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"Microleakage still occurs between cavity wall and resin composite restoration, although bonding agent such as Total-etch (TE) and Selfetch (SE) systems had been used. One of the causes of microleakage was associated to improper polymerization affected by curing distance.1.2 The objective of this study was to evaluate the microleakage of resin composite restoration using TE and SE adhesive systems that were polymerized at various curing distances. A total of 120 human molars were prepared for class V cavity and were divided into 4 groups with bonded resin composite restoration: Group A (TE): Filtek Z350 + Adper Single Bond 2; Group B (TE): Tetric N Ceram + Tetric N Bond; Group C (SE): Clearfil APX + SE Bond; and Group D (SE): Ceram X + Xeno III. Each group were divided into 3 parts (10 teeth each) which were restored at 0; 2 and 4 mm of curing distance respectively. After stored in aquadest at 37oC (24 hours), all specimens were immersed in 1% methylene blue solution (24 hours). Dye penetration at coronal site were observed under a stereomicroscope (Nikon SM 2800). The results showed that microleakage between 3 various curing distances of each group were not significantly different (Kruskall-Wallis test, p>0,05). Mann-Whitney U test (p<0,05) showed that microleakage between Group A-C; Group A-D and Group B-D were significantly different at 2 mm curing distance. Conclusion: microleakage of resin composite restoration with TE adhesive system were lower than SE at all curing distances."

"Single-step self-etch adhesive systems are the system that combine self etching primer and bonding agent into one step application. This system was developed as the effort to simplified in application prosedures and give a good bond strength of resin composites to dentin surface. The purpose of this study was to examine the bond strength of resin composites with two singlestep self-etch adhesives system (Xeno III and Clearfil Tri-S Bond) to bovine dentin at temperature of adhesive 3ºC, 22ºC and 30ºC. Adhesive was applied to dentin surface (bovine insisivus mandibular dentin) follow by resin composites bonded according to the manufacturer’s instructions. Tensile bond strength of 60 specimens were tested UTM (universal testing machine) after 24 hours storage in aquadest at 37 ºC. The results were analyzed using ANOVA test followed by Tukey’s test (p< 0,05). The bond strength of Xeno III was significantly diffrent from that of Clearfil tri-S Bond, 0,66±0,271, 2,70±1,528, 0,23±0,104 versus 2,07±0,272, 4,77±0,689, 4,39±1,205 MPa at temperature of materials 3ºC, 22ºC and 30ºC respectively. The bond strength of two single- step adhesives system (Xeno III and Clearfil Tri-S Bond) were highest at temperature 22ºC than other temperatures of materials."

"Aplikasi sistem self adhesive pada sementasi pasak fiber sangat mudah dan penggunaanya meningkat pesat, tetapi penelitian mengenai kemampuan adhesinya masih terbatas. Penelitian ini dilakukan untuk menganalisis kemampuan adhesi sistem adhesif self etch dan self adhesive pada sementasi pasak fiber apakah sama besar atau tidak dengan total etch. Penelitian eksperimental laboratorik dilakukan menggunakan 27 gigi premolar satu mandibula yang telah disetujui oleh komisi etik, dibagi secara acak menjadi 3 kelompok. Pasak fiber disementasi dengan 3 sistem adhesif berbeda. Pada setiap gigi dilakukan pemotongan setebal 5 mm dari bagian servikal ke arah medial akar gigi, seluruh spesimen disimpan selama 24 jam dalam larutan salin pada suhu kamar, lalu dilakukan push out test menggunakan Universal Testing Machine (Shimidzu AG-5000E) dengan kecepatan 0,5 mm/menit. Hasil analisis univariat dan bivariat Anova satu arah menunjukkan kemampuan adhesi sistem total etch dan self etch sama besar (p<0.05), sedangkan sistem self adhesive memiliki kemampuan adhesi yang paling rendah (p>0.05). Aplikasi yang lebih mudah pada sistem self etch mampu memberikan kemampuan adhesi yang sama dengan sistem total etch.

