RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0040-1721310
Microtensile Bond Strength, Marginal Leakage, and Antibacterial Effect of Bulk Fill Resin Composite with Alkaline Fillers versus Incremental Nanohybrid Composite Resin
![](https://www.thieme-connect.de/media/10.1055-s-00042133/202103/lookinside/thumbnails/10.1055-s-0040-1721310-1.jpg)
Abstract
Objective This study aimed to investigate the microtensile bond strength (µTBS), microleakage, and antibacterial effect of bulk fill resin composite with alkaline fillers (alkasite) (alkaline fillers such as barium aluminum silicate glass and ytterbium trifluoride) in comparison to incremental nanohybrid resin composite.
Materials and Methods µTBS was evaluated by using 30 human mandibular molars. Teeth were randomly divided into three groups (C): nanohybrid resin composite (C0), self-cured alkasite (C1), and dual-cured alkasite (C2). Each group was subdivided into two subgroups according to the bulk thickness: 4 mm (T1) and 6 mm (T2). The occlusal enamel of teeth was removed and the resin composite was applied to a flat dentin surface. Then, teeth were sectioned into beams to be tested under tension. For microleakage testing, mesio-occlusal class II cavities were prepared in 15 molars and divided into three groups as mentioned before. Following this, cavities were restored, thermocycled, immersed in a dye, sectioned mesiodistally, and then dye penetration was assessed. The antibacterial effect of both tested materials was evaluated using agar disc diffusion and broth dilution methods against chlorhexidine as a control positive group.
Results There was no significant difference in µTBS between all tested groups. Bulk fill self-cured alkasite showed the lowest microleakage value followed by bulk fill dual-cured alkasite and incremental nanohybrid resin composite, respectively. Also, cervical microleakage showed significantly higher mean value than the occlusal one. The antibacterial effect of alkasite was less than chlorhexidine. Alkasite showed maximum broth clarity at lowest tested bacterial concentration.
Conclusion Resin composite with alkaline fillers was characterized by good µTBS and marginal integrity with weak antibacterial effect.
Publikationsverlauf
Artikel online veröffentlicht:
26. Dezember 2020
© 2020. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Tarle Z, Meniga A, Knezević A, Sutalo J, Ristić M, Pichler G. Composite conversion and temperature rise using a conventional, plasma arc, and an experimental blue LED curing unit. J Oral Rehabil 2002; 29 (07) 662-667
- 2 Knezević A, Tarle Z, Meniga A, Sutalo J, Pichler G, Ristić M. Degree of conversion and temperature rise during polymerization of composite resin samples with blue diodes. J Oral Rehabil 2001; 28 (06) 586-591
- 3 Andrzejewska E. Photopolymerization kinetics of multifunctional monomers. Prog Polym Sci 2001; 26 (04) 605-665
- 4 Price RB, Murphy DG, Dérand T. Light energy transmission through cured resin composite and human dentin. Quintessence Int 2000; 31 (09) 659-667
- 5 Poskus LT, Placido E, Cardoso PE. Influence of placement techniques on Vickers and Knoop hardness of class II composite resin restorations. Dent Mater 2004; 20 (08) 726-732
- 6 Sakaguchi RL, Douglas WH, Peters MC. Curing light performance and polymerization of composite restorative materials. J Dent 1992; 20 (03) 183-188
- 7 Pilo R, Oelgiesser D, Cardash HS. A survey of output intensity and potential for depth of cure among light-curing units in clinical use. J Dent 1999; 27 (03) 235-241
- 8 Flury S, Hayoz S, Peutzfeldt A, Hüsler J, Lussi A. Depth of cure of resin composites: is the ISO 4049 method suitable for bulk fill materials?. Dent Mater 2012; 28 (05) 521-528
- 9 Abouelleil H, Pradelle N, Villat C, Attik N, Colon P, Grosgogeat B. Comparison of mechanical properties of a new fiber reinforced composite and bulk filling composites. Restor Dent Endod 2015; 40 (04) 262-270
- 10 Todd JC. Scientific Documentation: Cention ® N. Schaan. Liechtenstein: Ivoclar-Vivadent Press; 2016: 1-58
- 11 Van Ende A, De Munck J, Lise DP, Van Meerbeek B. Bulk-fill composites: a review of the current literature. J Adhes Dent 2017; 19 (02) 95-109
- 12 Lima JFM, Wajngarten D, Islam F, Clifford J, Botta AC. Effect of adhesive mode and chlorhexidine on microtensile strength of universal bonding agent to sound and caries-affected dentins. Eur J Dent 2018; 12 (04) 553-558
