Clinical and laboratory evaluation of adhesive restorative systems

To investigate the effectiveness of Clearfil Liner Bond, Gluma 2000, and Scotchbond Multi-Purpose when applied in combination with proprietary restorative resins in V-shaped circular cavities which were cut in incisors either centrally on the labial enamel surface (Type 1) or labially crossing the cemento-enamel junction (Type 2).

Forty teeth scheduled for extraction for periodontal reasons were treated in vivo and another 40 teeth in vitro. The in vivo restored teeth were extracted after 3 months of clinical service and the in vitro treated samples were stored in water for 1 week and thermocycled 250 times between 5 degrees C and 55 degrees C, prior to a 24-hour immersion in 0.5% fuchsin tracer solution of all specimens, sectioning and scoring interfacial dye penetration.

ANOVA revealed no significant differences between all in vivo samples sites, all in vitro enamel sites and the apical Type 2 sites of the Gluma samples. In contrast, the apical Type 2 leakage of CLB and SMP was significantly more pronounced, although not statistically different from each other. The results of the short-term clinical performance of the three systems was moderately more favorable than the laboratory microleakage test results.