scholarly journals COMPARATIVE EVALUATION OF IATROGENIC DAMAGE IN CLASS II CAVITIES USING MAGNIFICATION TOOLS DURING TOOTH PREPARATION: AN IN VITRO STUDY

2020 ◽  
Vol 8 (11) ◽  
pp. 569-575
Author(s):  
Pooja Yadav ◽  
◽  
Ashish Jain ◽  
Rahul Rao ◽  
Harshil Patel ◽  
...  

Aims: This is an vitro study compares and evaluates the effect of magnification tools on frequency and extent of iatrogenic damage to approximal tooth surface during conservative Class II cavity preparations. Methods and Material: 30 Typodont teeth were divided into 3 groups 10 typodont teeth in each group and were mounted on Phantom head. Teeth were prepared for class II (MO) cavity on 36 with conservative design using airotor with naked eye, loupes and microscope and iatrogenic damage was assessed on tooth no 35. Assessment of iatrogenic damage of all the groups was done by profilometer test. Statistical analysis used:Statistical analysis was done using one-way analysis of variance (ANOVA). Post-hoc pair-wise comparisons were done using Dunnetts test. Results: Results revealed that tooth preparation was better under microscopes and loupes with statistical significant difference for samples with loupes and microscope on comparison with naked eye. Study also expressed the difficulty faced during tooth preparation with microscope and loupes for the first time. Conclusions: Magnifying tools helps in better vision and less iatrogenic damage while preparing the tooth for restoration.

2021 ◽  
Vol 13 (2) ◽  
pp. 47-51
Author(s):  
Samaneh Abbasi ◽  
Soodabe Ebrahimi ◽  
Arash Shisheian ◽  
Maryam Farhadian

Background: Acrylic resin teeth wear resistance has an important role in the denture longevity. This study aimed to clarify the effect of glaze coating on wear resistance of three types of artificial acrylic teeth. Methods: In this in vitro study, the wear resistance rate of three of acrylic denture teeth (GENIUS, STON and CLASSIC) was compared with Ivoclar teeth (n=25/group). The wear resistance was measured by estimating the weight loss in pre and post removing glaze coating, following 5000 cycles in the chewing simulator device. Data analysis was made using paired t test, one-way ANOVA and Tukey’s post hoc test. Results: ANOVA test showed that there was no significant difference between the mean amount of wear of GENIUS, CLASSIC, STON and IVOCLAR teeth in the first stage (P <0.061), but this difference was significant (P <0.001) in the second stage. The result of Tukey post hoc test showed that wear rates of GENIUS were significantly lower than other groups (P<0.001). Comparison between the mean wear rates of each dental group at the first and second stages showed a significant difference between average teeth wear resistance of CLASSIC, STON and IVOCLAR in the first and second stages (P <0.001). Conclusions: In conclusion, the teeth wear resistance of STON and CLASSIC were similar to IVOCLAR. Also, after removing the glaze coating, the teeth wear resistance decreased in all groups but was not statistically significant for group GENIUS.


2016 ◽  
pp. 28-32
Author(s):  
Xuan Anh Ngoc Ho ◽  
Thien Man Tran

Background: Overcoming the obstacles of Class II restoration, especially the microleakage, is a polemic issue. The present study was performed to evaluate the microleakage of Class II restorations using three different techniques. Aims: The aim of this in vitro study was to evaluate the microleakage of Class II restorations using three different techniques. Materials and methods: The study was carried out in the laboratory with paired comparision between groups. Thirty Class II cavities were prepared on extracted non-carious human permanent molars, randomly divided into 3 groups, which were then restored with 3 different methods. Group 1: indirect composite inlay (Tetric N-Ceram) cemented with resin-modified glass ionomer cement (Fuji Plus); Group 2 indirect composite inlay (Tetric N-Ceram) cemented flowable composite (Tetric N-flow); Group 3: direct composite restoration using Tetric N-Ceram. Before immersed to 2% methylene blue solution for 12 hours, all restorations were subjected to thermal cycling (100 cycles 50C – 55 0C). The extent of dye penetration along the gingival wall was assessed using a grade scale from 0 to 3 under 40 times magnification using digital camera Nikon D7000. Results: All types of restorations showed some rate of microleakage. In comparing the three techniques, group 1 demonstrated the significantly higher rate of leakage compared to the others (p<0.05), whereas group 2 and 3 showed no significant difference. Conclusion: Different luting materials have different influences on the microleakage degree along gingival wall of Class II restoration. Key word: composite inlay, class II restoration, microleakage


