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Bonded amalgam restorations: Microleakage and tensile bond strength evaluation

Abstract:

Purpose: The objective of this study was to evaluate the tensile bond strength (BS) and microleakage (MI) of bonded amalgam restorations to dentin when an unfilled and a filled system are used under three application modes. Material and Methods: Seventy-two and 96 human molars, respectively, were employed for BS and MI tests. For BS, the occlusal surface of the molars was ground flat until dentin exposure. A 3-mm area was delimited for bonding. For MI, Class V cavities were prepared in the CEJ (4 mm x 4 mm x 2 mm). For each test, the molars were randomly divided into six treatment groups defined by a combination of the levels: Adhesive system (Scotchbond Multi-Purpose Plus [SBMP], Optibond dual cure [OPTB]) and Application mode (light-LC, chemical-C and combination of light and chemical curing-LCC). After adhesive application, the amalgam was condensed into a Teflon mold (BS) and into the cavities (MI). After storage in saline solution for seven days at 37°C, the specimens were subjected to the BS test at 0.5 mm/minute. For microleakage evaluation, the restorations were sealed with nail varnish, except for an area 1 mm around the restoration, immersed in 5% methylene blue solution for 24 hours and sectioned into two halves. Each half was evaluated by two trained examiners at 25x magnification in a 0-3 score system and the highest score was recorded. The BS data was evaluated by two-way ANOVA and Tukey's test (α=0.05). The MI data were analyzed by Kruskal Wallis and Mann-Whitney tests (α=0.05). Results: The main factors were significant for the BS test: the highest BS mean was obtained using the LCC technique and the OPTB system. Regarding the MI test, only the application mode was significant: lower dye infiltration was observed for LC and LCC. ©Operative Dentistry, 2005.