The longevity of different restorations in primary teeth

DEFF Research Database (Denmark)

Qvist, Vibeke; Poulsen, Agneta; Teglers, Poul Thorpen

2010-01-01

This paper reviews three published papers and adds results from a fourth study which aimed to determine which restorative material would be the best alternative(s) to amalgam (AM) in primary teeth....

Clinical performance of ART restorations in primary teeth: a survival analysis.

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Faccin, Elise Sasso; Ferreira, Simone Helena; Kramer, Paulo Floriani; Ardenghi, Thiago Machado; Feldens, Carlos Alberto

2009-01-01

To assess the survival of Atraumatic Restorative Treatment (ART) restorations in primary teeth performed in a dental clinical setting. One hundred and five single-surface ART restorations placed in 56 preschool children (mean age 31 months) were included. Final-year dental students performed the restorations using standard ART procedures with hand instruments. A resin-modified glass ionomer cement (Vitremer 3M/ESPE) was used as a restorative material. Performances of the restorations were assessed directly by the ART evaluation criteria. Follow-up period ranged from 6 to 48 months. Survival estimates for restoration longevity were evaluated using the Kaplan-Meier method. Log-rank test (P ART restorations were 89%, 85% and 72% in 6 to 11, 12 to 24 and 25 to 48 months of evaluation respectively. Differences in success rates among demographic and clinical characteristics were not statistically significant. High survivals rates of the ART restorations found in this study seem to indicate the reliability of this approach as an appropriate treatment option for primary teeth in a clinical setting.

Shrinkage stress compensation in composite-restored teeth: relaxation or hygroscopic expansion?

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Meriwether, Laurel A; Blen, Bernard J; Benson, Jarred H; Hatch, Robert H; Tantbirojn, Daranee; Versluis, Antheunis

2013-05-01

Polymerization of composite restorations causes shrinkage, which deforms and thus stresses restored teeth. This shrinkage deformation, however, has been shown to decrease over time. The objective was to investigate whether this reduction was caused by hygroscopic expansion or stress relaxation of the composite/tooth complex. Extracted molars were mounted in rigid stainless steel rings with four spherical reference areas. Twelve molars were prepared with large mesioocclusodistal slots, etched, bonded, and restored with a composite material (Filtek Supreme, 3M ESPE) in two horizontal layers. Ten intact molars were the controls. The teeth were stored either in deionized water or silicone oil. They were scanned after preparation (baseline), restoration (0-week), and after 1, 2, and 4 weeks storage. Scanned tooth surfaces were aligned with the baseline using the unchanged reference areas. Cuspal flexure was calculated from lingual and buccal surface deformation. To verify that the restorations had remained bonded, dye penetration at the interfaces was assessed using basic fuchsin dye. Statistical assessment was done by ANOVA followed by Student-Newman-Keuls post hoc test (p=0.05). Substantial cuspal contraction was found for restored teeth after the composite was cured (13-14 μm cuspal flexure). After 4 weeks cuspal contraction decreased significantly for restored teeth stored in water (7.3 ± 3.2) but not for those stored in silicone oil (11.4 ± 5.0). Dye penetration of the occlusal interface was minimal in both groups (106 ± 87 and 21 ± 28 μm in water and silicone oil, respectively). The results suggest that hygroscopic expansion was the main mechanism for shrinkage stress compensation. Copyright © 2013 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Sorption of antimony on human teeth

International Nuclear Information System (INIS)

Nofal, M.; Amin, H.; Alian, G.

1997-01-01

The study of the uptake of toxic elements on human teeth represents an interesting research area, as the fate of these elements when present in the human food is of health significance. Since antimony is one of the common toxic elements and since, the chemical behaviour of antimony is similar to that of arsenic, one of the most important toxic elements commonly encountered in cases of food poisoning, it has been decided to investigate its uptake on human teeth and on other restoration materials. The radioactive tracer technique was used to evaluate the concentration of antimony sorbed on teeth. This tracer was obtained by irradiation of antimony metal in the reactor, subsequent dissolution in concentrated sulphuric acid, evaporation to dryness and making the solution 6 M in Hydrochloric acid (1). Antimony prepared in this way is in the trivalent state (Sb III). Sorption was studied in water, tea, coffee, red tea and chicken soup. The highest sorption was achieved from water and chicken soup and least sorption was noticed in case of coffee. The results are presented in the form of the depletion of the radioactivity (A) of antimony with time in presence of a tooth in water and other drinks

Creating Esthetic Harmony with Nonloading, Fixed Provisional Restoration using Extracted Teeth after Immediate Implant Placement.

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Satwalekar, Parth; Satwalekar, Tanushree; Bondugula, Vasanthi; Bhuvaneshwari, B; Harshavardhan, K V; Pasula, Kiran

2016-04-01

To make use of fiber-reinforced composite and the patient's own extracted teeth in fabricating a provisional restoration following immediate implant placement. Fiber-reinforced composites offer various possibilities in temporization of osseointegrating implants in the esthetic zone. In this chairside technique, the patient's own extracted teeth with fiber-reinforced composite were used to fabricate a provisional restoration after immediate implant placement. A putty index was made before extracting the teeth and placing the implants as planned. The index and crowns of the extracted teeth were used to make a nonloading, esthetic, chair-side provisional restoration after immediate implant placement. By using the patient's own teeth for pro-visionalization immediately after implant placement, acceptance is greatly enhanced.

Fracture resistance of bleached teeth restored with different procedures

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Matheus Coelho Bandéca

2012-08-01

Full Text Available This study evaluated the fracture resistance of teeth submitted to internal bleaching and restored with different non-metallic post. Eighty mandibular incisors were endodontically treated and randomly divided in 10 groups (n = 8: G1- restored with composite resin (CR, G2- CR + fiber-reinforced composite post (FRC, Everstick post, Sticktech cemented with resin cement self-etch adhesive (RCS, Panavia F 2.0, Kuraray, G3- CR + FRC + self-adhesive resin cement (SRC, Breeze, Pentral Clinical, G4- CR+ glass fiber post (GF, Exacto Post, Angelus + RCS, G5- CR + GF + SRC. The G6 to G10 were bleached with hydrogen peroxide (HP and restored with the same restorative procedures used for G1 to G5, respectively. After 7 days storage in artificial saliva, the specimens were submitted to the compressive strength test (N at 0.5 mm/min cross-head speed and the failure pattern was identified as either reparable (failure showed until 2 mm below the cement-enamel junction or irreparable (the failure showed <2 mm or more below the cement-enamel. Data were analyzed by ANOVA and Tukey test (α = 0.05. No significant difference (p < 0.05 was found among G1 to G10. The results suggest that intracoronal bleaching did not significantly weaken the teeth and the failure patterns were predominately reparable for all groups. The non-metallic posts in these teeth did not improve fracture resistance.

Restorative outcomes for endodontically treated teeth in the Practitioners Engaged in Applied Research and Learning network.

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Spielman, Howard; Schaffer, Scott B; Cohen, Mitchell G; Wu, Hongyu; Vena, Donald A; Collie, Damon; Curro, Frederick A; Thompson, Van P; Craig, Ronald G

2012-07-01

The authors aimed to determine the outcome of and factors associated with success and failure of restorations in endodontically treated teeth in patients in practices participating in the Practitioners Engaged in Applied Research and Learning (PEARL) Network. Practitioner-investigators (P-Is) invited the enrollment of all patients seeking care at participating practices who had undergone primary endodontic therapy and restoration in a permanent tooth three to five years earlier. P-Is classified endodontically reated teeth as restorative failures if the restoration was replaced, the restoration needed replacement or the tooth was cracked or fractured. P-Is from 64 practices enrolled in the study 1,298 eligible patients who had endodontically treated teeth that had been restored. The mean (standard deviation) time to follow-up was 3.9 (0.6) years. Of the 1,298 enrolled teeth, P-Is classified 181 (13.9 percent; 95 percent confidence interval [CI], 12.1-15.8 percent) as restorative failures: 44 (3.4 percent) due to cracks or fractures, 57 (4.4 percent) due to replacement of the original restoration for reasons other than fracture and 80 (6.2 percent) due to need for a new restoration. When analyzing the results by means of multivariate logistic regression, the authors found a greater risk of restorative failure to be associated with canines or incisors and premolars (P = .04), intracoronal restorations (P < .01), lack of preoperative proximal contacts (P < .01), presence of periodontal connective-tissue attachment loss (P < .01), younger age (P = .01), Hispanic/Latino ethnicity (P = .04) and endodontic therapy not having been performed by a specialist (P = .04). These results suggest that molars (as opposed to other types of teeth), full-coverage restorations, preoperative proximal contacts, good periodontal health, non-Hispanic/Latino ethnicity, endodontic therapy performed by a specialist and older patient age are associated with restorative success for

Mercury Amalgam Diffusion in Human Teeth Probed Using Femtosecond LIBS.

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Bello, Liciane Toledo; da Ana, Patricia Aparecida; Santos, Dário; Krug, Francisco José; Zezell, Denise Maria; Vieira, Nilson Dias; Samad, Ricardo Elgul

2017-04-01

In this work the diffusion of mercury and other elements from amalgam tooth restorations through the surrounding dental tissue (dentin) was evaluated using femtosecond laser-induced breakdown spectroscopy (fs-LIBS). To achieve this, seven deciduous and eight permanent extracted human molar teeth with occlusal amalgam restorations were half-sectioned and analyzed using pulses from a femtosecond laser. The measurements were performed from the amalgam restoration along the amalgam/dentin interface to the apical direction. It was possible to observe the presence of metallic elements (silver, mercury, copper and tin) emission lines, as well as dental constituent ones, providing fingerprints of each material and comparable data for checking the consistence of the results. It was also shown that the elements penetration depth values in each tooth are usually similar and consistent, for both deciduous and permanent teeth, indicating that all the metals diffuse into the dentin by the same mechanism. We propose that this diffusion mechanism is mainly through liquid dragging inside the dentin tubules. The mercury diffused further in permanent teeth than in deciduous teeth, probably due to the longer diffusion times due to the age of the restorations. It was possible to conclude that the proposed femtosecond-LIBS system can detect the presence of metals in the dental tissue, among the tooth constituent elements, and map the distribution of endogenous and exogenous chemical elements, with a spatial resolution that can be brought under 100 µm.

Clinical performance of direct versus indirect composite restorations in posterior teeth: A systematic review.

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Azeem, Rubeena Abdul; Sureshbabu, Nivedhitha Malli

2018-01-01

Composite resin, serves as esthetic alternative to amalgam and cast restorations. Posterior teeth can be restored using direct or indirect composite restorations. The selection between direct and indirect technique is a clinically challenging decision-making process. Most important influencing factor is the amount of remaining tooth substance. The aim of this systematic review was to compare the clinical performance of direct versus indirect composite restorations in posterior teeth. The databases searched included PubMed CENTRAL (until July 2015), Medline, and Cochrane Database of Systematic Reviews. The bibliographies of clinical studies and reviews identified in the electronic search were analyzed to identify studies which were published outside the electronically searched journals. The primary outcome measure was evaluation of the survival of direct and indirect composite restorations in posterior teeth. This review included thirteen studies in which clinical performance of various types of direct and indirect composite restorations in posterior teeth were compared. Out of the thirteen studies which were included seven studies had a high risk of bias and five studies had a moderate risk of bias. One study having a low risk of bias, concluded that there was no significant difference between direct and indirect technique. However, the available evidence revealed inconclusive results. Further research should focus on randomized controlled trials with long term follow-up to give concrete evidence on the clinical performce of direct and indirect composite restorations.

Cleidocranial Dysplasia Case Report: Remodeling of Teeth as Aesthetic Restorative Treatment

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Leonardo Fernandes da Cunha

2014-01-01

Full Text Available Cleidocranial dysplasia (CCD, is an autosomal dominant disorder with a prevalence of 1 in 1,000,000 individuals. It is generally characterized by orofacial manifestations, including enamel hypoplasia, retained primary teeth, and impacted permanent and supernumerary teeth. The successful treatment involving a timing intervention (orthodontic-maxillofacial surgeons-restorative is already described. However, the restorative treatment might improve the aesthetic final result in dentistry management for patients with cleidocranial dysplasia. Objective. Therefore, this clinical report presents a conservative restorative management (enamel microabrasion, dental bleaching, and direct composite resin for aesthetic solution for a patient with CCD. Clinical Considerations. The cosmetic remodeling is a conservative, secure, and low cost therapy that can be associated with other procedures such as enamel microabrasion and dental bleaching to achieve optimal outcome. Additionally, the Golden Proportion can be used to guide dental remodeling to improve the harmony of the smile and the facial composition. Conclusions. Thus, dentists must know and be able to treat dental aesthetic problems in cleidocranial dysplasia patients. The intention of this paper is to describe a restorative approach with the cosmetic remodeling teeth (by grinding or addicting material associated with enamel microabrasion and dental bleaching to reestablish the form, shape, and color of smile for patients with cleidocranial dysplasia.

Esthetic smile rehabilitation of anterior teeth by treatment with biomimetic restorative materials: a case report

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Gouveia TH

2017-05-01

Full Text Available Thayla Hellen Nunes Gouveia, Jéssica Dias Theobaldo, Waldemir Francisco Vieira-Junior, Débora Alves Nunes Leite Lima, Flávio Henrique Baggio Aguiar Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Campinas, SP, Brazil Background: In daily clinical practice, esthetics of anterior teeth is a common presenting complaint of patients.Objective: This case report discusses the management of asymmetric smile associated with unsatisfactory extensive composite restorations and describes a clinical protocol using the direct composite resin for smile enhancement to restore the dental harmony of anterior teeth.Methods: The treatment planning was based on a diagnostic wax-up and cosmetic mock-up. After clinical and patient approvals were obtained, the patient was subjected to direct and indirect restorative treatment.Conclusion: Nanocomposites are an effective alternative for anterior teeth restorations. Additionally, good planning enables satisfactory esthetic results, leading to the correction of an inappropriate axial inclination of incisors. Keywords: composite, adhesive, smile, esthetic, restoration

Numerical fatigue 3D-FE modeling of indirect composite-restored posterior teeth.

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Ausiello, Pietro; Franciosa, Pasquale; Martorelli, Massimo; Watts, David C

2011-05-01

In restored teeth, stresses at the tooth-restoration interface during masticatory processes may fracture the teeth or the restoration and cracks may grow and propagate. The aim was to apply numerical methodologies to simulate the behavior of a restored tooth and to evaluate fatigue lifetimes before crack failure. Using a CAD-FEM procedure and fatigue mechanic laws, the fatigue damage of a restored molar was numerically estimated. Tessellated surfaces of enamel and dentin were extracted by applying segmentation and classification algorithms, to sets of 2D image data. A user-friendly GUI, which enables selection and visualization of 3D tessellated surfaces, was developed in a MatLab(®) environment. The tooth-boundary surfaces of enamel and dentin were then created by sweeping operations through cross-sections. A class II MOD cavity preparation was then added into the 3D model and tetrahedral mesh elements were generated. Fatigue simulation was performed by combining a preliminary static FEA simulation with classical fatigue mechanical laws. Regions with the shortest fatigue-life were located around the fillets of the class II MOD cavity, where the static stress was highest. The described method can be successfully adopted to generate detailed 3D-FE models of molar teeth, with different cavities and restorative materials. This method could be quickly implemented for other dental or biomechanical applications. Copyright © 2010 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Survival rates against fracture of endodontically treated posterior teeth restored with full-coverage crowns or resin composite restorations: a systematic review

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Warattama Suksaphar

2017-07-01

Full Text Available This systematic review aims to summarize the current clinical studies that investigated survival rates against fracture of endodontically treated posterior teeth restored with crowns or resin composite restorations. Literature search were performed using keywords. Publications from 1980 to 2016 were searched in PubMed, ScienceDirect, Web of Science, MEDLINE, and SCOPUS. Included studies were selected based on inclusion and exclusion criteria. Three clinical studies were included: 1 randomized controlled trial and 1 prospective and 1 retrospective cohort studies. Pooled survival rates ranged from 94%–100% and 91.9%–100% for crowns and resin composite, respectively. The majority of teeth had no more than 3 surface loss of tooth structure. The studies included were heterogeneous, and were not appropriate for further meta-analysis. Current evidence suggested that the survival rates against the fracture of endodontically treated posterior teeth restored with crowns or resin composites were not significantly different in the teeth with minimum to moderate loss of tooth structure.

A comparison of stresses in molar teeth restored with inlays and direct restorations, including polymerization shrinkage of composite resin and tooth loading during mastication.

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Dejak, Beata; Młotkowski, Andrzej

2015-03-01

Polymerization shrinkage of composites is one of the main causes of leakage around dental restorations. Despite the large numbers of studies there is no consensus, what kind of teeth reconstruction--direct or indirect composite restorations are the most beneficial and the most durable. The aim was to compare equivalent stresses and contact adhesive stresses in molar teeth with class II MOD cavities, which were restored with inlays and direct restorations (taking into account polymerization shrinkage of composite resin) during simulated mastication. The study was conducted using the finite elements method with the application of contact elements. Three 3D models of first molars were created: model A was an intact tooth; model B--a tooth with a composite inlay, and model C--a tooth with a direct composite restoration. Polymerization linear shrinkage 0.7% of a direct composite restoration and resin luting cement was simulated (load 1). A computer simulation of mastication was performed (load 2). In these 2 situations, equivalent stresses according to the modified von Mises criterion (mvM) in the materials of mandibular first molar models with different restorations were calculated and compared. Contact stresses in the luting cement-tooth tissue adhesive interface around the restorations were also assessed and analyzed. Equivalent stresses in a tooth with a direct composite restoration (the entire volume of which was affected by polymerization shrinkage) were many times higher than in the tooth restored with a composite inlay (where shrinkage was present only in a thin layer of the luting cement). In dentin and enamel the stress values were 8-14 times higher, and were 13 times higher in the direct restoration than in the inlay. Likewise, contact stresses in the adhesive bond around the direct restoration were 6.5-7.7 times higher compared to an extraorally cured restoration. In the masticatory simulation, shear contact stresses in the adhesive bond around the direct

Anterior makeover on fractured teeth by simple composite resin restoration

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Eric Priyo Prasetyo

2011-09-01

Full Text Available Background: In daily practice dentists usually treat tooth fractures with more invasive treatments such as crown, veneer and bridges which preparation require more tooth structure removal. While currently there is trend toward minimal invasive dentistry which conserves more tooth structure. This is enhanced with the vast supply of dental materials and equipment in the market, including restorative materials. Provided with these supporting materials and equipment and greater patient’s demand for esthetic treatment, dentists must aware of the esthetics and basic principle of conserving tooth which should retain tooth longevity. Purpose: This article showed that a simple and less invasive composite resin restoration can successfully restore anterior esthetic and function of fractured teeth which generally treated with more invasive treatment options. Case: A 19 year-old female patient came with fracture on 21 and 22. This patient had a previous history of dental trauma about nine years before and was brought to a local dentist for debridement and was given analgesic, the involved teeth were not given any restorative treatment. Case management: The fractured 21 and 22 were conventionally restored with simple composite resin restoration. Conclusion: Fracture anterior teeth would certainly disturbs patient’s appearance, but these teeth could be managed conservatively and economically by simple composite resin restoration.Latar belakang: Dalam praktek sehari-hari pada umumnya dokter gigi merawat fraktur dengan restorasi invasif seperti mahkota, veneer dan jembatan yang semuanya memerlukan pengambilan jaringan gigi lebih banyak, sedangkan saat ini trend perawatan gigi lebih menuju kearah invasif minimal yang mempertahankan jaringan gigi sebanyak mungkin. Keadaan ini ditunjang oleh tersedianya berbagai macam bahan dan peralatan kedokteran gigi di pasaran, termasuk bahan restorasi. Dengan tersedianya bahan dan peralatan yang mendukung serta tingginya

Effects of various cone-beam computed tomography settings on the detection of recurrent caries under restorations in extracted primary teeth

OpenAIRE

Kamburo?lu, K?van?; S?nmez, G?l; Berkta?, Zeynep Serap; Kurt, Hakan; ?zen, Do?ukan

2017-01-01

Purpose The aim of this study was to assess the ex vivo diagnostic ability of 9 different cone-beam computed tomography (CBCT) settings in the detection of recurrent caries under amalgam restorations in primary teeth. Materials and Methods Fifty-two primary teeth were used. Twenty-six teeth had dentine caries and 26 teeth did not have dentine caries. Black class II cavities were prepared and restored with amalgam. In the 26 carious teeth, recurrent caries were left under restorations. The oth...

[Collaboration from periodontics in the aesthetic restoration of anterior teeth].

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Qintao, Wang; Yumei, Zhang

2017-10-01

Anterior teeth are the main zones that reflect oral aesthetics. The histological structure, outside appearance, relative ratios, and other characteristics of tissues must be understood to obtain relatively ideal and natural restoration effects. A collaboration of different disciplines must be implemented to obtain harmonious and stable restoration outcomes that help the majority appreciate beauty. This article aims to discuss the role of periodontics in this collaboration and introduce several common techniques.

Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth.

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Fragelli, Camila Maria Bullio; Souza, Juliana Feltrin de; Jeremias, Fabiano; Cordeiro, Rita de Cássia Loiola; Santos-Pinto, Lourdes

2015-01-01

The purpose of this study was to evaluate the 12-month clinical performance of glass ionomer restorations in teeth with MIH. First permanent molars affected by MIH (48) were restored with glass ionomer cement (GIC) and evaluated at baseline, at 6 and at 12 months, by assessing tooth enamel breakdown, GIC breakdown and caries lesion associations. The data were analyzed using the chi-square test and actuarial survival analysis. The likelihood of a restored tooth remaining unchanged at the end of 12 months was 78%. No statistically significant difference was observed in the association between increased MIH severity and caries at baseline (p > 0.05) for a 6-month period, or between increased MIH severity and previous unsatisfactory treatment at baseline (p > 0.05) for both a 6- and 12-month period. A statistically significant difference was observed in the association between increased MIH severity and extension of the restoration, involving 2 or more surfaces (p MIH severity and caries at baseline (p < 0.05) at a 12-month period. Because the likelihood of maintaining the tooth structures with GIC restorations is high, invasive treatment should be postponed until the child is sufficiently mature to cooperate with the treatment, mainly of teeth affected on just one face.

The effect of a nanofilled resin-based coating on water absorption by teeth restored with glass ionomer.

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Hankins, Amanda D; Hatch, Robert H; Benson, Jarred H; Blen, Bernard J; Tantbirojn, Daranee; Versluis, Antheunis

2014-04-01

A nanofilled, resin-based light-cured coating (G-Coat Plus, GC America, Alsip, Ill.) may reduce water absorption by glass ionomers. The authors investigated this possibility by measuring cuspal flexure caused by swelling of glass ionomer-restored teeth. The authors cut large mesio-occlusodistal slots (4-millimeter wide, 4-mm deep) in 12 extracted premolars and restored them with a glass ionomer cement (Fuji IX GP Extra, GC America). Six teeth were coated, and the other six were uncoated controls. The authors digitized the teeth in three dimensions by using an optical scanner after preparation and restoration and during an eight-week storage in water. They calculated cuspal flexure and analyzed the results by using an analysis of variance and Student-Newman-Keuls post hoc tests (significance level .05). They used dye penetration along the interface to verify bonding. Inward cuspal flexure indicated restoration shrinkage. Coated restorations had significantly higher flexure (mean [standard deviation], -11.9 [3.5] micrometers) than did restorations without coating (-7.3 [1.5] μm). Flexure in both groups decreased significantly (P < .05) during water storage and, after eight weeks, it changed to expansion for uncoated control restorations. Dye penetration along the interfaces was not significant, which ruled out debonding as the cause of cuspal relaxation. Teeth restored with glass ionomer cement exhibited shrinkage, as seen by inward cuspal flexure. The effect of the protective coating on water absorption was evident in the slower shrinkage compensation. The study results show that teeth restored with glass ionomers exhibited setting shrinkage that deformed tooth cusps. Water absorption compensated for the shrinkage. Although the coating may be beneficial for reducing water absorption, it also slows the shrinkage compensation rate (that is, the rate that hygroscopic expansion compensates for cuspal flexure from shrinkage).

Clinical comparison of various esthetic restorative options for coronal build-up of primary anterior teeth

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Himanshu Duhan

2015-01-01

Full Text Available Background: This study was designed to compare the clinical performance of composite, strip crowns, biological restoration, and composite with stainless steel band when used for the coronal build-up of anterior teeth. Materials and Methods: A total of 20 patients aged 3-6 years presenting with mutilated primary anterior teeth due to caries or trauma were selected for the study using randomized simple sampling. A total of 52 primary anterior teeth were randomly divided into four equal groups having 13 teeth in each group. Teeth in Group I were restored with composite, in Group II with strip crowns, in Group III with biologic restoration and with stainless steel band reinforced composite in group IV. The restorations were evaluated for color match, retention, surface texture, and anatomic form according to Ryge′s Direct (US Public Health Service evaluation criteria at baseline (immediate postoperative, after 48 h, 3, 6, and 9 months. The data obtained were statistically analyzed using Chi-square test, and level of significance, that is, P value was determined. Results: At baseline, none of the groups showed any color changes. Other than Group III all other groups showed highly significant changes (P 0.05. Deterioration in surface texture was exhibited maximum by restorations in Group IV followed by Group I at 3 months. Whereas, no surface changes were seen in Group II and III. Only Group I and IV showed discontinuity in anatomic form after 3 months. After 6 months, except in Group II, discontinuity in anatomic form was observed in all the groups. Discontinuity in anatomic form was seen in all the 4 groups after 9 months although the difference was not significant (P > 0.05. Conclusion: Biological restoration was found to be most satisfying esthetically owing to color compatibility with the patient′s tooth. Thus, it has a great potential to be used as esthetic restorative option in primary anteriors.

Molar incisor hypomineralization (MIH: conservative treatment management to restore affected teeth

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Camila Maria Bullio FRAGELLI

2015-01-01

Full Text Available The purpose of this study was to evaluate the 12-month clinical performance of glass ionomer restorations in teeth with MIH. First permanent molars affected by MIH (48 were restored with glass ionomer cement (GIC and evaluated at baseline, at 6 and at 12 months, by assessing tooth enamel breakdown, GIC breakdown and caries lesion associations. The data were analyzed using the chi-square test and actuarial survival analysis. The likelihood of a restored tooth remaining unchanged at the end of 12 months was 78%. No statistically significant difference was observed in the association between increased MIH severity and caries at baseline (p > 0.05 for a 6-month period, or between increased MIH severity and previous unsatisfactory treatment at baseline (p > 0.05 for both a 6- and 12-month period. A statistically significant difference was observed in the association between increased MIH severity and extension of the restoration, involving 2 or more surfaces (p < 0.05 at both periods, and between increased MIH severity and caries at baseline (p < 0.05 at a 12-month period. Because the likelihood of maintaining the tooth structures with GIC restorations is high, invasive treatment should be postponed until the child is sufficiently mature to cooperate with the treatment, mainly of teeth affected on just one face.

“Evaluation of fracture strength of teeth restored with different types ...

African Journals Online (AJOL)

Evaluation of fracture strength of teeth restored with different types of posts luted with different luting ... Nigerian Journal of Clinical Practice ... metal posts and glass‑fiber posts luted with resin‑based luting cement and glass ionomer cement.

Endodontic complications in teeth with vital pulps restored with composite resins: a systematic review.

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Dawson, V S; Amjad, S; Fransson, H

2015-07-01

Composite resin is used extensively for restoration of teeth with vital pulps. Although cell culture studies have disclosed harmful effects on pulpal cells, any untoward clinical effects, manifest as adverse pulpal responses, have yet to be determined. This study comprises a systematic review, designed to address the question of whether the risk of endodontic complications is greater with composite resin restorations than with other restorative materials, such as amalgam. The study methodology involved (i) formulation of the research question, (ii) construction and conduct of an extensive literature search with (iii) interpretation and assessment of the retrieved literature. A search of the medical database PubMed was complemented with a search of the Controlled Trials Register (CENTRAL). The initial search yielded 1043 publications, the abstracts of which were read independently by the authors. After additional searches, 10 studies were included in the review. In all the included studies, the level of evidence was assessed as low. No conclusions could therefore be drawn. The included studies reported few, if any, endodontic complications. Little or no differences emerged between teeth restored with composite resins and those restored with amalgam. To determine whether composite resin restorations of teeth with vital pulps are associated with an increased risk for development of endodontic complications such as apical periodontitis, further evidence is needed, from well-constructed studies with a large number of participants. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

The effect of fiber dowel heights in resin composite cores on restoration failures of endodontically treated teeth.

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Mekayarajjananonth, Trakol; Chitcharus, Nattinee; Winkler, Sheldon; Bogert, Meredith C

2009-01-01

In vitro and in vivo testing suggest that fiber posts may reduce the incidence of root fractures of endodontically treated teeth. The purpose of this in vitro study was to compare the effect of fiber post height in resin composite cores on the fracture resistance of endodontically treated teeth. Forty maxillary central incisors were randomly divided into 2 control groups (Groups 1 and 2) of 5 teeth each, and 3 experimental groups (Groups 3, 4, and 5) of 10 teeth each. The teeth in Group 1 had their opening restored with composite resin, the teeth in Group 2 were restored with quartz fiber posts without resin composite cores, and the teeth in Groups 3, 4, and 5 were restored with quartz fiber posts of 2, 4, and 6 mm high, respectively, in 6-mm resin composite cores. Ceramic crowns were fabricated for the specimens. Specimens were positioned in a mounting device and aligned at a 130-degree angle to the long axis of each tooth. A universal testing machine was used to apply constant load at a crosshead speed of 0.5 mm/min until failure occurred. The highest fracture load and mode of failure of each specimen was recorded. The highest fracture resistance force was observed in Group 2 (290.38 +/- 48.45 N) and decreased, respectively, in Group 1 (238.98 +/-26.26 N), Group 5 (228.35 +/-58.79 N), Group 4 (221.43 +/-38.74 N), and Group 3 (199.05 +/-58.00 N). According to one-way analysis of variance (ANOVA) and Duncan's test (P teeth should be restored with the longest possible post height while preserving maximum tooth structure.

In vitro fracture resistance of molar teeth restored with a short fibre-reinforced composite material.

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Fráter, Márk; Forster, András; Keresztúri, Márk; Braunitzer, Gábor; Nagy, Katalin

2014-09-01

The purpose of this in vitro study was to evaluate the efficiency of a short fibre-reinforced composite (SFRC) material compared to conventional composites when restoring class II. MOD cavities in molar teeth with different layering techniques. One hundred and thirty mandibular third molars were divided into 5 groups (n=26). Except for the control group (intact teeth), in all other groups MOD cavities were prepared. The cavities were restored by either conventional composite with horizontal and oblique layering or by SFRC with horizontal and oblique layering. The specimens were submitted to static fracture toughness test. Fracture thresholds and fracture patterns were evaluated. In general, no statistically significant difference was found in fracture toughness between the study groups, except for horizontally layered conventional composite restorations, which turned out to be significantly weaker than controls. However, SFRC yielded noticeably higher fracture thresholds and only obliquely applied SFRC restorations exhibited favourable fracture patterns above chance level. The application of SFRC did not lead to a statistically significant improvement of the fracture toughness of molar teeth with MOD cavities. Still, SFRC applied in oblique increments measurably reduces the chance of unrestorable fractures of molar teeth with class II MOD cavities. The restoration of severely weakened molar teeth with the use of SFRC combined with composite might have advantages over conventional composites alone. It was observed from the statistical data, that the application of SFRC with an oblique layering technique yielded not significantly but better fracture thresholds and more favourable fracture patterns than any other studied material/technique combination. Thus further investigations need to be carried out, to investigate the possible positive mechanical effects of SFRC. The application of the horizontal layering technique with conventional composite materials is inferior

Analysis of microleakage of temporary restorative materials in primary teeth

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Geórgia Linhares dos Santos

2014-01-01

Full Text Available Aim: The aim of this study was to compare the coronal microleakage of restorative materials used between sessions of endodontic treatment in primary teeth. Materials and Methods: Forty healthy primary canines were chosen and randomly allocated to four groups: Group 1 - Cimpat Branco ® (n = 10, Group 2 - Bioplic ® (n = 10, Group 3 - Maxxion R ® glass ionomer cement (n = 10, and Group 4 (control - Z350 ® composite resin (n = 10. Class V cavities were created and fillings carried out following the manufacturer′s instructions. The teeth were submitted to thermocycling, sealed, and immersed in 0.5% basic fuchsin solution for 24 h. The teeth were split along their long axis in the vestibulolingual direction and the tooth-restorative material interface was photographed. The percentage of microleakage was calculated using the ImageJ program. Data were analyzed using the analysis of variance (ANOVA F-test and Bonferroni′s t-test, with a 5% level of significance. Results: The following mean percentages of microleakage were found: Group 1 = 16.08%, Group 2 = 46.98%, Group 3 = 47.93%, and Group 4 = 11.03%. Statistically, significant differences were found in the comparison of Groups 1 and 4 to Groups 2 and 3. Conclusion: Cimpat Branco ® had a lower percentage of microleakage in comparison to Bioplic ® and Maxxion R ® glass ionomer cement.

Penetration of 38% hydrogen peroxide into the pulp chamber in bovine and human teeth submitted to office bleach technique.

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Camargo, Samira Esteves Afonso; Valera, Marcia Carneiro; Camargo, Carlos Henrique Ribeiro; Gasparoto Mancini, Maria Nadir; Menezes, Marcia Maciel

2007-09-01

This study evaluated the pulp chamber penetration of peroxide bleaching agent in human and bovine teeth after office bleach technique. All the teeth were sectioned 3 mm apical of the cement-enamel junction and were divided into 2 groups, A (70 third human molars) and B (70 bovine lateral incisors), that were subdivided into A1 and B1 restored by using composite resin, A2 and B2 by using glass ionomer cement, and A3 and B3 by using resin-modified glass ionomer cement; A4, A5, B4, and B5 were not restored. Acetate buffer was placed in the pulp chamber, and the bleaching agent was applied for 40 minutes as follows: A1-A4 and B1-B4, 38% hydrogen peroxide exposure and A5 and B5, immersion into distilled water. The buffer solution was transferred to a glass tube in which leuco crystal violet and horseradish peroxidase were added, producing a blue solution. The optical density of the blue solution was determined by spectrophotometer and converted into microgram equivalents of hydrogen peroxide. Data were submitted to analysis of variance and Dunnett, Kruskal-Wallis, and Tukey tests (5%). A higher level of hydrogen peroxide penetrated into the pulp chamber in resin-modified glass ionomer cements in bovine (0.79 +/- 0.61 microg) and human (2.27 +/- 0.41 microg) groups. The bleaching agent penetration into the pulp chamber was higher in human teeth for any experimental situation. The penetration of the hydrogen peroxide depends on restorative materials, and under the conditions of this study human teeth are more susceptible to penetration of bleaching agent into the pulp chamber than bovine teeth.

Sorption of zinc on human teeth

International Nuclear Information System (INIS)

Helal, A.; Amin, H.; Alian, G.

1997-01-01

Zinc containing dental amalgams are sometimes used as fillings by dentists. The freshly mixed mass of the amalgam alloy and liquid mercury packed or condensed into a prepared tooth cavity. Zinc has been included in amalgams alloys up to 2% as an aid in manufacturing by helping to produce clean sound castings of the ingots. Although such restorations have a relatively long service life, they are subject to corrosion and galvanic action, thus releasing metallic products into the oral environment. The aim of this paper is to investigate the uptake (sorption) of Zinc ionic species on human teeth using the radioactive tracer technique. For this purpose the isotope Zn-65 produced from pile-irradiation of zinc metal was used. The various liquids studied were drinking water (tap water), tea, coffee, red tea and chicken soup. Sorption was studied through immersion of a single human tooth (extracted) in each of these liquids

Fracture resistance of teeth restored with packable and hybrid composites

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Ghavam M

2006-06-01

Full Text Available Background and Aim: With recent introduction of packable composites, it is claimed that they apply less stress on tooth structure because of reduced polymerization shrinkage, and similarity of coefficient of thermal expansion to tooth structure. However, the high viscosity may in turn cause less adaptation, so it is not clearly known whether these materials strengthen tooth structure or not. The aim of this study was to evaluate fracture resistance of maxillary premolars, receiving hybrid or packable composite restorations with different methods of application and curing. Materials and Methods: In this experimental study, seventy five intact premolars were randomly assigned to five groups of 15 teeth each. One group was maintained intact as the control group. Similar MOD cavities were prepared in the other teeth. The teeth in group two were restored with Spectrum in incremental layers and light cured with 500 mw/cm2 intensity. The third group were filled with Surefil and cured with light intensity of 500 mw/cm2. The groups four and five were restored with Surefil in bulk technique with two different modes: 500 mw/cm2 intensity and a ramp mode (100-900 mw/cm2 respectively. After thermocycling, force to fracture was assessed and degree of conversion (DC at the bottom of cavities was evaluated for different modes and methods. The curing and placement methods in groups tested for DC (A to D were the same as fracture resistance groups (2 to 5. Data were analyzed using one way ANOVA and Tukey HSD tests with p<0.05 as the limit of significance. Results: All the restored groups showed significantly less fracture resistance than the control group, but had no significant difference among themselves. DC of Spectrum was higher than Surefil. Bulk method with 500 mw/cm2 light intensity, significantly decreased DC. DC in bulk method with high light intensity was not significantly different from incremental method with 500 mw/cm2 light intensity. Conclusion

Cuspal deflection and microleakage in premolar teeth restored with bulk-fill flowable resin-based composite base materials.

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Moorthy, A; Hogg, C H; Dowling, A H; Grufferty, B F; Benetti, A R; Fleming, G J P

2012-06-01

To assess the cuspal deflection and cervical microleakage of standardised Class II cavities incrementally filled with a dimethacrylate RBC or bulk-fill flowable RBC bases. Twenty-four sound upper premolar teeth with Class II cavities were allocated to three groups (n=8). Restoration of the teeth involved the placement of an RBC (GrandioSO) in eight oblique increments (Group A) or Groups B and C were restored to within 2 mm of the palatal cusp in a single increment with bulk-fill flowable RBC bases (SDR and x-tra base) before the two occlusal cavity increments were placed with GrandioSO. Buccal and palatal cusp deflections were recorded postirradiation using a twin channel deflection measuring gauge. Following restoration, the teeth were thermocycled, immersed in 0.2% basic fuchsin dye for 24h, sectioned and examined for cervical microleakage. The mean total cuspal deflection for the oblique incremental restoration technique was 11.26 (2.56) μm (Group A) and 4.63 (1.19) μm (Group B) and 4.73 (0.99) μm (Group C) for the bulk-fill flowable RBC bases. A significant increase in the mean total cuspal deflection for the incrementally filled GrandioSO compared with the SDR (P=0.007) and x-tra base (P=0.005) restored teeth was evident. No significant difference in the cervical microleakage scores was recorded between groups AC (P>0.05). The bulk-fill flowable RBC bases significantly reduced cuspal deflection compared with a conventional RBC restored in an oblique incremental filling technique with no associated change in cervical microleakage recorded. Copyright © 2012 Elsevier Ltd. All rights reserved.

Treatment of abraded teeth using metal free ceramics and conventional metal-ceramic restorations

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Bošković Mirjana V.

