The role of lining materials in minimizing microleakage in class I cavities restored with nanohybrid composites: an in vitro study lining materials and microleakage in nanohybrid restorations

INTRODUCTION. The increasing demand for esthetic dental treatments has led to composite resin restorations becoming the primary material for posterior tooth restorations. However, polymerization shrinkage remains challenging, leading to secondary caries and postoperative discomfort. Liners like resi...

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Main Authors: S. Shenvi, B. K. Aulakh, P. Oswal, A. Khaitan, A. Praveen, K. R. Jadhav
Format: Article
Language:Russian
Published: LLC "Endo Press" 2025-03-01
Series:Эндодонтия Today
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Online Access:https://www.endodont.ru/jour/article/view/1444
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author S. Shenvi
B. K. Aulakh
P. Oswal
A. Khaitan
A. Praveen
K. R. Jadhav
author_facet S. Shenvi
B. K. Aulakh
P. Oswal
A. Khaitan
A. Praveen
K. R. Jadhav
author_sort S. Shenvi
collection DOAJ
description INTRODUCTION. The increasing demand for esthetic dental treatments has led to composite resin restorations becoming the primary material for posterior tooth restorations. However, polymerization shrinkage remains challenging, leading to secondary caries and postoperative discomfort. Liners like resin-modified glass ionomer cement, flowable composites, and Ionosit-Baseliner can mitigate this issue.AIM. To compare the effectiveness of three base liner materials – Ionosit Baseliner, nano-filled flowable composite, and resin-modified glass ionomer cement – in reducing microleakage in Class I cavities restored with nano-hybrid composite resin.MATERIALS AND METHODS. Sixty extracted premolars were prepared with standardized Class I cavities and randomly assigned to three groups (n = 20) based on the applied liner: (1) Ionosit Baseliner, (2) nano-filled flowable composite, and (3) resin-modified glass ionomer cement. Following liner placement, all cavities were restored with a nano-hybrid composite in increments and light-cured. After thermocycling, specimens were coated with nail varnish except for a 1 mm margin around the restoration and immersed in 2.5% methylene blue dye for 24 hours. The teeth were then sectioned and examined under a stereomicroscope at ×40 magnification. Microleakage was scored according to dye penetration depth. Data were analyzed using the Kruskal–Wallis test and post-hoc Dunn’s test (p < 0.05).RESULTS. Ionosit Baseliner demonstrated the lowest median microleakage score [0.00 (IQR: 0.00–0.75)], which was significantly less than both the flowable composite group [2.00 (0.00–3.00), p = 0.0291] and the resin-modified glass ionomer group [2.50 (0.00–4.00), p = 0.0106]. No significant difference was observed between the flowable composite and resin-modified glass ionomer groups (p > 0.9999).CONCLUSIONS. Although none of the tested liners completely eliminated microleakage, Ionosit Baseliner provided significantly better marginal integrity compared to the other liners tested. This suggests that material selection, particularly a liner with lower polymerization shrinkage and appropriate mechanical properties, can improve the longevity and success of posterior composite restorations.
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spelling doaj-art-ff052b0981b14aa9b4f90c70f311f6682025-08-20T03:19:43ZrusLLC "Endo Press"Эндодонтия Today1683-29811726-72422025-03-01231152110.36377/ET-00641127The role of lining materials in minimizing microleakage in class I cavities restored with nanohybrid composites: an in vitro study lining materials and microleakage in nanohybrid restorationsS. Shenvi0B. K. Aulakh1P. Oswal2A. Khaitan3A. Praveen4K. R. Jadhav5KLE VK Institute of Dental SciencesLakhani GalaxyDr. D.Y. Patil Dental College and Hospital, Dr. D.Y. PatilDr. R. Ahmed Dental College and HospitalGovernment Dental CollegeA.T. Still University Missouri School of Dentistry and Oral HealthINTRODUCTION. The increasing demand for esthetic dental treatments has led to composite resin restorations becoming the primary material for posterior tooth restorations. However, polymerization shrinkage remains challenging, leading to secondary caries and postoperative discomfort. Liners like resin-modified glass ionomer cement, flowable composites, and Ionosit-Baseliner can mitigate this issue.AIM. To compare the effectiveness of three base liner materials – Ionosit Baseliner, nano-filled flowable composite, and resin-modified glass ionomer cement – in reducing microleakage in Class I cavities restored with nano-hybrid composite resin.MATERIALS AND METHODS. Sixty extracted premolars were prepared with standardized Class I cavities and randomly assigned to three groups (n = 20) based on the applied liner: (1) Ionosit Baseliner, (2) nano-filled flowable composite, and (3) resin-modified glass ionomer cement. Following liner placement, all cavities were restored with a nano-hybrid composite in increments and light-cured. After thermocycling, specimens were coated with nail varnish except for a 1 mm margin around the restoration and immersed in 2.5% methylene blue dye for 24 hours. The teeth were then sectioned and examined under a stereomicroscope at ×40 magnification. Microleakage was scored according to dye penetration depth. Data were analyzed using the Kruskal–Wallis test and post-hoc Dunn’s test (p < 0.05).RESULTS. Ionosit Baseliner demonstrated the lowest median microleakage score [0.00 (IQR: 0.00–0.75)], which was significantly less than both the flowable composite group [2.00 (0.00–3.00), p = 0.0291] and the resin-modified glass ionomer group [2.50 (0.00–4.00), p = 0.0106]. No significant difference was observed between the flowable composite and resin-modified glass ionomer groups (p > 0.9999).CONCLUSIONS. Although none of the tested liners completely eliminated microleakage, Ionosit Baseliner provided significantly better marginal integrity compared to the other liners tested. This suggests that material selection, particularly a liner with lower polymerization shrinkage and appropriate mechanical properties, can improve the longevity and success of posterior composite restorations.https://www.endodont.ru/jour/article/view/1444composite resinsdental cavity preparationglass ionomer cementsmicroleakagenanohybridpolymerization
spellingShingle S. Shenvi
B. K. Aulakh
P. Oswal
A. Khaitan
A. Praveen
K. R. Jadhav
The role of lining materials in minimizing microleakage in class I cavities restored with nanohybrid composites: an in vitro study lining materials and microleakage in nanohybrid restorations
Эндодонтия Today
composite resins
dental cavity preparation
glass ionomer cements
microleakage
nanohybrid
polymerization
title The role of lining materials in minimizing microleakage in class I cavities restored with nanohybrid composites: an in vitro study lining materials and microleakage in nanohybrid restorations
title_full The role of lining materials in minimizing microleakage in class I cavities restored with nanohybrid composites: an in vitro study lining materials and microleakage in nanohybrid restorations
title_fullStr The role of lining materials in minimizing microleakage in class I cavities restored with nanohybrid composites: an in vitro study lining materials and microleakage in nanohybrid restorations
title_full_unstemmed The role of lining materials in minimizing microleakage in class I cavities restored with nanohybrid composites: an in vitro study lining materials and microleakage in nanohybrid restorations
title_short The role of lining materials in minimizing microleakage in class I cavities restored with nanohybrid composites: an in vitro study lining materials and microleakage in nanohybrid restorations
title_sort role of lining materials in minimizing microleakage in class i cavities restored with nanohybrid composites an in vitro study lining materials and microleakage in nanohybrid restorations
topic composite resins
dental cavity preparation
glass ionomer cements
microleakage
nanohybrid
polymerization
url https://www.endodont.ru/jour/article/view/1444
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