scholarly journals Influence of Diode Laser for the Treatment of Dentin Hypersensitivity on Microleakage of Cervical Restorations

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Doaa R. M. Ahmed ◽  
Diana G. Shaath ◽  
Jomana B. Alakeel ◽  
Abdulaziz A. Samran
Keyword(s):  
Diode Laser ◽  
Resin Composite ◽  
Blue Dye ◽  
Dentin Hypersensitivity ◽  
Glass Ionomer ◽  
Cervical Lesions ◽  
Restorative Treatment ◽  
Restorative Materials ◽  
The Difference ◽  
Common Clinical Finding

Noncarious cervical lesions (NCCLs) are a common clinical finding often linked with dentin hypersensitivity (DH). Aim. The aim of the study was to evaluate the influence of diode laser for the treatment of DH on microleakage of subsequent NCCL restorations. Materials and Methods. Forty-eight extracted human premolars were collected. All teeth received standardized cervical preparation on both the buccal and palatal surfaces and were randomly divided into three groups ( n = 16 ) according to the restorative material used: nanohybrid composite resin (CR), resin-modified glass ionomer (RMGI), and conventional glass ionomer (GIC). The prepared cavities on the palatal surfaces were treated by diode laser using SIROlaser Blue (Sirona Dental Systems, Bensheim, Germany) prior to restoration, while preparations on the buccal surfaces were directly restored. After thermocycling, the teeth were immersed in methylene blue dye for microleakage evaluation under 40x magnification at both occlusal and cervical margins. The Kruskal-Wallis test followed by the Bonferroni tests was conducted to determine inter- and intragroup differences ( P < 0.05 ). Results. All restorative materials tested showed some degree of microleakage with no statistically significantly different scores with or without the use of laser desensitization prior to restorative treatment. Group CR showed the least microleakage, followed by group RMGI, while group GIC showed the highest. Cervical margins showed greater microleakage than the occlusal margins where the difference was statistically significant in the RMGI group without laser pretreatment ( P = 0.006 ) and in both groups CR ( P = 0.02 ) and RMGI ( P = 0.006 ) with the laser pretreatment. Conclusion. Application of diode laser for the treatment of DH prior to the restoration of teeth with NCCL did not affect the microleakage of all the restorative materials tested. All the materials showed some degree of microleakage, which was higher in gingival margins compared to occlusal margins. The resin composite shows the least microleakage among all the tested materials.

Direct Restorative Material Use of Selected Practitioners in the United Kingdom

2002 ◽  
Vol os9 (4) ◽  
pp. 133-137 ◽  
Author(s):  
Paul A Brunton ◽  
Reinhard Hickel ◽  
Nairn HF Wilson
Keyword(s):  
Resin Composite ◽  
Postal Questionnaire ◽  
Class I ◽  
Glass Ionomer ◽  
Class Iii ◽  
Cervical Lesions ◽  
Class V ◽  
The United Kingdom ◽  
Restorative Materials ◽  
Materials Used

Purpose of the Investigation To investigate, by questionnaire, the direct restorative materials used by a sample of practitioners from the Unite d Kingdom. Basic Procedures A postal questionnaire was distributed to a group of self-selected practitioners, who volunteered to participate in the study. In all 110 practitioners participated in the study. Main Findings The most used material for the restoration of occlusal (Class I) and approximal (Class II) lesions was amalgam with 61% and 73% of practitioners indicating that they used amalgam in this situation. Adhesive tooth-coloured materials, specifically composites and compomers, were preferred by the majority of practitioners for anterior approximal (Class III) and incisal (Class IV) restorations with compomer preferred for Class V restorations including non-carious cervical lesions and for the restoration of primary teeth. Principal Conclusions It is concluded that the general practitioners surveyed in this study tend to use amalgam for the restoration of Class I and II lesions as opposed to resin composite. The majority of practitioners in this study used compomers, a relatively new group of restorative materials, with little evidence of traditional glass-ionomer cements being used routinely.

