Cuspal Deflection in Premolar Teeth Restored Using Current Composite Resins with and Without Resin-Modified Glass Ionomer Liner

Abstract

Aim: To evaluate the effects of four different types of composite resins and a resin modified glass ionomer cement (RMGIC) liner on the cuspal deflection of large MOD cavities in vitro. Materials & Methods: One hundred twenty-eight extracted human upper premolar teeth were used. After the teeth were divided into eight groups (n=16), standardized large MOD cavities were prepared. The distance between cusp tips was measured before and after the cavity preparations with a digital micrometer. Then the teeth were restored with different resin composites (Filtek Supreme XT, Filtek P60, Filtek Z250, Filtek Silorane - 3M ESPE, St Paul, MN, USA) with and without a RMGIC liner (Vitrebond, 3M ESPE, St Paul, MN, USA). Cuspal deflection was measured 5 min, 24 h, and 48 h after the completion of restorations. The data were statistically analyzed with Friedman and Kruskal Wallis tests. Results: A significant reduction in cuspal deflection was observed in Filtek Silorane restorations with and without RMGIC liner (p<0.05). In all restored teeth, the distance between cusps was reduced but they did not return to their original positions during the 48 h period. All teeth showed cuspal deflection, but placement of RMGIC liner reduced it. Conclusion: The use of silorane-based composites and the placement of RMGIC liner under the composite resin restorations resulted in significantly reduced cuspal deflection.