Use of the ozonation method in treating dentin caries in children’s permanent teeth

Author(s):  
M. A. Shevchenko ◽  
L. P. Kiselnikova ◽  
O. I. Petrova

Relevance. Permanent teeth carious involvement starts from their eruption in children aged 5-6 years. Hard tissues mineralization in permanent teeth lasts long. Nowadays, efficacy of combined applying calcium containing drugs and the ozonation method while treating permanent teeth caries in children with incompleted processes of dental hard tissues mineralization has not been revealed.Purpose. Increasing effectiveness of dentin caries treatment of children's permanent teeth with incompleted mineralization processes in dental hard tissues. Materials and methods. There were carried out clinical and laboratory examinations and treatment of 41 children (aged 6-14). They had dentin caries in permanent teeth with incompleted mineralization processes in hard tissues .In 2 groups studied carious cavities were treated mechanically and medically and afterwards the dentin density measurement was made by the method of fluorecent analysis using DIAGNOdent apparatus. The mineralization degree of clinically intact dentin having been determined, in Group 1 Dycal paste and a hermetic temporary filling of glass ionomer cement were placed onto the floor of carious cavities. In Group 2 carious cavities were treated mechanically and medically and then ozonized during 30 seconds with Kavo - HealOzone apparatus followed by application of Dycal paste onto the floor of carious cavities and temporary filling with glass ionomer cement. Three months later, the temporary filling material and Dycal paste were removed out of the children's teeth in both groups and measuring mineralization degree of the clinically intact dentin was made again. Results. Dentin mineralization increase in Group 1 showed 33,9% following delayed filling technique. In Group 2 the ozonation method promoted the increase by 54,9%.Conclusions. Carious cavitiies ozonation before applying calcium containing material favours higher mineralization degree (by 21%). 

2006 ◽  
Vol 75 (3) ◽  
pp. 403-410
Author(s):  
M. Figurová ◽  
V. Ledecký ◽  
S. Štvrtina

The aim of the experiment was to evaluate the marginal microgaps of two ionomer cements: Kavitan Plus (Spofa Dental) and Vitremer (3M ESPE) in dog and sheep dentition in vivo. Dentitions of sheep and dogs were restored in vivo with a conventional, glass polyalkenoic, chemically activated cement Kavitan Plus with hydrophilic properties capable and with a resinmodified glass-ionomer cement Vitremer with light-induced polymerization and autopolymerization reaction of methyl metacrylate group. The parameters of glass-ionomers were evaluated in 6 groups of animals, 2 animals in each, at various time intervals (after 1, 4 and 6 months in dogs and 3, 6 and 9 months in sheep, starting from the beginning of the experiment). The restorative materials were placed to buccal surfaces of permanent teeth. At the intervals specified, under general injection anaesthesia, throughout the experiment we extracted 24 teeth from sheep and 30 from dogs. When processing the samples of dog's teeth two samples were damaged. One month after the placement, Kavitan plus restorations became loose only in one case in dogs (80% successfulness). In sheep two Kavitan Plus restorations became loose after 9 months (50% successfulness). During the experiment we observed neither cracks nor marginal discoloration in both Kavitan Plus and Vitremer restorations. Statistically significant (P = 0.04) differences were observed in the dentin of dogs receiving glass-ionomer Vitremer restorations which exhibited lower marginal microgaps. The remaining results were non- significant (ANOVA test). Fluoride ions released from GIC support the treatment of dental hard tissues. These materials could be used as definitive restorations of class A - D cavities in dogs and dental cervical caries in sheep as well as underlying layers ofcomposite and amalgam materials.


2019 ◽  
pp. 61-67
Author(s):  
Xuan Anh Ngoc Ho ◽  
Anh Chi Phan ◽  
Toai Nguyen

