Light-cured Glass Ionomer Research Articles

Effects of magnetic resonance imaging on the microleakage of five restorative materials: An in vitro study

The objective of this study was to assess the effects of 3 T magnetic resonance imaging (MRI) on the microleakage of 5 restorative materials. In total, 100 maxillary molars were randomly assigned to 5 groups (n=20) for restoration with 5 different materials: amalgam, light-cured glass-ionomer cement, feldspathic porcelain fused to metal, pressed lithium disilicate glass ceramic, and composite resin. In each group, 10 specimens were subjected to MRI, and 10 specimens served as controls with no MRI exposure. Standardized class V cavities were prepared with occlusal margins terminating in enamel and gingival margins terminating in dentin. Microleakage penetration at the enamel and dentin margins was calculated for each group. A chi-square test was used for intergroup comparisons. Statistical significance was established at P < .05. Microleakage penetration did not differ significantly between specimens subjected to MRI and the controls for any restoration (P ≥ .362 for the enamel margin, P ≥ .067 for the dentin margin) or between specimens treated with different restorative materials (P ≥ .355). No significant differences in microleakage were discovered between the enamel and dentin margins of any of the restorative groups (P ≥ .236). MRI had no effect on the microleakage of the 5 restorative materials.

EFFECT OF DIFFERENT CAVITY LINING MATERIALS ON MARGINAL SEALING OF PACKABLE COMPOSITE RESIN RESTORATIONS- AN IN VITRO STUDY.

ABSTRACT:&#x0D; “AIM: To assess the effect of three lining materials; flowable composite, flowable compomer, and light-curing glass ionomer cement (LCGIC) on microleakage in Class V restoration using packable composite restorations.&#x0D; MATERIALS AND METHODS: A standardized class V cavity was prepared on buccal surface of 40 young premolar teeth with the cervical margin extending 0.5 mm below the cementoenamel junction, into the dentin. All the samples were randomly divided into 4 groups according to the lining material used: Group I- Control; Group II- flowable composite; Group III- LCGIC and Group IV- flowable compomer. The restored teeth were thermocycled and immersed in 2% methylene blue solution for 24 hours. Each tooth was then sectioned along buccolingual direction. The dye penetration of the occlusal and gingival margins of each section was evaluated by a single observer using a stereomicroscope and statistically analyzed using Kruskal Walis Test and Mann-Whitney U Test.&#x0D; RESULT: Maximum dye penetration score for Group 1, Group 2 was 3 and Group 3, Group 4 was 1. (p&lt;0.05)&#x0D; CONCLUSION: Flowable compomer and light cure glass ionomer cement as intermediate lining material can reduce microleakage under packable composite.&#x0D; Keywords: Compomer, flowable composite, light-curing glass ionomer cement, microleakage, packable composite.”

An antibacterial dental light-cured glass-ionomer cement with improved hardness

An antibacterial dental light-cured glass-ionomer cement has been developed and evaluated. An antibacterial furanone derivative was synthesized and covalently attached onto the surface of alumina filler particles. The formed antibacterial fillers were then mixed into a light-curable glass-ionomer cement formulation. Surface hardness and bacterial viability were used to evaluate the modified cements. Effects of coated furanone moiety content on the modified fillers, modified alumina filler particle size and loading, and total glass filler content were investigated. Results showed that increasing antibacterial furanone content, modified particle size and loading, and total glass filler content generally increased surface hardness. Increasing furanone moiety, filler loading and total filler content increased antibacterial activity. On the other hand, increasing particle size decreased antibacterial activity. The leaching tests indicate that the modified experimental cement showed no leachable antibacterial component to bacteria and cells

Calcium silicate cement interface with restorative materials through layering after different time intervals.

