in-one self-etch adhesives
  Safa Tuncer, Neslihan Tekçe, Mustafa Demirci, Canan Baydemir
  Journal of Adhesion Science and Technology.2017; 31(6): 677.     CrossRef
• Influence of rebonding procedures on microleakage of composite resin restorations
  Mi-Ae Lee, Duck-Kyu Seo, Ho-Hyun Son, Byeong-Hoon Cho
  Journal of Korean Academy of Conservative Dentistry.2010; 35(3): 164.     CrossRef
• The Effect of Three Surface Sealants on Microleakage of Class V Composite Resin Restorations
  Won Cheol Lee, Jae-Jun Ryu
  The Journal of Korean Academy of Prosthodontics.2009; 47(2): 182.     CrossRef
• Evaluation on the abrasion resistance of a surface sealant
  Soo-Mee Kim, Sae-Hee Han, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2007; 32(3): 180.     CrossRef

This study was done to evaluate whether there were any differences in microleakage of class V composite restorations according to restoration site and cavity size.

Total sixty-four restorations were made in molar teeth using Esthet-X. Small (2 × 2 × 1.5 mm) and large (4 × 2 × 1.5 mm) restorations were made at the buccal/lingual surface and the proximal surface each. After 1,000 times of thermocycling (5℃ - 55℃), resin replica was made and the percentage of marginal gap to the whole periphery of the restoration was estimated from SEM evaluation.

Thermocycled tooth was dye penetrated with 50% silver nitrate solution. After imbedding in an auto-curing resin, it was serially ground with a thickness of 0.25 mm. Volumetric microleakage was estimated after reconstructing three dimensionally.

Two-way ANOVA and independent T-test for dye volume, Mann-Whitney U test for the percentage of marginal gap, Spearman's rho test for the relationship between two techniques were used.

The results were as follows:

1. The site and size of the restoration affected on the microleakage of restoration. Namely, much more leakage was seen in the proximal and the large restorations rather than the buccal/lingual and the small restorations.

2. Close relationship was found between two techniques (Correlation coefficient = 0.614 / P = 0.000).

Within the limits of this study, it was noted that proximal and the large restorations leaked more than buccal/lingual and the small restorations. Therefore, it should be strictly recommended large exposure of margins should be avoided by reducing unnecessary tooth reduction.

The purpose of this study was to compare the effect of surface sealing materials on microleakage and surface roughness in Class V composite restorations.

Twenty five standardized Class V cavity preparations were made on the facial surface of human premolars and were randomly assigned to 5 groups. The teeth were restored with Z-250 after applying Single Bond. Following 7 days storage in distilled water at 37℃, the restorations were sealed as following systems : No sealing ; Single Bond Adhesive ; Biscover ; Fortify ; Optiguard. Then, toothbrush abrasion test was conducted using a wear testing machine.

Surface roughness was measured by means of profilometer before and after toothbrushing and the results were statistically analysed by using a paired t-test and ANOVA. The bonded interfaces and the changes of surface roughness were examined by SEM.

For microleakage test, specimens were stained in a 2% methylene blue solution, then longitudinally sectioned and analyzed for leakage at occlusal and cervical interfaces using stereomicroscope. The results were statistically analysed by using a Kruskal-Wallis and Mann-Whitney U test.

Surface roughness was increasing in all groups after toothbrushing, but no statistically significant differences. In SEM observation, surface sealant was partially retained and partially detached in bonded interfaces. Especially, microgap was identified in cervical margins. In microleakage test, there was better seal in the enamel region and a significant difference between groups at occlusal margin. Control group and Single Bond group had significantly better marginal seal at enamel margin than cervical margin.

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• Microleakage of 2-step adhesive systems in diamond-prepared cavity
  Myung-Goo Lee, Kwon-Hwan Cho, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2007; 32(5): 437.     CrossRef

The purpose of this study was to compare the sealing ability of root canal obturation with or without the use of dentin adhesive system. Forty extracted human teeth with one canal were selected and decoronated. The teeth were divided into two Groups. The obturation procedure of Group 1 was the same as that of Group 2 with the exception of dentin adhesive system. Group 2 were obturated with dentin adhesive system, AH-26, and gutta-percha.

After obturation, the teeth were immersed in methylene blue solution for 84 hours. The teeth were sectioned horizontally at 1.5 mm (Level 1), 2.0 mm (Level 2), 2.5 mm (Level 3) from the root apex using a low speed microtome. Distance of dye-penetrated surface and total dentinal surface were measured using SigmaScan Pro 5.0, and the ratio of dye-penetrated distance to the total dentinal distance was analyzed statistically by Mann-Whitney U-test.

