Microleakage and Marginal Integrity of Surface-Coated and Laser-Pretreated Class V Composite Restorations in Primary Teeth Microleakage and marginal integrity of surface coated and laser-pretreated class V restorations
Journal of Lasers in Medical Sciences,
Vol. 14 (2023),
29 January 2023
,
Page e11
Abstract
Introduction: Despite the advanced formulations of resin composites, microleakage is still among the commonest causes of clinical failure of these restorations. We evaluated the effect of surface coating and laser pretreatment on the microleakage of Class V resin composite restorations in primary teeth.
Methods: Sixty extracted primary molar teeth having intact lingual or facial surfaces were randomly allocated into the control, G-Coat Plus surface coating, and erbium-doped yttrium aluminum garnet (Er:YAG) laser pretreatment groups. Class V cavities were provided with the coronal and gingival margins in the dentin and enamel, respectively. Restoration of the cavities was done with Z250 resin composite and they were thermocycled, followed by immersing in 2% basic Fuchsin dye for 24 hrs. Samples underwent sectioning occlusogingivally and the microleakage was assessed under a stereomicroscope (40×). Statistical analysis was done via SPSS and Kruskal-Wallis test (α=0.05).
Results: The control and G-Coat plus groups were significantly different regarding the microleakage (P<0.001), and G-Coat Plus and laser pretreatment groups (P<0.001) at both gingival and occlusal margins. However, it showed no significant difference between the laser and the control group on the enamel (P=0.063) and dentin margins (P=0.757). Microleakage at the gingival margins was significantly greater compared to the occlusal margins in the control and laser groups (P<0.001), but not in the G-Coat Plus group (P=0.051).
Conclusion: G-Coat plus coating significantly reduced microleakage at dentin and enamel margins of Class V composite restorations in primary teeth, in comparison with other groups of the study. Also, dentin margins showed more significant amounts of microleakage versus enamel margins in all groups, except for the G-Coat Plus group.
Keywords:
- laser; leakage; primary teeth; resin composite; surface coating
How to Cite
Azimi, N., Mohammadi, N., Parsaie, Z., & Fereidouni, K. (2023). Microleakage and Marginal Integrity of Surface-Coated and Laser-Pretreated Class V Composite Restorations in Primary Teeth: Microleakage and marginal integrity of surface coated and laser-pretreated class V restorations. Journal of Lasers in Medical Sciences, 14, e11. Retrieved from https://journals.sbmu.ac.ir/jlms/article/view/40109
References
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[18] Fathpour K, Bazazzade A, Mirmohammadi H, A comparative study of cervical composite restorations microleakage using dental universal bonding and two-step self-etch adhesive, J Contemp Dent Prac. 22 (2021) 1035-40.
[19] Pires CW, Soldera EB, Bonzanini LIL, et al., Is adhesive bond strength similar in primary and permanent teeth? A systematic review and meta-analysis, J Adhes Dent. 20 (2018) 87-97, https://doi.org/10.3290/j.jad.a40296.
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[21] Luong E, Shayegan A, Assessment of microleakage of class v restored by resin composite and resin-modified glass ionomer and pit and fissure resin-based sealants following er: Yag laser conditioning and acid etching: In vitro study, Clin Cosmet Investig Dent. 10 (2018) 83-92, https://doi.org/10.2147/CCIDE.S153989.
[22] Shafiei L, Mojiri P, Ghahraman Y, Rakhshan V, Microleakage of a self-adhesive class v composite on primary and permanent dentitions, J Contemp Dent Prac. 14 (2013) 461-7. https://doi.org/10.5005/jp-journals-10024-1345.
[23] Deshpande A, Macwan C, Dhillon S, et al., Sealing ability of three different surface coating materials on conventional and resin modified glass inomer restoration in primary anterior teeth: An in-vitro study, J Clin Diagn Res. 15 (2021) ZC17-ZC22.
[24] Münevveroğlu AP, Ozsoy A, Ozcan M, Microleakage of high viscosity glass-ionomer and glass-carbomer with and without coating before and after hydrothermal aging, Braz Dent Sci. 22 (2019) 79-87, https://doi.org/10.14295/bds.2018.v22i1.1631.
[25] Alwan SQ, Al-Waheb AM, Effect of nano-coating on microleakage of different capsulated glass ionomer restoration in primary teeth: An in vitro study Indian J Forensic Med Toxicol. 15 (2021).
[26] Bertrand MF, Hessleyer D, Muller‐Bolla M, Nammour S, Rocca JP, Scanning electron microscopic evaluation of resin–dentin interface after Er: YAG laser preparation, Lasers Surg Med. 35 (2004) 51-7.
