scholarly journals Clinical Protocol for Esthetic Restoration using a Self-etching Adhesive

2013 ◽  
Vol 4 (3) ◽  
pp. 202-207
Author(s):  
Mateus Rodrigues Tonetto ◽  
Alvaro Henrique Borges ◽  
Matheus Coelho Bandeca ◽  
Fausto Frizzera Borges ◽  
Lucas Fontanari ◽  
...  

ABSTRACT The advent of new adhesive systems is making techniques and clinical protocols to become faster and simpler, however it does not reduce the importance of knowledge of the properties, characteristics and interaction of dental materials with the tooth structure. Among the adhesives that have recently emerged, highlight the self-etching systems, especially the two-step selfetching, in which the acid primer is available in a separate bottle from the adhesive. These adhesives have shown good results for bond strength, microleakage and postoperative sensitivity, being an option for direct adhesive restorations in anterior teeth. This way, the present case report describes the step-by-step making of a class IV restoration in an upper right central incisor using atwo-step adhesive system, obtaining satisfactory results. How to cite this article Tonetto MR, Borges FF, Fontanari L, Borges AH, Bandeca MC, de Andrade MF. Clinical Protocol for Esthetic Restoration using a Self-etching Adhesive. World J Dent 2013;4(3):202-207.

2013 ◽  
Vol 38 (3) ◽  
pp. 258-266 ◽  
Author(s):  
DC Barcellos ◽  
GR Batista ◽  
MA Silva ◽  
PR Pleffken ◽  
PM Rangel ◽  
...  

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.


2020 ◽  
Vol 11 (1) ◽  
pp. 93-96
Author(s):  
Suryasowjanya Doranala ◽  
Harikumar Vemisetty ◽  
Rajani Punna ◽  
Aditya Mohan Alwala

Teeth with calcific metamorphosis pose a challenge to the endodontist in achieving proper access, identification, and debridement of the root canal. With the conventional technique, radiographs and bur orientation have dictated the access cavity preparation, which leads to the removal of more sound tooth structure and iatrogenic errors. To overcome these issues, the recent diagnostic imaging techniques such as cone beam computed tomography followed by three-dimensional fabrication of template have been proposed, which aid the clinician to accurately locate and negotiate the obliterated canal. The present case report describes the importance of conservative access cavity preparation with the use of the guided endodontic technique for the treatment of calcified canals in the maxillary central incisor.


2021 ◽  
Vol 22 (12) ◽  
pp. 6552
Author(s):  
Esra Yuca ◽  
Sheng-Xue Xie ◽  
Linyong Song ◽  
Kyle Boone ◽  
Nilan Kamathewatta ◽  
...  

Resin-based composite materials have been widely used in restorative dental materials due to their aesthetic, mechanical, and physical properties. However, they still encounter clinical shortcomings mainly due to recurrent decay that develops at the composite-tooth interface. The low-viscosity adhesive that bonds the composite to the tooth is intended to seal this interface, but the adhesive seal is inherently defective and readily damaged by acids, enzymes, and oral fluids. Bacteria infiltrate the resulting gaps at the composite-tooth interface and bacterial by-products demineralize the tooth and erode the adhesive. These activities lead to wider and deeper gaps that provide an ideal environment for bacteria to proliferate. This complex degradation process mediated by several biological and environmental factors damages the tooth, destroys the adhesive seal, and ultimately, leads to failure of the composite restoration. This paper describes a co-tethered dual peptide-polymer system to address composite-tooth interface vulnerability. The adhesive system incorporates an antimicrobial peptide to inhibit bacterial attack and a hydroxyapatite-binding peptide to promote remineralization of damaged tooth structure. A designer spacer sequence was incorporated into each peptide sequence to not only provide a conjugation site for methacrylate (MA) monomer but also to retain active peptide conformations and enhance the display of the peptides in the material. The resulting MA-antimicrobial peptides and MA-remineralization peptides were copolymerized into dental adhesives formulations. The results on the adhesive system composed of co-tethered peptides demonstrated both strong metabolic inhibition of S. mutans and localized calcium phosphate remineralization. Overall, the result offers a reconfigurable and tunable peptide-polymer hybrid system as next-generation adhesives to address composite-tooth interface vulnerability.