The Potential of a Bioactive, Pre-reacted, Glass-Ionomer Filler Resin Composite to Inhibit the Demineralization of Enamel in Vitro

2021 ◽  
Vol 46 (1) ◽  
pp. E11-E20
Author(s):  
IF Leão ◽  
N Araújo ◽  
CK Scotti ◽  
RFL Mondelli ◽  
MM de Amoêdo Campos Velo ◽  
...  
Keyword(s):  
Resin Composite ◽  
Surface Hardness ◽  
Composition Analysis ◽  
Glass Ionomer ◽  
Material Interface ◽  
Enamel Demineralization ◽  
Restorative Materials ◽  
Ph Cycling ◽  
Group B

Clinical Relevance A prereacted, glass-ionomer filler fluoride-containing resin composite had lower remineralization potential than glass-ionomer cements but was able to inhibit enamel demineralization; thus, it may be an option for restoring dental surfaces for patients at high risk of caries. SUMMARY Evidence is lacking on the use of surface prereacted glass-ionomer filler resin composites to inhibit demineralization and that simulate real clinical conditions. The present laboratory study evaluated the potential of such composites to prevent demineralization and quantified fluoride (F) and other ions released from restorative materials after a dynamic pH-cycling regimen applied to the tooth material interface in vitro. The pH-cycling regimen was assessed by measuring surface hardness (SH) along with energy dispersive X-ray spectroscopy (EDX). Methods and Materials: Ninety blocks of bovine enamel were subjected to composition analysis with EDX, and were further categorized based on SH. The blocks were randomly divided into 6 treatment groups (n=15 each): F IX (Fuji IX Extra; GC Corporation); IZ (Ion Z, FGM); F II (Fuji II LC, GC Corporation); B II (Beautifil II, Shofu); F250 (Filtek Z250 XT, 3M ESPE); and NT (control, no treatment). The blocks were subjected to a dynamic pH-cycling regimen at 37°C for 7 days concurrently with daily alternations of immersion in demineralizing/remineralizing solutions. EDX was conducted and a final SH was determined at standard distances from the restorative materials (150, 300, and 400 μm). Results: The EDX findings revealed a significant increase in F concentration and a decrease in Ca2+ in the enamel blocks of group B II after the pH-cycling regimen (p&lt;0.05). SH values for groups F IX, IZ, and F II were greater than those for groups B II, F250, and NT at all distances from the materials. Conclusions: The results suggest that each of 3 restorative materials, F IX, IZ, and F II, partially inhibited enamel demineralization under a dynamic pH-cycling regimen.

scholarly journals Marginal Leakage of Endodontic Temporary Restorative Materials around Access Cavities Prepared with Pre-Endodontic Composite Build-Up: An In Vitro Study

Materials ◽  
2020 ◽  
Vol 13 (7) ◽  
pp. 1700
Author(s):  
Atsushi Kameyama ◽  
Aoi Saito ◽  
Akiko Haruyama ◽  
Tomoaki Komada ◽  
Setsuko Sugiyama ◽  
...  
Keyword(s):  
Zinc Oxide ◽  
Resin Composite ◽  
Glass Ionomer Cement ◽  
In Vitro Study ◽  
Restorative Material ◽  
Glass Ionomer ◽  
Zinc Oxide Eugenol ◽  
Restorative Materials ◽  
Ionomer Cement

This study aimed to examine the marginal seal between various commercial temporary restorative materials and exposed dentin/built-up composite. Sixty bovine incisors were cut above the cemento-enamel junction, and half of the dentin was removed to form a step, which was built up using flowable resin composite. The root canals were irrigated, filled with calcium hydroxide, and sealed using one of six temporary sealing materials (hydraulic temporary restorative material, temporary stopping material, zinc oxide eugenol cement, glass-ionomer cement, auto-cured resin-based temporary restorative material, and light-cured resin-based temporary restorative material) (n = 10 for each material). The samples were thermocycled 500 times and immersed in an aqueous solution of methylene blue. After 2 days, they were cut along the long axis of the tooth and the depth of dye penetration was measured at the dentin side and the built-up composite side. For the margins of the pre-endodontic resin composite build-up, the two resin-based temporary restorative materials showed excellent sealing. Hydraulic temporary restorative material had a moderate sealing effect, but the sealing effect of both zinc oxide eugenol cement and glass-ionomer cement was poorer.

