Dental Preparation with Sonic vs High-speed Finishing: Analysis of Microleakage in Bonded Veneer Restorations

Publicado por Ignacio Faus Matoses el 18/11/2013
Valencia, España
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Prótesis dental

Purpose: To compare marginal microleakage in porcelain veneer restorations following dental finishing using two
types of instruments to test the hypothesis that microleakage will be less when teeth are prepared with sonic
oscillating burs than when prepared with high-speed rotating burs.

Materials and Methods: Fifty-six extracted human maxillary central incisors were selected and divided randomly
into two groups. Group 1 samples underwent dental finishing using high-speed rotating diamond burs, while
group 2 used sonic oscillating diamond burs. Buccal chamfer preparation was carried out for both groups. Fortyeight
of the samples (24 per group) were restored using IPS Empress ceramic veneers. 2% methylene blue was
used to evaluate microleakage at the tooth/composite veneer interface. Teeth were sectioned lengthwise into
three parts and microleakage was measured at two points – cervical and incisal – on each section. Before bonding,
four teeth per group underwent SEM examination.

Results: Evaluation of microleakage at the cervical dentin margin showed a value of 10.5% in group 1 and 6.6%
in group 2, which was statistically significantly different (p and 1.2% for group 2, which was not significantly different. SEM revealed different patterns of surface texture
in both areas according to the instrument used. Group 1 exhibited parallel horizontal abrasion grooves with a
milled effect and thick smear layers; group 2 showed abrasive erosion, discontinuous perpendicular depressions,
and thin smear layers.

Conclusion: Tooth preparations finished with sonic burs produced significantly less microleakage in the cervical
dentin area of bonded veneer restorations. No differences were found in the incisal enamel area.

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