The aim was to evaluate the interfacial characteristics of Biodentine, CEM Cement, and ProRoot MTA when restored with different final restorative materials after different time intervals. Biodentine, CEM Cement and ProRoot MTA were layered with amalgam, composite resin or light cure glass ionomer cement. Layering was done either immediately, 24 or 72h after cement placement. The interface of cements with restorative materials was characterized using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) after separation. Vickers surface microhardness test was also performed on the interface. Statistical analysis included two-way Anova, Dunnett T3, and Tukey HSD. The significance level was set at P < 0.05. The highest microhardness values were seen when restorative materials were layered after 24h in the case of Biodentine, and after 72h in the case of CEM Cement and ProRoot MTA. In ProRoot MTA no significant difference was seen in the microhardness when layered with different restorative materials regardless of the time of layering. In immediate layering, Biodentine exhibited the highest microhardness values. Both immediate and delayed layering resulted in element transfer between calcium silicate cements (CSCs) and restorative materials. Deposition and depletion of element occurs subsequent to layering of restorative materials on CSCs. When immediate layering is necessary, Biodentine may be a better option compared to other CSCs evaluated.

PERBEDAAN ANGIOGENESIS PADA PULPA SETELAH APLIKASI EKSTRAK PROPOLIS DAN KALSIUM HIDROKSIDA

Background : Propolis is a resinous hive product collected by bees ( Apis Mellifera ) from tree buds and mixed with secreted bee wax in order to avoid bacterial contamination in the hive, and also to seal it. Propolis is employed for the treatment of various infectious diseases because it is wellknown that is has antibacterial and anti-inflammatory properties. Calcium hydroxide was introduced to the dental profession in 1921 and has been considered the “gold standard” for direct pulp capping materials in the past decades. Aims :This research is to investigate the development of new blood vessels ( angiogenesis ) in rat's dental pulp following application of propolis extract and calcium hydroxide. Methods : There was 43 Strain Wistar rats of 8–16 week old and 200–250 grams in weight were used in this study. The rats were randomly divided into 6 groups. Pulp exposures were performed on the occlusal surface of right maxillary first molars. At the 1st and 4th groups, as the control group, without pulp capping paste. At the 2rd and 5th groups, pulp exposure was applied with propolis extract. And at 3th and 6th groups pulp exposure was applied with calcium hydroxide ,and the 7th group is negative control is a normal teeth. Pulp exposure was applied with propolis extract. After that, all of the cavities were filled with light cured glass ionomer cement as a permanent filling. Animals on the 1st, 2rd, and 3th groups were decaputed after 7x24 hour post pulp capping material application and were sent for histological examination which new blood vessels ( angiogenesis ) cells were present. And at the 4th, 5th, 6th groups were culled after 7x 24 hour post pulp capping material application and were sent for histological examination which new blood vessels ( angiogenesis ) evaluated were present. Result : All sample were histopathological examinated and data was statiscally analysed using one way ANOVA the histological analysis revealed that the development of the new blood vessels occurred in all group. The new blood vessels ( angiogenesis ) of propolis extract group was milder compared to the control and calcium hydroxide group, with statistical analysis showed significant difference (p &gt; 0.05). Conclusion: The development of new blood vessels is earlier happened in group capping material containing propolis and which show with reduce the amount of the new blood vessels in days 7 and 14 than the other group.

Temperature changes in the pulp chamber induced by polymerization of resin-based dental restoratives following simulated direct pulp capping

The objective of this study was to measure temperature changes in the pulp chamber induced by polymerization of resin-based dental restoratives following a simulated procedure of direct pulp capping. Class I cavities with a microperforation at the pulp horn were prepared in extracted human molar teeth. The complete procedure of direct pulp capping and cavity restoration was performed with the root part of extracted teeth fixed in a water bath at 37 ?C. Mineral trioxide aggregate, bioactive dentin substitute or calcium-hydroxide paste were used as pulp capping materials. Cavities were restored with a light-cured or chemically-cured resin-modified glass ionomer, universal adhesive and a bulk-fill composite, cured with a high-intensity LED unit. Pulp capping materials caused a slight temperature decrease. Lower temperature increase was recorded during light-curing of the glass ionomer liner after direct capping with mineral trioxide aggregate and calcium-hydroxide than that recorded for the bioactive dentin substitute. Adhesive light-curing increased temperature in all groups with higher mean temperatures in groups with chemically-cured as compared to those for the light-cured glass ionomer liner. Direct pulp capping with mineral trioxide aggregate or calcium-hydroxide followed by the light-cured resin-modified glass ionomer liner and a bonded bulk-fill composite restoration induced temperature changes below the potentially adverse threshold of 42.5?C.

