Abstract: Objective: This in vitro study was carried out to assess the microleakage properties of nano-filled glass ionomer in comparison to resin-reinforced glass ionomers. Material and Methods: 40 deciduous molar teeth were included in this study. Class-II cavity was prepared in a standard form for all the specimens. The teeth were randomly distributed into two groups (20 per group) according to the restorative material used either nano-glass ionomer or Photac Fill glass ionomer restoration. All specimens were thermocycled for 1000 cycles between 5 and 55 °C. After that, the teeth were immersed in 2% methylene blue dye then sectioned and evaluated under a stereomicroscope. Microleakage was assessed using linear dye penetration and on a scale from zero to five. Results: Two way ANOVA test revealed a statistically significant lower degree of microleakage in both occlusal and gingival restorations (0.4±0.2), (0.9±0.1) for nano-filled glass ionomer group in comparison to resin modified glass ionomer (2.3±0.7), (2.4±0.5). No statistical difference was found between gingival and occlusal leakage regarding the effect of the measured site. Conclusion: Nano-filled glass ionomer shows superior sealing ability which enables this type of restoration to be used in minimum invasive treatment.
Abstract: Cast metal inlays can be used on molars requiring a
class II restoration instead amalgam and offer a durable alternative.
Because it is known that class II inlays may increase the
susceptibility to fracture, it is important to ensure optimal
performance in selection of the adequate preparation design to reduce
stresses in teeth structures and also in the restorations. The aim of the
study was to investigate the influence of preparation design on stress
distribution in molars with different class II preparations and in cast
metal inlays. The first step of the study was to achieve 3D models in
order to analyze teeth and cast metal class II inlays. The geometry of
the intact tooth was obtained by 3D scanning using a manufactured
device. With a NURBS modeling program the preparations and the
appropriately inlays were designed. 3D models of first upper molars
of the same shape and size were created. Inlay cavities designs were
created using literature data. The geometrical model was exported
and the mesh structure of the solid 3D model was created for
structural simulations. Stresses were located around the occlusal
contact areas. For the studied cases, the stress values were not
significant influenced by the taper of the preparation. it was
demonstrated stresses are higher in the cast metal restorations and
therefore the strength of the teeth is not affected.