2012-01-01

Full Text Available Introduction. Contemporary reconstructive dentistry is considered to be a bioesthetic discipline, the study of the beauty of living creatures in their original form and functions. A discussion of esthetic dentistry, the sophisticated artificial restorations in the patient mouth, hardly discernible to an observer or expert eye, implies a whole series of qualities. Damage of hard tooth-tissue, which is not caused by caries, is a physiological process present throughout the whole life, but some factors can bring about great losses of the hard tissue. This damage can be caused by a combination of different etiological factors, such as genetical and functional ones. Case report. A patient is coming in dental surgery complaining of a large damage of the hard-tooth tissue, ugly appearance of his teeth, speech dysfunction and masticatory problems. An intraoral view shows the presence of a large teeth-abrasion. The treatment plan simplified the treatment with a combination of metal-ceramic restorations and a new ceramic system IPS e.max (Ivoclar Vivadentm Schaan, Liechtenstien. Conclusion. In this clinical case with presented abrasion the treatment was presented using all-ceramic restorations and classical metal-ceramic restorations to establish good health, function and estehetic. The use of restorations based on zirconium (IPS e.max ZirPress, Ivoclar Vivadent, Schaan, Liechtenstein can produce excellent clinical results in the frontal, as well as in lateral segments.

Direct restorative treatment of anterior weared teeth after re-establishment of occlusal vertical dimension: a case report.

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Humel, Maria M C; Takahashi, Jessica M F K; Paulillo, Luis A M S; Mesquita, Marcelo F; Martins, Luis R M

2012-12-01

The loss of posterior teeth resulting in a lack of stability may lead to excessive mandibular load on some points of occlusion of the remaining teeth, causing wear. The rehabilitation of these cases must be carefully planned and the treatment requires a period of adaptation with a new vertical dimension. This case report describes the treatment of a patient with a loss of almost all posterior inferior teeth and a consequential loss of occlusal vertical dimension and accentuated wear of anterior elements.   Provisional removable partial dentures were manufactured and the patient used them for a period of adaptation prior to restoration of the anterior teeth. After the patient's adaptation with the new occlusal dimension, anterior restorations were made using a mycrohibrid resin composite with different color aspects for an optimal stratification. The restorations achieved an aesthetic configuration with ideal function as the final result and the occlusion showed a satisfactory stability for a provisional removable partial dentures. This article presents an anterior direct rehabilitation approach not only as an alternative option, but also as viable and less expensive treatment option with an optimally aesthetic and functional result. © 2012 The Gerodontology Society and John Wiley & Sons A/S.

SALIVARY PH CHANGES AFTER GIC RESTORATION ON DECIDUOUS TEETH

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Chandra Nila Sukma

2015-06-01

Full Text Available Glass Ionomer Cement (GIC is the most widely used material in pediatric dentistry. The purpose of this study was to analyze pH changes of saliva after GIC restoration on primary teeth. For this purpose, 20 primary canines which were restored with GIC 24 hours previously were plunged into 20 tubes containing each 1,5 ml pH 6,8 Fusayama artificial saliva and then stored in incubator at the temperature of 37°C. The pH changes were measured at 30, 60, and 90 minutes later with digital pH meter PH-201. It was revealed that the highest pH acceleration was at 30 minutes exposure an decrease thereafter and the lowest pH acceleration was at 90 minutes exposure. Statistical analysis was performed by Anova and Tukey HSD.

Fracture Resistance of Pulpotomized Primary Molar Restored with Extensive Class II Amalgam Restorations

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F. Mazhari

2008-06-01

Full Text Available Objective: The aim of the present study was to evaluate fracture resistance of pulpoto-mized primary molar teeth restored with extensive multisurface amalgam restorations.Materials and Methods: Eighty extracted carious human primary molar teeth were se-lected forpresent study. Teeth were divided in to eight groups of ten. Mesio- or disto-occlusal and Mesio-occluso-distal cavities with different cavity wall thickness (1.5 or 2.5mm were prepared in both first and second primary molar teeth. After restoring teeth with amalgam, all specimens were stored in distilled water at 37°C for 7 days. Then samples were thermocycled for 1000 cycles from 5°C to 55°C. The specimens then were subjected to a compressive load in a universal testing machine at a crosshead speed of 0.5 mm min-1. ANOVA and t-test were used for statistical analysis.Results: Mean fracture resistance of first and second molar teeth were 975.5 N (SD=368.8 and 1049.2 N (SD=540.1 respectively. In the first molar group, fracture resis-tance of two-surface cavities was significantly more than three-surface cavities (P<0.001, however this difference was not statistically significant in the second molar group. In both first and second molar group, fracture resistance incavities with 2.5 mm wall thickness, was significantly more than the group with 1.5 mm wall thickness.Conclusion: The mean fracture resistance in pulpotomized primary molar restored with amalgam restorations was higher than reported maximum bite force in primary teeth even in extensive multi-surface restorations. Therefore, the teeth with large proximal carious lesions in schoolchildren could be restored with amalgam.

Three-year clinical follow-up of posterior teeth restored with leucite-reinforced ips empress onlays and partial veneer crowns.

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Murgueitio, Rafael; Bernal, Guillermo

2012-07-01

The aim of this study was to analyze the survival rate and failure mode of IPS leucite-reinforced ceramic onlays and partial veneer crowns regarding thickness under the following clinical conditions: vital versus nonvital teeth, tooth location, and type of opposing dentition. Teeth were prepared according to established guidelines for ceramic onlays and partial veneer crowns. Before cementation, the restorations were measured for occlusal thickness at the central fossa, mesial, and distal marginal ridges, and functional and nonfunctional cusps. A total of 210 ceramic restorations were cemented in 99 patients within a mean observation period of 2.9 ± 1.89 years. The mode of failure was classified and evaluated as (1) adhesive, (2) cohesive, (3) combined failure, (4) decementation, (5) tooth sensitivity, and (6) pulpal necrosis. Kaplan, log-rank, and Cox regression tests were used for statistical analysis. The failure rate was 3.33% (7/210). Increased material thickness produced less probability of failures. Vital teeth were less likely to fail than nonvital teeth. Second molars were five times more susceptible to failure than first molars. Tooth sensitivity postcementation and the type of opposing dentition were not statistically significant in this study. In this study, thickness of the restorations, tooth vitality, and location of teeth in the dental arch influenced restoration failures. © 2012 by the American College of Prosthodontists.

Fracture resistance of endodontically treated permanent anterior teeth restored with three different esthetic post systems: An in vitro study

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Ameet J Kurthukoti

2015-01-01

Full Text Available Background: Esthetic coronal reconstruction of fractured anterior teeth is often performed using intra radicular posts. Most of the commonly used commercially esthetic post systems do not exhibit similar physical properties as dentin resulting in failures. Aim: To evaluate and compare the fracture resistance and mode of failure of simulated traumatized permanent central incisors restored with three different post systems including biologic dentin posts. Materials and Methods: A total of 40 recently extracted human maxillary central incisors with similar dimensions were decoronated 2 mm above the cemento-enamel junction and endodontically treated. Ten specimens were randomly selected as the Group I - Control group (core built teeth without intraradicular posts. The remaining 30 teeth were equally divided and restored with zirconia (Group II, n = 10, fiber re-inforced composite (FRC (Group III, n = 10 and biologic dentin posts (Group IV, n = 10 using resin bonded cement and their cores built-up. These samples were embedded in acrylic resin and then secured in a Universal Testing Machine and subjected to fracture resistance testing. The location of failure in the specimens was evaluated using a stereomicroscope. Results: Intergroup comparison revealed that the control group and zirconia post group (522 ± 110 N demonstrated the least fracture resistance, while dentin post group (721 ± 127 N the highest. There was no statistically significant difference between fiber post and dentin post groups. Fractures that were repairable were observed in fiber post and dentin post groups, whereas mostly unrestorable, catastrophic fractures were observed in the zirconia post group. Conclusion: Teeth restored with the biologic dentin post system demonstrated the highest fracture resistance and repairable fractures, closely followed by FRC post system. The least fracture resistance and most catastrophic fractures were demonstrated by the zirconia post system.

The morphology of amputated human teeth and its relation to mechanical properties after restoration treatment

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Gugger, Jonas; Krastl, Gabriel; Huser, Marius; Deyhle, Hans; Müller, Bert

2010-09-01

The increased susceptibility to fracture of root canal- and post-treated teeth is less affected by alterations of the dentin structure, but seems to crucially depend on the loss of coronal tooth substance. The surface, available for adhesion of the composite material in the root canal and in the coronal part of the tooth, is assumed to be of key importance for the fracture resistance. Thus, an appropriate three-dimensional method should be identified to determine the adhesive surface with necessary precision. For this purpose, severely decayed teeth were simulated decapitating clinical crowns. After root canal filling and post space preparation, impressions of the root canal and the amputation surface were obtained using silicone. Micro computed tomography scans of these impressions were acquired. For one selected specimen, an additional high-resolution scan was recorded at a synchrotron radiation source. Software of ImageLab served for the extraction of the amputation interface, the post surface and the post volume from the tomography data, which have been finally correlated with the Young's modulus and the maximal load derived from mechanical tests. The morphological parameters show a realistic relationship to the mechanical tests performed after the restoration treatments and are consequently important for improving the dental skills.

Effects of various cone-beam computed tomography settings on the detection of recurrent caries under restorations in extracted primary teeth.

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Kamburoğlu, Kıvanç; Sönmez, Gül; Berktaş, Zeynep Serap; Kurt, Hakan; Özen, Doĝukan

2017-06-01

The aim of this study was to assess the ex vivo diagnostic ability of 9 different cone-beam computed tomography (CBCT) settings in the detection of recurrent caries under amalgam restorations in primary teeth. Fifty-two primary teeth were used. Twenty-six teeth had dentine caries and 26 teeth did not have dentine caries. Black class II cavities were prepared and restored with amalgam. In the 26 carious teeth, recurrent caries were left under restorations. The other 26 intact teeth that did not have caries served as controls. Teeth were imaged using a 100×90-mm field of view and a 0.2-mm voxel size with 9 different CBCT settings. Four observers assessed the images using a 5-point scale. Kappa values were calculated to assess observer agreement. CBCT settings were compared with the gold standard using a receiver operating characteristic analysis. The area under the curve (AUC) values for each setting were compared using the chi-square test, with a significance level of α=.05. Intraobserver kappa values ranged from 0.366 to 0.664 for observer 1, from 0.311 to 0.447 for observer 2, from 0.597 to 1.000 for observer 3, and from 0.869 to 1 for observer 4. Furthermore, interobserver kappa values among the observers ranged from 0.133 to 0.814 for the first reading and from 0.197 to 0.805 for the second reading. The highest AUC values were found for setting 5 (0.5916) and setting 3 (0.5886), and were not found to be statistically significant ( P >.05). Variations in tube voltage and tube current did not affect the detection of recurrent caries under amalgam restorations in primary teeth.

Effects of various cone-beam computed tomography settings on the detection of recurrent caries under restorations in extracted primary teeth

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Kamburoglu, Kivanc; Sonmez, Gul; Kurt, Hakan; Berktas, Zeynep Serap [Dept. of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara (Turkmenistan); Ozen, Dogukan [Dept. of Biostatistics, Faculty of Veterinary Medicine, Ankara University, Ankara (Turkmenistan)

2017-06-15

The aim of this study was to assess the ex vivo diagnostic ability of 9 different cone-beam computed tomography (CBCT) settings in the detection of recurrent caries under amalgam restorations in primary teeth. Fifty-two primary teeth were used. Twenty-six teeth had dentine caries and 26 teeth did not have dentine caries. Black class II cavities were prepared and restored with amalgam. In the 26 carious teeth, recurrent caries were left under restorations. The other 26 intact teeth that did not have caries served as controls. Teeth were imaged using a 100×90-mm field of view and a 0.2-mm voxel size with 9 different CBCT settings. Four observers assessed the images using a 5-point scale. Kappa values were calculated to assess observer agreement. CBCT settings were compared with the gold standard using a receiver operating characteristic analysis. The area under the curve (AUC) values for each setting were compared using the chi-square test, with a significance level of α=.05. Intraobserver kappa values ranged from 0.366 to 0.664 for observer 1, from 0.311 to 0.447 for observer 2, from 0.597 to 1.000 for observer 3, and from 0.869 to 1 for observer 4. Furthermore, interobserver kappa values among the observers ranged from 0.133 to 0.814 for the first reading and from 0.197 to 0.805 for the second reading. The highest AUC values were found for setting 5 (0.5916) and setting 3 (0.5886), and were not found to be statistically significant (P>.05). Variations in tube voltage and tube current did not affect the detection of recurrent caries under amalgam restorations in primary teeth.

Effects of various cone-beam computed tomography settings on the detection of recurrent caries under restorations in extracted primary teeth

International Nuclear Information System (INIS)

Kamburoglu, Kivanc; Sonmez, Gul; Kurt, Hakan; Berktas, Zeynep Serap; Ozen, Dogukan

2017-01-01

The aim of this study was to assess the ex vivo diagnostic ability of 9 different cone-beam computed tomography (CBCT) settings in the detection of recurrent caries under amalgam restorations in primary teeth. Fifty-two primary teeth were used. Twenty-six teeth had dentine caries and 26 teeth did not have dentine caries. Black class II cavities were prepared and restored with amalgam. In the 26 carious teeth, recurrent caries were left under restorations. The other 26 intact teeth that did not have caries served as controls. Teeth were imaged using a 100×90-mm field of view and a 0.2-mm voxel size with 9 different CBCT settings. Four observers assessed the images using a 5-point scale. Kappa values were calculated to assess observer agreement. CBCT settings were compared with the gold standard using a receiver operating characteristic analysis. The area under the curve (AUC) values for each setting were compared using the chi-square test, with a significance level of α=.05. Intraobserver kappa values ranged from 0.366 to 0.664 for observer 1, from 0.311 to 0.447 for observer 2, from 0.597 to 1.000 for observer 3, and from 0.869 to 1 for observer 4. Furthermore, interobserver kappa values among the observers ranged from 0.133 to 0.814 for the first reading and from 0.197 to 0.805 for the second reading. The highest AUC values were found for setting 5 (0.5916) and setting 3 (0.5886), and were not found to be statistically significant (P>.05). Variations in tube voltage and tube current did not affect the detection of recurrent caries under amalgam restorations in primary teeth

In vitro evaluation of microleakage in restored teeth with synthetic resins by neutrongraphy

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Barbosa, A.L.N.; Crispim, V.R., E-mail: abarbosa@ien.gov.b, E-mail: verginia@con.ufrj.b [Universidade Federal do Rio de Janeiro (PEN/COPPE/UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-Graduacao de Engenharia. Programa de Engenharia Nuclear

2011-07-01

The goal of the present study was to evaluate, using neutron graphic images, microleakage in teeth that were treated with resins. Teeth samples were drilled, producing wells with similar dimensions in each tooth. Afterwards, they were thoroughly filled with different resins to avoid voids. In preliminary tests, four different resins were used, and after submitted to neutron radiography their images were analyzed. The results of this trial showed good adherent for all the resins used, and since no micro leakage were seen on the images, the restoration procedure was successfully. (author)

[Advantages and disadvantages of endocrown restorations of endodontically treated teeth with large coronal destruction].

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Bao, X D

2018-04-09

The strength of endodontically treated teeth were reduced apparently because of structural damage, therefore further reduction of healthy tissue should be avoided as much as possible in restoration. Endocrown made by chair-side CAD/CAM is some kind of minimal invasive restoration, and the retention of restoration is achieved by reliable bonding and macromechanial retention forces. Without post preparation, the root structure could be resevered. Following the indications and use of biomechanical dentin-like CAD/CAM materials could reduce the adverse effect of tensile stress on cervical part.

Root canal adhesive filling in dogs' teeth with or without coronal restoration: a histopathological evaluation.

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Leonardo, Mario Roberto; Barnett, Frederick; Debelian, Gilberto J; de Pontes Lima, Regina Karla; Bezerra da Silva, Léa Assed

2007-11-01

The purpose of this study was to evaluate in vivo the response of the periradicular tissues after endodontic treatment and root filling with Epiphany/Resilon (Penntron Clinical Technologies, LLC, Wallingford, CT) or gutta percha and new Sealapex (SybronEndo, Glendora, CA) in dogs' teeth with or without coronal restoration. Teeth without coronal restorations were used to assess the influence of continuous exposure to the oral environment on the periradicular tissues. Sixty root canals with vital pulps in three dogs were instrumented and obturated in a single session and randomly assigned to one of four groups as follows. group 1: root canal filling with Epiphany/Resilon with coronal restoration, group 2: root canal filling with Sealapex sealer and gutta percha with restoration, group 3: root canal filling with Epiphany/Resilon without restoration, and group 4: root canal filling with Sealapex sealer and gutta percha without coronal restoration. After 90 days, the animals were euthanized, and the maxillas and mandibles were removed and submitted for histologic processing. Longitudinal sections were obtained and stained with hematoxylin and eosin, Mallory's trichrome, and Brown and Brenn stains and examined under light microscopy. There were significant differences found between the four groups (p < 0.05). The results showed that roots canals filled with Epiphany/Resilon, with coronal restoration, had significantly less periradicular inflammation than roots canals filled with gutta percha and Sealapex, with coronal restoration (p = 0.021). No significant difference was observed in the intensity of inflammation between roots canals filled with Epiphany/Resilon with no restoration and roots filled with gutta percha and Sealapex with restoration (p = 0.269). Roots canals filled with gutta percha and Sealapex sealer without coronal restoration showed the greatest degree of periradicular inflammation.

Fracture resistance of endodontically treated teeth restored with a bulkfill flowable material and a resin composite.

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Isufi, Almira; Plotino, Gianluca; Grande, Nicola Maria; Ioppolo, Pietro; Testarelli, Luca; Bedini, Rossella; Al-Sudani, Dina; Gambarini, Gianluca

2016-01-01

To determine and compare the fracture resistance of endodontically treated teeth restored with a bulk fill flowable material (SDR) and a traditional resin composite. Thirty maxillary and 30 mandibular first molars were selected based on similar dimensions. After cleaning, shaping and filling of the root canals and adhesive procedures, specimens were assigned to 3 subgroups for each tooth type (n=10): Group A: control group, including intact teeth; Group B: access cavities were restored with a traditional resin composite (EsthetX; Dentsply-Italy, Rome, Italy); Group C: access cavities were restored with a bulk fill flowable composite (SDR; Dentsply-Italy), except 1.5 mm layer of the occlusal surface that was restored with the same resin composite as Group B. The specimens were subjected to compressive force in a material static-testing machine until fracture occurred, the maximum fracture load of the specimens was measured (N) and the type of fracture was recorded as favorable or unfavorable. Data were statistically analyzed with one-way analysis of variance (ANOVA) and Bonferroni tests (Pcomposite and with a bulk fill flowable composite (SDR) was similar in both maxillary and mandibular molars and showed no significant decrease in fracture resistance compared to intact specimens. No significant difference was observed in the mechanical fracture resistance of endodontically treated molars restored with traditional resin composite restorations compared to bulk fill flowable composite restorations.

Fracture resistance of structurally compromised and normal endodontically treated teeth restored with different post systems: An in vitro study

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Vajihesadat Mortazavi

2012-01-01

Full Text Available Background: With the aim of developing methods that could increase the fracture resistance of structurally compromised endodontically treated teeth, this study was conducted to compare the effect of three esthetic post systems on the fracture resistance and failure modes of structurally compromised and normal roots. Materials and Methods: Forty five extracted and endodontically treated maxillary central teeth were assigned to 5 experimental groups (n=9. In two groups, the post spaces were prepared with the corresponding drills of the post systems to be restored with double taper light posts (DT.Light-Post (group DT.N and zirconia posts (Cosmopost (group Zr.N. In other 3 groups thin wall canals were simulated to be restored with Double taper Light posts (DT.W, double taper Light posts and Ribbond fibers (DT+R.W and Zirconia posts (Zr.W. After access cavity restoration and thermocycling, compressive load was applied and the fracture strength values and failure modes were evaluated. Data were analyzed using two-way ANOVA, Tukey and Fisher exact tests (P<0.05. Results: The mean failure loads (N were 678.56, 638.22, 732.44, 603.44 and 573.67 for groups DT.N, Zr.N, DT.W, DT+R.W and Zr.w respectively. Group DT+R.W exhibited significantly higher resistance to fracture compared to groups Zr.N, DT.W and Zr.w (P<0.05. A significant difference was detected between groups DT.N and Zr.W (P=0.027. Zirconia posts showed significantly higher root fracture compared to fiber posts (P=0.004. Conclusion: The structurally compromised teeth restored with double taper light posts and Ribbond fibers showed the most fracture resistance and their strengths were comparable to those of normal roots restored with double taper light posts. More desirable fracture patterns were observed in teeth restored with fiber posts.

Clinical Characteristics of Abutment Teeth with Gingival Discoloration.

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Ristic, Ljubisa; Dakovic, Dragana; Postic, Srdjan; Lazic, Zoran; Bacevic, Miljana; Vucevic, Dragana

2017-04-06

The grey-bluish discoloration of gingiva (known as "amalgam tattoo") does not appear only in the presence of amalgam restorations. It may also be seen in cases of teeth restored with cast dowels and porcelain-fused-to-metal (PFM) restorations. The aim of this article was to determine the clinical characteristics of abutment teeth with gingival discoloration. This research was conducted on 25 patients referred for cast dowel and PFM restorations. These restorations were manufactured from Ni-Cr alloys. Ninety days after cementing the fixed prosthodontic restorations, the abutment teeth (n = 61) were divided into a group with gingival discoloration (GD) (n = 25) and without gingival discoloration (NGD) (n = 36). The control group (CG) comprised the contralateral teeth (n = 61). Plaque index, gingival index, clinical attachment level, and probing depth were assessed before fabrication and also 90 days after cementation of the PFM restorations. The gingival index, clinical attachment level, and probing depths of the abutment teeth that had GD were statistically higher before restoration, in comparison with the abutment teeth in the NGD and control groups. Ninety days after cementation, the abutment teeth with GD had significantly lower gingival indexes and probing depths, compared to the abutment teeth in the NGD group. Both abutment teeth groups (GD and NGD) had significantly higher values of clinical attachment levels when compared to the control group. There were no statistically significant differences in plaque index values between the study groups. The results of this study indicated that impairment of periodontal status of abutment teeth seemed to be related to the presence of gingival discolorations. Therefore, fabrication of fixed prosthodontic restorations requires careful planning and abutment teeth preparation to minimize the occurrence of gingival discolorations. With careful preparation of abutment teeth for cast dowels and crown restorations it may be

Effect of amalgam cuspal coverage on the fracture resistance of endodontically treated teeth

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Mahshid Mohammdi Basir

2013-05-01

Full Text Available   Background and Aims: Endodontically treated teeth are prone to fracture because they loose a big amount of their structure. The treatment plan of those teeth is completed when they are rehabilitated with a strong and functional restoration. The purpose of this study was to evaluate the fracture resistance of endodontically treated teeth restored with amalgam cuspal coverage in comparison with other restorative techniques.   Materials and Methods: 40 human healthy maxillary premolars were divided into 4 groups: group1 (S: sound teeth, group 2(Co: endodontically treated teeth with MOD cavity restored with bonding and composite, group 3(Am-B: endodontically treated teeth with MOD cavity restored with bonding and amalgam and group 4 (Am-CC: endodontically treated teeth with MOD cavity restored with amalgam cuspal coverage. Then the restorations were stored in water and room temperature for 100 days at then thermocycled for 500 cycles between water baths at (5.5 ± 1 and (55 ± 1 0 C. The fracture resistance was evaluated by universal testing machine (Instron, 1195 UK with the compressive force of about 2000 N in 0.5 mm/min. The fracture modes were evaluated in four groups by a stereomicroscope. Statistical analysis (Scheffe test was done for all groups (P0.05. The lowest fracture resistance was found in group 2 (Co (384 ± 137.4 N that had no significant difference with group 3 (Am-B (P>0.05. The fracture resistance in group 4 was significantly higher than group 2 (Co and 3 (Am-B. The fracture mode in group 1 was cohesive within tooth and in group 2 (Co and 3 (Am-B was mixed cohesive and adhesive, and in group 4 was cohesive within in restorative material.   Conclusion: The highest fracture resistance was found in teeth that received amalgam cuspal coverage.

A comparison between new dentinal adhesives (fifth generation and traditional varnish in microleakage reduction of amalgam restorations in primary teeth

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Mortazavi M. Associate Professor

2003-06-01

Full Text Available Statement of Problem: Microleakage presents the major cause for restorations failure in the oral cavity resulting in postoperative sensitivity, pulp irritation and secondary caries formation."nAim: The aim of this study was to compare two dentinal adhesive systems of fifth generation and copalite varnish in reducing microleakage of amalgam restorations in primary teeth."nMaterials and Methods: In this in-vitro study, 100 class V amalgam restorations were prepared on the buccal or lingual surfaces of primary molar and canine teeth. Samples were randomly divided into four groups (25 samples each. No liner was used for the first group and the second group restorations were lined with copalite varnish. Two dentin adhesives, called Syntac C and Single Bond, were used for the third and fourth groups, respectively. At the next stage, the samples were immersed in 5% fuschin solution for 24 hours, then sectioned buccolingually, and examined under a stereomicroscope for microleakage evaluation."nResults: There was a significant difference between four groups statistically (PO.000I, Comparing"nfour groups, the first and fourth ones, demonstrated the most and the least microleakage, respectively."nConclusion: The present study showed that new dentinal adhesive systems caused microleakage"nreduction in amalgam restorations of primary teeth.

Fracture Resistance and Failure Mode of Endodontically Treated Premolars Restored with Different Adhesive Restorations

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Nasrin Sarabi

2015-03-01

Full Text Available Introduction: The restoration of endodontically treated teeth is a topic that has been studied extensively but it is still a challenge for dental practitioners. The aim of this study was to evaluate fracture resistance, fracture patterns and fracture location of endodontically treated human maxillary premolars restored with direct and indirect composite resin and ceramic restoration. Methods: Eighty non-carious maxillary premolars were selected and divided into four groups (n=20. Endodontic treatment and mesio-occluso-distal preparations were carried out in all the groups except for the control group (group I. Subsequently, the prepared teeth were restored as follows: group II: indirect composite restoration; group III: ceramic restoration; group IV: direct composite restoration. The specimens were subjected to compressive axial loading until fracture occurred. The mode of failure was also recorded. Results: Group I had higher fracture resistance (1196.82±241.74 than the other groups (P

Effect of Static and Cyclic Loading on Ceramic Laminate Veneers Adhered to Teeth with and Without Aged Composite Restorations

NARCIS (Netherlands)

Gresnigt, Marco M. M.; Ozcan, Mutlu; Kalk, Warner; Galhano, Graziela

2011-01-01

Purpose: Existing composite restorations on teeth are often remade prior to the cementation of fixed dental prostheses. The aim of this study was to evaluate the effect of static and cyclic loading on ceramic laminate veneers adhered to aged resin composite restorations. Materials and Methods:

[A ten-year clinical study of cracked teeth restored with glass ceramic crowns].

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Luo, X P; Yuan, Y; Shi, Y J; Qian, D D

2016-10-09

Objective: To evaluate the clinic performance of high strength glass ceramic crowns for the painful cracked teeth during a 10-year observation period. Methods: Forty-two posterior teeth from 36 patients were diagnosed as having a crack, biting painful and sensitivity to cold were selected in the Department of Prosthodontic, Institute and Hospital of Stomatology, Nanjing University Medical School. The lost-wax hot pressed glass ceramic crowns were bonded on the minimally invasive prepared teeth by modern adhesive technology. Patients were interviewed and went through clinic examination after one week, one month, and every six months. Results: The effectiveness of 42 glass ceramic crowns for cracked teeth was evaluated for a mean observation time over 10-year. At the first week, 29(81%) patients were free of pain, three still had sensitivity to cold and chewing pain, three still had sensitivity to cold, one had painful to cold and hot. After one month, two patients still had chewing pain, and one tooth needed endodontic treatment after six months. In 10 years, 2(5%) all ceramic crowns were broken, the other 40 restorations kept good clinical performances with a 10-year survival rate of 95%. Conclusions: The high strength glass ceramic crowns are very effective and successful in treating the cracked teeth and then keep the good mastication function and appearance.

Comparative analysis of human and bovine teeth: radiographic density

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Jefferson Luis Oshiro Tanaka

2008-12-01

Full Text Available Since bovine teeth have been used as substitutes for human teeth in in vitro dental studies, the aim of this study was to compare the radiographic density of bovine teeth with that of human teeth to evaluate their usability for radiographic studies. Thirty bovine and twenty human teeth were cut transversally in 1 millimeter-thick slices. The slices were X-rayed using a digital radiographic system and an intraoral X-ray machine at 65 kVp and 7 mA. The exposure time (0.08 s and the target-sensor distance (40 cm were standardized for all the radiographs. The radiographic densities of the enamel, coronal dentin and radicular dentin of each slice were obtained separately using the "histogram" tool of Adobe Photoshop 7.0 software. The mean radiographic densities of the enamel, coronal dentin and radicular dentin were calculated by the arithmetic mean of the slices of each tooth. One-way ANOVA demonstrated statistically significant differences for the densities of bovine and human enamel (p 0.05. Based on the results, the authors concluded that: a the radiographic density of bovine enamel is significantly higher than that of human enamel; b the radiodensity of bovine coronal dentin is statistically lower than the radiodensity of human coronal dentin; bovine radicular dentin is also less radiodense than human radicular dentin, although this difference was not statistically significant; c bovine teeth should be used with care in radiographic in vitro studies.

Preference for using posts to restore endodontically treated teeth: findings from a survey with dentists

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Sarkis-Onofre, R.; Pereira-Cenci, T.; Opdam, N.J.M.; Demarco, F.F.

2014-01-01

The aim of this study was to evaluate if clinical experience, whether in relation to length of practice time and/or level of specialization influences the dentist's preference for using posts to restore endodontically treated teeth. A cross sectional study was carried out using a questionnaire with

Preference for using posts to restore endodontically treated teeth: findings from a survey with dentists

NARCIS (Netherlands)

Sarkis-Onofre, R.; Pereira-Cenci, T.; Opdam, N.J.M.; Demarco, F.F.

2015-01-01

The aim of this study was to evaluate if clinical experience, whether in relation to length of practice time and/or level of specialization influences the dentist's preference for using posts to restore endodontically treated teeth. A cross sectional study was carried out using a questionnaire with

Thermal Energy Transfer Through All Ceramic Restorations

Science.gov (United States)

2016-06-01

correlate to a histological status or disease process. A positive response only expresses that there is a viable nerve fibers located within the pulp ...INTRODUCTION: The literature has demonstrated that cold testing with 1,1,1,2- tetrafluoroethane (TFE) can be used to assess the pulp vitality of teeth restored...restorative materials to natural teeth. MATERIALS AND METHODS: Thermoprobes (T-type, Omega) were inserted into the pulp chamber of 3 extracted human

Compressive strength and failure types of cusp replacing direct resin composite restorations in previously amalgam-filled premolars versus sound teeth

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Scholtanus, Johannes Durk; Zaia, John; Oezcan, Mutlu

2017-01-01

This study evaluated the fracture resistance of cusp replacing direct resin composite restorations (DCR) in premolars that had been previously filled with amalgam mesial-occlusal-distal (MOD) restorations and compared their fracture resistance with those made on sound dentin and intact teeth.

Fracture resistance of endodontically treated teeth restored with short fiber composite used as a core material-An in vitro study.

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Garlapati, Tejesh Gupta; Krithikadatta, Jogikalmat; Natanasabapathy, Velmurugan

2017-10-01

This in-vitro study tested the fracture resistance of endodontically treated molars with Mesial-Occluso-Distal (MOD) cavities restored with fibre reinforced composite material everX posterior in comparision with hybrid composite and ribbond fiber composite. Fifty intact freshly extracted human mandibular first molars were collected and were randomly divided into five groups (n=10). Group 1: positive control (PC) intact teeth without any endodontic preparation. In groups 2 through 6 after endodontic procedure standard MOD cavities were prepared and restored with their respective core materials as follows: group 2, negative control (NC) left unrestored or temporary flling was applied. Group 3, Hybrid composite (HC) as a core material (Te-Econom Plus Ivoclar Vivadent Asia) group 4, Ribbond (Ribbond; Seattle, WA, USA)+conventional composite resin (RCR) group 5, everX posterior (everX Posterior GC EUROPE)+conventional composite resin (EXP) after thermocycling fracture resistance for the samples were tested using universal testing machine. The results were analysed using ANOVA and Tukey's HSD post hoc tests. Mean fracture resistance (in Newton, N) was group 1: 1568.4±221.71N, group 2: 891.0±50.107N, group 3: 1418.3±168.71N, group 4:1716.7±199.51N and group 5: 1994.8±254.195N. Among the materials tested, endodontically treated teeth restored with everX posterior fiber reinforced composite showed superior fracture resistance. Copyright © 2017 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

Fracture resistance of endodontically treated teeth restored with Zirconia filler containing composite core material and fiber posts.

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Jeaidi, Zaid Al

2016-01-01

To assess the fracture resistance of endodontically treated teeth with a novel Zirconia (Zr) nano-particle filler containing bulk fill resin composite. Forty-five freshly extracted maxillary central incisors were endodontically treated using conventional step back preparation and warm lateral condensation filling. Post space preparation was performed using drills compatible for fiber posts (Rely X Fiber Post) on all teeth (n=45), and posts were cemented using self etch resin cement (Rely X Unicem). Samples were equally divided into three groups (n=15) based on the type of core materials, ZirconCore (ZC) MulticCore Flow (MC) and Luxacore Dual (LC). All specimens were mounted in acrylic resin and loads were applied (Universal testing machine) at 130° to the long axis of teeth, at a crosshead speed of 0.5 mm/min until failure. The loads and the site at which the failures occurred were recorded. Data obtained was tabulated and analyzed using a statistical program. The means and standard deviations were compared using ANOVA and Multiple comparisons test. The lowest and highest failure loads were shown by groups LC (18.741±3.02) and MC (25.16±3.30) respectively. Group LC (18.741±3.02) showed significantly lower failure loads compared to groups ZC (23.02±4.21) and MC (25.16±3.30) (pcomposite cores was comparable to teeth restored with conventional Zr free bulk fill composites. Zr filled bulk fill composites are recommended for restoration of endodontically treated teeth as they show comparable fracture resistance to conventional composite materials with less catastrophic failures.

Effect of different composite core materials on fracture resistance of endodontically treated teeth restored with FRC posts.

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Panitiwat, Prapaporn; Salimee, Prarom

2017-01-01

This study evaluated the fracture resistance of endodontically treated teeth restored with fiber reinforced composite posts, using three resin composite core build-up materials, (Clearfil Photo Core (CPC), MultiCore Flow (MCF), and LuxaCore Z-Dual (LCZ)), and a nanohybrid composite, (Tetric N-Ceram (TNC)). Forty endodontically treated lower first premolars were restored with quartz fiber posts (D.T. Light-Post) cemented with resin cement (Panavia F2.0). Samples were randomly divided into four groups (n=10). Each group was built-up with one of the four core materials following its manufacturers' instructions. The teeth were embedded in acrylic resin blocks. Nickel-Chromium crowns were fixed on the specimens with resin cement. The fracture resistance was determined using a universal testing machine with a crosshead speed of 1 mm/min at 1350 to the tooth axis until failure occurred. All core materials used in the study were subjected to test for the flexural modulus according to ISO 4049:2009. One-way ANOVA and Bonferroni multiple comparisons test indicated that the fracture resistance was higher in the groups with CPC and MCF, which presented no statistically significant difference (p>0.05), but was significantly higher than in those with LCZ and TNC (paligned with the same tendency of fracture loads. Among the cores used in this study, the composite core with high filler content tended to enhance fracture thresholds of teeth restored with fiber posts more than others.

Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a systematic review and meta-analysis.

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Veloso, Sirley Raiane Mamede; Lemos, Cleidiel Aparecido Araújo; de Moraes, Sandra Lúcia Dantas; do Egito Vasconcelos, Belmiro Cavalcanti; Pellizzer, Eduardo Piza; de Melo Monteiro, Gabriela Queiroz

2018-03-28

The purpose of this systematic review was to compare the clinical performance of bulk-fill resin composites with conventional resin composites used for direct restorations of posterior teeth. This review followed the PRISMA statement. This review was registered at PROSPERO (registration number CRD42016053436). A search of the scientific literature was performed by two independent reviewers using the PubMed/MEDLINE, Embase, The Cochrane Library, and Web of Science databases from commencement until January 2018. The research question was "Do bulk-fill resin composites have a clinical performance comparable to conventional resin composites in posterior restorations?" Only studies evaluating class I and II direct restorations in permanent teeth with a follow-up period of at least 1 year were included. The RevMan 5 program was used for meta-analysis, calculating the relative risk (RR) and 95% confidence interval (CI) of the dichotomous outcome (restoration failure or success). Ten articles were selected, comprising 941 analyzed restorations. The mean follow-up period was 33.6 months (12-72 months). No statistically significant differences in the failure rate were observed between conventional and base/flowable bulk-fill resin composites (p = 0.31; RR 1.49; 95% CI 0.69-3.25) or full-body/sculptable bulk-fill resin composites (p = 0.12; RR 1.89; 95% CI 0.84-4.24). The present systematic review and meta-analysis indicate similar clinical performances of bulk-fill and conventional resin composites over a follow-up period of 12 to 72 months. Based on the results of this study, the bulk-fill resin composites could be an alternative for direct restorations in posterior teeth. However, clinical trials of longer duration are required.

Effect of different composite core materials on fracture resistance of endodontically treated teeth restored with FRC posts

OpenAIRE

PANITIWAT, Prapaporn; SALIMEE, Prarom

2017-01-01

Abstract Objective This study evaluated the fracture resistance of endodontically treated teeth restored with fiber reinforced composite posts, using three resin composite core build-up materials, (Clearfil Photo Core (CPC), MultiCore Flow (MCF), and LuxaCore Z-Dual (LCZ)), and a nanohybrid composite, (Tetric N-Ceram (TNC)). Material and Methods Forty endodontically treated lower first premolars were restored with quartz fiber posts (D.T. Light-Post) cemented with resin cement (Panavia F2...

Fracture Resistance of Endodontically Treated Teeth Restored with 2 Different Fiber-reinforced Composite and 2 Conventional Composite Resin Core Buildup Materials: An In Vitro Study.