Clinical and Radiographic Success of Three Adhesive Restorative Materials in Primary Molar Proximal Lesions: A Randomized Clinical Trial.

Aim:The aim of this study was to evaluate and compare the clinical and radiographic success of primary molar proximal lesions in 4–8 years children restored with three adhesive restorative materials followed up for 12 months.Materials and Methods:This study was carried out on 102 primary molars of 51 children in the age range of 4–8 years. In all the participants, Class II lesions were restored and randomly allocated into three material groups as giomer group, nano-ionomer group, and light-cured glass-ionomer cement (LC-GIC) group based on the restorative material used. All the restorations were evaluated and scored according to federation dentaire internationale (FDI) criteria for clinical and radiographic success rate at 3, 6, and 12 months' interval. Data were formulated in a predesigned format and were subjected to statistical analysis using the Chi-square test and Fisher's exact test.Results:There was no statistically significant difference observed among the restorative material groups to all the properties of FDI criteria. The overall success rates of restorative materials at 3, 6, and 12 months' interval were as follows: giomer – 100%, 100%, and 94.1%; nano-ionomer – 97%, 94%, and 85.3%; and LC-GIC – 100%, 94%, and 88.2%.Conclusion:The highest clinical success rate was found for the giomer group followed by LC-GIC group and the least for the nano-ionomer group, whereas the highest radiographic success rate was found for giomer as well as LC-GIC group and the least for nano-ionomer group.

Perforation of the pulp chamber floor: repair with mineral trioxide aggregate, light-cured glass ionomer cement and light-cured calcium hydroxide

Perforation of the pulp chamber floor: repair with mineral trioxide aggregate, light-cured glass ionomer cement and light-cured calcium hydroxide

Evaluation of Microshear Bond Strength of Light and Chemically-Cured Composite Resins to Light-Cured Glass-Ionomer Using Various Bonding Systems

Background: This study was conducted to compare the microshear bond strength (MSBS) of chemically-cured and light cured composite to resin-modified glass-ionomer (RMGI) based on different types of adhesive systems. Methods: Thirty-two discs of Vitrebond RMGI were prepared and randomly divided into 8 groups. Four cylinders of composite resin were placed on each RMGI sample. Z250 composite was bonded to the RMGI discs with Single-Bond, Clearfil SE-Bond, and Clearfil S3-Bond adhesive agent in groups 1, 2 and 3, respectively. Group 4 was considered to be the control group without any adhesive. In groups 5-8, the procedures were the same as those in groups 1-4, except that a chemically-cured composite (Master Dent) was used. All the samples were kept at 37˚C for 24 hours and tested for MSBS by a mechanical testing machine at a strain rate of 0.5 mm/min. Failure mode was assessed under a stereomicroscope. Data analysis was carried out by two-way ANOVA, independent t test, one-way ANOVA and Tukey honestly significant difference test. Results: Application of a bonding agent significantly increased MSBS (P=0.0001). MSBS was significantly higher in samples with light cured composite resin compared to the chemically-cured composite (P=0.0001). Conclusions: Application of an adhesive system significantly increased the MSBS of composite resins to RMGI. The bond strength of composite resin to RMGI could vary depending on the type of the composite resin and the adhesive system.

