• Restorative Dentistry and Endodontics
• /
• v.25 no.1
• /
• pp.56-62
• /
• 2000

The purpose of this study was to assess the effects of restorative materials on the marginal leakage of wedge-shaped class V cavity. The study was performed in vitro in 25 defect-free permanent, extracted teeth. Wedge-shaped class V cavities were prepared and then the teeth were randomly selected and restored according to the following. Group A : restoration with Tetric Ceram(composite resin) Group B : restoration with Tetric flow(flowable resin) Group C : restoration with Compoglass after acid etching(compomer) Group D : restoration with Compoglass(compomer) Group E : restoration with Fuji II LC improved(resin-modified GIC) After thermocycling, the specimens were immersed in 5% basic fuchsin solution for 6 hours and sectioned longitudinally through the center of the restoration. The degree of marginal leakage was measured as the extent of dye penetration under the stereomicroscope. The data were analysed using one-way ANOVA. When significant differences found, multiple comparisons were made using Duncan's Multiple Range Test. The results were as follows: 1. The occlusal margins of all groups except for Fuji II LC improved showed lesser leakage than gingival margins and there was statistically significant difference(p<0.05). 2. At the occlusal margins, group A, B showed same marginal leakage scores, and others were decreased as group C, D, E in that order. There were statistically significant difference between group A, Band group D, E, group C and group E(p<0.05). 3. At the gingival margins, group B, C showed same marginal leakage scores, and others were decreased as group A, D, E in that order. But there was statistically significant difference between group B, C and group E(p<0.05). 4. In the Compoglass restoration, acid-etching technique was beneficial for marginal sealing ability at all of margins. But there was no statistically significant difference (p>0.05). In the restorations for wedge-shaped class V cavities, resin restoration with acid etching technique is recommended.

• Restorative Dentistry and Endodontics
• /
• v.25 no.1
• /
• pp.91-108
• /
• 2000

Most of cervical abrasion and erosion lesions show gingival margin where the cavosurface angle is on cementum or dentin. Composite resin restoration of cervical lesion shrink toward enamel margin due to polymerization contraction. This shrinkage has clinical problem such as microleakage and secondary caries. Several methods to diminish contraction stress of composite resin restoration, such as modifying cavity form and building up restorations in several increments have been attempted. The purpose of this study was to compare polymerization contraction stress of composite resin in Class V cavity subjected to cavity forms and placement methods. In this study, finite element model of 5 types of Class V cavity was developed on computer tomogram of maxillary central incisor. The types are : 1) Box cavity 2) Box cavity with incisal bevel 3) V shape cavity 4) V shape cavity with incisal bevel 5) Saucer shape cavity. The placement methods are 1) Incisal first oblique incremental curing 2) Bulk curing. An FEM based program for light activated polymerization is not available. For simulation of curing dynamics, time dependent transient thermal conduction analysis was conducted on each cavity and each placement method. For simulation of polymerization shrinkage, thermal stress analysis was performed with each cavity and each placement method. The time-temperature dependent volume shrinkage rate, elastic modulus, and Poisson's ratio were determined in thermal conduction data. The results were as follows : 1. With all five Class V cavifies, the highest Von Mises stress at the composite-tooth interface occurred at gingival margin. 2. With box cavity, V shape cavity and saucer cavity, Von Mises stress at gingival margin of V shape cavity was lower than the others. And that of box cavity was lower than that of saucer cavity. 3. Preparing bevel at incisal cavosurface margin decreased the rate of stress development in early polymerization stage. 4. Preparing bevel at incisal cavosurface margin of V shape cavity increased the Von Mises stress at gingival margin, but decreased at incisal margin. 5. At incisal margin, stress development by bulk curing method was rapid at early stage. Stress development by first increment of incremental curing method was also rapid but lower than that by bulk curing method, however after second increment curing final stress was the same for two placement methods. 6. At gingival margin, stress development by incremental curing method was suddenly rapid at early stage of second increment curing, but final stress was the same for two placement methods.

• Restorative Dentistry and Endodontics
• /
• v.31 no.1
• /
• pp.20-29
• /
• 2006

The purpose of this study was to analyze the stress distribution aspect of unrestored and restored combined shape (wedge shape occulusally and saucer shape gingivally) class V cavity, which found frequently in clinical cases. A maxillary second permolar restored with a combined shape class V composite restorations were modeled using the three dimensional finite element method. Static occlusal load of 170 N was applied on lingual incline of buccal cusp at the angle of $45^{\circ}$ with the longitudinal axis of the tooth. And three dimensional finite element analysis was taken by ANSYS (Version 6.0, Swanson Analysis System Co., Houston, U.S.A) program which represent the stress distribution on unrestored and restored cavity wall and margin. The conclusions were as follows. 1. Compared to the unrestored cavity, Von Mises stress at the cementoenamel junction and line angle of the cavity base were reduced and in restored cavity. 2. Von Mises stress at the occlusal and cervical cavity margin and wall were increased in restored cavity in comparison with the unrestored cavity. 3. In the hybrid and hybrid/flowable composite resin restoration, Von Mises stress at the cementoenamel junction and line angle of the cavity base were reduced more than in the flowable restoration. 4. In the hybrid and hybrid/flowable composite resin restoration, Von Mises stress at the occlusal and cervical cavity margin and wall were increased more than in the flowable restoration.

