Abstract The purpose of this study was to investigate the
effectiveness of two dentin bonding systems, one of which
was also in combination with a self-curing resin, when ap-
plied in V-shaped circular cavities cut in anterior teeth
crossing the cementum–enamel junction. Twenty-seven
teeth scheduled for extraction for periodontal reasons were
treated in vivo. The sample teeth were divided at random
into three groups. Group 1 was treated with All Bond 2
(AB2) +Z-100 composite, group 2 with Scotchbond Mul-
tipurpose Plus (SMPP) +Z-100, and group 3 with AB2 in
conjunction with Bisfil 2B as liner and Z-100. The in vivo
restored teeth were extracted after 2–3 months of clinical
service. They were then immersed in a dye solution for
24 h, sectioned, and scored for marginal leakage. Analy-
sis of variance revealed no significant differences between
the three groups both at cervical and incisal sites. The en-
amel sites were free from any leakage. Only two cervical
sites of groups 1 and 2 and one of group 3 showed a score
1 for leakage. The results of the short-term clinical perfor-
mance of the three systems were promising.
Key words Leakage · Class V · Adhesive systems ·
Bonding · In vivo evaluation · Resin composite
Introduction
Microscopic gaps at margins can permit bacterial or toxin
invasion, marginal staining, secondary caries, and pulp in-
flammation [1, 2]. Thus, leakage tests have been and are
still frequently used in the laboratory in an attemp
uate the effectiveness of bonding restorative syste
4].
Recently, in vivo assessments of dentin bonding
have been published [5–7]. Nakabayashi et al. [8,
Gwinnett and Kanca [7] have investigated, by
electron microscopy and transmission electron
copy, the hybrid layer formation between resin an
in vivo. Barnes et al. [10] and Ferrari et al. [11, 12
ported leakage studies performed in vivo after
several dentin bonding systems directly on class V
ties.
The anatomic, pathologic, and physiologic varia
dental substrates [13–15], the characteristics of t
bonding system [16], the restoring technique [17]
properties of resin composite material [17] are all
able to affect directly the marginal sealing ability
tal etch wet technique seems to be the more effec
obtaining an adequate enamel etching without too
sive a demineralization of dentin [18]. A self-curin
torative resin has been developed for directed shr
and its use has been proposed in combination wit
generation enamel–dentin bonding system [19].
The purpose of this study was to investigate tw
bonding systems, one of which was also used in co
tion with a self-curing resin, comparing in vivo lea
data for restorations which had been in servic
months.
Materials and methods
Twenty-seven volunteer patients, each with one severely p
tally compromised anterior tooth, were selected. The twenty-
seven teeth selected for this study had not received previo
rative treatments and were scheduled for extraction. The p
possible discomforts, or risks were explained fully to the h
jects involved, and their informed consent was obtained pr
investigation. All the selected teeth tested were vital.
Circular, V-shaped cavities with a diameter of 3 mm and
imum depth of approximately 2 mm were cut under copiou
spray with a diamond point bur mounted in a turbine hand
Clin Oral Invest (1997) 1: 61–64 © Springer-Verlag 199
Marco Ferrari · Francesco Mannocci
Maria Crysanti Cagidiaco · Gerard Kugel
Short-term assessment of leakage of class V
composite restorations placed in vivo
ORIGINAL ARTICLE
M. Ferrari ( ½ ) · F. Mannocci · M. C. Cagidiaco
Research Center for Dentistry,
Piazza Attias 19, I-57125 Livorno, Italy
Tel.: +39-586-892283; Fax: +39-586-898305
M. Ferrari · F. Mannocci · M. C. Cagidiaco
Dental School, University of Siena, Siena, Italy
M. Ferrari · G. Kugel
Gavel Center for Restorative Dental Research,
Tufts University, Boston, Mass., USA