scholarly journals Effect of Diode Laser (810 nm) Irradiation on Marginal Microleakage of Multi-mode Adhesive Resins in Class V Composite Restorations

2019 ◽  
Vol 10 (4) ◽  
pp. 275-282
Author(s):  
Niusha Golbar ◽  
Shahin Kasraei ◽  
Anahit Afrasiabi ◽  
Elahe Mostajir ◽  
Seyed Masoud Mojahedi
Keyword(s):  
Diode Laser ◽  
Resin Composite ◽  
Control Group ◽  
Blue Dye ◽  
Adhesive Systems ◽  
Universal Adhesive ◽  
Class V ◽  
Composite Restorations ◽  
Self Etch ◽  
Multi Mode

Introduction: Some studies have shown that laser irradiation on unpolymerized adhesives can improve composite-dentin adhesion. The aim of the present study was to evaluate the effect of the diode laser (810 nm) on the microleakage of multi-mode adhesive systems at enamel and dentin margins of composite restorations. Methods: Classic class V boxes were prepared on 48 sound premolar teeth and randomly divided into 6 groups (n=16). In the control groups, Scotchbond Universal (SBC), G-Premio (GBC), and Ambar U (AMC) were used by a self-etch mode. In the test groups (SBL, GBL, ABL), the 810 nm diode laser was irradiated (1 W) for 10 seconds before the polymerization of the adhesive. The boxes were restored by the resin composite. After finishing and polishing, the samples were thermocycled (5°C to 55°C) for 1000 cycles and then immersed in 0.1% methylene blue dye (48 hours). Dye penetration through the gingival and occlusal margins was measured by Stereomicroscope. The data were analyzed at the 5% significance level using Kruskal-Wallis and Mann-Whitney U tests. Results: Significant differences were found between the control and test groups (P<0.05). The occlusal margins of the SBL and GBL groups and the cervical margin of the SBL group exhibited the lowest microleakage (P<0.05). The AM control group showed maximum microleakage at cervical and occlusal margins. Conclusion: The irradiation of the 810 nm diode laser on the unpolymerized universal adhesive systems in a self-etch mode caused a significant reduction in enamel and dentin marginal microleakage of composite restorations.

Combining the Air Indexing Method With the T-Scan System to Detect and Quantify Cervical Dentin Hypersensitivity

2020 ◽  
pp. 829-878
Author(s):  
Thomas A. Coleman. DDS
Keyword(s):  
Contact Force ◽  
Case Reports ◽  
Dentin Hypersensitivity ◽  
Cervical Lesions ◽  
Occlusal Contact ◽  
Indexing Method ◽  
Timing Data ◽  
Clinical Benefits ◽  
Analysis System ◽  
Common Clinical Finding

This chapter introduces the air indexing method for detecting and quantifying cervical dentin hypersensitivity (CDH) as a companion to the T-Scan Occlusal Analysis System which evaluates force and timing values for occlusal contacts of teeth. This chapter will also highlight an evidence-based retrospective investigation undertaken between 1979 and 1996 that evaluated associations and/or correlations between diagnosed CDH and its resolution following occlusal adjustment. This retrospective's method described the detection, diagnosis, and treatment of the signs and/or symptoms of the common clinical finding amongst patients with CDH. Stress physics will illustrate how small occlusal contacts magnify the impact that applied occlusal contact force has on the cervical regions of teeth. This resultant cervical stress is etiologic for how non-carious cervical lesions (NCCLs) form and degrade tooth roots. This chapter also explains how biocorrosion from endogenous and exogenous sources produces loss of dentin's protective proteins, glycoproteins, and cementum, which add to the effects of applied occlusal force, thereby creating CDH symptoms and NCCLs. CDH appears resultant from the co-factors of occlusal forces that produce cervical stress, along with biocorrosion, that are both modified by occlusal surface friction. The air indexing method of CDH diagnosis is an objective diagnostic means to detect and quantify CDH symptoms during the formation of cervical lesions. This chapter presents the clinical benefits of melding the T-Scan Occlusal Analysis System with the Air Indexing Method when clinically assessing and treating cervical hard tissue pathologies. The clinician gains significantly more occlusal insight as opposed to using either methodology alone, when air indexing is combined with T-Scan's occlusal contact force and timing data. Lastly, this chapter introduces two case reports of how T-Scan guided occlusal adjustments can be effective at reducing CDH and prohibiting the progression of gingival recession.

