Effect of Glass Fiber Reinforcement on Marginal Microleakage in Class II Composite Restorations: An In Vitro Pilot Study

<b>Background:</b> Polymerization shrinkage of composite resins affects the marginal closure of direct dental restorations. It is responsible for developing secondary caries and indirectly affects the survival rate of restorations. This study aims to investigate the null hypothesis, whic...

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Main Authors: Csaba Dudás, Emánuel Kardos, Melinda Székely, Lea Ádám, Zsuzsanna Bardocz-Veres, Evelyn Szőllősi, Kinga Mária Jánosi, Bernadette Kerekes-Máthé
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Language:English
Published: MDPI AG 2024-12-01
Series:Dentistry Journal
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Online Access:https://www.mdpi.com/2304-6767/12/12/410
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author Csaba Dudás
Emánuel Kardos
Melinda Székely
Lea Ádám
Zsuzsanna Bardocz-Veres
Evelyn Szőllősi
Kinga Mária Jánosi
Bernadette Kerekes-Máthé
author_facet Csaba Dudás
Emánuel Kardos
Melinda Székely
Lea Ádám
Zsuzsanna Bardocz-Veres
Evelyn Szőllősi
Kinga Mária Jánosi
Bernadette Kerekes-Máthé
author_sort Csaba Dudás
collection DOAJ
description <b>Background:</b> Polymerization shrinkage of composite resins affects the marginal closure of direct dental restorations. It is responsible for developing secondary caries and indirectly affects the survival rate of restorations. This study aims to investigate the null hypothesis, which states that there are no significant differences in the marginal microleakage of Class II restorations when examined in vitro using different dental adhesives, whether the restoration material used is a composite with glass fiber reinforcement or not. <b>Methods:</b> Class II cavities were prepared on both proximal surfaces of thirty-six extracted human molars. A single-component (Universal VivaPen) and a two-component (Futurabond DC) self-etch adhesive system were used for the restorations in the control group (Charisma Classic) and the experimental group (Charisma Classic with Interlig glass fiber strip). An oblique layering technique and a 40-s soft-start light-curing polymerization were used. After selective pre-isolation, the specimens were placed in a 0.2% methylene blue solution and incubated at 37 °C for 24 h. The teeth were sectioned in the mesiodistal direction, and two examiners examined and graded the extent of dye penetration. Statistical analysis was conducted using the Mann–Whitney U and chi-square tests (<i>p</i> < 0.05). <b>Results:</b> All the composite restorations reinforced with glass fiber showed significantly reduced dye infiltration compared to the control group (<i>p</i> < 0.05). A significant difference (<i>p</i> < 0.05) was also observed between the two adhesives. <b>Conclusions:</b> The null hypothesis was rejected. Glass fiber strips significantly reduced composite restoration microleakage regardless of the adhesive. The marginal fit of the restoration was also influenced by the adhesive system used.
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publisher MDPI AG
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spelling doaj-art-5d2579f3a9c243ecadf85d5c8d1944442024-12-27T14:20:25ZengMDPI AGDentistry Journal2304-67672024-12-01121241010.3390/dj12120410Effect of Glass Fiber Reinforcement on Marginal Microleakage in Class II Composite Restorations: An In Vitro Pilot StudyCsaba Dudás0Emánuel Kardos1Melinda Székely2Lea Ádám3Zsuzsanna Bardocz-Veres4Evelyn Szőllősi5Kinga Mária Jánosi6Bernadette Kerekes-Máthé7Faculty of Dentistry, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Targu Mures, RomaniaFaculty of Dentistry, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Targu Mures, RomaniaDepartment of Teeth and Dental Arches Morphology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, RomaniaFaculty of Dentistry, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Targu Mures, RomaniaDepartment of Oral Rehabilitation and Occlusology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, RomaniaFaculty of Dentistry, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Targu Mures, RomaniaDepartment of Fixed Prosthodontics, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, RomaniaDepartment of Teeth and Dental Arches Morphology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania<b>Background:</b> Polymerization shrinkage of composite resins affects the marginal closure of direct dental restorations. It is responsible for developing secondary caries and indirectly affects the survival rate of restorations. This study aims to investigate the null hypothesis, which states that there are no significant differences in the marginal microleakage of Class II restorations when examined in vitro using different dental adhesives, whether the restoration material used is a composite with glass fiber reinforcement or not. <b>Methods:</b> Class II cavities were prepared on both proximal surfaces of thirty-six extracted human molars. A single-component (Universal VivaPen) and a two-component (Futurabond DC) self-etch adhesive system were used for the restorations in the control group (Charisma Classic) and the experimental group (Charisma Classic with Interlig glass fiber strip). An oblique layering technique and a 40-s soft-start light-curing polymerization were used. After selective pre-isolation, the specimens were placed in a 0.2% methylene blue solution and incubated at 37 °C for 24 h. The teeth were sectioned in the mesiodistal direction, and two examiners examined and graded the extent of dye penetration. Statistical analysis was conducted using the Mann–Whitney U and chi-square tests (<i>p</i> < 0.05). <b>Results:</b> All the composite restorations reinforced with glass fiber showed significantly reduced dye infiltration compared to the control group (<i>p</i> < 0.05). A significant difference (<i>p</i> < 0.05) was also observed between the two adhesives. <b>Conclusions:</b> The null hypothesis was rejected. Glass fiber strips significantly reduced composite restoration microleakage regardless of the adhesive. The marginal fit of the restoration was also influenced by the adhesive system used.https://www.mdpi.com/2304-6767/12/12/410restorative approachclass II restorationcomposite resinfiberglass stripdye penetration
spellingShingle Csaba Dudás
Emánuel Kardos
Melinda Székely
Lea Ádám
Zsuzsanna Bardocz-Veres
Evelyn Szőllősi
Kinga Mária Jánosi
Bernadette Kerekes-Máthé
Effect of Glass Fiber Reinforcement on Marginal Microleakage in Class II Composite Restorations: An In Vitro Pilot Study
Dentistry Journal
restorative approach
class II restoration
composite resin
fiberglass strip
dye penetration
title Effect of Glass Fiber Reinforcement on Marginal Microleakage in Class II Composite Restorations: An In Vitro Pilot Study
title_full Effect of Glass Fiber Reinforcement on Marginal Microleakage in Class II Composite Restorations: An In Vitro Pilot Study
title_fullStr Effect of Glass Fiber Reinforcement on Marginal Microleakage in Class II Composite Restorations: An In Vitro Pilot Study
title_full_unstemmed Effect of Glass Fiber Reinforcement on Marginal Microleakage in Class II Composite Restorations: An In Vitro Pilot Study
title_short Effect of Glass Fiber Reinforcement on Marginal Microleakage in Class II Composite Restorations: An In Vitro Pilot Study
title_sort effect of glass fiber reinforcement on marginal microleakage in class ii composite restorations an in vitro pilot study
topic restorative approach
class II restoration
composite resin
fiberglass strip
dye penetration
url https://www.mdpi.com/2304-6767/12/12/410
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