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Application of self adhesive system on fiber post cementation is very simple and their use increase rapidly, however study in the adhesion capability is limited and insufficient. The aim of this study was to analyze whether self etch and self adhesive system are comparable to total etch system.

The experimental laboratory study was performed using 27 mandibular premolar teeth approved by ethics committee, randomly divided into 3 groups, fibre post were cemented in 3 different adhesive system. Specimen were prepared 5 mm in thickness from cervical to medial of the root, stored for 24 hours in saline solution at room temperature, push out test was performed using Universal Testing Machine (Shimidzu AG-5000E) with crosshead speed at 0.5 mm/min.

The results of univariat and one way Anova bivariat test showed that total etch and self etch system have a comparable adhesion capability (p<0.05), and self adhesive system has the lowest adhesion capability (p>0.05). With easier application, self etch system has a comparable adhesion capability to total etch system. Key Word: adhesion capability, fiber post, push out test, total etch, self etch, self adhesive."

"Latar Belakang: Penggunaan adhesif universal sebagai sementasi pasak fiber dalam restorasi pasca endodontik populer digunakan karena sifatnya yang serbaguna sehingga dapat diaplikasikan dengan metode total-etch maupun self-etch. Namun, penelitian mengenai perbedaan push-out bond strength (PBS) antara kedua metode tersebut masih terbatas. Tujuan: Mengetahui perbedaan PBS dan failure mode antara metode total-etch dan self-etch sistem adhesif universal pada sementasi pasak fiber. Metode: Tiga puluh gigi premolar rahang bawah yang baru diekstraksi disimpan di dalam air terdeionisasi yang kemudian dilakukan pemotongan mahkota sebelum dilakukan perawatan saluran akar dan preparasi ruang pasak. Pasak kemudian disementasi dengan semen resin dualcure self-adhesive dan bahan adhesif Prime&Bond Universal (PBU). Uji PBS dilakukan untuk mengukur kekuatan ikat geser masing-masing kelompok uji. Kegagalan ikatan kemudian diobservasi menggunakan Scanning Electron Microscopy (SEM). Hasil: Kelompok self-etch memiliki kekuatan ikat yang lebih tinggi dibandingkan dengan kelompok lainnya dengan perbedaan yang bermakna (p<0.05). Tidak terdapat perbedaan kegagalan adhesif yang signifikan di antara kelompok. Kesimpulan: Metode self-etch memiliki kekuatan ikat paling baik dibandingkan dengan kelompok uji lainnya, namun tidak terdapat perbedaan failure mode pada setiap kelompok.

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Background: Universal adhesives for fiber post cementation in endodontically treated teeth have become popular in clinical dentistry as they can be applied in either total-etch or self-etch mode, due to their reduced number of application steps and versatility. However, studies regarding comparison between the two modes are limited and insufficient. Aim/Objective: The aim of the study is to analyze and compare the pushout bond strength and failure mode of the multimode universal adhesive system. Materials and Methods: Thirty freshly extracted mandibular premolars were decoronated prior to a root canal treatment (RCT) and prepared for post placement and bonded using Prime&Bond Universal (PBU). Post was then cemented using dual-cure self-adhesive resin cement. The push-out bond strength (PBS) test was performed to measure the shear bond strength using a universal testing machine (UTM). Failure mode was then observed using scanning electron microscope (SEM). Results: One-way ANOVA followed by a post-hoc Bonferroni and Independent T-Test indicated that there is significant difference (p<0.05) between the bond strength of the total- and self-etch mode of the universal adhesive system. However, no differences in failure mode are observed between groups. Conclusion: Self-etch mode is more preferable due to its higher bond strength dominated with cohesive failure indicating its success in bonding with the root canal

