Laser Therapy Evaluation in Complications of Restorations by Total-Etch Technique

2018 ◽  
Vol 69 (4) ◽  
pp. 921-925
Author(s):  
Cristina Angela Ghiorghe ◽  
Andra Claudia Gamen ◽  
Tiberiu Tirca ◽  
Sorin Andrian ◽  
Anca Melian ◽  
...  
Keyword(s):  
Laser Treatment ◽  
Laser Therapy ◽  
Hybrid Composite ◽  
Study Groups ◽  
Composite Resins ◽  
Single Bond ◽  
Class Iii ◽  
Anterior Teeth ◽  
Carious Lesions ◽  
Etch And Rinse

The aim of this study was to evaluate the efficiency of laser therapy in post-operative sensitivity by Visual Analogue Scale (VAS) to the 57 patients after restoration with two different resins composite. In the first group (28 patients, 30 teeth) it was restored the cavity class I Black with micro-hybrid composite Filtek Z250 - Adper Single Bond (3M/ESPE). In the second group (29 patients, 30 teeth) it was restored the cavity class III Black with nano-hybrid composite Ceram X One Sphere Tec-Prime and Bond One (Etch&Rinse) (Dentsply). The restorative treatments were performed by the same practitioner on posterior and anterior teeth diagnosed with mid-sized chronic carious lesions. Total etch (etch and rinse) strategy of adhesion was used for both composite resins. The laser treatment was performed in 2 sessions at 48 hours and after 7 days, for both study groups using laser Whitening Lase II (DMC Dental). Mean scores for VAS indices decreased significantly at 48 hours and 7 days, following laser treatment for all the investigated parameters (materials, sex, age) (p [ 0.05).

scholarly journals Evaluation of Adhesive Capacity of Universal Bonding Agents Used in Direct Composite Resins Repair

2017 ◽  
Vol 54 (3) ◽  
pp. 574-577 ◽  
Author(s):  
Simona Stoleriu ◽  
Sorin Andrian ◽  
Irina Nica ◽  
Andrei Victor Sandu ◽  
Galina Pancu ◽  
...  
Keyword(s):  
Hybrid Composite ◽  
Study Groups ◽  
Composite Resins ◽  
Bonding Agent ◽  
Interface Bonding ◽  
Sem Images ◽  
Bonding Agents ◽  
Etch And Rinse ◽  
Repair Procedure ◽  
Self Etch

The aims of the study were to characterise the resin-resin interface when a universal bonding agent (UBA) was used in two different strategies in direct composite repair and to evaluate the bonding capacity of UBA by microleakage assessment. In study groups a micro-filled hybrid and a nano-filled hybrid composite resins were aged in order to simulate an old restorations. As a repair material was chosen the same micro-filled hybrid composite resin that was used as an old restoration. UBA was applied in etch-and-rinse and self-etch strategies and was used as an intermediate layer in repair procedure. After the repair the samples were aged again. In control groups were included non-aged, repaired composite resins samples. The resin-resin interface was characterised on SEM images and the microleakage at the interface was evaluated by dye penetration assessment. Universal bonding agent used in direct composite resins repair showed a very good adaptation to non-aged micro-filled hybrid and nano-filled hybrid composite resins. Aging by saliva storage of repaired composite resins leaded to an enlargement of resin-resin junction and a increased microleakage irrespective of the strategy (etch-and-rinse or self -etch) used for bonding agent application. Etch-and-rinse strategy for universal bonging agent application determined a better interface bonding when compared to self -etch strategy.

In vitro Comparative Evaluation of Various Restorative Materials used for restoring Class III Cavities in Deciduous Anterior Teeth: A Clinical Study

2016 ◽  
Vol 17 (12) ◽  
pp. 1022-1026 ◽  
Author(s):  
Deepak Khandelwal ◽  
Shweta Nihalani ◽  
Harsh Priyank ◽  
Ankita Verma ◽  
Esha Chaudhary
Keyword(s):  
Comparative Evaluation ◽  
Primary Teeth ◽  
Composite Resin ◽  
Class Iii ◽  
Anterior Teeth ◽  
Carious Lesions ◽  
Restorative Materials ◽  
Materials Used