scholarly journals The effects of photobiomodulation therapy for the treatment of dentin hypersensitivity

2020 ◽  
Author(s):  
Erika Michele dos Santos Araújo ◽  
Bárbara Fávero Araújo Lima ◽  
Júlia Gomes Lúcio de Araújo ◽  
Fernanda Cristina Nogueira Rodrigues ◽  
Stella Ferreira do Amaral ◽  
...  
Keyword(s):  
Case Report ◽  
Visual Analogue Scale ◽  
Low Power ◽  
Diode Laser ◽  
Male Patient ◽  
Analogue Scale ◽  
Dentin Hypersensitivity ◽  
Cervical Lesions ◽  
Patient Reported ◽  
Power Diode

Objective: This case report proposes a treatment for dentin hypersensitivity (DH) using photobiomodulation (PBT) with low power diode laser. Methods and Results: Male patient, 28 years old, reporting “dental sensitivity,” diagnosed by anamnesis and intraoral examination, with non-carious cervical lesions (NCCL) and DH on teeth 15 to 25, with different pain intensities, measured with visual analogue scale (VAS). For DH treatment, a PBT was proposed, with 808nm, 100mW, 20s and 2J of energy, applied during 3 sessions, with one-week interval and reevaluation after 30 days. After the first session, the patient reported improvement of sensitivity in all teeth, except for 15, that remained sensitive even during the reevaluation. Conclusion: PBT was effective in DH treatment, with desensitization being observed for 30 days in 90% of treated teeth.

scholarly journals Protection Offered by Root-surface Restorative Materials against Biofilm Challenge

2007 ◽  
Vol 86 (5) ◽  
pp. 431-435 ◽  
Author(s):  
H.K. Yip ◽  
J. Guo ◽  
W.H.S. Wong
Keyword(s):  
Resin Composite ◽  
Glass Ionomer Cement ◽  
Root Surface ◽  
Glass Ionomer ◽  
Streptococcus Sobrinus ◽  
Oral Biofilm ◽  
Artificial Mouth ◽  
Restorative Materials ◽  
Root Surfaces ◽  
Ionomer Cement

The prevalence of root-surface caries is increasing. We hypothesized that some restorative materials are protective against cariogenic challenge on root surfaces. Our goal was to study the effects of different restorative materials on root surfaces incubated with an oral biofilm generated in an artificial mouth. A biofilm of Streptococcus mutans, Streptococcus sobrinus, Lactobacillus rhamnosus, and Actinomyces naeslundii was co-cultured for 21 days on 24 glass-ionomer cement, resin-modified glass-ionomer cement, or resin-composite-restored root surfaces. These surfaces were then examined with Fourier transform infrared spectroscopy and scanning electron energy-dispersive spectroscopy. Only glass-ionomer restorations showed a significant increase in log calcium-to-phosphorus ratio (P < 0.01), and a significantly lower log amide I-to-hydrogen phosphate ratio on the root surface after incubation in the artificial mouth. Glass-ionomer restoratives conferred a preventive effect on the root surfaces against initial cariogenic challenge with a mixed-species oral biofilm without therapeutic intervention.

scholarly journals Gambaran Penggunaan Resin Komposit dan Semen Ionomer Kaca Sebagai Bahan Restorasi di Poli Gigi Rumah Sakit Gunung Maria Tomohon Tahun 2012

e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Michael Sumolang
Keyword(s):  
Composite Resin ◽  
Resin Composite ◽  
Glass Ionomer Cement ◽  
Glass Ionomer ◽  
Dental Resin ◽  
Anterior Teeth ◽  
Restorative Materials ◽  
Composite Resin Restorations ◽  
Ionomer Cement ◽  
Resin Restorations