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Eapen, Ashly Mary; Amirtharaj, L Vijay; Sanjeev, Kavitha; Mahalaxmi, Sekar

2017-09-01

The purpose of this in vitro study was to comparatively evaluate the fracture resistance of endodontically treated teeth restored with 2 fiber-reinforced composite resins and 2 conventional composite resin core buildup materials. Sixty noncarious unrestored human maxillary premolars were collected, endodontically treated (except group 1, negative control), and randomly divided into 5 groups (n = 10). Group 2 was the positive control. The remaining 40 prepared teeth were restored with various direct core buildup materials as follows: group 3 teeth were restored with dual-cure composite resin, group 4 with posterior composite resin, group 5 with fiber-reinforced composite resin, and group 6 with short fiber-reinforced composite resin. Fracture strength testing was performed using a universal testing machine. The results were statistically analyzed by 1-way analysis of variance and the post hoc Tukey test. Fracture patterns for each sample were also examined under a light microscope to determine the level of fractures. The mean fracture resistance values (in newtons) were obtained as group 1 > group 6 > group 4 > group 3 > group 5 > group 2. Group 6 showed the highest mean fracture resistance value, which was significantly higher than the other experimental groups, and all the fractures occurred at the level of enamel. Within the limitations of this study, a short fiber-reinforced composite can be used as a direct core buildup material that can effectively resist heavy occlusal forces against fracture and may reinforce the remaining tooth structure in endodontically treated teeth. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

A comparative evaluation of fracture resistance of endodontically treated teeth, with variable marginal ridge thicknesses, restored with composite resin and composite resin reinforced with Ribbond: An in vitro study

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Vaishali Kalburge

2013-01-01

Full Text Available Background: The anatomic shape of maxillary premolars show a tendency towards separation of their cusps during mastication after endodontic treatment. Preservation of the marginal ridge of endodontically treated and restored premolars can act as a strengthening factor and improve the fracture resistance. Objectives: To evaluate the effect of varying thickness of marginal ridge on the fracture resistance of endodontically treated maxillary premolars restored with composite and Ribbond reinforced composites. Materials and Methods: One hundred and twenty, freshly extracted, non carious human mature maxillary premolars were selected for this experimental in vitro study. The teeth were randomly assigned in to twelve groups ( n = 10. Group 1 received no preparation. All the premolars in other groups were root canal treated. In subgroups of 3 and 4, DO cavities were prepared while MOD cavities were prepared for all subgroups of group 2, the dimensions of the proximal boxes were kept uniform. In group 3 and 4 the dimensions of the mesial marginal ridge were measured using a digital Vernier caliper as 2 mm, 1.5 mm, 1 mm and 0.5 mm in the respective subgroups. All samples in groups 2.2 and all the subgroups of 3 were restored with a dentin bonding agent and resin composite. The teeth in group 2.3 and all subgroups of 4 were restored with composite reinforced with Ribbond fibers. The premolars were submitted to axial compression up to failure at 45 degree angle to a palatal cusp in universal testing machine. The mean load necessary to fracture was recorded in Newtons and the data was analysed. Results: There was a highly significant difference between mean values of force required to fracture teeth in group 1 and all subgroups of group 2, 3 and 4 (i.e., P < 0.01 Conclusion: On the basis of static loading, preserving the mesial marginal ridge with thicknesses of mm, 1.5 mm, 1 mm and 0.5 mm, composite restored and Ribbond reinforced composite restored

Fracture Strength of Indirect Resin Composite Laminates to Teeth with Existing Restorations : An Evaluation of Conditioning Protocols

NARCIS (Netherlands)

Mese, Ayse; Ozcan, Mutlu

2009-01-01

Purpose: This study evaluated the fracture strength and failure types of indirect resin-based composite laminates bonded to teeth with aged Class III composite restorations that were conditioned according to various protocols. Materials and Methods: Maxillary central incisors (N = 60) with

Fluorine determination in human healthy and carious teeth using the PIGE technique

International Nuclear Information System (INIS)

Carvalho, M.L.; Karydas, A.G.; Casaca, C.; Zarkadas, Ch.; Paradellis, Th.; Kokkoris, M.; Nsouli, B.; Cunha, A.S.

2001-01-01

The purpose of this study is to determine and compare the fluorine concentration in human teeth from two different populations, living in the Portuguese quite isolated islands of Acores: S. Miguel and Terceira. Both populations have similar dietary habits, similar occupational activities, mostly rural, and the age of both populations is more or less the same, around 40 years. No chronic diseases were registered in any of the donors. The two groups are exposed to different levels of fluorine in drinking water. Terceira island has moderate fluorine concentration levels (1-2 μg g -1 ) while S. Miguel island is known for the high fluorine concentration levels in its water (>3 μg g -1 ), especially in one area known as Furnas. Thirty-three teeth, 17 healthy and 16 carious without restoration (14 incisors and canines, 7 premolars and 12 molars), were collected and analyzed for the determination of fluorine concentration in the dentine region, using the nuclear reaction 19 F(p,αγ) 16 O. The teeth were cross-sectioned along the vertical plane and polished, in order to obtain a smooth and plane surface of about 1 mm thickness. In this work an association between caries prevalence and fluorine content of drinking water is discussed and the variation of fluorine concentration among different types of teeth (canines and incisors, premolars, molars) and physical state (carious and non-carious) is examined

Predictable management of cracked teeth with reversible pulpitis.

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Abbott, P; Leow, N

2009-12-01

The aims of this study were to assess symptoms and signs caused by cracks in teeth and to assess a conservative management protocol. The symptoms and signs of 100 consecutive teeth that had reversible pulpitis associated with cracks were compared to findings from other reports. Teeth were managed with a conservative protocol which involved removal of cracks, caries and restorations, followed by placement of a sedative lining and interim restoration unless there were pulp exposures or insufficient tooth structure remaining. Teeth were monitored for pulp healing after three months and for up to five years. Eighty teeth did not require endodontic treatment. One tooth had an uncertain pulp status at review appointments. Fifteen teeth required endodontic treatment at the initial appointment because of carious pulp exposures (4 teeth), cracks extending into the pulp (2), and posts required (9). Four other teeth required endodontic treatment later following conservative pulp treatment due to continued pulpitis under the temporary restoration (1), pulpitis after core restoration (2), and pulp necrosis diagnosed at the review (1). Provided there is an accurate diagnosis of the pulp status and its cause, teeth with reversible pulpitis due to cracks can be treated conservatively without endodontic treatment in about 80 per cent of cases.

Esthetic restorations of maxillary anterior teeth with orthodontic treatment and porcelain laminate veneers: a case report.

Science.gov (United States)

Moon, Ji-Eun; Kim, Sung-Hun; Han, Jung-Suk; Yang, Jae-Ho; Lee, Jai-Bong

2010-06-01

If orthodontists and restorative dentists establish the interdisciplinary approach to esthetic dentistry, the esthetic and functional outcome of their combined efforts will be greatly enhanced. This article describes satisfying esthetic results obtained by the distribution of space for restoration by orthodontic treatment and porcelain laminate veneers in uneven space between maxillary anterior teeth. It is proposed that the use of orthodontic treatment for re-distribution of the space and the use of porcelain laminate veneers to alter crown anatomy provide maximum esthetic and functional correction for patients with irregular interdental spacing.

Effect of different composite core materials on fracture resistance of endodontically treated teeth restored with FRC posts

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Prapaporn PANITIWAT

Full Text Available Abstract Objective This study evaluated the fracture resistance of endodontically treated teeth restored with fiber reinforced composite posts, using three resin composite core build-up materials, (Clearfil Photo Core (CPC, MultiCore Flow (MCF, and LuxaCore Z-Dual (LCZ, and a nanohybrid composite, (Tetric N-Ceram (TNC. Material and Methods Forty endodontically treated lower first premolars were restored with quartz fiber posts (D.T. Light-Post cemented with resin cement (Panavia F2.0. Samples were randomly divided into four groups (n=10. Each group was built-up with one of the four core materials following its manufacturers’ instructions. The teeth were embedded in acrylic resin blocks. Nickel-Chromium crowns were fixed on the specimens with resin cement. The fracture resistance was determined using a universal testing machine with a crosshead speed of 1 mm/min at 1350 to the tooth axis until failure occurred. All core materials used in the study were subjected to test for the flexural modulus according to ISO 4049:2009. Results One-way ANOVA and Bonferroni multiple comparisons test indicated that the fracture resistance was higher in the groups with CPC and MCF, which presented no statistically significant difference (p>0.05, but was significantly higher than in those with LCZ and TNC (p<0.05. In terms of the flexural modulus, the ranking from the highest values of the materials was aligned with the same tendency of fracture loads. Conclusion Among the cores used in this study, the composite core with high filler content tended to enhance fracture thresholds of teeth restored with fiber posts more than others.

Comparison of Microleakage of Glass Ionomer Restoration in Primary Teeth Prepared by Er: YAG Laser and the Conventional Method

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M. Ghandehari

2012-01-01

Full Text Available Objective: One of the main criteria in evaluating the restorative materials is the degree of microleakage. The aim of this study was to compare the microleakage of glass ionomer restored cavities prepared by Er:YAG laser or turbine and bur.Materials and Methods: Twenty extracted caries-free deciduous posterior teeth were selected for this study. The teeth were randomly divided into two groups for cavity preparation. Cavities in group one were prepared by high speed turbine and bur. In the second group, Er:YAG laser with a 3W output power, 300 mJ energy and 10 Hz frequency was used. Cavities were restored with GC Fuji II LC. After thermocycling, the samples were immersed into 0.5% methylene blue solution. They were sectioned for examination under optic microscope.Results: The Wilcoxon signed ranks test showed no significant difference between microleakage of the laser group and the conventional group (P>0.05.Conclusion: Er:YAG laser with its advantages in pediatric dentistry may be suggested as an alternative device for cavity preparation.Key Words: Er:YAG laser, Glass ionomer, Microleakage

Correlation between three color coordinates of human teeth

Science.gov (United States)

Lee, Yong-Keun

2014-11-01

The objective was to determine whether there were significant correlations in the three color coordinates within each of two color coordinate systems, such as the Commission Internationale de l'Eclairage (CIE) L*a*b* system, and the lightness, chroma, and hue angle system, of human vital teeth. The color of six maxillary and six mandibular anterior teeth was measured by the Shade Vision System. Pearson correlations between each pair of the color coordinates were determined (α=0.01). The influence of two color coordinates on the other color coordinate was determined with a multiple regression analysis (α=0.01). Based on correlation analyses, all the color coordinate pairs showed significant correlations except for the chroma and hue angle pair. The CIE L* was negatively correlated with the CIE a*, b*, and chroma, but positively correlated with the hue angle. The CIE a* was positively correlated with the CIE b* and chroma. Tooth color coordinates were correlated each other. Lighter teeth were less chromatic both in the CIE a* and b* coordinates. Therefore, it was postulated that the three color coordinates of human teeth were harmonized within certain color attribute ranges, and a lack of correlations in these coordinates might indicate external/internal discolorations and/or anomalies of teeth.

[Comparison of color reappearance between metal-ceram restoration and foundry-ceram restoration using crystaleye spectrophotometer].

Science.gov (United States)

Shi, Tao; Zhang, Ning; Kong, Fan-wen; Zhan, De-song

2010-10-01

To study the color reappearance effect of metal-ceram restoration and foundry-ceram restoration using Crystaleye spectrophotometer. 58 metal-ceram restorations and 58 foundry-ceram restorations according to the result of the Crystaleye spectrophotometer were made respectively. The deltaE between restorations and natural teeth as referenced were analyzed. And satisfaction of dentists and patients were evaluated. The deltaE between metal-ceram restorations and natural teeth was 7.13 +/- 0.74. The deltaE between foundry-ceram restorations and teeth was 1.47 +/- 0.84. There were statistical differences between the deltaE (P spectrophotometer can provide accurate reference for foundry-ceram restoration, but for metal-ceram restoration it is not accurate.

[Observation of osteoclasts on the root surface during human deciduous teeth resorption].

Science.gov (United States)

Bao, Xiang-jun; Liang, Xing; Chen, Ming; Wang, Hang; Xie, Zhi-gang; Yang, Xiao-yu

2004-08-01

To observe osteoclasts on the resorbing surface of human deciduous teeth. After fixing the collected deciduous teeth, we prepared the tooth slices without decalcification, treated them with HE and TRAP dyestuff, and observed the osteoclasts under light and scanning electron microscope. There were large quantity of various forms of overlapping and huge osteoclasts with many nuclei and silk-like protuberances on the resorbing surface of deciduous teeth. The multinucleated osteoclasts align on the surface of coarse dentin. On the resorbing surface of human deciduous teeth there are large amount of osteoclasts which can be used as a source of studying human osteoclast.

A comparative evaluation of four restorative materials to support undermined occlusal enamel of permanent teeth

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Prabhakar A

2006-09-01

Full Text Available The purpose of this study was to test the support to undermined occlusal enamel provided by posterior restorative composite (FiltekTM P60, 3M Dental products USA, polyacid modified resin composite (F2000 compomer, 3M Dental products, USA., radiopaque silver alloy-glass ionomer cement (Miracle Mix. GC Corp, Tokyo, Japan and Glass Ionomer cement (Fuji IX GP. To test each material, 20 human permanent mandibular third molars were selected. The lingual cusps were removed and the dentin supporting the facial cusps was cut away, leaving a shell of enamel. Each group of prepared teeth was restored using the materials according to the manufacturer′s instructions. All the specimens were thermocycled (250 cycles, 6°C- 60°C, dwell time 30 seconds and then mounted on an acrylic base. Specimens were loaded evenly across the cusp tips at a crosshead speed of 5 mm /minute in Hounsfield universal testing machine until fracture occurred. Data obtained was analyzed using analysis of variance and Studentized- Newman- Keul′s range test. No significant differences were detected in the support provided by P-60, F 2000, Miracle Mix or Fuji IX GP groups. The support provided to undermined occlusal enamel by these materials was intermediate between no support and that provided by sound dentin. Without further development in dental material technology and evidence of its efficacy, restorative materials should not be relied upon to support undermined occlusal enamel to a level comparable to that provided by sound dentin.

Esthetic Rehabilitation of Primary Anterior Teeth using Temporization Material: A Novel Approach

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Pandit, IK; Gupta, Monika; Nagpal, Jyoti

2017-01-01

Pediatric dentists should always aim for esthetic and functional rehabilitation of decayed/traumatized primary teeth. The most common method for restoring such teeth involves the use of “strip crowns” with composites, while the recent trend is toward using other extracoronal restorations including preve-neered stainless steel crowns and zirconia crowns. All these restorative options have shown good success rates, but also have some limitations. This case series depicts novel clinical technique of using a temporization material for full-coronal restoration(s) in primary anterior teeth. This included the chair-side custom fabrication of full-coronal restoration using temporization material, which has resulted in good immediate esthetics and might be a cost-effective alternative for restoring primary anterior teeth in future. How to cite this article Gugnani N, Pandit IK, Gupta M, Nagpal J. Esthetic Rehabilitation of Primary Anterior Teeth using Temporization Material: A Novel Approach. Int J Clin Pediatr Dent 2017;10(1):111-114. PMID:28377667

Clinical considerations in restorative dentistry - A narrative review

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Ashwini Tumkur Shivakumar

2015-01-01

Full Text Available The relationship between periodontal health and the restoration of teeth is intimate and inseparable. Human teeth are designed in such a way that the individual tooth contributes significantly to their own support as well as collectively the teeth in the arch. Decay on the proximal surfaces occurs mainly due to the faulty interrelationship between the contact area, marginal ridge, the embrasures and the gingiva. An adequate understanding of the relationship between periodontal tissues and restorative dentistry is paramount to ensure an adequate form, function, aesthetics and comfort of the dentition. For long-term survival of restoration, both functionally and esthetically, certain biological considerations are very critical to preserve the health of the periodontium and thus must be given due importance in clinical practice. While most clinicians are aware of this important relationship, uncertainly remains regarding specific concept such as biologic width and its maintainces.

Is there a best conventional material for restoring posterior primary teeth? A network meta-analysis.

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Pires, Carine Weber; Pedrotti, Djessica; Lenzi, Tathiane Larissa; Soares, Fabio Zovico Maxnuck; Ziegelmann, Patricia Klarmann; Rocha, Rachel de Oliveira

2018-03-01

This study aimed to compare the longevity of different conventional restorative materials placed in posterior primary teeth. This systematic review was conducted following the PRISMA statement and registered in PROSPERO (CRD42016035775). A comprehensive electronic search without date or language restrictions was performed in PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, Scopus, Turning Research Into Practice (TRIP) and Clinical Trials databases up to January 2017, selecting randomized clinical trials that assessed the longevity of at least two different conventional restorative materials performed in primary molars. Seventeen studies were included in this systematic review. Pairwise and network meta-analyses were performed and relative risks and 95% confidence intervals (CI) calculated. Two reviewers independently selected the studies, extracted the data, and assessed the risk of bias. Restorations of primary molars with conventional glass ionomer cement showed increased risk of failure than compomer, resin-modified glass ionomer cement, amalgam, and composite resin. Risk of bias was low in most studies (45.38% of all items across studies). Pediatric dentists should avoid conventional glass ionomer cement for restoring primary molars.

Radiopacity of 28 Composite Resins for Teeth Restorations.

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Raitz, Ricardo; Moruzzi, Patrizia Dubinskas; Vieira, Glauco; Fenyo-Pereira, Marlene

2016-02-01

Radiopacity is a fundamental requisite to check marginal adaptation of restorations. Our objective was to assess the radiopacity of 28 brands of light-cured composite resins and compare their radiopacity with that of enamel, dentin, and aluminum of equivalent thickness. Composite resin disks (0.2, 0.5, and 1 mm) were radiographed by the digital method, together with an aluminum penetrometer and a human tooth equivalent tooth section. The degree of radiopacity of each image was quantified using digital image processing. Wilcoxon nonparametric test was used for comparison of the mean thickness of each material. All of the materials tested had an equal or greater radiopacity than that of aluminum of equivalent thickness. Similar results for enamel were found with the exception of Durafill, which was less radiopaque than enamel (p composite resins comply with specification #27 of the American Dental Association. The radiopacity of Amelogen Plus, Aph, Brilhiante, Charisma, Concept Advanced, Evolux X, Exthet X, Inten S, Llis, Master Fill, Natural Look, Opallis, P60, Tetric, Tph, Z100, and Z250 was significantly higher than that of enamel (p composites, it is possible to observe the boundaries between restoration and tooth structure, thus allowing clinicians to establish the presence of microleakage or restoration gap. Suitable radiopacity is an essential requisite for good-quality esthetic restorative materials. We demonstrate that only some composites have the sufficient radiopacity to observe the boundaries between restoration and tooth structure, which is the main cause of restoration failure.

[Cryopreservation of teeth].

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Zimmerli, Melanie; Filippi, Andreas

2010-01-01

After tooth loss dental implants or fixed prosthetic restorations are not indicated in children and adolescents due to incomplete maxillary and mandibular development. Cryopreservation is a method for long-term storage of healthy teeth which were removed for orthodontic reasons or due to traumatic origin. These preserved teeth can be used as autogenous replants or transplants after tooth loss. During transport to and from the freezing facilities prior to freezing the teeth are stored in a cell culture medium. The tooth is transferred into a freezing tube containing cell culture medium and cryoprotectant DMSO. Teeth autotransplanted after cryopreservation show vitality of the PDL cells. Usually no enamel and/or dentinal cracks can be observed. After tooth loss transplantation of cryopreserved teeth could be an effective and biological therapy for tooth replacement.

Autotransplantation of Third Molars With Platelet-Rich Plasma for Immediate Replacement of Extracted Non-Restorable Teeth: A Case Series.

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Gonzalez-Ocasio, Jorge; Stevens, Mark

2017-09-01

The aim of this study was to examine the use of platelet-rich plasma (PRP) for autotransplantation of third molars as a successful technique to provide immediate tooth structure for space maintenance and masticatory function when premature loss of a permanent tooth occurs and other dental restorative options are not indicated. This study included 10 healthy patients 10 to 17 years of age with at least 1 immature third molar (one to two thirds of root formation) used to replace extracted non-restorable teeth. Eleven third molars were transplanted and adapted to sockets of the extracted teeth with the adjunct of PRP. Transplanted teeth were stabilized to the adjacent teeth using orthodontic wires and dental composite for 1 month. Patients were followed for 1 year. Function, tooth vitality, root development, and periodontal health were recorded. All 10 patients had functioning asymptomatic transplanted teeth, with physiologic tooth mobility after splint removal at 1 month and after 1 year. All 10 patients had positive tooth vitality (by cold test) at 3, 6, and 12 months; all transplants showed positive root development (average growth, 2.01 mm) confirmed and measured using periapical radiographs. No patients required root canal therapy at any point in the study. Periodontal assessments were performed at the scheduled follow-up appointments with circumferential periodontal probing. Periodontal health was maintained because probing depths were shallower than 4 mm during the 1-year follow-up. Autotransplantation of immature third molars with PRP shows excellent results and should be considered a viable option for premature loss of permanent molars. PRP might have other advantages, such as root promotion and neurosensory development. Published by Elsevier Inc.

The state-of-the-art of ART restorations.

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Frencken, Jo E

2014-04-01

ART is less anxiety- and pain-provoking than traditional restorative treatments; administration of local anaesthesia is rarely required. Systematic reviews have provided evidence of the high level of effectiveness of high-viscosity glass-ionomer ART restoration in restoring single-surface cavities, both in primary and permanent posterior teeth, but its survival rates in restoring multiple-surface cavities in primary posterior teeth needs to be improved. Insufficient information is available regarding the survival rates of multiple-surface ART restorations in permanent teeth. Evidence from these reviews indicates no difference in the survival rates of single-surface high-viscosity glass-ionomer ART restorations and amalgam restorations in primary and permanent posterior teeth. Where indicated, high-viscosity glass-ionomer ART restorations can be used alongside traditional restorations. ART provides a much more acceptable introduction to dental restorative care than the traditional 'injection, drill and fill'.

Fracture resistance of premolar teeth restored with silorane-based or dimethacrylate-based composite resins.

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Akbarian, Golsa; Ameri, Hamideh; Chasteen, Joseph E; Ghavamnasiri, Marjaneh

2014-01-01

To restore posterior teeth using low-shrinkage composite to minimize microleakage. To compare the fracture resistance of mesio-occlusal-distal (MOD) cavity preparations restored with either low-shrinkage composite or with dimethacrylate-based composite in conjunction with cavity liners and without them. The null hypothesis of the study is that there are no differences in either fracture resistance or fracture mode between the silorane group and dimethacrylate groups with and without the use of cavity liners. Sixty maxillary premolars were divided into six groups of 10. MOD cavities were prepared in four groups: F: posterior composite (Filtek P60); GF: 0.5-mm Glass Ionomer (Fuji LC) + posterior composite; FF: 0.5-mm flowable composite (Filtek Supreme XT) + posterior composite; and S: low-shrinkage composite (Filtek P90). Negative (N) and positive (P) control groups consisted of unrestored and sound teeth, respectively. The specimens were thermocycled and loaded. Data were analyzed using analysis of variance, Tukey, and chi-square tests (α = 0.05). Groups FF (1643.09 ± 187/80 N) and GF (1596.80 ± 163/93 N) (p = 0.06 > 0.05) were statistically identical, although less than group P (1742/33 ± 110/08 N), but still demonstrated greater fracture resistance than the other groups. The fracture resistance of group S (1434/69 ± 107/62 N) was identical to GF and FF (p = 0.06 > 0.05). The fracture resistance of F (1353/19 ± 233/90 N) was less than GF and FF, and statistically identical to S (p = 0.87 > 0.05). Silorane-based composite showed a resistance to fracture similar to methacrylate-based composite restorations regardless of whether cavity liners were used. The findings of this study support the selection of silorane-based composite for the restoration of maxillary premolars with standardized Class II cavity preparations in order to strengthen the resistance to fracture to the same extent as do dimethacrylate

Histologic Outcomes of Uninfected Human Immature Teeth Treated with Regenerative Endodontics: 2 Case Reports.

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Nosrat, Ali; Kolahdouzan, Alireza; Hosseini, Farzaneh; Mehrizi, Ehsan A; Verma, Prashant; Torabinejad, Mahmoud

2015-10-01

A growing body of evidence exists showing the possibility of growing vital tissues in the root canal spaces of teeth with necrotic pulps and open apices. However, there is very limited histologic information regarding characteristics of tissues formed in the root canal space of human teeth after regenerative endodontics. The aim of this study was to examine clinically and histologically the outcomes of human immature teeth treated with regenerative endodontics. Two healthy birooted human maxillary first premolar teeth scheduled for extraction were included. Preoperative radiographs confirmed that these teeth had immature apices. Vitality tests showed the presence of vital pulps in these teeth. After receiving consent forms, the teeth were isolated with a rubber dam, and the pulps were completely removed. After the formation of blood clots in the canals, the teeth were covered with mineral trioxide aggregate. Four months later, the teeth were clinically and radiographically evaluated, extracted, and examined histologically. Both patients remained asymptomatic after treatment. Radiographic examination of the teeth showed signs of root development after treatment. Histologic examination of tissues growing into the root canal space of these teeth shows the presence of connective tissue, bone and cementum formation, and thickening of roots. Based on our findings, it appears that when canals of teeth with open apices are treated with regenerative endodontics, tissues of the periodontium grow into the root canals of these teeth. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Marginal microleakage evaluation in class V composite restorations of deciduous teeth prepared conventionally and using Er:YAG laser

International Nuclear Information System (INIS)

Pulga, Neusa Vieira Galvao

2001-01-01

The evaluation of marginal microleakage in class V restorations of deciduous teeth prepared using Er:laser and comparison to the ones observed when conventionally prepared, using two photopolimerizable materials, composite resin and glass ionomer cement, was the subject of this study. Twenty eight complete deciduous teeth were divided into four groups Group 1 (G1) prepared with high speed drill + composite resin; Group 2 (G2) prepared with high speed drill + glass ionomer cement; Group 3 (G3) prepared using Er:YAG laser (2.94 μm), 300 mJ, 3 Hz, handpiece 2051, energy density 86 mJ/cm 2 + composite resin; Group 4 (G4) prepared using Er:YAG laser (2.94 μm), 300 mJ, 3 Hz, handpiece 2051, energy density 86 J / cm 2 + glass ionomer cement. After the preparation and restoration the specimens where stored at 37 deg C for 24 hours, thermally stressed, immersed in 50% aqueous solution of silver nitrate for 24 hours while kept in the dark. The specimens were rinsed in water, soaked in photodeveloping solution and exposed to fluorescent light for 6 hours. After this process the samples were sectioned and observed by stereomicroscopy. For comparison the groups were divided into occlusive and cervical microleakage. The results were analysed under the Kruskal-Wallis test. For the occlusive microleakage the statistical significance was 5% among the groups and the average comparison showed higher microleakage for G1 (M=35.1) than for G2 (M=24.0) as well as compared to G3 (M=22.3). The other groups did not present statistical differences among them. For the cervical microleakage the Kruskal-Wallis test did not present any statistical difference. Comparing the occlusive and cervical microleakage data, for every group, using the Wilcoxon test, no statistical differences were observed. Concluding, this study showed the Er:YAG laser to be effective for class V restorations and to result in a smaller microleakage degree using the composite resin. These results indicate the viability

Evaluation of the appreciation of virtual teeth with and without pathology.

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de Boer, I R; Lagerweij, M D; Wesselink, P R; Vervoorn, J M

2015-05-01

Virtual teeth with and without tooth pathology have been developed for use in a virtual learning environment in dental education. The objective of this study was to evaluate the appearance of these virtual teeth for use in dental education and to compare them with contemporary educational models, such as plastic teeth (Frasaco GmbH) and extracted human teeth. Six sets of photographs representing six different teeth were shown to dentists, teachers (dentists) and dental students (bachelor's and master's degree students). Each set consisted of 15 pictures showing five views of the extracted human tooth, the similar virtual tooth and the plastic tooth. The five views represented the mesial, distal, occlusal, buccal and lingual surfaces. The virtual tooth was the same as the extracted tooth (scanned with a cone beam CT, coloured and edited in ColorMapEditor(®) ), and the plastic tooth presented the best possible match to the extracted tooth. The participants were asked to rate the appearance of the virtual teeth (overall and in terms of caries, restoration and colours), whether the virtual or plastic teeth resembled the extracted teeth better and from which teeth they expected to learn the most (extracted, virtual or plastic). Each group of participants found that the virtual teeth resembled the extracted teeth more than they resembled the plastic teeth; 71% of the participants expected to learn more from the virtual teeth than from the plastic teeth. The results show that the appearance of the virtual teeth was considered more realistic than the appearance of the plastic teeth. The expectation was that the learning opportunities of the virtual teeth are better than of the plastic teeth. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Mapping the structure, composition and mechanical properties of human teeth

International Nuclear Information System (INIS)

Low, I.M.; Duraman, N.; Mahmood, U.

2008-01-01

The structure-property relationship in human adult and baby teeth was characterised by grazing-incidence synchrotron radiation diffraction, optical and atomic-force microscopy, in addition to Vickers indentation. Similarities and differences between both types of teeth have been highlighted and discussed. Depth-profiling results indicated the existence of contrasting but distinct gradual changes in crystal disorder, phase abundance, crystallite size and hardness within the baby and adult enamel, thus confirming the graded nature of human teeth. When compared to the adult tooth, the baby enamel is softer, more prone to fracture, but has larger hydroxyapatite grains. Vickers hardness of the enamel was load-dependent but load-independent in the dentine. The use of a 'bonded-interface' technique revealed the nature and evolution of deformation-microfracture damage around and beneath Vickers contacts

Mapping the structure, composition and mechanical properties of human teeth

Energy Technology Data Exchange (ETDEWEB)

Low, I.M. [Materials Research Group, Department of Applied Physics, Curtin University of Technology, Perth, WA 6845 (Australia)], E-mail: j.low@curtin.edu.au; Duraman, N.; Mahmood, U. [Materials Research Group, Department of Applied Physics, Curtin University of Technology, Perth, WA 6845 (Australia)

2008-03-10

The structure-property relationship in human adult and baby teeth was characterised by grazing-incidence synchrotron radiation diffraction, optical and atomic-force microscopy, in addition to Vickers indentation. Similarities and differences between both types of teeth have been highlighted and discussed. Depth-profiling results indicated the existence of contrasting but distinct gradual changes in crystal disorder, phase abundance, crystallite size and hardness within the baby and adult enamel, thus confirming the graded nature of human teeth. When compared to the adult tooth, the baby enamel is softer, more prone to fracture, but has larger hydroxyapatite grains. Vickers hardness of the enamel was load-dependent but load-independent in the dentine. The use of a 'bonded-interface' technique revealed the nature and evolution of deformation-microfracture damage around and beneath Vickers contacts.

The Effect of Composite Thickness on the Stress Distribution Pattern of Restored Premolar Teeth with Cusp Reduction.

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Panahandeh, Narges; Torabzadeh, Hassan; Ziaee, Nargess; Mahdian, Mina; Tootiaee, Bahman; Ghasemi, Amir

2017-07-01

Different thicknesses of restorative material can alter the stress distribution pattern in remaining tooth structure. The assumption is that a thicker composite restoration will induce a higher fracture resistance. Therefore, the present study evaluated the effect of composite thickness on stress distribution in a restored premolar with cusp reduction. A 3D solid model of a maxillary second premolar was prepared and meshed. MOD cavities were designed with different cusp reduction thicknesses (0, 0.5, 1, 1.5, 2.5 mm). Cavities were restored with Valux Plus composite. They were loaded with 200 N force on the occlusal surface in the direction of the long axis. Von Mises stresses were evaluated with Abaqus software. Stress increased from occlusal to gingival and was maximum in the cervical region. The stressed area in the palatal cusp was more than that of the buccal cusp. Increasing the thickness of composite altered the shear stress to compressive stress in the occlusal area of the teeth. The model with 2.5 mm cusp reduction exhibited the most even stress distribution. © 2015 by the American College of Prosthodontists.

Apoptosis in the human periodontal membrane evaluated in primary and permanent teeth

DEFF Research Database (Denmark)

Bille, Marie-Louise Bastholm; Thomsen, Bjarke; Kjær, Inger

2011-01-01

that resorption is connected to apoptosis of the epithelial cells of Malassez. The purpose of this study is to localize cells undergoing apoptosis in the periodontal membrane of human primary and permanent teeth. Materials and methods. Human primary and permanent teeth were examined immunohistochemically...... for apoptosis and epithelial cells of Malassez in the periodontal membrane. All teeth examined were extracted in connection with treatment. Results. Apoptosis was seen in close proximity to the root surface and within the epithelial cells of Malassez. This pattern of apoptotis is similar in the periodontal...... membrane in primary and permanent teeth. Conclusions. The inter-relationship between apoptotis and root resorption cannot be concluded from the present study. Apoptosis seen in close proximity to the root surface presumably corresponds to the highly innervated layer of the periodontal membrane...

[Nutrition, diet and dental health--de- and remineralisation of teeth].

Science.gov (United States)

Imfeld, Thomas

2008-02-01

There is little if any evidence that nutrition during the time of tooth formation has any clinically significant effect on caries susceptibility of erupted teeth in man. Caries, erosion and demastication are not nutritional diseases. They are, however, diet-related diseases because erupted teeth are subject to local chemical and mechanical effects of the diet contacting the teeth. Caries is the result of a chronic undermining demineralisation of the teeth by organic acids that are produced by the bacteria of the dental biofilm while fermenting carbohydrates from the human diet. Dental erosion is the result of a chronic localised loss of dental hard tissue etched away from the surface by acids derived from the diet or from gastric reflux. The physicochemical grounds of de- and remineralisation of teeth are explained using detailed diagrams. Initial caries lesions without cavitation of the surface can remineralise (heal) under conditions of low cariogenic diet and good oral hygiene. However, once the surface has broken and cavitation occurred, there is no alternative to restorative dental therapy because remineralisation is no more possible.

On The Evolution of Human Jaws and Teeth: A Review

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Serhat Yalcin

2011-06-01

Full Text Available The jaws and teeth of Homo sapiens have evolved, from the last common ancestor of chimpanzee and men to their current form. Many factors such as the foods eaten and the processing of foods by fire and tools have effected this evolution course. The evolution of the masticatory complex is related to other anatomical features such as brain size and bipedal posture, and leads to important proceedings like the formation of speech and language. In this review, the evolution of human jaws and teeth and its impact on the general course of human evolution is discussed.

Evaluation of Survival Time of Tooth Color Dental Materials in Primary Anterior Teeth

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Behjat-Al-Molook Ajami

2013-01-01

Full Text Available Introduction: In restorative dentistry, selecting the proper material is an important factor for clinical success. The objective of this study was clinical evaluation of survival time of three tooth color materials in primary anterior teeth. Methods: In this interventional clinical trial study, 94 deciduous anterior teeth (36 teeth in boys, 58 teeth in girls belonging to 3-5 year old children in Pediatric Department of Mashhad Faculty of Dentistry, Iran were selected. Selective dental materials included compoglass, glass-ionomer Fuji II LC, and composite resin. The data were analyzed with Kaplan–Meyer and Log rank test. Results: compoglass had the highest survival time in comparison with composite and glass-ionomer. Nine months retention rate for teeth restored with compoglass, composite resin and glass-ionomer were estimated: 95%, 21%, and 12.5%, respectively. Conclusion: Compoglass can be a suitable material for anterior primary teeth restoration

Evaluation of Survival Time of Tooth Color Dental Materials in Primary Anterior Teeth

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Taraneh Movahhed

2012-09-01

Full Text Available Introduction: In restorative dentistry, selecting the proper material is an important factor for clinical success. The objective of this study was clinical evaluation of survival time of three tooth color materials in primary anterior teeth. Methods: In this interventional clinical trial study, 94 deciduous anterior teeth (36 teeth in boys, 58 teeth in girls belonging to 3-5 year old children in Pediatric Department of Mashhad Faculty of Dentistry, Iran were selected. Selective dental materials included compoglass, glass-ionomer Fuji II LC, and composite resin. The data were analyzed with Kaplan–Meyer and Log rank test. Results: compoglass had the highest survival time in comparison with composite and glass-ionomer. Nine months retention rate for teeth restored with compoglass, composite resin and glass-ionomer were estimated: 95%, 21%, and 12.5%, respectively. Conclusion: Compoglass can be a suitable material for anterior primary teeth restoration.

Pulpal status of human primary teeth with physiological root resorption.

Science.gov (United States)

Monteiro, Joana; Day, Peter; Duggal, Monty; Morgan, Claire; Rodd, Helen

2009-01-01

The overall aim of this study was to determine whether any changes occur in the pulpal structure of human primary teeth in association with physiological root resorption. The experimental material comprised 64 sound primary molars, obtained from children requiring routine dental extractions under general anaesthesia. Pulp sections were processed for indirect immunofluorescence using combinations of: (i) protein gene product 9.5 (a general neuronal marker); (ii) leucocyte common antigen CD45 (a general immune cell marker); and (iii) Ulex europaeus I lectin (a marker of vascular endothelium). Image analysis was then used to determine the percentage area of staining for each label within both the pulp horn and mid-coronal region. Following measurement of the greatest degree of root resorption in each sample, teeth were subdivided into three groups: those with physiological resorption involving less than one-third, one-third to two-thirds, and more than two-thirds of their root length. Wide variation was evident between different tooth samples with some resorbed teeth showing marked changes in pulpal histology. Decreased innervation density, increased immune cell accumulation, and increased vascularity were evident in some teeth with advanced root resorption. Analysis of pooled data, however, did not reveal any significant differences in mean percentage area of staining for any of these variables according to the three root resorption subgroups (P > 0.05, analysis of variance on transformed data). This investigation has revealed some changes in pulpal status of human primary teeth with physiological root resorption. These were not, however, as profound as one may have anticipated. It is therefore speculated that teeth could retain the potential for sensation, healing, and repair until advanced stages of root resorption.

Corono-radicular biological restoration of maxillary central incisors by direct method.

Science.gov (United States)

Aggarwal, Sonia; Sahoo, Sujit Ranjan; Pandharkar, Kartik

2014-11-01

This case report refers to the esthetic and functional restorations of extensively damaged maxillary central incisors with dental caries in a 32-year-old woman, with the use of posts and crowns made from natural extracted teeth. Proper restoration of such teeth with the use of natural teeth fragments are known as "biological restoration." Biological restorations can be done by using the fragments of the patients own tooth and if that is not available, tooth fragment can be obtained from an extracted tooth. These biological posts and crowns present a low cost option and an alternative technique for the morphofunctional recovery of extensively damaged teeth. There are limitations with the use of natural extracted teeth (homogenous bonding) for restoration such as the difficulty of finding teeth with a similar color and shape as that of the destroyed element, or patient may refuse to accept a tooth fragment from another patient, which prevents execution of the restoration.

Fatigue crack propagation path across the dentinoenamel junction complex in human teeth.

Science.gov (United States)

Dong, X D; Ruse, N D

2003-07-01

The human tooth structures should be understood clearly to improve clinically used restorative materials. The dentinoenamel junction (DEJ) plays a key role in resisting crack propagation in teeth. The aim of this study was to determine the fracture toughness of the enamel-DEJ-dentin complex and to investigate the influence of the DEJ on the fatigue crack propagation path across it by characterizing fatigue-fractured enamel-DEJ-dentin complexes using optical and scanning electron microscopy. The results of this study showed that the fracture toughness of the enamel-DEJ-dentin complex was 1.50 +/- 0.28 Mpa x m(1/2). Based on the results of this investigation, it was concluded that the DEJ complex played a critical role in resisting crack propagation from enamel into dentin. The DEJ complex is, approximately, a 100 to 150 microm broad region at the interface between enamel and dentin. The toughening mechanism of the DEJ complex may be explained by the fact that crack paths were deflected as cracks propagated across it. Understanding the mechanism of crack deflection could help in improving dentin-composite as well as ceramic-cement interfacial qualities with the aim to decrease the risk of clinical failure of restorations. Both can be viewed as being composed from a layer of material of high strength and hardness bonded to a softer but tougher substratum (dentin). The bonding agent or the luting cement layer may play the critical role of the DEJ in improving the strength of these restorations in clinical situations. Copyright 2003 Wiley Periodicals, Inc.

[Posterior ceramic bonded partial restorations].

Science.gov (United States)

Mainjot, Amélie; Vanheusden, Alain

2006-01-01

Posterior ceramic bonded partial restorations are conservative and esthetic approaches for compromised teeth. Overlays constitute a less invasive alternative for tooth tissues than crown preparations. With inlays and onlays they are also indicated in case of full arch or quadrant rehabilitations including several teeth. This article screens indications and realization of this type of restorations.

[Multiple agenesis and prosthetic restoration].