[27] Yang K, Ge X, Effects of Er: YAG laser pre-treatment on dentin structure and bonding strength of primary teeth: An in vitro study, BMC Oral health 20 (2020) 1-10, https://doi.org/10.1186/s12903-020-01315-z.
[28] Barceleiro MdO, Mello J, Mello G, et al., Hybrid layer thickness and morphology: The influence of cavity preparation with Er: YAG laser, Oper Dent. 30 (2005) 304-10.
[29] Koliniotou-Koumpia E, Kouros P, Zafiriadis L, et al. Bonding of adhesives to er: Yag laser-treated dentin. Eur J Dent. 2012;6:016-23.
[30] Monghini EM, Wanderley RL, Pécora JD, et al. Bond strength to dentin of primary teeth irradiated with varying er: Yag laser energies and sem examination of the surface morphology. Lasers Surg Med. 2004;34:254-9, https://doi.org/10.1002/lsm.20023.
[31] Sassi JF, Chimello DT, Borsatto MC, et al., Comparative study of the dentin/adhesive systems interface after treatment with Er: YAG laser and acid etching using scanning electron microscope, Lasers Surg Med. 34 (2004) 385-90, https://doi.org/10.1002/lsm.20064.
[32] Shirani F, Birang R, Malekipour MR, Hourmehr Z, Kazemi S, Shear bond strength of resin composite bonded with two adhesives: Influence of Er: YAG laser irradiation distance, Dent Res J (Isfahan). 11 (2014) 689-94.
[33] Onay E-O, Yamanel K, Korkmaz-Ceyhan Y, Gulsahi K, Comparison of three adhesive systems in class ii composite restorations in endodontically treated teeth: Influence of Er: YAG laser conditioning and gingival margin levels on microleakage, J Clin Exp Dent. 10 ( 2018) e781-e8, https://doi.org/10.4317/jced.54843.
[34] Borsatto MC, Corona SAM, Ramos RP, et al., Microleakage at sealant/enamel interface of primary teeth: Effect of Er: YAG laser ablation of pits and fissures, J Dent Child. 71 (2004) 143-7.
[35] Cehreli SB, Gungor HC, Karabulut E, Er, cr: Ysgg laser pretreatment of primary teeth for bonded fissure sealant application: A quantitative microleakage study, J Adhes Dent. 8 ( 2006) 381-6.
[36] Sungurtekin E, Öztaş N, The effect of erbium, chromium: Yttrium–scandium–gallium–garnet laser etching on marginal integrity of a resin-based fissure sealant in primary teeth, Lasers Med Sci. 25 (2010) 841-7.
[37] Youssef M, Youssef F, Souza‐Zaroni W, Turbino M, Vieira M, Effect of enamel preparation method on in vitro marginal microleakage of a flowable composite used as pit and fissure sealant, Int J Paediatr Dent. 16 (2006) 342-7, https://doi.org/10.1111/j.1365-263X.2006.00751.x.
[38] Kaviani A, Khansari Nejad N, Effect of nd: Yag and er: Yag laser tooth conditioning on the microleakage of self-adhesive resin cement, Biomater Investig Dent. 8 (2021) 152-9, https://doi.org/10.1080/26415275.2021.1990063.
[39] Aranha ACC, Turbino ML, Powell GL, Eduardo CdP. Assessing microleakage of class v resin composite restorations after Er: YAG laser and bur preparation. Lasers Surg Med. 2005;37:172-7, https://doi.org/10.1002/lsm.20208.
[40] Rueggeberg F, Margeson D, The effect of oxygen inhibition on an unfilled/filled composite system, J Dent Res. 69 (1990) 1652-8, https://doi.org/10.1177/00220345900690100501.
[41] Bertrand MF, Leforestier E, Muller M, Lupi–Pégurier L, Bolla M, Effect of surface penetrating sealant on surface texture and microhardness of composite resins, J Biomed Mater Res. 53 (2000) 658-63.
[2] Paganini A, Attin T, Tauböck TT, Margin integrity of bulk-fill composite restorations in primary teeth, Materials 13 (2020) 3802-15, https://doi.org/10.3390/ma13173802.
[3] Hepdeniz OK, Temel UB, Ugurlu M, Koskan O, The effect of surface sealants with different filler content on microleakage of class v resin composite restorations, Eur J Dent. 10 (2016) 163-9, https://doi.org/10.1016/j.jdent.2018.04.004.
[4] dos Santos PH, Pavan S, Assunção WG, et al., Influence of surface sealants on microleakage of composite resin restorations, J Dent Child. 75 (2008) 24-8.
[5] Davoudi A, Sanei M, Badrian H, Application of laser irradiation for restorative treatments. Open Dent J. 10 (2016) 636-42, DOI: 10.2174/1874210601610010636.