In both groups, the mean leakage ratio was decreased cervically.

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• Effect of Application over Time for Each Type of Blending Tea on Bovine Tooth Coloration
  Se-Won Bae, Im-Hee Jung, Min-Ha Hong, Eun-Jin Kwon, Ji-Hyeon Kim, Ji-Hyeon Lee, Hee-Jung Lim, Do-Seon Lim
  Journal of Dental Hygiene Science.2022; 22(1): 57.     CrossRef
• Microleakage of resilon: Effects of several self-etching primer
  Jong-Hyeon O, Se-Hee Park, Hye-Jin Shin, Kyung-Mo Cho, Jin-Woo Kim
  Journal of Korean Academy of Conservative Dentistry.2008; 33(2): 133.     CrossRef

Established microleakage tests have their own disadvantages. In this study, 3D reconstruction method was tried to overcome these disadvantages.

Four types of microleakage tests were used and relationships among them were estimated: penetrated dye volume; marginal adaptability; degree of dye penetration and relative penetrated length to cavity wall.

Twenty-four Class V cavities were bulk filled with composite (Esthet X) following surface treatments: N group (no treatment); E group (etching only); T group (etching + Prime & Bond NT). 50% silver nitrate was used as a dye solution after thermocycling (5℃ & 55℃, 1,000 times). Teeth were serially ground with a thickness of 0.2 mm. Volume of dye penetration was estimated from a three-dimensionally reconstructed image with a software (3D-DOCTOR). Percentage of margin without gap was estimated from SEM and degree of dye penetration and the relative length of dye penetration to overall cavity wall were also estimated.

ANOVA and Scheffe test for dye volume, Kruskal-Wallis and Mann-Whitney test for marginal quality, Spearman's rho test for checking of relationships among methods were used.

The results were as follows:

1. Dye penetration could be seen from several directions, furthermore, its volumetric estimation was possible.

2. Reverse relationship was found between dye volume and marginal quality (r = -0.881 / p = 0.004).

3. Very low relationship was seen between dye volume and two-dimensional tests (degree of dye penetration and relative length). However, 2D evaluation methods showed high relationship (p = 0.002-0.054) each other.

4. Three times vertical section could be recommended as a 2D test.

Citations

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• Estimation of relation between techniques of dye penetration for microleakage and SEM evaluation for marginal adaptation of the restoration
  Soon-Joo Hwang, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2006; 31(5): 337.     CrossRef
• Microleakage of the class V cavity according to restoration site and cavity size using SEM and three-dimensional reconstruction techniques
  In-Seo Yang, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2005; 30(2): 112.     CrossRef

This study evaluated the microleakage and interfacial gap between enamel and composite resin under the dry and wet condition of the enamel surface. V shaped class 5 cavities were prepared on the occlusal portion of extracted human molars. Samples were divided into three groups: D group (air dry for 10-15 s), BD group (blot dry with moist cotton pellet), and DR group (air dry for 10-15 s and rewet with Aqua-Prep F for 20 s).

Cavities were filled using Aelitefil composite resin after applied One-Step. Microleakage was tested by 2% methylene blue dye solution and the data were statistically analysed by Kruskal-Wallis test and Mann-Whitney test. Also Enamel-resin interface was observed under SEM. Group BD showed statistically lower microleakage than group D (p < 0.05), but there was no statistically significant difference between group BD and DR (p > 0.05). At the enamel-resin interface, group D showed the gap of 2 µm thickness, but group BD and DR showed close adaptation.

In conclusion, the use of blot dry and rewetting agent (Aqua-Prep F) resulted in decreased microleakage and improved adhesion between enamel and resin when using One-Step.

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• Effect of an intermediate bonding resin and flowable resin on the compatibility of two-step total etching adhesives with a self-curing composite resin
  Sook-Kyung Choi, Ji-Wan Yum, Hyeon-Cheol Kim, Bock Hur, Jeong-Kil Park
  Journal of Korean Academy of Conservative Dentistry.2009; 34(5): 397.     CrossRef

The purposes of this study were to estimate the material properties of the recently developed domestic composite resins for core filling material (Chemical, Dual A, Dual B; Vericom, Korea) and to compare them with other marketed foreign products (CorePaste, Den-Mat, USA; Ti-Core, Essential Dental Systems, USA; Support, SCI-Pharm, USA). Six assessments were made; working time, setting time, depth of polymerization, flexural strength, bonding strength, and marginal leakage. All items were compared to ISO standards.