Gigi yang terserang kariesdapatdirawatdenganmenggunakanbahanrestorasi. Resin komposit dan semen ionomer kacamerupakanbahanyangdigunakanuntukperawatanrestorasi di poli gigi RS Gunung Maria Tomohon.Tujuanpenelitianiniuntukmengetahuigambaranpenggunaanbahanrestorasi resin kompositdan semen ionomerkaca di poligigi RSGunung Maria Tomohontahun 2012. Penelitianinimerupakanpenelitiandeskrpitif, data diambildarirekammedispasienrestorasidenganmetodetotal sampling.Data yang didapatyaitujumlah rekammedis pasien restorasi pada tahun 2012 sebanyak 268 danjumlahgigi yang direstorasisebanyak 387.Gigi yang direstorasimenggunakanbahan resin kompositsebanyak 207 gigi, sedangkangigi yang direstorasimenggunakan semen ionomerkacasebanyak 180 gigi.Hasilpenelitianinidibagiberdasarkanusia, jeniskelamin, elemengigidandiagnosa. Hasilpenelitianmenunjukankategoriusiadewasalebihseringmelakukanperawatanretorasi resin komposit dengan 145 gigi (70%) dan semen ionomerkaca dengan 106 gigi (58,8%) yang direstorasi, pasienperempuanlebihseringmelakukanperawatanrestorasiresin komposit dengan 117 (59,4%) dan semen ionomerkaca dengan 101 (56%) gigi yang direstorasi. Gigi bagian anterior seringdirestorasidengan menggunakan resin komposit dan gigibagian posterior seringdirestorasimenggunakan semen ionomerkaca.Hiperemiapulpamerupakanpenyakit yang paling didiagnosadan paling seringmendapatkanperawatanrestorasi resin komposit dengan 179 kasus (86%)dan semen ionomerkaca 157 kasus (87,3%).Kata Kunci:bahan restorasi, resin komposit, semen ionomerkacaABSTRACT Dental caries infected can be treated with restorative materials. Resin composites and glass ionomer cement is a material used for dental restorative treatment on poly Hospital Gunung Maria Tomohon. The purpose of this study to describe the use of composite resin restorations and glass ionomer cement in the teeth poly Hospital Gunung Maria Tomohon in 2012. This research is deskrpitif , data extracted from medical records of patients with restoration of total sampling.Data method obtained the restoration of the patient's medical record number in 2012 as many as 268 and the number of restored teeth as much as 387. Restored teeth using composite resin materials as much as 207 teeth, whereas the teeth restored with glass ionomer cement as many as 180 teeth. The results are divided based on age, sex, dental and diagnostic elements. The results showed the adult age category more often retorasi care dental resin composite with 145 (70 %) and glass ionomer cement with 106 teeth (58,8 %) were restored, female patients were more frequent maintenance of composite resin restorations with 117 (59,4 %) and glass ionomer cement with 101(56 %) restored teeth. Anterior teeth are restored using gigibagian posterior composite resin and glass ionomer cement seringdirestorasimenggunakan. Pulp hyperemia is the most diagnosed diseases and most often get care composite resin restorations with 179 cases (86 %) and glass ionomer cement 157 cases (87,3%). Keywords : restorative materials, composite resin, glass ionomer cement

scholarly journals Effect of alcohol containing and alcohol free mouth rinses on microhardness of three esthetic restorative materials

2014 ◽  
Vol 6 (1) ◽  
pp. 5-8
Author(s):  
Vasundhara Shivanna ◽  
Rucha Nilegaonkar
Keyword(s):  
Resin Composite ◽  
Glass Ionomer Cement ◽  
Mouth Rinse ◽  
Restorative Material ◽  
Glass Ionomer ◽  
Mouth Rinses ◽  
Restorative Materials ◽  
And Control ◽  
Ionomer Cement ◽  
Daily Application

