Sealing ability of two "compomers" applied with and without phosphoric acid treatment for Class V restorations in vivo

Statement of problem. "Compomers" are being used with increasing frequency in Europe and North America. 

Purpose. This study evaluated the marginal seal of two compomers in vivo. 

Material and methods. Periodontally involved teeth, scheduled for extraction, were selected. Four groups of a combination of materials were used (Dyract with Dyract-PSA primer, group 1; Dyract with Prime and Bond 2.0, group 2; Compoglass with SCA primer, group 3; and Compoglass with Syntac Single Component, group 4). The restorations were made in a standardized shaped cavity, across the cementoenamel junction, and the teeth were extracted after 2 to 3 months of clinical service. The specimens were kept in a solution of 2% methylene blue for 24 hours. After being embedded in epoxy resin, sections were made with a low speed saw along the longitudinal axis of the teeth. The examination of dye penetration was made with a microscope at a magnification of ×20 and scoring was done at both coronal and apical sites. Kruskal-Wallis statistical analysis was performed at 5% significance level. 

Results. Groups 2 and 4 scored significantly less than groups 1 and 3 and for groups 2 and 4, 30% of the restorations exhibited leakage. 

Conclusion. These restoration systems did not completely prevent leakage either at the incisal or the cervical margins. Therefore the use of an enamel-dentin bonding system in combination with the proprietary compomer is recommended. (J Prosthet Dent 1998;79:131-5.).