Fluoride Ions Release Study Of Different GIF Materials

The purpose of this in vitro study was to compare &amp; measure the release of fluoride ions from set tested materials, CGI (Pro-med), MGI (Ketac molar), and LCGI (Vitremer).The tested materials were made as molds with certain dimensions and each mold was placed in vial containing 100 ml. of DDW. Every 24 hrs, 5 ml. of the solution was transferred into smaller tubes to measure the fluoride release using spectrophotometer. This procedure was repeated every 24 hrs. for 14 days.The results revealed that the CGI (conventional glass ionomer) had higher release over other materials, then the MGI (modified glass ionomer) material, and finally the LCGI (light cure glass ionomer) with significant differences between them at P&lt; 0.05.The MGI material had higher fluoride ions release concentrations over the LCGI. However, the CGI had higher fluoride ions release concentrations over other materials.

Evaluation of Carbonate Apatite Cement in Inducing Formation of Reparative Dentin in Exposed Dental Pulp

Carbonate apatite (CO3Ap) cement is a biocompatible material with the ability to induce osteogenesis and is widely studied as the bone substitute material. The similarity of bone to tooth structure in their organic and inorganic composition offers a good prospect of the application of CO3Ap for regeneration of dentin and pulp tissue repair. This study is a sequel of the previous study in the development of CO3Ap cement for dental application, particularly in pulp capping treatment. In this study, the CO3Ap cement is used to cover an exposed dental pulp in rats and histological evaluation was carried out to evaluate the formation of reparative dentin, which is one of the signs of positive pulp capping treatment outcome. The CO3Ap cement was made by combining 60% dicalcium phosphate anhydrous (DCPA) and 40% vaterite with 1 mol/L Na2HPO4 aqueous solution at liquid to powder ratio of 0.5 and conventional calcium hydroxide [Ca(OH)2], which is the golden standard for pulp capping material was used for control. The coronal part of dental pulp in Wistar Rat was exposed with a small dental bur until bleeding were visible. The CO3Ap cement was applied to the exposed pulp and covered with light cured glass ionomer cement. The same protocol was applied to the control groups using Ca(OH)2. The Evaluation of formation of reparative dentin was done in 3 weeks after application by histological observation. Reparative dentin was histologically visible for all samples in CO3Ap group, as well as in the Ca(OH)2 groups. None of the dental pulps were necrotic and the pulp showed no heavy chronic inflammation. The CO3Ap cement was able to maintain the vitality of the pulp with no sign of chronic inflammation. The formation of reparative dentin was observable in 3 weeks of evaluation. Investigation on other properties and in vivo studies in different types of perforation and animal are to be carried out for further development of this material in dental application.

In Vitro Effect of Bleaching With 810 nm and 980 nm Diode Laser on Microhardness of Self-cure and Light-Cure Glass Ionomer Cements.

Introduction: This study sought to assess the effect of bleaching combined with irradiation of 810 nm and 980 nm diode laser on microhardness of 2 commonly used self-cure and light-cure glass ionomer cements (GICs) in comparison with conventional bleaching (without laser). Methods: In this in vitro, experimental study, 60 samples were fabricated of A2 shade of Fuji IX and Fuji II LC GICs (n=30) and each group was divided into 3 subgroups (n=10). The first subgroups were subjected to bleaching with Opalescence Xtra Boost plus 980 nm diode laser irradiation. The second subgroups were subjected to bleaching with Opalescence Boost plus 810 nm diode laser irradiation and the third subgroups were subjected to bleaching with Opalescence Xtra Boost without laser. Microhardness was measured at baseline and after the intervention using Vickers hardness tester. The data were analyzed using two-way analysis of variance (ANOVA) (P<0.05). Results: Microhardness decreased in all subgroups after the intervention (P<0.001) irrespective of the type of GIC (P=0.201) or surface treatment (P=0.570). The baseline microhardness of the three subgroups within each group of GIC was not significantly different (P=0.456), but the baseline microhardness of conventional GIC was significantly higher than that of resin modified GIC (P=0.004). Conclusion: Bleaching with/without laser irradiation decreases the microhardness of GICs. The baseline microhardness of conventional GIC is higher than that of resin modified GIC.

