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Dentin adhesive superior to copal varnish in preventing microleakage in primary teeth.

Microleakage presents a major challenge to the success of all restorations placed in the oral cavity, resulting in postoperative sensitivity, pulpal irritation, and secondary caries formation. The objective of this study was to evaluate the effects of an adhesive cavity liner under amalgam restorations in primary teeth. Sixty class V amalgam restorations were placed on the buccal and/or lingual surfaces of 38 primary molars and canine teeth. A dentin adhesive cavity liner was placed under 20 of the amalgam restorations. Another 20 restorations were lined with copal cavity varnish prior to amalgam condensation. The remaining 20 had no liner. All teeth were thermocycled in 0.5% basic fuschin dye, sectioned, and examined under a stereomicroscope to evaluate microleakage. While all specimens demonstrated leakage around the margins of the restorations, only the teeth with adhesive resin liners prevented leakage into the dentinal walls of the restoration. The copal cavity varnish group displayed microleakage approaching the pulpal chamber, whereas the unlined specimens consistently displayed dye penetration into the pulp chamber. At P < 0.01, the use of an adhesive cavity liner under amalgam restorations in primary teeth resulted in significantly less microleakage.

Adhesives↗

Microleakage of endodontically treated teeth restored with prefabricated posts and tooth-colored restorative materials.

This study evaluated the microleakage of endodontically treated teeth restored with prefabricated dowels and tooth-colored restoratives (Solitaire, Surefil, Filtek P60, Admira, Z-100) as core materials with and without the use of a flowable composite liner. A total of 200 extracted premolars were endodontically treated and prepared for post-core restorations. Prefabricated posts were inserted and cemented with resin cement into the root canals. Each resin system included the corresponding bonding agent for each respective flowable composite. For each group, half of the teeth were restored with composite alone, while the others were restored with the composite lined with flowable liner. Teeth were thermocycled for 1,000 cycles between 5 and 55 degrees C using a 30-second dwell time. The teeth were then coated with nail polish, placed in 5% methylene blue for 24 hours, sectioned, and scored for microleakage. Flowable liners reduced microleakage. Z-100 both with and without flowable liner demonstrated better resistance to leakage. Solitaire, Admira, and Filtek P60 showed more leakage than the other materials.

Bicuspid↗

A comparison of amalgam microleakage with a 4-META liner and copal varnish.

This in vitro study compared the microleakage of Class 5 amalgam restorations placed in extracted human teeth lined with a 4-META liner (Amalgambond), with similar restorations lined with copal varnish (Copalite). The restored teeth were stored in saline for 1 week, 6 months, and 1 year, then thermocycled, stained with 5% methylene blue, sectioned, and viewed using a light microscope. It was found that at 1 week and 6 months the 4-META group leaked significantly less than the copal resin group, but after 1 year there was no significant difference between groups.

Dental Alloys↗

Effect of water spray on lining materials and their adhesion to composite and dentin cavity walls.

The effect of an air-water spray on the adhesion of lining materials to both overlying composite restorations and cavity walls was evaluated. An in vitro study was performed on extracted molar teeth: Two resinous light-cured liners and one calcium hydroxide, chemically activated liner were compared. Teeth were restored with composite materials and subjected to cyclic thermal changes so that microleakage could be evaluated. Results indicated that adaptation between the restorative material and the liner was effective, regardless of whether the oxygen-inhibited layer was removed by being rinsed. A definite gap was detected between the liners tested and the dentin cavity walls.

Acrylic Resins↗

Critical analysis of an experimental set-up generally used for the permeability evaluation of dental lining material.

The diffusion constants of iodide through dentine membranes were determined. The DI-values were within the range generally obtained by other investigators. When the estimation of the diffusion coefficient through a well defined polycarbonate membrane was calculated the value was strongly affected by the diffusion through the unstirred diffusion layer. By using such an experimental approach it seems necessary to develop a new cell equipped with a double stirring system (one in each compartment) in order to reduce strongly the thickness of the unstirred diffusion layer.

Dental Cavity Lining↗

The rate of OH- ion release from lining materials containing calcium hydroxide.

Four light-cured calcium hydroxide and three chemically cured resin-based lining materials were compared for hydoxil ion (OH-) release. Results indicated that the chemically cured calcium hydroxide cements were capable of OH- release for a longer period than the light-cured resin bases. Alkaliner (a chemically cured liner) produced and maintained the highest alkaline environment in the long-term, whereas calcium fluoride liner and Basic-L (both resin-based) showed the lowest values of OH- ion release.

Analysis of Variance↗

Calcium hydroxide pulpotomy with a light-cured cavity-sealing material after two years.

In this follow-up study a light-cured glass ionomer lining cement was evaluated as a cavity-sealing material in calcium hydroxide pulpotomies in primary molars after one and two years. The pulpotomy dressing was a suspension of pure calcium hydroxide with either tap water or sterile saline. The success rate of the pulpotomies after one year was 87.7 percent and after two years 80.4 percent (clinically and radiographically). This result was only influenced by the type of restoration (amalgam versus stainless steel crown). The results of the present investigation compare favorably with those of other published studies of pulpotomy of primary molars using calcium hydroxide as the wound dressing.

