Non- Carious Cervical Lesions: A Review

2021 ◽  
Vol 1 (4) ◽  
pp. 391-399
Author(s):  
KK Bhullar ◽  
S Malhotra ◽  
G Bhagat ◽  
A Handa ◽  
R Kaur

Non-carious cervical lesions (NCCL) are characterized by a loss of hard dental tissue near the cement-enamel-junction. Commonly, their shape is like a wedge with the apex pointing inwards. Other times, they appear as regular depressions, like a dome or a cup. Their etiology seems to be related to different factors: hexogen and endogen acids, mechanical abrasive action, tooth flexion under axial and non-axial loads. Moreover, it seems that a fundamental role is ascribable to tooth bending phenomena due to the strength components parallel or oblique to the occlusal level, which occur during the normal function as well as during Para functions. The frequent therapeutic failures are probably due to the same factors causing the onset of the original lesion. Several materials have been proposed to restore NCCL: amalgam (abandoned) glass-ionomer cements, composers, and composite resins. Early failures of these restorations have often been reported in the literature, probably due to the same factors which originally caused the lesions. Further investigations are required to determine more reliable restorative therapies.

2006 ◽  
Vol 14 (spe) ◽  
pp. 3-9 ◽  
Author(s):  
Carel Leon Davidson

This article describes the properties, advances and shortcomings of glass-ionomer cement as a restorative material. The adhesion of glass-ionomer to tooth structure is less technique sensitive than composite resins and its quality increases with time. Therefore glass-ionomer might turn out to the more reliable restorative material in minimal invasive dentistry based on adhesive techniques.


2009 ◽  
Vol 56 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Lado Davidovic ◽  
Slavoljub Tomic ◽  
Mihael Stanojevic ◽  
Slavoljub Zivkovic

Introduction. A lack of appropriate adhesiveness is one of the biggest problems in the restorative dentistry today and the main cause of the microleakage between restorations and hard dental tissue. The aim of this study was to assess the adhesiveness of two different glass ionomer cement restorations class V on the hard dental tissue using the SEM analysis and dye penetration test. Material and methods. The study included 80 extracted teeth for orthodontic reasons (premolars and molars) in both genders and different age. On the vestibular and oral side of the teeth, adhesive preparations class V were done (size 3?2?2 mm). On the vestibular preparation, GC Fuji II was applicated and GC Fuji II LC-improved on the oral side. The quality of the adhesiveness between restorations and hard dental tissue was evaluated using the SEM analysis and dye penetration test (0.5% basic fuxsin). Linear penetration of the dye was observed using 10 times magnification. Results. The results showed that microleakage was presented with both materials but a ratio was less with Fuji II LC compared with Fuji II. Also, the microleakage was less on the occlusal parts of the restorations than on the gingival, with both materials. Microleakage was noticed in 93.44% teeth with Fuji II GJC restorations with index of microleakage of 148 on all edges. Fuji II LC GJC restorations showed microleakage in 68.4% teeth with index of microleakage 75 on all edges. The SEM analysis showed that both glass ionomer materials had better adhesiveness to the enamel than to the dentin. The average gap length between Fuji II LC and dentin was 9 ?m and Fuji II 17 ?m, respectively. Conclusion. Better adhesiveness to the hard dental tissue was achieved with materials of the newer generations, resin modificated glas ionomer cements.


2006 ◽  
Vol 20 (4) ◽  
pp. 342-346 ◽  
Author(s):  
Daniela Francisca Gigo Cefaly ◽  
Linda Wang ◽  
Liliam Lucia Carrara Paes de Mello ◽  
Janaína Lima dos Santos ◽  
Jean Rodrigo dos Santos ◽  
...  

The Light Emitting Diodes (LED) technology has been used to photoactivate composite resins and there is a great number of published studies in this area. However, there are no studies regarding resin-modified glass-ionomer cements (RMGIC), which also need photoactivation. Therefore, the aim of this study was to evaluate water sorption of two RMGIC photoactivated with LED and to compare this property to that obtained with a halogen light curing unit. A resin composite was used as control. Five specimens of 15.0 mm in diameter x 1.0 mm in height were prepared for each combination of material (Fuji II LC Improved, Vitremer, and Filtek Z250) and curing unit (Radii and Optilight Plus) and transferred to desiccators until a constant mass was obtained. Then the specimens were immersed into deionized water for 7 days, weighed and reconditioned to a constant mass in desiccators. Water sorption was calculated based on weight and volume of specimens. The data were analyzed by two-way ANOVA and Tukey test (p < 0.05). Specimens photocured with LED presented significantly more water sorption than those photocured with halogen light. The RMGIC absorbed statistically significant more water than the resin composite. The type of light curing unit affected water sorption characteristics of the RMGIC.


