The impact of oral hygiene, the intensity and increase of caries on the condition of Equia Fil glass ionomer and Tetric EvoCeram composite proximal restorations in permanent teeth

2019 ◽  
Vol 24 (2) ◽  
Author(s):  
Piotr Rożniatowski ◽  
Emil Korporowicz ◽  
Dariusz Gozdowski ◽  
Dorota Olczak-Kowalczyk
Keyword(s):  
Oral Hygiene ◽  
Permanent Teeth ◽  
Glass Ionomer ◽  
Significant Relationships ◽  
Carious Lesions ◽  
Direct Restoration ◽  
Bacterial Plaque ◽  
Medical University ◽  
The Impact

Introduction. Glass-ionomer cements and composite materials are widely used for direct restoration of carious lesions, also in young permanent teeth. However, knowledge on the effects of cariogenic factors on the quality of restorations performed using these materials, especially those covering proximal surfaces, which are more often exposed to bacterial plaque, is insufficient. Aim. The aim of the study was to assess the impact of oral hygiene and increased intensity of caries on proximal composite and glass ionomer restorations in young permanent teeth after 2 years of usage. Material and methods. Equia Fil glass-ionomer and Tetric EvoCeram composite restorations were performed in patients aged between 12 and 20 years with proximal carious lesions in premolars and molars. The clinical condition of restorations was assessed and indices such as OHI-S and D1-2DMFT (along with their increased values) were calculated at baseline, as well as during follow-up visits at 6, 12, 18 and 24 months. Correlations between clinical assessment of restorations and indices for oral hygiene and caries intensity, their increase and increased number of teeth with carious spots were evaluated. The study was approved by the Bioethics Committee of the Medical University of Warsaw (No. KB/157/2013). Results. A total of 100 proximal restorations were performed in 49 patients. After 24 months, 98 restorations (50 Equia Fil and 48 Tetric EvoCeram) were evaluated. Mean baseline OHI-S and D1-2DMFT were 1.37 and 12.04, respectively, for Equia Fil restorations, and 1.27 and 10.38 for Tetric restorations, with the following values reported during follow-up: 1.80 and 15.4; 1.63 and 12.38. Statistically significant relationships were found between OHI-S and values describing the state of materials. These values increased with increasing OHI-S and D1-2DMFT. Conclusions. Both Tetric Evo Ceram and Equia Fil restorations are susceptible to cariogenic factors.

scholarly journals Case Report: a 5-Year Follow-up of Proximal Caries Lesion Diagnosis

2018 ◽  
Vol 20 (3) ◽  
pp. 158
Author(s):  
Renata Espíndola Silveira ◽  
Isabela Pereira Furtado ◽  
Marco Aurélio Carvalho ◽  
Lawrence Gonzaga Lopes ◽  
João Batista Souza ◽  
...  
Keyword(s):  
Dental Caries ◽  
Clinical Examination ◽  
Oral Hygiene ◽  
Dietary Habits ◽  
Treatment Plan ◽  
Preventive Treatment ◽  
Diagnostic Methods ◽  
Carious Lesions ◽  
Oral Hygiene Instructions