[6] Owens BM, Johnson WW, Effect of new generation surface sealants on the marginal permeability of class v resin composite restorations, Oper Dent. 31 (2006) 481-8, DOI: 10.2341/05-77, https://doi.org/10.2341/05-77.
[7] Hajilou S, Zajkani E, Naghili A, Effect of a resin coating material on the microleakage of class v restorations with or without post-operative bleaching, Pesqui Bras Odontopediatria Clin Integr.20 (2020) 1-8, https://doi.org/10.1590/pboci.2020.121.
[8] Rathi SD, Nikhade P, Chandak M, et al., Microleakage in composite resin restoration-a review article, J Evol Med Dent Sci. 9 (2020) 1006-11. http://doi.org/10.14260/jemds/2020/216.
[9] VG S, To evaluate the effect of surface coating on three different types glass ionomer restorations, Biomed Pharmacol J. 8 (2015) 445-9, https://dx.doi.org/10.13005/bpj/720.
[10] Magni E, Zhang L, Hickel R, et al., SEM and microleakage evaluation of the marginal integrity of two types of class v restorations with or without the use of a light-curable coating material and of polishing, J Dent. 36 (2008) 885-91, https://doi.org/10.1016/j.jdent.2008.07.003.
[11] Gan J, Liu S, Zhou L, et al., Effect of nd:Yag laser irradiation pretreatment on the long-term bond strength of etch-and-rinse adhesive to dentin, Oper Dent. 42 (2017) 62-72, https://doi.org/10.2341/15-268-L.
[12] Unal M, Hubbezoglu I, Zan R, Kapdan A, Hurmuzlu F, Effect of acid etching and different er: Yag laser procedures on microleakage of three different fissure sealants in primary teeth after aging, Dent Mater J. 32 (2013) 557-63, https://doi.org/10.4012/dmj.2013-023.
[13] Ergucu Z, Celik EU, Turkun M, Microleakage study of different adhesive systems in class v cavities prepared by er, cr: Ysgg laser and bur preparation, Gen Dent. 55 (2007) 27-32.
[14] Gutknecht N, Apel C, Schäfer C, Lampert F, Microleakage of composite fillings in er, cr: Ysgg laser‐prepared class ii cavities, Lasers Surg Med. 28 (2001) 371-4.
[15] Baygin O, Korkmaz FM, Tüzüner T, Tanriver M, The effect of different enamel surface treatments on the microleakage of fissure sealants, Lasers Med Sci. 27 (2012) 153-60, https://doi.org/10.1007/s10103-011-0918-x
[16] Olivi G, Genovese M, Laser restorative dentistry in children and adolescents, Eur Arch Paediatr Dent. 12 (2011) 68-78.
[17] Attar N, Korkmaz Y, Ozel E, Bicer CO, Firatli E, Microleakage of class v cavities with different adhesive systems prepared by a diamond instrument and different parameters of er: Yag laser irradiation, Photomed Laser Surg. 26 (2008) 585-91, https://doi.org/10.1089/pho.2007.2203.
[18] Fathpour K, Bazazzade A, Mirmohammadi H, A comparative study of cervical composite restorations microleakage using dental universal bonding and two-step self-etch adhesive, J Contemp Dent Prac. 22 (2021) 1035-40.
[19] Pires CW, Soldera EB, Bonzanini LIL, et al., Is adhesive bond strength similar in primary and permanent teeth? A systematic review and meta-analysis, J Adhes Dent. 20 (2018) 87-97, https://doi.org/10.3290/j.jad.a40296.
[20] Kapdan A, Kuştarcı A, Kapdan A, et al., KTP laser on microleakage of compomer restorations in class v restorations, J Clin Pediatr Dent. 38 (2013) 13-7.
[21] Luong E, Shayegan A, Assessment of microleakage of class v restored by resin composite and resin-modified glass ionomer and pit and fissure resin-based sealants following er: Yag laser conditioning and acid etching: In vitro study, Clin Cosmet Investig Dent. 10 (2018) 83-92, https://doi.org/10.2147/CCIDE.S153989.
[22] Shafiei L, Mojiri P, Ghahraman Y, Rakhshan V, Microleakage of a self-adhesive class v composite on primary and permanent dentitions, J Contemp Dent Prac. 14 (2013) 461-7. https://doi.org/10.5005/jp-journals-10024-1345.
[23] Deshpande A, Macwan C, Dhillon S, et al., Sealing ability of three different surface coating materials on conventional and resin modified glass inomer restoration in primary anterior teeth: An in-vitro study, J Clin Diagn Res. 15 (2021) ZC17-ZC22.
