World Journal of Dentistry

Register      Login

VOLUME 2 , ISSUE 2 ( April-June, 2011 ) > List of Articles


Effect of Four Different Placement Techniques on Marginal Microleakage in Class II Composite Restorations: An in vitro Study

Anupriya Bugalia, J Karthik, Raghoothama Rao, B Vedhavathi

Citation Information : Bugalia A, Karthik J, Rao R, Vedhavathi B. Effect of Four Different Placement Techniques on Marginal Microleakage in Class II Composite Restorations: An in vitro Study. World J Dent 2011; 2 (2):111-116.

DOI: 10.5005/jp-journals-10015-1066

Published Online: 01-09-2012

Copyright Statement:  Copyright © 2011; The Author(s).


Background and objectives

This study was undertaken to evaluate the effect of different placement techniques (bulk, oblique incremental, centripetal and split horizontal) on marginal microleakage in class II composite restoration.


Standardized class II preparations were made in 40 caries-free extracted molars and randomly assigned to four groups (n = 10): (1) Bulk technique (2) oblique incremental insertion technique,(3) centripetal incremental insertion technique and (4) split horizontal incremental insertion. The teeth were restored with a total-etch adhesive and nanocomposite resin. The specimens were immersed in a solution of 2% methylene blue for 24 hours, and subsequently evaluated for leakage. The microleakage scores (0 to 4) obtained from the occlusal and cervical walls were analyzed with Kruskal-Wallis and Mann-Whitney tests (p < 0.05).


Microleakage scores indicated that incremental technique was better than bulk for composite placement and among incremental techniques split incremental technique showed best results.


Incremental placement technique showed lower microleakage compared to bulk, and lower microleakage was seen at occlusal margin compared to gingival margin. Split horizontal incremental technique showed the least microleakage scores among incremental techniques

PDF Share
  1. Marginal adaptation of class II adhesive restorations Quintessence. Int 2008;39(5):413-18.
  2. Quality and durability of marginal adaptation in bonded composite restorations. Dent Mater 1991;7(2):107-13.
  3. Microleakage in relation to amalgam and composite restorations: A laboratory study. Br Dent J 1976;141(10): 305-10.
  4. The location of clinically diagnosed secondary caries. Quintessence Int 1998;29(5):313-17.
  5. A three sited light curing technique for conventional class II composite resin restorations. Quintessence Int 1987;18(2):125-31.
  6. Elimination of polymerization stresses at the margins of posterior composite resin restorations: A new restorative technique. Quintessence Int 1986;17:777-84.
  7. The centripetal build-up for composite resin posterior restorations. Pract Periodontics Aesthet Dent 1994;6:17-23.
  8. Composite restorations of large class II cavities using split-increment horizontal placement technique. Oper Dent 2005:172-77.
  9. Curing contraction of composites and glass ionomer cements. J Prosthet Dent 1998;59(3):297-300.
  10. The effect of flexural load cycling on the microleakage of cervical resin composites. Oper Dent 2001;26(5):451-59.
  11. A review of polymerization contraction: The influence of stress development versus stress relier. Oper Dent 1996;21:17-24.
  12. Relaxation of polymerization contraction stress by flow in dental composites. Dent Res 1984;63:146-48.
  13. Marginal and internal adaptation of class II restorations after immediate or delayed composite placement. J Dent 2002;30:259-69.
  14. The effects of bonding system and light curing method on reducing stress of different C-factor cavities. J Adhes Dent 2001;3:177-83.
  15. Complete marginal seal of class V restorations effected by increased flexibility. J Dent Res 1990;69:1240-43.
  16. Marginal microleakage associated with three posterior resin restorative material. J Dent 1998;16:1330-33.
  17. Setting stress in resin composite in relation to configuration of restoration. J Dent Res 1987;66:1636-39.
  18. Effect of fiber fiber nets, application techniques and flowable composite as liner on microleakage on class II MOD restoration. Oper Dent 2009;34(2):174-80.
  19. Factors effecting adhesion to mineralized tissues. Oper Dent 1992;17:111-24.
  20. Comparative study of composite resin placement, centripetal build up vs incremental technique. J pract Esthet Dent 2001;13(3):243-50.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.