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"Latar Belakang: Restorasi resin komposit masih memiliki kekurangan, yaitu terjadinya kebocoran mikro akibat kontraksi saat polimerisasi sehingga dapat menyebabkan kegagalan restorasi. Penelitian ini bertujuan untuk menganalisis perbedaan tingkat kebocoran mikro dinding restorasi kelas I antara RK packable (RP) dan RK flowable dengan kandungan filer tinggi (RF). Metode: Kavitas kelas I dipreparasi pada tiga puluh dua gigi premolar kemudian dibagi menjadi dua kelompok. Kelompok pertama ditumpat dengan RP, kelompok kedua dengan RF, keduanya ditumpat secara inkremental. Selanjutnya spesimen dilakukan uji thermocycling dan diikuti perendaman dalam biru metilen 1% selama 24 jam. Gigi kemudian dibelah bukolingual dan diamati menggunakan mikroskop stereo pembesaran 14x dan dinilai dalam skala ordinal (0-4). Analisis statistik dilakukan dengan uji Kolmogorov-Smirnov. Hasil: Tidak terdapat perbedaan yang signifikan antara Kelompok RP dan RF (p=0,699). Kesimpulan: Tidak terdapat perbedaan bermakna antara kebocoran mikro menggunakan RP maupun RF yang ditumpat secara inkremental. Namun secara substansi, RF menunjukkan kebocoran mikro lebih sedikit dibandingkan dengan RP.

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Background: Composite resins undergo contraction during polymerization which may result in microleakage and leads to restoration failure. The purpose of this study is to analyze the microleakage of Class I restorations that were filled with packable composite (RP) and high filler flowable composite (RF) incrementally.

Methods: Standardized Class-I cavities were prepared on 32 extracted human premolars and randomly assigned into two groups. The first group were filled with RP and the second group were filled with RF. The specimens were subjected to thermocycling, followed by immersion in 1% methylene blue dye for 24 hours. The teeth were sectioned bucco-ligually and evaluated for microleakage under 14x magnification stereomicroscope and scored in ordinal scale (0-4). Statistical analysis was performed with the Kolmogorov-Smirnov test.

Results: There was no significant difference between group RP and RF (p=0.699).

Conclusion: There is no significance difference between microleakage by RP and RF. But substantially, RF provided less microleakage than RP."

"[ABSTRAKKavitas kelas I sering ditemui pada permukaan gigi molar karena mempunyai bentuk anatomi pit dan fisur yang dalam sehingga sering menyebabkan sisa makanan tertinggal yang nantinya dapat menyebabkan karies gigi. Bahan restorasi yang sesuai untuk penumpatan kavitas kelas I adalah resin komposit. Namun resin komposit memiliki kelemahan yaitu mengalami penyusutan polimerisasi yang menyebabkan kebocoran tepi. Kavitas kelas I juga memiliki c-factor terbesar dibandingkan kavitas lainnya yang dapat menyebabkan kebocoran, sehingga untuk mengatasinya dapat menggunakan liner SIKMR serta teknik Bulk-fill dan inkremental oblik. Tujuan dari penelitian ini adalah menganalisis kebocoran tepi restorasi resin komposit teknik Bulk-fill dengan liner dan teknik inkremental dengan liner. Sebanyak 70 sampel dipreparasi dibagian bukal dengan ukuran 3 mm x 3 mm, terdiri dari 10 sampel kelompok Bulk-fill, 30 sampel kelompok Bulk-fill dengan liner SIKMR dan 30 sampel kelompok inkremental oblik. dengan liner SIKMR direndam dalam air destilasi selama 24 jam. Kemudian dilakukan Thermocycling 250x, suhu 5-550C dilanjutkan dengan aplikasi cat kuku dan rendam dalam metilen biru selama 24 jam. Sampel dibelah dalam arah buko-palatal dan dilakukan pengamatan menggunakan mikroskop stereo kemudian hasilnya diuji statistik menggunakan uji Chi-Square. Hasil uji statistik menunjukkan adanya perbedaan yang bermakna diantara semua kelompok dengan nilai signifikansi p≤0,05. Inkremental oblik dengan liner menunjukkan tingkat kebocoran lebih rendah dibandingkan Bulk-fill dengan liner.

