Marginal Micro-leakage of Self-etch and All-in One Adhesives to Primary Teeth, with Mechanical or Chemo-Mechanical Caries Removal

Statement of Problem: Chemo-mechanical caries removal is an effective alternative to the traditional rotary drilling method. One of the factors that can influence micro-leakage is the method of caries removal. Objectives: To compare the micro-leakage of resin composite in primary dentition using self-etch and all-in one adhesives following conventional and chemo-mechanical caries removal. Materials and Methods: Sixty extracted human primary anterior teeth with class III carious lesions were collected. The selected teeth were divided randomly into two groups each consisting of 30 teeth. In group1 carious lesions were removed using Carisolv multi mix gel. In group 2, caries was removed using round steel burs in a slow–speed hand piece. Then, the specimens in each group were randomly divided into two subgroups (A and B) of 15 and treated by either Clearfil SE Bond (CSEB) or Scotch bond. All prepared cavities were filled with a resin composite (Estellite). All the specimens were stored in distilled water at 37ºC for 24 hours and then thermocycled in 5ºC and 55ºC water with a dwell time of 20 seconds for 1500 cycles. The specimens were immersed in 1% methylene blue solution for 24 hours, removed, washed and sectioned mesiodistally. The sectioned splits were examined under a stereomicroscope to determine the micro-leakage scores. The data were analyzed using Kruskal-Wallis Test in SPSS version 21. Results: There were no significant differences between micro-leakage scores among the four groups (p = 0.127). Score 0 of micro-leakage was detected for 60% of the specimens in group 1-A (Carisolv + CSEB), 73% of the group 2-A (hand piece + CSEB), 80% of the group 1-B (Carisolv + Scotch bond), and 93% of the group 2-B in which caries was removed using hand piece and bonded with Scotch bond . Conclusions: Although caries removal using hand piece bur along with using Scotch bond adhesive performed less micro-leakage, it would seems that the use of Carisolv doesn’t adversely affect the micro-leakage of composite restorations while using self-etch or all-in one adhesives

Evaluation of microleakage in class v cavities prepared by different caries removal methods

ERTURK AVUNDUK, AYSE TUGBA/0000-0002-7879-8150WOS: 000481788100019PubMed: 31199544The purpose of this study was to comparatively evaluate the effects of different caries removal methods on microleakage success of class V adhesive restorations by means of light microscopy (stereomicroscope) and scanning electron microscopy (SEM) observations. Sixty-four human teeth with class V caries that measured with DIAGNOdent were used. The samples were divided into four groups (n = 16) randomly according to caries removing methods of conventional method, Carisolv, Papacarie, and Er,Cr:YSGG laser system. The self-etch Clearfil SE Bond and Clearfil Majesty Es-II were used as restoration materials. After thermal cycles of 2,000 (5 and 55 degrees C) samples were immersed in a 50% wt/wt AgNO3. Samples were finally imaged and scored under light microscopy and SEM, respectively. The data were statistically analyzed using Kruskal-Wallis H, pairwise comparison and Wilcoxon's T tests at 5% significance level (p < .05). Statistical analysis demonstrated that there was no significant difference between microleakage scores in dentin regions but there were significant difference between the Papacarie and Er,Cr:YSGGlaser in terms of leakage scores in enamel sites. No statistically significant difference in leakage scores emerged between light microscopy and SEM