In vitro dentin barrier cytotoxicity testing of some dental restorative materials

ObjectivesTo investigate the cytotoxicity of four dental restorative materials in three-dimensional (3D) L929 cell cultures using a dentin barrier test. MethodsThe cytotoxicities of light-cured glass ionomer cement (Vitrebond), total-etching adhesive (GLUMA Bond5), and two self-etching adhesives (GLUMA Self Etch and Single Bond Universal) were evaluated. The permeabilities of human dentin disks with thicknesses of 300, 500, and 1000μm were standardized using a hydraulic device. Test materials and controls were applied to the occlusal side of human dentin disks. The 3D-cell scaffolds were placed beneath the dentin disks. After a 24-h contact with the dentin barrier test device, cell viabilities were measured by performing MTT assays. Statistical analysis was performed using the Mann–Whitney U test. ResultsThe mean (SD) permeabilities of the 300-μm, 500-μm, and 1000-μm dentin disks were 0.626 (0.214), 0.219 (0.0387) and 0.089 (0.028) μlmin−1cm−2cm H2O−1. Vitrebond was severely cytotoxic, reducing the cell viability to 10% (300-μm disk), 17% (500μm), and 18% (1000μm). GLUMA Bond5 reduced the cell viability to 40% (300μm), 83% (500μm), and 86% (1000μm), showing moderate cytotoxicity (300-μm) and non-cytotoxicity (500-μm and 1000-μm). Single Bond Universal and GLUMA Self Etch did not significantly reduce cell viability, regardless of the dentin thicknesses, which characterized them as non-cytotoxic. ConclusionsCytotoxicity varied with the materials tested and the thicknesses of the dentin disks. Clinical significanceThe tested cytotoxicity of materials applied on 300-, 500-, and 1000-μm dentin disks indicates that the clinical use of the test materials (excepting self-etching adhesives) in deep cavities poses a potential risk of damage to the pulp tissues to an extent, depending on the thickness of the remaining dentin.

The effect of cusp capping with composite resin on fracture resistance of premolars with prepared endodontic access cavities: An in vitro study

Introduction: The purpose of this study was to evaluate the effect of remaining dentinal wall thickness and the effect of remaining cusp height of endodontically treated premolars when restored with composite resin. Materials and Methods: Ninety premolars were divided into 4 test groups (n = 20) and 2 control groups (n = 5). In all groups, except the negative control group (sound teeth), standardized endodontic access cavities were prepared, pulp extirpated, mesioocclusodistal (MOD) cavities prepared and access sealed with Light Cure Glass Ionomer Cement (LC GIC). Test groups were divided as:- Cusp reduction for Groups I and II- 2.5 mm and for Groups III and IV- 1.5 mm. Dentinal wall thickness for Groups I and III- 1-1.5 mm and Groups II and IV- 2-3 mm. The groups were further subdivided into Subgroup A, restored with P60 and Subgroup B, restored with Herculite Precis. Positive control- only access cavity with no cusp reduction and restoration. Fracture resistance was assessed using Universal Testing Machine (UTM). Results: Highest fracture resistance was demonstrated by Group VI and least by Group V. Groups VI, II and I, showed statistically insignificant difference for both the composites (P > 0.05). Groups III and IV showed statistically significant difference only for Subgroup B. Conclusion: When the cusp reduction was 2.5 mm, dentinal wall thickness had no effect on the fracture resistance, for both the composites. When the cusp reduction was 1.5 mm and the remaining dentinal thickness was 1-1.5 mm, Herculite Precis showed inferior results to P60.

