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  • Original Article Effect of resin sealants on the reduction of microleakage in composite restorations
    Young-Gon Cho, Mun-Hong Kim, Myung-Goo Lee
    2006;31(4):-289.
    DOI: https://doi.org/10.5395/JKACD.2006.31.4.282
    Published online: July 31, 2006

    Department of Conservative Dentistry, College of Dentistry, Chosun University, Korea.

    Corresponding Author: Young-Gon Cho. Department of Conservative Dentistry, College of Dentistry, Chosun University, 421 Seosuk-dong, Dong-gu, Gwangju, Korea, 501-825. Tel: +82-62-220-3840, 3845 Fax: +82-62-232-9064, ygcho@mail.chosun.ac.kr
    • Received: March 21, 2006   • Revised: April 10, 2006   • Accepted: April 17, 2006

    Copyright © 2006 Korean Academy of Conservative Dentistry

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    • 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).
    Table 1
    Group classification by types of resin sealants
    jkacd-31-282-i001.jpg
    Table 2
    Distribution of microleakage scores and mean rank at occlusal margins
    jkacd-31-282-i002.jpg
    Table 3
    Distribution of microleakage scores and mean rank at gingival margins
    jkacd-31-282-i003.jpg
    Table 4
    Statistical analysis of microleakage at gingival margins among groups by Mann-Whitney test

    *: Statistical differences at p < 0.05

    jkacd-31-282-i004.jpg
    Table 5
    Statistical analysis between microleakage of occlusal and gingival margins in each group by Wilcoxon signed ranked test

    *: Microleakage of gingival margins was significant higher than that of occlusal margins (p < 0.05)

    - : No significant difference between microleakage of occlusal and gingival margin

    jkacd-31-282-i005.jpg
    • 1. Tjan AH, Tan DE. Microleakage at gingival margins of class V composite resin restorations rebonded with various low-viscosity resin systems. Quintessence Int. 1991;22: 565-573.PubMed
    • 2. Hansen EK, Asmussen E.. effect of dentin-bonding agent and hygroscopic expansion. Dent Mater. 1989;5: 122-126.PubMed
    • 3. Munro GA, Hilton TJ, Hermesch CB. In vitro microleakage of etched and bonded class 5 composite resin restorations. Oper Dent. 1996;21: 203-208.PubMed
    • 4. Ramos RP, Chimello DT, Chinelatti MA, Dibb RGP, Mondelli J. Effect of three surface sealants on marginal sealing of class V composite resin restorations. Oper Dent. 2000;25: 448-453.PubMed
    • 5. Reid JS, Saunders WP, Chen YY. The effect of bonding agent and fissure sealant on microleakage of composite resin restorations. Quintessence Int. 1991;22: 295-298.PubMed
    • 6. Kubo S, Yokota H, Yokota H, Hayashi Y. Effect of low-viscosity resin-based composite on the microleakage of cervical restorations. Am J Dent. 2003;16: 244-248.PubMed
    • 7. Lutz E, Krejci I, Oldenburg TR. Elimination of polymerization stresses at margins of posterior composite resin restorations. A new restorative technique. Quintessence Int. 1986;17: 777-784.PubMed
    • 8. Marais JT. Depth of cure of light cured composite resin with light curing units of different intensity. J Dent Assoc S Afr. 1997;52: 403-407.PubMed
    • 9. Jayasooriya PR, Pereira PNR, Nikaido T, Burrow MF, Tagami J. The effect of a "resin coating" on the interfacial adaptation of composite inlays. Oper Dent. 2003;28: 28-35.PubMed
    • 10. Pameijer CH, Wendt SL. Microleakage of "surface-sealing" materials. Am J Dent. 1995;8: 43-46.PubMed
    • 11. Bertrand MF, Leforestier E, Muller M, Lupi-Pegurier L, Bolla M. Effect of surface penetrating sealant on surface texture and microhardness of composite resins. J Biomed Mater Res. 2000;53: 658-663.PubMed
    • 12. Crim GA. Effect of composite resin on the microleakge of Scotchbond 2 Gluma. Am J Dent. 1988;1: 215-216.PubMed
    • 13. Doray PG, Eldiwany MS, Powers JM. Effect of resin surface sealers on improvement of stain resistance for a composite provisional material. J Esthet Restor Dent. 2003;15: 244-250.ArticlePubMed
    • 14. May KN Jr, Swift EJ, Wilder AD, Futrell SC. Effect of a surface sealant on microleakage of Class V restorations. Am J Dent. 1996;9: 133-136.PubMed
    • 15. Dickinson GL, Leinfelder KF. Assessing the long-term effect of a surface penetrating sealant. J Am Dent Assoc. 1993;124: 68-72.PubMed
    • 16. Torstenson B, Brannstrom M, Mattson B. A new method of sealing composite resin contraction gaps in lined cavities. J Dent Res. 1985;64: 450-453.ArticlePubMedPDF
    • 17. Erhardt MC, Magalhaes CS, Serra MC. The effect of rebonding on microleakage of class V aesthetic restorations. Oper Dent. 2002;27: 396-402.PubMed
    • 18. Estafan D, Dussetschleger FL, Miuo LE, Kondamani J. Class V lesions restored with flowable composite and added surface sealing resin. Gen Dent. 2000;48: 78-80.PubMed
    • 19. Shinkai K, Suzuki S, Leinfelder KF, Katoh Y. Effect of surface-penetrating sealant on resistance of luting agents. Quintessence Int. 1994;25: 767-771.PubMed
    • 20. Vankerckhoven H, Lambrechts P, Van Beylen M. Unreacted methacrylate groups on the surface of composite resins. J Dent Res. 1982;61: 791-795.ArticlePubMedPDF
    • 21. Suh BI. A new resin technology: a glaze/composite sealant that cures without forming an oxygen-inhibited layer. Compend Contin Educ Dent. 2003;24: 27-29.PubMed
    • 22. Barghi N, Alexander C. A new surface sealant for polishing composite resin restorations. Compend Contin Educ Dent. 2003;24: 30-33.PubMed
    • 23. Ramos RP, Chinelatti MA, Chimello DT, Dibb RGP. Assessing microleakage in resin composite restorations rebonded with a surface sealant and three low-viscosity resin systems. Quintessence Int. 2002;33: 450-456.PubMed
    • 24. Suzuki M, Gwinnett AJ, Jordan RE. Relationship between composite resins and dentin treated with bonding agents. J Am Dent Assoc. 1989;118: 75-77.ArticlePubMed
    • 25. Feilzer AJ, de Gee AL, Davidson CL. Relaxation of polymerization contraction shear stress by hygroscopic expansion. J Dent Res. 1990;69: 36-39.ArticlePubMedPDF