All domestic products satisfied the minimum requirements from ISO standards (working time: above 90 seconds, setting time: within 5 minutes), and showed significantly higher flexural strength than Core Paste. Dual A and B could, especially, reduce the setting time to 60 seconds when cured with 600 mW/cm² light intensity. All experimental materials showed 6 mm depth of polymerization.

Bond strengths of Ti-Core and Dual B materials were significantly higher than the other materials. Furthermore, three domestic products and Ti-Core could reduce the microleakage effectively.

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• Effect of surface treatments of fiber posts on bond strength to composite resin cores
  Hye-Jo Keum, Hyun-Mi Yoo
  Journal of Korean Academy of Conservative Dentistry.2010; 35(3): 173.     CrossRef

This study evaluated the marginal microleakage of five single step adhesives. Class V cavity preparations with occlusal margins in enamel and gingival margins in dentin were prepared on both buccal and lingual surfaces of extracted human molar teeth. Prepared teeth were randomly divided into five groups and restored using one of the single step adhesives and composite resins: Prompt L-Pop/Filtek Z-250 (Group 1), AQ Bond/Metafil CX (Group 2), One-Up Bond F/Palfique Toughwell (Group 3), Futurabond/Admira (Group 4), Xeno III/Spectrum TPH (Group 5).

The restored teeth were thermocycled. Microleakage was assessed by dye penetration using 2% methylene blue dye solution. The teeth were bisected buccolingually and evaluated for microleakage under steromicroscope. The data were statistically analysed by Kruskal-Wallis test and Mann-Whitney tests.

The results of this study were as follows;

Microleakage of enamel margins in group 3 was statistically higher than that in groups 1, 2, 4, 5 (p < 0.05).

In conclusion, Prompt L-Pop showed the least leakage at enamel margin, and AQ Bond showed at dentin margin in this study. Marginal miroleakage in dentin was higher than that in enamel.

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• Microtensile bond strength of single step adhesives to dentin
  Young-Gon Cho, Young-Jae Kee
  Journal of Korean Academy of Conservative Dentistry.2005; 30(4): 312.     CrossRef
• Comparative bond strength of single step adhesives to different dentinal depths
  Young-Gon Cho, Cheol-Hee Jin, Jung-Bum Min
  Journal of Korean Academy of Conservative Dentistry.2005; 30(4): 319.     CrossRef

All-in-one adhesives were recently developed for reducing the techique sensitivity and chair time, but lots of concerns were made on bondability, longevity, and microleakage.

The object of this study was to evaluate microleakage and marginal quality of all-in-one adhesives using electrochemical method and SEM analysis quantitatively.

After making Class V cavities, they were bulk filled with Heliomolar(#A1) after surface treatment with three adhesives: Adper Prompt (Group A), One up bond F (Group O), Xeno III (Group X). Electrical conductivity (microamphere, µA) was checked two times: before and after cavity filling.

Percentage of leaky margin was estimated from SEM image (×1,000).

The data were statistically analysed: ANOVA and Paired T test for electrical conductivity, Kruskal-Wallis and Mann-Whitney test for marginal quality, Spearman's rho test for checking of relationships between 2 methods.

The result were as follows:

1. There was no difference in microleakage between adhesive systems and every specimen showed some of microleakage after filling.

2. Microleakage was reduced about 70% with composite resin filling.

3. Marginal quality was the best in group A, decreasing among groups in the following order: group O, followed by group X. There were significant differences between group A and group X (p=0.015), and between group O and group X (p=0.019).

4. There was no relationship between the microleakage measured by electrochemical method and marginal quality measured by SEM analysis.

Within the results of this study, there was no difference in microleakage among groups by electrical conductivity. However, significant difference in marginal quality was seen among groups. It was believed that these dissimilar results might be induced because of their own characteristics. Analysis of microleakage needs various methods for accuracy.

The objectives of this study was to evaluate current visible light curing units regarding microhardness and microleakage. Fourty samples of composite resin(Z-250, 3M) were cured by different light curing units(Flipo, LOKKI; Credi II, 3M; XL 3000, 3M; Optilux 500,Demetron) in acrylic blocks. Microhardness was measured using a calibrated Vickers indenter on both top and bottom surfaces after 24 hours of storage in air at room temperature. Class V cavities were prepared on buccal and lingual surfaces of fourty extracted human molars. Each margin was on enamel and dentin/cementum. Composite resin(Z-250, 3M) was filled in cavities and cured by four different light curing units(Flipo, LOKKI; Credi II, 3M; XL 3000, 3M; Optilux 500, Demetron).

