Objectives: This in vitro study evaluated the marginal adaptation of compom
er restorations placed using three different conditioning protocols.
Materials and methods: Thirty extracted caries-free molars with 3 mm diamet
er cylindrical cavity preparations were divided randomly into three groups
based upon the conditioning treatment used: (I) 36% phosphoric acid; (II) n
on-rinse conditioner (NRC, Dentsply DeTrey); and (III) no conditioning. Cav
ities were restored with Dyract AP using Prime&Bond NT (Dentsply DeTrey) as
an adhesive. Silicone impressions of the briefly etched enamel surfaces we
re taken after finishing the restorations. Each sample was then longitudina
lly sectioned and impressions were taken. Epoxy resin replicas were prepare
d for SEM analysis. Qualitative and quantitative assessment were performed
separately for the enamel- and dentine-restorative interface.
Results: Enamel fractures and open margins along the enamel-restorative mar
gin were observed in some specimens in each group. No statistically signifi
cant difference was found in the percentage of gaps/cohesive failures betwe
en specimens prepared using different conditioning methods. For the dentine
-restorative interface, uniform hybrid layers and long resin tags were ofte
n observed in Groups I and II. The hybrid layer in Group Ill was irregular
and discontinuous along the interface. A significant difference (p < 0.01)
in the proportion of marginal gap was found between Group I (2%) and Group
III (30%).
Conclusions: Pre-treating the cavity with 36% phosphoric acid significantly
improved the adaptation of the compomer and adhesive to dentine compared w
ith no etching. The marginal quality at the enamel-compomer interface was n
ot affected by the conditioning method used. (C) 2000 Elsevier Science Ltd.
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