Resin Restorations Research Articles

Evaluation Of Commonly Treated Mandibular Teeth With Preventive Resin Restoration Among Children With Mixed Dentition

Evaluation Of Commonly Treated Mandibular Teeth With Preventive Resin Restoration Among Children With Mixed Dentition

Evaluation Of Commonly Treated Mandibular Teeth With Preventive Resin Restoration In Children With Permanent Dentition

Evaluation Of Commonly Treated Mandibular Teeth With Preventive Resin Restoration In Children With Permanent Dentition

Influence of the resin-coating technique on the bonding performance of self-adhesive resin cements in single-visit computer-aided design/computer-aided manufacturing resin restorations.

This in vitro study investigated the influence of resin coating on the bonding performance of self-adhesive resin cements in single-visit computer-aided design (CAD)/computer-aided manufacturing (CAM) resin restorations. CAD/CAM resin (1.5-mm thick) was mounted on 20 noncoated and 20 resin-coated human dentin surfaces using dual-cured self-adhesive resin cements (Panavia SA Cement Plus or Panavia SA Cement Universal, Kuraray Noritake Dental) in either self-curing or dual-curing mode. These specimens were sectioned into beam-shaped sticks and subjected to microtensile bond strength tests after 24 h of water storage. The obtained data were statistically analyzed with three-way analysis of variance (ANOVA) and t tests (α=0.05). The three-way ANOVA results revealed the significant influence of resin coating, resin cement, and curing mode. Resin coating and light curing led to higher bond strengths in almost all groups. Resin-coated dentin with Panavia SA Cement Plus exhibited a mean bond strength greater than 35 MPa in both self-curing and dual-curing modes. In single-visit CAD/CAM resin restorations, resin coating, resin cement selection, and curing mode influenced the bonding performance of self-adhesive resin cements. In addition, resin coating and light curing increased the bond strength of self-adhesive resin cements. Resin coating and light curing are encouraged for predictable bonding performance of dual-cured self-adhesive resin cements in single-visit CAD/CAM resin restorations.

MICROABRASÃO DO ESMALTE

Enamel defects are described as changes in its structure characterized by local decrease or loss of its translucency from fluorosis, hypocalcifications, hypoplasias and inactive carious lesions with superficial and medium depth. The microabrasion of enamel selectively promotes the removal of its surface layer that presents color or structure modification through a mixture of abrasive and erosive agents mechanically. The association of these agents exposes a sub-layer of enamel with normal characteristics. This procedure can be used alone or associated with one or more aesthetic treatments, such as tooth whitening and composite resin restorations. Objective: to approach the microabrasion technique applied in dental enamel with changes in color and structure. Methodology: a non-systematic review of the scientific literature, published from 2009 to 2019, was carried out in the Virtual Health Library and in the academic Google. The inclusion criteria were articles in Portuguese and English, published in the last 10 years, that addressed the proposed theme. Conclusion: Dental microabrasion is a good alternative for aesthetic treatment for changes in the superficial structure of dental enamel, fluorosis and hypoplasia, because it wears little dental structure, restores aesthetics, does not cause damage to the pulp or periodontal tissues, requires little treatment time, does not require cavitary preparation, nor restorative material and is low cost. Aesthetic dissatisfaction is a concern of patients of all ages and the diagnosis of dental fluorosis should be the result of careful anamnesis and it should be taken into account that the etiology may be of various origins.

Temperature Rise at the Pulp-Dentin Junction for a Multi-Layered Composite Restoration using the Finite Element Method

Objectives: During the light-curing process of composite restoration, excessive heat can be produced, which can potentially lead to pulp necrosis (death). In this study, we aimed, based on the Finite Element Method (FEM), to assess the risk of pulp damage during the light-curing process by investigating the influence of light-curing devices, under various irradiation regimes, on the temperature increase at the pulp-dentin junction, during a one-layer or multi-layered deep composite restoration. Methods: A Three-dimensional finite element method model of typical geometry and material properties, as commonly reported in the literature, was employed in COMSOL Multiphysics simulations in order to determine the temperature increase in the pulp. Various combinations of light intensities, durations, and irradiation regimes were investigated for the two cases, of shallow and deep multi-layered composite restoration. Results: Results of light-curing composite resins within enamel; indicate that the temperature rise during the curing process was within the safety margins. Results of light-curing composite resin restorations closer to the pulp with thin remaining dentin, indicate a temperature increase that could be sufficient to cause thermal injury in the pulp. Modulating the light output marginally, reduced the temperature rise while reducing the intensity and increasing the curing duration which was consistently more effective in this respect. Conclusion: The results clearly demonstrate that with currently adopted standard procedures, there exists a risk of thermal injury during multi-layered composite restorations with thin remaining dentin; it is thus important to establish appropriate curing regimes that would lead to minimal temperature increase during deep composite restorations and hence reduce the risk of thermal injury to the pulp.

