Affiliations: [a] Restorative Department of Dentistry, Annamuthajiah Campus, Riyadh Elm University, Riyadh, Saudi Arabia | [b] College of Dentistry, King Khalid University, Abha, Saudi Arabia | [c] College of Dentistry, Dar Aluloom University, Riyadh, Saudi Arabia | [d] College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia | [e] College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia | [f] Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, Catania, Italy | [g] Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Naples, Italy
Correspondence:
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Corresponding author: Majed Adi Albaqami, College of Dentistry, Riyadh Elm university, Riyadh, Saudi Arabia. E-mail: majedadi40@outlook.com.
Abstract: BACKGROUND: Bleaching is a highly common method used nowadays to treat tooth discolouration because it is a significant cosmetic issue, particularly with anterior teeth, however bleaching itself results in microleakage. OBJECTIVE: This study aims to evaluate the impact of in-office bleaching on class V restoration microleakage with type 1 and type 2 composite restorations. METHODS: Three hundred and twenty healthy, caries-free removed human anterior teeth were used in this in-vitro study. All extracted teeth had their buccal and lingual surfaces uniformly prepped for class V cavities. The 120 removed teeth were divided into two groups, with Group 1 receiving Tetric N-Ceram nanohybrid composite restorations and Group 2 receiving 3 M Filtek Z350 XT nanohybrid composite restorations. Groups 1 and 2 were further broken into four more subgroups of four each. The restorations were sealed with a G-Coat Plus resin. The p-value was kept at 0.005 for the data analysis using the Chi-square and Fisher exact tests. RESULTS: Allocating microleakage among 320 study models revealed that 141 (44.1%) study samples had no microleakage, whereas 20 (6.3%), 54 (16.9%), and 105 (32.8%) study samples had microleakage up to, between, and greater than two-thirds of cavity depth. With a statistically significant p-value of 0.001, no microleakage was discovered in 85 (53.1%) lingual surfaces with Tetric N-Ceram nanohybrid composite restoration and 56 (35%) buccal surfaces with 3M Filtek Z350 XT nanohybrid composite restoration. 19.1% of samples of N-Ceram that were sealed and not bleached had no microleakage, according to analysis of microleakage across several groups. With a p-value of 0.001, the distribution of microleakage among various clusters was statistically notable. CONCLUSION: According to the findings of the study, hydrogen peroxide bleaching has an enhanced impact on micro escape during dye dispersion. Both with and without bleaching, resin coating can be utilised to minimise marginal microleakage.
