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التسرب المايكروي لنوعين من القشرة الخزفية بوجود وعدم وجود الحشوة الراتنجية تحت جهاز التحميل الدوري == Microleakage of Two Porcelain Laminate Veneers Materials With And Without Composite Filling Under Cyclic Loading
Author name:
ياسر علي النقيب
Supervisor name:
عمار عطا الله علي السعدي
General topic:
Dentistry
Specific topic:
Dental Treatment
Degree:
Master
University:
Mustansiriyah University
Language:
English
University location:
Baghdad
First pages:
20T404 - p.pdf
Abstract:
Although investigators have evaluated the microleakage of porcelain laminate veneers, there is insufficient data regarding the durability of porcelain laminate veneers bonded to existing composite fillings. The aim of this study was to evaluate the microleakage of porcelain veneers restorations fabricated from two types of CAD/CAM ceramic blocks bonded to teeth with or without composite class V composite filling.Forty eight sound, crack - free human maxillary first premolar extracted for orthodontic reasons were selected for this study. Teeth were divided randomly into.2 main groups, which further divded into 2 groups (12 sample each). Group A1 : IPS e.max CAD veneers with standardized class V composite filling, Group A2 : IPS e.max CAD veneers, Group B1 : VITA Suprinity veneers with standardized class V composite filling, Group B2 VITA Suprinity veneers. The class V cavities was restored with nanofilled composite (Filtek™ Z350 XT, 3M ESPE). Standard veneer preparations were made using Ceramic veneer burs system (Keramikveneers. de, Komet). All the veneers were milled by CAD/CAM technology (CEREC MC XL, inLab SW 15, Sirona Dental Systems) Composite fillings (groups A1 and B1) were sandblasted with alumina oxide.Porcelain veneers were cemented in place using light - cured resin cement (Rely Veneer Cement, 3M ESPE), Then the specimens were stored at 37? in distilled water for 2 weeks. Then mechanical load cycling (50,000 load cycle of 49 N at 2.5 Hz) and thermocycling procedure (500 cycles of 5 - 55 Co with 20 sec dwell time) were done. The specimens’ crowns were immersed in 2% methylene blue dye for two days, then mounted in clear acrylic before sectioning with a 0.35 mm microtome. Microleakage percentage were recorded using stereomicroscope and ImageJ program. Results were checked for normality of distribution (Kolmogorov - Smirnov test and Shapiro - Wilk test), and were analyzed with twoway ANOVA and independent samples t - tests. Two way ANOVA shows the significant effect of type of ceramic restoration and the highly significant effect of composite filling, however, the interaction between the main factors was non - significant. The results showed that the lowest mean of microleakage percentage was recorded for group A2 (4.6058% ± 1.5091) which considered statistically significant compared to group B2 (6.105%±1.456), and statistically highly significant compared to group A1 (6.6075%±1.3259) while group B1 recorded the highest mean of microleakage percentage (7.3158%±1.38713). In conclusion, the type of ceramic restoration and the presence of class V filling both had significant effects on microleakage of porcelain veneers. IPS e.max CAD veneers had significantly lower microleakage percentages compared to VITA Suprinity veneers. The presence of class V composite filling within the cervical finishing line of porcelain veneers had a highly significant higher microleakage percentage compared to groups without composite filling.
