Dental leakage

The aim of this study was to evaluate the effects of different techniques of surface treatment on the microleakage of fissure sealants in permanent molar teeth in vitro. 96 extracted impacted human third molars were randomly divided into 8 surface treatment groups (n=12/group) as 1. Er: YAG laser ; (Fidelis II, Fotona, Ljubljana, Slovenia) (125 mj, 20Hz) ; 2. Er: YAG laser + 37% H3PO4 (15s) ; 3. ER: AG laser + 37% H3PO4+Prime&Bond NT ; 4. Er: YAG laser + G Bond ; 5. Er: YAG laser + Prime&Bond NT ; 6. 37% H3PO4 ; 7. 37% H3PO4 + Prime&Bond NT ; 8. G Bond. Sealant material (Clinpro, 3M ESPE, Seefeld, Germany), was applied into the fissures and light-cured for 20s with LED (Bluephase C5, Ivoclar-Vivadent, Schaan, Liechtenstein). Specimens were subjected to thermocycling (1000×, 5-55°C, dwell time: 15s) and immersed in 0.5% basic fuchsin solution for 24h at 37°C. The samples were sectioned and scored on a 3 point rating scale using a light microscope with a magnification of ×20. One-way ...

Purpose: The aim of this study was to determine effect of compressive cyclic loading on fatigue resistance and microleakage of monolithic CAD/CAM molar ceramic and composite crowns. Materials and Methods: Thirty-two extracted molars were prepared to receive ...

Introduction: Residual oxygen-free radicals of bleaching agents before composite restorations can increase microleakage in enamel and dentin margins, and also various bleaching techniques are being developed using light sources. The present study was conducted to compare the effect of diode laser bleaching and LED activated bleaching on the microleakage of composite restorations.
Materials & Methods: This in-vitro study was conducted on 84 extracted human premolars in three groups: In group one, class-V cavities were prepared and the teeth (n=12) were restored with composite ten days after bleaching with 35% hydrogen peroxide with no activator. In groups two and three (n=36 each), the teeth were bleached with a Diode laser activator and LED, respectively. Thereafter, each group was divided into three subgroups (n=12), cavities were prepared and restored with composite three, five, and ten days after bleaching. Digital photographs were used to assess microleakage in the enamel and dentin margins. Data were analyzed using Friedman and Wilcoxon Signed Ranks tests (p<0.05).
Results: The lowest amount of microleakage in the enamel margin pertained to the diode laser ten-day subgroup (0.17±0.38) and the diode laser ten-day subgroup in the dentin margin (0.50±1.03). Also, the highest amount of microleakage in the LED group was in the three-day subgroup of the dentin margin (2.78±0.42). Five-day subgroup of diode laser-activated bleaching had a lower amount of microleakage compared to the control group (P=0.042).
Conclusion: It may be concluded that diode laser-activated bleaching with 35% hydrogen peroxide has a better effect on reducing microleakage with an interval of five to ten days, compared to the control and LED activated bleaching group.

The purpose of this study was to compare the sealing ability of the temporary restorative materials Cavit-G, Ketac Molar Easymix, and IRM with a new light-curing temporary material, Clip, using a methylene blue dye penetration test. Endodontic access preparations were prepared in 48 intact extracted human premolars. The teeth were divided into 6 groups, including positive and negative control groups. After access preparation, cotton pellets were placed in the pulp chamber so that the space remaining for the restoration was 4 mm. After thermal cycling for 500 cycles (5 degrees C-55 degrees C), the teeth were immersed in 2% methylene blue solution at neutral (pH = 7.0) in an incubator for leakage assessment. The teeth were sectioned, and the greatest depth of dye penetration was recorded. Marginal leakage was evaluated with a stereomicroscope. Positive control sections exhibited complete dye penetration, and negative controls had none. In the experimental groups, the differences in th...

Introduction: Sealing pits and fissures was introduced as an approach to prevent occlusal caries for more than two decades. The aim of this study was to compare the microleakage of flow able resin reinforced glass ionomer (Ionoseal) with other materials used as fissure sealants.