The results of this syudy were as follows:

Microhardness

1. Flipo showed low microhardness compared to Optilux 500, Credi II significantly in upper surface. Flipo didn't show a significant difference compared to XL 3000.

2. The microhardness resulting from curing with Flipo was lower than that of others on lower surfaces.

Microleakage

1. Dentin margin showed significantly high dye penetration rate than enamel margin in all groups(p<0.05).

2. No significant differences were found on both enamel and dentin margin regarding curing units.

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• Comparison of Surface Microhardness of the Flowable Bulk-Fill Resin and the Packable Bulk-Fill Resin according to Light Curing Time and Distance
  Hyung-Min Kim, Moon-Jin Jeong, Hee-Jung Lim, Do-Seon Lim
  Journal of Dental Hygiene Science.2023; 23(2): 123.     CrossRef

The purpose of this study is to evaluate the effect of additional enamel etching with phosphoric acid on the microleakage of the adhesion of self-etching primer system.

Class V cavity(4 mm×3 mm×1.5 mm) preparations with all margins in enamel were prepared on buccal surface of 42 extracted human upper central incisor teeth. Prepared teeth were randomly divided into 3 groups.

Group 1 : no additional pretreatment with 37% phosphoric acid (NE).

Group 2 : additional pretreatment with 37% phosphoric acid for 10 seconds (E10s).

Group 3 : additional pretreatment with 37% phosphoric acid for 20 seconds (E20s).

The adhesives(Clearfil SE Bond®, Kuraray, Osaka, Japan) and composite resins(Clearfil AP-X®, Osaka, Kuraray, Japan) were applied following the manufacturer's instructions. All the specimens were finished with the polishing disc(3M dental product, St Paul, MN, USA), thermocycled for 500 cycles between 5℃ and 55℃ and resected apical 3-mm root. 0.028 stainless steel wire was inserted apically into the pulp chamber of each tooth and sealed into position with sticky wax. Surrounding tooth surface was covered with a nail varnish 2 times except areas 1 mm far from all the margins. After drying for one day, soaked the samples in the distilled water. Microleakage was assessed by electrochemical method(System 6514, Electrometer®, Keithley, USA) in the distilled water.

In this study, the microleakage was the lowest in group 1(NE) and the highest in group 3(E20s)(NE<E10s<E20s). But no statistically significant differences were found(p=0.5).

On the basis of findings from this experiment, it can be concluded that additional enamel etching has no influence on the microleakage of the adhesion of self-etching primer system.

Mechanical properties and microleakage of two composites [conventional hybrid type DenFil (VERICOM Co., Anyang, Korea) / micro matrix hybrid type Esthet X (Dentsply Caulk, Milford, DE, U.S.A.)] were evaluated to assess whether variable light intensity curing is better than conventional curing technique.

Curing was done for 40 seconds in two ways of 2 step soft-start technique and 5 step ramping technique. Three kinds of light intensities of 50, 100, 200 mW/cm² were initially used for 10, 20, 30 seconds each and the maximum intensity of 600 mW/cm² was used for the rest of curing time in a soft-start curing technique. In a ramping technique, curing was done with the same initial intensities and the light intensity was increased 5 times with the same rate to the maximum intensity of 600 mW/cm².

After determining conditions that showed no different mechanical properties with conventional technique, Esthet X composite was filled in a class V cavity, which dimension was 4×3×1.5 mm and cured under those conditions.

Microleakage was evaluated in two ways of dye penetration and maximum gap estimation through SEM observation. ANOVA and Spearman's rho test were used to confirm any statistical significance among groups.

The results were as follows:

Several curing conditions of variable light intensities resulted in the similar mechanical properties with a conventional continuous curing technique, except conditions that start curing with an initial light intensity of 50 mW/cm²,

From the results of this study, it was revealed that ramping technique would be better than conventional technique in mechanical properties, however, soft-start technique might be better than conventional one in microleakage.

It was concluded that much endeavor should be made to find out the curing conditions, which have advantages of both aspects or to solve these kinds of problems through a novel idea of polymerization.