Science.gov (United States)

Renault, P

1990-03-01

Cases of multiple agenesia present some difficulties in the treatment planing. Three situations may be encountered: limited agenesia, restored by a fixed, bonded or cemented prosthesis, multiple uni- or bimaxillary agenesia without remaining of deciduous teeth, restored by a fixed, bonded or cemented prosthesis or the partial adjacent prosthesis, multiple uni- or bimaxillary agenesia with remaining of deciduous teeth, restored by means of a supra-dental prosthesis. The first two situations have been described in dental literature and are relatively easy to treat. The same is not true for the third situation, where the decision to keep the temporary teeth considerably increases the difficulty of prosthetic restoration. This subject will be illustrated by the presentation of a clinical case of multiple bi-maxillary agenesia. The patient has: on the maxilla: an absence of 9 permanent teeth (18, 15, 14, 12, 22, 23, 24, 25, 28) and the presence of 4 deciduous teeth (62, 63, 64, 65), on the mandible: an absence of all permanent teeth, with the exception of 36 and 46, and the remaining of 4 deciduous teeth (75, 73, 83, 84). The remaining of deciduous teeth and the presence of a very high inter-arch space led to opting for dental coverage so as to keep the deciduous teeth and a proper vertical dimension. The patient wished to solve his "problem" in the maxilla first, and is not wanting to undergo the extraction of his deciduous teeth. The following therapeutic proposal was adapted: On the maxilla, a three-step procedure: first step: building of metal copings on 13, 16 and 26 and metal-ceramic crowns on 11 and 21, second step: building of telescop crowns on 16 and 26 and clasps on 13, 11 and 21, third step: casting of the removable partial denture framework and soldering to the telescop crowns and clasps. On the mandible, a provisional restoration using a supra-dental resin removable partial denture with ceramic occlusal surfaces was adopted. The aesthetic and functional

Trace elements in human, cattle and swine teeth, measured by external beam PIXE-PIGE setup

International Nuclear Information System (INIS)

Tabacniks, M.H.; Rizzutto, M.A.; Added, N.; Liguori Neto, R.; Acquadro, J.C.; Vilela, M.; Oliveira, T.R.C.F.; Markarian, R.A.; Mori, M.

2001-01-01

The use of animal teeth to replace human teeth in dentistry school classes and to test chemicals and fillings, motivated for a better characterization of the elementary composition of their enamel, since some of the chemical properties, adhesion and chemical compatibility may depend on these parameters. Cattle, swine and human teeth were collected by dentists of the University of Sao Paulo. These teeth came primarily from Sao Paulo region and were analyzed for trace elements at the Open Nuclear Physics Laboratory, using a high energy external proton beam, PIXE-PIGE setup

TREATMENT APPROACHES FOR TRAUMATIZED ANTERIOR TEETH WITH EXCESSIVE TISSUE LOSS: THREE CASE REPORTS

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Zuhal YILDIRIM

2017-04-01

Full Text Available Use of direct composite and indirect laminate veneers has been an alternative to metal- and all-ceramic crowns for anterior teeth restorations. Dental traumas are the most common reasons for excessive tissue loss. Treatment options depend on the amount of remaining tissue, the extent of the damage to dental pulp and periapical tissues and the time elapsed before dental treatment. The aim of this case report was to evaluate the direct and indirect techniques used in the treatments of traumatically fractured anterior teeth. In Case 1, a 29-year-old male patient attended to the clinics of the Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University for the replacement of old composite restorations. According to anamnesis, the anterior teeth had fractured because of falling from bicycle. Dentinal pins used to retain the composite restorations were screwed out and indirect composite laminate veneers were placed. In Case 2, a 27-year-old male patient attended to our clinic for the treatment of his anterior teeth which were fractured due to a fall. A different type of technique, a silicon guide, was used to mimic the natural teeth surfaces precisely. In Case 3, a 16-year-old female patient attended to our clinic for the treatment of her anterior teeth which were fractured in a car accident. On clinical evaluation, related teeth were found to be non-vital and application of fiber posts was considered suitable before direct composite restorations. In conclusion, all of these techniques may be used for traumatized anterior teeth. Esthetical necessities and functional forces should be taken into consideration in material choice.

Validity and reliability of methods for the detection of secondary caries around amalgam restorations in primary teeth

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Mariana Minatel Braga

2010-03-01

Full Text Available Secondary caries has been reported as the main reason for restoration replacement. The aim of this in vitro study was to evaluate the performance of different methods - visual inspection, laser fluorescence (DIAGNOdent, radiography and tactile examination - for secondary caries detection in primary molars restored with amalgam. Fifty-four primary molars were photographed and 73 suspect sites adjacent to amalgam restorations were selected. Two examiners evaluated independently these sites using all methods. Agreement between examiners was assessed by the Kappa test. To validate the methods, a caries-detector dye was used after restoration removal. The best cut-off points for the sample were found by a Receiver Operator Characteristic (ROC analysis, and the area under the ROC curve (Az, and the sensitivity, specificity and accuracy of the methods were calculated for enamel (D2 and dentine (D3 thresholds. These parameters were found for each method and then compared by the McNemar test. The tactile examination and visual inspection presented the highest inter-examiner agreement for the D2 and D3 thresholds, respectively. The visual inspection also showed better performance than the other methods for both thresholds (Az = 0.861 and Az = 0.841, respectively. In conclusion, the visual inspection presented the best performance for detecting enamel and dentin secondary caries in primary teeth restored with amalgam.

Coronal microleakage with five different temporary restorative materials following walking bleach technique: An ex-vivo study

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G. P. V Srikumar

2012-01-01

Full Text Available Context: Walking bleach technique uses 30% hydrogen peroxide and sodium perborate, and this paste mixture causes loosening of the coronal temporary restorative materials and thus decreasing its clinical effectiveness and causing irritation to the patients oral tissues. In the present study, sealing ability of hygroscopic coronal temporary restorative materials were compared with the other commonly used temporary restorative materials. Aim: To evaluate the effects of walking bleach material on the marginal sealing ability and coronal microleakage of the hydrophilic temporary restorative materials with that of the other commonly used temporary restorative materials in endodontic practice. Materials and Methods: Seventy-five extracted human maxillary central incisor teeth were prepared chemo-mechanically and obturated with gutta-percha in lateral condensation technique. Surface of each tooth was double coated with cyanoacrylate glue. All the teeth were randomly divided in to five groups. Out of 15 teeth in each group, 10 teeth served as experimental specimens, in which bleaching agent was placed in the pulp chamber and 5 teeth served as control, in which no bleaching agent was placed. The access cavities were restored with temporary restorative materials being tested per each group respectively. The specimens were then immersed in 1% India ink dye and subjected to thermo cycling for 7 days. All the teeth were longitudinally sectioned and observed with stereomicroscope and were graded according to the depth of linear dye penetration. Statistical Analysis Used: Mann-Whitney U test and Kruskal-Wallis test. Results: Hydrophilic temporary restorative materials Cavit G and Coltosol F have shown minimal coronal dye leakage with better sealing ability when exposed to walking bleach paste mixture in the dye penetration tests compared to other commonly used temporary restorative materials. Conclusion: Marginal sealing ability of Cavit G and Coltosol F were

Matching the optical properties of direct esthetic dental restorative materials to those of human enamel and dentin

Science.gov (United States)

Ragain, James Carlton, Jr.

One of the goals of the restorative dentist is to restore the appearance of the natural dentition. Clinical matching of teeth and restorative materials are seldom accurate and shade selection techniques are subjective. The first specific aim of this research was to characterize the optical absorption and scattering that occurs within enamel, dentin, and composite resin and compomer restorative materials and to relate those phenomena to translucency and color. The second aim was to evaluate small color differences among composite restorative materials which would be detectable by humans. The last aim was to lay the foundation for developing an improved model of specifying layers of dental restorative materials in order to match the translucency and color to those of human enamel. The Kubelka-Munk theory was validated for enamel, dentin, and the restorative materials. These tissues and materials were then characterized in terms of their color parameters. Tooth cores were also characterized in terms of color space parameters. Human subjects were evaluated for their abilities to discriminate small color differences in the dental composite resin materials. The following conclusions were derived from this study: (1) Kubelka-Munk theory accurately predicts the diffuse reflectance spectra of enamel, dentin, and the direct esthetic dental restorative materials studied. (2) Scattering and absorption coefficients of the dental tissues and esthetic restorative materials can be directly calculated from diffuse reflectance measurements of a uniformly thick slab of tissue/material using black and white backings and the appropriate refractive index. (3) For tooth cores, there is a positive correlation between L* and b* and a negative correlation between L* and a*. (4) The range of translucency parameters for the restorative materials studied does not match those of enamel and dentin. (5) None of the shades of the dental composite resin restorative materials studied fit into the

Restoration of traumatized teeth with resin composites

DEFF Research Database (Denmark)

Pallesen, Ulla; van Dijken, Jan WV

2018-01-01

For a long time, the primary choice for initial restoration of a crown-fractured front tooth has been resin composite material. The restoration can in most cases be performed immediately after injury if there is no sign of periodontal injury. The method’s adhesive character is conservative to tooth...... present an aesthetic problem due to exposure of un-aesthetic crown-margins. The invasive permanent crown restorations are therefore often not suc-cessful on a long-term scale. On the other hand, a conservative direct restoration of an extensively fractured incisor crown with resin composite may......-structure and with minimal risk of pulpal complication. In addition, it offers an aesthetic solution to the patient immediately after an injury, which may bring a little comfort in a sad situation. The resin composite build-up is often changed or repaired a couple of times, before the tooth is restored with a porcelain...

Patterns of bone loss around teeth restored with endodontic posts

NARCIS (Netherlands)

Katsamakis, S.; Timmerman, M.; van der Velden, U.; de Cleen, M.; van der Weijden, F.

2009-01-01

Objectives: This retrospective study described the pattern of bone loss around teeth with endodontic posts in periodontitis patients, and compared it with contra-lateral teeth without posts. Material and Methods: From full-mouth radiographic surveys of 146 periodontitis patients (35 years), 194

Characteristics of Teeth: A Review of Size, Shape, Composition, and Appearance of Maxillary Anterior Teeth.

Science.gov (United States)

McGowan, Steve

2016-03-01

Although digital technologies play an increasingly integral role in dentistry, there remains a need for dental professionals to understand the fundamentals of tooth anatomy, form, occlusion, and color science. In this article, the size, shape, composition, and appearance of maxillary anterior teeth will be discussed from esthetic and functional perspectives. A total of 600 extracted maxillary incisors were studied: 200 each of central incisors, lateral incisors, and cuspids. The purpose of the article is to exhibit and discuss factors that make teeth unique and diverse. Understanding these aspects of teeth aids dental professionals in more effectively creating realistic and highly esthetic restorations for patients.

Radiopaque zones in the dentin beneath amalgam restorations

International Nuclear Information System (INIS)

You, Young Jun; Ahn, Hyung Kyu

1978-01-01

The purpose of the present investigation is determine how frequently radiopaque zones are seen on standard intraoral film and to research some other things about radiopaque bones. This study obtained the following results: 1. According to the standard intraoral films of the charts that were kept at the Dept. of Oral Diagnosis in Seoul National University Hospital, radiopaque zones were found in the rate of 4.1% among 1150 cases of amalgam-restored teeth that were treated at least two years ago. 2. Out of teeth that possessed radiopaque zones, 38.3% had radiolucent area between amalgam restoration and radiopaque zone. 3. Out of teeth that possessed radiopaque zones, 36.2% had cement base between amalgam restoration and radiopaque zone. 4. Out of teeth that possessed radiopaque zones, no tooth had periapical radiolucency. 5. Radiopaque zones were found more frequently in the mandibular teeth than the maxillary teeth. 6. According to the result of direct x-ray taking of 50 teeth that were treated at least 2 years ago, 6% had radiopaque zone.

Evaluation of Vinegar as a Disinfectant for Extracted Human Teeth - An in-Vitro Study.

Science.gov (United States)

Gogineni, Sindhuja; Ganipineni, Kiranmai; Babburi, Suresh; Venigalla, Aparna; Pinnisetti, Soujanya; Kotti, Ajay Benarji; Kalapala, Lavanya

2016-07-01

In dentistry, extracted human teeth are routinely used to learn technical and preclinical skills. Since human teeth harbour many pathogens these should be disinfected before use to minimize the risk of infections. Some commonly used disinfectants in laboratories are 10% formalin, 3% hydrogen peroxide (H2O2), 5.25% Sodium Hypochlorite (NaOCl), 70% alcohol and normal saline which have their own disadvantages like carcinogenicity, toxicity, cost effectiveness etc. Many studies have been conducted using these solutions but there is no evidence to suggest a suitable alternative for disinfecting extracted teeth. Vinegar is a sour liquid comprised mainly of acetic acid. It is cheap and commercially available shown to be effective in the prevention and control of microbial contamination. The present study was conducted for evaluation of vinegar as a disinfectant for extracted teeth. In this study a total of 40 (n=40) extracted non carious teeth were taken which were disinfected with various physical methods such as sterilization, autoclaving and chemical methods by using Vinegar, 70% Alcohol, 10% Formalin, 3% Hydrogen peroxide and 5.25% NaOCL. Later, teeth from each group were placed individually in separate test tubes containing 10ml of brain heart infusion broth at 37°C for 48 hrs to observe the evidence of growth of microorganisms. Results were analyzed using Kruskal-Wallis test. Vinegar, 10% Formalin and 3% Hydrogen peroxide were effective. The results were statistically significant with Kruskal-Wallis test value 28.053 and p-value was <0.001. Vinegar can be used as an effective disinfectant for extracted human teeth.

Evaluation of Different Restoration Combinations Used in the Reattachment of Fractured Teeth: A Finite Element Analysis

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Nagihan Guven

2018-01-01

Full Text Available Objective. The purpose of this study was to test different restoration combinations used for constructing fractured endodontically treated incisors by reattaching their fractured fragments. Methods. Seven types of 3-D FEM mathematical root canal-filled models were generated, simulating cases of (OB reattaching fractured fragments; (CrPL reattaching fractured fragments + ceramic palatinal laminate; (CmPL reattaching fractured fragments + composite palatinal laminate; (CM reattaching fractured fragments + coronal 1/3 of the root was filled using core material; (BP reattaching fractured fragments + glass fiber post; (CP composite resin restoration + glass fiber post; and (OC composite resin restoration. A 100-N static oblique force was applied to the simulated teeth with 135° on the node at 2 mm above the cingulum to analyze the stress distribution at the tooth. Results. For enamel tissue, the highest stress values were observed in model BP, and the lowest stress values were observed in model CmPL. For dentine tissue, the highest stress concentrations were observed around the fracture line for all models. Conclusions. Reattachment of fractured fragments by bonding may be preferred as a restoration option for endodontically treated incisors; also, palatinal laminate decreases the stress values at tooth tissues, especially at the enamel and the fracture line.

[An in vitro study of the fracture strength of tooth preparations for Empress 2 veneers and crowns and mandibular incisors restored with Empress 2 veneers and crowns].

Science.gov (United States)

Wei, Xue; Li, Yan

2009-12-01

To compare the fracture resistance of mandibular incisors' preparations for veneers and crowns, mandibular incisors restored with Empress 2 veneers and crowns. 50 human mandibular incisors were randomly divided into five groups. Each group consisted of ten teeth and the treatment obtained as follows: A, tooth preparations for veneers; B, tooth preparations for crowns; C, teeth restored with veneers; D, teeth restored with crowns; E, untreated group. The teeth received standardized preparation and the restorations were manufactured with Empress 2 system and cemented with resin luting agent. The fracture resistances of teeth were measured by Instron universal testing machine and statistically analyzed with one-way ANOVA. The fracture resistances of A, B, C, D, E were (576.11 +/- 91.53), (204.13 +/- 85.88), (451.50 +/- 116.81), (386.16 +/- 117.75) and (566.05 +/- 121.37) N, respectively. The statistical analysis demonstrated significant differences between five groups. There were no significant differences between group A and E, group C and D. Tooth preparations for veneers did not significantly reduce the fracture resistance of mandibular incisor. The fracture resistance of teeth restored with Empress 2 veneers and crowns did not significantly differ from each other.

Frequency of Iatrogenic Changes Caused from Overhang Restorations

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Boteva E.

2015-11-01

Full Text Available Overhangs from different restorations are an iatrogenic error with different results, short and long term consequences related to bone changes and periodontal diseases. Amalgam “tattoos”, idiopathic subgingival hypertrophy, marginal periodontitis and bone reductions in the intradental septum are major problems. The aim of the present study is to evaluate the frequency of traumatic restorations in distal teeth and clinical criteria, related to the x-ray findings. Evaluating criteria, for repairing the overhangs or for replacement of the restorations, is also a goal. Three hundred and sixteen - 316 patients from both sexes, 632 dental x-rays with 948 distal teeth and 632 restorations, at least two radiographs for each patient, were analyzed. Overhangs are classified in three groups: small, middle and large. In the criteria bone changes from the overhangs are analyzed separately from the existing or nonexisting bone changes from a generalized periodontal diseases. The frequency of iatrogenic changes in this cohort group is 10.6% from 632 restored teeth. This is a relatively small number compared with the other published studies. These overhangs are on distal teeth in sound teeth arches which makes them difficult for corrections. The evaluated criteria for replacement based on x-ray findings and clinical experience includes: operative and nonoperative corrections, restoration replacement, perio- and endo-therapy and follow up terms for secondary caries.

Preformed crowns for decayed primary molar teeth.

Science.gov (United States)

Innes, Nicola P T; Ricketts, David; Chong, Lee Yee; Keightley, Alexander J; Lamont, Thomas; Santamaria, Ruth M

2015-12-31

Crowns for primary molars are preformed and come in a variety of sizes and materials to be placed over decayed or developmentally defective teeth. They can be made completely of stainless steel (know as 'preformed metal crowns' or PMCs), or to give better aesthetics, may be made of stainless steel with a white veneer cover or made wholly of a white ceramic material. In most cases, teeth are trimmed for the crowns to be fitted conventionally using a local anaesthetic. However, in the case of the Hall Technique, PMCs are pushed over the tooth with no local anaesthetic, carious tissue removal or tooth preparation. Crowns are recommended for restoring primary molar teeth that have had a pulp treatment, are very decayed or are badly broken down. However, few dental practitioners use them in clinical practice. This review updates the original review published in 2007. Primary objectiveTo evaluate the clinical effectiveness and safety of all types of preformed crowns for restoring primary teeth compared with conventional filling materials (such as amalgam, composite, glass ionomer, resin modified glass ionomer and compomers), other types of crowns or methods of crown placement, non-restorative caries treatment or no treatment. Secondary objectiveTo explore whether the extent of decay has an effect on the clinical outcome of primary teeth restored with all types of preformed crowns compared with those restored with conventional filling materials. We searched the following electronic databases: Cochrane Oral Health Group Trials Register (to 21 January 2015), Cochrane Central Register of Controlled Trials (CENTRAL; The Cochrane Library, 2014, Issue 12), MEDLINE via Ovid (1946 to 21 January 2015) and EMBASE via Ovid (1980 to 21 January 2015). We searched the US National Institutes of Health Trials Register (http://clinicaltrials.gov) and the World Health Organization (WHO) International Clinical Trials Registry Platform for ongoing trials and Open Grey for grey literature (to

Long-term evaluation of extensive restorations in permanent teeth

DEFF Research Database (Denmark)

Nieuwenhuysen, J.-P. van; D'hoore, W.D.; Carvalho, J.

2003-01-01

Biostatistics, cast crowns, complex restorations, composite resins, decision making, dental amalgam, metal ceramic crowns, multi-surfaced restorations, prosthodontics, restorative dentistry......Biostatistics, cast crowns, complex restorations, composite resins, decision making, dental amalgam, metal ceramic crowns, multi-surfaced restorations, prosthodontics, restorative dentistry...

Determination of Radionuclide Concentration in Human Teeth in Najaf Governorate, Iraq

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Basim Almayahi

2017-12-01

Full Text Available Introduction: 238U decays with alpha particles emission into 234Th and the series ends with 206Pb. The unstable nucleus loses the energy with emitting ionizing alpha particles for reaching a stable state. It is undergoing alpha decay with decay energy (4.679 MeV. Alpha particles enter the human and animal bodies through inhalation of air or ingestion of contaminated food and water. This study aimed to perform a radiological analysis on the natural alpha particle emission rates of the human teeth as the biomarkers of radiation exposure and environmental pollution. Materials and Methods: This study was conducted on 68 teeth samples of 27 males and 41 females collected from the hospitals distributed across Najaf governorate, including many districts in Iraq. Alpha particle emission rates were measured using CR-39 nuclear track detector. Results: The mean emission rate of alpha particles in the female teeth was 0.0396±0.0070 mBq cm-2, which was relatively higher than that in the male teeth (0.0390±0.0048 mBq cm-2. Nevertheless, there was no significant difference between the female and male teeth regarding the emission rate of alpha particles. Furthermore, the emission rate of alpha particles in the teeth of the samples taken from Kufa (0.0417±0.0057 mBq cm-2 was higher than those obtained from Najaf (0.0384±0.0053 mBq cm-2. Conclusion: As the findings of this study revealed, Najaf governorate had a lower emission rate of alpha particles as compared to other sites of the worldwide. Therefore, it could be concluded that there is no negative consequence threatening the people’s health in this regard.

Clinical decisions for anterior restorations: the concept of restorative volume.

Science.gov (United States)

Cardoso, Jorge André; Almeida, Paulo Júlio; Fischer, Alex; Phaxay, Somano Luang

2012-12-01

The choice of the most appropriate restoration for anterior teeth is often a difficult decision. Numerous clinical and technical factors play an important role in selecting the treatment option that best suits the patient and the restorative team. Experienced clinicians have developed decision processes that are often more complex than may seem. Less experienced professionals may find difficulties making treatment decisions because of the widely varied restorative materials available and often numerous similar products offered by different manufacturers. The authors reviewed available evidence and integrated their clinical experience to select relevant factors that could provide a logical and practical guideline for restorative decisions in anterior teeth. The presented concept of restorative volume is based on structural, optical, and periodontal factors. Each of these factors will influence the short- and long-term behavior of restorations in terms of esthetics, biology, and function. Despite the marked evolution of esthetic restorative techniques and materials, significant limitations still exist, which should be addressed by researchers. The presented guidelines must be regarded as a mere orientation for risk analysis. A comprehensive individual approach should always be the core of restorative esthetic treatments. The complex decision process for anterior esthetic restorations can be clarified by a systematized examination of structural, optical, and periodontal factors. The basis for the proposed thought process is the concept of restorative volume that is a contemporary interpretation of restoration categories and their application. © 2012 Wiley Periodicals, Inc.

Atmospheric nuclear weapons test history narrated by carbon-14 in human teeth

International Nuclear Information System (INIS)

Nishizawa, Kunihide; Nagatsu, Toshiharu; Togari, Akifumi; Matsumoto, Shosei

1991-01-01

The atmospheric testing of nuclear weapons since 1945 caused a significant increase in the concentration of atmospheric 14 C. The 14 C concentration in plants that assimilate 14 C directly by photosynthesis reflects the atmospheric 14 C concentration. Carbon-14 is then transferred into the human body through the food chain. Based on animal experiments, the collagen in human teeth is metabolically inert after its formation. This implies that the collagen of each tooth retains the 14 C concentration which reflects the 14 C concentration in the blood at the time collagen metabolism ceased. The distribution of the 14 C concentration in the collagen of teeth from subjects of various ages would follow a pattern similar to that shown by soft tissues. In this paper the authors elucidate the relationship between the number of nuclear weapon tests and the distribution of 14 C concentration in teeth

Ancient pathogen DNA in human teeth and petrous bones

DEFF Research Database (Denmark)

Margaryan, Ashot; Hansen, Henrik B.; Rasmussen, Simon

2018-01-01

Recent ancient DNA (aDNA) studies of human pathogens have provided invaluable insights into their evolutionary history and prevalence in space and time. Most of these studies were based on DNA extracted from teeth or postcranial bones. In contrast, no pathogen DNA has been reported from the petro...

Comparison of different techniques for disinfection of teeth internal space in preclinical teaching

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Tabrizizadeh M.

2009-12-01

Full Text Available "nBackground and Aim: Extracted teeth used in preclinic should be disinfected. The aim of this study was to evaluate the effects of some disinfectants on microorganisms cultured from pulp chamber of extracted teeth."nMaterials and Methods: In this experimental study 54 intact human teeth were collected. After access cavity preparation, 10 8 B. streothermophillus endospors were inoculated into pulp chamber. Then cavities were sealed with a temporary restorative material. Teeth were divided into 5 groups of 10 each. The teeth were then stored in these disinfectants: 5.25% hypochlorite sodium, 5% Microten, 5% Deconex, 2% Glutaraldehyd, and 10% Formalin for 48 hours. Two teeth were autoclaved as negative controls and two were stored in normal saline as positive controls. The teeth were then sectioned in cervical area and cultured in Trypticase Soy Broth. After three days turbidity in tubes was evaluated. Statistical analysis was done by Fisher's exact test."nResults: None of these solutions were able to prevent microorganism growth in all samples; however, Formalin was better in six cases than that of other disinfectants. Differences between these five groups were not statistically significant (P=0.384."nConclusion: Sterilization of the teeth with autoclave is the only absolute method for disinfecting the root canals of extracted teeth and disinfectants are not reliable for this purpose.

Effect of cow and soy milk on enamel hardness of immersed teeth

Science.gov (United States)

Widanti, H. A.; Herda, E.; Damiyanti, M.

2017-08-01

Cow milk and soy milk have different mineral contents and this can affect the tooth remineralization process. The aim of this study was to determine the effect of cow and soy milk on immersed teeth after demineralization. Twenty-one specimens, of human maxillary premolars, were measured for enamel hardness before immersion and demineralization in orange juice. The teeth were divided into three groups (n = 7) with each group immersed in either distilled water, cow milk, or soy milk. There was a significant increase in enamel hardness in all groups (p Cow milk provided the highest increase in enamel hardness, of all the three groups, but was not able to restore the initial enamel hardness.

Patients’ general satisfaction with the appearance of anterior maxillary teeth

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Lajnert Vlatka

2017-01-01

Full Text Available Background/Aim. Dental appearance plays an important role in practically all personal social interactions. The main factors that define the dental appearance are tooth colour, shape and position, quality of restoration, and the general position of the teeth in arch, especially in the anterior region. The aim of this study was to evaluate the impact of dental status (tooth shape, fracture, dental and prosthetic restorations and presence of plaque on patient''s satisfaction with the dental appearance, controlling for the age and gender. Methods. A total of 700 Caucasian subjects (439 women aged 18–86 (median 45 years participated in the cross-sectional study. Study included clinical examination and self-administrated questionnaire based on selfperceived aesthetics and satisfaction with the appearance of their maxillary anterior teeth. Results. A regression analysis demonstrated that presence of dental plaque, tooth fracture, composite fillings and crowns had significant independent contribution and were negative predictors of satisfaction with teeth appearance. Participants with presence of plaque on upper teeth (p < 0.001, fractures (p = 0.005, composite fillings (p < 0.001 and crowns (p = 0.032 were less satisfied than those without it. Model explains 12% or variance of general satisfaction with the appearance of maxillary frontal teeth (p < 0.001 and the major contributors are composite fillings (5.3% and plaque (3.2%. Tooth shape, age and gender were not significant predictors of satisfaction. Conclusion. Satisfaction with the teeth appearance is under the influence of many factors with significant negative influence of presence of dental plaque, fractures, composite restorations, and crowns.

Review of research on the mechanical properties of the human tooth

Science.gov (United States)

Zhang, Ya-Rong; Du, Wen; Zhou, Xue-Dong; Yu, Hai-Yang

2014-01-01

‘Bronze teeth' reflect the mechanical properties of natural teeth to a certain extent. Their mechanical properties resemble those of a tough metal, and the gradient of these properties lies in the direction from outside to inside. These attributes confer human teeth with effective mastication ability. Understanding the various mechanical properties of human teeth and dental materials is the basis for the development of restorative materials. In this study, the elastic properties, dynamic mechanical properties (visco-elasticity) and fracture mechanical properties of enamel and dentin were reviewed to provide a more thorough understanding of the mechanical properties of human teeth. PMID:24743065

[Three-dimensional computer aided design for individualized post-and-core restoration].

Science.gov (United States)

Gu, Xiao-yu; Wang, Ya-ping; Wang, Yong; Lü, Pei-jun

2009-10-01

To develop a method of three-dimensional computer aided design (CAD) of post-and-core restoration. Two plaster casts with extracted natural teeth were used in this study. The extracted teeth were prepared and scanned using tomography method to obtain three-dimensional digitalized models. According to the basic rules of post-and-core design, posts, cores and cavity surfaces of the teeth were designed using the tools for processing point clouds, curves and surfaces on the forward engineering software of Tanglong prosthodontic system. Then three-dimensional figures of the final restorations were corrected according to the configurations of anterior teeth, premolars and molars respectively. Computer aided design of 14 post-and-core restorations were finished, and good fitness between the restoration and the three-dimensional digital models were obtained. Appropriate retention forms and enough spaces for the full crown restorations can be obtained through this method. The CAD of three-dimensional figures of the post-and-core restorations can fulfill clinical requirements. Therefore they can be used in computer-aided manufacture (CAM) of post-and-core restorations.

Esthetic, occlusal, and periodontal rehabilitation of anterior teeth with minimum thickness porcelain laminate veneers.

Science.gov (United States)

da Cunha, Leonardo Fernandes; Pedroche, Lorena Oliveira; Gonzaga, Carla Castiglia; Furuse, Adilson Yoshio

2014-12-01

Ceramic veneers of minimum thickness provide satisfactory esthetic outcomes while preserving the dental structure. Dental ceramics can both improve the esthetic appearance and reestablish the strength and function of teeth. In worn anterior teeth, functional surfaces, for example, anterior and lateral guidance, can be restored effectively. The characteristics of dental ceramics, such as color stability and mechanical and optical properties, make this material a good choice for indirect restorations, especially when optimum function and esthetics are required. This clinical report presents an occlusal, periodontal, and restorative solution with minimum thickness glass ceramic veneers for worn anterior teeth with multiple diastemas. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

A preliminary study applying decision analysis to the treatment of caries in primary teeth.

Science.gov (United States)

Tamošiūnas, Vytautas; Kay, Elizabeth; Craven, Rebecca

2013-01-01

To determine an optimal treatment strategy for carious deciduous teeth. Manchester Dental Hospital. Decision analysis. The likelihoods of each of the sequelae of caries in deciduous teeth were determined from the literature. The utility of the outcomes from non-treatment and treatment was then measured in 100 parents of children with caries, using a visual analogue scale. Decision analysis was performed which weighted the value of each potential outcome by the probability of its occurrence. A decision tree "fold-back" and sensitivity analysis then determined which treatment strategies, under which circumstances, offered the maximum expected utilities. The decision to leave a carious deciduous tooth unrestored attracted a maximum utility of 76.65 and the overall expected utility for the decision "restore" was 73.27 The decision to restore or not restore carious deciduous teeth are therefore of almost equal value. The decision is however highly sensitive to the utility value assigned to the advent of pain by the patient. There is no clear advantage to be gained by restoring deciduous teeth if patients' evaluations of outcomes are taken into account. Avoidance of pain and avoidance of procedures which are viewed as unpleasant by parents should be key determinants of clinical decision making about carious deciduous teeth.

Miniature Pulpotomy of Symptomatic Mature Permanent Teeth: A Report of Two Cases.

Science.gov (United States)

Asgary, Saeed; Nourzadeh, Mahdieh; Eghbal, Mohammad Jafar

2016-01-01

Human dental pulp inflammation can progress to periapical lesion formation and conventional root canal treatment (RCT) has been the traditional method for disease management. This observational study presents two cases of vital pulp therapy in mature molars diagnosed with irreversible pulpitis and associated with apical periodontitis. In these two clinical cases, the involved teeth had deep carious lesions with a history of spontaneous/lingering pain and radiographic examinations revealed the presence of apical radiolucencies. A conservative miniature pulpotomy (MP) using calcium-enriched mixture (CEM) was performed and the teeth were permanently restored with amalgam. Clinical evaluations indicated resolution of pain 24 hours after treatment; the teeth showed normal vitality, remained asymptomatic and maintained normal function after recall examinations. Furthermore, the 18-month radiographic evaluation showed healing of the apical lesions. Vital pulp therapy using the MP technique with CEM appeared successful in avoiding RCT intervention. These two reports of case outcome suggest that simple MP using a CEM bioregenerative technique may provide a favorable outcome for permanent teeth diagnosed with irreversible pulpitis and associated with apical periodontitis.

Evaluation of periodontal status adjacent to interproximal surfaces restored with composite resin, in comparison with non-restored interproximal surfaces

Directory of Open Access Journals (Sweden)

Elvia Christina Barros de Almeida

2008-01-01

Full Text Available Objective: The purpose of this study was to evaluate the periodontal status of interproximal surfaces restored with composite resin, in comparison with non-restored interproximal surfaces. Methods: In 65 patients, we analyzed 145 restored surfaces and 145 non-restored surfaces. Results: Most of the restored surfaces (54.3% showed radiographic alterations, which was shown to be higher among restorations with clinically detected proximal excess (56.8% x 52.8%; with lack of restorative material (64.5% x 51.4%; in restorations with proximal overhang (67.7% x 44.4%; in teeth with gingival inflammation?/bleeding (55.1% x 40.0% and in teeth with probing depth exceeding 3 mm (64.3% x 52.9%. However, there were no significant associations for these variables. Of the non-restored surfaces, 24.4% showed radiographic alterations, however there were no significant associations. Conclusion: The results showed a statistical significance for radiographic alterations in restored and non-restored surfaces.

Caries induced cytokine network in the odontoblast layer of human teeth

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Horst Jeremy A

2011-01-01

Full Text Available Abstract Background Immunologic responses of the tooth to caries begin with odontoblasts recognizing carious bacteria. Inflammatory propagation eventually leads to tooth pulp necrosis and danger to health. The present study aims to determine cytokine gene expression profiles generated within human teeth in response to dental caries in vivo and to build a mechanistic model of these responses and the downstream signaling network. Results We demonstrate profound differential up-regulation of inflammatory genes in the odontoblast layer (ODL in human teeth with caries in vivo, while the pulp remains largely unchanged. Interleukins, chemokines, and all tested receptors thereof were differentially up-regulated in ODL of carious teeth, well over one hundred-fold for 35 of 84 genes. By interrogating reconstructed protein interaction networks corresponding to the differentially up-regulated genes, we develop the hypothesis that pro-inflammatory cytokines highly expressed in ODL of carious teeth, IL-1β, IL-1α, and TNF-α, carry the converged inflammatory signal. We show that IL1β amplifies antimicrobial peptide production in odontoblasts in vitro 100-fold more than lipopolysaccharide, in a manner matching subsequent in vivo measurements. Conclusions Our data suggest that ODL amplifies bacterial signals dramatically by self-feedback cytokine-chemokine signal-receptor cycling, and signal convergence through IL1R1 and possibly others, to increase defensive capacity including antimicrobial peptide production to protect the tooth and contain the battle against carious bacteria within the dentin.

Is biologic width of anterior and posterior teeth similar?

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Amir Alireza Rasouli Ghahroudi

2014-09-01

Full Text Available The biologic width (BW includes attached epithelial cells and connective tissue attachment complex being very important in the periodontal health during prosthetic treatments as invading this zone can cause bone resorption and gingival recession. The present study investigated biologic width values in the normal periodontium in anterior and posterior teeth. 30 patients that referred from restorative department to periodontics department of Tehran University of medical sciences who need crown lengthening procedure on their teeth with no history of orthodontic, prosthodontic and periodontal treatment were randomly enrolled in this cross-sectional trial. Sulcus depths (SD as well as the distance between free gingival margin and the bone crest (FB of anterior and posterior teeth were measured by UNC-15 probe and compared. periodontium thickness was also assessed. The data were subjected to Student t test. Mean BW in the 43 anterior and 47 posterior teeth was measured and not significantly different (1.4651±0.39 mm vs. 1.6312±0.49 mm was observed; however, BW was significantly more in the teeth with thick periodontium compared to those with thin periodontium (1.703±0.5 vs. 1.408±0.35; P=0.002. BW not only is different in individuals but also could be dissimilar in different teeth and should be calculated independently prior to restorative treatments.

Characterization of Coronal Pulp Cells and Radicular Pulp Cells in Human Teeth.

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Honda, Masaki; Sato, Momoko; Toriumi, Taku

2017-09-01

Dental pulp has garnered much attention as an easily accessible postnatal tissue source of high-quality mesenchymal stem cells (MSCs). Since the discovery of dental pulp stem cells (DPSCs) in permanent third molars, stem cells from human exfoliated deciduous teeth and from supernumerary teeth (mesiodentes) have been identified as a population distinct from DPSCs. Dental pulp is divided into 2 parts based on the developing stage: the coronal pulp and the radicular pulp. Root formation begins after the crown part is completed. We performed a sequential study to examine the differences between the characteristics of coronal pulp cells (CPCs) and radicular pulp cells (RPCs) from permanent teeth, mesiodentes, and deciduous teeth. Interestingly, although we have not obtained any data on the difference between CPCs and RPCs in permanent teeth, there are some differences between the characteristics of CPCs and RPCs from mesiodentes and deciduous teeth. The MSC characteristics differed between the RPCs and CPCs, and the reprogramming efficiency for the generation of induced pluripotent stem cells was greater in RPCs than in CPCs from deciduous teeth. The proportion of CD105 + cells in CPCs versus that in RPCs varied in mesiodentes but not in permanent teeth. The results indicate that the proportion of CD105 + cells is an effective means of characterizing dental pulp cells in mesiodentes. Taken together, the stem cells in deciduous and supernumerary teeth share many characteristics, such as a high proliferation rate and an immunophenotype similar to that of DPSCs. Thus, mesiodentes accidentally encountered on radiographs by the general dental practitioner might be useful for stem cell therapy. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

[Endodontically treated teeth. Success--failure. Endorestorative treatment plan].

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Zabalegui, B

1990-01-01

More and more often the general dentist is finding the presence of endodontically treated teeth during his treatment planning procedure. He has to ask himself if the endo-treated tooth functions and will continue to function function successfully, when deciding which final endo-restorative procedure to apply. For this reason the dentist or the endodontist with whom he works should clinically evaluate these teeth, establish a diagnostic criteria of their success or failure and a treatment plan according to the prognosis. The purpose of this article is to offer an organized clinical view of the steps to follow when evaluating an endodontically treated tooth and how to establish a final endo-restorative plan.

Distribution of the amelogenin protein in developing, injured and carious human teeth

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Thimios eMitsiadis

2014-12-01

Full Text Available Amelogenin is the major enamel matrix protein with key roles in amelogenesis. Although for many decades amelogenin was considered to be exclusively expressed by ameloblasts, more recent studies have shown that amelogenin is also expressed in other dental and no-dental cells. However, amelogenin expression in human tissues remains unclear. Here, we show that amelogenin protein is not only expressed during human embryonic development but also in pathological conditions such as carious lesions and injuries after dental cavity preparation. In developing embryonic teeth, amelogenin stage-specific expression is found in all dental epithelia cell populations but with different instensities. In the different layers of enamel matrix, waves of positive versus negative immunostaining for amelogenin are detected suggesting that the secretion of amelogenin protein is orchestreted by a biological clock. Amelogenin is also expressed transiently in differentiating odontoblasts during predentin formation, but was absent in mature functional odontoblasts. In intact adult teeth, amelogenin was not present in dental pulp, odontoblasts, and dentin. However, in injured and carious adult human teeth amelogenin is strongly re-expressed in newly differentiated odontoblasts and is distributed in the dentinal tubuli under the lesion site. In an in vitro culture system, amelogenin is expressed preferentially in human dental pulp cells that start differentiating into odontoblast-like cells and form mineralization nodules. These data suggest that amelogenin plays important roles not only during cytodifferentiation, but also during tooth repair processes in humans.