Methods: In this in vitro study, 50 premolar teeth of human free of any caries were selected. Fissurotomy was done with fissure bur. The samples were randomly categorized into five groups (Fissurit FX, Fuji II light-cured,Grandio flow, Ionoseal). Ionoseal was assessed by using two methods: with and without etching and bonding agent prior to sealant application. After sealant placement, all surfaces of the teeth except 2 mm area around the sealant margins were covered with two layers of nail polish.The specimens were thermocycled, and they were sectioned after immersing into a 0.5 % basic fuchsine solution. The amount of microleakage was examined by stereomicroscope.

Results: The microleakage comparisons of groups indicated that Ionoseal without etching and bonding application had significantly greater microleakage than the other groups (p<0.001), while there was statistically no significant difference between the microleakage of Ionoseal and the other groups after etching and bonding application (p>0.05).

Conclusions: By considering isolation difficulties in children and observing high amount of Ionoseal microleakage (without etching and bonding application), the samples need to be etched and bonded like other resin-based materials before Ionoseal placement in order to achieve clinically desirable microleakage outcomes.

This study evaluates the effect of calcium hydroxide dressing on microleakage of composite restorations following non-vital bleaching. A total of 45 sound extracted human maxillary central incisors underwent endodontic treatment. The teeth were randomly divided into three groups (n=15). In group 1, access cavities were restored with composite. In group 2, the teeth underwent a bleaching procedure for one week before being restored with composite. In group 3, following a bleaching procedure, calcium hydroxide paste was placed in the pulp chamber for one week. The teeth were then restored with composite. The specimens were subjected to a dye leakage test. The data was analyzed using Kruskal-Wallis and Mann-Whitney U tests. There were significant differences between the groups (P&lt;0.0005). No statistically significant differences were found between groups 2 and 3, while the differences between other groups were significant. The bleaching agent increased microleakage of composite rest...

In cases of disrupted apical constriction effort is made to create an apical stop and subsequently instrument and obturate the canal up to this point. The aim of this study was to in vitro evaluate the sealing ability of three root canal sealers used with the lateral compaction technique ...

Aim The aim was to evaluate the effects of Oral-B (OB), Listerine (LN) and Rembrandt Plus (RM) mouthrinses on microleakage of composite resin restorations bonded with two adhesive systems after bleaching with 10% carbamide peroxide. Materials and methods A total of 60 Cl V cavities were prepared on human premolars. The occlusal and gingival margins were placed 1 mm occlusal to and apical to CEJ respectively. The teeth were randomly divided into two groups based on the adhesive system used: Excite (EX) and Clearfil SE Bond (CSE) groups. After composite resin restoration of cavities, thermocycling and bleaching with 10% carbamide peroxide for 2 hours daily for 14 days, the teeth in each adhesive group were further subdivided into three subgroups and were immersed for 12 hours in the three OB, RM and LN mouthrinses. The teeth were then placed in 2% basic fuschin for 24 hours. After dissecting the teeth, microleakage was evaluated under a stereomicroscope at 16×. Data was analyzed with ...

The aim was to evaluate the effects of Oral-B (OB), Listerine (LN) and Rembrandt Plus (RM) mouthrinses on microleakage of composite resin restorations bonded with two adhesive systems after bleaching with 10% carbamide peroxide. A total of 60 Cl V cavities were prepared on human premolars. The occlusal and gingival margins were placed 1 mm occlusal to and apical to CEJ respectively. The teeth were randomly divided into two groups based on the adhesive system used: Excite (EX) and Clearfil SE Bond (CSE) groups. After composite resin restoration of cavities, thermocycling and bleaching with 10% carbamide peroxide for 2 hours daily for 14 days, the teeth in each adhesive group were further subdivided into three subgroups and were immersed for 12 hours in the three OB, RM and LN mouthrinses. The teeth were then placed in 2% basic fuschin for 24 hours. After dissecting the teeth, microleakage was evaluated under a stereomicroscope at 16×. Data was analyzed with multifactor ANOVA and Bonf...