The object of this study was to compare the microleakage between various composite resin systems of multistep, one-bottle, and self-etching systems using electrical conductivity.

After making class V cavities (4×3×1.5 mm around CEJ), they were bulk filled with three kinds of resins of A3. Teeth were storaged in a saline solution for one day, after then, they were finished and polished using Sof-Lex system. Another stress of thermocycling was made for 500 times from 5° to 55℃ with each dwelling time of 10 seconds. Electrical conductivity (microamphere, µA) was checked four times: before and after cavity preparation, after filling, after thermocycling.

One-way ANOVA and 95% Scheffe Post Hoc test was used for checking any statistical difference among groups. Another 95% Paired Samples T-test was also used for estimating any significant difference within group after cavity filling or thermocycling.

The results were as follows:

Every specimen showed various range of microleakage after filling.

There was, however, no difference between composite resin systems.

Within the limits of this study, it was concluded that much more consideration should be needed when using thermally unstable one-bottle and self-etching systems that have multi-advantages from simplified step. More studies will be needed to solve these kinds of problems.

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• Effect of a new resin monomer on the microleakage of composite resin restorations
  JH Bae, YK Kim, PY Yoon, MA Lee, BH Cho
  Journal of Korean Academy of Conservative Dentistry.2007; 32(5): 469.     CrossRef
• Microhardness and microleakage of composite resin cured by visible light with various band of wavelength
  Soo-Man Park, Jae-Yong Lee, Seung-Ryul Han, Sang-Yoon Ha, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2002; 27(4): 403.     CrossRef

The purpose of the present study were to evaluate microleakage of a fourth generation dentin-bonding agent following a walking bleaching treatment, to determine the effect of temporary postbleaching dressing with calcium hydroxide on microleakage and to investigate the effect of delayed intracoronal restoration on microleakage.

The results of this study were as follows:

1. Bleached groups showed more microleakage than unbleached group.

2. Immediately restored group following bleaching procedure showed the highest microleakage score.

3. One-week delayed restorations showed less microleakage but there were no statistically significant difference between group II and III.

4. Provisional dressing with calcium hydroxide had no influence on microleakage.

It is necessary to know the time that has elapsed from the bleaching treatment to the restoration procedure to achieve optimal seal, as well as to reduce the risk of microleakage in adhesive restoration.

The purpose of this study was to evaluate the effects of EDTA and pulsed Nd:YAG laser on apical leakage of canal obturation. Forty-eight single-rooted teeth were used in this study. The teeth were instrumented up to a size 40 K-file and irrigated with 2.5% NaOCl between each file size. And the teeth were divided into 4 groups. In group A, the root canals were irrigated with a final flush of 5ml 2.5% NaOCl as a control group. The teeth in group B were irrigated with a final flush of 5ml 17% EDTA. The teeth in group C and D were irradiated by pulsed Nd:YAG laser(laser parameters were set at 1W, 100mJ, 10Hz, and 2W, 100mJ, 20Hz respectively).

The results were as follows:

1. Apical leakage was observed in 50% of samples in group A, 30% of samples in group B, 20% of samples in group C, and 10% of samples in group D.

2. The teeth in group B had less leakage than group A, but there was no statistically significant differences(p>0.05).

3. The teeth in group C, D had less leakage than group A, and there was statistically significant differences(p<0.05).

4. The teeth in group C, D had less leakage than group B, but there was no statistically significant differences(p>0.05).

5. There was no significant differences in apical leakage between group C and group D(p>0.05).

This study compared the dentin adhesion to composite resin according to air-dry, blot dry, application of rewetting agent on air-dry or blot dry dentin surface by microleakag test and SEM observation.

For microleakage test, class V cavity preparations with dentinal margins were prepared on both buccal and lingual surfaces of 40 extracted human molars. For SEM observation, occlusal dentin of 20 extracted human molars were exposed.

After etched the dentin, prepared teeth were randomly divided into four groups;

D group: air dry for 10-15 sec., B group: blot dry with moist cotton pellet, D-R group: air dry and rewet with Aqua-Prep F for 20 sec., B-R group: blot dry and rewet with Aqua-Prep F for 20 sec.

Treated cavities and surfaces were filled or constructed using One-Step adhesives and Aelitefil composite resins. Specimens were stored in distilled water for 24 hours. For microleakage test, the specimens were thermocycled and soaked into 2% methylene blue. The specimens were sectioned longitudinally and evaluated for microleakage under steromicroscope. The data were statistically analysed by Kruskal-Wallis Test, Mann-Whitney and Wilcoxon signed ranked tests. For SEM observation, the specimens were bisectioned mesiodiatally. After decalcified and deproteinized, specimens were observed under SEM.

