Abstract

ABSTRACT Objective: To evaluate the sealing of cavities of dentinal occlusal caries lesions, reproduced in vitro, with flow resin compared to cavity restorations presenting healthy dentin using microhybrid composite resin. Methods: The sample consisted of 27 healthy deciduous molars where cavities of approximately 2 mm in the fossa region were performed and occlusal cleft of each tooth were sealed, impermeabilization was performed and the sample was randomly divided into 2 groups: group I underwent cariogenic challenge and occlusal sealing with resin flow. The teeth of group II were restored with microhybrid composite resin. The teeth were immersed in 5% methylene blue for 8 hours at 37° C and washed until all the dye was removed from the surface. The teeth were sectioned in the mesio-distal direction. The penetration of the dye was evaluated: 0- no penetration; 1- dye penetration up to 1/3 of the restoration; 2- dye penetration up to 2/3 of the restoration depth; 3 - penetration of dye into the pulp wall. The results were analyzed by the Biostat 4.0 program. Descriptive analysis and the mode among the examiners submitted to the Mann-Whitney test. Results: There was no significant difference in microleakage between restoration performed in healthy dentin with microhybrid composite resin or maintenance of infected dentin in primary teeth sealed with resin flow (p = 0.6035). Conclusion: It was concluded that the marginal infiltration of primary molars sealed with microhybrid composite resin and resin flow was not influenced by the removal -or not -of the carious tissue or the material used.

Highlights

  • With the advancement of preventive and minimally invasive dentistry, the treatment of caries lesions in children and adolescents has been viewed with great concern concerning invasive approaches

  • There was no significant difference in microleakage between restoration performed in healthy dentin with microhybrid composite resin or maintenance of infected dentin in primary teeth sealed with resin flow (p = 0.6035)

  • It was concluded that the marginal infiltration of primary molars sealed with microhybrid composite resin and resin flow was not influenced by the removal -or not -of the carious tissue or the material used

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Summary

Introduction

With the advancement of preventive and minimally invasive dentistry, the treatment of caries lesions in children and adolescents has been viewed with great concern concerning invasive approaches. Due to the fact that some studies suggest that it is not essential to remove infected tissue in order to arrest the cariogenic process [3,4,5] studies propose the use of sealants for the control of lesions in dentin [6,7,8,9,10,11,12,13,14] and in the literature. The results of these studies suggest dentinal caries lesions arrestment. The studies carried out that propose the use of pit and fissure sealants in the control of dentinal caries lesions in primary molars have concluded that such procedures are a conservative alternative to restorative treatment, leading to the caries lesions arrestment in the early stages [11,12,13,14]

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