The purpose of this study was to identify the pulpal findings encountered by practitioners when accessing complete-coverage crowns that require nonsurgical root canal treatment and the relevance of coronal leakage to the success of the RTC. The survey package consisted of a cover letter stating the instructions, rationale, and purpose for the questionnaire, a questionnaire with 8 short-answer questions, and a stamped, self-addressed envelope. A randomized sample of active dentists (300 general practitioners, 300 prosthodontists, and 300 endodontists) was selected. Collected data were analyzed with the chi-square test. A 60% response rate was obtained. Statistically significant differences were found among the practitioner groups, depending on the question. General practitioners and endodontists obtain access through crowns and maintain these crowns as final restoration significantly more often than do prosthodontists. Practitioners responded that teeth with complete crowns require n...

Introduction: The ability to seal margins is considered as one of the best predictors for the long-term success of bonded restorations. The aim of this study was to compare microleakage in occlusal and gingival margins between cavities filled with self-adhesive flowable and conventional flowable composites using dye penetration. Composite restorations were bonded with self-etch, total etch and universal adhesives.
Materials & Methods: In this in vitro study, 32 extracted human premolars for orthodontic  purpose were included. Class V cavities (3×3×1.5 mm) were prepared on the facial and lingual surfaces of each tooth.  The teeth were randomly divided into four equal groups based on the type of material: Single Bond 2 (3M ESPE), Clearfil SE Bond (Kuraray, Tokyo,Japan), Universal Scotch Bond(3M ESPE), and  Vertise Flow (Kerr Corp). Bonding agents were applied according  to the manufacturer instructions. Then the cavities of the first three groups were restored with Filtek Flow (3M ESPE,USA). In addition, the teeth were  thermocycled for 30 seconds and 1000 cycles at 5°-55°C.  Microleakage was evaluated using a stereomicroscope (X 40). Specimens were subjected to a dye leakage test. Data were  analyzed using Kruskal- Wallis and Mann-Whitney U tests.
Results:  Significant difference was observed in microleakage among four groups in both occlusal and gingival levels (p≤0.05).No significant difference was found regarding microleakage between Vertise Flow, and Etch-and-rinse and Universal groups.
Conclusion:  Vertise Flow is a useful material with  adequate  marginal seal.

This article evaluates the long-term clinical performance of porcelain laminate veneers bonded to teeth prepared with the use of an additive mock-up and aesthetic pre-evaluative temporary (APT) technique over a 12-year period. Sixty-six patients were restored with 580 porcelain laminate veneers. The technique, used for diagnosis, esthetic design, tooth preparation, and provisional restoration fabrication, was based on the APT protocol. The influence of several factors on the durability of veneers was analyzed according to pre- and postoperative parameters. With utilization of the APT restoration, over 80% of tooth preparations were confined to the dental enamel. Over 12 years, 42 laminate veneers failed, but when the preparations were limited to the enamel, the failure rate resulting from debonding and microleakage decreased to 0%. Porcelain laminate veneers presented a successful clinical performance in terms of marginal adaptation, discoloration, gingival recession, secondary cari...

Introduction: One of the main disadvantages of composites is marginal microleakage using flowable composites as a liner beneath composite restorations has been recommended to reduce microleakage. The aim of this study was to assess the microleakage of class II restorations with different flowable composites liners.

Materials & Methods :45 extracted premolars teeth with class II cavity preparation (90 cavities) were divided into five groups and filled as follows: 1.control group: hybrid composite(Z250) 2. Z250+surefil SDR flow 3.Z250+filtek supreme xt flow composite 4.Z250+Grandio flow 5.Z250+Tetric flow. Mesial and distal cavities were filled using snowplow and layering technique, respectively. After that, the samples were immersed in 0. 5% fuchsin solution and sectioned. Gingival microleakage was then graded. Data were analyzed using Kruskal Wallis and Mann Whitney U test.

Results: There was no significant difference between the snowplow and layering methods. Microleakage of Tetric flow and Grandio flow liners was significantly higher than the control group. Other flowable composites showed no significant difference in comparison with the control group.