2004 ◽  
Vol 5 (4) ◽  
pp. 42-49 ◽  
Author(s):  
Yusuf Ziya Bayindir ◽  
Mehmet Yildiz

Abstract In this study the top and bottom surface hardness of two polyacid-modified composite resins (PMCRs), one resin-modified glass ionomer cement (RMGIC), and one composite resin were evaluated. The affect of water storage on their hardness was also investigated. The study was conducted using four different groups, each having five specimens obtained from fiberglass die molds with a diameter of 5 mm and a height of 2 mm. Measurements were made on the top and bottom surface of each specimen and recorded after 24 hours and again at 60 days. All tested materials showed different hardness values, and the values of top surfaces of the specimens were found to be higher than the bottom surface in all test groups. There was no statistical difference in the Vickers hardness (HV) values when the test specimens were kept in water storage. In conclusion Hytac displayed microhardness values higher than Vitremer and Dyract. We found the order of HV values to be Surfil > Hytac > Dyract > Vitremer, respectively. Vitremer presented the lowest microhardness level and Surfil the highest. Citation Bayindir YZ, Yildiz M. Surface Hardness Properties of Resin-Modified Glass Ionomer Cements and Polyacid-Modified Composite Resins. J Contemp Dent Pract 2004 November;(5)4:042-049.


2018 ◽  
Vol 9 (3) ◽  
pp. 42
Author(s):  
Nikolaos-Stefanos Kampanas ◽  
Maria Antoniadou

Background: The restoration of non-carious cervical lesions in geriatric patients is a demanding process. Glass ionomer cements can be promising materials for the management of these lesions in older adults. The aim of this literature review is to present the benefits of glass ionomers and how they can be used for the restoration of non-carious cervical lesions of older adults depending on the geriatric patient’s profile. Data sources: All available in vitro and in vivo studies from Google Scholar, PubMed and Scopus search engines corresponding to glass ionomer cements, geriatric dentistry, elderly patients, and non-carious lesions as key words were reviewed. Data synthesis: The advantages of glass ionomer cements, such as good retention and fluoride release, make them suitable for the restoration of non-carious cervical lesions. However, several factors related to the geriatric patient’s profile determine the most suitable material type. Conclusion: In general, the resin modified glass ionomer cements (RMGICs) appear to be preferred, but under certain circumstances the use of the conventional product is more appropriate, despite its poorer mechanical features. Further studies are required for more reliable data analysis and clinical interpretation of the relevant results.


2013 ◽  
Vol 60 (2) ◽  
pp. 85-92
Author(s):  
Lado Davidovic ◽  
Nikola Stojanovic ◽  
Jelena Krunic ◽  
Slavoljub Zivkovic

Introduction. Lack of proper adhesion is one of the most common problems in modern restorative dentistry and the main cause of the occurrence of microcracks at the interface between materials and hard dental tissue. The aim of this study was to assess the quality of bond between two types of glass-ionomer cement (GIC) class V restorations and hard dental tissues by SEM. Materials and Methods. This clinical study included 20 intact teeth (premolars and molars) recently extracted for orthodontic reasons in patients of both genders and different ages. Class V cavity with rounded walls was prepared on vestibular and oral surfaces of all teeth (3x2x2 mm). Conventional GIC Fuji II was applied on vestibular surface of teeth whereas on oral surface resin-reinforced glass ionomer Fuji II LC was placed. The bond between fillings and hard dental tissue was assessed by SEM. Results. Both materials showed microcracks, however, microleakage was lower with Fuji II LC than with Fuji II. Microcracks were observed in 65% of cases (13 restorations) restored with GIC Fuji II and 35% (7 fillings) restored with GIC Fuji II LC. The size of microcracks for Fuji II LC was 9 ?m while this value for Fuji II was 17 ?m. The difference was statistically significant. Conclusion. Better bond between material and hard dental tissue was achieved with the material of new generation, resin modified GIC.


1987 ◽  
Vol 114 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Ko Hinoura ◽  
B. Keith Moore ◽  
Ralph W. Phillips

Biomaterials ◽  
1998 ◽  
Vol 19 (6) ◽  
pp. 509-519 ◽  
Author(s):  
Ronald M.H. Verbeeck ◽  
Erna A.P. De Maeyer ◽  
Luc A.M. Marks ◽  
Roeland J.G. De Moor ◽  
A.M.J.C. De Witte ◽  
...  

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