• Restorative Dentistry and Endodontics
• /
• v.23 no.2
• /
• pp.639-646
• /
• 1998

To evaluate the effect of interface conditions and retention grooves in the Class V composite resin restoration of the maxillary first premolar, the distribution of the values of stress and displacement was analyzed with the two-dimensional finite element method. The results were obtained as follows : 1. Boundary elements and Stiffness values could be used as the interface parameters in the, finite element method. 2. The amount of restriction of the displacement at the cervical margin by placing a retention groove at the cervical wall was about three times as high as that by placing a retention groove at the occlusal wall. 3. Because of the relative amount of tensile components of the stress values in the bucco-lingual direction, the possibility of dislocation of the restoration was much higher at the cervical margin than at the occlusal margin. 4. It might be recommended that both occlusal and cervical retention grooves be used routinely, but if one, it be placed at the cervical wall.

• Restorative Dentistry and Endodontics
• /
• v.26 no.1
• /
• pp.64-76
• /
• 2001

Despite the improvements in bond strengths of dentin adhesives and resin-modified glass ionomers, the marginal seal of cervical restorations remains a concern. Microleakage at poorly sealed margins can result in staining, post-operative sensitivity, pulpal irritation, and recurrent caries. The objective of this study was to evaluate the effect of surface penetrating sealant(SPS) on the microleakage of cervical restorations. 45 extracted human teeth were selected, and Class V preparations were prepared on the both buccal and lingual surface of the teeth to the following dimensions : 1.5mm axially, 3mm mesiodistally, and 3mm incisogingivally. After cervical restoration with composite resin, compomer, glass ionomer each restoration was treated as three methods: No Tx., Scotchbond Multipurpose Adhesive$^{\circledR}$, Fortify$^{\circledR}$. The sections were examined with a stereomicroscope to determine the extent of microleakage at enamel and dentin margins. The results of this study were as follows. 1. All groups showed some microleakage. 2. Gingival cavity wall with cementum margin showed significantly higher leakage value than occlusal cavity wall with enamel margin. 3. The group treated with SPS showed significantly lower leakage value than no treated group(p<0.05). But there is no difference between Fortify$^{\circledR}$ and Scotchbond Multipurpose adhesive$^{\circledR}$. The results of this study suggest that SPS are effective in reducing microleakage of class V restorations. But it is certain that some microleakage still occurred despite the application of SPS.

• Restorative Dentistry and Endodontics
• /
• v.27 no.3
• /
• pp.284-289
• /
• 2002

Background : The purpose of the present study was to evaluate the direct and indirect composite restorations which had been placed for 1 year Methods : The composite restorations which had been placed between 1999. Mar and 1999, Dec was evaluated after 1 year For direct restorations. Spectrum (Dentsply, USA) and Z100 (3M, USA) were used in the anterior teeth and Surefil (Dentsply, USA) were used. For class V restorations of anterior and posterior teeth. Spectrum was used. For indirect restorations, Targis/Vectris system (Vivadent/Ivoclar, Liechtenstein) was used 2 examiners evaluated marginal quality, proximal contact. discoloration, presence of 2$^{nd}$ caries, loss of filling and hypersensitivity of restorations. The restorations was clinically evaluated by modified methods based on USPHS. Results : 60 teeth were evaluated. 59 were clinically acceptable and 1 restoration which was placed in class v cavity in the posterior tooth was fallen out. In most cases, the restorations were clinically accept-able. For restorations which had been directly placed in the class II cavities, loose proximal contact was indicated as the main complaints. Conclusions : Most of Anterior and posterior restorations which bad been directly or indirectly placed for 1 year were clinically acceptable. For posterior teeth, loose proximal contact was indicated as the main problem in the directly placed Class II restorations. Long term clinical study is needed.