Conclusion: In the present study, the results indicated that the flowable composites were not effective on reducing gingival microleakage.

To evaluate the effect of an additional hydrophobic resin coating (HE) on the resin-dentine microtensile bond strengths (μTBS), nanoleakage (NL), and in situ degree of conversion (DC) of three universal adhesives used in the etch-and-rinse (ER) and the self-etch (SE) modes. Sixty caries-free extracted third molars were divided into 12 groups according to the combination of the factors adhesive (All-Bond Universal [ABU]; G-Bond Plus [GBP] and Scotchbond Universal [SBU]), adhesive strategy (ER and SE), and the use of HE (Heliobond; yes or no). After restorations were constructed, specimens were stored in water (37°C/24h) and sectioned into resin-dentine beams (0.8mm(2)) to be tested under tension (0.5mm/min). Selected beams from each tooth were used for DC quantification and for NL evaluation. Data from each adhesive were analyzed with two-way ANOVA and Tukey&#39;s test (α=0.05). ABU and GBP resulted in higher μTBS in the ER mode. The use of HE increased the μTBS of ABU and GBP only i...

PURPOSE To investigate the sealing properties of root fillings with resin-coated gutta-percha cones and a methacrylate-based resin endodontic sealer with and without an accelerator component in root canals subjected to immediate or delayed post space preparation. METHODS Forty-eight extracted human teeth with single straight root canals were treated endodontically. Specimens were then assigned to four groups of 10 teeth each (n=10). After autoclaving, the following operative procedures were carried out under strict aseptic conditions. In Group 1 the root canals were filled with resin-coated gutta-percha cones and a methacrylate based resin endodontic sealer (EndoREZ). Post space preparations were performed 2 minutes after the sealer had set. In Group 2 the root canals were filled as in Group 1 but with the addition of a chemical accelerator. The post space preparations were also performed 2 minutes after the sealer had set. Groups 3 and 4 were filled as in Groups 1 and 2 respectivel...

The purpose of this study was a long-term comparison of the dimensional changes of endodontic sealers of diverse properties. The sealers were injected as thin layers on the internal walls of glass pipettes 1 mm in diameter. The pipettes were filled with deionized water, and the ...

Clinical Relevance Preparation prior to fissure sealing did not enhance the performance of the sealant. However, if caries is suspected and an enameloplasty has to be performed, opening the fissure with a diamond bur and sealing it with a conventional sealer is recommended.

To assess the sealing properties of four luting materials used for cementation of full cast crowns. 40 human premolars were prepared with a chamfer finish line. Stone dies were fabricated and copings were waxed, invested and cast in gold. Ten samples (n = 10) were randomly assigned to four groups. In two groups, resin modified glass-ionomer cements were used, ACTIVA BioACTIVE-CEMENT/BASE/LINER and FujiCem2; the third group received the self-adhesive resin cement Embrace WetBond, while the fourth group served as control with a zinc phosphate cement. After cementation, excess cement was removed followed by bench-set for 10 minutes. All samples were stored in water at 37 degrees C and subjected to thermal cycling (x2000 between 5 and 55 degrees C). Subsequently the occlusal surface was reduced exposing the dentin. After sterilization the specimens were subjected to bacterial microleakage with E. faecalis in a dual chamber apparatus for a period of 60 days. Bacterial leakage was checked...

The purpose of this study was to observe the influence of coronal leakage on the behavior of periapical tissues after root canal filling and post space preparation. Forty root canals of dogs&#39; teeth were instrumented and filled by the lateral condensation technique with gutta percha points and the cements Sealer 26 and Roth. After post space preparation, the remaining filling material was either protected or not protected with a plug of the temporary cement Lumicon. After root canal exposition to the oral environment for 90 days, the animals were killed and specimens were removed and prepared for histomorphological analysis. The Brown and Brenn technique showed 70% of cases with microorganism leakage for Roth cement, and 20% with Sealer 26. When a plug of Lumicon was employed, there was 30% leakage for Roth cement and 0% for Sealer 26. A chronic inflammatory reaction was more frequently observed with Roth cement than with Sealer 26. It was concluded that a plug of Lumicon was eff...