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ABSTRACTCavity class I often found on the surface of the molars because they have the anatomical shape of pits and fissures are deep that often cause food scraps left behind which can later lead to dental caries. Restorative material suitable for cavities penumpatan class I is the composite resin. However, a drawback of composite resin namely polymerization shrinkage which causes microleakage. Cavity class I also have a c-factor compared to most other cavity which can cause leaks, so to overcome SIKMR can use the liner as well as bulk-fill technique and incremental oblique. The purpose of this study was to analyze the microleakage of composite resin restorations Bulk-fill technique and oblique incremental techniques with liner. A total of 70 samples were prepared on the buccal with the size of 3 mm x 3 mm, consisting of 10 groups of Bulk-fill samples, 30 samples of Bulk-fill groups with liner SIKMR and oblique incremental groups of 30 samples. with liner SIKMR soaked in distilled water for 24 hours. Then do the Thermocycling 250X, 5-550 C temperature followed by application of nail polish and soak in methylene blue for 24 h. Samples were cleaved in buko-palatal direction and made observations using a stereo microscope and the result was tested statistically using Chi-Square. Statistical analysis showed significant differences among all groups with significant value p≤0,05. Incremental oblique with liner show a lower leakage rate than the Bulk-fill with liner., Abstract: Cavity class I often found on the surface of the molars because they have the anatomical shape of pits and fissures are deep that often cause food scraps left behind which can later lead to dental caries. Restorative material suitable for cavities penumpatan class I is the composite resin. However, a drawback of composite resin namely polymerization shrinkage which causes microleakage. Cavity class I also have a c-factor compared to most other cavity which can cause leaks, so to overcome SIKMR can use the liner as well as bulk-fill technique and incremental oblique. The purpose of this study was to analyze the microleakage of composite resin restorations Bulk-fill technique and oblique incremental techniques with liner. A total of 70 samples were prepared on the buccal with the size of 3 mm x 3 mm, consisting of 10 groups of Bulk-fill samples, 30 samples of Bulk-fill groups with liner SIKMR and oblique incremental groups of 30 samples. with liner SIKMR soaked in distilled water for 24 hours. Then do the Thermocycling 250X, 5-550 C temperature followed by application of nail polish and soak in methylene blue for 24 h. Samples were cleaved in buko-palatal direction and made observations using a stereo microscope and the result was tested statistically using Chi-Square. Statistical analysis showed significant differences among all groups with significant value p≤0,05. Incremental oblique with liner show a lower leakage rate than the Bulk-fill with liner.]"

"ABSTRAKKavitas kelas I sering ditemui pada permukaan gigi molar karena mempunyai bentuk anatomi pit dan fisur yang dalam sehingga sering menyebabkan sisa makanan tertinggal yang nantinya dapat menyebabkan karies gigi. Bahan restorasi yang sesuai untuk penumpatan kavitas kelas I adalah resin komposit. Namun resin komposit memiliki kelemahan yaitu mengalami penyusutan polimerisasi yang menyebabkan kebocoran tepi. Kavitas kelas I juga memiliki c-factor terbesar dibandingkan kavitas lainnya yang dapat menyebabkan kebocoran, sehingga untuk mengatasinya dapat menggunakan liner SIKMR serta teknik Bulk-fill dan inkremental oblik. Tujuan dari penelitian ini adalah menganalisis kebocoran tepi restorasi resin komposit teknik Bulk-fill dengan liner dan teknik inkremental dengan liner. Sebanyak 70 sampel dipreparasi dibagian bukal dengan ukuran 3 mm x 3 mm, terdiri dari 10 sampel kelompok Bulk-fill, 30 sampel kelompok Bulk-fill dengan liner SIKMR dan 30 sampel kelompok inkremental oblik. dengan liner SIKMR direndam dalam air destilasi selama 24 jam. Kemudian dilakukan Thermocycling 250x, suhu 5-550C dilanjutkan dengan aplikasi cat kuku dan rendam dalam metilen biru selama 24 jam. Sampel dibelah dalam arah buko-palatal dan dilakukan pengamatan menggunakan mikroskop stereo kemudian hasilnya diuji statistik menggunakan uji Chi-Square. Hasil uji statistik menunjukkan adanya perbedaan yang bermakna diantara semua kelompok dengan nilai signifikansi p≤0,05. Inkremental oblik dengan liner menunjukkan tingkat kebocoran lebih rendah dibandingkan Bulk-fill dengan liner.

