Inhibition of secondary caries by laminating restoration method with glass ionomer cement and composite resin

1993 ◽  
Vol 21 (3) ◽  
pp. 188
2007 ◽  
Vol 21 (4) ◽  
pp. 368-374 ◽  
Author(s):  
Adriana Gama-Teixeira ◽  
Maria Regina Lorenzeti Simionato ◽  
Silvia Nagib Elian ◽  
Maria Angela Pita Sobral ◽  
Maria Aparecida Alves de Cerqueira Luz

The aim of this study was to define, in vitro, the potential to inhibit secondary caries of restorative materials currently used in dental practice. Standard cavities were prepared on the buccal and lingual surfaces of fifty extracted human third molars. The teeth were randomly divided into five groups, each one restored with one of the following materials: glass ionomer cement (GIC); amalgam; light-cured composite resin; ion-releasing composite; and light-cured, fluoride-containing composite resin. The teeth were thermocycled, sterilized with gamma irradiation, exposed to a cariogenic challenge using a bacterial system using Streptococcus mutans, and then prepared for microscopic observation. The following parameters were measured in each lesion formed: extension, depth, and caries inhibition area. The outer lesions developed showed an intact surface layer and had a rectangular shape. Wall lesions were not observed inside the cavities. After Analysis of Variance and Component of Variance Models Analysis, it was observed that the GIC group had the smallest lesions and the greatest number of caries inhibition areas. The lesions developed around Amalgam and Ariston pHc restorations had an intermediate size and the largest lesions were observed around Z-100 and Heliomolar restorations. It may be concluded that the restorative materials GIC, amalgam and ion-releasing composites may reduce secondary caries formation.


2002 ◽  
Vol 26 (3) ◽  
pp. 289-296 ◽  
Author(s):  
Nuray Attar ◽  
Alev Önen

Dental restorations fail for a variety of reasons. Secondary caries is one of the primary causes of failure of dental restorations. One method for reducing frequency and severity of this problem is the use of fluoride containing restorative materials. The ability of a material to inhibit secondary caries formation is an important clinical therapeutic property. This investigation assessed the capacity of esthetic restorative materials to resist caries in vitro. Class V cavities were prepared in buccal and lingual surfaces of 50 extracted sound third molars. The occlusal and gingival cavosurface margin of each preparation was on enamel surface. The five materials were used: Conventional glass ionomer cement Ceramfil ß (PSP), two polyacid modified resin composites Compoglass (Vivadent) and Dyract (Dentsply/DeTrey), non fluoride releasing composite resin Valux Plus (3M) and fluoride releasing composite resin Tetric (Vivadent). After 10 weeks in an acid gel for caries-like lesion formation, the teeth were sectioned occluso-gingivally through the middle of the restorations and examined by polarized light microscopy, while immersed in water. The statistical analysis of the results showed that secondary caries initiation and progression might be reduced significantly when fluoride-containing materials were placed. The conventional glass ionomer cement (Ceramfil ß) provided the highest protection against caries attack and the non-fluoride releasing composite resin (Valux Plus) restoration provided the least (p<0.05).


2020 ◽  
Vol 22 (2) ◽  
pp. 120-126
Author(s):  
Larissa Marcia Martins Alves ◽  
Lisseth Patricia Claudio Contreras ◽  
João Paulo Mendes Tribst ◽  
Renata Marques de Melo ◽  
Alexandre Luiz Souto Borges

The incidence of non-carious cervical lesions (NCCLs) has increased as populations are aging, and teeth are increasingly retained for life. Several materials are available to treat these lesions. This study aimed to evaluate the stress distribution of maxillary premolars with NCCLs using three-dimensional (3D) finite element analysis (FEA) according to different restorative techniques. A 3D FEA mathematical model simulating a sound premolar was initially modeled and replicated in 6 more models simulating a tooth with abfraction: G.1 tooth with abfraction; G.2 tooth with abfraction + composite resin restoration; G.3 tooth with abfraction + glass-ionomer cement restoration; G.4 tooth with abfraction + resin composite restoration + porcelain laminate veneers; G.5 tooth with abfraction + glass-ionomer cement + porcelain laminate veneers; and G.6 modified porcelain laminate veneers filling the lesion. All materials and structures were considered linear, elastic, homogeneous and isotropic and the results were expressed as maximum principal stress. Lower stress concentration in dentin was calculated when the tooth was restored with composite resin and glass-ionomer cement. Regarding the veneer techniques, no difference was found to dentin stress among the groups, but the modified veneer concentrated less stress in the restoration than other the techniques. The control group had the highest concentration of stress in the lesion. All techniques decreased the stress concentration inside the NCCLs and the indirect veneer filling the lesion presented better biomechanical behavior than the veneer cemented above direct restorations.  Keywords: Finite Element Analysis. Dental Veneers. Ceramics. Bicuspid. Resumo A incidência de lesões cervicais não-cariosas (LCNC) tem aumentado, uma vez que a população tem envelhecido com uma menor perda de elementos dentários. Diferentes materiais estão disponíveis para tratar dessas lesões. Este estudo objetivou avaliar a distribuição de tensão de pré-molares superiores com LCNC por meio da análise tridimensional (3D) de elementos finitos (FEA) de acordo com diferentes técnicas restauradoras. Um modelo matemático 3D FEA simulando um pré-molar íntegro foi modelado e replicado em mais 6 modelos simulando um dente com abfração: G.1 dente com abfração; G.2 dente com abfração + resina composta; G.3 dente com abfração + cimento de ionômero de vidro; G.4 dente com abfração + resina composta + faceta; G.5 dente com abfração + cimento de ionômero de vidro + faceta cerâmica e G.6 com faceta cerâmica modificada, preenchendo a lesão. Todos os materiais e estruturas foram considerados lineares, elásticos, homogêneos e isotrópicos e os resultados foram expressos como máxima tensão principal. Menor concentração de tensão na dentina foi calculada quando o dente foi restaurado com resina composta ou cimento de ionômero de vidro. Dentre os grupos com laminados, não houve diferença para a dentina, entretanto a faceta modificada apresentou menor concentração de tensão na restauração. O grupo controle apresentou a maior concentração de tensão na lesão. Todas as técnicas restauradoras diminuíram a concentração de tensão no interior das LCNCs e dentre as técnicas com laminados a faceta modificada apresentou o melhor comportamento biomecânico. Palavras-chave: Análise de Elementos Finitos. Facetas Dentárias. Cerâmica. Dente Pré-Molar.


2019 ◽  
Vol 7 (1) ◽  
pp. 8
Author(s):  
Mohammad Hammo DDS ◽  
Mazen Doumani DDS. MSc. ◽  
Adnan Habib DDS. MSc. PhD

The main goal of vital pulp therapy is to preserve and maintain pulpal health in teeth that have been exposed to caries, trauma, and restorative procedures. This type of endodontic treatment is very important in young permanent teeth that have not reached their complete length and exhibit thin-walled roots and wide open apices. The developments in knowledge of pulpal physiology and immunology, beside to newly introduced dental materials, have changed the treatment approaches for teeth with involved pulps. This report describes a case of a young patient in whom maxillary right central incisor suffered crown fractures because of a traumatic accident. Pulpotomy with MTA were performed in order to achieve apexogenesis and the tooth was restored with a glass ionomer cement and composite resin. The patient was reviewed over 4years. 


1995 ◽  
Vol 22 (1) ◽  
pp. 23-27 ◽  
Author(s):  
H. C. Moseley ◽  
E. N. Horrocks ◽  
G. J. Pearson ◽  
E. H. Davies

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