In vitro study of marginal microleakage levels in restorations with Bulk Fill resins using the deproteinization technique prior to acid etching

Authors

DOI:

https://doi.org/10.59334/ROV.v2i43.639

Keywords:

Marginal microleakage, Bulk Fill resins., Deproteinization

Abstract

Introduction: Currently, the market offers Bulk Fill resins that are used with the monobloc or single-increment technique (up to 4 or 5 mm). These resins are characterized by a lower filler content and larger filler particles, improved translucency, and a different chemical structure of the monomers in the filler compounds, which—when placed in a single block—reduce polymerization stress. Objective: To evaluate the level of marginal microleakage of two Bulk Fill resins using the deproteinization technique prior to acid etching. Methods: This is an in vitro study in which 64 extracted premolars underwent standardized cavity preparations. The teeth were randomly divided into four groups and subjected to a manual thermocycling process of 500 cycles. All samples were immersed in a 2% methylene blue solution for 24 hours. Microleakage was then observed with a stereomicroscope. Results: For the Aura Bulk Fill resin, microleakage in enamel was observed in 25% of the deproteinized samples and in 18.8% of the non-deproteinized samples. For the Filtek Bulk Fill resin, 31.3% of the samples exhibited microleakage in enamel with the deproteinization technique and 25.0% without deproteinization. No statistically significant differences were found. Conclusions: All samples presented microleakage, with similar levels in both brands of Bulk Fill resins, and no significant differences were observed with the application of the deproteinization technique.

Downloads

Download data is not yet available.

References

Baltacioglu, I. H., Demirel, G., Öztürk, B., Aydin, F., & Orhan, K. (2024). Marginal adaptation of bulk-fill resin composites with different viscosities in class II restorations: A micro-CT evaluation. BMC Oral Health, 1(24), 228-228. https://doi.org/10.1186/s12903-024-03975-7

Baracco, B., Fuentes, V., & García, L. C. (2016). Efecto del termociclado y del grabado ácido previo en la resistencia adhesiva al esmalte de distintos adhesivos autograbados. Científica Dental: Revista Científica de Formación Continuada, 13(1), 49–56. https://coem.org.es/pdf/publicaciones/cientifica/vol13num1/49-56.pdf

Behery, H., El-Mowafy, O., El-Badrawy, W., Nabih, S., & Saleh, B. (2018). Gingival microleakage of class II bulk-fill composite resin restorations. Dental and Medical Problems, 55(4), 383–388. https://doi.org/10.17219/dmp/99264

Cáceres, L. M., Núñez, H., & Perdomo, M. (2021). Evaluación de la microfiltración en restauraciones con resina Clase I. Revista Estomatológica Herediana, 31(4), 242-247. https://doi.org/10.20453/reh.v31i4.4091

Cayo, C. F., & Carrillo, A. A. (2020). Sellado marginal aplicando hipoclorito de sodio versus ácido fosfórico como acondicionador dental. Revista Cubana de Estomatología,57(1). http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0034-75072020000100008&lng=es&nrm=iso&tlng=es

Cayo, C., Llancari, L., Mendoza, R., & Cervantes, L. (2019). Marginal filling and adhesive resistance of bulk fill resin applying 18% edta gel compared with 37% phosphoric acid gel in vitro dental conditioning. J. Oral Res. (Impresa), 3(8), 228-235. https://doi.org/10.17126/joralres.2019.034

Del Valle, A. M., Del Rosario, N. M., & Christiani, J. J. (2021). Filtración marginal y contracción en la polimerización en nuevas resinas bulk fill: una revisión de la literatura. Rev. Ateneo Argent. Odontol, 64(1), 77-82. https://docs.bvsalud.org/biblioref/2021/06/1252984/articulo12.pdf

Elgendy, H., Maia, R. R., Skiff, F., Denehy, G., & Qian, F. (2019). Comparison of light propagation in dental tissues and nano-filled resin-based composite. Clinical Oral Investigations, 23(1), 423-433. https://doi.org/10.1007/s00784-018-2451-9

Grandon, F., Muster, M., & Wendler, M. (2020). Solving color irregularities with a bioactive bulk-fill restorative system: Case report and 24-months follow up. J. Oral Res. (Impresa), 5(9), 430-436. https://doi.org/10.17126/joralres.2020.086

Khairy, N. M., Elkholany, N. R., & Elembaby, A. E. (2024). Evaluation of surface microhardness and gingival marginal adaptation of three different bulk-fill flowable resin composites: A comparative study. J Esthet Restor Dent, 6(32), 920-929.https://doi.org/10.1111/jerd.13211

Kury, M., Goulart, M., Thomé, T., Conceição, E. N., Coelho-de-Souza, F. H., Cavalli, V., & Erhardt, M. C. G. (2020). Three-year follow-up of flowable bulk-fill resin restorations in posterior teeth: A double-blind randomized controlled clinical trial. Rev. Fac. Odontol. Porto Alegre, 2(16), 50-63. https://doi.org/10.22456/2177-0018.104810

