Comparison of microleakage in Class II cavities restored with siloranebased and methacrylate-based composite resins using different restorative techniques over time

Abstract

Background: Despite the growing tendency toward tooth-colored restorations in dentistry,

polymerization shrinkage and subsequent marginal microleakage remains a problem. The aim of

this in vitro study was to compare microleakage between silorane-based and methacrylate-based

composite resins at different time intervals and with different restorative techniques.

Materials and Methods: In this in vitro study, 108 sound extracted human molar teeth were used.

Mesial and distal proximal class II boxes with dimensions of 1.5 mm depth and 4 mm width were

prepared. The gingival margins of all cavities were 1 mm below the cement enamel junction. The

teeth were randomly divided into three groups based on test materials. In the fi rst group, the teeth

were restored by a nanocomposite (Filtek Z350XT, 3MESPE) and SE Bond adhesive (Kuraray, Japan),

in the second group, the teeth were restored with a silorane-based (Filtek P90, 3MESPE) and Filtek

P90 Adhesive (3M ESPE, USA) and in the third group, the teeth were restored with a microhybrid

posterior composite resin (Filtek P60, 3MESPE) and SE Bond adhesive (Kuraray, Japan). Half of the

proximal cavities in each of these three groups were restored in two horizontal layers and the other

half in four horizontal layers. After a period of aging (24-h, 3-month and 6-month) in water and then

application of 500 thermal cycles, the teeth were immersed for 24-h in 0.5% fuchsin and evaluated under

a stereomicroscope at ×36 magnifi cation to evaluate leakage in gingival margin. Data was statistically

analyzed using Kruskal-Wallis and Mann-Whitney U-tests. P ≤ 0.05 was considered as signifi cant.

Results: In Z350XT statistically signifi cant differences were observed in microleakage in comparison

of 24-h and 6-month intervals (P = 0.01) that was higher in 6-month. Comparison of microleakage in

P90 and P60 composite resins was also statistically signifi cant and was less in P90. Microleakage was

not signifi cantly different between P90 and Z350XT at 24-h. However, this difference was signifi cant

at 3-month and 6-month intervals. Differences in microleakage of P60 and Z-350XT composite resins

were not statistically signifi cant in all intervals (P = 0.38). P90 showed the lowest microleakage during

storage in water. Z350XT had microleakage similar to P90 within 24-h, but after 6-month of storage

in water, it showed the highest microleakage among all the groups. The number of layers (2 layers vs.

4 layers) did not result in any differences in microleakage scores of the composite resins (P = 0.42).

Conclusion: Water storage times did not result in any signifi cant effect on microleakage of P90

and P60.

Key Words: Methacrylate-based composite, microleakage, silorane-based composite, storage