Calcium Hydroxide↗

Complete marginal seal of Class V resin composite restorations effected by increased flexibility.

The use of adhesive resin composites for restoration of Class V lesions often results in cervical marginal gap formation due to polymerization contraction. In this laboratory study, flexible linings applied between the bonding agent and the bulk restorative appeared to preserve the marginal integrity of Class V restorations during curing. Measurements of the polymerization contraction stress showed 20 to 50% relief due to various flexible intermediate materials. Apparently, reduction of the total stiffness by application of an intermediate layer can render the total restoration sufficiently flexible to compensate for that part of the stress that would otherwise exceed the bond strength.

Animals↗

Fracture strength of fragment-bonded teeth. Effect of calcium hydroxide lining before bonding.

PURPOSE: To measure, in vitro the strength of intact teeth, fracture-bonded teeth, and fracture-bonded teeth bonded after a preliminary calcium hydroxide lining of the dentin part of the remaining tooth. MATERIALS AND METHODS: The study used 30 young, similarly aged sheep incisors. Twenty incisors were fractured 2.5 mm from the incisal edge and another 10 incisors remained non-fractured and served as control (Group 1). Group 2 comprised 10 fractured incisors, which after 3 weeks water storage were bonded by use of acid etching and a dentin bonding agent. In Group 3, the root part of 10 fractured incisors were lined with calcium hydroxide and kept in water for 3 weeks. Then the lining was removed with a hand instrument before bonding as above. The strength of the teeth in Groups 1-3 was measured and the mean fracture strengths representing the three groups were compared by Newman-Keuls' multiple range tests at a 5% level of significance. RESULTS: The mean fracture strength of the lined teeth (9.6 MPa) was significantly different from that of intact teeth (17.8 MPa) as well as from that of the bonded but unlined teeth (15.8 MPa). The latter two means were not significantly different. It is concluded that the use of calcium hydroxide on the fracture surfaces of fractured teeth before bonding lowers the fracture strength of the restored teeth.

Acid Etching, Dental↗

[Action of etching acid on lining materials].

A review was made of the literature concerning intermediate materials for composite resin fillings and the possibilities of ortho-phosphoric acid infiltration. An experimental study was aimed at evaluating the damages caused by the acid action of the etching material on various type of base materials used. In conclusion, various procedures are suggested for composite resin restoration in order to avoid the risks of lesions of the pulp-dentin organ.

Acid Etching, Dental↗

Physical properties of calcium hydroxide and glass-ionomer base and lining materials.

Compressive, diametral tensile and flexural strengths, moduli of elasticity, pH, and acid solubility values were compared for six calcium hydroxide cements, seven glass-ionomer cements, and one calcium aluminate cement. Results indicated that the glass-ionomer materials were generally stronger than the calcium hydroxide liners. Prisma VLC Dycal showed the lowest value for modulus of elasticity and the least acid solubility. The glass-ionomer materials were initially acidic, reaching a final pH between 5.4 and 7.3, whereas the calcium hydroxide and calcium aluminate cements were strongly alkaline at all time intervals.

Calcium Hydroxide↗

Comparative evaluation of the role of NaF, APF & Duraphat topical fluoride applications in the prevention of dental caries--a 2 1/2 years study.

The study was conducted on 1251 6-12-year-old children, to evaluate the effect of topical application of NaF, APF and Duraphat given at six monthly interval assessed after 2.1/2 years revealed the percentage caries reduction with sodium fluoride to be in the range of 20-24 percent on base line teeth and 30-33 percent on teeth erupted during study, showing more effect on newly erupted teeth. In APF group, the caries reduction was 32-37 percent, in the DMFT and DMFS-slightly more on teeth erupted during study than on baseline teeth. The dental caries reduction with Duraphat (NaF varnish) was in the range of 70-75 percent-slightly more on newly erupted teeth. Equally high degree of efficacy was also noted on occlusal surfaces. Duraphat showed the greatest public health potential.

Acidulated Phosphate Fluoride↗

A lining system for composite resin fillings.

Microleakage at the margins is a major problem with composite resin fillings. This study was performed to determine whether a liner that expands on contact with water could prevent leakage. A microfilled composite resin that has a high rate of contraction (taking place while curing) was used in class V cavities of extracted teeth. An experimental liner containing aluminosilicate crystals was painted on the dentin walls before insertion of the filling material. The specimens were thermocycled and sectioned. Class V fillings were also placed in the teeth of beagles. The teeth were extracted after 14 weeks. The depth to which the dye penetrated was measured microscopically. Results showed that the expanding liner almost completely prevented penetration of the dye in both in vitro and animal experiments.

Adolescent↗

The interaction between lining materials and composite resin restorative materials.