Author(s):  
Deebah Choudhary

Introduction: Microleakage is a major setback to restorative dentistry. Leakage at the tooth/restoration interface may lead to numerous problems like postoperative sensitivity, recurrent caries, marginal sealing and later total failure of restoration. Aim: To determine the sealing ability (microleakage) of a new hydraulic calcium silicate cement (Biodentine) as a base material and a bulk filling material. Materials and Methods: An in-vitro study was conducted with ten freshly extracted maxillary molars from March 2019 to June 2019. Standardised Class II cavities were prepared on mesial and distal proximal surfaces. The twenty prepared samples were randomly divided into two groups (n=10)- G1 (BiodentineTM group) and G2 (BiodentineTM + Tetric N-Ceram group). The samples were subjected to thermocycling, followed by 1% methylene blue dye immersion. They were subsequently sectioned both buccolingually and mesiodistally in order to separate to proximal restorations (mesial and distal) and appreciate the amount of dye penetration at tooth/restoration interface respectively. Microleakage was evaluated by observing the samples under a stereomicroscope (30x). The data obtained was analysed using one-way ANOVA test and compared using Post-hoc test. p-value <0.05 to be considered significant. Results: Biodentine showed no significant difference between the sealing ability as a bulk filling and a base material. Group G2 (0.35) indicated comparatively less microleakage as compared to Group G1 (0.6) but the difference in microleakages in both groups was insignificant (p-value 0.083467). Conclusion: BiodentineTM exhibits microleakage when used as a bulk filling material and as a dentin substitute in Class II cavities since there is no significant difference in both the groups.


2011 ◽  
Vol 12 (4) ◽  
pp. 232-238 ◽  
Author(s):  
Vinaya S Pai ◽  
S Nandini ◽  
M Swetha ◽  
N Sanjay

ABSTRACT Aim The process of bonding orthodontic appliances to the enamel surface of the teeth has come to the forefront as a major improvement in bonding techniques. The purpose of this study is to compare the shear bond strength of stainless steel orthodontic brackets bonded using conventional direct bonding and indirect bonding as described by Thomas. Materials and methods Forty sound human premolars were divided into two groups of 20 each. Group I samples were bonded directly on the tooth surface using concise two paste adhesive system after etching and drying. Group II samples were bonded indirectly on the tooth surface according to Thomas indirect bonding technique using concise two paste adhesive system. The stored specimen was tested for shear bond strength in an Instron universal testing machine at a crosshead speed of 0.5 mm/minute. Data obtained were subjected to statistical analysis. Results The results showed that there was no statistically significant difference in the shear bond strength between direct and indirect bonding techniques. Chi-square test showed that there were significant differences among the adhesive remnant index scores between direct and indirect bonding groups. Conclusion In vitro shear bond strength comparison between direct and indirect-bonded attachments showed no significant difference between the two groups. Bond strength obtained with Thomas indirect bonding technique was comparable with direct bonding technique. Clinical significance Thomas indirect bonding technique can be used for bonding of the posterior teeth, where the risk of moisture contamination is high during bonding. How to cite this article Swetha M, Pai VS, Sanjay N, Nandini S. Indirect versus Direct Bonding—A Shear Bond Strength Comparison: An in vitro Study. J Contemp Dent Pract 2011; 12(4):232-238.


2021 ◽  
Vol 11 (5) ◽  
pp. 2339
Author(s):  
Joanna Metlerska ◽  
Till Dammaschke ◽  
Mariusz Lipski ◽  
Irini Fagogeni ◽  
Anna Machoy-Mokrzyńska ◽  
...  

The aim of the present in vitro study was to investigate the effects of 10% and 40% citric acid (CA) on the color of calcium silicate–based cements (CSCs) in comparison to the effects of common root canal irrigants. Samples of six CSCs (n = 6)—ProRoot MTA (Dentsply, Tulsa, OK, USA), Biodentine (Septodont, Saint-Maur-des-Fossés, France), MTA Plus (Avalon Biomed Inc, by Prevest Denpro Limited, Jammu, India), MTA Repair HP (Angelus, Londrina, PR, Brazil), Ortho MTA (BioMTA, Seoul, Korea), and Retro MTA (BioMTA, Seoul, Korea)—were immersed in 10% and 40% CA as well as 15% EDTA, 2% NaOCl, 2% CHX, and 0.9% NaCl for 15 min, 1 h, and 24 h. ΔE values, representing the difference between the final and baseline values of the color components, were then determined using a VITA Easyshade Compact 5.0 spectrophotometer. Naked-eye evaluation of the changes in color and structures of the materials was performed using our own scale. Upon immersion of the materials in both 10% and 40% CA, there were statistically significant differences between spectrophotometric color measurement results for all CSCs (P < 0.05). However, CA does not cause dark discoloration, observable with the naked eye, of any of the materials, such as NaOCl and CHX. Significant statistical differences were also found between all CSCs in terms of submersion duration (P < 0.05). CA, which could be an alternative to EDTA use, caused greater CSCs discoloration and changed some of their structures. Unless required by the therapeutic procedure, clinicians should pay attention to the fact that the irrigant may affect the CSCs discoloration and minimize the contact time of irrigant with CSCs.