Background: Class II restoration with zirconia inlay is concerned by numerous studies about the luting coupling between zirconia inlay and teeth. The present study was performed to evaluate the microleakage of Class II zirconia inlayusing two different luting agents and compare to direct restoration using bulk fill composite. Aims: To evaluate the microleakage of Class II restorations using three different techniques. Materials and methods: The study was performed in laboratory with three groups. Each of thirty extracted human teeth was prepared a class II cavity with the same dimensions, then these teeth were randomly divided into 3 groups restored by 3 different approaches. Group 1: zirconia inlay cemented with self-etch resin cement (Multilink N); Group 2: zirconia inlay cemented with resin-modified glass ionomer cement (Fuji Plus); Group 3: direct composite restoration using bulk fill composite(Tetric N-Ceram Bulk Fill). All restorations were subjected to thermal cycling (100 cycles 50C – 55 0C), then immersed to 2% methylene blue solution for 24 hours. The microleakage determined by the extent of dye penetration along the gingival wall was assessed using two methods: quantitative and semi-quantitative method. Results: Among three types of restorations, group 1 demonstrated the significantly lower rate of leakage compared to the others, while group 2 and 3 showed no significant difference. Conclusion: Zirconia inlay restoration cemented with self-etch resin cement has least microleakage degree when compare to class II zirconia inlay restoration cemented with resin-modified glass ionomer cement and direct composite restoration using bulk fill composite. Key words: inlay, zirconia ceramic, class II restoration, microleakage.


Author(s):  
Marie-Laure Munoz-Sanchez ◽  
Natacha Linas ◽  
Nicolas Decerle ◽  
Valérie Collado ◽  
Denise Faulks ◽  
...  

Evidence-based evaluations of dental treatment are needed to support the development of special care dentistry services. This retrospective study was designed to collect and analyse X-ray images of permanent teeth restored with stainless steel crowns (SSC) in patients treated under general anaesthesia. Between 2013 and 2019, 360 permanent molars were crowned with SSCs in 198 adult patients. One calibrated investigator used an original validated tool to evaluate four radiographic criteria for molars restored with SSCs: i) marginal adaptation; ii) interdental proximal contact; iii) the presence of glass ionomer cement overflow; and iv) the loss of alveolar bone. Overall, no defect or a minor defect was reported for the majority of SSCs for the criteria “Marginal adaptation” (62.5%, n = 320), “Proximal contact” (82.2%, n = 236) and “Cement overflow” (95.8%, n = 337). Alveolar bone resorption was reported in 8.3% of cases, n = 14, after a mean period of 8.9 ± 14.3 months. It was shown that the restoration of permanent teeth using SSCs placed under general anaesthesia presents a low risk of periodontal morbidity in the medium term when assessed radiographically.


2020 ◽  
pp. 38-45
Author(s):  
Duong Nguyen Thi Thuy ◽  
Huong Nguyen Thi Kim

Background: Composite and Glass ionomer cement (GIC) are common restorative materials of non carious cervical lesions (NCCLs), which effects are controverisial. The aim of the present study was to compare the result of restorations on NCCLs between Composite and GIC. Materials and Methods: follow-up clinical trial with split-mouth design. Thirty-six patients with 96 NCCLs were divided into 2 groups (n=48/group): Group 1 restored by Composite, Group 2 restored by GIC. The restorations were evaluated at baseline, 1 and 3 months for pulpal sensitivity, restoration morphology and overall success grade. Results: GIC restorations gained 100% Good results for all parameters at 3 time points. Composite showed 87.5%, 93.8% and 97.9% Good results at baseline, 1 and 3 months, sequentially. At 3 weeks recall, 1 Composite restorations (2.1%) showed Moderate results of Retention and 2 Composite restorations (4.2%) changed colour. Conclusions: There was no statistically significant difference seen among the three groups for 3 parameters. Key words: non-carious cervical lesion, Composite, Glass ionomer cement


2021 ◽  
Vol 14 (10) ◽  
pp. e243414
Author(s):  
Saumya Johri ◽  
Promila Verma ◽  
Rhythm Bains ◽  
Aseem Praksh Tikku

A 22-year-old woman reported with a cariously exposed mandibular molar. Pulpotomy was planned rather than routine root canal treatment, which was otherwise indicated. Amniotic membrane (AM) that has been extensively researched in different fields of medicine was used as the pulpotomy agent. After gaining coronal access to the root orifices, bleeding was arrested and activated AM was placed over the root stumps. Glass ionomer cement(GIC) was placed over the membrane and temporary restoration was done. One week later, permanent restoration with composite resin was done. The patient’s symptoms resolved, and the tooth started responding normally to vitality tests at subsequent follow-ups. The present case report is an attempt to use human AM as a natural pulpotomy agent for treating irreversible pulpitis in permanent teeth. Understanding of innumerable beneficial properties of the AM and its application in preserving vitality of permanent teeth is the main learning objective.


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. 


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