Laboratory study and clinical application of adhesive marginal fit of dental hard tissue restorations

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Abstract

BACKGROUND: Dental caries is the most common disease of the oral cavity, which can usually be treated by direct composite restoration.

AIM: To assess the quality of the marginal fit of adhesive systems and photocomposites to the hard tissues of the tooth.

MATERIALS AND METHODS: A scanning electron microscopic study was conducted with 30 restorations on teeth previously removed for medical reasons using a 7th-generation adhesive system from the universal group of various manufacturers and composite materials. The experiment included Tetric N-Bond Universal (Ivoclar Vivadent), Prime&Bond Universal (Dentsply Sirona), OptiBond Universal (Kerr), and composite materials (OptiShade, сeram.х® SphereTec, and Tetric N-Ceram). All of these adhesives can be used with any enamel and dentin conditioning technique or with dual-curing composites; thus, their use is relevant in orthopedic dentistry. Teeth sections were made with restorations and scanning electron microscopy was performed.

RESULTS: The self-etching adhesives of the universal group produced different results after studying the electron diffraction patterns of the teeth sections with restorations. The OptiBond Universal (Kerr) adhesive system had the best marginal fit, followed by Tetric N-Bond Universal (Ivoclar Vivadent) and Prime & Bond Universal (Dentsply Sirona). A clinical case of restoration with a combination of class 5 and 3 cavities according to Black was represented by the OptiShade material.

CONCLUSION: A violation of the marginal fit of the material in the zone of contact with the hard tissues of the tooth was noted in 60% of the cases when using the composite material Ceram.x® SphereTec (Dentsply Sirona) and the adhesive Prime&Bond Universal; 20% — Tetric N-Ceram (Ivoclar Vivadent) and Prime&Bond Universal adhesive; in 10% — composite OptiShade (Kerr) and adhesive OptiBond Universal (Kerr). The adhesive should be applied with a brush.

About the authors

Aleka R. Latif

Military Medical Academy named after S.M. Kirov

Author for correspondence.
Email: aleka.latif@yandex.ru
ORCID iD: 0000-0002-0051-5421
SPIN-code: 3555-9170

Student

Russian Federation, 6, Academician Lebedev street, Saint Petersburg, 194044

Yulia B. Vorobyeva

Military Medical Academy named after S.M. Kirov

Email: doctor32@bk.ru
ORCID iD: 0000-0003-0394-7868
SPIN-code: 9690-1182

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Saint Petersburg

Daria D. Malysheva

Military Medical Academy named after S.M. Kirov

Email: malyshewa.dasha@mail.ru
ORCID iD: 0000-0003-1467-3321
SPIN-code: 7676-7360

MD, Lecturer

Russian Federation, Saint Petersburg

Alexandr M. Kovalevsky

Military Medical Academy named after S.M. Kirov

Email: endy_taker@mail.ru
ORCID iD: 0000-0002-0772-0663
SPIN-code: 6899-4345

MD, Dr Sci. (Med.), Associate Professor

Russian Federation, Saint Petersburg

References

  1. Anokhina AV, Ostolopovskaya OV. Investigation of the adhesion force of various adhesive systems with dental tissues. International Scientific Research Journal. 2016;(3):45–47. (In Russ). doi: 10.18454/IRJ.2016.45.003
  2. Popova EA, Furtsev TV. Study strenght of adhesive joints composite material and dentine depending on the type processing tooth cavity. Russian Journal of Dentistry. 2016;20(2):63–65. (In Russ). doi: 10.18821/1728-28022016;20(2):63-65
  3. Kovalevsky AM, Vorobyeva YuB, Malysheva DD. The use of pre-polymerization composite material in the restoration of carious cavities of the 5th grade according to Black: a report of laboratory and clinical studies. Institute of Dentistry. 2021;(2):99–101. (In Russ).
  4. Malysheva DD, Vorobyeva YuB, Kovalevsky AM. Finishing treatment of composite restorations of teeth. Comparative characteristics of polishing systems. Medical and Pharmaceutical journal Pulse. 2022;24(4):28–32. (In Russ). doi: 10.26787/nydha-2686-6838-2022-24-4-28-32
  5. Satylganova ZhI. Polymerization shrinkage of composite materials as a factor providing marginal adaptation of microhybrid fillings. Bulletin of the Kyrgyz State Medical Academy named after I.K. Akhunbaev. 2015;(4):28–34. (In Russ).

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Adhesive Tetric N-Bond Universal (IvoclarVivadent).

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3. Fig. 2. Adhesive Prime&Bond Universal (Dentsply Sirona).

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4. Fig. 3. Adhesive OptiBond Universal (Кerr).

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5. Fig. 4. Scanning electron microscopy. Dental hard tissue boundary, OptiBond Universal system, OptiShade composite. Magnification ×240 (photo: Yu.B. Vorobyeva, 2021).

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6. Fig. 5. Scanning electron microscopy. Marginal fit of Tetric N-Bond Universal adhesive (Ivoclar Vivadent) and Tetric N-Ceram composite (Ivoclar Vivadent). Magnification ×150 (photo: Yu.B. Vorobyeva, 2021).

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7. Fig. 6. Scanning electron microscopy. Microbrush fiber inclusions in samples with ceram.x® SphereTec (Dentsply Sirona) and Prime&Bond Universal adhesive. Magnification ×330 (photo: Yu.B. Vorobyeva, 2021).

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8. Fig. 7. Scanning electron microscopy. Marginal fit of OptiShade composite (Kerr) and OptiBond Universal adhesive (Kerr). Magnification ×290 (photo: Yu.B. Vorobyeva, 2021).

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9. Fig. 8. Palatal surface of the frontal group of teeth of patient A.

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10. Fig. 9. Palatal surface of the frontal group of teeth of patient A.

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11. Fig. 10. Vestibular surface of tooth 1.3 of patient A. at the stage of preparation.

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12. Fig. 11. OptiShade Composite (Kerr), shade Medium.

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13. Fig. 12. The result of the restoration of tooth 1.3 of patient A.

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Copyright (c) 2023 Latif A.R., Vorobyeva Y.B., Malysheva D.D., Kovalevsky A.M.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


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