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[Microleakage of four different amalgam binding systems].

T G Oberholzer1, S R Grobler, R J Rossouw

  • 1Navorsingsinstituut vir Mond, en Tandheelkunde, Universiteit van Stellenbosch Suid-Afrika.

SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging
|August 10, 2006
PubMed
Summary

This study compared four dental bonding agents for amalgam restorations, finding no system completely prevented microleakage. Amalgambond Plus showed the most leakage, while Optibond Solo, Fuji Plus, and Prime & Bond 2.1 offered improved marginal seals.

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Area of Science:

  • Dental Materials Science
  • Restorative Dentistry
  • Biomaterials

Background:

  • Microleakage at the tooth-restoration interface is a primary cause of secondary caries and restoration failure.
  • Effective marginal sealing is crucial for the longevity of amalgam restorations.
  • Evaluating new bonding systems is essential for improving clinical outcomes.

Purpose of the Study:

  • To compare the microleakage of Class V cavities lined with Amalgambond Plus with HPA, Optibond Solo, Fuji Plus, and Prime & Bond 2.1 before amalgam restoration.
  • To assess the effectiveness of these bonding systems in preventing marginal leakage.
  • To analyze the interface between the bonding agent, amalgam, and tooth structure using confocal laser scanning microscopy (CLSM).

Main Methods:

  • Class V cavities in human teeth were prepared and lined with four different bonding systems.

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  • Restorations were completed using Logic amalgam.
  • Teeth underwent thermocycling in basic fuchsin dye, followed by sectioning and evaluation of dye penetration using CLSM.
  • Main Results:

    • No bonding system completely eliminated microleakage.
    • Significant differences in microleakage were observed between Amalgambond Plus with HPA and the other three systems (Prime & Bond 2.1, Fuji Plus, Optibond Solo) on both enamel and dentine.
    • Amalgambond Plus exhibited significantly more leakage on dentine, while Prime & Bond 2.1 showed more leakage on enamel. No significant differences were found among Prime & Bond 2.1, Fuji Plus, and Optibond Solo.
    • CLSM revealed variations in hybrid layer thickness, resin penetration into dentinal tubules, and resin incorporation into amalgam particles.

    Conclusions:

    • Amalgambond Plus with HPA demonstrated inferior marginal sealing compared to Optibond Solo, Fuji Plus, and Prime & Bond 2.1.
    • Optibond Solo, Fuji Plus, and Prime & Bond 2.1 are viable options for improving the marginal seal of amalgam restorations.
    • Further research may explore long-term clinical performance and different cavity preparations.