The results of this study were as follows;

1. The microleakges on dentinal margin were the highest in D group compared with B group, D-R group, and B-R group(p<0.05). But there was no significant difference between B group, D-R group and B-R group.

2. D group showed gap and a few resin tags between dentin and composite resin.

3. B group, D-R group, and B-R groups showed close adaptation between dentin and composite resin. It showed that resin rags in B group were numerous and long, in D-R group were few and short, in B-R group were numerous and short or long.

4. Adhesive layer showed in D-R group (10 µm) and B-R group (3 µm)

In conclusion, use of rewetting agent to dry dentin was efficient to dentin adhesion, also it did not provide reverse effect on blot dry dentin.

Citations

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• Effect of rewetting agent on dentinal microtensile bond strength
  Hee-Young Kang, Young-Gon Cho, Jong-Uk Kim, Byung-Cheul Park, Sang-Hoon Yoo, Cheul-Hee Jin, Hee-Young Choi, Young-Jae Ki
  Journal of Korean Academy of Conservative Dentistry.2004; 29(2): 153.     CrossRef

This study investigated the influence of IRM on marginal microleakage of 5th generation adhesives. Class V cavities with gingival margins in dentin were prepared on both buccal and lingual surfaces of 60 extracted human molar teeth. Prepared teeth were randomly divided into six groups. Group 1 and 4 received no temporary restoration with IRM. Group 2 and 5 were covered with IRM mixed at P/L ratio(10g/1g). Group 3 and 6 were covered with IRM mixed at P/L ratio(10g/2g). The temporary restorations were removed mechanically with an ultrasonic scaler after one-week storage in distilled water. The cavities were restored using one of two adhesives and composites; Single Bond/Filtek Z 250(Group 1, 2 and 3), UniFil Bond/UniFil F(Group 4, 5 and 6).

Following one day storage in distilled water, the restored teeth were thermocycled for 500 cycles(between 5℃ and 55℃) and immersed in 2% methylene blue for dye penetration testing. The results were analysed using Kruskal-Wallis Test, Mann-Whitney and Wilcoxon signed ranked test at a significance level of 0.05.

The results of this study were as follows:

1. Ranking of mean microleakage scores at the enamel margins was Group 1<Group 3<Group 2<Group 4<Group 5<Group 6. The microleakage of Group 6 was significantly higher than that of Groups 1, 2 and 3(p<0.05).

2. At the enamel margins, without regard to pretreatment with IRM, the microleakage of Single Bond was lower than that of UniFil Bond.

3. Ranking of mean microleakage scores at the dentin margins was Group 4<Group 1<Group 5<Group 6<Group 3<Group 2. But there were no significant difference among microleakages of each group(p>0.05).

4. At the dentin margins, the microleakage of the group not pretreated with IRM was lower than that of the group pretreated with IRM. And the microleakage of UniFil Bond was lower than that of Single Bond.

5. Compared with microleakages between the enamel and dentin margins of each groups, Group 1, 2, 3, 4, 5 and 6 at dentin margin were higher microleakage than those at enamel margin. There were significant difference between enamel and dentin microleakage of Group 2 and 3(p<0.05).

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• Effect of microleakage of a self-etching primer adhesive according to types of cutting instruments
  Yong-Hee Kim, Jae-Gu Park, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2007; 32(4): 327.     CrossRef

This study evaluated the microleakage performance of four self-etcing primer adhesives(Clearfil SE Bond, Clearfil Liner Bond 2, UniFil Bond, and FL Bond) and one self-etching adhesive(Prompt L-Pop). Class V cavity preparations with occlusal margins in enamel and gingival margins in dentin were prepared on both buccal and lingual surfaces of 50 extracted human molar teeth. Prepared teeth were randomly divided into five groups and restored using one of five adhesives and composite resins: Prompt L-Pop/Filtek Z 250(Group 1), Clearfil SE Bond/Clearfil AP-X(Group 2), Clearfil Liner Bond 2/Clearfil AP-X(Group 3), UniFil Bond/UniFil F(Group 4), and FL Bond/Filtek Z 250(Group 5).