Author(s):  
Megha Narayan ◽  
Rajat Kumar Singh ◽  
Aparna Singh ◽  
Siddharth Anand ◽  
Sulekha Sulekha

AbstractTraumatic injuries to maxillary anterior teeth while playing are common in children and adolescents. Sequelae of such trauma include broken, lost, aspirated, and swallowed tooth. At times, the broken tooth fragments get embedded in the adjoining soft tissue and frequently get neglected during diagnosis. The present case report discusses the case of a 13-year-old adolescent who had broken tooth fragment emerged in the lower lip and its surgical excision to prevent detrimental reactions and scarring.


2009 ◽  
Vol 34 (5) ◽  
pp. 516-523 ◽  
Author(s):  
A. Aykor ◽  
E. Ozel

Clinical Relevance Total-etch (Scotchbond Multi-Purpose Plus) and two-step self-etch (AdheSE) adhesive systems were successful in terms of marginal adaptation, cavosurface discoloration, secondary caries, postoperative sensitivity, satisfaction with restoration shade and gingival tissue response in a five-year follow-up.


2020 ◽  
Vol 3 (11) ◽  
pp. 355-357
Author(s):  
Gayathri KM ◽  
Prasad PK

Coronal fractures of the anterior teeth arising after endodontic treatment are sequelae of dental trauma. Endodontically treated teeth presents a higher risk of biomechanical failure than vital teeth. Posts are needed for restoring teeth with insufficient coronal tooth structure to retain a core for definitive restoration. Fiber posts are more easily and safely removed "by hollowing them out from the inside”. This present case report depicts a 23 year old male patient with fracture of tooth number 21 which had undergone an RCT 8-10 months ago and was restored using fiber post.


2020 ◽  
Vol 16 (1) ◽  
pp. 178-181
Author(s):  
Ol'ga Titova ◽  
Tatyana Melenberg ◽  
Lyudmila Linnik ◽  
Takhmina Boeva ◽  
Andrey Burov ◽  
...  

Subject. Dental restoration includes work on tissue restoration by filling, using inlays, veneers, and artificial crowns. Adhesive systems are used in therapeutic dentistry for working with composites, compomers and some glass-ionomer cements, for adhesive fixation of all types of indirect structures, repairing chips of composite and ceramic linings; in pediatric dentistry for sealing fissures, for fixing orthodontic structures. Currently, there are eight generations of adhesives on the market of dental materials. The first two generations of adhesives required only enamel etching and transformed the dentin layer, while the third already provided for conditioning of the dentin, and the fourth and fifth ― and all-out etching. The sixth, seventh and eighth generations of adhesives are self-etching analogues. This article presents the results of a survey of practical health care dentists in choosing an adhesive system. The goal is to evaluate the preferences of the choice of adhesive systems by dentists. Methodology. 30 dental therapists and orthopedic dentists took part in the survey. Results. The results of the questionnaire analysis showed that the majority of dentists prefer to use fifth-generation adhesives in their practice (46 %), the sixth generation of adhesive systems is in second place in popularity (31 %), followed by the "gold standard" ― the fourth generation (13 %), and the seventh (10 %) in last place. Conclusions. The fifth-generation adhesive systems surpassed the other generations in efficiency and reliability. This is why the majority of dentists surveyed chose this generation.


