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Title

Comparative evaluation of microleakage and internal voids in class II restorations using open sandwich technique: An in vitro study

 

Authors

Kirti Rathee1,*, Reena Rani2, Parthivi Singh3, Heena Gandhi4, Lakshika Sharma5 & Sagar Hiwale6

 

Affiliation

1Department of Conservative Dentistry and Endodontics, Institute of Dental Studies & Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India; 2Department of Pedodontics and Preventive Dentistry, Santosh Dental College and Hospital, Ghaziabad, Uttar Pradesh, India; 3Department of Conservative Dentistry and Endodontics, Peoples Dental Academy, Peoples University, Bhopal Madhya Pradesh, India; 4Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India; 5Department of Conservative Dentistry and Endodontics, ITS Dental College, Muradnagar, Ghaziabad, Uttar Pradesh, India; 6Department of Conservative Dentistry and Endodontics, Inderprastha Dental College and Hospital, Ghaziabad, Uttar Pradesh, India; *Corresponding author

 

Email

Kirti Rathee - E-mail: kirtirathee08@gmail.com

Reena Rani - E-mail: reenachouhan521@gmail.com

Parthivi Singh - E-mail: piyu3090@gmail.com

Heena Gandhi - E-mail: drheenagandhi4@gmail.com

Lakshika Sharma - E-mail: lakshikasharma199@gmail.com

Sagar Hiwale - E-mail: dr.sagarhiwale@gmail.com

 

Article Type

Research Article

 

Date

Received June 1, 2026; Revised June 30, 2026; Accepted June 30, 2026, Published June 30, 2026

 

Abstract

The achievement of a durable and hermetic seal at the tooth restoration interface remains a significant challenge in restorative dentistry, particularly with Class II composite restorations. Therefore, it is of interest to compare microleakage and internal voids in Class II restorations using different intermediate materials in the open sandwich technique. The materials evaluated included ACTIVA Bioactive, Resin-modified Glass Ionomer Cement (RMGIC), Smart Dentin Replacement (SDR) and a control group with nanohybrid composite. Data showed that ACTIVA Bioactive showed the least microleakage and void formation, followed by RMGIC and SDR. Thus, we show the superior performance of bioactive materials in improving marginal sealing and reducing void formation in composite restorations.

 

Keywords

Microleakage, internal voids, Class II restorations, sandwich technique, ACTIVA Bioactive, composite restoration

 

Citation

Rathee et al. Bioinformation 22(6): 3254-3258 (2026)

 

Edited by

Ritik Kashwani

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.