• Restorative Dentistry and Endodontics
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• v.25 no.1
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• pp.91-108
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• 2000

Most of cervical abrasion and erosion lesions show gingival margin where the cavosurface angle is on cementum or dentin. Composite resin restoration of cervical lesion shrink toward enamel margin due to polymerization contraction. This shrinkage has clinical problem such as microleakage and secondary caries. Several methods to diminish contraction stress of composite resin restoration, such as modifying cavity form and building up restorations in several increments have been attempted. The purpose of this study was to compare polymerization contraction stress of composite resin in Class V cavity subjected to cavity forms and placement methods. In this study, finite element model of 5 types of Class V cavity was developed on computer tomogram of maxillary central incisor. The types are : 1) Box cavity 2) Box cavity with incisal bevel 3) V shape cavity 4) V shape cavity with incisal bevel 5) Saucer shape cavity. The placement methods are 1) Incisal first oblique incremental curing 2) Bulk curing. An FEM based program for light activated polymerization is not available. For simulation of curing dynamics, time dependent transient thermal conduction analysis was conducted on each cavity and each placement method. For simulation of polymerization shrinkage, thermal stress analysis was performed with each cavity and each placement method. The time-temperature dependent volume shrinkage rate, elastic modulus, and Poisson's ratio were determined in thermal conduction data. The results were as follows : 1. With all five Class V cavifies, the highest Von Mises stress at the composite-tooth interface occurred at gingival margin. 2. With box cavity, V shape cavity and saucer cavity, Von Mises stress at gingival margin of V shape cavity was lower than the others. And that of box cavity was lower than that of saucer cavity. 3. Preparing bevel at incisal cavosurface margin decreased the rate of stress development in early polymerization stage. 4. Preparing bevel at incisal cavosurface margin of V shape cavity increased the Von Mises stress at gingival margin, but decreased at incisal margin. 5. At incisal margin, stress development by bulk curing method was rapid at early stage. Stress development by first increment of incremental curing method was also rapid but lower than that by bulk curing method, however after second increment curing final stress was the same for two placement methods. 6. At gingival margin, stress development by incremental curing method was suddenly rapid at early stage of second increment curing, but final stress was the same for two placement methods.

• Restorative Dentistry and Endodontics
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• v.33 no.6
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• pp.570-579
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• 2008

The purpose of this study was to investigate the distribution of tensile stress of canal obturated maxillary second premolar with access cavity and notch-shaped class V cavity restored with composite resin using a 3D finite element analysis. The tested groups were classified as 8 situations by only access cavity or access cavity with notch-shaped class V cavity (S or N), loading condition (L1 or L2), and with or without glass ionomer cement base (R1 or R2). A static load of 500 N was applied at buccal and palatal cusps. Notch-shaped cavity and access cavity were filled microhybrid composite resin (Z100) with or without GIC base (Fuji II LC). The tensile stresses presented in the buccal cervical area, palatal cervical area and occlusal surface were analyzed using ANSYS. Tensile stress distributions were similar regardless of base. When the load was applied on the buccal cusp, excessive high tensile stress was concentrated around the loading point and along the central groove of occlusal surface. The tensile stress values of the tooth with class Ⅴ cavity were slightly higher than that of the tooth without class V cavity. When the load was applied the palatal cusp, excessive high tensile stress was concentrated around the loading point and along the central groove of occlusal surface. The tensile stress values of the tooth without class V cavity were slightly higher than that of the tooth with class V cavity.

• Restorative Dentistry and Endodontics
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• v.31 no.1
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• pp.20-29
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• 2006

The purpose of this study was to analyze the stress distribution aspect of unrestored and restored combined shape (wedge shape occulusally and saucer shape gingivally) class V cavity, which found frequently in clinical cases. A maxillary second permolar restored with a combined shape class V composite restorations were modeled using the three dimensional finite element method. Static occlusal load of 170 N was applied on lingual incline of buccal cusp at the angle of $45^{\circ}$ with the longitudinal axis of the tooth. And three dimensional finite element analysis was taken by ANSYS (Version 6.0, Swanson Analysis System Co., Houston, U.S.A) program which represent the stress distribution on unrestored and restored cavity wall and margin. The conclusions were as follows. 1. Compared to the unrestored cavity, Von Mises stress at the cementoenamel junction and line angle of the cavity base were reduced and in restored cavity. 2. Von Mises stress at the occlusal and cervical cavity margin and wall were increased in restored cavity in comparison with the unrestored cavity. 3. In the hybrid and hybrid/flowable composite resin restoration, Von Mises stress at the cementoenamel junction and line angle of the cavity base were reduced more than in the flowable restoration. 4. In the hybrid and hybrid/flowable composite resin restoration, Von Mises stress at the occlusal and cervical cavity margin and wall were increased more than in the flowable restoration.

