Effect of Liners on Composite Resin Microleakage after Selective Carious Lesion Removal. An experimental Study.

  • Cecilia Muñoz-Sandoval Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile. http://orcid.org/0000-0001-7626-2961
  • Karla Gambetta-Tessini Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile http://orcid.org/0000-0003-2064-9619
  • Claudia Rodriguez-Jaque Biomaterials Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile.
  • Daniel Bravo-Cavicchioli Biomaterials Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile. http://orcid.org/0000-0001-7316-1639
  • Rodrigo A. Giacaman Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile. | Interuniversity Center on Healthy Aging (CIES), Chile. http://orcid.org/0000-0003-3362-5173

Abstract

Objetive: To evaluate microleakage of composite resins (CR) placed over different cavitary liners after managing deep caries lesions through selective removal of soft carious tissue to soft dentin (SRCT-S).
Material and Methods: Fifty four human teeth were collected for microleakage testing. Each assay comprised ICDAS 5 or ICDAS 6 carious lesions and sound teeth for controls. Sound teeth were prepared with cavities that mirrored the carious teeth cavities, which were prepared with SRCT-S. Sound and carious teeth were further randomly assigned to one of the three experimental groups: Group A: universal adhesive (UA) + CR, Group B: glass ionomer cement liner + UA + CR, and Group C: calcium hydroxide + UA+ CR. Occlusal microleakage (OM) and cervical microleakage (CM) was classified within one of 5 depth categories. ANOVA and Chi-square tests were computed (p<0.05).
Results: OM and CM were similarly distributed across subgroups (p>0.05). All Group C samples with carious lesions presented some degree of microleakage. However, no statistically significant differences were observed between groups and within each group (p>0.05).
Conclusion: Teeth restored with CR after SRCT-S using calcium hydroxide as a liner material seem to exhibit higher microleakage than those restored using glass ionomer or UA alone. Further clinical research is needed to deepen these findings.
Clinical significance: The application of calcium hydroxide as a liner under a composite resin may reduce the longevity of a restoration after performing selective or partial removal of carious tissues. Clinicians should rethink the need of using calcium hydroxide for this application, albeit the lack of clinical evidence.

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Published
2022-06-30
How to Cite
MUÑOZ-SANDOVAL, Cecilia et al. Effect of Liners on Composite Resin Microleakage after Selective Carious Lesion Removal. An experimental Study.. Journal of Oral Research, [S.l.], v. 11, n. 3, p. 1-11, june 2022. ISSN 0719-2479. Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2022.036>. Date accessed: 28 mar. 2024. doi: https://doi.org/10.17126/joralres.2022.036.
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