The Thickness and Opacity of Aesthetic Materials Influence the Restoration of Discolored Teeth.

This study aimed to evaluate the influence of thickness and opacity on the ability of composite resin and ceramic veneer restorations to mask discolored teeth. Ninety veneers were made of lithium disilicate ceramic, shades BL1 and 0 (IPS e.max Press, Ivoclar Vivadent), and 60 were made of composite resin, shade BL-L (IPS Empress Direct, Ivoclar Vivadent). The veneers measured 4 mm in width x 4 mm in length and had a thickness of 0.7, 1.0, or 1.2 mm. One hundred and fifty human premolars were selected to obtain 150 dental fragments with the following dimensions: 4 mm x 4 mm x 3 mm (width x length x thickness). The fragments were discolored, submitted to color measurement and randomly assigned to 15 groups (n=10) according to the type and opacity of the restorative material (IPS e.max Press: high translucency [HT], low translucency [LT], and medium opacity [MO]; IPS Empress Direct: dentin and enamel) and thickness of the veneers (0.7, 1.0, and 1.2 mm). After cementation of the ceramic or composite resin veneers using a translucent resin cement (RelyX veneer, 3M), a final color measurement was taken from each specimen and the total color variation (ΔE) was calculated by subtracting the initial and the final color measurement. The final lightness (L*) of the restored dental fragments was also calculated. The highest ΔE values were observed for the LT and MO ceramic groups, followed by dentin composite resin. Regarding the different thicknesses of ceramic veneers, every 1.2-mm-thick group had higher values of ΔE, considering their respective opacities (p<0.05). The highest lightness values were found for the LT and MO ceramic veneers (thickness of 1.2 mm). Dentin-shade composite resins showed similar lightness values in all groups. The best thickness/opacity combinations for masking discolored dental substrates were LT and MO ceramic veneers with 1.2-mm thickness. Dentin-shade composite resin veneers with a thickness of 0.7-1.0 mm showed good ability to mask discolored dental substrates.

Biomechanical Assessment of the Influence of Inlay/Onlay Design and Material on Stress Distribution in Nonvital Molars

AbstractObjectives The aim of this study was to evaluate the influence of inlays/onlays with or without pulp extension from different materials on stress distribution in endodontically treated molars by three-dimensional finite element analysis (3D FEA).Materials and Methods We used 3D mandibular molar models in this study. The models represented mesio-occluso-distal (MOD) cavities restored by inlays, onlays that covered buccal cusps, and onlays that covered all cusps with pulp extension (modified inlay/onlay) or without pulp extension (conventional inlay/onlay). Three materials (L: lithium disilicate glass-ceramic, P: polymer-infiltrated ceramic network [PICN], and C: nanofilled composite resin) were utilized. A force of 600 N was applied vertically and obliquely. Stress distribution in FEA models was analyzed using the von Mises theory.Results The results revealed that an oblique load generated higher stresses than vertical load. Composite resin restorations transmitted almost all the stress to the neighboring tooth structures, while lithium disilicate ceramic restorations absorbed most of the stresses. Moreover, modified inlays and onlays with pulp extension proved better than conventional inlays/onlays in terms of stress redistribution in dental structures. Onlays showed a better pattern of stress distribution than inlays within the restoration and the restored tooth.Conclusions According to stress distribution in dental structures, modified lithium disilicate ceramic onlays with pulp extension have been found to be the best choice to restore endodontically treated molars among the studied restorations.

Management options of early childhood caries.