    Tables & Figures

    Table 1
    Group classification by types of resin sealants
    jkacd-31-282-i001.jpg
    Table 2
    Distribution of microleakage scores and mean rank at occlusal margins
    jkacd-31-282-i002.jpg
    Table 3
    Distribution of microleakage scores and mean rank at gingival margins
    jkacd-31-282-i003.jpg
    Table 4
    Statistical analysis of microleakage at gingival margins among groups by Mann-Whitney test

    *: Statistical differences at p < 0.05

    jkacd-31-282-i004.jpg
    Table 5
    Statistical analysis between microleakage of occlusal and gingival margins in each group by Wilcoxon signed ranked test

    *: Microleakage of gingival margins was significant higher than that of occlusal margins (p < 0.05)

    - : No significant difference between microleakage of occlusal and gingival margin

    jkacd-31-282-i005.jpg

    REFERENCES

    • 1. Tjan AH, Tan DE. Microleakage at gingival margins of class V composite resin restorations rebonded with various low-viscosity resin systems. Quintessence Int. 1991;22: 565-573.PubMed
    • 2. Hansen EK, Asmussen E.. effect of dentin-bonding agent and hygroscopic expansion. Dent Mater. 1989;5: 122-126.PubMed
    • 3. Munro GA, Hilton TJ, Hermesch CB. In vitro microleakage of etched and bonded class 5 composite resin restorations. Oper Dent. 1996;21: 203-208.PubMed
    • 4. Ramos RP, Chimello DT, Chinelatti MA, Dibb RGP, Mondelli J. Effect of three surface sealants on marginal sealing of class V composite resin restorations. Oper Dent. 2000;25: 448-453.PubMed
    • 5. Reid JS, Saunders WP, Chen YY. The effect of bonding agent and fissure sealant on microleakage of composite resin restorations. Quintessence Int. 1991;22: 295-298.PubMed
    • 6. Kubo S, Yokota H, Yokota H, Hayashi Y. Effect of low-viscosity resin-based composite on the microleakage of cervical restorations. Am J Dent. 2003;16: 244-248.PubMed
    • 7. Lutz E, Krejci I, Oldenburg TR. Elimination of polymerization stresses at margins of posterior composite resin restorations. A new restorative technique. Quintessence Int. 1986;17: 777-784.PubMed
    • 8. Marais JT. Depth of cure of light cured composite resin with light curing units of different intensity. J Dent Assoc S Afr. 1997;52: 403-407.PubMed
    • 9. Jayasooriya PR, Pereira PNR, Nikaido T, Burrow MF, Tagami J. The effect of a "resin coating" on the interfacial adaptation of composite inlays. Oper Dent. 2003;28: 28-35.PubMed
    • 10. Pameijer CH, Wendt SL. Microleakage of "surface-sealing" materials. Am J Dent. 1995;8: 43-46.PubMed
    • 11. Bertrand MF, Leforestier E, Muller M, Lupi-Pegurier L, Bolla M. Effect of surface penetrating sealant on surface texture and microhardness of composite resins. J Biomed Mater Res. 2000;53: 658-663.PubMed
    • 12. Crim GA. Effect of composite resin on the microleakge of Scotchbond 2 Gluma. Am J Dent. 1988;1: 215-216.PubMed
    • 13. Doray PG, Eldiwany MS, Powers JM. Effect of resin surface sealers on improvement of stain resistance for a composite provisional material. J Esthet Restor Dent. 2003;15: 244-250.ArticlePubMed
    • 14. May KN Jr, Swift EJ, Wilder AD, Futrell SC. Effect of a surface sealant on microleakage of Class V restorations. Am J Dent. 1996;9: 133-136.PubMed
    • 15. Dickinson GL, Leinfelder KF. Assessing the long-term effect of a surface penetrating sealant. J Am Dent Assoc. 1993;124: 68-72.PubMed
    • 16. Torstenson B, Brannstrom M, Mattson B. A new method of sealing composite resin contraction gaps in lined cavities. J Dent Res. 1985;64: 450-453.ArticlePubMedPDF