Abstract This clinical case was aimed at reporting and discussing diagnostic methods for early detection and preventive treatment of proximal carious lesions. The patient presented to the dental clinic seeking treatment of a problem she reported as being “dental caries”. The patient’s orthodontist diagnosed dental caries, by means of radiographic exam. There was no evidence of any proximal carious lesion in the intraoral examination. The bitewing radiographs presented a radiolucent area limited to enamel in the mesial of maxillary left-second-bicuspid. For the purpose of confirming the intraoral diagnosis, an immediate tooth separation was performed. The immediate separation was unable to provide sufficient access; thus, the slow separation approach was performed. After 24-hours, tooth separation of 1mm was obtained, providing enough access for clinical examination. The proximal areas were evaluated by transillumination and impression taking. During the visual inspection, an area of enamel staining was observed, with no roughness due to tactile inspection and the evaluation by transillumination and impression showed no cavitation. The following preventive treatment plan was endorsed: oral hygiene instructions with emphasis to the importance of flossing the proximal areas, and healthy dietary habits. After a 5-years period of follow-up, the enhanced oral hygiene and heathy dietary habits were observed. A clinical examination with immediate tooth separation and bitewing radiographs was performed and showed no cavitation. Thecombination of methods for detecting carious lesions in proximal surfaces was effective in obtaining a diagnosis of cariesin the permanent dentition. The absence of cavitated lesions must be indicative of preventive treatment.Keywords: Dental Caries. Preventive Dentistry. Diagnosis, Oral.ResumoEste caso clínico objetivou relatar e discutir os métodos diagnósticos para detecção e tratamento preventivo de lesões cariosas proximais. A paciente procurou atendimento restaurador com queixa de cárie diagnosticada por exame radiográfico realizado após término de seu tratamento ortodôntico. Ao exame clínico não havia suspeita de lesão cariosa. A avaliação radiográfica revelou, na face mesialdo dente 25, presença de área radiolúcida limitada à metade externa do esmalte. Para confirmação do diagnóstico realizou-se a separação interdentária imediata, porém como a mesma não permitiu adequada visualização foi realizada a separação mediata e após 24 horas obteve-se adequada separação (1 mm) para o exame clínico. Em seguida, a superfície proximal foi avaliada por transiluminação e moldagem. Durante a inspeção visual foi constatada área de manchamento do esmalte, com ausência de rugosidade pela inspeção tátil e a avaliação tanto por transiluminação da superfície proximal, quanto por moldagem revelou ausência de cavitação. Devido o diagnóstico obtido o seguinte tratamento preventivo foi indicado: reforço de higiene oral com ênfase na importância do uso do fio dental e hábitos dietéticos saudáveis. Após 5 anos de acompanhamento melhoria da higiene oral e hábitos dietéticos foram constatados. O exame clínico com separação interdentária imediata e exame radiográfico revelaram ausência de cavitação. Conclui-se que a combinação de métodos de detecção de lesões cariosas proximais foi efetivo no diagnóstico da cárie dentária na dentição permanente. O resultado deste relato de caso mostrou que a ausência de lesões cariosas cavitadas deve ser um indicativo de tratamento preventivo.Palavras-chave: Cárie Dentária. Odontologia Preventiva. Diagnóstico Bucal.

scholarly journals Apexogenesis of traumatized maxillary right central incisor: Case report with 4years follow up

2019 ◽  
Vol 7 (1) ◽  
pp. 8
Author(s):  
Mohammad Hammo DDS ◽  
Mazen Doumani DDS. MSc. ◽  
Adnan Habib DDS. MSc. PhD
Keyword(s):  
Composite Resin ◽  
Dental Materials ◽  
Glass Ionomer Cement ◽  
Permanent Teeth ◽  
Glass Ionomer ◽  
Central Incisor ◽  
Vital Pulp Therapy ◽  
Open Apices ◽  
Ionomer Cement

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. 

scholarly journals The role of carious lesions in the occurrence of pathological modifications in deep periodontal level – radiographic evaluation

2019 ◽  
Vol 2 (2) ◽  
pp. 210-214
Author(s):  
Ana Petra Lazăr ◽  
Alexandru Vlasa ◽  
Bukhari Csilla ◽  
Buka Imola ◽  
Luminița Lazăr
Keyword(s):  
Bone Resorption ◽  
Dental Caries ◽  
Radiographic Evaluation ◽  
X Rays ◽  
Carious Lesions ◽  
Ridge Area ◽  
Dental Cavities ◽  
Bacterial Plaque ◽  
The Impact

AbstractIn the etiology of periodontal disease, dental caries act as a favoring factor. The purpose of our study was to evaluate the role of untreated or incorrectly treated carious lesions in the occurrence of pathological changes in the periodontal support. Material and methods: In order to evaluate the impact of the dental caries in the appearance of destructive lesions at the periodontal level, we examined 378 X-rays. The radiographies were selected based on the presence of approximal dental cavities, untreated or incorrectly treated and we appreciated the association of these factors with the presence and the level of bone resorption of the interdental septum. Results: On the 378 radiographies we examined, it was discovered the presence of 398 approximal carious lesions, of which 146 were associated with bone resorption. The examined radiographies permitted us to evaluate 1512 fillings inserted in second class cavities, of which 1103 were correctly done, and 309 were incorrect and associated with bone resorption phenomena. Incorrectly done restorations were associated with bone resorption phenomena due to the lack of contact with the adjacent tooth for 213 of these, and because of an inaccurate adaptation at the level of the gingival threshold for 96. Conclusions: The dentist has to pay a special attention to the approximal coronary restorations because these can favor the retention of bacterial plaque and, in most cases, can lead to bone loos in the alveolar ridge area.