- 13 Follak AC, Miotti LL, Lenzi TL. Rocha RO, Maxnuck Soares FZ. The impact of artificially caries-affected dentin on bond strength of multi-mode adhesives. J Conserv Dent 2018; 21 (02) 136-141
- 14 El-Shamy H, Sonbul H, Alturkestani N. et al. Proximal contact tightness of class II bulk-fill composite resin restorations: an in vitro study. Dent Mater J 2019; 38 (01) 96-100
- 15 Swapna MU, Koshy S, Kumar A, Nanjappa N, Benjamin S, Nainan MT. Comparing marginal microleakage of three bulk fill composites in class II cavities using confocal microscope: an in vitro study. J Conserv Dent 2015; 18 (05) 409-413
- 16 Mutluay AT, Mutluay M. Effects of different disinfection methods on microleakage of giomer restorations. Eur J Dent 2019; 13 (04) 569-573
- 17 Hotwani K, Thosar N, Baliga S, Bundale S, Sharma K. Antibacterial effects of hybrid tooth colored restorative materials against Streptococcus mutans: an in vitro analysis. J Conserv Dent 2013; 16 (04) 319-322
- 18 Clarke JK. On the bacterial factor in the etiology of dental caries. Br J Exp Pathol 1924; 5: 141-147
-
19 Atlas, Ronald M, Julian E Davies, and Arnold L Demain. Manual of Industrial Microbiology and Biotechnology. 2nd ed. Washington (D.C.): ASM press; 1999
- 20 Cosgun A, Bolgul B, Duran N. In vitro investigation of antimicrobial effects, nanohardness, and cytotoxicity of different glass ionomer restorative materials in dentistry. Niger J Clin Pract 2019; 22 (03) 422-431
- 21 Heintze SD. Clinical relevance of tests on bond strength, microleakage and marginal adaptation. Dent Mater 2013; 29 (01) 59-84
- 22 Sano H, Shono T, Sonoda H. et al. Relationship between surface area for adhesion and tensile bond strength–evaluation of a micro-tensile bond test. Dent Mater 1994; 10 (04) 236-240
- 23 Abdalla AI. Effect of long-term water aging on microtensile bond strength of self-etch adhesives to dentin. Am J Dent 2010; 23 (01) 29-33
- 24 Sharafeddin F, Salehi R, Feizi N. Effect of dimethyl sulfoxide on bond strength of a self-etch primer and an etch and rinse adhesive to surface and deep dentin. J Dent (Shiraz) 2016; 17 (3, Suppl) 242-249
- 25 Mandava J, Vegesna DP, Ravi R, Boddeda MR, Uppalapati LV, Ghazanfaruddin MD. Microtensile bond strength of bulk-fill restorative composites to dentin. J Clin Exp Dent 2017; 9 (08) e1023-e1028
- 26 Taneja S, Kumar P, Kumar A. Comparative evaluation of the microtensile bond strength of bulk fill and low shrinkage composite for different depths of Class II cavities with the cervical margin in cementum: an in vitro study. J Conserv Dent 2016; 19 (06) 532-535
- 27 Sagsoz O, Ilday NO, Karatas O. et al. The bond strength of highly filled flowable composites placed in two different configuration factors. J Conserv Dent 2016; 19 (01) 21-25
- 28 Silame FDJ, Geraldeli GP, Sinhoreti MAC, Pires-de-Souza FCP, Roulet JF, Geraldeli S. Dentin µTBS and hardness of bulk-fill and conventional composites placed in a box-shaped cavity preparation. J Adhes Dent 2017; 19 (05) 395-400
- 29 Kusgoz A, Ülker M, Yesilyurt C, Yoldas OH, Ozil M, Tanriver M. Silorane-based composite: depth of cure, surface hardness, degree of conversion, and cervical microleakage in Class II cavities. J Esthet Restor Dent 2011; 23 (05) 324-335
- 30 Abrol A, Aggarwal N, Gupta P, Kunjam M, Abrol N. Comparative evaluation of microleakage around class ii cavities restored with Zirconomer, Tetric N Ceram, Cention-N and glass ionomer cement- an in vitro study. Int J Curr Res 2019; 1 (02) 1641-1644
- 31 Alvarenga FAS, Pinelli C, Loffredo LCM. Reliability of marginal microleakage assessment by visual and digital methods. Eur J Dent 2015; 9 (01) 1-5
- 32 Braga RR, Ferracane JL, Condon JR. Polymerization contraction stress in dual-cure cements and its effect on interfacial integrity of bonded inlays. J Dent 2002; 30 (7-8) 333-340
- 33 El-Sahn NA, El-Kassas DW, El-Damanhoury HM, Fahmy OM, Gomaa H, Platt JA. Effect of C-factor on microtensile bond strengths of low-shrinkage composites. Oper Dent 2011; 36 (03) 281-292
- 34 Han L, Okamoto A, Iwaku M. The effect of various clinical factors on marginal enamel micro-cracks produced around composite restorations. Dent Mater 1990; 11: 26-37
- 35 Jorgensen JH, Ferraro MJ. Antimicrobial susceptibility testing: a review of general principles and contemporary practices. Clin Infect Dis 2009; 49 (11) 1749-1755
- 36 Balagopal S, Arjunkumar R. Chlorhexidine: the gold standard antiplaque agent. J Pharm Sci Res 2013; 5 (12) 270-274