[24] Münevveroğlu AP, Ozsoy A, Ozcan M, Microleakage of high viscosity glass-ionomer and glass-carbomer with and without coating before and after hydrothermal aging, Braz Dent Sci. 22 (2019) 79-87, https://doi.org/10.14295/bds.2018.v22i1.1631.
[25] Alwan SQ, Al-Waheb AM, Effect of nano-coating on microleakage of different capsulated glass ionomer restoration in primary teeth: An in vitro study Indian J Forensic Med Toxicol. 15 (2021).
[26] Bertrand MF, Hessleyer D, Muller‐Bolla M, Nammour S, Rocca JP, Scanning electron microscopic evaluation of resin–dentin interface after Er: YAG laser preparation, Lasers Surg Med. 35 (2004) 51-7.
[27] Yang K, Ge X, Effects of Er: YAG laser pre-treatment on dentin structure and bonding strength of primary teeth: An in vitro study, BMC Oral health 20 (2020) 1-10, https://doi.org/10.1186/s12903-020-01315-z.
[28] Barceleiro MdO, Mello J, Mello G, et al., Hybrid layer thickness and morphology: The influence of cavity preparation with Er: YAG laser, Oper Dent. 30 (2005) 304-10.
[29] Koliniotou-Koumpia E, Kouros P, Zafiriadis L, et al. Bonding of adhesives to er: Yag laser-treated dentin. Eur J Dent. 2012;6:016-23.
[30] Monghini EM, Wanderley RL, Pécora JD, et al. Bond strength to dentin of primary teeth irradiated with varying er: Yag laser energies and sem examination of the surface morphology. Lasers Surg Med. 2004;34:254-9, https://doi.org/10.1002/lsm.20023.
[31] Sassi JF, Chimello DT, Borsatto MC, et al., Comparative study of the dentin/adhesive systems interface after treatment with Er: YAG laser and acid etching using scanning electron microscope, Lasers Surg Med. 34 (2004) 385-90, https://doi.org/10.1002/lsm.20064.
[32] Shirani F, Birang R, Malekipour MR, Hourmehr Z, Kazemi S, Shear bond strength of resin composite bonded with two adhesives: Influence of Er: YAG laser irradiation distance, Dent Res J (Isfahan). 11 (2014) 689-94.
[33] Onay E-O, Yamanel K, Korkmaz-Ceyhan Y, Gulsahi K, Comparison of three adhesive systems in class ii composite restorations in endodontically treated teeth: Influence of Er: YAG laser conditioning and gingival margin levels on microleakage, J Clin Exp Dent. 10 ( 2018) e781-e8, https://doi.org/10.4317/jced.54843.
[34] Borsatto MC, Corona SAM, Ramos RP, et al., Microleakage at sealant/enamel interface of primary teeth: Effect of Er: YAG laser ablation of pits and fissures, J Dent Child. 71 (2004) 143-7.
[35] Cehreli SB, Gungor HC, Karabulut E, Er, cr: Ysgg laser pretreatment of primary teeth for bonded fissure sealant application: A quantitative microleakage study, J Adhes Dent. 8 ( 2006) 381-6.
[36] Sungurtekin E, Öztaş N, The effect of erbium, chromium: Yttrium–scandium–gallium–garnet laser etching on marginal integrity of a resin-based fissure sealant in primary teeth, Lasers Med Sci. 25 (2010) 841-7.
[37] Youssef M, Youssef F, Souza‐Zaroni W, Turbino M, Vieira M, Effect of enamel preparation method on in vitro marginal microleakage of a flowable composite used as pit and fissure sealant, Int J Paediatr Dent. 16 (2006) 342-7, https://doi.org/10.1111/j.1365-263X.2006.00751.x.
[38] Kaviani A, Khansari Nejad N, Effect of nd: Yag and er: Yag laser tooth conditioning on the microleakage of self-adhesive resin cement, Biomater Investig Dent. 8 (2021) 152-9, https://doi.org/10.1080/26415275.2021.1990063.
[39] Aranha ACC, Turbino ML, Powell GL, Eduardo CdP. Assessing microleakage of class v resin composite restorations after Er: YAG laser and bur preparation. Lasers Surg Med. 2005;37:172-7, https://doi.org/10.1002/lsm.20208.
[40] Rueggeberg F, Margeson D, The effect of oxygen inhibition on an unfilled/filled composite system, J Dent Res. 69 (1990) 1652-8, https://doi.org/10.1177/00220345900690100501.
[41] Bertrand MF, Leforestier E, Muller M, Lupi–Pégurier L, Bolla M, Effect of surface penetrating sealant on surface texture and microhardness of composite resins, J Biomed Mater Res. 53 (2000) 658-63.
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