Furcation perforations were created in the pulpal floor of 60 teeth and were repaired with amalgam alone, plaster of Paris under amalgam, light-cured glass ionomer alone, and plaster of Paris under light-cured glass ionomer. After the access openings were filled with composite resin, the teeth were immersed in 2% erythrocin B dye solution for 2 wk, sectioned longitudinally, and dye penetration was measured. The light-cured glass ionomer group provided the least amount of leakage, followed by the group of plaster of Paris under glass ionomer. The groups using amalgam alone and plaster of Paris under amalgam showed the most leakage. The plaster of Paris barrier prevented the overextension of the repair materials when used under amalgam and glass ionomer.

The aim of this study was to evaluate the influence of chlorhexidine on microleakage of composite restorations in class V cavities prepared with a carbide bur (CB) and a erbium:yttrium-aluminum-garnet (Er:YAG) laser. Cavity preparations were created on the buccal surfaces of 48 bovine incisors using different methods then equally dividing them into four groups. Groups I and II were prepared with a #56 CB in a high speed handpiece while Groups III and IV were prepared with a Er:YAG laser at 350m J/4Hz on enamel and at 80.24 J/cm2 on dentin. The cavity preparations were rinsed with 2% chlorhexidine solution before the application of Clearfill SE Bond system and placement of a Z100 composite resin restoration. After 24 hours, the teeth were polished, thermocycled, and sealed with cosmetic varnish. The samples were then immersed in 2% methylene blue for four hours and sectioned in the buccolingual direction to determine the degree of microleakage. After statistical analysis (Kruskal-Wal...

The dawn of minimally invasive dentistry has led to the development of materials which rely on the use of effective adhesion to bond to remaining tooth tissue. Successful adhesive bonding is dependent upon appreciating the quality of the dental substrate, appropriate clinical handling of the material and patient, together with an appreciation of the chemistry of the adhesive. This paper outlines the current status of contemporary bonding, with particular emphasis on translating laboratory-based evidence into clinical practice. Using laboratory-based evidence, the ability of a bond to achieve a seal to enamel appears to be the best predictor of clinical performance. This article discusses the issues raised when translating research data about adhesive bonding from the laboratory to clinical dental practice.

The sealing properties of three temporary restorative materials, Cavit, IRM, and a polycarboxylate-based cement, Ultratemp Firm, were investigated in vitro. Standardized access cavities were prepared in 45, intact, extracted, human molars. The teeth were randomly assigned to three groups and the access openings filled with one of three temporary filling materials. In five teeth (negative control), no restorative material was placed but the preparations were coated entirely with sticky wax. The five teeth of the positive control group had no restorative material and no sticky wax applied. After thermocycling for 500 cycles (5-55 degrees C), the experimental teeth were dipped in molten sticky wax to the CEJ. The coronal enamel was subsequently coated with two layers of nail varnish, leaving an area of 1 mm around the filling material uncovered. The samples were then immersed in 2% methylene blue dye solution for leakage assessment. The teeth were sectioned and the greatest depth of dy...

To compare apical microleakage of extracted, single-rooted teeth obturated with thermoplasticized injectable gutta-percha using two different endodontic sealers (calcium-hydroxide and resin based). An experimental study. The Aga Khan University Hospital (AKUH), Dental Clinics and Laboratory from June to September 2015. The study was conducted using extracted teeth. After access cavities were made, cleaning and shaping of root canals was done in 70 teeth. Teeth were randomly allocated into two groups and obturated with thermoplasticized injectable gutta-percha (Obtura II) using two sealers (Sealapex vs. AH plus). After immersing the teeth in 2.0% methylene blue, they were split longitudinally, viewed under light microscope (magnification X4) and images were taken by a camera connected to microscope. The extent of dye penetration was assessed from apex to its coronal part and recorded in millimeters. Independent sample t-test was used to compare microleakage in the two groups. Pearson...

