Marginal sealing of a porcelain 
laminate veneer luted with 
three different resin cements 
on fluorosed teeth

The purpose of this study was to investigate the sealing ability of three different resin cements for the luting of a porcelain laminate veneer (PLV) to the enamel and dentin of fluorosed teeth.

Thirty incisors with moderate fluorosis according to the Thylstrup-Fejerskov Index (TFI = 4 to 6) received a veneer preparation with dentin margins at the gingival third. The IPS Empress (Ivoclar Vivadent) veneers were luted to the teeth of three groups (n = 10) using three different resin cements: Group 1: Excite DSC/Variolink II - etch-and-rinse (E&R), Group 2: ED Primer II/Clearfil Esthetic - self-etch (SE), Group 3: RelyX Unicem - self-adhesive (SA). After 24 h of water storage and thermocycling, marginal microleakage was evaluated on three slices from each tooth using the dye penetration technique under a digital microscope.

Data (microleakage percentage over the entire preparation length) were analyzed using the Kruskal-Wallis and Mann-Whitney tests (P < 0.05). Mean microleakage percentage was 0.8% to 18% at the enamel and dentin margins, respectively. On the enamel, Group 1 (E&R) exhibited significantly less microleakage compared to Groups 2 (SE; P = 0.03), and 3 (SA; P = 0.005). On the dentin, microleakage in Group 3 (SA) was significantly less than that in Groups 1 (E&R, P = 0.001), and 2 (SE; P = 0.03). The difference between the latter two groups was significant, with Group 1 (E&R) exhibiting the greatest microleakage.

The best enamel and dentin sealing of the cemented veneers was obtained with the E&R and SA luting agents, respectively.