Autotransplantation of teeth in humans: a systematic review and meta-analysis.

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Almpani, Konstantinia; Papageorgiou, Spyridon N; Papadopoulos, Moschos A

2015-07-01

The aim of this investigation was to assess the currently available evidence concerning the complications and risk factors influencing the outcome of autotransplantation of teeth in humans. Electronic searches were conducted to identify randomized controlled and prospective clinical trials. Risk of bias within studies was assessed with the Downs and Black tool. Random-effects meta-analyses were conducted to pool the adverse event rates and relative risks with their 95% confidence intervals. Risk of bias across studies was assessed with the GRADE framework followed by sensitivity analyses. Thirty-eight studies were included in the analysis. Reported complications included the need for extraction, failure, hypermobility, pulp necrosis, pulp obliteration, and root resorption. Pooled complication event rates varied considerably, with small studies (factors was associated with both the primary outcome (extraction need) and secondary outcomes (failure, hypermobility, pulp necrosis, pulp obliteration, root resorption). The stage of root development seems to influence both the future survival, as well as the success of the transplanted teeth. Teeth with open apex were less likely to be extracted in comparison to teeth with closed apex (3 studies; 413 teeth; relative risk 0.3; 95% confidence interval 0.2-0.6). Due to the small number of the contributing studies, their methodological limitations, and the heterogeneous results reported, no firm conclusions can be drawn. Root development of the donor teeth has been established as one the most important factor related to the success of tooth autotransplantation.

Dental lesions and restorative treatment in molars

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Gheorghiu Irina-Maria

2017-08-01

Full Text Available This article review specific clinical issues of the molar teeth, as well as the therapeutic approach of their pathology. The dental pathology we face in the group of molars is related to: dental caries, dental trauma (crown and crown-root fractures, dental wear phenomena. The therapeutic approach of the molar teeth is represented by: restoration of the loss of hard dental tissues; endodontic treatments of pulpal and periapical complications; surgical treatment. The restorative treatments in molars are: direct restorations, with or without supplementary anchorage for obturations; inlay, onlay; prosthetic crown.

The FiCTION dental trial protocol - filling children's teeth: indicated or not?

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Innes, Nicola P T; Clarkson, Jan E; Speed, Chris; Douglas, Gail V A; Maguire, Anne

2013-06-01

There is a lack of evidence for effective management of dental caries (decay) in children's primary (baby) teeth and an apparent failure of conventional dental restorations (fillings) to prevent dental pain and infection for UK children in Primary Care. UK dental schools' teaching has been based on British Society of Paediatric Dentistry guidance which recommends that caries in primary teeth should be removed and a restoration placed. However, the evidence base for this is limited in volume and quality, and comes from studies conducted in either secondary care or specialist practices. Restorations provided in specialist environments can be effective but the generalisability of this evidence to Primary Care has been questioned. The FiCTION trial addresses the Health Technology Assessment (HTA) Programme’s commissioning brief and research question “What is the clinical and cost effectiveness of restoration caries in primary teeth, compared to no treatment?” It compares conventional restorations with an intermediate treatment strategy based on the biological (sealing-in) management of caries and with no restorations. This is a Primary Care-based multi-centre, three-arm, parallel group, patient-randomised controlled trial. Practitioners are recruiting 1461 children, (3-7 years) with at least one primary molar tooth where caries extends into dentine. Children are randomized and treated according to one of three treatment approaches; conventional caries management with best practice prevention, biological management of caries with best practice prevention or best practice prevention alone. Baseline measures and outcome data (at review/treatment during three year follow-up) are assessed through direct reporting, clinical examination including blinded radiograph assessment, and child/parent questionnaires. The primary outcome measure is the incidence of either pain or infection related to dental caries. Secondary outcomes are; incidence of caries in primary and

A conservative approach for restoring anterior guidance: a case report.

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Pontons-Melo, Juan Carlos; Pizzatto, Eduardo; Furuse, Adilson Yoshio; Mondelli, José

2012-06-01

One of the most common dental problems in today's clinics is tooth wear, specifically when related to bruxism. In such cases, the esthetics of anterior teeth may be compromised when excessive wear to the incisal surfaces occurs. Anterior tooth wear resulting from parafunctional bruxism can be conservatively treated with the use of direct resin composite restorations. This restorative approach has the advantages of presenting good predictability, load resistance, acceptable longevity, preservation of healthy dental tissues, and lower cost when compared with indirect restorations. The use of resin composites to solve esthetic problems, however, requires skill and practice. Thus, the present article demonstrates a conservative approach for restoring the esthetics and function of worn anterior teeth with the aid of direct resin composite restorations and selective occlusal adjustment. A conservative approach to restore anterior teeth with excessive wear is possible with direct resin composites. © 2011 Wiley Periodicals, Inc.

Relationship between crown placement and the survival of endodontically treated teeth.

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Aquilino, Steven A; Caplan, Daniel J

2002-03-01

Crowns have been considered the restoration of choice for endodontically treated teeth, but their selection has been based primarily on anecdotal evidence. This study tested the hypothesis that crown placement (coronal coverage) is associated with improved survival of endodontically treated teeth when preaccess, endodontic, and restorative factors are controlled. A University of Iowa College of Dentistry treatment database was used to identify permanent teeth that had undergone initial obturation between July 1, 1985, and December 31, 1987. Study patients were restricted to persons with at least 1 dental visit in each 2-year interval from 1985 to 1996; a simple random sample of 280 patients (n = 400 teeth) was selected. Dental charts, radiographs, and computerized databases were examined to ascertain variables of interest and to verify study inclusion criteria. Kaplan-Meier survival estimates were generated for the 203 teeth that satisfied study inclusion criteria. Multivariate Cox proportional hazards regression models were developed, with standard errors adjusted to account for clustering of teeth within patients. When tooth type and radiographic evidence of caries at access were controlled, the final Cox model showed that endodontically treated teeth not crowned after obturation were lost at a 6.0 times greater rate than teeth crowned after obturation (95% confidence interval: 3.2 to 11.3). Within the limitations of this study, a strong association between crown placement and the survival of endodontically treated teeth was observed. These results may impact treatment planning if long-term tooth retention is the primary goal.

Influence of dental bleaching on marginal leakage of Class V restorations

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Andréia Cristina Ramos Dorini

2010-04-01

Full Text Available Objective: Evaluate the in vitro effect of bleaching performed in the dental office and waiting time on the degree of microleakage in class V cavities with margins in enamel, restored with resin composite. Methods: Forty-five human third molars were used, in which the vestibular faces were bleached with 35% hydrogen peroxide activated with LED and the palatine faces were not bleached (control. The teeth were randomly divided into 3 groups with 15 teeth in each: Group 1, restored immediately after bleaching; Group 2, seven days after bleaching; and Group 3, fourteen days after bleaching. After cavity preparation, 35% phosphoric acid, Adper Single Bond 2 adhesive (3M ESPE, St. Paul, Mn, USA, and resin composite Filtek Z250 (3M ESPE, St. Paul, MN, USA were applied. The teeth were thermal cycled and sealed with red nail polish on the bleached faces and blue on the non bleached faces, except for 1mm around the restored region. The samples were classified according to the following scores: 0 = no leakage, 1 = minimum leakage (less than 1 / 3 the length of the wall, 2 = moderate leakage (1/3 to 2/3 of the wall and 3 = extensive leakage (over 2/3 of the wall. The data were submitted to the Kruskal-Wallis test at a level of significance of 5%. Results: The restorative procedure immediately after bleaching resulted in statistically higher microleakage values (p 0.05. Conclusion: Based on the results, it is advisable to wait at least 7 days after bleaching to make the definitive restoration.

Marginal Leakage of Class V Composite Resin Restorations

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Maryam Khoroushi

2018-01-01

Full Text Available >Introduction: Marginal leakage is one of the significant causes of restoration failure. This in-vitro study was conducted to compare cone beam computed tomography (CBCT and dye-penetration methods for determining marginal leakage at gingival surface of class V resin composite restorations.Materials and Methods: Class V cavities were prepared on the buccal surfaces of nineteen caries-free extracted human molar teeth. Cavities were conditioned and filled. The teeth were immersed in a 50% w/w aqueous silver nitrate solution for 24 h and were taken out and rinsed with distilled water. Then, they were put into a developing solution. Whole specimens were first viewed with CBCT and were then sectioned and evaluated by stereomicroscope.Results: Measurement of agreement between CBCT and stereomicroscope revealed that 15 (78.9% teeth had score 0, 1 (5.3% tooth had score 1, and 1 (5.3% tooth had score 2 in both techniques. Measurement of agreement between CBCT and stereomicroscope techniques, in the detection of marginal leakage, was 89.5% (Kappa coefficient = 0.627, P = 0.00. The Wilcoxon paired rank test revealed no significant difference between the results of CBCT and stereomicroscope in measuring the leakage at gingival margin (P = 0.157.Conclusion: Considering the limitations of the study, there was no significant difference between the results of CBCT and stereomicroscope in measuring the leakage at gingival margin of class V composite restorations. CBCT can be used noninvasively to detect the marginal leakage of gingival wall of class V composite restorations using aqueous silver nitrate solution as a tracer.

Vascular status in human primary and permanent teeth in health and disease.

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Rodd, Helen D; Boissonade, Fiona M

2005-04-01

The present study sought to compare the vascular status of human primary teeth with that of human permanent teeth, and to determine whether caries or painful pulpitis was associated with changes in vascularity. Coronal pulps were removed from 62 primary and 62 permanent mandibular molars with a known pain history. Teeth were categorized as intact, moderately carious or grossly carious. Pulp sections were labelled with Ulex europaeus I lectin (UEIL), which is a marker of human vascular endothelium. Image analysis was then used to quantify the percentage area of UEIL-labelled tissue (vascularity) and the number of blood vessels present within three regions: the pulp horn, the subodontoblastic region, and the mid-coronal pulp. Only the mid-coronal region of the primary tooth pulp was found to be significantly more vascular than the corresponding area of the permanent tooth pulp. Both dentitions showed a significant increase in vascularity within the pulp horn region with caries progression, but this was not accompanied by an increase in vessel number. There was no correlation between vascularity and pain symptoms. These findings suggest that the primary tooth pulp is more vascular than its successor within the mid-coronal region. However, the functional and clinical significance of this finding remains speculative.

Restoration of Endodontically Treated Molars Using All Ceramic Endocrowns

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Roopak Bose Carlos

2013-01-01

Full Text Available Clinical success of endodontically treated posterior teeth is determined by the postendodontic restoration. Several options have been proposed to restore endodontically treated teeth. Endocrowns represent a conservative and esthetic restorative alternative to full coverage crowns. The preparation consists of a circular equigingival butt-joint margin and central retention cavity into the entire pulp chamber constructing both the crown and the core as a single unit. The case reports discussed here are moderately damaged endodontically treated molars restored using all ceramic endocrowns fabricated using two different systems, namely, CAD/CAM and pressed ceramic.

All-ceramic restorations: an overview.

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Bassi, F; Carossa, S; Pera, P; Preti, G

1998-09-01

Advantages and disadvantages of metal-ceramic and all-ceramic restorations are reviewed particularly from the aesthetic point of view. All-ceramic restorations offer the best results because they let the light through optimally. In constructing all-ceramic crowns on teeth which have been endodontically treated, the material used to rebuild the pin-abutments must be taken into consideration if the best aesthetic results are to be achieved. Materials which, because of their translucent characteristics, are the most aesthetic alternatives to metal alloy pin-abutments in rebuilding teeth which have been endodontically treated, are then described.

COMPARSION EFFECTIVENES METHODS REPEIR CROWN TEETH IN DOGS

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CHOOHNO V.S.

2008-01-01

Methods of dogs’ crown teeth restoration with using of anchor pin with light curable composite, glass fiber pin with light curable composite, stump crown with prosthetic crown were approved. Their effectiveness was compared. Greater reliability was shown by methods of stump crown with prosthetic crown, when using of which there was no that restoration damage in all cases, but there was no cosmetics effect. Restoration methods with using anchor pin with light curable composite and glass fiber ...

STRATIFICATION TECHNIQUE IN MAXILLARY ANTERIOR INCISORS RESTORATION

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Janet Kirilova

2014-08-01

Full Text Available Background: Because of their main characteristics: transparency, opalescence and color density, the tooth structures are extremely difficult to restore by means of completely inconspicuous restorations of the natural tooth tissue characteristics. The aim is to show successful aesthetic restoration of III Class dental lesions in upper incisors by means of high quality composites. Materials and method: A female patient visited the clinic being not satisfied with the esthetics of her front teeth. The intraoral examination showed previous restorations and carious lesions in 12, 11, 21, 22. After defining the tooth color a silicone key was made. The treatment was performed under anesthesia, the existing restorations were removed and the carious lesions in teeth 11, 12, 21, 22 were treated with restorations using Vanini edge preparation. The teeth were restored by means of stratification technique. After etching and rinsing, bonding was applied for 20 sec. and then polymerized. After fixing the silicone key enamel shade was applied and then dentine shades UD2, UD3, UD4 of 0.5mm thickness each. The polymerization was done layer by layer. Applied were 10 to 15 layers in total. The composite material was preheated in oven up to 55. Teeth 21 and 22 are restored with Enamel Plus HRi (Micerium. Results and Discussion: Excellent aesthetics is achieved with composite material. They have enamel and dentine shades and allow high quality aesthetics. The polishing is excellent in Enamel Plus HRi (Micerium which is typical for this type of composite. The result of the carious lesion treatment in this patient is real improvement of the dental appearance of her anterior incisors. Conclusion: Materials show excellent aesthetic results due to their characteristics and the stratification technique used.

Interfacial Chemistry of Moisture-Aged Class II Composite Restorations

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Spencer, Paulette; Wang, Yong; Bohaty, Brenda

2007-01-01

Under in vivo conditions, the adhesive/dentin bond at the gingival margin of class II composite restorations can be the first defense against substances that may penetrate and ultimately undermine the composite restoration. Deterioration of this bond during aqueous aging is an area of intense investigation, but to date, the majority of our techniques have provided only an indirect assessment of the degrading components. The purpose of this study was to analyze the in situ molecular structure of adhesive/dentin interfaces in class II composite restorations, following aging in aqueous solutions. Class II preparations were cut from 12 unerupted human third molars, with a water-cooled, high-speed, dental handpiece. The prepared teeth were randomly selected for restoration with single bond (SB) and Z100 (3M). Teeth were restored, as per the manufacturer’s directions, under environmental conditions that simulated humidity and temperature characteristics of the oral cavity. Restored teeth were kept in sterile Delbecco’s phosphate saline for 48 h or 90 days. The samples were sectioned occlusogingivally and micro-Raman spectra were acquired at ~1.5 μm spatial resolution across the composite/adhesive/dentin interfaces at the gingival margins. Samples were wet throughout spectral acquisition. The relative intensity of bands associated with the adhesive in the interfacial region decreased dramatically after aqueous storage. This decrease in concert with the similar depth of dentin demineralization provides direct spectroscopic evidence of leaching of adhesive monomer from the interface during the 90 days of storage. SB adhesive infiltrated 4 –5 μm of 12-μm demineralized dentin at the gingival margin. After 90 days of aqueous storage, SB adhesive infiltration was reduced to ~2 μm, leaving ~10 μm of demineralized dentin collagen exposed at the gingival margin. The unprotected collagen at the gingival margin of the aged class II composite restorations was disorganized

Comparison of microleakage in Class II cavities restored with silorane-based and methacrylate-based composite resins using different restorative techniques over time.

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Khosravi, Kazem; Mousavinasab, Seyed-Mostafa; Samani, Mahsa Sahraneshin

2015-01-01

Despite the growing tendency toward tooth-colored restorations in dentistry, polymerization shrinkage and subsequent marginal microleakage remains a problem. The aim of this in vitro study was to compare microleakage between silorane-based and methacrylate-based composite resins at different time intervals and with different restorative techniques. In this in vitro study, 108 sound extracted human molar teeth were used. Mesial and distal proximal class II boxes with dimensions of 1.5 mm depth and 4 mm width were prepared. The gingival margins of all cavities were 1 mm below the cement enamel junction. The teeth were randomly divided into three groups based on test materials. In the first group, the teeth were restored by a nanocomposite (Filtek Z350XT, 3MESPE) and SE Bond adhesive (Kuraray, Japan), in the second group, the teeth were restored with a silorane-based (Filtek P90, 3MESPE) and Filtek P90 Adhesive (3M ESPE, USA) and in the third group, the teeth were restored with a microhybrid posterior composite resin (Filtek P60, 3MESPE) and SE Bond adhesive (Kuraray, Japan). Half of the proximal cavities in each of these three groups were restored in two horizontal layers and the other half in four horizontal layers. After a period of aging (24-h, 3-month and 6-month) in water and then application of 500 thermal cycles, the teeth were immersed for 24-h in 0.5% fuchsin and evaluated under a stereomicroscope at ×36 magnification to evaluate leakage in gingival margin. Data was statistically analyzed using Kruskal-Wallis and Mann-Whitney U-tests. P ≤ 0.05 was considered as significant. In Z350XT statistically significant differences were observed in microleakage in comparison of 24-h and 6-month intervals (P = 0.01) that was higher in 6-month. Comparison of microleakage in P90 and P60 composite resins was also statistically significant and was less in P90. Microleakage was not significantly different between P90 and Z350XT at 24-h. However, this difference was

Expression and localization of special AT-rich sequence binding protein 2 in murine molar development and the pulp-dentin complex of human healthy teeth and teeth with pulpitis

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He, Lina; Liu, Huimei; Shi, Lei; Pan, Shuang; Yang, Xu; Zhang, Lin; Niu, Yumei

2017-01-01

Special AT-rich sequence binding protein 2 (SATB2) is a member of the special family of AT-rich binding transcription factors and has a critical role in osteoblast differentiation and craniofacial patterning. However, the expression and distribution of SATB2 in tooth development is largely unknown. The aim of the present study was to detect the expression and distribution of SATB2 during murine molar development and, in human healthy teeth and teeth with pulpitis using immunohistochemistry. Molars were obtained from Kunming mice at embryonic day (E) 13.5, E14.5, E16.5 and E18.5, and postnatal day (P) 1, P5 and P7. In addition, 20 human teeth (10 healthy and 10 teeth with pulpitis) were obtained from young adult patients (age, 24.90±1.65 years) who were scheduled for routine extraction. Immunohistochemical analyses were performed to detect the expression and distribution of SATB2. The present results revealed that SATB2 exhibits a spatiotemporal expression pattern in murine molar development and was expressed in odontoblasts, predentin, dental pulp cells and the blood vessels in human teeth. These findings suggested that SATB2 may have an important role in odontoblast differentiation and dentin matrix mineralization during tooth development. PMID:29042940

Measurement of Ca, Zn and Sr in enamel of human teeth by XRF

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Wielopolski, L.; Featherstone, J.D.B.; Cohn, S.H.

1984-01-01

Energy dispersive x-ray fluorescence (EDXRF) has been employed to measure Ca, Zn, and Sr in enamel of human teeth. The calibration of the EDXRF system was performed by comparing Sr/Ca ratios with values obtained by atomic absorption analysis of acid etched biopsies of the enamel surface. Two calibration lines were obtained, one line for untreated teeth and the second line for teeth immersed (treated) in solutions containing Sr. A simple analytical model demonstrated that the two calibration lines were the result of the difference in the depth of the enamel sampled by EDXRF and by the acid-etched biopsy. The multi-elemental, non-destructive and quantitative aspects of EDXRF permit the sequential monitoring of the effects of Sr and Zn ions on the mineralization and demineralization processes in human enamel. The portability of the system and adaptability to non-invasive measurements makes it suitable for field studies. 26 references, 4 figures.

Measurement of Ca, Zn and Sr in enamel of human teeth by XRF

International Nuclear Information System (INIS)

Wielopolski, L.; Featherstone, J.D.B.; Cohn, S.H.

1984-01-01

Energy dispersive x-ray fluorescence (EDXRF) has been employed to measure Ca, Zn, and Sr in enamel of human teeth. The calibration of the EDXRF system was performed by comparing Sr/Ca ratios with values obtained by atomic absorption analysis of acid etched biopsies of the enamel surface. Two calibration lines were obtained, one line for untreated teeth and the second line for teeth immersed (treated) in solutions containing Sr. A simple analytical model demonstrated that the two calibration lines were the result of the difference in the depth of the enamel sampled by EDXRF and by the acid-etched biopsy. The multi-elemental, non-destructive and quantitative aspects of EDXRF permit the sequential monitoring of the effects of Sr and Zn ions on the mineralization and demineralization processes in human enamel. The portability of the system and adaptability to non-invasive measurements makes it suitable for field studies. 26 references, 4 figures

Measurement of Ca, Zn, and Sr in enamel of human teeth by XRF

International Nuclear Information System (INIS)

Wielopolski, L.; Featherstone, J.D.b.; Cohn, S.H.

1984-01-01

Energy dispersive x-ray fluorescence (EDXRF) has been employed to measure Ca, Zn, and Sr in enamel of human teeth. The calibration of the EDXRF system was performed by comparing Sr/Ca ratios with values obtained by atomic absorption analysis of acid etched biopsies of the enamel surface. Two calibration lines were obtained, one line for untreated teeth and the second line for teeth immersed (treated) in solutions containing Sr. A simple analytical model demonstrated that the two calibration lines were the result of the difference in the depth of the enamel sampled by EDXRF and by the acid-etched biopsy. The multi-elemental, non-destructive and quantitative aspects of EDXRF permit the sequential monitoring of the effects of Sr and Zn ions on the mineralization and demineralization processes in human enamel. The portability of the system and adaptability to non-invasive measurements makes it suitable for field studies. 26 references, 4 figures

Effective of diode laser on teeth enamel in the teeth whitening treatment

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Klunboot, U.; Arayathanitkul, K.; Chitaree, R.; Emarat, N.

2011-12-01

This research purpose is to investigate the changing of teeth color and to study the surface of teeth after treatment by laser diode at different power densities for tooth whitening treatment. In the experiment, human-extracted teeth samples were divided into 7 groups of 6 teeth each. After that laser diode was irradiated to teeth, which were coated by 38% concentration of hydrogen peroxide, during for 20, 30 and 60 seconds at power densities of 10.9 and 52.1 W/cm2. The results of teeth color change were described by the CIEL*a*b* systems and the damage of teeth surface were investigated by scanning electron microscopy (SEM). The results showed that the power density of the laser diode could affect the whiteness of teeth. The high power density caused more luminous teeth than the low power density did, but on the other hand the high power density also caused damage to the teeth surface. Therefore, the laser diode at the low power densities has high efficiency for tooth whitening treatment and it has a potential for other clinical applications.

Oral environment control before restorative treatment

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Ian Matos Vieira

2008-01-01

Full Text Available The aim of the present study was to describe caries disease treatment, by means of a clinical case report, with a view to promoting the patient’s health before definitive restorative treatments, considering that treatment should include changes in the patient’s dietary and hygiene habits, and not be restricted only to restoring lesions, as well as the establishment of an individualized treatment plan for each patient. Iodine-based antimicrobial solution was applied, instructions about oral hygiene and dietary habit changes were provided. The stepwise excavation technique was performed in tooth 15, mass excavation followed by the application of glass ionomer cement in the other teeth that presented carious lesions. White stain lesions were remineralized, and cicatrizes and fissures in the posterior teeth were sealed. After health was reestablished, the temporary restorations were replaced by definitive restorations. Changes in the treatment philosophy of caries disease, based on changes in the patient’s habits and removal of foci of infection have been presented with the object of producing an effective change in this paradigm, in order to increase the longevity of teeth with less operative intervention.

In vivo Evaluation of Enamel Dental Restoration Interface by Optical Coherence Tomography

International Nuclear Information System (INIS)

Mota, Claudia C. B. O.; Gomes, Anderson S. L.; Kashyap, Hannah U. K. S.; Kyotoku, Bernardo B. C.

2009-01-01

In this work, we report in vivo application of Optical Coherence Tomography (OCT) to assess dental restorations in humans. After approval by the Ethical Committee in Humans Research of the Federal University of Pernambuco, thirty patients with resin composite restorations performed in anterior teeth were selected. The patients were clinically evaluated, and OCT was performed. Images were obtained using OCT operating in the spectral domain, with a 840 nm super luminescent diode light source (spectral width of 50 nm, fiber output power 25mW and a measured spatial resolution of 10 μm). The image acquisition time was less than one second. The results were analyzed with respect to the integrity and marginal adaptation of the restoration. Using appropriate software, the lesion region can be exactly located and a new restoration procedure can be carried out. We have shown that OCT is more than adequate in clinical practice to assess dental restorations. (Author)

Coronal leakage of provisional restorative materials used in endodontics with and without intracanal medication after exposure to human saliva

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P Udayakumar

2016-01-01

Full Text Available Aim: To determine the coronal leakage of various provisional restorations with and without intracanal medication over time after being exposed to human saliva. Materials and Methods: This study investigated Coltosol F, Cavit, Ketac Molar, and IRM as provisional restorative material. Calcium hydroxide and chlorhexidine were used as an intracanal medicament. Ninety-eight single rooted teeth were randomly selected and then mounted in an apparatus that isolated the crown portion of the tooth. Provisional restorative materials were placed in the access cavity following manufacturer guidelines after placement of intracanal medicament. Human saliva and brain heart infusion broth in 3:1 ratio were applied to the samples, incubated at 37°C, and results were tabulated over the course of 4 weeks by the appearance of turbidity in the lower part of the apparatus. Statistical Analysis: The data were statistically analyzed using proportional Z-test. The level of significance was set at 0.05. Results: Coltosol F and Cavit could significantly prevent the bacterial leakage up to a period of 7 days with a P value of 0.01 and 0.005, respectively. Bacterial recontamination was relatively less in the samples treated with intracanal medicaments up to 14 days. After 14 days, however, all materials leaked in over half of the samples. Conclusion: No provisional restorative material can be considered superior in providing a reliable seal after 14 days. Inter-appointments schedule should not extend beyond 2 weeks and after endodontic therapy final restoration should be completed within 1 week.

Effect of erosive challenges on deciduous teeth undergoing restorative procedures with different adhesive protocols - an in vitro study

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Assunção, Cristiane Meira; Goulart, Marcelo; Essvein, Tattiana Enrich; dos Santos, Nicole Marchioro; Erhardt, Maria Carolina Guilherme; Lussi, Adrian; Rodrigues, Jonas de Almeida

2018-01-01

ABSTRACT Objective To evaluate the effect of erosive challenges on the tooth- restoration interface of deciduous teeth treated with different adhesive protocols. Material and Methods Deciduous molars were cut mesiodistally, then embedded, abraded and polished (n=80). Samples were randomly divided according to the adhesive system used into: G1 (Adper Single Bond2®, etch-and-rinse), G2 (Universal Single Bond®, self-etching), G3 (OptibondFL®, etch-and-rinse with Fluoride) and G4 (BondForce®, self-etching with Fluoride). After standardized cavity preparation (2 mm diameter x 2 mm depth), adhesive systems were applied and samples were restored (composite resin Z350®). Half of the samples were exposed to erosive/abrasive cycles (n = 10, each adhesive group), and the other half (control group; n = 10) remained immersed in artificial saliva. For microleakage analysis, samples were submersed in methylene blue and analyzed at 40x magnifications. Cross-sectional microhardness (CSMH) was carried out (50 g/5 s) at 25 μm, 50 μm, and 100 μm from the eroded surface and at 25 μm, 75 μm, and 125 μm from the enamel bond interface. Results Regarding microleakage, 7.5% of the samples showed no dye infiltration, 30% showed dye infiltration only at the enamel interface, and 62.5% showed dye infiltration through the dentin-enamel junction, with no difference between groups (p≥0.05). No significant difference was observed in CSMH at different depths (two-way ANOVA, p≥0.05). Conclusions We did not observe significant changes in microleakage or CSMH after erosive/abrasive challenges in deciduous teeth treated with different adhesive protocols (etch-and-rinse and self-etching adhesives, with and without fluoride). PMID:29364339

Effect of erosive challenges on deciduous teeth undergoing restorative procedures with different adhesive protocols - an in vitro study

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Cristiane Meira Assunção

2018-01-01

Full Text Available ABSTRACT Objective: To evaluate the effect of erosive challenges on the tooth- restoration interface of deciduous teeth treated with different adhesive protocols. Material and Methods: Deciduous molars were cut mesiodistally, then embedded, abraded and polished (n=80. Samples were randomly divided according to the adhesive system used into: G1 (Adper Single Bond2®, etch-and-rinse, G2 (Universal Single Bond®, self-etching, G3 (OptibondFL®, etch-and-rinse with Fluoride and G4 (BondForce®, self-etching with Fluoride. After standardized cavity preparation (2 mm diameter x 2 mm depth, adhesive systems were applied and samples were restored (composite resin Z350®. Half of the samples were exposed to erosive/abrasive cycles (n = 10, each adhesive group, and the other half (control group; n = 10 remained immersed in artificial saliva. For microleakage analysis, samples were submersed in methylene blue and analyzed at 40x magnifications. Cross-sectional microhardness (CSMH was carried out (50 g/5 s at 25 μm, 50 μm, and 100 μm from the eroded surface and at 25 μm, 75 μm, and 125 μm from the enamel bond interface. Results: Regarding microleakage, 7.5% of the samples showed no dye infiltration, 30% showed dye infiltration only at the enamel interface, and 62.5% showed dye infiltration through the dentin-enamel junction, with no difference between groups (p≥0.05. No significant difference was observed in CSMH at different depths (two-way ANOVA, p≥0.05. Conclusions: We did not observe significant changes in microleakage or CSMH after erosive/abrasive challenges in deciduous teeth treated with different adhesive protocols (etch-and-rinse and self-etching adhesives, with and without fluoride.

Experimental and numerical determination of the mechanical response of teeth with reinforced posts

International Nuclear Information System (INIS)

Papadopoulos, Triantafillos; Papadogiannis, Dimitris; Mouzakis, Dionysios E; Giannadakis, Konstantinos; Papanicolaou, George

2010-01-01

The aim of this study was to evaluate the mechanical behavior of endodontically treated teeth restored with fiber reinforced composite posts versus titanium posts, by both experimental testing and numerical simulation (finite element analysis (FEA)). Forty maxillary central incisors were endodontically treated to a size 45 file and then obturated using gutta-percha points and sealer with the lateral condensation technique. The teeth were divided into four groups of ten teeth each. All the posts were of similar dimensions. The first group was restored using carbon fiber reinforced posts (CB), the second and third groups were restored using glass fiber reinforced posts (DP and FW, respectively), and the fourth group (control group) was restored using conventional titanium posts (PP). Half of the specimens of every group were submitted to hydrothermal cycling (2000 cycles, at 5 0 C and 55 0 C, respectively). All specimens were loaded until failure at a 45 0 angle with respect to the longitudinal axis at a crosshead speed of 0.5 mm min -1 . A two-dimensional finite element model was designed in order to simulate the experimentally obtained results. Mechanical testing revealed that teeth restored with titanium posts exhibited the highest fracture strength. Debonding of the core was the main failure mode observed in glass fiber posts, whereas vertical root fractures were observed in the titanium posts. FEA revealed that the maximum stresses were developed at the interface between the post, dentin and the composite core critical regions in all three cases. Hydrothermal cycling had no significant effect on the fracture behavior of fiber reinforced composite posts.

Esthetic Concerns and Acceptability of Treatment Modalities in Primary Teeth: A Comparison between Children and Their Parents

Science.gov (United States)

Saffan, Abdulrahman Al; AlHobail, Sultan; Bin Salem, Fares; AlFuraih, AlBara; AlTamimi, Mohammad

2016-01-01

Background and Aim. Esthetic concerns in primary teeth have been studied mainly from the point of view of parents. The aim of this study was to study compare the opinions of children aged 5–8 years to have an opinion regarding the changes in appearance of their teeth due to dental caries and the materials used to restore those teeth. Methodology. A total of 107 children and both of their parents (n = 321), who were seeking dental treatment, were included in this study. A tool comprising a questionnaire and pictures of carious lesions and their treatment arranged in the form of a presentation was validated and tested on 20 children and their parents. The validated tool was then tested on all participants. Results. Children had acceptable validity statistics for the tool suggesting that they were able to make informed decisions regarding esthetic restorations. There was no difference between the responses of the children and their parents on most points. Zirconia crowns appeared to be the most acceptable full coverage restoration for primary anterior teeth among both children and their parents. Conclusion. Within the limitations of the study it can be concluded that children in their sixth year of life are capable of appreciating the esthetics of the restorations for their anterior teeth. PMID:27446212

Allogeneic stem cells derived from human exfoliated deciduous teeth (SHED for the management of periapical lesions in permanent teeth: Two case reports of a novel biologic alternative treatment

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Madu Ghana Shyam Prasad

2017-06-01

Full Text Available Stem cells are the pluripotent cells that have the capacity to differentiate into other specialized cells. Recently, many experiments have been conducted to study the potentiality of stem cells in the tissue regeneration. We report two cases treated utilizing stem cells from human exfoliated deciduous teeth (SHED in the management of periapical lesions in permanent teeth. Two normal human deciduous teeth from children, 7‒8 years of age, were collected to isolate stem cells. Two patients, one with periapical pathology alone and the other with periapical lesion along with an open apex in young permanent teeth, were selected for the study. After initial debridement of the root canals, homing of SHED was carried out and the access cavity was sealed using glass-ionomer cement. Clinical examination after 7 days, 30 days, 90 days, 180 days and 365 days revealed no symptoms. Closure of open apex and periapical tissue healing were observed radiographically at one-month review and maintained until 365-day review. Positive response to electric pulp testing was recorded for the treated teeth from the 3- to 12-month follow-ups. The treated cases demonstrated complete resolution of periapical radiolucency in a span of 30 days, which was faster than the conventional methods. SHED could be considred effective in treating the periapical lesions and open apex in permanent teeth.

Fracture resistance of prepared premolars restored with bonded new lab composite and all-ceramic inlay/onlay restorations: Laboratory study.

Science.gov (United States)

Wafaie, Ramy Ahmed; Ibrahim Ali, Ashraf; Mahmoud, Salah Hasab

2018-01-25

To assess the influence of new light curing lab composite, lithium-disilicate glass-ceramic and yttrium-stabilized zirconia-based ceramic on the fracture resistance of maxillary premolars with class II inlay and onlay preparations. Seventy sound maxillary premolars were divided randomly into seven main groups. The first group was left intact (control group). The remaining six groups were prepared with inlay and onlay cavities and restored with lab composite (SR Nexco), lithium-disilicate glass-ceramic (IPS e.max Press) and yttrium-stabilized zirconia-based ceramic (ICE Zirkon). The restorations were cemented with luting resin composite (Variolink N). All specimens were thermocycled 5000 cycles between 5°C ± 2°C and 55°C ± 2°C and were then cyclic loaded for 500 000 cycles. The specimens were subjected to a compressive load in a universal testing machine using a metal sphere until fracture occurred. The results were analyzed by 2-way ANOVA and Tukey HSD post hoc tests. The level of significance was set at P  .05). However, statistically significant differences were found among the means of control group and the groups restored with lab composite inlays, lab composite onlays, pressable glass ceramic inlays and pressable glass ceramic onlays (P lab composite is used. Conversely, when a ceramic material being used, the prepared teeth for inlay and onlay restorations showed a comparable strength to the intact teeth especially zirconia ceramic. Premolar teeth restored with zirconia ceramic inlays and onlays exhibited fracture resistance comparable to intact teeth. © 2018 Wiley Periodicals, Inc.

Fatigue resistance of teeth restored with cuspal-coverage composite restorations.

NARCIS (Netherlands)

Fennis, W.M.M.; Kuijs, R.H.; Kreulen, C.M.; Verdonschot, N.J.J.; Creugers, N.H.J.

2004-01-01

PURPOSE: This study assessed the influence of palatal cuspal coverage on the in vitro fatigue resistance and failure mode of Class II resin composite restorations including replacement of the buccal cusp in premolars. MATERIALS AND METHODS: A master model was made of a maxillary premolar with an MOD

Cosmetic Remodeling of the Smile: Combining Composite Resin and Ceramics over Teeth and Implants

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Leonardo Fernandes da Cunha

2017-01-01

Full Text Available The aim of this paper is to describe a restorative approach to the cosmetic remodeling of the teeth of a young adult patient with right maxillary lateral hypodontia and left lateral microdontia. A conservative restorative management was proposed to improve smile esthetics by combining direct composite resins and ceramics. Initially, periodontal therapy and dental bleaching were performed. Subsequently, direct composite resins were applied to the central incisors and canines to reestablish the sizes and shapes of these teeth. Finally, ceramics were placed on the implant and the microdontia to unite with the new alignment and color of the anterior teeth. Thus, conservative remodeling to improve the harmony of the smile was provided.

Clinical Performance of Pedo Jacket Crowns in Maxillary Anterior Primary Teeth.

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Castro, Aimee; Badr, Sherine B Y; El-Badrawy, Wafa; Kulkarni, Gajanan

2016-09-15

To assess the clinical performance of Pedo Jacket crowns for restoration of carious primary anterior teeth. A total of 129 carious primary incisors and canines of 48 children younger than 71 months of age- were restored with Pedo Jacket crowns and resin-modified glass ionomer cementation. They were assessed for: ease of use; presence of recurrent decay; wear; partial or complete loss of the crown; color stability; gingival health; and overall clinical success over a 12-month follow-up. The patient's behavior at the restorative appointment during crown placement was also assessed. An overall clinical success of 89.5 percent of the teeth in 87.3 percent of the children was seen one year later. The crowns were easy to use, even in uncooperative children. The color stability, wear, plaque accumulation, and gingival health were acceptable. Discoloration, wear, or complete loss of the crown were found in 13.1 percent, 5.4 percent, and 7.6 percent of children, respectively. Although not statistically significant, failures were associated with poor patient cooperation at the time of crown placement, poor oral hygiene, or operator error. Pedo Jacket crowns are a viable treatment alternative for carious maxillary primary anterior teeth.

Occlusal considerations for dental implant restorations.

Science.gov (United States)

Bergmann, Ranier H

2014-01-01

When placed, dental implants are put into an ever-changing oral environment in which teeth can continue to migrate. Yet, the implants themselves are ankylosed. This can lead to occlusal instability. Teeth may continue to erupt, leaving the implants in infraocclusion. Teeth may move mesially away from an implant, requiring modification to close an open contact point. Friction in the connection between teeth and implants can lead to intrusion of teeth and damage to the periodontal attachment apparatus. Implant occlusion with shallow incisal guidance minimizes lateral and tipping forces. Cross-arch stabilization allows the best distribution of occlusal forces. The choice of restorative materials influences long-term occlusal stability.

Comparison between published clinical success of direct resin composite restorations in vital posterior teeth in 1995-2005 and 2006-2016 periods.

Science.gov (United States)

Alvanforoush, N; Palamara, J; Wong, R H; Burrow, M F

2017-06-01

Composites are increasing in popularity as restorative materials. This growing role indicates the necessity of studies on their clinical outcome. In this study, clinical studies published on the performance of posterior composite restorations were included except those of less than a 24-month assessment period. Results of non-vital, anterior or primary teeth and cervical single-surface restorations were also excluded. Records about composite type, number of final recall restorations, failure/survival rate, assessment period and failure reasons were analysed for each decade. Overall survival/failure rates for studies in 1995-2005 were 89.41%/10.59% and for 2006-2016 were 86.87%/13.13%, respectively. In 1995-2005, the reasons for failure were secondary caries (29.47%) and composite fracture (28.84%) with low tooth fracture (3.45%) compared with reasons of failure in 2006-2016, which were secondary caries (25.68%), composite fracture (39.07%), and tooth fracture (23.76%). An increase in incidence of composite fracture, tooth fracture and need for endodontic treatment as failure reasons was noted in the latter decade in addition to a decrease in secondary caries, postoperative sensitivity, unsatisfactory marginal adaptation and wear. The overall rates of failure showed little difference, but the causes showed a notable change. This is believed to be a reflection of increased use of composites for larger restorations and possibly changes of material characteristics. © 2016 Australian Dental Association.

