Marginal Seal of Sonic-activated Composite resin Restorations Using Different Dispensing Rates

Al-Zahraa Mohamed El-Marhomy, A. Nassar
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Abstract

Aim: To evaluate the marginal seal of sonic-activated composite resin using various dispensing rates in class V restorations. Materials and methods: Standardized class V cavities were performed in forty extracted sound human molars that were arbitrarily divided into four equal groups (n=10) according to the extrusion force magnitude and dispensing technique as follows: Group I (Control), manual extrusion force (FM), Group II: low extrusion force (F1) of sonic energy, Group III: medium extrusion force (F3) of sonic energy and Group IV: high extrusion force (F5) of sonic energy. Composite resins were packed inside the prepared cavities and photopolymerized. For groups II, III, and IV, a Sonic Fill handpiece was used to deliver sonic energy. While for group I, no sonic energy was used. All specimens were thermocycled, gold-sputtered, and examined under a scanning electron microscope for marginal seal assessment. Statistical analysis was done using Kruskall-Wallis and Mann-Whitney tests, with a significance level of P ≤ 0.05. Results: Group I showed higher marginal gaps (1.70±0.67) compared to sonic-activated groups (p<0.05). Marginal gaps of group II (1.0 ± 0.82) were nearly similar to that of group III (0.80±0.79) (p>0.05), while group IV (0.20 ± 0.42) revealed a significant decrease in the marginal gaps to that of group II and III (p<0.05). Conclusions: Using the Sonic Fill handpiece at the highest extrusion force enhances the marginal sealing of SonicFill 2 composite resin restorations compared to the medium and lowest extrusion forces.
使用不同点胶速度的声波活化复合树脂修复体的边缘密封性
目的:评估在 V 级修复体中使用不同涂布率的声波活化复合树脂的边缘封闭效果。材料和方法:对 40 颗拔出的健全人类臼齿进行标准化 V 级龋洞修复,根据挤出力大小和点胶技术将其任意分为以下四组(n=10):第一组(对照组),手动挤出力(FM);第二组:低挤出力(F1);第三组:中等挤出力(F3);第四组:高挤出力(F5)。将复合树脂装入制备好的空腔并进行光聚合。第二、三、四组使用声波填充手机提供声波能量。第一组不使用声波能量。所有试样都经过热循环、金溅射,并在扫描电子显微镜下进行边缘封闭评估。统计分析采用 Kruskall-Wallis 和 Mann-Whitney 检验,显著性水平为 P≤ 0.05。结果:第一组的边缘间隙(1.70±0.67)高于声波激活组(P0.05),而第四组的边缘间隙(0.20±0.42)明显低于第二组和第三组(P<0.05)。结论与中等挤出力和最低挤出力相比,使用最高挤出力的声波填充手机可提高 SonicFill 2 复合树脂修复体的边缘封闭性。
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