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The Journal of Adhesive Dentistry
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J Adhes Dent 17 (2015), No. 4     10. Sep. 2015
J Adhes Dent 17 (2015), No. 4  (10.09.2015)

Page 329-336, doi:10.3290/j.jad.a34554, PubMed:26258175


Interfacial Adaptation of Composite Restorations Before and After Light Curing: Effects of Adhesive and Filling Technique
Yoshimine, Nariaki / Shimada, Yasushi / Tagami, Junji / Sadr, Alireza
Purpose: To investigate the effects of placement technique and adhesive material on adaptation of composites before and after light curing.
Materials and Methods: Cylindrical cavities (3 mm diameter, 1.7 mm depth) in extracted human molars were restored in 6 groups (n = 5) using 2 adhesives - two-step self-etching Clearfil SE Bond 2 (SE2) and all-in-one Clearfil Tri-S Bond Plus (TSP) (Kuraray Noritake Dental) - and 2 composites - Estelite Sigma Quick (ESQ) and Estelite Flow Quick (FLQ) (Tokuyama Dental) - placed with three different techniques: ESQ bulk placed, FLQ lining followed by ESQ and FLQ bulk placed. Specimens were scanned twice using swept-source optical coherence tomography (SS-OCT) before and after photopolymerization of the composite. Gap formation during polymerization or the difference in floor interface (DFI%) and final unsealed interface (USI%) were measured by image coregistration and subtraction on 6 diametrical planes across each scan.
Results: Two-way ANOVA suggested that both factors (adhesive and filling technique) and their interaction were significant (p < 0.001). SE2 showed significantly lower DFI% than did TSP when the composites were placed in bulk, but no difference was found when flowable lining was applied (p < 0.05). Within TSP, all filling techniques were significantly different and the lining group showed the lowest values, followed by ESQ-bulk. Overall, SE2 always showed lower UFI% than did TSP, while there was no difference among different techniques within SE2.
Conclusion: SS-OCT is a unique method to observe the pre-existing interfacial defects and gaps developed during polymerization, which were found to depend on both placement technique and applied adhesive.

Keywords: swept-source optical coherence tomography, gap formation, image subtraction, two-step self-etching adhesive, all-in-one adhesive, lining