Evaluation of Related Factors in the Failure of Endodontically Treated Teeth: A Cross-sectional Study.

Science.gov (United States)

Olcay, Keziban; Ataoglu, Hanife; Belli, Sema

2018-01-01

The aim of this study was to review the factors related to the failure and extraction of unsuccessful endodontically treated teeth. A total of 1000 teeth treated with nonsurgical root canal therapy were analyzed, and the following information was recorded for each patient: reasons for failure and extraction, type of tooth, presence and type of coronal restoration, smoking status, age, gender, and level of education. One main reason was recorded for each failed tooth. The associations between reasons for failure, patient, and tooth were tested by using χ 2 analysis. Of the 1000 endodontically failed teeth analyzed in this study, 28.1% (n = 281) were extracted, 66% (n = 660) were re-treated, and 5.9% (n = 59) were treated with apical surgery. Among the reasons for failure, restorative and endodontic reasons were seen most frequently (43.9%, n = 439), whereas orthodontic reasons were seldom seen (0.1%, n = 1). The most common reason for extraction was for prosthetic reasons (40.8%), and perforation/stripping was the least common (2.9%). The mandibular first molars were the most frequently extracted teeth (27.4%, n = 77). The most common reason for the extraction of endodontically treated teeth was for prosthetic reasons. Among the reasons for failure, restorative and endodontic reasons were the most frequently seen, and orthodontic reasons were the most seldom. The teeth that failed most frequently were mandibular first molars, and the teeth that failed least frequently were maxillary third molars. The most common reason for the extraction of failed endodontically treated teeth was for prosthetic reasons. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Structure and microstructure of coronary dentin in non-erupted human deciduous incisor teeth

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Costa Luciane R.R S.

2002-01-01

Full Text Available The dentin structure of non-erupted human deciduous mandibular and maxillary central and lateral incisor teeth was studied employing light and scanning electron microscopy. For light microscopy, nitric-acid-demineralized and ground sections were used. The sections were stained by hematoxylin-eosin, picrosirius and azo-carmim methods, and ground specimens were prepared using a carborundum disk mounted in a handpiece. For SEM study, teeth were frozen in liquid nitrogen and fractured at longitudinal and transversal directions. Structurally, demineralization and ground methods revealed tubules with primary and secondary curvatures, canaliculi, giant tubules, interglobular dentin, predentin, and intertubular dentin. Scanning electron microscopy showed three-dimensional aspects of dentinal tubules, canaliculi, peritubular dentin, intertubular dentin, and predentin. This study contributes to knowledge about dentin morphology showing characteristics of teeth not yet submitted to mastication stress.

Atmospheric nuclear weapon test history as characterized by the deposition of 14C in human teeth

International Nuclear Information System (INIS)

Nishizawa, K.; Togari, A.; Matsumoto, S.; Nagatsu, T.

1990-01-01

The 14 C concentration in the collagen of human teeth was retrospectively investigated to determine whether its incorporation was related to atmospheric testing of nuclear weapons. Teeth were extracted for dental therapy from July 1987 to February 1988 from patients who were residents in Japan. Tooth collagen was extracted with HCl and converted to amorphous C by heating in a vacuum line. Specimens for 14 C analysis were prepared by mixing the amorphous C with silver powder. The 14 C concentration was measured by mass spectrometer. The 14 C concentration in tooth collagen rapidly increased in 1961 after the bomb tests, peaked around 1967-1968, and then gradually decreased. The collagen of human teeth maintains the 14 C concentration at the age of root completion for life. The results of this study indicate that the history of environmental contamination from atmospheric nuclear weapon's tests has been characterized by deposition of 14 C in the tooth collagen 14 C of human beings

Pre-prosthetic minor tooth movement with elastic separating ring & provisional restoration modification: case report

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Haneol Shin

2012-05-01

Full Text Available Proximal caries or coronal defect in posterior teeth may result in the loss of proximal space and drifting of neighboring teeth, which makes restoration difficult. Inability to restore proper contours and to align tooth axis properly are commonly encountered problems when planning tooth restoration. Moreover, tilted teeth aggravate periodontal tissue breakdown, such as pseudo-pocket, and angular osseous defect. The purpose of this case presentation is to describe a simple technique for inducing minor tooth movement with orthodontic separating ring and provisional restoration modification. This method was used to create crown placement space on mesially tilted molar. This method is easy, simple and efficient technique which could be used in interproximal space gaining in selected situation.

The FiCTION dental trial protocol – filling children’s teeth: indicated or not?

Science.gov (United States)

2013-01-01

Background There is a lack of evidence for effective management of dental caries (decay) in children’s primary (baby) teeth and an apparent failure of conventional dental restorations (fillings) to prevent dental pain and infection for UK children in Primary Care. UK dental schools’ teaching has been based on British Society of Paediatric Dentistry guidance which recommends that caries in primary teeth should be removed and a restoration placed. However, the evidence base for this is limited in volume and quality, and comes from studies conducted in either secondary care or specialist practices. Restorations provided in specialist environments can be effective but the generalisability of this evidence to Primary Care has been questioned. The FiCTION trial addresses the Health Technology Assessment (HTA) Programme’s commissioning brief and research question “What is the clinical and cost effectiveness of restoration caries in primary teeth, compared to no treatment?” It compares conventional restorations with an intermediate treatment strategy based on the biological (sealing-in) management of caries and with no restorations. Methods/Design This is a Primary Care-based multi-centre, three-arm, parallel group, patient-randomised controlled trial. Practitioners are recruiting 1461 children, (3–7 years) with at least one primary molar tooth where caries extends into dentine. Children are randomized and treated according to one of three treatment approaches; conventional caries management with best practice prevention, biological management of caries with best practice prevention or best practice prevention alone. Baseline measures and outcome data (at review/treatment during three year follow-up) are assessed through direct reporting, clinical examination including blinded radiograph assessment, and child/parent questionnaires. The primary outcome measure is the incidence of either pain or infection related to dental caries. Secondary outcomes are

A prospective 8-year follow-up of posterior resin composite restorations in permanent teeth of children and adolescents in Public Dental Health Service: reasons for replacement

DEFF Research Database (Denmark)

Pallesen, Ulla; van Dijken, Jan W.V.; Halken, Jette

2014-01-01

in general practice showed a good durability with annual failure rates of 2 %. The main reason for failure was secondary caries followed by post-operative sensitivity and resin composite fracture. A high proportion of replaced/repaired RC restorations were caused by primary caries in a non-filled surface......Objectives: the aim of the study was to investigate reasons for replacement and repair of posterior resin composite (RC) restorations placed in permanent teeth of children and adolescents attending Public Dental Health Service in Denmark. Material and method: all posterior RC placed consecutively...... by 115 dentists over a period of 4 years were evaluated at baseline and up to 8 years later. The endpoint of each restoration was defined when repair or replacement was performed. The influence of patient, dentist and material factors on reasons for repair or replacement was investigated. Results...

Characteristics of dental pulp in human upper first premolar teeth based on immunohistochemical and morphometric examinations.

Science.gov (United States)

Tomaszewska, Joanna Maria; Miskowiak, Bogdan; Matthews-Brzozowska, Teresa; Wierzbicki, Piotr

2013-01-01

Teeth extracted for orthodontic reasons are commonly considered as healthy. Therefore, it is possible to examine structure of the dental pulp can be fully recognized and how it is affected by malocclusion. The aim of the study was to evaluate by immunohistochemistry (IHC) and morphometry dental pulp in human upper first premolar teeth extracted for orthodontic reasons. The material comprised 36 teeth of 20 patients in the age range 16-26 years. By the use of IHC markers the presence of immunocompetent cells (CD20, CD45RO, and CD68), blood vessels (CD31) and nerves (PGP9.5) were examined in the pulp. Inflammatory infiltrates and tissue atrophy were observed in 24 and 10 teeth, respectively. Strong positive correlation between the width of the odontoblastic layer, the number of rows of odontoblast nuclei and the increase of MVA (microvessel area) in the pulp of atrophic teeth was found. The cellular infiltrations found in H&E-stained sections were identified by IHC as memory T cells (CD45RO+) and B lymphocytes (CD20+) with macrophages (CD68+) present at the periphery. The CD20 antigen was intensively expressed in 13 teeth, CD45RO in 33 teeth, and CD68 in 20 teeth. Thus, despite the lack of any clinical signs of pulp disease many teeth extracted for orthodontic reasons show focal pulp inflammation and atrophy which probably results from the malocclusion stress accompanying teeth crowding.

Measurement of uranium in human teeth and kidney stones with the fission track technique

International Nuclear Information System (INIS)

Vartanian, R.

1986-01-01

The measurement of uranium in human teeth and in kidney stones was carried out using the fission track activation technique. In this determination 2759 and 2205 absolute counts of tracks for teeth samples and 1689 tracks for kidney stone samples were performed, respectively. The results are as follows: xsub(tooth) (1)=(0.227+-0.006) ppm, xsub(tooth) (2)=(0.143+-0.007) ppm and xsub(kidney)=(0.568+-0.020) ppm. The experimental method is described and the results are discussed. (author)

A survey of failed post-retained restorations

DEFF Research Database (Denmark)

Peutzfeldt, A; Sahafi, A; Asmussen, E

2008-01-01

Survival of endodontically treated, post-restored teeth depends on a multitude of factors, all of which are practically impossible to include in a randomized, controlled clinical study. The purpose of this survey was to characterize and analyze reported failures of post-retained restorations...

Crown lengthening procedure following intentional endodontic therapy for correction of supra-erupted posterior teeth: Case series with long-term follow-up

Science.gov (United States)

Patil, Shruti Arun; Kulkarni, Sudhindra; Thakur, Srinath; Naik, Balaram

2016-01-01

Context: The crown lengthening procedure (CLP) is routinely carried out to correct gingival levels and achieve esthetic contours and adequate crown lengths for restorative purposes. Though the short-term outcomes have been found to be stable, long-term results are not much reported. Aims: To evaluate the long-term stability of the marginal bone levels, gingival levels, and the status of the teeth, which underwent endodontic therapy, followed by CLP and final restorations. Settings and Design: Institutional setting, long-term case series. Materials and Methods: Case records of the patients who underwent CLP and endodontic therapy for corrections of the supra-erupted teeth to regain the lost interocclusal spaces were retrieved, and the cases with complete set of the clinical and radiographs were taken. All the cases were recalled and bone levels on the radiographs, bleeding on probing, probing pocket depths, and changes in the soft tissue margins were evaluated. Statistical Analysis Used: Descriptive analysis. Results: A total of 25 teeth had undergone CLP and endodontic therapy and final restorations for a minimum of 24 months. The mean post-restorative duration was 50.8 ± 22.48 months (range 24–96 months). All the teeth were functional and asymptomatic with 100% survival. Interdental bone loss of 1 mm, probing pockets of 5 mm, and 1 mm buccal recession were observed in 16% of the sites. The amount of interocclusal space regained was adequate to restore the missing teeth in the opposing arch. Conclusions: The CLP is a predictive procedure for correction of supra-erupted teeth. The survival of the teeth that underwent the procedure in the present study was 100% over 24–96 months. PMID:27041850

A Histopathologic Study on Pulp Response to Glass Ionomer Cements in Human Teeth

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M. Ghavamnasiri

2005-12-01

Full Text Available Statement of Problem: Despite the wide range of new dental materials, there is still a need for biomaterials demonstrating high biocompatibility, antimicrobial effects and ideal mechanical properties.Purpose: The aim of this study was to histologically evaluate the pulpal response to a conventional glass ionomer, a resin modified glass ionomer and a calcium hydroxide in human teeth.Materials and Methods: Fifty five deep class V cavities were prepared in premolars of 31 patients and were divided into 3 groups based on application of the following liners:resin modified glass ionomer (Vivaglass Liner, conventional glass ionomer (ChembondSuperior and calcium hydroxide (Dycal. After applying varnish, teeth were filled with amalgam. Each group was further divided into three subgroups according to time intervals of 7, 30 and 60 days. Teeth were then extracted and their crowns were fixed in formalin. Each sample was assessed microscopically for odontoblastic changes,inflammatory cell infiltration, reactionary dentin formation, remaining dentinal thickness and presence of microorganisms. Statistical analysis including Kruskal Wallis and Mann Whitney was carried out for comparison of mean ranks. (P=0.05.Results: In the Vivaglass Liner group, pulpal response was significantly higher on day 7 as compared to days 30 and 60 (P0.05. There was no correlation between pulpal responses with micro-organisms and remaining dentin thickness (P>0.05.Conclusion: According to the results of this study, light-cured glass ionomer as well as the other tested lining materials were determined to be biologically compatible with vital pulps in deep cavities of sound human teeth.

Is it better to leave or restore carious deciduous molar teeth? A preliminary study.

Science.gov (United States)

Tickle, M; Milsom, K; Kennedy, A

1999-10-01

The objective of this study was to compare the extraction and exfoliation experience of filled and unfilled carious deciduous molar teeth. The study was carried out in 1997 in four general dental practices in south Cheshire, UK and involved a longitudinal retrospective review of case notes. A quota sample of 20 case notes of children from each practice was selected according to strict criteria. Subjects had to: Have had experience of approximal caries in one or more of the deciduous molar teeth. Have a date of birth between 1st January 1984 and 31st December 1985. Be a regular attender and in continuous contact with the practice. Data were collected on a common data abstraction form. Variables measured included: Base-line dmft. Site and number of filled teeth. Site and number of unfilled carious teeth. Number of courses of antibiotics. Site and number of pulp therapies. Site, number, method (local or general anaesthetic) of extractions. Reasons for extraction. All teeth not recorded as being extracted were assumed to have exfoliated. In addition, information was collected on the dentists' treatment philosophies. A series of group discussions revealed that the four dentists fitted into two groups according to treatment philosophies; two dentists shared a philosophy of minimal intervention, the other two shared the same views of treating more radically. There was no significant difference between the proportion of filled teeth and the proportion of carious unfilled teeth that were extracted (chi-square 0.05 P = 0.83). A logistic regression showed that for each course of antibiotics administered the odds of having an extraction was multiplied by 5.5 and children who were patients of the interventionist dentists were five times more likely to have an extraction than patients of non-interventionist dentists. Although the study was preliminary in nature no clear benefit could be found in filling deciduous molar teeth against leaving carious teeth unfilled, if avoidance

Standardized method to produce tetracycline-stained human molar teeth in vitro.

Science.gov (United States)

Chan, Daniel C N; Rozier, Gregory Shayne; Steen, Angela; Browning, William D; Mozaffari, Mahmood S

2006-09-01

This study tested the hypothesis that exposure of human molar teeth to tetracycline (TCN) derivatives in vitro results in tooth discoloration resembling the clinical presentation of TCN staining. The effects of exposure of 20 extracted human molar teeth to distilled water, chlortetracycline, doxycycline, or minocycline were compared. The baseline color of each tooth was analyzed with a dental spectrophotometer. The pulp chambers were each filled with a TCN derivative solution and then sealed. The teeth were placed in a centrifuge tube and then centrifuged at 2800 rpm for 20 minutes. Color change was monitored weekly for 7 weeks. Digital images of the surfaces were recorded. For each specimen at every evaluation period, color change from baseline was calculated using Commission Internationale d'Eclairage (CIE) Delta E 2000 (deltae00). There was a significant association between the type of derivative used and deltae00, as well as between the evaluation period and deltae00. There was also a significant association between the interaction term, derivative x evaluation period, and deltae00. Results of the Holm-Sidak post hoc test demonstrated that all 3 TCN derivatives were associated with significantly larger deltae00 than the control group (P < or = .05). All 3 TCN derivative solutions produced significant color changes as time progressed. Different TCN derivatives produced a different L* (lightness), C* (chroma), and H* (hue), with minocycline behaving distinctly differently from chlortetracycline and doxycycline. The model could be used to study the underlying mechanisms of TCN staining as well as many aspects of vital tooth

Polycarbonate crowns for primary teeth revisited: Restorative options, technique and case reports

OpenAIRE

Karthik Venkataraghavan; John Chan; Sandhya Karthik

2014-01-01

Esthetics by definition is the science of beauty - that particular detail of an animate or inanimate object that makes it appealing to the eye. In the modern, civilized, and cosmetically conscious world, well-contoured and well-aligned white teeth set the standard for beauty. Such teeth are not only considered attractive but are also indicative of nutritional health, self esteem, hygienic pride, and economic status. Numerous treatment approaches have been proposed to address the esthetics and...

Immunohistochemical studies of the periodontal membrane in primary teeth

DEFF Research Database (Denmark)

Bille, Marie-Louise Bastholm; Nolting, Dorrit; Kjær, Inger

2009-01-01

Objectives. To describe the periodontal membrane of human primary teeth immunohistochemically, while focusing on the epithelial layer of Malassez, fibers, and peripheral nerves, and to compare the findings with those of a previous study of human permanent teeth. Material and methods. Nineteen human...... could be identical to those in regions with no resorption. Conclusion. In regions without resorption, spatial organization of the periodontal membrane of primary teeth was similar to that of permanent teeth, although the number and distribution of epithelial cells and fibers differed. In regions...

Human teeth with periapical pathosis after overinstrumentation and overfilling of the root canals: a scanning electron microscopic study.

Science.gov (United States)

Gutiérrez, J H; Brizuela, C; Villota, E

1999-01-01

The aim of this study was to determine whether overinstrumentation followed by immediate overfilling could be a potential risk in the treatment of infected root canals. Thirty-five human teeth with infected root canals were overinstrumented and overfilled approximately 45 min after their extraction. The experimental teeth were enlarged up to size 40 and the overinstrumentation and overfilling were checked with the aid of a magnifying glass. The specimens were fixed in glutaraldehyde plus sodium cacodylate solution and prepared for scanning electron microscope examination. Bacteria were detected on the flute of the files and mostly at the root apices around the main foramen, remaining firmly attached to resorptive lacunae despite the fact that the apices had undergone great changes, including fracture or zipping. A control group consisting of 10 human teeth root canals containing vital pulps were also overinstrumented and overfilled. No bacteria were detected on the flutes of the files, at the apices or on the extruded master cone overfilling these samples. The high percentage of bacteria adhering to the resorptive lacunae or in the flutes of files used in overinstrumented human teeth with infected root canals carry a potential risk for postoperative pain, clinical discomfort and flare-ups. The hazards observed in these circumstances do not support the one-visit treatment of teeth having acute or chronic periapical abscesses.

Insights into the processes behind the contamination of degraded human teeth and bone samples with exogenous sources of DNA

DEFF Research Database (Denmark)

Gilbert, M. T. P.; Hansen, Anders J.; Willerslev, E.

2006-01-01

A principal problem facing human DNA studies that use old and degraded remains is contamination from other sources of human DNA. In this study we have attempted to contaminate deliberately bones and teeth sampled from a medieval collection excavated in Trondheim, Norway, in order to investigate......, prior to assaying for the residual presence of the handler's DNA. Surprisingly, although our results suggest that a large proportion of the teeth were contaminated with multiple sources of human DNA prior to our investigation, we were unable to contaminate the samples with further human DNA. One...

Assessment of oral hygiene and periodontal health around posterior primary molars after their restoration with various crown types.

Science.gov (United States)

Beldüz Kara, Nihal; Yilmaz, Yucel

2014-07-01

To compare the time-dependent changes in oral hygiene and periodontal health after restoring primary posterior molars with a traditional stainless steel crown (SSC) or an aesthetic crown using various measures of periodontal health and oral hygiene. This investigation was a randomized, non-blinded prospective controlled clinical trial in which 264 crowns of different types were fitted onto the first and/or second primary molars of 76 children. The oral hygiene and the gingival health of the restored teeth and the antagonistic teeth were evaluated clinically and radiographically at 3- and 6-month intervals for 18 months after fitting the crowns. The periodontal health of the control teeth was better than that of the remaining 215 restored teeth. The oral hygiene, as measured by the simplified oral hygiene index, and gingival health, as measured by the gingival index and the volume of gingival crevicular fluid, of the restored teeth, irrespective of crown type, progressively increased during the 18-month study period. Oral hygiene and gingival health around a restored primary tooth deteriorate with time. Our results suggest that SSC, an open-faced SSC, or a NuSmile(®) pediatric crown should be the preferred crown type for restoring posterior primary teeth. © 2013 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Heat Transfer and Thermal Stress Analysis of a Mandibular Molar Tooth Restored by Different Indirect Restorations Using a Three-Dimensional Finite Element Method.

Science.gov (United States)

Çelik Köycü, Berrak; İmirzalıoğlu, Pervin

2017-07-01

Daily consumption of food and drink creates rapid temperature changes in the oral cavity. Heat transfer and thermal stress caused by temperature changes in restored teeth may damage the hard and soft tissue components, resulting in restoration failure. This study evaluates the temperature distribution and related thermal stress on mandibular molar teeth restored via three indirect restorations using three-dimensional (3D) finite element analysis (FEA). A 3D finite element model was constructed of a mandibular first molar and included enamel, dentin, pulp, surrounding bone, and indirect class 2 restorations of type 2 dental gold alloy, ceramic, and composite resin. A transient thermal FEA was performed to investigate the temperature distribution and the resulting thermal stress after simulated temperature changes from 36°C to 4 or 60°C for a 2-second time period. The restoration models had similar temperature distributions at 2 seconds in both the thermal conditions. Compared with 60°C exposure, the 4°C condition resulted in thermal stress values of higher magnitudes. At 4ºC, the highest stress value observed was tensile stress (56 to 57 MPa), whereas at 60°C, the highest stress value observed was compressive stress (42 to 43 MPa). These stresses appeared at the cervical region of the lingual enamel. The thermal stress at the restoration surface and resin cement showed decreasing order of magnitude as follows: composite > gold > ceramic, in both thermal conditions. The properties of the restorative materials do not affect temperature distribution at 2 seconds in restored teeth. The pulpal temperature is below the threshold for vital pulp tissue (42ºC). Temperature changes generate maximum thermal stress at the cervical region of the enamel. With the highest thermal expansion coefficient, composite resin restorations exhibit higher stress patterns than ceramic and gold restorations. © 2015 by the American College of Prosthodontists.

Elemental composition of human teeth with emphasis on trace constituents: a review

Energy Technology Data Exchange (ETDEWEB)

Sachs, W H

1978-04-01

Literature covered by the current review is based on a search of Chemical Abstracts, 1917 through 1975. Early studies, pre-dating 1940, are referenced primarily for historical interest. Emphasis is on the micro-constituents of human teeth, those present at concentrations less than a few tenths of a percent by weight. Within this category of data, we have been primarily concerned with the radiochemically stable nuclides. The important relationship between caries and trace elements is covered only insofar as carious teeth exhibit properties with respect to trace element composition that differ from normal teeth. Having made these disclaimers, we note that an attempt has been made to cover the literature exhaustively; although some important results have undoubtedly been overlooked. It is our hope, however, that sufficient material has been included in this review to facilitate further recovery of data by interested individuals. In Chapter 1, analytical techniques that have been employed in this field are briefly presented; discussion centers on problems associated with preparation of specimens for analysis. Chapter 2 is devoted to topical coverage of data on the inorganic composition of teeth. An element-by-element tabulation of concentration data is provided, our statistical analysis of selected data explained, and evidence concerning several major factors thought to influence dental composition evaluated. These include provenance, age, sex, distribution, and tooth type/intermouth variation.

[Evaluation of the clinical effect of the teeth with subgingivally involved defect conserved by crown lengthening surgery].

Science.gov (United States)

Wang, Yong; Ding, Xiao-Hong; Yao, Li-Li; Huang, Zhong-Suo; Bian, Hua-Qin

2005-02-01

To evaluate the clinical effect of the teeth with subgingivally involved defect which were conserved by crown lengthening surgery. 62 teeth, with defect subgingivally from 1.5 mm to 4 mm, mobility degree(MD)lengthening surgery by combining flap surgery and osteoectomy, and restored 4 weeks after operation and followed-up for one year. The parameters of MD, sulcus bleeding index (SBI) and maximal defect probing depth (PD) at different times were measured respectively. 46 anterior teeth were divided into two groups based on PD of pre-operation. The groups were as follows: minor defect group (0.05), but a significant increase about MD occurred in the major defect group one year after restoration (Pstage after operation and PD of pre-operation in anterior teeth (r=0.489, 0.526, 0.531, Plengthening surgery may conserve these teeth with subgingivally involved defect, and has a good, long-time clinical effect. But MD showed an increasing trend after operation and significant cor.

Efficient digitalization method for dental restorations using micro-CT data.

Science.gov (United States)

Kim, Changhwan; Baek, Seung Hoon; Lee, Taewon; Go, Jonggun; Kim, Sun Young; Cho, Seungryong

2017-03-15

The objective of this study was to demonstrate the feasibility of using micro-CT scan of dental impressions for fabricating dental restorations and to compare the dimensional accuracy of dental models generated from various methods. The key idea of the proposed protocol is that dental impression of patients can be accurately digitized by micro-CT scan and that one can make digital cast model from micro-CT data directly. As air regions of the micro-CT scan data of dental impression are equivalent to the real teeth and surrounding structures, one can segment the air regions and fabricate digital cast model in the STL format out of them. The proposed method was validated by a phantom study using a typodont with prepared teeth. Actual measurement and deviation map analysis were performed after acquiring digital cast models for each restoration methods. Comparisons of the milled restorations were also performed by placing them on the prepared teeth of typodont. The results demonstrated that an efficient fabrication of precise dental restoration is achievable by use of the proposed method.

Efficient digitalization method for dental restorations using micro-CT data

Science.gov (United States)

Kim, Changhwan; Baek, Seung Hoon; Lee, Taewon; Go, Jonggun; Kim, Sun Young; Cho, Seungryong

2017-03-01

The objective of this study was to demonstrate the feasibility of using micro-CT scan of dental impressions for fabricating dental restorations and to compare the dimensional accuracy of dental models generated from various methods. The key idea of the proposed protocol is that dental impression of patients can be accurately digitized by micro-CT scan and that one can make digital cast model from micro-CT data directly. As air regions of the micro-CT scan data of dental impression are equivalent to the real teeth and surrounding structures, one can segment the air regions and fabricate digital cast model in the STL format out of them. The proposed method was validated by a phantom study using a typodont with prepared teeth. Actual measurement and deviation map analysis were performed after acquiring digital cast models for each restoration methods. Comparisons of the milled restorations were also performed by placing them on the prepared teeth of typodont. The results demonstrated that an efficient fabrication of precise dental restoration is achievable by use of the proposed method.

[Biologico-periodontal considerations in restoration of teeth partially destroyed by caries or traumatism].

Science.gov (United States)

Carrillo Martínez, J J; Zermeño Ibarra, J A; Mercado Martínez, E G; Villanueva Neuman, Y; Castellanos Olmedo, R

1990-01-01

Since a great number of teeth could be rehabilitated and not extracted, in this paper we analyze the relation Perio-protesis by the point of the biology of marginal periodontal ligament, and the different options to establish this relations when are lost by decay or traumatism. We discuss the contraindications to avoid greater problems than benefits when intend to rehabilitate lost teeth.

The Protocol of Fixed Reconstruction for Severely Worn Teeth Combined with Anterior Deep Bite

Directory of Open Access Journals (Sweden)

Ya-Wen Zhao

2017-01-01

Full Text Available Full mouth reconstruction is one of the most effective methods to restore severe worn teeth that have suffered reduced vertical dimension. Although the use of the overlay splint restoration for a trial period allowing the patient to adapt to an increased vertical dimension is the recognized method, the specific protocol from the transitional splint to the fixed reconstruction is yet to be established. This case report describes a 50-year-old female patient who has severely worn teeth combined with an anterior deep bite and chewing pain. The protocol of the treatment process is described.

In vitro comparison of coronal microleakage of four temporary restorative materials used in endodontic treatment

Directory of Open Access Journals (Sweden)

Shahi Sh.

2008-10-01

Full Text Available "nBackground and Aim: The use of proper temporary restorative materials between appointments is critical in successful root canal treatment. The purpose of this study was to compare the coronal microleakage of four temporary restorative materials including Zonalin, Zamherir, Coltosol and IRM. "nMaterials and Methods: In this in vitro study, standard access cavities were prepared in 120 intact extracted maxillary and mandibular human first molars. Canal preparation was carried out by the step-back technique, and obturation was performed with gutta-percha and AH26 sealer using the lateral condensation technique. Teeth were randomly divided into 4 experimental groups of 25 teeth each and two positive and negative control groups, each containing 10 teeth. In each experimental group the access cavity was restored with one of the tested materials (Zamherir, Zonalin, IRM and Coltosol. In the negative control group the access cavity was filled entirely with sticky wax and in the positive control group no restorative material was applied. Dye penetration technique was used to evaluate microleakage which was measured under a stereomicroscope. Data were analyzed with one way ANOVA and post hoc Tukey tests. P<0.05 was considered as the limit of significance. "nResults: Dye penetration was observed in all groups. Zonalin and Coltosol had the highest and the lowest dye penetration respectively, with a statistically significant difference (p<0.001. There was no significant difference in dye penetration between IRM, and either Coltosol or Zamherir (p>0.05. "nConclusion: The results of this study showed that using Coltosol as a temporary restorative material can provide a better coronal seal in endodontic treatments

Fracture modes in human teeth.

Science.gov (United States)

Lee, J J-W; Kwon, J-Y; Chai, H; Lucas, P W; Thompson, V P; Lawn, B R

2009-03-01

The structural integrity of teeth under stress is vital to functional longevity. We tested the hypothesis that this integrity is limited by fracture of the enamel. Experiments were conducted on molar teeth, with a metal rod loaded onto individual cusps. Fracture during testing was tracked with a video camera. Two longitudinal modes of cracking were observed: median cracking from the contact zone, and margin cracking along side walls. Median cracks initiated from plastic damage at the contact site, at first growing slowly and then accelerating to the tooth margin. Margin cracks appeared to originate from the cemento-enamel junction, and traversed the tooth wall adjacent to the loaded cusp from the gingival to the occlusal surface. All cracks remained confined within the enamel shell up to about 550 N. At higher loads, additional crack modes--such as enamel chipping and delamination--began to manifest themselves, leading to more comprehensive failure of the tooth structure.

EPR dosimetry of irradiated human teeth

International Nuclear Information System (INIS)

Rodas Duran, J.E.; Panzeri, H.; Mascarenhas, S.

1985-01-01

The determination of the absorbed radiation dose in man may be made by Electron Paramagnetic Resonance (EPR) spectroscopy of dental enamel. We analysed the EPR signals for dental enamel submitted to gamma radiation in doses between 1 Gy and 25 Gy. We conclude that independent of the type of tooth analysed there exists a linear relation between the EPR signals and the absorbed doses. These studies were extended to enamel irradiated with gamma rays and with X rays in doses between 0.1 Gy and 0.6 Gy. The graph of the intensity of the EPR signals as a function of the dose has a slope of 0.22. This calibration may be used to calculate the absorbed dose for humans from a measurement of the EPR signal from small samples of enamel taken from any permanent tooth. Finally we comment on some EPR studies of effects of radiation of milk teeth. (author)

Assessment of the periapical health of abutment teeth: A ...

African Journals Online (AJOL)

2014-11-29

Nov 29, 2014 ... teeth restored with crowns and bridge retainers through a retrospective analysis of orthopantomographs (OPTGs) in an adult Turkish .... The fixed dentures were either single .... design, population selection, evaluation criteria, and length ... fixed partial dentures: Life‑span and causes for loss of serviceability.

The effect of rebonding and liner type on microleakage of Class V amalgam restorations

Directory of Open Access Journals (Sweden)

Moosavi H.

2008-10-01

Full Text Available Background and Aim: Application of varnish and dentin bonding agents can effectively reduce microleakage under amalgam restorations. Also rebonding may show some effects on microleakage and its complications. The aim of this study was to evaluate the effect of liner/ adhesives on microleakage of Class V amalgam restoration with or without rebonding. Materials and Methods: In this in vitro study Class V cavities were prepared on sixty sound human maxillary premolars with the gingival floor 1mm below the CEJ. Cases were divided into six groups of ten teeth each. Specimens in group 1 and 2 were lined with Copalite and Scotchbond Multi-Purpose (SBMP respectively. In the third group (control no liner was applied. The teeth were then restored with spherical amalgam. Specimens in group 4 to 6 received the same treatments but after filling, the interfaces of restorations and teeth were etched with 37% phosphoric acid gel, rinsed and dried. Adhesive resin of SBMP was applied over amalgam and tooth margins and polymerized (rebonding. Specimens were thermocycled, exposed to dye and sectioned. Microleakage was graded (0-3 using a stereomicroscope at X40 magnification. Data were analyzed with Kruskal-Wallis, Mann-Whitney and Wilcoxon pair wise statistical tests. P<0.05 was considered as the limit of significance. Results: The groups lined with SBMP showed the lowest and the groups without liner the highest microleakage (p= 0.001. Significant difference was observed in microleakage mean rank of enamel and dentin margins (p=0.048. Rebonding with resin did not improve the seal (p> 0.05. Conclusion: Based on the results of this study, total etch adhesive system had significant effect on microleakage of Class V amalgam restorations especially in cervical margin. Rebonding did not show a significant effect on microleakage.

Current Concepts in Restorative Implant Dentistry

Institute of Scientific and Technical Information of China (English)

Prof.Marchack

2009-01-01

Patients today are incteasingly aware of dental implants.and their expectations are for esthetically and functionally pleasingimplant restorations that mimic natural teeth.This presentation will give both the experienced and novice practitioner a better understand-ing of how restorative implant dentistry has evolved.Treatment planning and restorative options for single implants.multiple implants andfully edentulons arches will be discussed,and the use of modern materials and CADCAM technology in fabricating the most contemporaryfixed implant supported prostheses will be demonstrated.

Response of Wolves to Corridor Restoration and Human Use Management

Directory of Open Access Journals (Sweden)

Brenda Shepherd

2006-12-01

Full Text Available Corridor restoration is increasingly being used to connect habitat in mountainous areas where rugged topography and increasing human activity fragment habitat. Wolves (Canis lupus are a conservation priority because they avoid areas with high levels of human use and are ecologically important predators. We examined how corridor restoration through a golf course changes the distribution of wolves and their prey in Jasper National Park, Alberta, Canada. We followed and recorded wolf paths in the snow both within the corridor and in the surrounding landscape before and after a corridor was re-established. Track transects were used to estimate prey abundance and snow depths, and trail counters measured human activity. We compared resources on wolf paths to available movement routes using conditional logistic regression and also compared resources used by wolves before and after restoration. We addressed potential confounding effects of prey abundance, snow depths, and levels of human use by testing for changes in these variables. Prior to restoration, wolves traveled around the golf course and used the mountainside to connect valley-bottom habitat. Conversely, elk (Cervus elaphus densities were highest in the golf course. After restoration, wolves shifted most of their movement to the golf course corridor, whereas elk dispersed along the corridor and mountainside. When traveling through the study area, wolves selected for areas with high prey abundance, low elevations, and low levels of human activity. Corridor restoration increased the area of high quality habitat available to wolves and increased their access to elk and deer at low elevations. Our results corroborate other studies suggesting that wolves and elk quickly adapt to landscape changes and that corridor restoration can improve habitat quality and reduce habitat fragmentation.

Bulk fill restoratives: to cap or not to cap--that is the question?

Science.gov (United States)

Tomaszewska, Iwona M; Kearns, Jennifer O; Ilie, Nicoleta; Fleming, Garry J P

2015-03-01

To assess the cuspal deflection and cervical microleakage scores of standardised large mesio-occlusal-distal (MOD) cavities filled with different restoration protocols: (1) conventional resin restoratives, (2) bulk fill flowable base materials 'capped' with a conventional dimethacrylate resin-based composite (RBC) or (3) bulk fill resin restorative materials. Standardised MOD cavities were prepared in sixty-four sound maxillary premolar teeth and randomly allocated to eight groups. Restorations were placed in conjunction with a universal bonding system and resin restorative materials were irradiated with a quartz-tungsten-halogen light-curing-unit. Restoration protocol (eight oblique increments of conventional resin restorative, bulk fill flowable base and two occlusal 'capping' RBC increments (three increments in total) or bulk fill resin restorative (two increments)) was the dependent variable. A twin channel deflection measuring gauge measured the buccal and palatal cuspal deflections. Teeth were thermally fatigued, immersed in a 0.2% basic fuchsin dye for 24h, sectioned and examined for cervical microleakage score. Post hoc Tukey's tests highlighted significant differences in the mean total cuspal deflection values between resin restoratives (p fill flowable base materials with occlusal 'capping' RBC increments (restoration protocol 2) compared with bulk fill resin restoratives (restoration protocol 3). Not all bulk fill flowable materials or bulk fill resin restoratives behave in a similar fashion when used to restore standardised MOD cavities in maxillary premolar teeth and material selection is vital in the absence of clinical data. Poorly performing bulk fill flowable materials or bulk fill restoratives can be identified using the cuspal deflection and cervical microleakage protocol which could save the complications encountered clinically when restoring Class II restorations. Copyright © 2015 Elsevier Ltd. All rights reserved.

Ten-year survival rates of teeth adjacent to treated and untreated posterior bounded edentulous spaces.

Science.gov (United States)

Aquilino, S A; Shugars, D A; Bader, J D; White, B A

2001-05-01

Failure to replace a single missing posterior tooth may lead to a variety of dental problems, which may ultimately result in tooth loss. However, little is known about the fate of the adjacent teeth if a missing posterior tooth is not replaced. This retrospective study evaluated the survival of teeth adjacent to treated and untreated posterior bounded edentulous spaces. Data were obtained from electronic treatment records from the Kaiser Permanente Dental Care Program, Portland, Ore. A final sample of 317 patients who met the study inclusion criteria was identified. Each bounded edentulous space was placed in 1 of 3 treatment categories: untreated, restored with a fixed partial denture, or restored with a removable partial denture. Subsequent treatment and the status of the teeth adjacent to the bounded edentulous space were followed through December 1999. Ten-year Kaplan-Meier survival estimates were generated for each treatment group, and differences in survival were evaluated with the log-rank chi-square test (alpha=.05). There was a significant difference in survival among the 3 treatment categories (P=.005). Spaces restored with a fixed partial denture had longer 10-year survival estimates (92%) than those that remained untreated (81%). Spaces restored with a removable partial denture had the poorest 10-year survival rate (56%). Under the conditions and selection bias associated with this retrospective study, the survival of teeth adjacent to a single posterior edentulous space was negatively associated with removable partial denture placement compared with no treatment or the use of a fixed partial denture.

An indirect veneer technique for simple and esthetic treatment of anterior hypoplastic teeth

Directory of Open Access Journals (Sweden)

Amit Khatri

2010-01-01

Full Text Available This study describes a technique for treating anterior hypoplastic teeth using indirect nanocomposite veneer restoration. The prime advantage of an indirect veneer technique is that it provides an esthetic and conservative result. One of the most frequent reasons that patients seek dental care is discolored anterior teeth. Although treatment options such as removal of surface stains, bleaching, microabrasion or macroabrasion, veneering, and placement of porcelain crowns are available, conservative approach such as veneer preserves the natural tooth as much as possible. Full veneers are recommended for the restoration of localized defects or areas of intrinsic discoloration, which are caused by deeper internal stains or enamel defects. Indirectly fabricated veneers are much less sensitive compared to a operator′s technique and if multiple teeth are to be veneered, indirect veneers can be usually placed much more expeditiously. Indirect veneers last much longer than the direct veneers. Therefore, indirectly fabricated veneers are more advantageous than directly fabricated veneers in many cases.