Following one day storage in room temperature water, the restored teeth were thermocycled for 500 cycles between 5℃ and 55℃. Marginal microleakage was assessed by dye penetration using 2% methylene blue dye. After 24 hours, the teeth were sectioned longitudinally and evaluated for microleakage under steromicroscope. The data were statistically analysed by Kruskal-Wallis Test, Mann-Whitney and Wilcoxon signed ranked tests.

The results of this study were as follows;

1. The microleakges at both enamel and dentinal margins were the lowest in group 4, increasing among groups in the following order: group 2, follwed by group 5, follwed by group 1, and the highest in group 3.

2. At the enamel margins, the microleakage of group 3 was significantly higher than those of groups 2, 4 and 5(p<0.05), and also the microleakage of group 1 was statistically higher than those of groups 2 and 5(p<0.05).

3. At the dentinal margins, microleakage of group 3 was significantly higher than microleakages of groups 1, 2, 4 and 5(p<0.05).

4. Compared with microleakages between the enamel and dentinal margins of each group, groups 1, 4 and 5 at enamel margin and group 2 and group 3 at dentinal margin were higher microleakage. But there was no significant difference between enamel and dentinal microleakages of each group(p>0.05).

Citations

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• Effect of cutting instruments on the dentin bond strength of a self-etch adhesive
  Young-Gon Lee, So-Ra Moon, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2010; 35(1): 13.     CrossRef
• Comparison of bond strength of a fiber post cemented with various resin cements
  Hyun-A Lee, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2008; 33(6): 499.     CrossRef
• Enamel adhesion of light- and chemical-cured composites coupled by two step self-etch adhesives
  Sae-Hee Han, Eun-Soung Kim, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2007; 32(3): 169.     CrossRef
• Effect of microleakage of a self-etching primer adhesive according to types of cutting instruments
  Yong-Hee Kim, Jae-Gu Park, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2007; 32(4): 327.     CrossRef
• Influence of appication time of self-etching primers on dentinal microtensile bond strength
  Young-Gon Cho, Young-Gon Lee, Jong-Uk Kim, Byung-Cheul Park, Jong-Jin Kim, Hee-Young Choi, Cheul-Hee Jin, Sang-Hoon Yoo
  Journal of Korean Academy of Conservative Dentistry.2004; 29(5): 430.     CrossRef
• Morphological patterns of self-etching primers and self-etching adhesive bonded to tooth structure
  Young-Gon Cho, Seok-Jong Lee, Jin-Ho Jeong, Young-Gon Lee, Soo-Mee Kim
  Journal of Korean Academy of Conservative Dentistry.2003; 28(1): 23.     CrossRef
• Shear bond strength of self-etching adhesives to dentin and sem analysis
  Young-Gon Cho, Kee-Sun Roh, Soo-Mee Kim, Young-Gon Lee, Jin-Ho Jeong, Young-Jae Ki
  Journal of Korean Academy of Conservative Dentistry.2003; 28(3): 222.     CrossRef
• The effect of additional enamel etching on microleakage of the adhesion of self-etching primer system
  Jung-Jin Yoon, Kyung-San Min, Chan-Ui Hong
  Journal of Korean Academy of Conservative Dentistry.2003; 28(5): 363.     CrossRef

The use of flowable composite resins as liners in class II packable composite restoration has been suggested by some manufacturers. However, the contributions of this technique are unproven. The purpose of this study was to compare the gingival microleakage in class II packable composite restorations with or without the use of flowable composite resins as liners.

Slot cavities were prepared on both proximals of 80 extracted human molars and randomly assigned to 8 groups of 20 each. The gingival margins were located at 1mm above CEJ in 80 cavities (group1-4) and 1mm below CEJ in 80 cavities (group5-8). The prepared teeth were mounted in the customized tray with adjacent teeth to simulate clinical conditions and metallic matrix band (Sectional matrix) and wooden wedges were applied. After acid etching and application of Single Bond, each group was restored with the following materials using incremental placement technique: Group 1,5 (Filtek P60), group 2, 3, 4 and group 6, 7, 8 (AeliteFlo, TetricFlow, Revolution/Filtek P60). All specimens were thermocycled 500 times between 5℃ and 55℃ with 1 mimute dwell time, immersed 2% methylene blue dye for 24 hours and then rinsed with tab water. The specimens were embedded in clear resin and sectioned longitudinally through the center of restoration with a low speed diamond saw. Dye penetration at gingival margin was viewed at 20 magnification and analyzed on a scale of 0 to 4. Kruscal-Wallis One way analysis and Mann-Whitney Rank sum test were used to analyze the results.