• Restorative Dentistry and Endodontics
• /
• v.18 no.2
• /
• pp.413-422
• /
• 1993

The purpose of this study was to evaluate the adaptation of light cured glass ionomer cement and composite resin using all- etch technique to tooth structure. In this study, class V cavities were prepared on the buccal surfaces of 10 extracted human premolar teeth with cementum margin and teeth were randomly assigned 2 groups of 5 teeth each. The cavities of glass ionomer cement group were filled with the light cured glass ionomer cement(Fuji II LC) and the cavities of composite resin group were filled with the light cured composite resion(P - 50) using all- etch technique with All- Bond 2. The restored teeth were stored in 100 % relative humidity at $37^{\circ}C$ for 48 hours. And then, the roots of the teeth were removed with the tapered fissure bur and the remaining crowns were sectioned occlusogingivally through the center of restorations. Adaptation at tooth - restoration interface were assessed occlusally, gingivally, and axially by scanning electron microscope. The results were as follows : 1. The adaptation to enamel walls of composite resin restorations using All - Bond 2 showed better than glass ionomer restorations. 2. The adaptation to gingival and axial walls of glass ionomer restorations showed better than composite resin restorations using All - Bond 2. 3. In both groups, occlusal margins of restorations showed better adaptation than gingival margins of restorations.

• Restorative Dentistry and Endodontics
• /
• v.24 no.1
• /
• pp.67-75
• /
• 1999

The use of composite restorative materials is established due to continuing improvements in the materials and restorative techniques. Composite resins are widely used for the restoration of cervical lesions because of esthetics, good physical properties and working time. There are several types of cavity design for class V composite resin filling, but inappropriate cavity form may affect bonding failure, microleakage and fracture during mastication. Cavity preparations for composite materials should be as conservative as possible. The extent of the preparation is usually determined by the size, shape, and location of the defect. The design of the cavity preparation to receive a composite restoration may vary depending on several factors. In this study, 5 types of class V cavity were prepared on each maxillary central incisor. The types are; 1) V-shape, 2) round(U) shape, 3) box form, 4) box form with incisal bevel and 5) box form with incisal bevel and grooves for axial line angles. After restoration, in order to observe the concentration of stress at bonding surfaces of teeth and restorations, developing a 2-dimensional finite element model of labiopalatal section in tooth, surrounding bone, periodontal ligament and gingiva, based on the measurements by Wheeler, loading force from direction of 45 degrees from lingual side near the incisal edge was applied. This study analysed Von Mises stress with SuperSap finite element analysis program(Algor Interactive System, Inc.). The results were as follows : 1. Stress concentration was prevalent at tooth-resin bonding surface of cervical side on each model. 2. In model 2 without line angle, stress was distributed evenly. 3. Preparing bevel eliminated stress concentration much or less at line angle. 4. Model with round-shape distributed stress concentration more evenly than box-type model with sharp line angle, therefore decreased possibility of fracture. 5. Adding grooves to line angles had no effect of decreasing stress concentration to the area.

• Restorative Dentistry and Endodontics
• /
• v.10 no.1
• /
• pp.135-144
• /
• 1984

This study was undertaken to evaluate the degree of the marginal leakage of composite restoration with 3 brands of dental adhesives by means of the dye penetration at the enamel and dentinal margins. 150 cavities of class V were prepared on the buccal and lingual surfaces of 75 extracted anterior and premolar teeth, which were devided into 3 groups. The cavities were filled with composite resin, Silar$^{(R)}$ (3M) and Heliosit$^{(R)}$ (Vivadent) after application of the dental adhesives, specifically Scotchbond$^{(R)}$ (3M) which is essentially composed with halophosphorus ester of Bis-GMA, Dentin Adhesit$^{(R)}$ (Vivadent) which is polyurethane resin, and Enamel Bond$^{(R)}$ (3M) which is a product of Bis-GMA with low viscosity at internal surfaces and margins of the cavities. All specimens were immersed in $37^{\circ}C$, 0.5% methylene blue solution for 24 hours after thermocycling at $4^{\circ}C$ and $60^{\circ}C$, embedded in acrylic resin, and sectioned with diamond disk into two parts. The sectioned specimens observed with the light microscope. The following results were obtained: 1. The group filled with Scotchbond$^{(R)}$-Silar$^{(R)}$ the other two groups at the enamel margins. 2. No significant difference in the degree of the marginal leakage had appeared between Dentin Adhesit$^{(R)}$-Heliosit$^{(R)}$ group an d Enamel Bond$^{(R)}$-Silar$^{(R)}$ group at the enamel margins. 3. Severe marginal leakage with penetration of dye to the floor of cavity had appeared from the all three groups and no significant difference in the degree of marginal leakage existed between the three groups at the dentinal margins.

• Restorative Dentistry and Endodontics
• /
• v.13 no.1
• /
• pp.139-150
• /
• 1988

The purpose of this study was to evaluate the marginal adaptation of Class V resin restorations by the filling techniques. The cavities were filled with Heliosit$^{(R)}$ light curing composite resin system in accordance with the following three filling techniques - bulk-pack placement technique, apical to occlusal layering placement technique, and buccolingual layering placement technique. And the interface between the restoration and the tooth structure was observed with scanning electron microscope. The following results were obtained. 1. Marginal adaptation of enamel showed excellent irrespective of the filling techniques. 2. Marginal leakage of dentin was observed irrespective of the filling techniques. 3. No difference of marginal adaptation according to the filling techniques was observed in light curing composite resin.