Fluorides leaching from restorative materials and the effect on adjacent teeth

DEFF Research Database (Denmark)

Qvist, Vibeke; Poulsen, Agneta; Teglers, Poul Thorpen

2010-01-01

Placing a Class II restoration in a tooth changes the local environment, including that for the adjacent tooth. Apart from the change to a less- or non-cariogenic environment for the restored tooth, the effect of leachable components from a restoration in the adjacent tooth should be taken into c...

The effect of rebonding on microleakage of class V aesthetic restorations.

Science.gov (United States)

Erhardt, Maria Carolina Guilherme; Magalhães, Cláudia Silami; Serra, Mônica Campos

2002-01-01

This in vitro study evaluated the effect of rebonding on microleakage of a resin composite, a condensable resin and two polyacid-modified resin composite restorations. Standardized cylindrical Class V dentin cavities were prepared on the buccal root surfaces of 240 extracted bovine incisive teeth. The prepared teeth were randomly assigned to four groups of 60 teeth and restored with the following restorative systems: I--(ZS) Z100/Scotchbond Multi-Purpose Plus; II--(SS) Solitaire/Solid Bond; III--(FS) Freedom/Stae; IV--(FSB) F200/Single Bond. Thirty teeth of each group were rebonded with a low-viscosity resin (Fortify/BISCO), according to the manufacturer's instructions. The remaining teeth received no treatment. All teeth were thermocycled for 5,000 cycles and brushed by hand three times a day for 10 days using a toothbrush and a slurry of dentifrice and water. Specimens were stained in a 2% methylene blue solution and longitudinally sectioned with diamond disks. Microleakage was scored on a scale of 0 to 3. The Kruskal-Wallis test showed statistically significant differences among the groups (h=156.54; alpha<0.05). Pairwise comparison by means of the least significant difference showed that (SS) and (FS) with or without rebonding were not statistically different from each other. These groups showed the highest microleakage differences from (ZS) and (FSB) with or without rebonding. (ZS) with rebonding showed the lowest microleakage that was not statistically different from (ZS) without rebonding and (FSB) with rebonding.

Longevity of posterior resin composite restorations in permanent teeth in Public Dental Health Service

DEFF Research Database (Denmark)

Pallesen, Ulla; van Dijken, Jan W V; Halken, Jette

2013-01-01

To investigate in a prospective follow up the longevity of posterior resin composites (RC) placed in permanent teeth of children and adolescents attending Public Dental Health Service.......To investigate in a prospective follow up the longevity of posterior resin composites (RC) placed in permanent teeth of children and adolescents attending Public Dental Health Service....

Increased Microleakage of Amalgam Restorations after Exposure to 2.4 Ghz Radiofrequency Electromagnetic Fields from Common Wi-Fi Routers

Directory of Open Access Journals (Sweden)

Mortazavi SMJ

2017-09-01

Full Text Available Statement of Problem: Previous studies have shown that exposure of dental amalgam fillings to MRI and mobile phones can increase microleakage of amalgam restorations. Objectives: The aim of this study was to evaluate the effects of exposure to radiofrequency radiation emitted from indoor Wi-Fi access devices on microleakage of amalgam restorations. Materials and Methods: Standard class V cavities were prepared on the buccal surfaces of 69 extracted human premolar teeth. The samples were divided into two exposure groups and one non-exposed control group of 23 teeth each. The specimens in the experimental groups were exposed to a radiofrequency (RF radiation emitted from a commercial 2.4 GHz Wi Fi router. The distance between the Wi-Fi router and samples was 30 cm and the router was exchanging data with a laptop computer that was placed 20 m away from the router. Teeth samples in the first exposure group (group A were exposed to RF for 3 days while the second exposure group (group B was exposed for 6 days. Then the teeth were sectioned and scored for microleakage under a stereomicroscope. Results: The score of microleakage was significantly higher in the exposure group A compared to that of the control group. However, the score of microleakage was not significantly different between the exposure group B and control group. Furthermore, the scores of microleakage was signifi-cantly higher in the exposure group A than that of the exposure group B. Conclusions: Exposure of patients with amalgam restorations to radiofre-quency waves emitted from commercial Wi-Fi routers can lead to in-creased microleakage of amalgam restorations.

Restoration of the endodontically treated posterior tooth

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Andrea Polesel

2014-06-01

Results and conclusions: Direct adhesive restorations, indirect bonded restorations and traditional full crown are three therapeutic options for the single posterior endodontically treated teeth. The amount of remaining sound tooth structure is the most significant factor influencing the therapeutic approach. The clinician's operative skill is a determining aspect for long-term success of adhesive inlays.

Production of a Fixed Provisional Restoration Using an Acrylic Denture: Technique and Case Report.

Science.gov (United States)

Kocaagaoglu, Hasan

2015-07-01

The damage or loss of anterior teeth causes a negative impact on the patient in many ways. In adolescents and young patients, the provisional replacement with artificial teeth may minimize this impact. Many approaches have been described for provisional restorations. This article discusses about a chairside fixed provisional restoration technique that was adjusted into the edentulous area of a 15-year-old girl.

In vitro evaluation of marginal microleakage in class V restorations with composite resin in bovine teeth. Laser irradiation influences and the adhesive system in the dentin pre-treatment

International Nuclear Information System (INIS)

Carvalho, Wendell Lima de

2003-01-01

Microleakage is one of the most important reasons to restorations failure, it is the responsible for marginal colors changing, new caries, hipersensibility and pulpar diseases. Several techniques and materials have been studied to eliminate or, at least, to decrease microleakage. The cavities preparation with Er:YAG laser and autoconditioning adhesive are some of these techniques and materials. This research has the objective to compare, in vitro, microleakage in class V cavities, prepared with high rotation (conventional treatment), Er:YAG laser (Enamel-400 mj/2 Hz/128,38 J/Cm 2 , Dentin 250 mJ/ 2 Hz/ 80,24 J/Cm 2 ) and the treatment made at dentin with autoconditioning adhesive (Clerafil SE Bond) using Er:YAG laser (with water or not water) or not using Er:YAG laser. It was used 48 bovines teeth with cavities prepared in vestibular face and gingival wall on cement enamel junction and oclusal wall on enamel. The materials used were autoconditioning adhesive (Clerafil SE Bond) and composite resin Z250. Teeth were divided into four groups of twelve samples each one, according to dentin treatment. Group 1 - Conventional cavity and autoconditioning adhesive. Group 2- Cavity prepared with Er: YAG laser and autoconditioning adhesive. Group 3 - Cavity prepared with Er:YAG laser and dentin conditioning with Er:YAG laser associated to water and autoconditioning adhesive. Group 4 - Cavity prepared with Er:YAG laser and dentin conditioning with Er: YAG laser without water and associated to autoconditioning adhesive. Teeth were restored and stocked at 37 deg C, thermocycled and placed into a 50% silver nitrate solution. Right after, teeth were sliced and evaluated on a stereo microscopic magnifying glass in order to see microleakage degree trying to follow a score from 0 to 3. The findings were submitted to Fisher, Anderson-Darling tests and to the not parametric Sen and Puri test. The results indicated that in gingival edge, the Group 2 showed less microleakage than others

Shear bond strength and fracture analysis of human vs. bovine teeth.

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Stefan Rüttermann

Full Text Available PURPOSE: To evaluate if bovine enamel and dentin are appropriate substitutes for the respective human hard tooth tissues to test shear bond strength (SBS and fracture analysis. MATERIALS AND METHODS: 80 sound and caries-free human erupted third molars and 80 freshly extracted bovine permanent central incisors (10 specimens for each group were used to investigate enamel and dentine adhesion of one 2-step self-etch (SE and one 3-step etch and rinse (E&R product. To test SBS the buccal or labial areas were ground plane to obtain appropriate enamel or dentine areas. SE and E&R were applied and SBS was measured prior to and after 500 thermocycles between +5 and +55°C. Fracture analysis was performed for all debonded areas. RESULTS: ANOVA revealed significant differences of enamel and dentin SBS prior to and after thermocycling for both of the adhesives. SBS- of E&R-bonded human enamel increased after thermocycling but SE-bonded did not. Bovine enamel SE-bonded showed higher SBS after TC but E&R-bonded had lower SBS. No differences were found for human dentin SE- or E&R-bonded prior to or after thermocycling but bovine dentin SE-bonded increased whereas bovine dentine E&R-bonded decreased. Considering the totalized and adhesive failures, fracture analysis did not show significances between the adhesives or the respective tooth tissues prior to or after thermocycling. CONCLUSION: Although SBS was different on human and bovine teeth, no differences were found for fracture analysis. This indicates that solely conducted SBS on bovine substrate are not sufficient to judge the perfomance of adhesives, thus bovine teeth are questionnable as a substrate for shear bond testing.

Multidisciplinary approach to restoring anterior maxillary partial edentulous area using an IPS Empress 2 fixed partial denture: a clinical report.

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Dundar, Mine; Gungor, M Ali; Cal, Ebru

2003-04-01

Esthetics is a major concern during restoration of anterior partial edentulous areas. All-ceramic fixed partial dentures may provide better esthetics and biocompatibility in the restoration of anterior teeth. This clinic report describes a multidisciplinary approach and treatment procedures with an IPS Empress 2 fixed partial denture to restore missing anterior teeth.

Selective removal of esthetic composite restorations with spectral guided laser ablation

Science.gov (United States)

Yi, Ivana; Chan, Kenneth H.; Tsuji, Grant H.; Staninec, Michal; Darling, Cynthia L.; Fried, Daniel

2016-02-01

Dental composites are used for a wide range of applications such as fillings for cavities, adhesives for orthodontic brackets, and closure of gaps (diastemas) between teeth by esthetic bonding. Anterior restorations are used to replace missing, diseased and unsightly tooth structure for both appearance and function. When these restorations must be replaced, they are difficult to remove mechanically without causing excessive removal or damage to enamel because dental composites are color matched to teeth. Previous studies have shown that CO2 lasers have high ablation selectivity and are well suited for removal of composite on occlusal surfaces while minimizing healthy tissue loss. A spectral feedback guidance system may be used to discriminate between dental composite and dental hard tissue for selective ablation of composite material. The removal of composite restorations filling diastemas is more challenging due to the esthetic concern for anterior teeth. The objective of this study is to determine if composite spanning a diastema between anterior teeth can be removed by spectral guided laser ablation at clinically relevant rates with minimal damage to peripheral healthy tissue and with higher selectivity than a high speed dental handpiece.

Isolation of Mesenchymal Stem Cells from Human Deciduous Teeth Pulp

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Aileen I. Tsai

2017-01-01

Full Text Available This study aimed to identify predictors of success rate of mesenchymal stem cell (MSC isolation from human deciduous teeth pulp. A total of 161 deciduous teeth were extracted at the dental clinic of Chang Gung Memorial Hospital. The MSCs were isolated from dental pulps using a standard protocol. In total, 128 colonies of MSCs were obtained and the success rate was 79.5%. Compared to teeth not yielding MSCs successfully, those successfully yielding MSCs were found to have less severe dental caries (no/mild-to-moderate/severe: 63.3/24.2/12.5% versus 12.5/42.4/42.4%, P<0.001 and less frequent pulpitis (no/yes: 95.3/4.7% versus 51.5/48.5%, P<0.001. In a multivariate regression model, it was confirmed that the absence of dental caries (OR = 4.741, 95% CI = 1.564–14.371, P=0.006 and pulpitis (OR = 9.111, 95% CI = 2.921–28.420, P<0.001 was significant determinants of the successful procurement of MSCs. MSCs derived from pulps with pulpitis expressed longer colony doubling time than pulps without pulpitis. Furthermore, there were higher expressions of proinflammatory cytokines, interleukin- (IL- 6 and monocyte chemoattractant protein- (MCP- 1, P<0.01, and innate immune response [toll-like receptor 1 (TLR1 and TLR8, P<0.05; TLR2, TLR3, and TLR6, P<0.01] in the inflamed than noninflamed pulps. Therefore, a carious deciduous tooth or tooth with pulpitis was relatively unsuitable for MSC processing and isolation.

[Comparative study of the fracture resistance of sound upper premolars and upper premolars restored with bonded amalgam].

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Minto, André Marcelo Peruchi; Dinelli, Welingtom; Nonaka, Tomio; Thome, Luis Henrique de Camargo

2002-01-01

The purpose of this in vitro study was to determine the fracture resistance of upper premolars which had received class II preparations (conservative and extensive) and were restored with bonded amalgam, with two different adhesive systems. Seventy teeth were divided in four groups: group 1 (control), with ten sound teeth; group 2, with twenty prepared teeth (10 teeth received conservative cavities and 10, extensive cavities) restored with amalgam without any kind of liner; groups 3 and 4, similar to group 2, though with linings of glass ionomer cement (Vitrebond - 3M) (group 3) and dental adhesive (Scotchbond Multi-Purpose Plus - 3M) (group 4). The teeth were previously fixed in PVC cylinders with acrylic resin. After being restored and thermocycled, the test specimens were submitted to fracture by means of compression in an EMIC-MEM 2000 universal testing machine. After the application of the analysis of variance and complementary Tukey's test, we concluded that the utilized adhesive systems produced an increase of the fracture resistance of teeth presenting with conventional cavities; the teeth presenting with conservative cavities were more resistant in all experimental situations.

Hidden contributions of the enamel rods on the fracture resistance of human teeth

OpenAIRE

Yahyazadehfar, M.; Bajaj, Devendra; Arola, Dwayne D.

2012-01-01

The enamel of human teeth is generally regarded as a brittle material with low fracture toughness. Consequently, the contributions of this tissue in resisting tooth fracture and the importance of its complex microstructure have been largely overlooked. In this study an experimental evaluation of the crack growth resistance of human enamel was conducted to characterize the role of rod (i.e. prism) orientation and degree of decussation on the fracture behavior of this tissue. Incremental crack ...

Finite element analysis of stress concentration in three popular brands of fiber posts systems used for maxillary central incisor teeth.

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Aggarwal, Shalini; Garg, Vaibhav

2011-07-01

To study the stress concentrations in endodontically treated maxillary central incisor teeth restored with 3 different fiber post systems subjected to various oblique occlusal loads. FEM analysis was used to analyze stress concentrations generated in maxillary anterior teeth. Computer aided designing was used to create a 2-D model of an upper central incisor. Post systems analyzed were the DT Light Post (RDT, Bisco), Luscent Anchor (Dentatus) & RelyX (3M-ESPE). The entire design assembly was subjected to analysis by ANSYS for oblique loading forces of 25N, 80N & 125 N RESULTS: The resultant data showed that the RelyX generated the least amount of stress concentration. Minimal stress buildups contribute to the longevity of the restorations. Thus RelyX by virtue of judicious stress distribution is the better option for restoration of grossly decayed teeth.

Tunnel restorations using glass ionomer or glass cermet: in vitro marginal ridge fracture and microleakage.

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Shetty, R; Munshi, A K

1996-01-01

The purpose of this in vitro study was to compare the marginal ridge fracture resistance and microleakage following restorations of partial tunnel preparations using glass ionomer and glass cermet cements. Sixty eight sound premolars were selected for this study and were divided randomly into six groups. A standardized partial tunnel preparation was done on all the teeth except specimens belonging to Group I. The partial tunnel preparations of Groups III & V were restored with glass ionomer and that of Groups IV & VI were restored with glass cermet. The teeth belonging to Groups I, II, III & IV were subjected to marginal ridge fracture resistance testing. The teeth of Groups V & VI were tested for microleakage after immersing them in 5% methylene blue solution for 4 hours. The results indicated that the teeth restored with glass cermet were marginally better than that with glass ionomer in terms of marginal ridge fracture resistance. Both the materials failed to reinforce the marginal ridge to the level of an intact tooth. The microleakage which occurred around both the materials were statistically insignificant, but on comparison glass ionomer showed better results. Hence, glass ionomer is preferred as a restorative material for partial tunnel preparations because of additional inherent advantages like superior esthetics and fluoride leachability.

In situ analysis of human teeth by external PIXE

Energy Technology Data Exchange (ETDEWEB)

Rautray, Tapash R., E-mail: tapash77@hotmail.co [Department of Dental Biomaterials, School of Dentistry, Kyungpook National University, 2-188-1 Samduk-dong, Jung-gu, Daegu (Korea, Republic of); ARASMIN, G. Udayagiri, Kandhamal, Orissa 762100 (India); Das, Saubhagyalaxmi [Institute of Physics, Sachivalaya Marg, Bhubaneswar 751005 (India); Rautray, Alekh C. [ARASMIN, G. Udayagiri, Kandhamal, Orissa 762100 (India)

2010-07-15

The elemental profiles of the enamel, cementum and caries of human teeth were analysed by the external proton induced X-ray emission studies. Ten elements namely P, Ca, V, Mn, Fe, Cu, Zn, As, Sr and Pb were estimated in the present study. P and Ca were found to be the major elements whereas all other elements were found in trace level. It was observed that the respective concentrations of elements namely P, Ca, Fe, Zn and Pb in enamel are more than those in cementum. Concentration of P ranged between 6.37% and 25% whereas Ca ranged between 12.94% and 43.36%.

Resistance to fracture of endodontically treated premolars restored with glass ionomer cement or acid etch composite resin: An in vitro study

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B Ranga

2010-01-01

Full Text Available Aim: Due to the weakness of endodontically treated posterior teeth requires more strengthened restoration to withstand occlusal forces. The purpose of the present study was to determine and compare the resistance to fracture of endodontically treated maxillary 1 st premolars restored with different materials in mesio-occluso-distal (MOD cavity preparations. Materials and Methods: MOD cavity preparations in 80 endodontically treated maxillary 1 st premolars were restored using four different methods. Fiber rings were filled with stone plaster and the teeth were placed into the plaster up to the level of cemento-enamel junction. The teeth were grouped according to restorative method, mounted in an Instrom T.T. machine, and the buccal walls subjected to a slowly increasing compressive force until fracture occurred. Result: The force of fracture of the walls of each tooth was recorded and the results in the various groups compared. All teeth fractured in a similar manner irrespective of the restorative method used. Conclusion: The resistance to the fracture of the teeth was the same when they were stored with glass ionomer cement as a base over which composite resin was placed. When the entire cavities were filled with glass ionomer cement, the resistance to fracture of the teeth decreased significantly compared with the acid etch resin technique.

IPS Empress onlays luted with two dual-cured resin cements for endodontically treated teeth: a 3-year clinical evaluation.

Science.gov (United States)

Atali, Pinar Yilmaz; Cakmakcioglu, Ozcan; Topbasi, Bulent; Turkmen, Cafer; Suslen, Ozlem

2011-01-01

The aim of this study was to evaluate the performance of IPS Empress ceramic onlays luted with two dual-cured adhesive resin cements for endodontically treated teeth. Twenty molar teeth were restored with all-ceramic restorations luted randomly with Maxcem or Clearfil Esthetic Cement and DC Bond Kit luting systems (n = 10 each) in 20 patients. The restorations were assessed using modified US Public Health Service criteria at baseline, 6 months, and 1, 2, and 3 years. A statistically significant deterioration was found for the criteria marginal integrity, anatomical form, and surface roughness. For luting of ceramic onlays, no difference between the two luting systems was detected.

Does Magnetic Resonance Imaging Affect the Microleakage of Amalgam Restorations?

International Nuclear Information System (INIS)

Akgun, Ozlem Marti; Polat, Gunseli Guven; Turan Illca, Ahmet; Yildirim, Ceren; Demir, Pervin; Basak, Feridun

2014-01-01

The effect of MRI on microleakage of amalgam restorations is an important health issue that should be considered. If MRI application causes increase of microleakage, amalgam fillings should be reassessed after MRI and replaced if necessary. The aim of this study is to compare the effect of magnetic resonance imaging (MRI) on microleakage of class II bonded amalgam versus classical amalgam restorations. Class II cavities (3 mm width × 1.5 mm depth) with gingival margins ending 1 mm below the cementoenamel junction (CEJ) were prepared in 40 permanent molar teeth. The teeth were randomly divided into four groups. Cavities in the first and second groups were restored with dentin adhesive and amalgam (bonded amalgam), and those in the third and fourth groups with amalgam only. MRI was performed with the teeth specimens from the first and third groups. All specimens were then thermocycled at 5° to 55° C with a 30-second dwell time for 1000 cycles. The samples were then immersed in 0.5% methylene blue dye for 24 hours and sectioned longitudinally. Dye penetration at the occlusal and gingival margins was quantified by 15× stereomicroscopy. IBM SPSS Statistics ver. 21.0 (IBM Corp., Released 2012., IBM SPSS Statistics for Windows, Armonk, NY: IBM Corp.) and MS-Excel 2007 programs were used for statistical analyses and calculations. “nparLD” module was used for F2-LD-F1 design analysis at R program. P<0.05 was considered statistically significant. In teeth with amalgam filling, there were no significant differences of occlusal and gingival surface microleakage after MRI exposure. Occlusal and gingival surface microleakages were also similar with and without MRI in teeth with bonded amalgam filling. The results of this study suggest that MRI does not increase microleakage of amalgam restorations

Ancient pathogen DNA in human teeth and petrous bones

DEFF Research Database (Denmark)

Margaryan, Ashot; Hansen, Henrik B.; Rasmussen, Simon

2018-01-01

pestis. Based on shotgun sequencing data, four of these five plague victims showed clearly detectable levels of Y.pestis DNA in the teeth, whereas all the petrous bones failed to produce Y.pestis DNA above baseline levels. A broader comparative metagenomic analysis of teeth and petrous bones from 10...

Evaluation of fracture resistance of endodontically treated teeth restored with prefabricated posts and composites with varying quantities of remaining coronal tooth structure Avaliação da resistência à fratura de dentes tratados endodonticamente restaurados com pinos pré-fabricados e resinas compostas variando o remanescente dentário coronal

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Murilo Pereira de Melo

2005-06-01

Full Text Available OBJECTIVES: The aim of this study was to evaluate the influence of remaining coronal tooth structure on endodontically treated teeth restored with prefabricated posts and two different composites for core build-up: dual-cured resin (Enforce Core and light-cured resin (Z-250. METHODS: Fourty freshly extracted canines were endodontically treated and divided into four groups: Group I - teeth with 3mm remaining coronal structure, restored with Enforce Core; Group II - teeth with 3mm remaining coronal structure, restored with Z-250; Group III - teeth with no remaining coronal structure, restored with Enforce; Group IV - teeth with no remaining coronal structure, restored with Z-250. After restoration, the teeth were embedded in acrylic resin and the fracture resistance was measured on a universal testing machine at 45 degrees to the long axis of the tooth until failure. RESULTS: Data were analyzed by two-way analysis of variance, which showed significant differences between groups (p=0.00. The Tukey test did not show significant differences between specimens with and without remaining coronal structure. Conversely, significant difference was observed between groups with different core build-up. The highest values of fracture resistance were found in the group restored with light-cured resin. SIGNIFICANCE: The remaining coronal tooth structure did not influence the resistance of endodontically treated teeth; however, the change of core build-up was able to modify this resistence.O objetivo desta pesquisa foi avaliar a influência do remanescente dentário coronal de dentes tratados endodonticamente, restaurados com pinos pré-fabricados e duas resinas como núcleos de preenchimento, uma de presa dual (Enforce Core e outra fotopolimerizável (Z-250. Foram utilizados 40 caninos superiores humanos extraídos, divididos em quatro grupos de 10 espécimes: Grupo l - com remanescente dentário coronal de 3mm e restaurados com Enforce Core; Grupo ll - com

Casein phosphopeptide-amorphous calcium phosphate and shear bond strength of adhesives to primary teeth enamel.

Science.gov (United States)

Farokh Gisovar, Elham; Hedayati, Nassim; Shadman, Niloofar; Shafiee, Leila

2015-02-01

CPP-ACP (Phosphopeptide-Amorphous Calcium Phosphate) has an important role in caries prevention in pediatric patients. This study was done, because of the great use of CPP-ACP and the need for restoration for teeth treated with CPP-ACP as well as the importance of shear bond strength of adhesives in the success of restorations. This study aimed to evaluate the effect of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) on shear bond strength of dental adhesives to enamel of primary teeth molars. This in vitro study was conducted on 180 extracted primary molars. They were randomly divided into 6 groups and each group was divided into 2 subgroups (treated with CPP-ACP and untreated). In subgroups with CPP-ACP, enamel was treated with CPP-ACP paste 1 h/d for 5 days. Types of adhesives that were evaluated in this study were Tetric N-Bond, AdheSE, AdheSE One F, single Bond 2, SE Bond, and Adper Prompt L-Pop. Shear bond strength was tested with a universal testing machine and mode of failure was evaluated under stereomicroscope. Data were analyzed by T test, 2-way analysis of variance (ANOVA), Tukey and Fisher exact test using SPSS18. P adhesive systems to enamel of primary teeth treated and untreated with CPP-ACP showed no significant difference (P > 0.05). Mode of failure in all groups regardless of CPP-ACP administration was mainly adhesive type. Our results indicated that CPP-ACP did not affect shear bond strength of studied adhesives to primary teeth enamel. To have a successful and durable composite restoration, having a high strength bonding is essential. Considering the wide use of CPP-ACP in preventing tooth decay and the role of adhesive shear bond strength (SBS) in success of composite restoration, we conducted the present study to evaluate the effect of CPP-ACP on the SBS of adhesives to primary teeth enamel.

Effect of inadequate ferrule segment location on fracture resistance of endodontically treated teeth

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Satheesh B Haralur

2018-01-01

Full Text Available Introduction: The circumferential 2 mm ferrule during the fabrication of the crown is strongly advocated for the long-term clinical success. During the routine clinical practice, the dentist encounters the endodontically treated tooth (ETT with inadequacy of the ferrule in some segment due to caries, abrasion, and erosions. The aim of this in vitro study was to investigate the consequence of inadequate segmental ferrule location on fracture strength of the root canal-treated anterior and posterior teeth. Materials and Methods: Fifty each maxillary canine and mandibular premolar intact human teeth were root canal treated and sectioned at 2 mm above the cementum-enamel junction. The teeth samples were divided into 5 groups of 10 each. The G-I and G-V samples had the 360° ferrule and complete absence of the ferrule, respectively. The G-II had the inadequate ferrule on the palatal surface, while G-III and G-IV had inadequate ferrule at buccal and proximal area. Teeth samples were subsequently restored with glass-reinforced fiber post, composite core, and full veneer metal crown. The samples were tested with universal testing machine under static load to record the fracture resistance. The acquired data were subjected to ANOVA and Tukey's post hoc statistical analysis. Results: The G-I with circumferential ferrule showed the higher fracture resistance. The teeth samples with lack of the ferrule had the least fracture resistance. Among the segmental absence of ferrule, teeth samples with lack of the proximal ferrule were least affected. Deficiency of a ferrule on the lingual wall significantly affected the fracture strength in both anterior and posterior ETT. Conclusions: The ETT with sectional inadequacy of the ferrule is significantly more effective in resisting the fracture in comparison to the complete absence of the ferrule.

Technique for making full-coverage provisional restorations on teeth with insufficient clinical crowns.

Science.gov (United States)

Feinberg, Edward

2010-11-01

Provisional restorations fabricated with copper bands are tremendous practice builders, eliminating the sensitivity, recurrent decay and poor retention that are common with conventional temporary restorations. The copper-band provisional restoration is the ideal choice when conventional butt-joint temporary restorations are unsuitable. The technique for making this restoration is demonstrated in this article with a step-by-step "how-to" description. An analysis of the basic principles and theories behind the success of the copper band provisional restoration is also presented, as well as a discussion of the restoration's advantages and disadvantages.

Survival Rates from Fracture of Endodontically Treated Premolars Restored with Full-coverage Crowns or Direct Resin Composite Restorations: A Retrospective Study.

Science.gov (United States)

Suksaphar, Warattama; Banomyong, Danuchit; Jirathanyanatt, Titalee; Ngoenwiwatkul, Yaowaluk

2018-02-01

The aim of the present study was to compare the survival rates against fracture of premolar endodontically treated teeth (ETT) restored with resin composite or crowns and to identify risk factors associated with the fracture. Data from dental records and radiographs of premolar ETT with postendodontic restorations (ie, resin composite or crowns) were collected between 2012 and 2016 and selected following selected inclusion and exclusion criteria. Tooth location, type of restoration, number of proximal contacts, and amount of tooth surface loss were recorded. The incidence and restorability of postendodontic fractures were identified. Survival rates against fracture of the 2 restoration types were calculated using Kaplan-Meier survival analysis. Any potential factors associated with fractures were identified using Cox proportional hazards models. The survival rate against fracture of ETT restored with crowns (95.1%) was higher than resin composite (77.0%). ETT restored with resin composite with 1 or 2 tooth surface losses and 2 proximal contacts had a high survival rate of 88.5% that was not significantly different from ETT with crowns. A higher incidence of restorability after fracture was observed in teeth restored with resin composite than crowns. The type of restoration and number of proximal contacts were identified as potential risk factors associated with fracture incidence. The survival rate against fracture of ETT restored with crowns was higher than resin composite. However, ETT with 1 or 2 tooth surface losses and 2 proximal contacts and restored with resin composite showed a high survival rate that was comparable with ETT restored with crowns. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Assessment of restorative treatment of patients with amelogenesis imperfecta.

Science.gov (United States)

Chen, Chiung-Fen; Hu, Jan Ching Chun; Estrella, Maria Regina Padilla; Peters, Mathilde C; Bresciani, Eduardo

2013-01-01

The purpose of this study was to assess restorative treatment outcomes in the mixed dentition of amelogenesis imperfecta (AI) patients and determine the postrehabilitation oral health status and satisfaction of the patients. Clinical and radiographic examinations were performed on eight AI patients, who had 74 restorations placed in permanent incisors and molars, to allow evaluation of the integrity of the restorations and periodontal status post-treatment. Subjects completed a survey regarding esthetics, function, and sensitivity. Among the 74 restorations evaluated, seven were lost; of the remaining restorations, 31 were posterior, and 36 were anterior. Ten were rated clinically unacceptable. Teeth with stainless steel crowns had a moderate gingival index (mean=2.3) and plaque index (mean=2.0) scores. Widening of the periodontal ligament and pulp canal obliteration were common radiographic findings. Subject's recall of satisfaction regarding esthetics (P=.002) and sensitivity (brushing-P=.03; eating-P=.01) showed a statically significant difference before and after treatment. During mixed dentition, teeth with amelogenesis imperfecta may be restored with conventional treatment modalities. Direct restorations should be considered "interim" with multiple repairs anticipated. Post-treatment, gingival inflammation and plaque accumulation were observed. Subjects were satisfied with their appearance and reported a decrease of hypersensitivity.

Designing protocols for the human teeth biobank of the Universidad Nacional de Colombia

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Lina Constanza Gonzáles-Pita

2014-07-01

Full Text Available Protocols in a Tooth Bank are essential in order to assure smooth operation, reproducibility and standardization that minimize cross contamination, maintain original characteristics and physicochemical properties of teeth, fulll ethical and legal regulations and a proper disposal of residues. Objective: to propose the disinfection, storing and transportation protocols for the UNTB. Methods: A literature search was conducted using the words “teeth, human, tooth bank, disinfection, sterilization, storage, organization, biosecurity, biobank, protocol, prevention” in the Pubmed, Science Direct and Scielo databases. 37 papers ranging from 1988 up to 2014 were selected. International and Colombian ethical and legal regulations for organ donation, handling and investigation were taken into account as well as laboratory observations and chemical basic principles gained through several undergraduate and graduate thesis. All this input was carefully studied, analysed and critically modied for setting the recommended processes for the conversion of donated teeth into organs suitable for research. Results: Collection, transportation, cleaning/disinfection and storing protocols were planned and elaborated. Conclusions: Based on scientic literature, national and international regulations and experimental experience, several protocols for the UNTB were presented.

Collarless metal ceramic restorations to obscure the umbrella effect

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Afroz Shaista

2010-01-01

Full Text Available Esthetics with porcelain fused to metal restoration in the anterior region can be adversely affected due to the inadequate teeth preparations and design of the prosthesis. We presented here a case report where esthetics was compromised due to darkening of the interdental papilla and marginal gingival and overcontoured restorations in relation to porcelain fused to metal restorations. Good esthetic results were obtained by using basic principles of tooth preparation and using collarless metal ceramic restorations.

APPLICATION OF 3D DIGITAL SCANNING AND CAD/CAM SYSTEMS FOR ZIRCONIA INDIRECT RESTORATIONS

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Mariela Tsanova

2016-09-01

Full Text Available Object: To study the CAD/CAM systems’ possibilities for manufacturing Zirconia indirect restorations for restoring vital, vastly devastated teeth. Material and methods: Five patients with vital, heavily destroyed molars were included in the clinical study. The teeth were prepared according to requirements for Zirconia restorations. The impressions were taken with 3D intraoral scanner. The acquired data is transmitted electronically for designing the future restoration by the CAD software. After designing, the restoration is milled by the CAM module and sintered, according to a specially projected programme in accordance with the manufacturing demands. After clinical check-up, the restorations are glazed, air-blasted and cemented. Results: Setting up an individual protocol for working with CAD/CAM systems for restoring vital, severely devastated teeth with Zirconia indirect restorations. A research is made on 3D digital scanning, occlusal and proximal modeling, virtual articulation, analyzing the incline of the cavity walls, the thickness of the restoration and the possibilities for restoring the anatomy of the tooth according to patient’s individual characteristics of the teeth’s arch. Conclusion: The scanning and design process should be evaluated with the same quality control as when using traditional methods. The CAD software requires excellent preparation of the tooth cavity and digital scanning. This is the reason why these systems require a thorough understanding of CAD/CAM calibration and parameters of the product to be clinically acceptable. Once understood, CAD/CAM dentistry can create detailed and accurate restorations that function and perform with great success and longevity.

Fracture Resistance of Endodontically Treated Teeth Restored with Biodentine, Resin Modified GIC and Hybrid Composite Resin as a Core Material.

Science.gov (United States)

Subash, Dayalan; Shoba, Krishnamma; Aman, Shibu; Bharkavi, Srinivasan Kumar Indu; Nimmi, Vijayan; Abhilash, Radhakrishnan

2017-09-01

The restoration of a severely damaged tooth usually needs a post and core as a part of treatment procedure to provide a corono - radicular stabilization. Biodentine is a class of dental material which possess high mechanical properties with excellent biocompatibility and bioactive behaviour. The sealing ability coupled with optimum physical properties could make Biodentine an excellent option as a core material. The aim of the study was to determine the fracture resistance of Biodentine as a core material in comparison with resin modified glass ionomer and composite resin. Freshly extracted 30 human permanent maxillary central incisors were selected. After endodontic treatment followed by post space preparation and luting of Glass fibre post (Reforpost, Angelus), the samples were divided in to three groups based on the type of core material. The core build-up used in Group I was Biodentine (Septodont, France), Group II was Resin-Modified Glass Ionomer Cement (GC, Japan) and Group III was Hybrid Composite Resin (TeEconom plus, Ivoclar vivadent). The specimens were subjected to fracture toughness using Universal testing machine (1474, Zwick/Roell, Germany) and results were compared using One-way analysis of variance with Tukey's Post hoc test. The results showed that there was significant difference between groups in terms of fracture load. Also, composite resin exhibited highest mean fracture load (1039.9 N), whereas teeth restored with Biodentine demonstrated the lowest mean fracture load (176.66 N). Resin modified glass ionomer exhibited intermediate fracture load (612.07 N). The primary mode of failure in Group I and Group II was favourable (100%) while unfavourable fracture was seen in Group III (30%). Biodentine, does not satisfy the requirements to be used as an ideal core material. The uses of RMGIC's as a core build-up material should be limited to non-stress bearing areas. Composite resin is still the best core build-up material owing to its high fracture

Comparison of cone - beam computed tomography and intraoral radiography in detection of recurrent caries under composite restorations

Energy Technology Data Exchange (ETDEWEB)

Kasraei, Shahin; Shokri, Abbas; Poorolajal, Jalal; Rahmani, Hamid, E-mail: Dr.a.shokri@gmail.com [Hamadan University of Medical Sciences Hamadan (Iran, Islamic Republic of); Khajeh, Samira [Kurdistan University of Medical Sciences, Sanandaj (Iran, Islamic Republic of)

2017-01-15

Secondary caries is the most common cause of dental restoration failures. This study aimed to compare the diagnostic accuracy of conventional and digital intraoral radiography and cone beam computed tomography (CBCT) for detection of recurrent caries around composite restorations mesio-occluso-distal (MOD) cavities were prepared using bur on 45 extracted sound human molar teeth. The teeth were divided into 3 groups. In the control group, cavities were restored with composite resin after etching and bonding (n=15). In Group 2, 500-μm thick wax was placed over the buccal, lingual and gingival walls and the cavities were restored with composite resin. Group 3 specimens were subjected to pH cycling and artificial caries were created on the buccal, lingual and gingival walls. The cavities were restored with composite. Conventional and digital photo-stimulable phosphor (PSP; Optime) radiographs and two CBCTs images (NewTom 3G and Cranex 3D) were obtained from them. Presence or absence of caries in the cavity walls was assessed on these images. Data were analyzed using Kappa statistic. The diagnostic accuracy of CBCT was significantly higher than that of digital and conventional intraoral radiography (p<0.05). The accuracy was 0.83, 0.78, 0.55 and 0.49 for CBCT Cranex 3D, CBCT NewTom 3G, conventional and digital intraoral radiography, respectively. CBCT has a higher diagnostic accuracy than digital and conventional intraoral radiography for detection of secondary caries around composite restorations. (author)

Comparison of cone - beam computed tomography and intraoral radiography in detection of recurrent caries under composite restorations

International Nuclear Information System (INIS)

Kasraei, Shahin; Shokri, Abbas; Poorolajal, Jalal; Rahmani, Hamid; Khajeh, Samira

2017-01-01

Secondary caries is the most common cause of dental restoration failures. This study aimed to compare the diagnostic accuracy of conventional and digital intraoral radiography and cone beam computed tomography (CBCT) for detection of recurrent caries around composite restorations mesio-occluso-distal (MOD) cavities were prepared using bur on 45 extracted sound human molar teeth. The teeth were divided into 3 groups. In the control group, cavities were restored with composite resin after etching and bonding (n=15). In Group 2, 500-μm thick wax was placed over the buccal, lingual and gingival walls and the cavities were restored with composite resin. Group 3 specimens were subjected to pH cycling and artificial caries were created on the buccal, lingual and gingival walls. The cavities were restored with composite. Conventional and digital photo-stimulable phosphor (PSP; Optime) radiographs and two CBCTs images (NewTom 3G and Cranex 3D) were obtained from them. Presence or absence of caries in the cavity walls was assessed on these images. Data were analyzed using Kappa statistic. The diagnostic accuracy of CBCT was significantly higher than that of digital and conventional intraoral radiography (p<0.05). The accuracy was 0.83, 0.78, 0.55 and 0.49 for CBCT Cranex 3D, CBCT NewTom 3G, conventional and digital intraoral radiography, respectively. CBCT has a higher diagnostic accuracy than digital and conventional intraoral radiography for detection of secondary caries around composite restorations. (author)

In vitro investigation of heat transfer phenomenon in human immature teeth.