The effects of four lining materials, Dycal, Procal, Cavitec and Poly F cement on Adaptic and Concise have been investigated in vitro. The parameters studied were surface roughness, hardness and colour both with and without an intermediate (or bonding) resin being present between the restorative material and the liner. The effects of the four liners on the composites varied both between the lining materials themselves and with the composite resin. Two materials, Procal and Dycal, had little interaction with the composites, provided an intermediate resin was used with the latter. Cavitec appeared to have an adverse reaction with the composites and Poly F, whilst having no effect on the colour of the composites, did increase surface roughness. The adverse effects of linig materials were ascribed to minor constituents, particularly methyl salicylate, present in the formulation.

Acrylic Resins↗

Human pulpal response to direct filling gold restorations.

Class V cavities were prepared in 47 caries-free premolars intended to be extracted for orthodontic reasons. A powdered gold filling material, Goldent, which can be hand condensed, was used for direct fillings. The following test groups were used: (A) cavity preparation, no filling, (B) cavity filled with Goldent only, (C) cavity lined with Tubulitec and filled with Goldent, (D) cavity with Goldent filling, sealed with IRM, and (E) positive and negative controls. The teeth were extracted after 1-200 days and the pulpal response was histologically examined. The results revealed that only in Group B, i.e. when the cavity was filled with Goldent, was the risk of a pulpal reaction obvious, although the material per se (Group D) did not influence the pulpal tissue to any serious degree. Probably the Goldent material cannot provide a marginal seal tight enough to prevent microleakage, allowing microorganisms to give rise to pulp damage and inflammation. In those cases where the cavity had been isolated with Tubulitec liner before the gold restoration was made, the pulp was effectively protected from damage caused by microorganisms.

Adolescent↗

In vitro marginal leakage of cervical composite restorations lined with a light-cured glass ionomer.

The purpose of this research effort was to investigate the microleakage of cervical restorations lined with a light-cured glass-ionomer liner. Wedge-shaped cervical cavities were cut on extracted teeth with the gingival cavosurface margin involving dentin. The cavities were randomly assigned to each of each of three groups: (1) restored with a microfilled composite resin, (2) restored with a light-cured glass-ionomer liner and microfilled resin as in the "sandwich" technique, and (3) restored entirely with the light-cured glass-ionomer liner. Half of the specimens in each group were thermocycled. Microleakage of these restorations was assessed by dye penetration. The results showed that differences were more pronounced at the gingival margin. Composite restorations inserted over the glass-ionomer liner demonstrated significantly less leakage than when the liner was not used.

Composite Resins↗

Incorporation of adhesive liners in amalgam: effect on compressive strength and creep.

This study evaluated the effects of two adhesive resin liners (Panavia EX and Amalgambond) on the compressive strength and creep rate of a single composition high-copper amalgam alloy (Tytin). Cylindrical specimens were prepared by dead-loading or hand-condensing amalgam in a Teflon mold which was unlined, lined with Panavia EX, or lined with Amalgambond. Compressive strength specimens were tested at 1 hour, 24 hours, and 7 days after preparation. Creep specimens were tested at 7 days. The adhesive resin liners did not significantly affect the strength of the Tytin specimens prepared by dead-loading (P greater than 0.05). The Panavia EX significantly reduced the strength of the Tytin specimens prepared by hand-condensing (P less than 0.05). The creep rate was not significantly affected by either resin liner.

Analysis of Variance↗

Reactionary dentinogenesis after applying restorative materials and bioactive dentin matrix molecules as liners in deep cavities prepared in nonhuman primate teeth.

OBJECTIVE: The aim of this in vivo study was to evaluate the response of the pulp-dentin complex following application of resin-modified glass-ionomer cement, calcium hydroxide hard-setting cement and EDTA-soluble preparation of dentine matrix proteins (ESDP) in deep cavities prepared in non-human primate teeth. METHODS: Eighteen deep Class V buccal cavities were prepared in premolars of four capuccin monkeys. In Groups 1 and 2, the cavity floor was lined with ESDP or a resin-modified glass-ionomer cement (Vitrebond - 3M ESPE), respectively. In Group 3 (control), the cavity was lined with a hard setting calcium hydroxide cement (Dycal - Dentsply). The cavities were subsequently filled with amalgam. After 6 months, the animals were sacrificed and the teeth were prepared for microscopic assessment. Six-micron thick serial sections were stained with H/E, Masson's trichrome and Brown & Brenn techniques. RESULTS: No inflammatory pulpal response was observed for all experimental and control Groups. However, the amount of reactionary dentin deposition differed between groups in the rank order ESDP (Group 1) > calcium hydroxide (Group 3) > resin-modified glass-ionomer (Group 2). These differences were statistically significant. CONCLUSIONS: All materials were biocompatible when applied in deep cavities. ESDP stimulated higher deposition of reactionary dentin matrix than Vitrebond and Dycal.

Animals↗