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Purpose: To investigate the clinical performance of a silorane-based composite resin used for repairing dimethacrylate- based composite restorations., Materials and Methods: One operator repaired defective dimethacrylate-based resin restorations that were randomly assigned to one of two treatment groups: control (n=50), repaired with Adper SE Plus and Filtek P60 Posterior Restorative (3M ESPE); or test (n=50), repaired with P90 System Adhesive Self-Etch Primer and Bond and Filtek P90 Low Shrink Posterior Restorative (3M ESPE). After 1 week, restorations were finished and polished. Two calibrated examiners (weighted Kappa≥0.78) evaluated the repaired restorations, blindly and independently, at baseline, after 6 months, 1 and 2 years. The parameters examined were marginal adaptation, anatomic form, surface roughness, marginal discoloration, postoperative sensitivity, and secondary caries. The restorations were classified as Alfa, Bravo, or Charlie, according to modified US Public Health Service criteria. Variation in the levels of clinical parameters over time was evaluated by Friedman's ANOVA (α=0.05). The Mann-Whitney test assessed the differences between the materials for all clinical criteria at baseline, 6-month, 1- and 2-year recalls (α=0.05). The Wilcoxon test compared each composite resin for all clinical criteria at the same recalls (α=0.05)., Results: After two years, 79 repaired restorations were re-examined. No statistically significant differences were found between the materials at baseline or at the 2-year recall (p>0.05). Comparing baseline and 2-year recall, there was a statistically significant difference for marginal discoloration (p=0.029) in silorane-based composite restorations., Conclusion: After two years, the clinical performance of the silorane-based composite was similar to that of the dimethacrylate-based composite when used to make repairs.

This investigation was carried out to evaluate the effect of storage conditions prior to brushing simulation on surface texture of restorative materials. One resin-modified glass ionomer (Fuji II LC Improved/GC Corp.), one polyacid-modified composite resin (Dyract AP/Denstply), one microfill composite (Durafill VS/Kulzer), and one hybrid (Filtek-Z250/3M) composite were tested. Forty-five standardized cylindrical specimens of each material were made and randomly divided into three groups according to their subsequent storage conditions: distilled deionized water, artificial saliva, or pH-cycling regime. After 24 h, the experimental units were finished and polished and the surface roughness was measured to obtain Ra baseline values (Bv). Samples were subjected to their assigned storage regime and brushed afterwards. By the end of 10 repetitions of this protocol, final surface roughness readings (Fv) were taken. The analysis of covariance (alpha = 0.05), considering the covariate Bv showed a significant interaction between restorative material and storage condition (p(value) = 0.0002). Tukey's test revealed that the pH-cycling model provided a significantly lower surface roughness for Fuji II LC and Dyract AP than did the other media. For both composites no significant difference among storage regimes was detected. Under a condition simulating dynamic variation in pH prior to abrasion, the resultant surface texture may be either smoothed down or unchanged, depending on the restorative material, when compared to the effect provided by artificial saliva and distilled deionized water., (Copyright 2003 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 65B: 227-232, 2003)

This study evaluated the surface roughness pattern of resin-based restorative materials during brushing preceded by a regimen that simulated a dynamic pH-cycling. Restoratives included two resin composites (Renamel Microfill and Charisma), two polyacid-modified composite resins (Compoglass-F and Dyract AP) and one resin-modified glass ionomer cement (Fuji II LC Improved). Twenty standardized cylindrical specimens of each material were prepared according to a randomized complete block design. After finishing and polishing, the average surface roughness (Ra) and profile-length ratio (LR) of the specimens were determined. The experimental units were subjected to a pH-cycling regimen, and then to 10,000 brushing strokes. New readings of both the Ra and LR parameters were obtained. The same protocol of pH-cycling, brushing simulation and surface roughness measurements were repeated 10 times. Data was analyzed using ANOVA according to split-plot design and Tukey's test. Results showed the pH-cycling followed by 10,000 brushing strokes provided a remarkable increase in Ra for all restorative materials except for Renamel. Throughout the brushing simulation, Renamel, Charisma, Compoglass-F and Dyract AP showed steady textures, whereas Fuji II LC Improved exhibited a progressive increase in surface roughness. Among the materials tested, Renamel presented the smoothest surface, followed by Charisma and Compoglass-F, which did not differ from each other except at the baseline. Dyract AP was different from both these materials except at the baseline. Fuji II LC Improved had the roughest surface texture.

The purpose of this study was to evaluate the microleakage of six glass-ionomer composite resin hybrid materials compared with a glass-ionomer cement and a composite resin. Standardized class 5 dentin cavities were prepared on root surfaces of 240 extracted human teeth that were randomly assigned to eight groups and restored using the following restorative systems: (I) Vitremer, (II) Compoglass, (III) Photac-Fil Aplicap, (IV) Variglass, (V) Dyract, (VI) Fuji II LC, (VII) Ketac-Fil Aplicap, and (VIII) Z100. The teeth were thermocycled, placed in a 2% methylene blue solution, and sectioned with diamond disks. Dye penetration was scored on a scale of 0-3. Results showed no significant differences among groups VIII, IV, I, V, VI, III, and II. There were also no significant differences among groups VI, III, II, and VII.

Objective: This study was intended to quantify the marginal leakage of three glass-ionomer-resin composite hybrid materials and compare it with the leakage exhibited by a glass-ionomer cement and a bonded resin composite system., Method and Materials: Standardized Class V cavities were prepared on root surfaces of 105 extracted human teeth, randomly assigned to five groups of 21 each, and restored with either Ketac-Fil Aplicap, Z100/Scotchbond Multi-Purpose Plus, Vitremer, Photac-Fil Aplicap, or Dyract. The teeth were thermally stressed for 500 cycles and stained with methylene blue. The microleakage was quantified spectrophotometrically, and the data were statistically analyzed with Friedman's test., Results: There were no significant differences in microleakage among the five groups. Restorations of all tested materials showed some marginal leakage in Class V cavities., Conclusion: The microleakage performance of glass-ionomer-resin composite hybrid materials was similar to those of a conventional glass-ionomer and a bonded resin composite system.