    • 17. Erhardt MC, Magalhaes CS, Serra MC. The effect of rebonding on microleakage of class V aesthetic restorations. Oper Dent. 2002;27: 396-402.PubMed
    • 18. Estafan D, Dussetschleger FL, Miuo LE, Kondamani J. Class V lesions restored with flowable composite and added surface sealing resin. Gen Dent. 2000;48: 78-80.PubMed
    • 19. Shinkai K, Suzuki S, Leinfelder KF, Katoh Y. Effect of surface-penetrating sealant on resistance of luting agents. Quintessence Int. 1994;25: 767-771.PubMed
    • 20. Vankerckhoven H, Lambrechts P, Van Beylen M. Unreacted methacrylate groups on the surface of composite resins. J Dent Res. 1982;61: 791-795.ArticlePubMedPDF
    • 21. Suh BI. A new resin technology: a glaze/composite sealant that cures without forming an oxygen-inhibited layer. Compend Contin Educ Dent. 2003;24: 27-29.PubMed
    • 22. Barghi N, Alexander C. A new surface sealant for polishing composite resin restorations. Compend Contin Educ Dent. 2003;24: 30-33.PubMed
    • 23. Ramos RP, Chinelatti MA, Chimello DT, Dibb RGP. Assessing microleakage in resin composite restorations rebonded with a surface sealant and three low-viscosity resin systems. Quintessence Int. 2002;33: 450-456.PubMed
    • 24. Suzuki M, Gwinnett AJ, Jordan RE. Relationship between composite resins and dentin treated with bonding agents. J Am Dent Assoc. 1989;118: 75-77.ArticlePubMed
    • 25. Feilzer AJ, de Gee AL, Davidson CL. Relaxation of polymerization contraction shear stress by hygroscopic expansion. J Dent Res. 1990;69: 36-39.ArticlePubMedPDF

    Citations

    Citations to this article as recorded by  
    • 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
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      J Korean Acad Conserv Dent. 2006;31(4):282-289.   Published online July 31, 2006
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    Related articles
    Effect of resin sealants on the reduction of microleakage in composite restorations
    Effect of resin sealants on the reduction of microleakage in composite restorations

    Group classification by types of resin sealants

    Distribution of microleakage scores and mean rank at occlusal margins

    Distribution of microleakage scores and mean rank at gingival margins

    Statistical analysis of microleakage at gingival margins among groups by Mann-Whitney test

    *: Statistical differences at p < 0.05

    Statistical analysis between microleakage of occlusal and gingival margins in each group by Wilcoxon signed ranked test

    *: Microleakage of gingival margins was significant higher than that of occlusal margins (p < 0.05)

    - : No significant difference between microleakage of occlusal and gingival margin

    Table 1 Group classification by types of resin sealants

    Table 2 Distribution of microleakage scores and mean rank at occlusal margins

    Table 3 Distribution of microleakage scores and mean rank at gingival margins

    Table 4 Statistical analysis of microleakage at gingival margins among groups by Mann-Whitney test

    *: Statistical differences at p < 0.05

    Table 5 Statistical analysis between microleakage of occlusal and gingival margins in each group by Wilcoxon signed ranked test

    *: Microleakage of gingival margins was significant higher than that of occlusal margins (p < 0.05)

    - : No significant difference between microleakage of occlusal and gingival margin


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