Comparative evaluation of sealing ability of light cure glass ionomer cement and light cure composite as coronal sealing material: An in vitro study

Aim: To compare and evaluate the sealing ability of light cure composite and light cure GIC as coronal sealing materials. Materials and Methods: 30 extracted human teeth were divided into three experimental groups of 10 teeth each. The teeth in group I are obturated without coronal seal, teeth in group II are obturated with light cure GIC (3M ESPE VITREMER) as coronal seal and teeth in group III are obturated with light cure composite(3M ESPE filtek z250) as coronal seal, after removing 2mm of coronal gutta percha. These teeth (crown portion) are then suspended in methylene blue, sealed and kept for 72 hours, to observe the amount of dye penetration. After 72 hours teeth were removed, washed under running water, dried and sectioned longitudinally, separating buccal and lingual halves. The linear extent of dye penetration was measured from cavosurface margin of the access cavity to the most apical extent of dye penetration point. The length from the cavosurface margin to the apex of the tooth was also measured and percentage linear micro leakage was estimated. Statistical Analysis: Data was statistically analyzed using one-way ANOVA followed by Post-Hoc Multiple comparison (Bonferroni). Results: In the present study specimens in group I showed the maximum percentage of linear microleakage of 31.51 percent. The specimens in group II showed the minimal amount of linear micro leakage of 6.49 percent. Conclusion: It can be concluded coronal seal reduces the micro leakage, and light cure GIC has better coronal sealing ability.

Shear Bond Strength of Two Types of Glass Ionomer to Bleached Dentin: Effect of Delayed Bonding and Antioxidant Agent.

Background:Studies have shown a reduction in bond strength of composites and glass ionomer to bleached enamel and dentin. Several methods have been proposed to reverse compromised bond strength.Objective:The aim of this study was to evaluate the effect of delayed bonding and application of antioxidant agent on the bond strength of reinforced self-cured (Fuji IX) and light-cured glass ionomers (Fuji II LC) to bleached dentin.Material:Eighty extracted third molars were randomly divided into 8 groups. Buccal dentin surfaces received different treatments: Two control groups: no treatment + bonding Fuji IX or Fuji II LC. Two immediate bonding groups: bleaching + bonding Fuji IX or Fuji II LC. Two delayed bonding groups: bleaching + 7 days delay + bonding Fuji IX or Fuji II LC. Two sodium ascorbate application groups: Bleaching + application of 10% sodium ascorbate + bonding Fuji IX or Fuji II LC. All samples were tested for shear bond strength. Two-way analysis of variance (ANOVA) was used to compare the mean and standard deviations among groups, followed by the Tukey’s test for significant interaction.Results:No statistically significant difference was detected in shear bond strength of Fuji IX to bleached or normal dentin. Although a significant reduction was found shear bond strength values of Fuji II LC to bleached dentin, no significant difference was observed between no bleaching group and those treated with 10% sodium ascorbate or 7 days of delay in bonding for both types of glass ionomer.Conclusion:Bleaching had no significant effect on shear bond strength of Fuji IX to dentin; this type of GI can be used immediately after bleaching.

Evaluation of the leakage of bleaching materials through different bases into the root canal filling: an invitro study

AIM: The purpose of this study was to evaluate the leakage of bleaching agents through 3 different bases into the obturated pulp space and dentinal tubules in intra coronal bleaching. MATERIAL AND METHODS: Fifty-five freshly extracted, intact non-carious single rooted teeth were collected and stored in formalin until used. The specimen divided into experimental and control group. Experimental group were further subdivided into 3 subgroups on the base of cervical base materials. Group I was Type II GIC, Group II was Fuji II LC and Group III was Hybrid composite. The control groups was divides into negative group (received the bleaching agent and received complete external coating including access cavity) and positive control group (did not receive any external coating). The obturated pulp space were removed at a level of 3 mm below the cemento enamel junction and filled with dry cotton pellets and temporized with temporary cement, stored at ± 37°C and 100% relative humidity for five days, the bleaching material were placed in the pulp chamber (a paste of sodium perborate i.e. 0.15g and 30% hydrogen peroxide 0.05ml), and then stored for 3 days in an incubator. Later on the teeth were immersed in India ink dye and stored at ± 37°C and 100% relative humidity for 5 days. Specimens were examined under binocular microscope with a stage micrometer to analyze the degree of dye penetration. RESULTS: The minimal leakage values were observed with type II glass ionomer cement followed by light cure glass ionomer cement and lastly by hybrid composite. CONCLUSION: The present invitro investigation evaluated the microleakage observed with different cervical base materials during non-vital bleaching procedures.