ABSTRACT Introduction Beauty standards in today's modernized world scenario are formed by well-aligned and well-designed bright white teeth. One of the major reasons behind patients reporting to dental clinics is pain. Caries in the anterior primary teeth forms one of the major concerns from a restorative point of view. Very few studies are quoted in literature which stresses on the follow-up of anterior restorations in primary teeth. Hence, we evaluated and compared the efficacy of composite resin and resin-modified glass ionomer cement (RGIC) for class III restorations in primary anterior teeth. Materials and methods The present study was conducted in the pediatric dental wing and included a total of 80 patients aged 3 to 5½ years who reported with the chief complaint of carious lesions in the primary anterior teeth. Patients having minimal of a pair of similar appearing small carious lesions on the same proximal surfaces of the deciduous maxillary incisors were included for the study. All the patients were randomly divided into two groups: One in which RGIC restoration was done and other in which composite restoration was done. Cavity preparation was done and filling of the cavity with the restorative materials was carried out. Assessment of the restorations was done at 4, 8, and 12 months time following criteria given by Ryge et al. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Mann–Whitney test and one-way analysis of variance (ANOVA) were used to evaluate the level of significance; p value less than 0.05 was considered as significant. Results For composite and RGIC restorations, the mean score for anatomic shape was 1.21 and 1.10 respectively. While comparing the clinical parameters, nonsignificant results were obtained between composite and RGIC restorative materials at 4-, 8-, and 12-month interval. On comparing the clinical parameters for individual restorative materials at different time intervals, statistically significant results were obtained only for anatomical shape and form. Conclusion Both RGIC and composite resin restorative materials showed acceptable clinical outcomes after 12 months of follow-up in deciduous anterior teeth. In restoring class III restorations in primary anterior teeth, both the restorative materials showed similar outcome. Clinical significance How to cite this article Priyank H, Verma A, Gupta K, Chaudhary E, Khandelwal D, Nihalani S. In vitro Comparative Evaluation of Various Restorative Materials used for restoring Class III Cavities in Deciduous Anterior Teeth: A Clinical Study. J Contemp Dent Pract 2016;17(12):1022-1026.

scholarly journals Aesthetic restoration using composite resin in teeth with inactive carious lesions: a conservative and predictable approach

2020 ◽  
Vol 68 ◽  
Author(s):  
Patrícia DIAS ◽  
Nafaira Rízzea Ferreira SILVA ◽  
Victor da Mota MARTINS ◽  
Paulo César de Freitas SANTOS-FILHO ◽  
Uriel Paulo Coelho SILVA ◽  
...  
Keyword(s):  
Composite Resin ◽  
Correct Diagnosis ◽  
Composite Resins ◽  
Cervical Region ◽  
Dental Bleaching ◽  
Anterior Teeth ◽  
Aesthetic Appearance ◽  
Carious Lesions ◽  
Aesthetic Results ◽  
Composite Resin Restorations

ABSTRACT The importance of correct diagnosis, planning and treatment of dental spots is extremely important during aesthetic rehabilitation. Aesthetic requirements have become increasingly common in current society, and direct composite resin restorations are indicated due to the great advancement and increasing improvements of adhesive systems and composite resins. This work presents the clinical case of an oral aesthetic rehabilitation involving direct composite resin veneers associated with dental bleaching. The patient CSM, female, 21 years old, without systemic diseases, attended the dental clinic of the Morgana Potrich Eirelli College (FAMP) complaining of the unsatisfactory aesthetic appearance of her teeth. After careful anamnesis and detailed intraoral and extraoral examination, we identified the presence of a white spot on the upper anterior teeth. The spot was smooth and shiny, did not have soft tissue, and was well delimited and located in the cervical region. These characteristics led to the diagnosis of inactive carious lesions in the facial surface of the upper anterior teeth. After the treatment planning and its approval by the patient, the treatment started. The composite resin veneers associated with dental bleaching were indicated for better aesthetic results. The results achieved were satisfactory and met the patient’s aesthetic requirements by means of a correct diagnosis, study, and adequate planning for the case.

Evaluation of Compressive Strength of Repaired Direct Composite Resin Restorations

2017 ◽  
Vol 68 (8) ◽  
pp. 1874-1878
Author(s):  
Sorin Andrian ◽  
Galina Pancu ◽  
Claudiu Topoliceanu ◽  
Nicoleta Tofan ◽  
Simona Stoleriu ◽  
...  
Keyword(s):  
Compressive Strength ◽  
Hybrid Composite ◽  
Intermediate Layer ◽  
Composite Resin ◽  
Testing Machine ◽  
Composite Resins ◽  
Bonding Agent ◽  
Etch And Rinse ◽  
Composite Resin Restorations ◽  
Aged Composite

