Avaliação da adaptação e da microinfiltração marginal de uma resina composta de incremento único frente a diferentes técnicas de fotoativação

Abstract

The aim of this study was to evaluate, in vitro, the marginal adaptation and microleakage of class II restorations of SonicFill composite resin with different curing techniques. Class II preparations were prepared in 40 human premolars (mesial margin 1 mm below the CEJ, distal margin 1 mm above the CEJ), and randomly divided into 4 groups according to curing technique (n = 10 per group): G1: 1200 mW/cm2 for 20 s; G2: 1200 mW/cm2 for 40 s; G3: Soft-start for 20 s (650 mW/cm2 for 5 s, increasing to 1200 mW/cm2 for 15 s); G4: Soft-start for 40 s (650 mW/cm2 for 10 s, increasing to 1200 mW/cm2 for 30 s). Three-step etch&rinse adhesive Optibond FL was applied and the cavity was filled in bulk with SonicFill composite resin, followed by oclusal sculpture and photoactivation. Impressions were made using polyvinyl siloxane and epoxy resin replicas were obtained, before and after thermocycling. The occlusal and cervical margins were analyzed with SEM at 200x magnification. The marginal adaptation was expressed as percentages of continuous margins. After thermocycled, the specimens were immersed in silver nitrate 50%, and analyzed the extention of dye penetration in the cervical-mesial and cervical-distal margins. According to ANOVA and Tukey’s test, there was statistical difference in the percentage of continuous margins on the occlusal-palatine for group 1 (83.19%), differing statistically from groups 2, 3 and 4 that had values over 95% for continuous margins (p≤0,05). In the cervical margin there was no statistical difference between the groups (p≥0,05). According to Student's t test, after thermocycling, there was a statistical significant reduction of percentage of continuous margins in occlusal-buccal margin for groups 1, 2 and 4, as well as in the cervical-mesial margin for groups 1, 3 and 4, and cervical-distal margin only to group 1. According to Kruskal-Wallis test, there was no significant difference in the microleakage scores between groups in the enamel (p=0.373) and in dentin (p=0.561), being predominantly score 1 in enamel and score 3 in dentin. The bulk filling technique with SonicFill composite resin associated with three-step etch&rinse adhesive Optibond FL in class II cavities provided gap formation and microleakage, especially in the cervical dentin region, regardless of the curing technique.