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ABSTRACTCavity class I often found on the surface of the molars because they have the anatomical shape of pits and fissures are deep that often cause food scraps left behind which can later lead to dental caries. Restorative material suitable for cavities penumpatan class I is the composite resin. However, a drawback of composite resin namely polymerization shrinkage which causes microleakage. Cavity class I also have a c-factor compared to most other cavity which can cause leaks, so to overcome SIKMR can use the liner as well as bulk-fill technique and incremental oblique. The purpose of this study was to analyze the microleakage of composite resin restorations Bulk-fill technique and oblique incremental techniques with liner. A total of 70 samples were prepared on the buccal with the size of 3 mm x 3 mm, consisting of 10 groups of Bulk-fill samples, 30 samples of Bulk-fill groups with liner SIKMR and oblique incremental groups of 30 samples. with liner SIKMR soaked in distilled water for 24 hours. Then do the Thermocycling 250X, 5-550 C temperature followed by application of nail polish and soak in methylene blue for 24 h. Samples were cleaved in buko-palatal direction and made observations using a stereo microscope and the result was tested statistically using Chi-Square. Statistical analysis showed significant differences among all groups with significant value p≤0,05. Incremental oblique with liner show a lower leakage rate than the Bulk-fill with liner."

"Penelitian ini bertujuan untuk mengevaluasi pengaruh durasi penyinaran dengan LED terhadap kebocoran tepi mikro restorasi resin komposit bulk-fill. Tiga puluh gigi premolar dipreparasi pada permukaan oklusal dengan panjang 4 mm, lebar 3 mm, dan kedalaman 4 mm yang disesuaikan dengan anatomi masing-masing gigi. Spesimen dibagi menjadi tiga kelompok secara acak berdasarkan durasi penyinaran 10 detik, 20 detik, dan 30 detik. Pengukuran kebocoran tepi mikro dilakukan menggunakan metode penetrasi zat warna, larutan methylene blue 1. Data yang diperoleh dianalisis menggunakan uji statistik Kruskal-Wallis. Hasil analisis tidak menunjukan perbedaan bermakna p>0,05 pada semua kelompok. Durasi penyinaran tidak memberikan pengaruh yang signifikan terhadap kebocoran tepi mikro restorasi resin komposit bulk-fill.

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This aims to evaluate the influence of different exposure time on its microleakage. Cavity preparation was perfomed on the occlusal side of thirty human premolar teeth with 4 mm length, 3 mm width, and 4 mm depth. Specimen were randomly divide into three groups according to exposure times 10s, 20s, and 30s. The microleakage was measured using 1 methylene blue. Data were statistically analyzed by Kruskal Wallis. The result showed insignificant differences in all groups p 0,05. Exposure times was not significantly affected the microleakage of bulk fill composite resin restoration. "

