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The Journal of Adhesive Dentistry
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J Adhes Dent 17 (2015), No. 5     16. Nov. 2015
J Adhes Dent 17 (2015), No. 5  (16.11.2015)

Page 427-432, doi:10.3290/j.jad.a35012, PubMed:26525007


Bond Strength of a Flowable Bulk-fill Resin Composite in Class II MOD Cavities
Kumagai, Rose Yakushijin / Zeidan, Leonardo Colombo / Rodrigues, Jose Augusto / Reis, André Figueiredo / Roulet, Jean-François
Purpose: To evaluate the microtensile bond strength (μTBS) of a bulk-fill low-stress resin-based composite to dentin from gingival walls of Class II MOD cavities.
Materials and Methods: Class II MOD cavities were prepared in 44 human molars with the distal and mesial proximal boxes 4 and 6 mm deep, respectively. Eight experimental groups (n = 11) were obtained by a factorial design including 1. "composite" in two levels: a bulk-fill low-stress composite (SureFil SDR Flow, Dentsply Caulk) and a conventional composite (Filtek Z350 XT, 3M ESPE); 2. "filling technique" in two levels: bulk-fill (Bf) and incremental (In); and 3. "depth" in two levels: 4 mm and 6 mm in order to create different polymerization conditions. Twenty-four hours after placement of restorations, teeth were sectioned into beams with a cross-sectional bonded area of approximately 1 mm2. Bonded beams obtained from the gingival walls of the proximal boxes were tested in tension at a crosshead speed of 1 mm/min. Data were submitted to a 3-way ANOVA followed by a post-hoc Tukey's test (p < 0.05).
Results: ANOVA failed to identify significant differences for the triple and double interaction between factors. However, significant differences were observed for the factors "composite" and "filling technique" (p < 0.05). SDR presented significantly higher μTBS values for bulk and incremental filling techniques (p < 0.05), and the incremental filling technique presented significantly higher μTBS values for both composites (p < 0.05).
Conclusion: It can be concluded that the bulk-fill flowable composite SDR may improve the bond strength to the gingival walls of Class II MOD cavities.

Keywords: tensile strength, bulk-fill composite, filling technique