The aim of the study was to evaluate and to compare the compressive parameters of repaired composite restoration when using different types of composite resins and a universal bonding agent as an intermediate layer. Aged micro-filled hybrid and nano-filled hybrid composite resins were chosen to simulate old restoration. The same micro-filled hybrid composite resin was used as a repair material. A universal bonding agent applied in etch-and-rinse and self etch strategies was used as an intermediate layer in restoration repair. Non-aged composite resins were considered as control. Compressive strength and compressive modulus were determined by evaluating the samples in a universal testing machine. Lower values of the tested parameters were recorded after aging both types of composite resin when compared to control. Higher values of compressive strength were recorded when nano-filled hybrid composite resin was repaired when compared to micro-filled hybrid composite resin. The strategy of universal bonding agent application as an intermediate layer did not influenced the compressive properties of repaired restoration.

scholarly journals The Influence of Application Protocol of Simplified and Universal Adhesives on the Dentin Bonding Performance

2019 ◽  
Vol 10 (1) ◽  
pp. 124 ◽  
Author(s):  
Anna Zecin-Deren ◽  
Monika Lukomska-Szymanska ◽  
Agata Szczesio-Wlodarczyk ◽  
Ireneusz Piwonski ◽  
Jerzy Sokolowski ◽  
...  
Keyword(s):  
Bond Strength ◽  
Shear Bond Strength ◽  
Adhesive Layer ◽  
Study Groups ◽  
Single Bond ◽  
Application Time ◽  
Bonding Performance ◽  
Etch And Rinse ◽  
Universal Adhesives ◽  
Self Etch

Contemporary adhesives use etch-and-rinse, self-etch, and multimode adhesive strategies. Simplified and universal adhesives present lower bond strength to dentin than conventional, two-bottle etch-and-rinse adhesives. The purpose of this study was to evaluate bonding performance of simplified and universal adhesives to dentin after modifying their application protocol (multiplying applications and extending application time). Adhesive layer thickness (ALT) and shear bond strength (SBS), as well as the correlation between these parameters was calculated. Two universal (Single Bond Universal and Prime & Bond One Select) and two self-etch adhesives (Adper Easy One and Xeno V) were tested. Significant differences in ALT were detected between the adhesives, as well as within the same adhesive between study groups. Tested adhesives presented the thinnest adhesive layer when applied 2 times in 20 s. Single Bond Universal obtained the highest SBS results of all adhesives. Most adhesives (except for Prime & Bond One Select) obtained the highest SBS, when applied two or three times in 40 or 60 s, respectively. No correlation between the ALT and SBS was found. The study showed that increasing the number of applications and extending the application time of self-etch and universal adhesives can be recommended to improve their performance.

scholarly journals Two-year Clinical Performance of Self-etching Adhesive Systems in Composite Restorations of Anterior Teeth

2013 ◽  
Vol 38 (3) ◽  
pp. 258-266 ◽  
Author(s):  
DC Barcellos ◽  
GR Batista ◽  
MA Silva ◽  
PR Pleffken ◽  
PM Rangel ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Adhesive System ◽  
Class Iii ◽  
Adhesive Systems ◽  
Composite Restorations ◽  
Anterior Teeth ◽  
Etch And Rinse ◽  
System 2 ◽  
One Step ◽  
Postoperative Sensitivity

SUMMARY Objective The aim of this study was to evaluate the two-year clinical performance of Class III, IV, and V composite restorations using a two-step etch-and-rinse adhesive system (2-ERA) and three one-step self-etching adhesive systems (1-SEAs). Material and Methods Two hundred Class III, IV, and V composite restorations were placed into 50 patients. Each patient received four composite restorations (Amaris, Voco), and these restorations were bonded with one of three 1-SEAs (Futurabond M, Voco; Clearfil S3 Bond, Kuraray; and Optibond All-in-One, Kerr) or one 2-ERA (Adper Single Bond 2/3M ESPE). The four adhesive systems were evaluated at baseline and after 24 months using the following criteria: restoration retention, marginal integrity, marginal discoloration, caries occurrence, postoperative sensitivity and preservation of tooth vitality. After two years, 162 restorations were evaluated in 41 patients. Data were analyzed using the χ2 test (p<0.05). Results There were no statistically significant differences between the 2-ERA and the 1-SEAs regarding the evaluated parameters (p>0.05). Conclusion The 1-SEAs showed good clinical performance at the end of 24 months.

