Proximal Marginal Overhang of Composite Restorations in Relation to Placement Technique of Separation Rings

Loomans, Bas; Opdam, N.J.M.; Roeters, F.J.M.; Huysmans, M.C.D.N.J.M.

doi:10.2341/10-286-l

Cited by 9 publications

(8 citation statements)

References 13 publications

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“…In assessing the different types of rings or insertion techniques, none of the devices and techniques was able to completely prevent marginal overcontour; however, the type of resin insertion technique employed does have an effect on the occurrence of overcontour. 6 Regarding the positioning of the tooth in the arch, no significant difference was observed between restorations on the 1st or 2nd premolars. In addition, no statistically significant difference was observed in the proportion of correct and incorrect restorations with regard to the treated surface (MO or DO), in accordance with the findings from the literature.…”

Section: Discussionmentioning

confidence: 92%

“…Thus, several studies have analyzed techniques and materials capable of re-establishing the correct proximal contact tightness. [5][6][7][8] In this regard, the type of technique adopted is known to affect the quality of the proximal. 6,9 ORIGINAL RESEARCH 10.5005/jp-journals-10024-1735…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7][8] In this regard, the type of technique adopted is known to affect the quality of the proximal. 6,9 ORIGINAL RESEARCH 10.5005/jp-journals-10024-1735…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

In vivo Evaluation of Proximal Resin Composite Restorations performed using Three Different Matrix Systems

et al. 2015

The Journal of Contemporary Dental Practice

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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In vivo Evaluation of Proximal Resin Composite Restorations performed using Three Different Matrix Systems

et al. 2015

The Journal of Contemporary Dental Practice

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“…40 Overhangs in dental restorations are a major dental health problem, and they are defined as an extension of restorative material beyond the confines of a cavity preparation. [41][42][43] Overhangs are primarily iatrogenic, caused by poor operator skills and exacerbated by unusual dental morphology. 44 Clinical and radiographic assessments are the most reliable way of diagnosing overhanging margins.…”

Section: Discussionmentioning

confidence: 99%

Detection of Caries Around Amalgam Restorations on Approximal Surfaces

Diniz

Cordeiro

Ferreira-Zandoná

2016

Operative Dentistry

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To evaluate the in vitro performance of the International Caries Detection and Assessment System (ICDAS) visual examination, bitewing radiography (BW), and the DIAGNOdent 2190, a pen-type laser fluorescence device (LFpen), in detecting caries around amalgam restorations on approximal surfaces. Approximal surfaces (N=136) of permanent posterior teeth (N=110) with Class II amalgam restorations were assessed twice by two experienced examiners using ICDAS, BW, and LFpen. The occurrence of proximal overhangs was also evaluated. The teeth were histologically prepared and assessed for caries extension. Different cutoff limits for the LFpen were used. Intraexaminer and interexaminer reproducibility showed moderate to good agreement for all the methods (weighted κ/intraclass correlation coefficient=0.40 to 0.87). The specificities at D1 (all visible lesions affecting enamel) and D3 (lesions extended into dentin) were, respectively, 0.41 and 0.82 for ICDAS, 0.70 and 0.82 for BW, and 0.77-0.89 and 0.88-0.94 for LFpen. The sensitivities were 0.80 and 0.52 for ICDAS, 0.56 and 0.51 for BW, and 0.04-0.23 and 0.01-0.02 for LFpen at D1 and D3, respectively. At the D1/D3 thresholds, the accuracy and the area under the receiver operating characteristic curve (Az) values were similar and statistically higher for ICDAS (0.65/0.68 and 0.633/0.688) and BW (0.64/0.68 and 0.655/0.719), respectively; whereas, LFpen presented lower accuracy (0.37-0.44/0.49-0.52) and Az (0.390-0.454/0.345-0.395) values. The occurrence of overhangs (26.8%) was shown to be irrelevant in determining the presence of secondary caries. The ICDAS and BW methods presented the best performance in detecting caries lesions affecting enamel and dentin on approximal surfaces of amalgam restorations.

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“…Therefore, further evaluation of the overhangs could be carried out on the samples filled with this method. The current literature does not provide sufficient content for the evaluation of overhangs, the results are mainly focused on amalgam restorations and are not representative for composite fillings [ 19 ]; due to this, it was impossible to find a unique method of evaluating the parameter. As mentioned earlier, a lack of filling on the surface or in the thickness of the restoration could compromise its properties, promoting marginal discoloration [ 20 ], reducing bond strength, and leading to restoration failure [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Stamp Technique: An Explorative SEM Analysis

et al. 2023

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Background: Achieving correct tooth anatomy and saving time at the dental chair are some of the goals of modern restorative dentistry. Stamp technique has gained acceptance in clinical practice. The aim of this study was to evaluate the effectiveness of this technique in terms of microleakage, voids, overhangs and marginal adaptation of Class I restorations, and to analyse the operative times in comparison with traditional restorative procedures. Methods: Twenty extracted teeth were divided into 2 groups. Ten teeth in the study group (SG) were Class I prepared and restored using stamp technique, and ten teeth in the control group (CG) were Class I restored traditionally. SEM analysis was performed to evaluate voids, microleakage, overhangs, and marginal adaptation, and operative times were recorded. A statistical analysis was performed. Results: There were no significant differences in microleakage, marginal adaptation and filling defects between the two groups, however, the stamp technique seems to facilitate the formation of large overflowing margins that require a careful finishing phase. Conclusions: Stamp technique does not seem to have any critical aspects in terms of restoration durability and it can be performed in a short time.

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Proximal Marginal Overhang of Composite Restorations in Relation to Placement Technique of Separation Rings

Cited by 9 publications

References 13 publications

In vivo Evaluation of Proximal Resin Composite Restorations performed using Three Different Matrix Systems

In vivo Evaluation of Proximal Resin Composite Restorations performed using Three Different Matrix Systems

Detection of Caries Around Amalgam Restorations on Approximal Surfaces

Stamp Technique: An Explorative SEM Analysis

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