World Journal of Dentistry

Register      Login

VOLUME 15 , ISSUE 9 ( September, 2024 ) > List of Articles

ORIGINAL RESEARCH

An In Vitro Evaluation of Novel Bioactive Liner's Effect on Marginal Adaptation of Class II Composite Restorations: A Scanning Electron Microscope Analysis

Naveena Ponnada, Praveen Dalavai, Girija S Sajjan, Madhu Varma Kanumuri, Venkata Karteek Varma Penmatsa, B V Sindhuja

Keywords : Class II composite, Glass ionomer cement, in vitro study, Micron Bioactive, Open sandwich, Resin-modified glass ionomer cement, Subgingival extension

Citation Information : Ponnada N, Dalavai P, Sajjan GS, Kanumuri MV, Penmatsa VK, Sindhuja BV. An In Vitro Evaluation of Novel Bioactive Liner's Effect on Marginal Adaptation of Class II Composite Restorations: A Scanning Electron Microscope Analysis. World J Dent 2024; 15 (9):749-754.

DOI: 10.5005/jp-journals-10015-2504

License: CC BY-NC 4.0

Published Online: 03-01-2025

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: To compare and evaluate the marginal adaptation of the composite resin restoration-liner-dentin (C-L-D) with bioactive liners in an open sandwich technique. Materials and methods: Class II proximal boxes were prepared, extending 1 mm below the cementoenamel junction (CEJ). Groups I and II materials were placed as liners at the gingival floor, followed by composite resin compaction in an open sandwich technique. Evaluation of composite resin-liner-dentin interfaces was determined with a scanning electron microscope (SEM) at 200x & 1000x. Results: The interfacial gap values in their descending order were as follows: group II (Micron Bioactive at L-D; 18.07 µ) > group I [resin-modified glass ionomer cement (RMGIC) at L-D; 13.46 µ] > group I (RMGIC at C-L; 2.28 µ) > group II (Micron Bioactive at C-L; 1.70 µ). However, there was no statistically significant difference between the two groups tested. Conclusion: RMGIC liner in the open sandwich technique presented lower mean marginal gap values than Micron Bioactive, which can be attributable to the material's poor handling properties, causing poor adaptation. None of the tested materials created a perfect marginal seal at the L-D interface. Clinical significance: Bioactive materials are a milestone in restorative dentistry. Various bioactive incorporations have been attempted into glass ionomers to improve their physical and chemical properties. Micron Bioactive is the only available commercial product with hydroxyapatite (HA)-modified glass ionomer. Therefore, it is crucial to evaluate its properties in terms of marginal adaptation for better clinical outcomes.