Clinical and Radiographic Study of Chemical-Mechanical Removal of Caries Using Papacárie: 24-Month Follow Up

2011 ◽  
Vol 35 (3) ◽  
pp. 251-254 ◽  
Author(s):  
SK Bussadori ◽  
CC Guedes ◽  
JC Bachiega ◽  
TO Santis ◽  
LJ Motta
Keyword(s):  
Rio De Janeiro ◽  
Glass Ionomer Cement ◽  
Glass Ionomer ◽  
Radiographic Study ◽  
Mechanical Removal ◽  
Carious Lesions ◽  
Affected Tissue ◽  
Permanent Molars ◽  
Ionomer Cement

Background: The chemical-mechanical removal of caries involves the chemical softening of the infected dentin, following by the mechanical removal of the softened tissue using non-cutting manual instruments. Papacárie® (Fórmula&Ação, Sao Paulo, Brazil) is a product in gel form used for the chemical-mechanical softening of the affected tissue. Objective: The purpose of the present study was to evaluate the effectiveness of Papacárie®. Methods: Clinical and radiographic evaluations were performed on 14 young permanent molars treated with Papacárie® and restored with glass ionomer cement (VitroMolar, DFL Ind. Com LTDA,Rio de Janeiro, Brazil) 24 months following intervention. Results: Success was achieved in 13 of the 14 cases. Conclusion: Papacárie® was effective in the treatment of carious lesions and constitutes a conservative alternative that offers benefits to patients.

scholarly journals The Role of Light-Induced Fluorescence in the Treatment of Smooth Surface Carious Lesions with Icon Infiltration and the Results After 1 Year

2014 ◽  
Vol 41 (2) ◽  
pp. 36-42
Author(s):  
R. Kabaktchieva ◽  
N. Gateva ◽  
K. Peycheva
Keyword(s):  
Fluorescence Method ◽  
Permanent Teeth ◽  
Smooth Surfaces ◽  
Visual Examination ◽  
Aesthetic Result ◽  
Carious Lesions ◽  
Single Tooth ◽  
Role Of Light

Summary Caries infiltration is a novel technique that brings out immediate esthetic improvement in the opacity of the white spot lesions. Light-induced fluorescence method is a modern caries diagnostic method. In this study SoproLife camera (Acteon, France) was applied for diagnosing and follow-up of the results. The aims of this in vivo study are to test the role of light-induced fluorescence method (SoploLife camera) in the diagnosis of non-cavitated smooth surfaces carious lesions (ICDAS codes 1 and 2) of primary and permanent teeth and in the follow-up period immediately after application, 6 months and 1 year after applying ICON material (DMG). Teeth: n = 90; primary teeth: 6 kids; n = 40 teeth; permanent teeth: 6 patients; n = 50 teeth. Visual examination by ICDAS without probe, dry for 10 s with 3-in-1 syringe using lightening; SoproLife camera (450 nm), digital photos. LIF method applied with SoproLife camera (Diagnostic mode with day light and blue light) is more accurate than visual examination only when applied for single tooth diagnose. Moreover, LIF method for single tooth is more accurate in following up the effect of non-operative treatment of smooth surfaces lesions than using digital images. ICON is a material that stops the progression of non-cavitated smooth surfaces carious lesions in both primary and permanent teeth and make the aesthetic result better up to 1 year following the procedure.

scholarly journals Poor oral hygiene and dental caries predict high mortality rate in hemodialysis: a 3-year cohort study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Koji Mizutani ◽  
Risako Mikami ◽  
Tomohito Gohda ◽  
Hiromichi Gotoh ◽  
Norio Aoyama ◽  
...  
Keyword(s):  
Cohort Study ◽  
Dental Caries ◽  
Confidence Interval ◽  
Oral Hygiene ◽  
Dental Plaque ◽  
Hazard Ratio ◽  
Periodontal Pocket ◽  
All Cause Mortality ◽  
The Impact

AbstractThe aim of this study was to investigate the impact of oral hygiene, periodontal diseases, and dental caries on all-cause mortality in hemodialysis. This prospective cohort study included 266 patients with end-stage renal disease who were undergoing hemodialysis. Medical interviews, blood biochemical tests, and comprehensive dental examinations including periodontal pocket examination on all teeth and dental plaque accumulation by debris index-simplified (DI-S), were performed. Survival rates were assessed at a 3-year follow-up. Overall, 207 patients were included in the longitudinal analysis, and 38 subjects died during the follow-up period. Cox proportional hazards analysis of the multivariate model demonstrated that the highest tertile of DI-S had a significantly higher risk of all-cause mortality than the lowest two tertiles after adjustment for age, sex, smoking habit, body mass index, diabetes, prior cardiovascular disease, hemodialysis vintage, high sensitivity C-reactive protein, albumin, and number of remaining teeth (hazard ratio, 3.04; 95% confidence interval, 1.50–6.17; p = 0.002). Moreover, the number of decayed teeth significantly increased the hazard ratio to 1.21 (95% confidence interval, 1.06.1.37; p = 0.003). This study suggests that accumulated dental plaque and untreated decay, but not periodontal disease, may be independently associated with all-cause mortality in patients undergoing hemodialysis.

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