[Enamel and dentin adaptation of a new adhesive system from the Pierre Rolland Laboratory].
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Biomedical subjects
Publications and source records attributed to L Scherman.
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The objective of this study is to verify if laser (CO2) preparation of dental tissues has an effect on the quality of the seal of composite fillings. Forty-eight cavities were filled with the Scotchprep/Scotchbond 2 system, using P 50 (3M) as filling material, following the clinical protocol of the system; 40 cavities had previously been treated with a CO2 laser Sharplan 1020 (SBM). The teeth were thermocycled (240 cycles 4 degrees C/55 degrees C), then placed in a 0.5% basic fuschine solution for 48 hours after isolation of the root dentin. After inclusion and section, the penetration of the coloring agent was examined at the interface tooth-filling. This was followed by examination of the interface composite-tooth with the Scan Electronic Microscope. In order to visualize a possible alteration of the dentinal seal, 4 cavities treated with laser were placed in a 0.5% basic fuschine solution for 48 hours after isolation of the root dentin. Four reference cavities were cut with a diamond bur on a high speed handpiece. The following results were obtained: 1) the dentinal permeability of the laser-treated samples increases markedly in comparison with the reference group. 2) the filling-tooth junction of the laser-treated samples were never dye-tight (contrary to the reference samples). 3) fissures were created in the enamel and the dentin. The Scan Electron Microscopy confirms these results.
The porosity and the leakage properties of 13 temporary fillings used between each appointment during endodontic treatment were investigated by means of thermocycling and dye staining of the interface between the teeth and the filling material. A scanning electron microscope was also used for these observations. The 8 commercially produced temporary fillings seal adequately the cavity whereas the 5 materials prepared and mixed by the practitioner allowed wide staining diffusion and therefore were leaky.
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The smear layer is a debris-ladden layer, adhering firmly to the hard tissues of the tooth. It plays a major role in the different adhesive systems. An update of the recent knowledge on smear layer will be done in this article. When the carious lesion is removed, a microscopic debris-ladden layer forms at the level on the enamel and the dentine. This layer of materials is extremely adherent to the dental structure, and will come in between the hard dental tissues and the filling materials. In this article different studies were reviewed on the formation, structure and physiology of the smear layer. Consequences of this smear layer's removal on the pulp are discussed. A small study of different adhesive systems is conducted.
Marginal staining is the major cause of failure of composite resin restorations. The following reasons were incriminated: The nonrespect of the integrity of the cavity limits during cavity obturation, as for instance, when a simple bevel is made. The appearance of fractures or composite bond strength failures during polishing procedures. This phenomenon can be enhanced by the use of composite finishing knives (KOMET) and by overfilling the cavity.
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