PDF Share
  1. Shenoy A. Is it the end of the road for dental amalgam? A critical review. J Conserv Dent 2008;11(3):99–107. DOI: 10.4103/0972-0707.45247
  2. Angadala P, Mandava J, Ravi R, et al. An in vitro micro-CT assessment of bioactive restorative materials interfacial adaptation to dentin. Dent Res J (Isfahan) 2022;19:56.
  3. Al-Harbi F, Kaisarly D, Michna A, et al. Cervical interfacial bonding effectiveness of Class II bulk versus incremental fill resin composite restorations. Oper Dent 2015;40(6):622–635. DOI: 10.2341/14-152-L
  4. Ismail HS, Ali AI, El Mehesen R, et al. Deep proximal margin rebuilding with direct esthetic restorations: a systematic review of marginal adaptation and bond strength. Restor Dent Endod 2022;47(2):e15. DOI: 10.5395/rde.2022.47.e15
  5. Aggarwal V, Singla M, Yadav S, et al. Marginal adaptation evaluation of Biodentine and MTA plus in “open sandwich” class II restorations. J Esthet Restor Dent 2015;27(3):167–175. DOI: 10.1111/jerd.12141
  6. Ástvaldsdóttir Á, Dagerhamn J, Van Dijken JWV, et al. Longevity of posterior resin composite restorations in adults—a systematic review. J Dent 2015;43(8):934–954. DOI: 10.1016/j.jdent.2015.05.001
  7. Sawani S, Arora V, Jaiswal S, et al. Comparative evaluation of microleakage in Class II restorations using open vs. closed centripetal build-up techniques with different lining materials. J Conserv Dent 2014;17(4):344–348. DOI: 10.4103/0972-0707.136450
  8. Sharafeddin F, Karimi S, Jowkar Z. Evaluation of the effect of micro-hydroxyapatite incorporation on the diametral tensile strength of glass ionomer cements. J Conserv Dent 2019;22(3):266–269. DOI: 10.4103/JCD.JCD_6_19
  9. Arora V, Nikhil V, Sawani S, et al. The open sandwich technique with glass ionomer cement—a critical evaluation. Int J Innov Res Sci Eng Technol 2013;2:3874–3882.
  10. Wilson AD, Prosser HJ, Powis DM. Mechanism of adhesion of polyelectrolyte cements to hydroxyapatite. J Dent Res 1983;62(5):590–592. DOI: 10.1177/00220345830620051801
  11. Jyothi K, Annapurna S, Kumar AS, et al. Clinical evaluation of giomer- and resin-modified glass ionomer cement in class V noncarious cervical lesions: an in vivo study. J Conserv Dent 2011;14(4):409–413. DOI: 10.4103/0972-0707.87214
  12. Ghavami-Lahiji M, Firouzmanesh M, Bagheri H, et al. The effect of thermocycling on the degree of conversion and mechanical properties of a microhybrid dental resin composite. Restor Dent Endod 2018;43(2):e26. DOI: 10.5395/rde.2018.43.e26
  13. Sato Y, Sato T, Niwa M, et al. Precipitation of octacalcium phosphates on artificial enamel in artificial saliva. J Mater Sci Mater Med 2006;17(11):1173–1177. DOI: 10.1007/s10856-006-0545-4
  14. Bansal D, Mahajan M. Comparative evaluation of different periods of enamel microabrasion on the microleakage of class V resin-modified glass ionomer and compomer restorations: an in vitro study. Indian J Dent Res 2017;28(6):675–680. DOI: 10.4103/ijdr.IJDR_657_16
  15. Ramić BD, Stojanac IL, Drobac MR, et al. Application of scanning electron microscopy in the observation of dentin-adhesive interface. Microsc Res Tech 2021;84(4):602–607. DOI: 10.1002/jemt.23618
  16. Mahajan S, Kumar N, Rathee K, et al. Comparative assessment of gingival microleakage between vitrebond resin modified glass ionomer cement liner versus biodentine liner in simulated open sandwich class II composite resin restorations using confocal microscopy. Ann Int Med Dent Res 2019;5(3):DE85–DE89.
  17. Andersson-Wenckert IE, Van Dijken JWV, Hörstedt P. Modified class II open sandwich restorations: evaluation of interfacial adaptation and influence of different restorative techniques. Eur J Oral Sci 2002;110:270–275. DOI: 10.1034/j.1600-0447.2002.11210.x
  18. Abraham SB, Gaintantzopoulou MD, Eliades G. Cavity adaptation of water-based restoratives placed as liners under a resin composite. Int J Dent 2017;2017:5957107. DOI: 10.1155/2017/5957107
  19. Gjorgievska E, Nicholson JW, Iljovska S, et al. Marginal adaptation and performance of bioactive dental restorative materials in deciduous and young permanent teeth. J Appl Oral Sci 2008;16(1):1–6. DOI: 10.1590/S1678-77572008000100002
  20. Kheur M, Kantharia N, Lakha T, et al. Evaluation of mechanical and adhesion properties of glass ionomer cement incorporating nano-sized hydroxyapatite particles. Odontology 2020;108(1):66–73. DOI: 10.1007/s10266-019-00427-5
  21. Lin A, McIntyre NS, Davidson RD. Studies on the adhesion of glass-ionomer cements to dentin. J Dent Res 1992;71(11):1836–1841. DOI: 10.1177/00220345920710111401
  22. El Wakeel AM, Elkassas DW, Yousry MM. Bonding of contemporary glass ionomer cements to different tooth substrates; microshear bond strength and scanning electron microscope study. Eur J Dent 2015;9(2):176–182. DOI: 10.4103/1305-7456.156799
  23. Glasspoole EA, Erickson RL, Davidson CL. Effect of surface treatments on the bond strength of glass ionomers to enamel. Dent Mater 2002;18(6):454–462. DOI: 10.1016/s0109-5641(01)00068-9
  24. Tanumiharja M, Burrow MF, Tyas MJ. Microtensile bond strengths of glass ionomer (polyalkenoate) cements to dentine using four conditioners. J Dent 2000;28(5):361–366. DOI: 10.1016/s0300-5712(00)00009-9
  25. Pereira LCG, Nunes MCP, Dibb RGP, et al. Mechanical properties and bond strength of glass-ionomer cements. J Adhes Dent 2002;4(1):73–80.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.