Influence of chemical degradation and abrasion on surface properties of nanorestorative materials

Aim: The aim of this in vitro study was to investigate the synergistic effect of chemical degradation (erosion) and three-body abrasion (mechanical degradation) on the surface roughness (Ra) and hardness (KHN) of two nanorestorative materials and two conventional materials. Methods: Discshaped specimens (5 mm in diameter, 2 mm thick) of Filtek Z350TM and TPH SpectrumTM composites and Ketac NanoTM and VitremerTM light-curing glass ionomer cements, nanomaterials and conventional materials were prepared according to the manufacturer’s instructions. After 24 h, polishing procedures were performed and initial measurements of Ra and KHN were taken in all specimens. The specimens were divided into 12 groups (n = 10) according to material and storage media: artificial saliva, orange juice, and Coca-Cola®. After 30 days of storage, the specimens were submitted to mechanical degradation and re-evaluated for Ra and KHN. Data were tested for significant differences by repeated-measure three-way ANOVA and Tukey’s tests (p<0.05). Results: Erosion and abrasion wear significantly decreased hardness of all materials. Only Filtek Z350 roughness, however, was not affected by erosion and abrasion. All materials showed a significant increase in surface roughness after erosion and abrasion, except for Filtek Z350. After chemical and mechanical degradation, the KHN of all samples had decreased significantly. After mechanical degradation, the acidic drinks (Coca-Cola® and orange juice) were more aggressive than artificial saliva to all materials. Conclusions: A synergistic effect was observed by the increase in roughness for all materials, except for Filtek Z350; hardness values decrease for all materials, regardless of whether they were nanofilled or not. The RMGICs were more susceptible to degradation than the composites, considering both hardness and roughness surface parameters.

Longevity of posterior restorations in primary teeth: Results from a paediatric dental clinic

ObjectivesThe aim of this retrospective study was to evaluate the longevity of restorations in the posterior primary teeth of children attending to a public paediatric dental clinic and to test the factors associated with failures. MethodsPatient records of 329 children (162 boys and 166 girls) were used for collecting and analyzing data. A total of 565 restorations in primary teeth were included in the study. All children enrolled in the study were classified as high caries risk. The longevity of restorations from their placement until failure (up to 4 years of follow-up) was assessed using the Kaplan–Meier survival curves with log-rank test. Multivariate Cox regression analysis with shared frailty (p<0.05) was used to assess the factors associated with failures. ResultsUp to 4 years of follow-up, the annual failure rates were 9.5% for composite fillings, 12.2% for light-cured glass ionomer restorations, and 12.9% for conventional glass ionomer restorations with statistical difference between the materials (p=0.014). Glass ionomer restorations had a higher risk of failure over time compared with composites (HR 1.86, 95% CI 1.17–2.97). In crude analysis, Class II restorations showed lower survival rate than Class I restorations (p=0.031) but lost significance after adjustments. ConclusionsOur findings suggested that the material influenced the survival rate of primary posterior restorations, with composite presenting the best performance. Clinical significanceDifferences were observed between restorative materials with different properties in primary teeth up to 4 years of follow-up. This study provides valuable information regarding the primary teeth posterior restoration longevity in a paediatric population with restorations performed under daily life clinical environment.

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

Abstract Introduction Daily application of mouth rinses has been recommended for the prevention and control of caries and periodontal disease. Aims &amp; 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