• Restorative Dentistry and Endodontics
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• v.6 no.1
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• pp.141-147
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• 1980

The sealing effect of a few cavity liners upon the dentinal tubule were studied in vitro. The materials employed in this study were Silcot (SP$\'{E}$CIALIT$\'{E}$S SEPTODONT, M.-T. GENDRAULT, Pharmacien), Hypo-Cal(Ellman Dental Mfg.Co.Inc.), Cavity Lining(De Trey), and Copaute(Harry J. Bosworth Co.). Freshly extracted human teeth were devided into 5 groups by age-under twenty, twenties, thirties, forties, and over fifty. Class V cavities were prepared routinely. The cavity walls of eight teeth of each group were lined by Silcot, Copalite, Cavity Lining, and Hypo-Cal. Remaining eight were not lined as a control. These specimens were immersed in dye solution (2 gm eosin Y to 800 cc distilled water) for 48 hours to allow maximum dye penetration into dentinal tubules. Each specimen was sectioned longitudinally including Class V cavity floor under water spray. Dye penetration into dentinal tubules were examined and following results were obtained. 1. Liners used on this study showed more or less dye penetration into dentinal tubules. But compared with the teeth without lining, the dye penetration of lined specimens were decreased. 2. Of these liners tested, Silcot was the most effective sealer upon the dentinal tubules. Copalite was the moderate sealer and Cavity Lining showed a tendency similar to Copalite. Hypo-Cal revealed the greatest dye penetration. 3. As the age was increased, the more the dye penetration into the dentinal tubules was decreased.

• The Journal of the Korean dental association
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• v.13 no.5
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• pp.415-416
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• 1975

1. The author have had a case of class V and class Ⅲ combined carious lesion extended on to root surface of upper right lateral incisor. 2. The patient was 40 years old female. 3. After routine root canal treatment of the tooth, the gingival flap was made by vertical incision on gingival tissue between distal surface of upper right lateral incisor and mesial surface of upper right canine. 4. Cavity preparation and amalgam filling on the carious lesion were performed and the flap was sutured.

• Restorative Dentistry and Endodontics
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• v.15 no.1
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• pp.97-105
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• 1990

When conventional root canal treatment is failed or contraindicated, retrograde root canal filling following apicoectomy is a valuable procedure, aimed at hermetically sealing the root canal against leakage of irritants from the canal into the periapical tissue. In this in vitro investigation, to analyze apical microleakage electrochemically in teeth with different retrograde filling materials and preparation types, single - rooted tooth was cut 2mm from the apex and each Class I and Slot preparation was prepared. Experimental groups : Group 1. Amalgam filling with cavity varnish in Class I preparation Group 2. Scotchbond 2+Silux filling in Class I preparation Group 3. Gutta percha filling with ZOE cement in Class I preparation Group 4. Amalgam filling with cavity varnish in Slot preparation Group 5. Scotchbond 2+Silux filling in Slot preparation Each specimens was immersed in 1% solution of KCl, and applied a potential of 9V external power supply. Measurements of the current flow were obtained at 1, 2, 3, 7, 9, 12, 14, 18, 21, 25 and 28 day after immerson. Marginal microleakage were compared and evaluated. The results were as follows ; 1. The group filled with composite resin with dentin bonding agent shows lower apical microleakage value than the group filled with amalgam following varnish application (P<0.01). 2. In the group filled with gutta percha, apical microleakage value was the hightest 3. There was no significant difference between Class I cavity and Slot type cavity regardless of the used materials.

• Restorative Dentistry and Endodontics
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• v.15 no.1
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• pp.107-119
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• 1990

The purpose of this study was to evaluate the marginal adaptability of the amalgam restorations in applying the cavity varnish (Copalite$^{(R)}$) and dentin bonding agent (Scotchbond 2$^{(R)}$) under the scanning electron microscope. For this study, eighteen sound extracted human molars were selected. Class I cavities in 12 teeth and class V cavities in 6 teeth were prepared using an air turbine with No. 701 tungsten carbide bur and finished using a low speed handpiece with No. 557 fissure bur. The prepared specimens were then divided into three groups including 4 class I cavities and 2 class V cavities in each group and restored as follows ; Group I. All the prepared cavities were restored with amalgam only (Control). Group II. Two layers of Copalite$^{(R)}$ cavity varnish were applied to the cavities with a gentle stream of air after each application and cavities were restored with amalgam. Group III. The enamel cavity margins were etched with 37% phosphoric acid gel for 60 sec., rinsed for 30 sec. and dried. One layer of visible lightcured Scotchbond Dental Adhesive$^{(R)}$ was applied and immediately cured for 20 seconds with visible light-cure unit and cavities were restored with amalgam. All the specimens were cut at the neck of the teeth and the occlusal halves of specimens were sectioned buccolingually in the longitudinal axis centering the amalgam restorations, using the disk. The cut specimens were ground with sandpapers (400, 600, 800, 1000 grit), and cleaned for 5 minutes in the ultrasonic cleaner (Brason Co. U.S.A.). In the cut surfaces, the amalgam - tooth interfaces were examined under the scanning electron microscope (JSM, 35C type, JEOL). The obtained results were as follows ; 1. The amalgam-tooth interfaces were reduced more significantly in the Copalite$^{(R)}$ and Scotchbond 2$^{(R)}$ application group than in the control group. 2. In the class I cavities, the Scotchbond 2$^{(R)}$ application group showed the findings similar to the Copalite$^{(R)}$ application group in the cavity floor, and the marginal adaptability was better in the side wall than in the cavity floor. 3. In the class I cavities, the Scotchbond 2$^{(R)}$ application group showed better marginal adaptability in the occlusal margin than in the gingival margin. 4. The marginal adaptability was in the order of the Scothbond 2$^{(R)}$ application group, the Copalite$^{(R)}$ application group and the control group.

