Caries management by risk assessment (CAMBRA) and its effect on the surface roughness of various restorative materials

Abstract

Statement of problemWhether topical anticaries medicaments used in the oral environment will affect the surface integrity of restorative materials is uncertain. PurposeThe purpose of this in vitro study was to investigate the effect of various anticaries agents on the surface roughness of 3 different restorative materials. Material and methodsSixty-four specimens of each restorative material (feldspathic porcelain, Ni-Cr metal ceramic alloy, and Ti-6Al-4V titanium alloy) were prepared and separated into 4 equal groups for soaking in anticaries agents (Prevident Dental Rinse, ACT mouth wash, chlorhexidine gluconate, and water). A profilometer was used to measure surface roughness before and after soaking the materials for 2 years of simulated usage. The mean change in surface roughness for each specimen was calculated. Statistical analysis was performed with a 2-way ANOVA, followed by the Tukey HSD test (α=.05). ResultsA significant interaction was found between the materials and anticaries agents (F=2.64, P=.02). The significant interaction was between Prevident and chlorhexidine gluconate. Porcelain specimens soaked in Prevident produced a negative change (−0.072 ±0.35 μm) in surface roughness (smoother surface), while chlorhexidine gluconate produced a positive change (0.094 ±0.42 μm) in surface roughness (rougher surface). ConclusionWithin the limitations of this in vitro study, it can be concluded that Prevident Dental Rinse and chlorhexidine gluconate may cause a change in the surface roughness of feldspathic porcelain.