33 An Evidence Based Laser Therapy Algorithm for the Treatment of Burn Scars

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S26-S27
Author(s):  
Rajiv Sood
Keyword(s):  
Laser Treatment ◽  
Laser Therapy ◽  
Co2 Laser ◽  
Statistical Significance ◽  
Evidence Based ◽  
Baseline Measurement ◽  
Burn Scar ◽  
Therapy Algorithm ◽  
Laser Treatments ◽  
The Impact

Abstract Introduction Hypertrophic scarring after burn injury can be extremely painful, cause profound itching, and affect the way patients view themselves and how the outside world perceives them. We have utilized laser therapy as a modality for scar modulation for our patients since 2013. In 2014, we initiated and completed a prospective IRB approved study to evaluate the outcome of scars treated with fractional CO2 laser therapy (FLT) utilizing objective and subjective tools. Recently, we have completed a prospective study evaluating the use of pulse dye laser (PDL) therapy and the impact on post-burn pruritis. In reviewing the outcomes from these two studies, we have developed an evidence-based laser therapy algorithm for burn scar management. Methods The FLT study entailed a series of three CO2 laser treatments minimally 4–6 weeks apart with scar measurements and POSAS form completion performed prior to each laser treatment and four weeks after the last FLT. Scar measurements that included color, pliability, and scar thickness; and completion of the POSAS form were obtained prior to each laser therapy session and four weeks after the third laser treatment. The measurements of color, pliability, and scar thickness were measured with the Colorimeter, Cutometer, and ultrasound. The PDL study utilized the 5-D Itch scale to evaluate post-burn pruritis. A baseline measurement was obtained prior to any laser treatments. Each patient underwent two PDL sessions and a 5-D itch scale was completed four to six weeks after the second PDL session. The baseline measurement was then compared to the final 5-D itch scale measurement. Results Data from the FLT study is in Table 1 and shows that there were statistically significant improvements in the Patient and Observer POSAS scores, patient rated Itch score, scar thickness, and measured skin density. Changes to patient rated scar pain, scar color, and pliability were noted but were not of statistical significance. Data from the PDL study is in Table 2 and shows a statistically significant decrease in the treated patients’ post-burn pruritis. Conclusions In reviewing the outcomes of these two studies, we have developed an algorithm based on our studies. All of our patients undergoing laser therapy receive two PDL sessions that are four to six weeks apart followed by 3 FLT sessions. The use of both PDL and FLT decreases post-burn pruritis, decreases scar thickness, decreases pain, and increases patient satisfaction as shown in our research.

scholarly journals Interfacial Fracture Toughness Comparison of Three Indirect Resin Composites to Dentin and Polyether Ether Ketone Polymer

2020 ◽  
Vol 14 (03) ◽  
pp. 456-461
Author(s):  
Rayhaneh Khalesi ◽  
Mahdi Abbasi ◽  
Zahra Shahidi ◽  
Masoumeh Hasani Tabatabaei ◽  
Zohreh Moradi
Keyword(s):  
Fracture Toughness ◽  
Bond Strength ◽  
Testing Machine ◽  
Composite Resins ◽  
High Wear Resistance ◽  
Luting Cements ◽  
Anterior Teeth ◽  
Polyether Ether Ketone ◽  
Ether Ketone

Abstract Objectives Advances in laboratory composites and their high wear resistance and fracture toughness have resulted in their growing popularity and increasing use for dental restorations. This study sought to assess the fracture toughness of three indirect composites bonded to dental substrate and polyether ether ketone (PEEK) polymer. Materials and Methods This in vitro study was conducted on two groups of dental and polymer substrates. Each substrate was bonded to three indirect composite resins. Sixty blocks (3 × 3 × 12 mm) were made of sound bovine anterior teeth and PEEK polymer. Sixty blocks (3 × 3 × 12 mm) were fabricated of CRIOS (Coltene, Germany), high impact polymer composite (HIPC; Bredent, Germany), and GRADIA (Indirect; GC, Japan) composite resins. Composites were bonded to dentin using Panavia F 2.0 (Kuraray, Japan). For bonding to PEEK, Combo.lign (Bredent) and Visio.Link (Bredent) luting cements were used. In all samples, a single-edge notch was created by a no. 11 surgical blade at the interface. The samples were subjected to 3,500 thermal cycles, and their fracture toughness was measured in a universal testing machine (Zwick/Roell, Germany) by application of four-point flexural load. Statistical Analysis Data were analyzed using one-way analysis of variance, Kruskal–Wallis. Results The fracture toughness of CRIOS–PEEK interface was significantly higher than HIPC–PEEK. The fracture toughness of GRADIA–PEEK was not significantly different from that of HIPC and CRIOS. The fracture toughness of GRADIA–dentin was significantly higher than HIPC–dentin. Conclusion Considering the limitations of this study, GRADIA has the highest bond strength to dentin, while CRIOS shows the highest bond strength to PEEK.

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