Risk Of Staining Research Articles

Is surface roughness of direct resin composite restorations material and polisher-dependent? A systematic review.

Direct resin composite bonding offers a highly esthetic, minimally invasive option for the treatment of anterior teeth however the challenge to improve their longevity remains. Direct resin composite restorations are limited by the risk of staining which may be influenced by the final surface roughness (Ra) of composite achieved. The purpose of this review is to investigate, using a systematic approach, whether the final surface roughness of anterior composite restorations is affected by the interaction between resin composite and polishing systems. The review was conducted by 3 independent reviewers and included articles published up to January 21, 2021. Three electronic databases were searched: Medline, Embase, and Web of Science. Studies assessing a quantitative effect of polishing methods on the Ra of direct composite resin materials published after the year 2000 and restricted to the English language were included. The database search for the effect of polishing systems on composite materials retrieved 125 eligible studies. Twelve duplicate records were removed. The resulting records were screened using title and abstract leading to 38 reports which were sought for retrieval. Application of eligibility criteria led to 11 studies included in the review. Hand searching of these studies yielded no additional papers. There is insufficient evidence to determine whether combination of composite and polisher influences final Ra. More research is required to determine if there is an optimum combination of polisher and composite. Polishing should be completed following planned finishing procedures. The approximation to the final surface and which finishing burs to use, if any, should be considered when planning a restoration. Durafill VS predictably achieves an acceptable Ra by different polishers.

Condition of hard tissues of teeth and oral fluid in athletes-swimmers

Objective: to determine the state of dental hard tissues and saliva parameters changing in competitive swimmers, before and after a 2­hour training session in the chlorinated water swimming pool.Materials and methods: saliva parameters of competitive swimmers trained in the sport club “Grifon”, city of St. Petersburg, Russia (n = 21), age of participants 18.1 ± 3.5 years, qualifications (1 category­Master of Sports) and track and field athletes of the sports schools “Nevsky district” and “Orlyonok”, city of St. Petersburg, Russia (n = 18), age of participants 18.80 ± 4.54 years, qualifications (1 category — Master of Sports), have been analyzed by various tests include a study of calcium (Ca), phosphorus (P), fluorine (F) levels, and pH before and after training sessions. All athletes in the experimental and control groups have passed an examination by dentist, including: examination of the oral cavity with the determination of the KPU index (the sum of carious, filled and removed permanent teeth in the subject), examination of the most common places of occurrence of dental enamel erosion (medical binoculars) and filling out specially designed questionnaires.Results: there was a tendency to decrease of the average saliva pH in competitive swimmers’ group after a training session, varying from 6.9 ± 0.1 (before training) to 6.5 ± 0.1 (after training) (p > 0.05). In track and field athletes, saliva pH did not change significantly (7.1 ± 0.2 before training and 7.0 ± 0.1 after training) (p < 0.05). The competitive swimmers showed a statistically significant increase in Calcium (Ca) levels (1.25 ± 0.15 mmol/L before exercise and 1.56 ± 0.11 mmol/L after exercise) and Fluorine (F) (0.0010 ± 0.0003 mmol / L before exercise and 0.0090 ± 0.0004 mmol / L after training session) in saliva. The Phosphorus (P) level in saliva was significantly reduced after the training session (from 6.09 ± 0.39 to 3.89 ± 0.46 mmol / L) (p > 0.05). In track and field athletes, there were no significant changes in Ca, F and P levels before and after a training session. As a result of the dentist’s examination, competitive swimmers were found to have 3 athletes (14.3 %) with lesions of the teeth enamel, corresponding to dental erosion and caused by localized demineralization. In the control group of athletes, no such pathologies were revealed.Conclusion: discovered saliva parameters changing in competitive swimmers (decrease in free salivation, pH level, and increase in the level of Ca and F in saliva) can contribute to the demineralization of tooth enamel. Timely and controlled use of fluorides (as part of mouth rinses, application gels, fluoride varnishes), regular preventive dental examinations, in order to prevent the loss of mineral composition of the teeth when swimming in chlorinated pools, will minimize the risk of staining and dental enamel erosions.