2021 ◽  
Vol 11 (2) ◽  
pp. 857
Author(s):  
Keunbada Son ◽  
Kyu-Bok Lee

The purpose of this in vitro study was to evaluate marginal and internal fits of ceramic crowns fabricated with chairside computer-aided design and manufacturing (CAD/CAM) systems. An experimental model based on ISO 12836:2015 was digitally scanned with different intraoral scanners (Omnicam (CEREC), EZIS PO (DDS), and CS3500 (Carestream)). Ceramic crowns were fabricated using the CAD/CAM process recommended by each system (CEREC, EZIS, and Carestream systems; N = 15). The 3-dimensional (3D) marginal and internal fit of each ceramic crown was measured using a 3D inspection software (Geomagic control X). Differences among the systems and various measurements were evaluated using the Kruskal–Wallis test. Statistically significant differences were validated using pairwise comparisons (α = 0.05). Occlusal gaps in the CEREC, EZIS, and Carestream groups were 113.0, 161.3, and 438.2 µm, respectively (p < 0.001). The axial gaps were 83.4, 78.0, and 107.9 µm, respectively. The marginal gaps were 77.8, 99.3, and 60.6 µm, respectively, and the whole gaps were 85.9, 107.3, and 214.0 µm, respectively. Significant differences were observed with the EZIS system compared with the other two systems in terms of the marginal gap sizes. The CEREC system showed no significant differences among the four measured regions. However, the EZIS and Carestream systems did show a statistically significant difference (p < 0.05). All three systems were judged to be capable of fabricating clinically acceptable prostheses, because the marginal gap, which is the most important factor in the marginal fit of prostheses, was recorded to be below 100 µm in all three systems.


Author(s):  
Hardi Rajanbhai Shukla ◽  
Aditi Mathur ◽  
Neema Shetty ◽  
Barkha Makhijani ◽  
Balaji Manohar

Background: Biofilm removal is the central part of the etiotropic and maintenance phase of periodontal therapy. Commercially available injection water jets such as Prophy-Jet allows an efficient and convenient biofilm removal as an adjunct to mechanical periodontal therapy. But, due to the abrasive nature of traditionally used air polishing powders such as sodium bicarbonate, there is a continuous research going on for less abrasive materials. Aims: To compare the effectiveness of air polishing using glycine powder and chlorhexidine acetate powder on tooth surface as compared to ultrasonic scaling and also to evaluate the time taken for stain removal. Materials and Methods: Thirty fully erupted, single rooted teeth extracted due to poor periodontal prognosis were used in this in-vitro study. The sample teeth were divided into 3 equal groups and stained in coffee solution. The test Groups A and B underwent air-polishing with glycine powder and chlorhexidine acetate powder respectively. Group C was control group and underwent ultrasonic scaling. Time taken for stain removal was recorded. The sample teeth were also evaluated under a stereo-microscope and digital micrometer preprocedurally and post-procedurally to measure surface changes. Results: The study showed statistically significant results (p<0.05) when measurements of changes in surface roughness of samples treated with glycine powder air-polishing were compared with ultrasonic scaling and chlorhexidine acetate powder air-polishing were compared with ultrasonic scaling. Surface texture loss as well as time taken for stain removal was minimum with glycine powder and maximum with ultrasonic scaling. Conclusion: Air-polishing with glycine powder was least abrasive on root surface followed by chlorhexidine acetate powder air-polishing. This is because of the lower particle size of glycine which also covers larger area in lesser time.  


2020 ◽  
Vol 11 (2) ◽  
pp. 160-166
Author(s):  
Mohammad Javad Moghaddas ◽  
Horieh Moosavi ◽  
Sara Yaghoubirad ◽  
Nasim Chiniforush

Introduction: The purpose of this study was to compare the effect of the bioactive glass, the glass ionomer, and the Erbium YAG laser as liners on the remineralization of the affected dentin. Methods: The present study was conducted on 64 healthy extracted human molars divided into 4 groups, 1 control group and 3 experimental groups. After artificially inducing dentinal caries lesions, each of the experimental groups was applied to the cavity floor and then restored with a composite. The samples were stored after thermocycling in an incubator for two months. Finally, the hardness of the cavity floor was measured at 3 depths of 20, 50 and 100 μm by the Vickers microhardness tester. The dentin conditions underneath the liners were also evaluated with FESEM. Statistical analysis was performed by two-way ANOVA and the post-hoc Games-Howell test (P<0.05). Results: Among the groups, the lowest microhardness value was in the control group (P<0.05) except at a depth of 100 μm; therefore, there was no significant difference between the control group and the bioactive glass (P>0.05). The laser group had the highest microhardness value, which was significantly different from the control group (P<0.05). There was a significant difference between the laser and bioactive glass (P<0.05), except at a depth of 20 μm. The laser and glass ionomer had only a significant difference at a depth of 100 μm (P<0.05). The microhardness value induced by glass ionomer was higher than bioactive glass, which in no depth was significant (P>0.05). Partial dentinal tubule occlusion was observed with FESEM in each of the experimental groups as compared to the control group. Conclusion: The microhardness values were higher in all groups than in the control group. The laser might be more successful in remineralization than the other ones.


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