This study determined the validity of marginal ditching and staining as criteria for the diagnosis of secondary caries around amalgam restorations. One hundred and twenty-four Class I amalgam restorations on extracted human teeth were submitted to standardized clinical examinations. A calibrated examiner recorded the presence of ditching in the tooth/restoration interface, the occurrence of bluish-grey staining on the occlusal surface, and their relationship with the presence and severity of secondary carious lesions. Examinations were repeated after 4 days to calculate the intra-examiner reliability. Stereomicroscopic inspection of the serial tooth sections was used as the gold-standard. Six teeth were lost during the study. Of the 118 remaining teeth, 19 (16%) showed occlusal bluish-grey staining and 26 showed more than 0.20 mm wide marginal ditches. Of the latter, 14 presented narrow ditches (0.20-0.45 mm), while 12 presented wide ditches (0.45 mm). The evaluation criteria presen...

Screw loosening can damage the interfaces of implant components, resulting in susceptibility to contamination of the internal parts by microorganisms. The aim of this study was to investigate the impact of abutment screw retightening on the leakage of two different types of bacteria, Streptococcus sanguinis and Fusobacterium nucleatum, and of the yeast Candida albicans. Two types of implant-abutment systems with tube-in-tube interfaces were tested. Groups A and B each used a different type of system that consisted of 20 different pieces that were assembled according to the manufacturer&#39;s torque recommendations; four samples in each group were closed just one time, four samples three times, four samples five times, four samples seven times, and four samples nine times. The implants of groups A and B were contaminated with 0.1 μL of microbial solution just before being assembled for the last time to minimize the possibility of contamination. Results showed a direct correlation bet...

This cross-sectional study was undertaken to determine the prevalence of periradicular lesions in root-filled teeth from an urban adult Brazilian population, and to investigate the quality of root canal fillings and coronal restorations and their association with the periradicular status of these teeth. Root canal fillings from 2,051 teeth were categorized as adequate or inadequate on the basis of root canal filling length and homogeneity. Coronal restorations from the same teeth were categorized into adequate, inadequate, or absent. Results were analyzed statistically using the chi-squared test. The overall success rate of root-filled teeth was 49.7%. Cases with adequate endodontic treatment and adequate restorations had a success rate of 71%. When cases with adequate treatment and inadequate restoration were evaluated, the success rate was 65%. Cases with adequate treatment and absent restoration showed a success rate of 48%. Teeth with inadequate treatment combined with adequate ...

Two light-cured materials, Vitrebond and Prisma VLC Dycal, were compared with two chemically cured materials, Ketac Fil and Dycal, for ability to seal furcation perforations. Access openings and furcation perforations were prepared in 60 teeth and randomly divided into four equal groups. Furcation perforations were repaired with each of the tested materials, and the access openings were filled with composite resin. After teeth were immersed in 2% erythrocin B dye solution for 10 days, they were sectioned longitudinally and dye penetration was measured. The light-cured materials allowed statistically significant less dye leakage than did the chemically cured materials.

The purpose of this in vitro study was to evaluate quantitatively the effectiveness of three different restorative materials used as an intracoronal barrier to prevent microleakage of endodontically treated teeth. Fifty-five extracted human single-canal teeth were used in this study. The teeth were endodontically prepared and obturated. Forty-five teeth were randomly assigned to three experimental groups: group 1: sealed with Ketac-Cem (3M ESPE, St Paul, MN) (n = 15), group 2: sealed with Clearfil Protect Bond/Clearfil AP-X (Kuraray, New York, NY) (n = 15), and group 3: sealed with Maxcem (Kerr, Orange, CA) (n = 15). Ten teeth were also randomly assigned to a negative control group (n = 5) and a positive control group (n = 5). Microleakage was tested by using a sterile two-chamber bacterial method and Enterococcus faecalis was used as a microbial marker. Samples were incubated aerobically at 37 degrees C for 120 days. Bacterial leakage was determined by change in turbidity in the me...