Data sources The review searched for articles via Medline up to March 2019 for English language papers only.Study selection Two authors screened the reviews initially against the inclusion and exclusion criteria. Discrepancies were discussed with all authors for the final decision. Due to a low number of higher-level studies on non-operative caries management (NOCM; excluding silver diamine fluoride [SDF]), studies other than randomised controlled trials, systematic reviews and meta-analyses were included to allow some collation of evidence for an overview to be gained.Data extraction and synthesis Data extracted included setting, participants, focused question, search results, comparators, main outcomes and conclusion. Data for SDF was collated separately to other NOCM due to the higher level of evidence and its use in cavitated lesions as well as non-cavitated carious lesions.Results Five systematic reviews investigated SDF use. All the reviews demonstrated SDF to be an effective management tool for arresting early caries. Ten studies looked at NOCM, which showed fluoride varnish has a moderate effect on arresting carious lesions, but the evidence was of low level. For restorative approaches, a low level of evidence showed resin restorations to have a higher failure rate than composite strip crowns, regardless of general anaesthesia, and more so than stainless steel or zirconia crowns.Conclusions SDF is an effective tool in the management of early childhood caries.

Utilizing Dahl Concept and Composite Build-Up for Anterior Tooth Surface Loss

This case report describes the technique of composite build-up for tooth surface loss using direct composite resin restoration. This technique has the advantages of being conservative while improving aesthetics and restoring function for the patient.

The impact of glass ionomer cement and composite resin on microscale pH in cariogenic biofilms and demineralization of dental tissues

ObjectiveSecondary caries is among the most frequent reasons for the failure of dental restorations. Glass ionomer cement (GIC) restorations have been proposed to protect the surrounding dental tissues from demineralization through the release of fluoride and by buffering the acid attack from dental biofilms. In contrast, the lack of buffering by composite resin (CR) restorations has been suggested as a promoting factor for the development of secondary caries. MethodsThe present study employed transversal microradiography and confocal microscopy based pH ratiometry to quantify mineral loss and map microscale pH gradients inside Streptococcus mutans biofilms grown on compound specimens consisting of enamel, dentin and either GIC or CR. ResultsMineral loss in dentin was significantly lower next to GIC than next to CR, but no significant differences in local biofilm pH were observed between the two restorative materials. SignificanceThe cariostatic effect of GIC relies predominantly on the provision of fluoride and not on a direct buffering action. The lack of buffering by CR did not affect local biofilm pH and may therefore be of minor importance for secondary caries development.

The Effect of Three Polishing Systems on the Surface Rugosity of One Composite Resin

Direct restorations in composite resin require superficial rugosity appropriate to guarantee a surface free of biofilm buildup, which interferes with the durability of the restoration, its properties and the aesthetic aspect. Thus, it is relevant to know the behaviour of the finishing and polishing systems. The in vitro study aimed to compare the polishing efficiency of three different polishing systems in promoting the surface smoothness of a nanocomposite resin. Sixty specimens of the nanocomposite resin Filtek Z350 XT (3M) were made, randomly divided into three groups (n=20), according to the tested polishing systems: Enhance (Dentsply), DFL Polishers, and Sof-Lex Spiral (3M). The surface rugosity of the samples was measured by means of the rugosimeter equipment. The data were analysed through statistical tests: ANOVA two-way and post-hoc Tukey. The results indicated Sof-Lex (3M) polishing discs as the ones with the lowest average surface rugosity (0.13µm), presenting statistically significant results (p&lt;0.05); followed by the abrasive rubbers of the DFL system (0.17 µm) and the Enhance system (Dentsply), which showed greater average surface rugosity (0.30 µm). The lowest surface rugosity of the composite resin evaluated in this study (Z350 XT- 3M) was obtained after polishing with the multi-step system (Sof-Lex), from the same manufacturer.