The results of this study were as follows.

1. The leakage values seen at the enamel margin were significantly lower than those seen at the dentin margin(P<0.05).

2. On the enamel margin, packable composite resins with flowable liners showed lower leakage than those without flowable liners, but there were no significant differences among the four groups(P>0.05).

3. On the dentin margin, four groups demonstrated moderate to severe leakage, and there were no significant differences in leakage values(P>0.05).

Citations

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• Self-adhesion of low-viscosity composites to dentin surface
  Tae-Hee Cho, Kyoung-Kyu Choi, Sang-Hyuk Park, Sang-Jin Park
  Journal of Korean Academy of Conservative Dentistry.2003; 28(3): 209.     CrossRef

Low-viscosity composite resins may produce better sealed margins than stiffer compositions (Kemp-Scholte and Davidson, 1988; Crim, 1989). Flowable composites have been recommended for use in Class V cavities but it is also controversial because of its high rates of shrinkage. On the other hand, in the study comparing elastic moduli and leakage, the microfill had the least leakage (Rundle et al. 1997). Furthermore, in the 1996 survey of the Reality Editorial Team, microfills were the clear choice for abfraction lesions.

The purpose of this study was to evaluate the microleakage of 6 compostite resins (2 hybrids, 2 microfills, and 2 flowable composites) with and without load cycling.

Notch-shaped Class V cavities were prepared on buccal surface of 180 extracted human upper premolars on cementum margin. The teeth were randomly divided into non-load cycling group (group 1) and load cycling group (group 2) of 90 teeth each. The experimental teeth of each group were randomly divided into 6 subgroups of 15 samples. All preparations were etched, and Single bond was applied. Preparations were restored with the following materials (n=15): hybrid composite resin [Z250(3M Dental Products Inc. St.Paul, USA), Denfil(Vericom, Ahnyang, Korea)], microfill [Heliomolar RO(Vivadent, Schaan, Liechtenstein), Micronew(Bisco Inc. Schaumburg, IL, USA)], and flowable composite [AeliteFlo(Bisco Inc. Schaumburg, IL, USA), Revolution(Kerr Corp. Orange, CA, USA)]. Teeth of group 2 were subjected to occlusal load (100N for 50,000 cycles) using chewing simulator(MTS 858 Mini Bionix II system, MTS Systems Corp., Minn. USA). All samples were coated with nail polish 1mm short of the restoration, placed in 2% methylene blue for 24 hours, and sectioned with a diamond wheel. Enamel and dentin/cementum margins were analyzed for microleakage on a sclale of 0 (no leakage) to 3 (3/3 of wall). Results were statistically analyzed by Kruscal-Wallis One way analysis, Mann-Whitney U-test, and Student-Newmann-Keuls method. (p=0.05)

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• Effect of a new resin monomer on the microleakage of composite resin restorations
  JH Bae, YK Kim, PY Yoon, MA Lee, BH Cho
  Journal of Korean Academy of Conservative Dentistry.2007; 32(5): 469.     CrossRef

Several ways of curing are being tried to improve material’s properties and reduce marginal gap. However, all are considering about the pattern of light intensity. It was noted from the preliminary study the change of light wavelength from filter changing may give an impact on material’s property and microleakage.

The object of this study was to verify the effect of filters with various wavelength width on the microhardness and microleakage of composite resin; hybrid type of DenFil and submicron hybrid type of Esthet X. Composite resins were cured using 3 kinds of filter; narrow-banded(465-475 nm), mid-banded(430-470 nm), wide-banded(400-500 nm). After the estimation of microhardness, degree of dye penetration and the maximum gap from SEM evaluation were done between 4 groups that showed no difference in microhardness value of the lower surface.

The results were as follows:

Adequate microhardness could not be gained with a narrow-banded filter irrespective of curing time. At the upper surface, DenFil should be polymerized with middle or wide-banded filter for 20 seconds at least, while Esthet X be cured with middle or wide-banded filter for 30 seconds at least to get similar hardness value to control group.

From these results, it could be concluded that curing with wide-width filter would be better than the other techniques, even though the curing technique using mid-width filter seems to have its own unique advantage.

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• The Effect of Two Different Light-Curing Units and Curing Times on Bulk-Fill Restorative Materials
  Gokcen Deniz Bayrak, Elif Yaman-Dosdogru, Senem Selvi-Kuvvetli
  Polymers.2022; 14(9): 1885.     CrossRef