Abstract Introduction Daily application of mouth rinses has been recommended for the prevention and control of caries and periodontal disease. Aims & Objectives The aim of this study was to evaluate the effect of alcohol-containing and alcohol-free mouth rinses on the microhardness of three restorative materials – resin composite (Filtek Z350XT), light cure glass ionomer cement (Vitremer) and conventional restorative glass ionomer cement (GC Fuji II). Methods Twenty samples of each restorative material were fabricated and their microhardness values were checked at 100g load and 15 seconds dwell time. Ten samples of each restorative material were stored in alcohol containing mouth rinse (Listerine) and ten samples each were stored in alcohol free mouth rinse (Hiora) for 12 hours. At the end of the test period microhardness was measured with a Vickers microhardness tester. Results Alcohol containing mouth rinses reduced the microhardness values of composite and light cure glass ionomer significantly more than alcohol free mouth rinses. Reduction in the microhardness value of conventional restorative glass ionomer cement was similar for both alcohol containing and alcohol free mouth rinses. Conclusion Both mouth rinses showed reduction in microhardness values of all three restorative materials, with more reduction caused due to alcohol containing mouth rinses in composite and light cure glass ionomer. How to cite this article Vasundhara S, Rucha N. Effect of alcohol containing and alcohol free mouth rinses on microhardness of three esthetic restorative materials. CODS J Dent 2014;6;5-8

scholarly journals Direct-Indirect Technique Restoration for Non-Carious Cervical Lesions Treatment: a Case Report

2021 ◽  
Vol 23 (2) ◽  
pp. 131-135
Author(s):  
Antônio Pedro de Souza Júnior ◽  
Eric Felipe Saraiva Souto ◽  
Silvério Almeida Souza Torres ◽  
João Lima Rodrigues ◽  
Danilo Cangussu Mendes
Keyword(s):  
Case Report ◽  
Tooth Wear ◽  
Dentin Hypersensitivity ◽  
Cervical Lesions ◽  
Class V ◽  
Restorative Treatment ◽  
Direct Technique ◽  
Maxillary Premolars ◽  
Indirect Technique ◽  
Composite Inlays

AbstractNon-Carious Cervical Lesions are characterized by slow and progressive loss of hard tissue at the level of enamel-cement junction, without bacterial involvement. This work aimed to address a case report of restorative treatment in Class V cavities in multiple premolars using the direct-indirect technique with composite resin. A 42 year-old male patient presented for esthetic restorative treatment with the complaint of severe dentin hypersensitivity and wedged-shaped non-carious cervical lesions affecting the maxillary premolars. The restorative treatment chosen was a direct-indirect technique with composite performed into three sessions as follows: making the class V composite inlays, cementation, and final polishing. The direct-indirect technique as an alternative to the traditional direct technique has the benefits of a better contour of the restoration, since the finishing and polishing are made extraorally. Besides, the control of the polymerization stress and less discomfort to the patient are other advantages. In the case of direct-indirect class V restoration, the advantages far surpass those of the direct technique. Keywords: Hypersensitivity. Tooth Wear. Composites Resins ResumoAs Lesões Cervicais Não Cariosas se caracterizam pela perda lenta e progressiva de tecido duro próximo a junção cemento-esmalte, sem envolvimento bacteriano. Este trabalho tem o objetivo de relatar um caso clínico de tratamento restaurador em cavidades do tipo Classe V em pré-molares pela técnica direta-indireta com resina composta. Paciente do sexo masculino, 42 anos, queixava-se de forte sensibilidade e múltiplas Lesões Cervicais Não Cariosas na forma de cunha nos pré-molares superiores. O tratamento restaurador escolhido foi a técnica direta-indireta com resina composta realizado em três sessões distribuídas em confecção da peça em resina composta, cimentação e polimento final. A técnica direta-indireta surge como alternativa a técnica direta tradicional trazendo como benefícios um melhor contorno da restauração, uma vez que esta é acabada e polida fora da boca, além do controle do estresse de polimerização e menor desconforto ao paciente. A intervenção restauradora direta-indireta se mostra eficaz devido ao fato de conseguir contornar dificuldades encontradas em técnicas restauradoras diretas. Palavras-chave: Hipersensibilidade. Desgaste dos Dentes. Resinas Compostas

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