What is the clinical evidence of Bulk Fill resins performance of in primary and permanent teeth? a systematic review and meta-analysis

With the increasing acceptance of the clinical use of bulk-fill resins, it is necessary to investigate the in vivo performance of these restorative materials. In this perspective, this systematic review to evaluate the clinical performance of Bulk-fill resins in restorations of vital, primary and permanent posterior teeth. PubMed, Cochrane, Scopus, LILACS, BBO and Capes publications search base were searched without restriction regarding the year of publication or language of the article. The inclusion criteria were clinical trials that evaluated the efficacy of resins composed of bulk-fill compared to the incremental technique. For the selection of articles and data extraction, two calibrated evaluators evaluated abstracts and complete articles. A total of 1443 abstracts were identified, of which 14 articles were included in the review. Of these, 01 was classified with a high level of evidence; 08 were moderate and 05 with a low level of evidence. The studies presented an average follow-up of the restorations of 35.1 months. A large part of the studies (75%) demonstrated that the occurrence of postoperative sensitivity. The high failure rate was more prevalent in class II restorations. The marginal adaptation/color change was material dependent and the occurrence of secondary caries in bulk-fill resin restorations was not significant concerning conventional resins in most studies. In the short term, the satisfactory clinical performance of bulk-fill resins used in primary and permanent restorations, with clinical outcomes and results equivalent to conventional composite resins were observed.

Repair of teeth with cracks in crowns and roots: An observational clinical study.

This retrospective observational study investigated the survival rate of teeth with radicular cracks that were restored using composite materials. The study was approved by the Ethical Committee of Sistema Sanitario Nazionale (prot. N°2370CELazio1), Clinicaltrials.gov identifier: NCT04430205. Between 1991 and 2019, 87 teeth with radicular cracks (87 patients [46 men, 41 women, mean age 50.2years]) were treated with adhesive composite restorations. Forty-five cracks were observed in the maxillary posterior teeth (molars and premolars), 40 in the mandibular posterior teeth and only two cracks in the anterior teeth, both in maxilla. Based on the depth of the crack, teeth were categorized as proximal radicular cracked teeth (PRCT), in which the fracture line was restricted within the pulpal floor or the coronal one-third of the root and deep radicular cracked teeth (DRCT), in which the fracture line extended to the middle and apical thirds of the root canal up to the apex. Bone loss/recovery was evaluated radiographically at 1-year follow-up. All patients were treated using surgical microscopy by the same operator. Logistic regression analysis was performed to determine independent predictors of extraction. Kaplan-Meier survival curves were used to analyse PRCT and DRCT. Among 87 cracked teeth, 66 were molars, 19 premolars and 2 incisors. Fifty-two were DRCT, 35 were PRCT, 46 had a periodontal probing defect. Patients were followed up for a mean of 66.9months (standard deviation 44.6, min 1 to max 172). Lack of probing depth was a significant protective factor against extraction (odds ratio [OR] 0.027, 95% confidence interval [CI] 0.003-0.27, p<.05), whereas further bone loss (OR 10.63, 95% CI 2.08-54.36, p<.05) was a risk factor for extraction. More than 50% of teeth treated with the adhesive protocol were functional (46 of 87 teeth [χ2 test], p<.05) at 5-year follow-up. Among the PRCT group, a 78% survival rate at 5years was found, while among the DRCT group, a 58% survival rate was found. Composite resin restorations resulted in tooth survival in >50% of patients; 85.4% of PRCT and 61.5% of DRCT were functional after 5years of follow-up.

Direct composite resin fillings versus amalgam fillings for permanent posterior teeth.

Direct composite resin fillings versus amalgam fillings for permanent posterior teeth.

A cost-effective technique for fabricating a dentoform by using a complete digital workflow

Direct posterior composite resin restorations are a routine procedure and represent a large part of the restorative work in daily practice1; surprisingly, their complexity may be underestimated by many clinicians. This highly skill-dependent treatment requires well-defined layering protocols and practice by the dentist to make it more predictable and time-efficient,2-5 but many dentists do not invest in perfecting the procedure.6

COMPOSITE RESIN RESTORATION WITH FIBER REINFORCED COMPOSITE AFTER ROOT CANAL TREATMENT OF NECROTIC PULP TOOTH WITH GUMBOIL

Gumboil is inflammation reaction in the gum caused by pulp infection. Gumboil is seen as an oral lesion characterized by a soft erythematous papule where a periapical abcess is draining into the oral cavity. An adequate root canal treatment can cure gumboil and remove bacteria from the root canal. To support the success of root canal treatment, final restoration used in this case is composite resin restoration with reinforcing fiber (short fiber reinforced composite). The purpose of this treatment was to restore the functions of tooth in mastication and preserving the supporting tissue. A female patient age 23 years old came with complaints of pain in the lower right mandibular molar accompanied by swelling of the gums around the teeth since a week ago. Swelling is intermittent since last 3 months. The tooth have been restored for about 3 years ago. Clinical examination showed a positive percussion, positive palpation, negative vitality, and negative mobility. Radiographic examination showed bifurcation and periapical lesions. Root canal treatment is performed with crown down preparation technique and followed by direct composite resin restoration with short fiber reiforced composite. The success of root canal treatment followed by composite resin restoration with short fiber reinforced fiber is marked by the absence of complaints as well as the dissappearance of gumboil.

