[Microleakage pattern around posterior composite resin restorations, combined with a ceramometallic cement (sandwich...

The purpose of this in vitro investigation was to examine the degree of microleakage in class II, MOD, posterior composite resin restorations, in the distal wall of which a layer of 1,5 mm of ceramometallic cement was condensed. Conventional MOD cavities were prepared using 330 and 56 tungsten carbide burs in 20 premolars extracted for orthodontic reasons. In the first group (10 specimens) the gingival floor was located in the enamel, above the cementoenamel junction and in the second group the gingival floor was located below the CEJ. In the mesial box, cervically, a layer of 1,5 mm of ceramometallic cement (Ketac Silver) was condensed and etched with orthophosphoric acid 37%, the cavity was filled with posterior composite resin (Heliomolar, Vivadent) and 24 hours later the specimens were polished using Sof-Lex discs and thermocycled between 4 degrees C and 60 degrees C for 50 cycles of 2 minutes each. The specimens were immersed for 2 hours in 2% basic fuchsin solution, washed, cleaned with acetate solution and split in two halves longitudinally in a mesiodistal direction, using a hard tissue microtome. From the detection of the degree of dye penetration we conclude that: a) In the cervical walls located in cementum, where cermet cement was condensed, minimal dye penetration was detected b) In the opposite side, where the composite resin existed on dentin-cementum, the dye penetration is more severe c) Dye penetration in cavities located in the enamel, is moderate in the areas where cermet cement existed d) No dye was detected in the interface between cermet cement and posterior composite, in most specimens.