Lang-Salas, M., Villarreal-Romero, L., Domínguez-Monreal, J., Cuevas-González, J., Donohué-Cornejo, A., Reyes-López, S., Zaragoza-Contreras, E., & Espinosa-Cristóbal, L. (2020). Evaluación de la adhesión de sistemas adhesivos de grabado total en esmalte dental bovino usando un agente desproteinizante: un estudio in vitro. Revista de La Asociación Dental Mexicana, 77(1), 22–27. https://doi.org/10.35366/od201e

Larraechea, B., Rodríguez, S., & Toledo, J. (2020). Técnica bulk-fill comparada con técnica incremental para restauraciones posteriores en pacientes con dentición permanente. International journal of interdisciplinary dentistry, 13(3), 196-200. https://doi.org/10.4067/S2452-55882020000300196

Licla, K., & Albites, U. (2015). Grado de microfiltración de un sellante resinoso con diferentes sistemas adhesivos. Revista Odontología Pediátrica, 14(2), 120-128.http://repebis.upch.edu.pe/articulos/op/v14n2/a4.pdf

López, N. A., Munayco, E. R., Torres, G., Blanco, D. J., Siccha, A., & López, R. P. (2019). Deproteinization of primary enamel with sodium hypochlorite before phosphoric acid etching. Acta Odontologica Latinoamericana: AOL, 32(1), 29-35. https://actaodontologicalat.com/wp-content/uploads/2019/06/aol_2019_32_1_29.pdf

López, P. F. (2017). Comparación in vitro de microfiltración entre una resina nanohibrida y una resina bulk en molares con restauración clase I, UAC, Cusco-2017 [tesis]. Universidad Andina del Cusco. https://repositorio.uandina.edu.pe/backend/api/core/bitstreams/a994aff0-a72f-427e-9d13-9c5d57a1e505/content

Lorca, D., Tiffi, C., Sarmiento, R., & Sarmiento, J. (2023). In vitro comparison of marginal infiltration between a conventional resin and a bulk-fill resin, in the relocation of cervical margins technique. J. Oral Res. (Impresa), 1(12), 1-11. https://doi.org/10.17126/joralres.2023.001

Mosharrafian, S., Farahmand, N., Poorzandpoush, K., Hosseinipour, Z. S., & Kahforushan, M. (2023). In vitro microleakage at the enamel and dentin margins of class II cavities of primary molars restored with a bulk-fill and a conventional composite. Clinical and Experimental Dental Research, 9(3), 512-517. https://doi.org/10.1002/cre2.729

Navarrete, J. X. (2018). Microfiltración en la cementación con resina nanohíbrida y Bulk termomodificadas en incrustaciones Inlay en molares, Cusco-2018 [tesis]. Universidad Alas Peruanas. https://repositorio.uap.edu.pe/xmlui/handle/20.500.12990/3619

Porto Gurgel, I. P., Ataíde, M., Azevedo, M. E., & Resende, M. A. J. (2011). Influencia del tiempo de almacenamiento en la resistencia de unión a la dentina desproteinizada, utilizando tres diferentes adhesivos dentales. Acta Odontológica Venezolana, 49(4). https://www.actaodontologica.com/ediciones/2011/4/art-10/

Rodríguez, A. M. del V., Christiani, J. J., Alvarez, N., & Zamudio, M. E. (2018). Revisión de resinas Bulk Fill: Estado actual. Rev. Ateneo Argent. Odontol, 1(58), 55-60. https://www.ateneo-odontologia.org.ar/articulos/lviii01/articulo6.pdf

Rojas, S. V., & Ríos, T. E. (2021). Microfiltración marginal de resinas de relleno masivo y nanohíbrida en molares deciduos. Revista Cubana de Estomatología, 58(2).http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0034-75072021000200007&lng=es&nrm=iso&tlng=es

Roque, J. G., Zavala, N. V., Patiño, N., & Martínez, G. A. (2021). Effect of sodium hypochlorite in ground fluorotic enamel: Shear bond strength and surface analysis. Odovtos International Journal of Dental Sciences, 23(3), 107-119. https://doi.org/10.15517/ijds.2021.47574

Sampaio, C. S., Abreu, J. L. B. de, Kornfeld, B., Silva, E. M. da, Giannini, M., & Hirata, R. (2024). Short curing time bulk fill composite systems: Volumetric shrinkage, degree of conversion and Vickers hardness. Brazilian Oral Research, 1(38), e030. https://doi.org/10.1590/1807-3107bor-2024.vol38.0030

Zheng, B., Cao, S., Al-Somairi, M. A. A., He, J., & Liu, Y. (2022). Effect of enamel-surface modifications on shear bond strength using different adhesive materials. BMC Oral Health, 22(1), 222-224. https://doi.org/10.1186/s12903-022-02254-7

Published

2025-07-11

Issue

Section

Research Article

Categories

How to Cite

In vitro study of marginal microleakage levels in restorations with Bulk Fill resins using the deproteinization technique prior to acid etching. (2025). Odontología Vital, 2(43). https://doi.org/10.59334/ROV.v2i43.639

Similar Articles

1-10 of 20

You may also start an advanced similarity search for this article.