The Effects of Manual and Powered Brushing with a Tooth Brush on Surface Roughness Alteration of Different Resin and Glass Ionomer-based Restorative Materials: An In Vitro Study

The Effects of Manual and Powered Brushing with a Tooth Brush on Surface Roughness Alteration of Different Resin and Glass Ionomer-based Restorative Materials: An In Vitro Study

Impact of Different Fiber Reinforcement on Flexural Strength, Fracture Toughness and Abrasive Resistance of Provisional Restorative Resin

Aim: To assess and compare the impact of reinforcement of PMMA with glass fibre, polyethylene fibre and carbon fibres on flexural strength, fracture toughness and abrasive resistance. Background: In view of inadequate mechanical and physical characteristics of PMMA which include low impact strength and low surface hardness and resulting lowered clinical performance of the prosthesis, the study was designed to investigate the impact of reinforcement of PMMA with glass, polyethylene and carbon fibers on flexural strength, fracture toughness and abrasive resistance. Methods and Findings: Rectangular specimens (n=120; 30 each from 4 groups; 65 × 10 × 3.3 mm3) were fabricated and loaded on Universal Testing Machine until fracture for flexural strength and fracture toughness and on Taber Abrasive Tester for abrasive resistance. Data were analyzed using one–way ANOVA followed by Post Hoc test - Bonferroni multiple comparison analysis, using significance level of 0.05. Significant increase in fracture toughness was observed in specimens reinforced with polyethylene and carbon fiber, albeit the values of flexural strength were increased insignificantly. Specimens reinforced with glass and carbon fiber had significantly low values of abrasive resistance. Conclusion: Findings indicate that reinforcement of PMMA by non-specific fibers like glass, polyethylene and carbon resulted in significant increase in fracture toughness and decrease in abrasive resistance.

Parafunctional habits and their relationship with fractures of composite resin restorations

Parafunctional habits are characterized by the repetition of acts that are not related to the normal functions of the stomatognathic system. This research aims to verify the parafunctional habits practiced, perceived and reported by patients and to verify the relationship with the fractures of direct composite resin restorations. Information from 205 patients, seen at the University Dental Clinic of the State University of Londrina, was collected. After data collection, a survey and synthesis of reported parafunctional habits was performed and correlated with the fracture of composite resin restorations. The information and data were tabulated and analyzed using descriptive statistics, COUNTIF function, and the results were expressed in tables. The most frequent parafunctional habits were bruxism, followed by onychophagia, occurring in greater quantity in females. A greater number of fractured restorations were found in patients with parafunctional habits. Among the parafunctional habits verified, it was concluded that bruxism was the most frequent, related mainly to the fracture of class V restorations.

In vitro study of bond strength at the resin/brackets interface in first premolars using orthodontics resins and restorative resins

The shear bon strength (SBS) to brackets to the teeth, is necessary strength to resist orthodontic movements, mastication forces induced by food and other forces. The retention mechanism of the bracket base, the preparation of dental and the adhesive material affecting the adhesion between the metal brackets and tooth enamel. Therefore, the purpose of this study is to investigate different systems adhesion; Z100 (3M Unitek, USA), Transbond XT (3M Unitek, USA) and Trulock (RMO, USA) on the shear bond strength of brackets to the enamel. 135 first human premolars, mounted on an acrylic base, were divided into 3 groups of 45 pieces each. They are prepared following the same protocol and a same type of metal brackets bonded, light activated for 40 s, and stored. SBS was performed in an Instron at crosshead speed of 2.0 mm/min. Data were submitted to the Student t test. The Adhesive Remaining Index (ARI) was evaluated. The is no statistical difference between 3 groups. The ARI showed a predominance of scores 2 and 3 for all groups. It is possible conclude that Z100 restoration resin can be used to the adhesion of the orthodontic brackets.