"ABSTRAKPenelitian ini bertujuan untuk mengetahui pengaruh jarak penyinaran terhadap kekuatan tarik diametral dari material restorasi resin komposit alkasit. Tigapuluh dua spesimen material restorasi resin komposit alkasit Cention-N, Ivoclar-Vivadent, Liechtenstein berbentuk lempengan dengan ketebalan 3 mm dan diameter 6 mm n=32 dibagi menjadi dua kelompok dengan jarak penyinaran 0 dan 2 mm n=16 . Spesimen dipolimerisasi menggunakan LED curing unit, iradiansi 800 mW/cm2 selama 30 detik. Spesimen diuji menggunakan Universa Mechanicall Testing Machine 250 kgf, 0,5 mm/menit, Shimadzu, Japan untuk mendapatkan nilai kekuatan tarik diametral. Hasil uji statistik Independent Sample T-Test menunjukkan bahwa kekuatan tarik diametral menurun namun tidak signifikan terutama pada kelompok dengan jarak penyinaran 2 mm. Disimpulkan bahwa jarak penyinaran dapat mempengaruhi nilai kekuatan tarik diametral.

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ABSTRACTThe aim of this study is to analyze the effect of light curing distance on diametral tensile strength of alkasite composite resin restoration material. Thirty two disc shaped specimens of alkasite composite restoration material Cention N, Ivoclar Vivadent, Liechtenstein with 3 mm thickness and 6 mm of diameter n 32 were divided into two different light curing distance groups 0 and 2 mm n 16 . All Specimens were polymerized using LED curing unit, irradiance 800 mW cm2 for 30 s. Specimens were tested using Universal Mechanical Testing Machine 250 kgf, 0,5 mm menit to determine its diametral tensile strength. The statistical results from Independent Sample T Test, showed that diametral tensile strength of 2 mm light curing distance group were decreased, but not significantly .It was concluded that light curing distance has effect on the diametral tensile strength of composite resin alkasite material."

"Latar Belakang: Kebocoran mikro tepi restorasi resin komposit dapat menyebabkan terjadinya perubahan warna dan karies sekunder. Salah satu upaya menguranginya adalah teknik rebonding pasca finishing dan polishing. Tujuan: Menganalisis kebocoran mikro tepi restorasi resin komposit setelah dilakukan teknik rebonding menggunakan surface sealant dan bonding agent. Metode: 60 gigi premolar dipreparasi pada bagian bukal dengan diameter kavitas 3mm dan kedalaman 2mm. Sampel penelitian dibagi menjadi dua kelompok secara acak untuk dilakukan rebonding. Kelompok 1 dilakukan rebonding menggunakan surface sealant dan kelompok 2 menggunakan bonding agent. Pengukuran penetrasi zat warna biru metilen 1% dilakukan setelah thermocycling. Hasil: Terdapat perbedaan yang bermakna (p<0,05) antara jenis bahan rebonding dengan skala kebocoran, dimana kebocoran mikro tepi restorasi paling sedikit terdapat pada kelompok 1 dibandingkan kelompok 2. Kesimpulan: Prosedur rebonding dengan aplikasi surface sealant dapat menutup kebocoran mikro pada tepi restorasi resin komposit pasca finishing dan polishing lebih baik dibandingkan aplikasi bonding agent.

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Background: Microleakage at the marginal area of composite resin restoration can lead to discoloration and secondary caries. Performing rebonding after finishing and polishing can reduce microleakage of composite resin restoration.

Aim: The aim of this study was to analyse the microleakage of composite resin restoration after rebonding with surface sealant and bonding agent.

Methods: Cavity preparation was performed on the buccal side of sixty human premolar teeth with 3mm diameter and 2mm depth. Samples were randomly divided into two groups for rebonding with different materials. Samples in group 1 were rebonded with surface sealant, while samples in group 2 using bonding agent. The microleakage was measured using 1% methylene blue after thermocycling procedure.

Results: Group 1shows less microleakage than group 2, statistic analysis show significant difference between the two groups ( p<0.05).

Conclusion: Rebonding procedure with surface sealant can reduce marginal microleakage in composite resin restoration better than bonding agent."