Evaluating the Failure of Resin-based Materials on the Proximal Cervical Dentin

Abstract

Background: Resin-based materials are the popular restorative material in dentistry. The majority of these materials are light cured with a major disadvantage: marginal leakage. Objective: To evaluate the gap width of different resin-based materials at the cervical dentin when achieved mechanical force. Methods: Class II cavities were prepared on extracted premolar teeth with the gingival margin 1 mm below the Cementoenamel Junction (CEJ). In the first three experimental groups, three different lining materials (flowable resin composite, bulk-fill flowable resin composite, and resin-modified glass ionomer cement) were placed at the cervical dentin with a thickness of 1 mm. The rest of the cavities were restored with conventional resin composite. The other two groups were restored with conventional resin composite (control) or high viscosity bulk-fill resin composite, respectively. All groups were thermocycled and underwent vacuum pressure 2.6 KPa for 30 min in a Scanning Electron Microscope (SEM). Results: There was no gap formation at the cervical dentin on the external surface when restored with high-viscosity bulk fill resin composite. Almost all gaps occurred at the interface between restorative materials and the hybrid layer. The flowable bulk fill resin composite showed a significantly smaller gap width on both the external and internal surfaces compared to the other groups (p< 0.05). The resin-modified glass ionomer cement showed the largest gaps in the cervical dentin (p < 0.05). Conclusion: The different types of resin-based materials demonstrated a different failure of gap width under mechanical force. It clearly occurred at the restorative material-hybrid layer interface.