Author(s):  
Pâmella Coelho DIAS ◽  
Fernanda Blanco Machado Junqueira FRANCO ◽  
Regina Guenka PALMA-DIBB ◽  
Rafael Cândido Pedroso e SILVA ◽  
Juliana Jendiroba FARAONI

ABSTRACT An ideal aesthetic standard consists of facial and smile harmony. Discolored teeth generally cause an imbalance in facial aesthetics, leading to low self-esteem and disturbance in social relationships. Causes of teeth discoloration are classified as intrinsic or extrinsic. Bleaching is considered a safe and effective treatment for discolored nonvital teeth and can be associated with restorative treatment to properly correct the dental color and maximize the aesthetic results. This paper aims to present two case reports of single discolored nonvital anterior teeth and the protocol used to reestablish the dental harmony of these patients by bleaching and direct composite resin restoration. To exert minimally invasive dentistry is very important to preserve tooth structure and reduce the risk of fracture. Internal bleaching, although may not be sufficient to reestablish the aesthetic in some cases, it is important to minimize dental preparation to perform an indirect or direct restoration. Dentists must take into account the patients expectations, dominate the restorative technique and know the dental materials to properly be able to restore function and aesthetics and consequently improve life quality and social relationships.


2008 ◽  
Vol 9 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Emre Ozel ◽  
Alper Cildir ◽  
Yonca Ozel

Abstract Aim The purpose of this case report is to describe the re-attachment of an anterior tooth fragment using a selfetching adhesive. Background Fracture of anterior teeth by trauma is a common problem in children and teenagers due to their active lifestyle. Restoration of these teeth often presents a challenge because of the large pulp in young teeth and open apical foramen depending on the age of the child. New dental adhesive materials offer an alternative solution for the treatment of some anterior tooth fractures. Report A 17-year-old female patient presented for treatment of a fractured maxillary left central incisor. The clinical examination revealed the exposure of dentin, but there was no exposure of the pulp. The patient saved the tooth fragment making it available for re-attachment to the remaining tooth structure. Under local anesthesia and rubber dam isolation the tooth fragment was re-attached using a self-etching adhesive and a microhybrid composite. Summary The re-attached tooth fragment was assessed clinically, radiographically, and using photographs at one, six, 12, 24, and 36 month intervals. The tooth remained vital, and there was no change in the color of the tooth at the three-year recall. Citation Ozel E, Cildir A, Ozel Y. Re-attachment of Anterior Tooth Fragment using a Self-etching Adhesive: A Case Report. J Contemp Dent Pract 2008 January; (9)1:77-083.


2014 ◽  
Vol 614 ◽  
pp. 100-104
Author(s):  
Loredana Colceriu ◽  
Sanda Cimpean ◽  
Codruta Nicola ◽  
Sorina Sava ◽  
Marcela Trif ◽  
...  

The present study was conducted with the aim of evaluating and comparing the microleakage at the dentin and enamel/composite interfaces of two adhesive systems. The adhesives are: a new-developed experimental adhesive systems and OptiBond FL (Kerr Corp.) The new adhesive system was prepared for the composite material as three steps adhesive (etchant, primer and bonding). The bonding resin contains the base monomer that was present in the corresponding composite material, HEMA and TEGDMA as diluents. Twenty box-type Class V standardized cavities were prepared on the facial and oral surfaces of each tooth, with coronal margins in enamel and apical margins in cementum (dentin). The preparations were restored with two restorative materials a new experimental microfilled resin composites based on Bis-GMA analogue and hybrid resin composite Herculite XRV Ultra (Kerr Corp.). The teeth were thermocycled and immersed in 2% methyl blue solution for 24 hours. The specimens were sectioned buccolingually into 3 slices and the resulted sections were examined using a stereomicroscope under 40x magnification. The extent of dye penetration was measured in a quantitative manner. This measurement was converted into percentage using the formula described by Sano et al.I=p/Lx100. These percentage values were submitted to variance analyses (ANOVA) andttest at a p<0.05 level of significance. Scanning electron microscopy was used in order to see the interface between tooth and composite restoration. Significantly less microleakage was associated with the use of OptiBond FL adhesive system at the enamel surface. Between the enamel and the dentin margins no significantly statistical differences were found just for the experimental adhesive system. This adhesive containing water and ethanol as solvent performed significantly better at the dentin margins.


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