• Proceedings of the KACD Conference
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• 2003.11a
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• pp.614-614
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• 2003

I. Objectives The purpose of this study was to compare the marginal microleakage of Prompt L-Pop, AQ Bond, One-Up Bond F, Futurabond, and Xeno III in Class V cavity. II. Materials and Methods One hundred Class V direct resin restorations were placed in the buccal and lingual surfaces of 50 extracted human molars. Each cavity had occlusal margin in enamel and gingival margin in dentin. Teeth were randomly divided into five groups and restored using one of the single step adhesives and composite resins.(omitted)

• Restorative Dentistry and Endodontics
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• v.24 no.1
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• pp.67-75
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• 1999

The use of composite restorative materials is established due to continuing improvements in the materials and restorative techniques. Composite resins are widely used for the restoration of cervical lesions because of esthetics, good physical properties and working time. There are several types of cavity design for class V composite resin filling, but inappropriate cavity form may affect bonding failure, microleakage and fracture during mastication. Cavity preparations for composite materials should be as conservative as possible. The extent of the preparation is usually determined by the size, shape, and location of the defect. The design of the cavity preparation to receive a composite restoration may vary depending on several factors. In this study, 5 types of class V cavity were prepared on each maxillary central incisor. The types are; 1) V-shape, 2) round(U) shape, 3) box form, 4) box form with incisal bevel and 5) box form with incisal bevel and grooves for axial line angles. After restoration, in order to observe the concentration of stress at bonding surfaces of teeth and restorations, developing a 2-dimensional finite element model of labiopalatal section in tooth, surrounding bone, periodontal ligament and gingiva, based on the measurements by Wheeler, loading force from direction of 45 degrees from lingual side near the incisal edge was applied. This study analysed Von Mises stress with SuperSap finite element analysis program(Algor Interactive System, Inc.). The results were as follows : 1. Stress concentration was prevalent at tooth-resin bonding surface of cervical side on each model. 2. In model 2 without line angle, stress was distributed evenly. 3. Preparing bevel eliminated stress concentration much or less at line angle. 4. Model with round-shape distributed stress concentration more evenly than box-type model with sharp line angle, therefore decreased possibility of fracture. 5. Adding grooves to line angles had no effect of decreasing stress concentration to the area.

• Restorative Dentistry and Endodontics
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• v.18 no.2
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• pp.447-462
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• 1993

To evaluate the marginal leakage in Class V cavity this study has been undertaken to compare the sandwich technique with the conventional method, and find out the effect of lining material, lining method, and polishing time on sandwich technique. Ninty extracted teeth were divided into eight test groups and a control group, and were prepared with a buccal Class V cavity. Four test groups were lined with Dentin Cement whereas the other four test groups were lined with Vitrabond. Half of the either group were lined 0.5mm short of the carvosurface margin and the rest were lined completely to the carvosurface margin. The four subgroups were further divided into specimens which were polished immediately and 24 hours after resin filling. The polished specimens were immersed in $37^{\circ}C$, 0.5% methylene blue solution for 24 hous after thermocycling at $5^{\circ}C$ and $55^{\circ}C$, 200 times and buccolingually sectioned. The sectioned specimens were examined dye penetration under the light microscope. The following results were obtained, 1. At the enamel margin, the conventional method showed a lower microleakage than the sandwich technique. The difference between the control and Vitrabond group was statistically significant(P<0.05), but no difference between the control and Dentin Cement group, and between the lining materials was observed. 2. At the dentinal margin, the sandwich technique showed a significant lower amount of microleakage (P<0.05), but there was no significant difference between the lining materials. 3. Regardless of the lining material, lining method, and polishing time used, values of microleakage were significantly higher at the dentinal margin compared to the enamel margin(P<0.05). 4. In specimens till the cavosurface margin, microleakage at the dentinal margin was less with the light-cured base than with the chemically-cured base, but there was no siginificantly difference between the lining materials regarding the lining method and polishing time. 5. The lining material, lining method, and polishing time did not affect the amount of micro leakage in the sandwich technique(P<0.05).