Microleakage of porcelain laminate veneers cemented with different bonding techniques

BACKGROUND: Porcelain laminate veneers (PLV) are continued to be popular in modern dental practice due to its high aesthetic outcome and conservative tooth preparation. The composite resins are commonly used as luting agents for cementation of PLV. Polymerisation shrinkage induced marginal gap and interfacial leakage is the persistent limitation with the resin luting cements. The objective of the study was to assess the effect of various dentin bonding techniques on the microleakage after accelerated ageing in porcelain laminate veneres. MATERIAL AND METHODS: Forty intact, premolar teeth were prepared to receive the PLV. The lithium disilicate PLV were fabricated from IPS e.max System. The intaglio surfaces were prepared with hydrofluoric acid and silane. Teeth samples were randomly divided among four groups of ten each according to the tooth surface preconditioning; it included etch-wash light cure, etch-wash dual cure, self-etch and self-adhesive techniques. The Teeth samples were subjected to the accelerated ageing with thermocycling and exposure to xenon light. The microleakage was accessed with die penetration test using 0.5% basic fuchsin. The data was statistically analysed by Kruskal–Wallis and Mann–Whitney U tests. RESULTS: The etch-wash dual cure resin cements recorded the lowest interfacial microleakage score of 0.90 and 0.60 at cervical tooth-composite resin and incisal enamel-composite regions respectively. The highest corresponding values of 3.00 and 1.60 was recorded with self-Adhesive resin luting cements. The microleakage at cervical tooth- composite interface was significantly higher in comparison to incisal enamel-composite interface across all the tested groups. The microleakage values at porcelain-composite interface was considerably less to the tooth- composite interface. CONCLUSIONS: Etch-wash composite resin luting cements for PLV provided the best bonding interface, with the least interfacial microleakage. Key words:Porcelain laminate veneer, Microleakage, Tooth conditioning, Bonding techniques.