Science.gov (United States)

Talebi, Maryam; Moghimi, Sahar; Shafagh, Mina; Kalani, Hadi; Mazhari, Fatemeh

2014-01-01

Background and aims. Heat generated within tooth during clinical dentistry can cause thermally induced damage to hard and soft components of the tooth (enamel, dentin and pulp). Geometrical characteristics of immature teeth are different from those of mature teeth. The purpose of this experimental and theoretical study was to investigate thermal changes in immature permanent teeth during the use of LED light-curing units (LCU). Materials and methods. This study was performed on the second mandibular premolars. This experimental investiga-tion was carried out for recording temperature variations of different sites of tooth and two dimensional finite element models were used for heat transfer phenomenon in immature teeth. Sensitivity analysis and local tests were included in the model validation phase. Results. Overall, thermal stimulation for 30 seconds with a low-intensity LED LCU increased the temperature from 28°C to 38°C in IIT (intact immature tooth) and PIT (cavity-prepared immature tooth). When a high-intensity LED LCU was used, tooth temperature increased from 28°C to 48°C. The results of the experimental tests and mathematical modeling illustrated that using LED LCU on immature teeth did not have any detrimental effect on the pulp temperature. Conclusion. Using LED LCU in immature teeth had no effect on pulp temperature in this study. Sensitivity analysis showed that variations of heat conductivity might affect heat transfer in immature teeth; therefore, further studies are required to determine thermal conductivity of immature teeth.

Effect of Different Prophylaxis Methods on Microleakage of Microfilled Composite Restorations

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Soodabeh Kimyai

2012-04-01

Full Text Available Background and aims. This study was aimed at evaluating the effect of different prophylaxis methods on microleakage of microfilled composite restorations. Materials and methods. In this in vitro study, class V cavities were prepared on buccal surfaces of 84 bovine teeth. The teeth were restored with Tetric N-Bond adhesive and Heliomolar composite resin. Subsequent to a thermocycling procedure and three months of storage in distilled water, the teeth were randomly assigned to four groups (n=21: (1 prophylaxis with a rubber cup and pumice; (2 prophylaxis with a brush and pumice; (3 prophylaxis with air/powder polishing device; and (4 no prophylaxis (the control group. Then the teeth were immersed in 2% basic fuchsin for 24 hours and sectioned for microleakage evaluation under a stereomicroscope. Data were analyzed using Kruskal-Wallis and Wilcoxon Signed Ranks tests. Statistical significance was defined at p<0.05. Results. There were no statistically significant differences in occlusal and gingival microleakage between the groups (p=0.996 and p=0.860, respectively. In all the groups gingival margins exhibited significantly higher microleakage values compared to occlusal margins (p<0.0005. Conclusion. Prophylaxis methods had no adverse effect on marginal leakage of microfilled composite resin restorations.

Effect of the ferrule on fracture resistance of teeth restored with ...

African Journals Online (AJOL)

However few studies have considered the effect of different ferrule designs on prefabricated post and composite core systems. Aim: This study investigated the effect of different ferrule designs on the fracture resistance of teeth incorporating prefabricated posts and composite cores. It also assessed the necessity of a post in ...

The identification of proteoglycans and glycosaminoglycans in archaeological human bones and teeth.

Science.gov (United States)

Coulson-Thomas, Yvette M; Coulson-Thomas, Vivien J; Norton, Andrew L; Gesteira, Tarsis F; Cavalheiro, Renan P; Meneghetti, Maria Cecília Z; Martins, João R; Dixon, Ronald A; Nader, Helena B

2015-01-01

Bone tissue is mineralized dense connective tissue consisting mainly of a mineral component (hydroxyapatite) and an organic matrix comprised of collagens, non-collagenous proteins and proteoglycans (PGs). Extracellular matrix proteins and PGs bind tightly to hydroxyapatite which would protect these molecules from the destructive effects of temperature and chemical agents after death. DNA and proteins have been successfully extracted from archaeological skeletons from which valuable information has been obtained; however, to date neither PGs nor glycosaminoglycan (GAG) chains have been studied in archaeological skeletons. PGs and GAGs play a major role in bone morphogenesis, homeostasis and degenerative bone disease. The ability to isolate and characterize PG and GAG content from archaeological skeletons would unveil valuable paleontological information. We therefore optimized methods for the extraction of both PGs and GAGs from archaeological human skeletons. PGs and GAGs were successfully extracted from both archaeological human bones and teeth, and characterized by their electrophoretic mobility in agarose gel, degradation by specific enzymes and HPLC. The GAG populations isolated were chondroitin sulfate (CS) and hyaluronic acid (HA). In addition, a CSPG was detected. The localization of CS, HA, three small leucine rich PGs (biglycan, decorin and fibromodulin) and glypican was analyzed in archaeological human bone slices. Staining patterns were different for juvenile and adult bones, whilst adolescent bones had a similar staining pattern to adult bones. The finding that significant quantities of PGs and GAGs persist in archaeological bones and teeth opens novel venues for the field of Paleontology.

Evaluation of bond strength of silorane and methacrylate based restorative systems to dentin using different cavity models

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Stephano Zerlottini Isaac

2013-09-01

Full Text Available OBJECTIVE: The aim of this in vitro study was to evaluate the microtensile bond strength (µTBS to dentin of two different restorative systems: silorane-based (P90, and methacrylate-based (P60, using two cavity models. MATERIAL AND METHODS: Occlusal enamel of 40 human third molars was removed to expose flat dentin surface. Class I cavities with 4 mm mesial-distal width, 3 mm buccal-lingual width and 3 mm depth (C-factor=4.5 were prepared in 20 teeth, which were divided into two groups (n=10 restored with P60 and P90, bulk-filled after dentin treatment according to manufacturer's instructions. Flat buccal dentin surfaces were prepared in the 20 remaining teeth (C-factor=0.2 and restored with resin blocks measuring 4x3x3 mm using the two restorative systems (n=10. The teeth were sectioned into samples with area between 0.85 and 1.25 mm2 that were submitted to µTBS testing, using a universal testing machine (EMIC at speed of 0.5 mm/min. Fractured specimens were analyzed under stereomicroscope and categorized according to fracture pattern. Data were analyzed using ANOVA and Tukey Kramer tests. RESULTS: For flat surfaces, P60 obtained higher bond strength values compared with P90. However, for Class I cavities, P60 showed significant reduction in bond strength (p0.05, or between Class I Cavity and Flat Surface group, considering P90 restorative system (p>0.05. Regarding fracture pattern, there was no statistical difference among groups (p=0.0713 and 56.3% of the fractures were adhesive. CONCLUSION: It was concluded that methacrylate-based composite µTBS was influenced by cavity models, and the use of silorane-based composite led to similar bond strength values compared to the methacrylate-based composite in cavities with high C-factor.

Radiobiological long-term accumulation of environmental alpha radioactivity in extracted human teeth and animal bones in Malaysia.

Science.gov (United States)

Almayahi, B A; Tajuddin, A A; Jaafar, M S

2014-03-01

In this study, the radiobiological analysis of natural alpha emitters in extracted human teeth and animal bones from Malaysia was estimated. The microdistributions of alpha particles in tooth and bone samples were measured using CR-39 alpha-particle track detectors. The lowest and highest alpha emission rates in teeth in the Kedah and Perak states were 0.0080 ± 0.0005 mBq cm(-2) and 0.061 ± 0.008 mBq cm(-2), whereas those of bones in the Perlis and Kedah states were 0.0140 ± 0.0001 mBq cm(-2) and 0.7700 ± 0.0282 mBq cm(-2), respectively. The average alpha emission rate in male teeth was 0.0209 ± 0.0008 mBq cm(-2), whereas that of female teeth was 0.0199 ± 0.0010 mBq cm(-2). The alpha emission rate in teeth is higher in smokers (0.0228 ± 0.0008 mBq cm(-2)) than in non-smokers (0.0179 ± 0.0008 mBq cm(-2)). Such difference was found statistically significant (p < 0.01). Copyright © 2014 Elsevier Ltd. All rights reserved.

Heavy metals in human teeth dentine: A bio-indicator of metals exposure and environmental pollution.

Science.gov (United States)

Asaduzzaman, Khandoker; Khandaker, Mayeen Uddin; Binti Baharudin, Nurul Atiqah; Amin, Yusoff Bin Mohd; Farook, Mohideen Salihu; Bradley, D A; Mahmoud, Okba

2017-06-01

With rapid urbanization and large-scale industrial activities, modern human populations are being increasingly subjected to chronic environmental heavy metal exposures. Elemental uptake in tooth dentine is a bioindicator, the uptake occurring during the formation and mineralization processes, stored to large extent over periods of many years. The uptake includes essential elements, most typically geogenic dietary sources, as well as non-essential elements arising through environmental insults. In this study, with the help of the Dental Faculty of the University of Malaya, a total of 50 separate human teeth were collected from dental patients of various ethnicity, age, gender, occupation, dietary habit, residency, etc. Analysis was conducted using inductively coupled plasma-mass spectrometry (ICP-MS), most samples indicating the presence of the following trace elements, placed in order of concentration, from least to greatest: As, Mn, Ba, Cu, Cr, Pb, Zn, Hg, Sb, Al, Sr, Sn. The concentrations have been observed to increase with age. Among the ethnic groups, the teeth of ethnic Chinese showed marginally greater metal concentrations than those of the Indians and Malays, the teeth dentine of females generally showing greater concentrations than that of males. Greater concentrations of Hg, Cu and Sn were found in molars while Pb, Sr, Sb and Zn were present in greater concentrations in incisors. With the elevated concentration levels of heavy metals in tooth dentine reflecting pollution from industrial emissions and urbanization, it is evident that human tooth dentine can provide chronological information on exposure, representing a reliable bio-indicator of environmental pollution. Copyright © 2017 Elsevier Ltd. All rights reserved.

Full Pulpotomy with Biodentine in Symptomatic Young Permanent Teeth with Carious Exposure.

Science.gov (United States)

Taha, Nessrin A; Abdulkhader, Sakhaa Z

2018-04-19

This prospective study evaluated the outcome of Biodentine (Septodont, Saint Maur des Fosses, France) pulpotomy in young permanent teeth with carious exposure. Twenty permanent molar teeth in 14 patients with carious pulp exposure were treated with Biodentine pulpotomy. The age of the patients ranged from 9-17 years (12.3 ± 2.7 years). A preoperative pulpal and periapical diagnosis was established. After informed consent, the tooth was anesthetized, isolated via a dental dam, and disinfected with 5% sodium hypochlorite before caries excavation. Full pulpotomy was performed by amputating the exposed pulp to the level of the canal orifices, hemostasis was achieved via a cotton pellet moistened with 2.5% sodium hypochlorite, a 3-mm layer of Biodentine was placed as the pulpotomy agent, a Vitrebond liner (3M ESPE, St Paul, MN) was applied, and the tooth was subsequently restored. Postoperative periapical radiographs were taken after placement of the permanent restoration. Clinical and radiographic evaluation was completed after 6 months and 1 year postoperatively. Pain levels were scored preoperatively and 2 days after treatment. Statistical analysis was performed using the Fisher exact test. Clinical signs and symptoms suggestive of irreversible pulpitis were established in all teeth and symptomatic apical periodontitis in 14 of 20 (70%). Two days after treatment, all patients reported complete relief of pain. All teeth were clinically successful at 6 months and 1 year postoperatively. Radiographically, immature roots showed continued root development; dentin bridge formation was detected in 5 of 20 teeth. Seven of 7 teeth with preoperative periapical rarefaction showed signs of healing; 1 tooth had signs of internal root resorption at 1 year with an overall success rate of 95% (19/20). Young permanent teeth with carious exposure can be treated successfully with full pulpotomy using Biodentine, and clinical signs and symptoms of irreversible pulpitis are

In Vitro Investigation of Heat Transfer Phenomenon in Human Immature Teeth

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Maryam Talebi

2014-12-01

Full Text Available Background and aims. Heat generated within tooth during clinical dentistry can cause thermally induced damage to hard and soft components of the tooth (enamel, dentin and pulp. Geometrical characteristics of immature teeth are different from those of mature teeth. The purpose of this experimental and theoretical study was to investigate thermal changes in immature permanent teeth during the use of LED light-curing units (LCU. Materials and methods. This study was performed on the second mandibular premolars. This experimental investiga-tion was carried out for recording temperature variations of different sites of tooth and two dimensional finite element mod-els were used for heat transfer phenomenon in immature teeth. Sensitivity analysis and local tests were included in the mod-el validation phase. Results. Overall, thermal stimulation for 30 seconds with a low-intensity LED LCU increased the temperature from 28°C to 38°C in IIT (intact immature tooth and PIT (cavity-prepared immature tooth. When a high-intensity LED LCU was used, tooth temperature increased from 28°C to 48°C. The results of the experimental tests and mathematical modeling il-lustrated that using LED LCU on immature teeth did not have any detrimental effect on the pulp temperature. Conclusion. Using LED LCU in immature teeth had no effect on pulp temperature in this study. Sensitivity analysis showed that variations of heat conductivity might affect heat transfer in immature teeth; therefore, further studies are re-quired to determine thermal conductivity of immature teeth.

A simple method to estimate restoration volume as a possible predictor for tooth fracture.

Science.gov (United States)

Sturdevant, J R; Bader, J D; Shugars, D A; Steet, T C

2003-08-01

Many dentists cite the fracture risk posed by a large existing restoration as a primary reason for their decision to place a full-coverage restoration. However, there is poor agreement among dentists as to when restoration placement is necessary because of the inability to make objective measurements of restoration size. The purpose of this study was to compare a new method to estimate restoration volumes in posterior teeth with analytically determined volumes. True restoration volume proportion (RVP) was determined for 96 melamine typodont teeth: 24 each of maxillary second premolar, mandibular second premolar, maxillary first molar, and mandibular first molar. Each group of 24 was subdivided into 3 groups to receive an O, MO, or MOD amalgam preparation design. Each preparation design was further subdivided into 4 groups of increasingly larger size. The density of amalgam used was calculated according to ANSI/ADA Specification 1. The teeth were weighed before and after restoration with amalgam. Restoration weight was calculated, and the density of amalgam was used to calculate restoration volume. A liquid pycnometer was used to calculate coronal volume after sectioning the anatomic crown from the root horizontally at the cementoenamel junction. True RVP was calculated by dividing restoration volume by coronal volume. An occlusal photograph and a bitewing radiograph were made of each restored tooth to provide 2 perpendicular views. Each image was digitized, and software was used to measure the percentage of the anatomic crown restored with amalgam. Estimated RVP was calculated by multiplying the percentage of the anatomic crown restored from the 2 views together. Pearson correlation coefficients were used to compare estimated RVP with true RVP. The Pearson correlation coefficient of true RVP with estimated RVP was 0.97 overall (Pvolume of restorative material in coronal tooth structure. The fact that it can be done in a nondestructive manner makes it attractive for

Phototherapy up-regulates dentin matrix proteins expression and synthesis by stem cells from human-exfoliated deciduous teeth.

Science.gov (United States)

Turrioni, Ana Paula S; Basso, Fernanda G; Montoro, Liege A; Almeida, Leopoldina de Fátima D de; Costa, Carlos A de Souza; Hebling, Josimeri

2014-10-01

The aim of this study was to evaluate the effects of infrared LED (850nm) irradiation on dentin matrix proteins expression and synthesis by cultured stem cells from human exfoliated deciduous teeth (SHED). Near-exfoliation primary teeth were extracted (n=3), and SHED cultures were characterized by immunofluorescence using STRO-1, CD44, CD146, Nanog and OCT3/4 antibodies, before experimental protocol. The SHEDs were seeded (3×10(4) cells/cm(2)) with DMEM containing 10% FBS. After 24-h incubation, the culture medium was replaced by osteogenic differentiation medium, and the cells were irradiated with LED light at energy densities (EDs) of 0 (control), 2, or 4J/cm(2) (n=8). The irradiated SHEDs were then evaluated for alkaline phosphatase (ALP) activity, total protein (TP) production, and collagen synthesis (SIRCOL™ Assay), as well as ALP, collagen type I (Col I), dentin sialophosphoprotein (DSPP), and dentin matrix acidic phosphoprotein (DMP-1) gene expression (qPCR). Data were analyzed by Kruskal-Wallis and Mann-Whitney tests (α=0.05). Increased ALP activity and collagen synthesis, as well as gene expression of DSPP and ALP, were observed for both EDs compared with non-irradiated cells. The ED of 4J/cm(2) also increased gene expression of COL I and DMP-1. In conclusion, infrared LED irradiation was capable of biostimulating SHEDs by increasing the expression and synthesis of proteins related with mineralized tissue formation, with overall better results for the energy dose of 4J/cm(2). Phototherapy is an additional approach for the clinical application of LED in Restorative Dentistry. Infrared LED irradiation of the cavity's floor could biostimulate subjacent pulp cells, improving local tissue healing. Copyright © 2014 Elsevier Ltd. All rights reserved.

SUSTENTAÇÃO DE ESMALTE COM IONÔMEROS DE VIDRO E RESINA COMPOSTA: EFEITO NA RESISTÊNCIA À FRATURA DAS CÚSPIDES DE DENTES RESTAURADOS SUPPORTING ENAMEL WITH GLASS IONOMER CEMENT AND COMPOSITE RESIN: EFFECT ON FRACTURE RESISTANCE OF CUSPS OF RESTORED TEETH

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Angelo Stefano SECCO

1997-10-01

Full Text Available Este estudo determinou a resistência e o tipo de fratura do esmalte suportado pelos materiais restauradores ionômeros de vidro convencional e modificado por resina e resina composta, bem como a influência dessa técnica restauradora na resistência das cúspides dos dentes. A remoção da estrutura dental para o preparo de cavidades tipo classe II e a presença de esmalte socavado diminuiram significativamente a resistência das cúspides dos dentes em relação ao dente hígido (p This study determined the resistance to fracture and its pattern for enamel supported with conventional and modified glass ionomer cements, and composite resin restorative materials, as well as the influence of these restorative techniques on cuspal strength of teeth. Removal of dental structure by class II cavity preparations and unsupported enamel had decreased significantly the cuspal strength in relation to healthy teeth (p < 0.01. Restorative materials used to support enamel reduced the fracture rate of restored cusps, but did not increase the fracture resistance values statistically. All tested groups presented alterations in the fracture pattern

The length of teeth : A statistical analysis of the differences in length of human teeth for radiologic purposes

NARCIS (Netherlands)

Verhoeven, J.W.; Aken, J. van; Weerdt, G.P. van der

Intraoral radiograms can be made according to the long tube paralleling technique utilizing aiming devices. An important factor in the design of these instruments is the length of the teeth to be radiographed. Reliable data regarding the length of the teeth in the different regions of the mouth are

Posterior composite restoration update: focus on factors influencing form and function

Science.gov (United States)

Bohaty, Brenda S; Ye, Qiang; Misra, Anil; Sene, Fabio; Spencer, Paulette

2013-01-01

Restoring posterior teeth with resin-based composite materials continues to gain popularity among clinicians, and the demand for such aesthetic restorations is increasing. Indeed, the most common aesthetic alternative to dental amalgam is resin composite. Moderate to large posterior composite restorations, however, have higher failure rates, more recurrent caries, and increased frequency of replacement. Investigators across the globe are researching new materials and techniques that will improve the clinical performance, handling characteristics, and mechanical and physical properties of composite resin restorative materials. Despite such attention, large to moderate posterior composite restorations continue to have a clinical lifetime that is approximately one-half that of the dental amalgam. While there are numerous recommendations regarding preparation design, restoration placement, and polymerization technique, current research indicates that restoration longevity depends on several variables that may be difficult for the dentist to control. These variables include the patient’s caries risk, tooth position, patient habits, number of restored surfaces, the quality of the tooth–restoration bond, and the ability of the restorative material to produce a sealed tooth–restoration interface. Although clinicians tend to focus on tooth form when evaluating the success and failure of posterior composite restorations, the emphasis must remain on advancing our understanding of the clinical variables that impact the formation of a durable seal at the restoration–tooth interface. This paper presents an update of existing technology and underscores the mechanisms that negatively impact the durability of posterior composite restorations in permanent teeth. PMID:23750102

Biologically based treatment of immature permanent teeth with pulpal necrosis: a case series.

Science.gov (United States)

Jung, Il-Young; Lee, Seung-Jong; Hargreaves, Kenneth M

2012-06-01

This case series reports the outcomes of 8 patients (ages 9-4 years) who presented with 9 immature permanent teeth with pulpal necrosis and apical periodontitis. During treatment, 5 of the teeth were found to have at least some residual vital tissue remaining in the root canal systems. After NaOCI irrigation and medication with ciprofloxacin, metronidazole, and minocycline, these teeth were sealed with mineral trioxide aggregate and restored. The other group of 4 teeth had no evidence of any residual vital pulp tissue. This second group of teeth was treated with NaOCl irrigation and medicated with ciprofloxacin, metronidazole, and minocycline followed by a revascularization procedure adopted from the trauma literature (bleeding evoked to form an intracanal blood clot). In both groups of patients, there was evidence of satisfactory postoperative clinical outcomes (1-5 years); the patients were asymptomatic, no sinus tracts were evident, apical periodontitis was resolved, and there was radiographic evidence of continuing thickness of dentinal walls, apical closure, or increased root length.

Influence of different bonding agents on marginal sealing quality of amalgam restorations

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Melih Irena

2011-01-01

Full Text Available Introduction. Although advanced adhesive systems are in use, marginal microleakage is one of the greatest problems of contemporary restorative dentistry. Objective. The aim of this in vitro study was to evaluate the influence of different bonding agents on the marginal sealing quality of class II amalgam restorations. Methods. Forty freshly extracted human premolar and molar teeth were divided into four groups with 10 teeth in each one. Class II preparations were prepared and different adhesives were applied as follows: group I - Amalgam Liner® (Voco; group II - ONE-STEP® PLUS (Bisco; group III - PQ 1 (Ultradent. Group IV was used as a control, without any bonding agent. Amalgam (Cavex Non Gamma 2, Cavex was hand-condensed into each preparation. Specimens were thermocycled 200 times at the following temperatures: 5-7°C, 37°C and 57-59°C, and were then immersed into 1% solution of gentian violet for 72 hours. The teeth were sectioned longitudinally and microleakage was graded in the area of the gingival and occlusal quantity rim using a binocular magnifying glass with 25 times magnification. Results. The highest microleakage was recorded in the Amalgam Liner group; 1526.0 μm at the gingival wall and 694.5 μm at the occlusal cavity wall. The lowest dye penetration was observed in the PQ1 group; 589.5 μm at the gingival wall, and 599.9 μm at the occlusal wall of the restoration. ANOVA test showed that there was a statistically significant difference of dye penetration values at the gingival wall among all examination groups (p<0.01. No statistically significant differences were found comparing microleakage values at the occlusal wall. Conclusion. Results of this study showed that the best marginal sealing was accomplished by using the PQ1 bonding agent.

[Mantle dentin as biomodel of materials for structural teeth restoration].

Science.gov (United States)

Starodubova, A V; Vinnichenko, Yu A; Pourovskaya, I Ya; Rusanov, F S

The article describes a structural element of natural teeth - mantle dentin. It has been shown that the presence of this element in the structure of a natural tooth largely ensures its strength under the influence of repeated loads in a functional oral environment and arrests crack growth at the enamel/dentine interface. This later effect is explained by the influence of a thin layer of mantle dentine, which has physical and mechanical characteristics different from that of the main dentin.

An indirect technique for assuring simplicity and marginal integrity of provisional restorations during full mouth rehabilitation.

Science.gov (United States)

Al Jabbari, Youssef S; Al-Rasheed, Abdulaziz; Smith, Jesse W; Iacopino, Anthony M

2013-01-01

Full mouth rehabilitation with fixed prosthodontics can be a time- and labor-intensive process. The use of provisional restorations allows the treating clinician to determine the functional and esthetic requirements of the definitive prostheses. However, in the case of full mouth rehabilitation, the individual preparation of provisional restorations for multiple teeth may complicate the provisional phase and increase the treatment time. This article describes a method to simplify the indirect fabrication of provisional restorations for full mouth reconstruction. Provisional restorations may be easily achieved by splinting the provisional restorations in sextants, trimming them according to red pencil marks around the prepared margins as guidelines, and fitting them in the laboratory, utilizing a second set of solid casts for the prepared teeth.

The identification of proteoglycans and glycosaminoglycans in archaeological human bones and teeth.

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Yvette M Coulson-Thomas

Full Text Available Bone tissue is mineralized dense connective tissue consisting mainly of a mineral component (hydroxyapatite and an organic matrix comprised of collagens, non-collagenous proteins and proteoglycans (PGs. Extracellular matrix proteins and PGs bind tightly to hydroxyapatite which would protect these molecules from the destructive effects of temperature and chemical agents after death. DNA and proteins have been successfully extracted from archaeological skeletons from which valuable information has been obtained; however, to date neither PGs nor glycosaminoglycan (GAG chains have been studied in archaeological skeletons. PGs and GAGs play a major role in bone morphogenesis, homeostasis and degenerative bone disease. The ability to isolate and characterize PG and GAG content from archaeological skeletons would unveil valuable paleontological information. We therefore optimized methods for the extraction of both PGs and GAGs from archaeological human skeletons. PGs and GAGs were successfully extracted from both archaeological human bones and teeth, and characterized by their electrophoretic mobility in agarose gel, degradation by specific enzymes and HPLC. The GAG populations isolated were chondroitin sulfate (CS and hyaluronic acid (HA. In addition, a CSPG was detected. The localization of CS, HA, three small leucine rich PGs (biglycan, decorin and fibromodulin and glypican was analyzed in archaeological human bone slices. Staining patterns were different for juvenile and adult bones, whilst adolescent bones had a similar staining pattern to adult bones. The finding that significant quantities of PGs and GAGs persist in archaeological bones and teeth opens novel venues for the field of Paleontology.

ramic restorations

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Ashish R Jain

2013-01-01

Full Text Available Rehabilitation of a patient with severely worn dentition after restoring the vertical dimension is a complex procedure and assessment of the vertical dimension is an important aspect in these cases. This clinical report describes the full mouth rehabilitation of a patient who was clinically monitored to evaluate the adaptation to a removable occlusal splint to restore vertical dimension for a period 1 month and provisional restorations to determine esthetic and functional outcome for a period of 3 months. It is necessary to recognizing that form follows function and that anterior teeth play a vital role in the maintenance of oral health. Confirmation of tolerance to changes in the vertical dimension of occlusion (VDO is of paramount importance. Articulated study casts and a diagnostic wax-up can provide important information for the evaluation of treatment options. Alteration of the VDO should be conservative and should not be changed without careful consideration.

Radiobiological long-term accumulation of environmental alpha radioactivity in extracted human teeth and animal bones in Malaysia

International Nuclear Information System (INIS)

Almayahi, B.A.; Tajuddin, A.A.; Jaafar, M.S.

2014-01-01

In this study, the radiobiological analysis of natural alpha emitters in extracted human teeth and animal bones from Malaysia was estimated. The microdistributions of alpha particles in tooth and bone samples were measured using CR-39 alpha-particle track detectors. The lowest and highest alpha emission rates in teeth in the Kedah and Perak states were 0.0080 ± 0.0005 mBq cm −2 and 0.061 ± 0.008 mBq cm −2 , whereas those of bones in the Perlis and Kedah states were 0.0140 ± 0.0001 mBq cm −2 and 0.7700 ± 0.0282 mBq cm −2 , respectively. The average alpha emission rate in male teeth was 0.0209 ± 0.0008 mBq cm −2 , whereas that of female teeth was 0.0199 ± 0.0010 mBq cm −2 . The alpha emission rate in teeth is higher in smokers (0.0228 ± 0.0008 mBq cm −2 ) than in non-smokers (0.0179 ± 0.0008 mBq cm −2 ). Such difference was found statistically significant (p < 0.01). - Highlights: • Alpha emission rates in teeth from smokers slightly higher than non-smokers. • Difference between alpha rates in male and female tooth not statistically significant. • Alpha particles have the same effect at any age. • Difference between alpha rates in bones was statistically significant

Impact of Atraumatic Restorative Treatment (ART) on the treatment profile in pilot government dental clinics in Tanzania.

Science.gov (United States)

Kikwilu, Emil Namakuka; Frencken, Jo; Mulder, Jan

2009-06-08

The predominant mode of treatment in government dental clinics in Tanzania has been tooth extraction because the economy could not support the conventional restorative care which depends on expensive equipment, electricity and piped water systems. Atraumatic Restorative Treatment (ART) was perceived as a suitable alternative. A 3.5-year study was designed to document the changes in the treatment profiles ascribed to the systematic introduction of ART in pilot government dental clinics. Dental practitioners who were working in 13 government dental clinics underwent a 7-day ART training. Treatment record data on teeth extracted and teeth restored by the conventional and ART approaches were collected from these clinics for the three study periods. The mean percentage of ART restorations to total treatment, ART restorations to total restorations, and total restorations to total treatments rendered were computed. Differences between variables were determined by ANOVA, t-test and Chi-square. The mean percentage of ART restorations to total treatment rendered was 0.4 (SE = 0.5) and 11.9 (SE = 1.1) during the baseline and second follow-up period respectively (ANOVA mixed model; P ART restorations to total restorations rendered at baseline and 2nd follow-up period was 8.4% and 88.9% respectively (ANOVA mixed model; P ART restorations, 96.6% willing to receive ART restoration again in future, and 94.9% willing to recommend ART treatment to their close relatives. ART introduction in pilot government dental clinics raised the number of teeth saved by restorative care. Countrywide introduction of the ART approach in Tanzania is recommended.

Clinical and radiographic evaluation of cermet tunnel restorations on primary molars.

Science.gov (United States)

Zenkner, J E; Baratieri, L N; Monteiro, S J; de Andrada, M A; Vieira, L C

1993-11-01

Fifty-one restorations of the tunnel type were performed with "cermet" cement on primary molars. The restorations were assessed clinically, radiographically, and by direct examination of the proximal surface 6 months (group I) and 12 months (group II) after placement. The incidence of fractured marginal ridges was found to be 3.8% in group I and 4.2% in group II. All restorations had their occlusal portion intact and were caries-free. Clinically detectable occlusal wear was found in 7.7% of teeth in group I and in 4.2% of teeth in group II. No correlation was found between direct and radiographic assessment of proximal caries. White spots, without carious penetration, were detected on 53.8% of proximal surfaces at 6 months and on 60.0% of proximal surfaces at 12 months.

Application of PIGE to determine fluorine concentration in human teeth. Contribution to fluorosis study

International Nuclear Information System (INIS)

Salah, H.; Arab, N.

2007-01-01

Fluorosis, osteoselerosis, and systemic illness may result when tolerance levels of fluorine intake are exceeded. To avoid these abnormalities, we shall be aware of the mechanisms of their development. For this, quantitative results gathered from different parts of the world are necessary. In this paper, PIGE method is used to determine fluorine concentration in human teeth, collected from different regions of the Algerian Sahara. Both enamel and dentine regions were inspected. The external and internal mappings of the analyzed teeth have shown more variation in the localized fluorine concentration in dentine than in enamel, and the lowest level of fluorine concentration was observed in the frontier crown-root zone. The obtained results reveal relatively high fluorine concentration lying within the limit of fluorosis, according to the standardised grading dental fluorosis. (author)

Evaluation of bond strength of self-etching adhesives having different pH on primary and permanent teeth dentin.

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Ozmen, Bilal; Koyuturk, Alp Erdin; Tokay, Ugur; Cortcu, Murat; Sari, Mustafa Erhan

2015-10-16

The purpose of this in vitro study was to evaluate the dentin shear bond strength of 4 self-etching adhesives having a different pH on primary and permanent teeth dentin. The occlusal enamel was removed from 60 freshly extracted third molar and 60 primary second molar human teeth, which were randomly separated into 4 groups (n = 15). Four adhesive systems were applied: G-Bond (GC Corporation, Tokyo, Japan, pH: 1.5), Futura Bond M (Voco, Cuxhaver, Germany, pH: 1.4), Adper Prompt L-Pop (3M/ESPE, St Paul, MN, USA, pH: 0.8), and Clearfil S(3) Bond (Kuraray Medical, Tokyo, Japan, pH: 2.7) according to the manufacturer's instructions. After the application of dentin bonding agents, a composite resin material (Z250 Restorative A2, 3M ESPE, St. Paul, MN, USA) for permanent teeth and a compomer resin material (Dyract Extra A2, Dentsply, Konstanz, Germany) for primary teeth was applied onto the prepared dentin surfaces. The data were obtained by using a universal test machine at a crosshead speed of 1 mm/min. The mean values were compared using Tukey's multiple comparison test. Although there was no difference between adhesives on the permanent teeth, Clearfil S3 adhesive showed higher bond (18.07 ± 0.58 MPa) (P>0.05). Lower bond strength values were obtained from primary teeth and especially G-Bond adhesive (9.36 ± 0.48 MPa) (Padhesives with different pH and solvent types can be used successfully for permanent teeth dentin but adhesives with low pH did not provide greater shear bond strength values.

In Vitro Investigation of Heat Transfer Phenomenon in Human Immature Teeth

OpenAIRE

Maryam Talebi; Sahar Moghimi; Mina Shafagh; Hadi Kalani; Fatemeh Mazhari

2014-01-01

Background and aims. Heat generated within tooth during clinical dentistry can cause thermally induced damage to hard and soft components of the tooth (enamel, dentin and pulp). Geometrical characteristics of immature teeth are different from those of mature teeth. The purpose of this experimental and theoretical study was to investigate thermal changes in immature permanent teeth during the use of LED light-curing units (LCU). Materials and methods. This study was performed on the second ...

A CASE OF LOWER ANTERIOR PRIMARY TEETH FUSION

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Noni Nurseni

2006-04-01

Full Text Available Dental fusion is the most common problem seen in the primary dentition. The incidence of dental fusion was approximately 0.5% for deciduous dentition and 0.1% for permanent dentition. Fusion may be complete or incomplete. Its etiology was related to genetic or local factor. These anomalies could result in dental caries, esthetic problem, periodontal disease, dental malocclusion, and hypodontia in permanent dentition. Treatment of fused teeth depends on the location and extent of fusion. This report describes an incomplete dental fusion with dentinal caries occurred on 72 and 73 while 32 was agenesis. The purpose of the treatment was to improve the esthetic performance and subsequently to keep the teeth until the exfoliation time. After the restoration of 72 and 73, the patient feels satisfied.

Comparison of Vibringe, EndoActivator, and needle irrigation on sealer penetration in extracted human teeth.

Science.gov (United States)

Bolles, Jordan A; He, Jianing; Svoboda, Kathy K H; Schneiderman, Emet; Glickman, Gerald N

2013-05-01

Vibringe is a new device that allows continuous sonic irrigation of the canal system during endodontic treatment. The aim of this study was to compare the effect of different irrigation systems on sealer penetration into dentinal tubules of extracted single-rooted teeth. Fifty single-rooted human teeth were instrumented and randomly divided into 4 groups: group 1 (control), saline; group 2 (conventional irrigation), 17% EDTA followed by 6% NaOCl; group 3 (EndoActivator), same irrigants as group 2; group 4 (Vibringe), same irrigants as group 2. Obturation of all teeth was done with gutta-percha and SimpliSeal labeled with fluorescent dye. Transverse sections at 1 mm and 5 mm from the root apex were examined by using confocal laser scanning microscopy. Percentage and maximum depth of sealer penetration were measured by using NIS-Elements Br 3.0 imaging software. Groups 3 and 4 had a significantly greater percentage of the canal wall penetrated by sealer at the 5-mm level than group 1 (P irrigation. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Evaluating the Reasons of Amalgam Restoration Replacement in Esthetic and Restorative Department of Babol Dental School in 2013-14

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F Abolghasemzade

2015-08-01

Results: Within 263 patients, there were 81(30.8% men and 182(69.2% women. Most patients aged 30-40(42.2%, and were reported to suffer from class Ι dental occlusion(92.4%.The mean DMF was 9.7±2.4 . Lower molars were demonstrated as the most frequent teeth group for replacing amalgam restorations as well as causing secondary caries. Furthermore, secondary caries involved the major causes of amalgam restoration replacement. The most prevalent class for amalgam restoration replacement was class II restorations. It should be noted that secondary caries were most prevalent within class II MO / DO(25 cases(44.6%. Conclusion: The study findings revealed that the most common cause of the restoration replacement involved the secondary caries which was most observed in the Class II restorations.

Hidden contributions of the enamel rods on the fracture resistance of human teeth.

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Yahyazadehfar, M; Bajaj, Devendra; Arola, Dwayne D

2013-01-01

The enamel of human teeth is generally regarded as a brittle material with low fracture toughness. Consequently, the contributions of this tissue in resisting tooth fracture and the importance of its complex microstructure have been largely overlooked. In this study an experimental evaluation of the crack growth resistance of human enamel was conducted to characterize the role of rod (i.e. prism) orientation and degree of decussation on the fracture behavior of this tissue. Incremental crack growth was achieved in-plane, with the rods in directions longitudinal or transverse to their axes. Results showed that the fracture resistance of enamel is both inhomogeneous and spatially anisotropic. Cracks extending transverse to the rods in the outer enamel undergo a lower rise in toughness with extension, and achieve significantly lower fracture resistance than in the longitudinal direction. Though cracks initiating at the surface of teeth may begin extension towards the dentin-enamel junction, they are deflected by the decussated rods and continue growth about the tooth's periphery, transverse to the rods in the outer enamel. This process facilitates dissipation of fracture energy and averts cracks from extending towards the dentin and vital pulp. Copyright © 2012 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

[Prosthetic replacement of missing teeth. Indications for fixed and removable dental prostheses

NARCIS (Netherlands)

Witter, D.J.; Gerritsen, A.E.; Baat, C. de; Creugers, N.H.J.

2014-01-01

Prosthetic replacement of missing teeth aims to improve health. This can be achieved by improving the patient's well-being and quality of life and by restoring the biological balance in terms ofocclusal and mandibular stability in the occlusal and the orofacial system. In occlusal systems with a

Should deciduous teeth be preserved in adult patients? How about stem cells? Is it reasonable to preserve them?

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Alberto Consolaro

2016-04-01

Full Text Available Abstract When seeking orthodontic treatment, many adolescents and adult patients present with deciduous teeth. Naturally, deciduous teeth will inevitably undergo exfoliation at the expected time or at a later time. Apoptosis is the biological trigger of root resorption. In adult patients, deciduous teeth should not be preserved, as they promote: infraocclusion, traumatic occlusion, occlusal trauma, diastemata and size as well as morphology discrepancy malocclusion. Orthodontic movement speeds root resorption up, and so do restoring or recontouring deciduous teeth in order to establish esthetics and function. Deciduous teeth cells are dying as a result of apoptosis, and their regeneration potential, which allows them to act as stem cells, is limited. On the contrary, adult teeth cells have a greater proliferative potential. All kinds of stem cell therapies are laboratory investigative non authorized trials.

Autoradiographic pattern of the in vitro uptake of proline by the coronal areas of intact and carious human teeth

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Karjalainen, S; Soederling, E [Turku Univ. (Finland)

1979-01-01

The biosynthesis of collagen in teeth was studied by following the uptake of proline in vitro. Whole crowns of human teeth were incubated for 6 h with (/sup 14/C)- or (/sup 3/H)-proline. Autoradiographs were prepared from sections of intact teeth and teeth with carious lesions of varying depths and location. The number of silver grains per cm/sup 2/ in the predentine, odontoblast layer and pulp were counted in selected fields magnified x 430 representing the deepest parts of the carious lesions. No differences in the labelling pattern were observed between the intact teeth incubated freshly after extraction and those preserved in liquid nitrogen. The densest labelling of intact teeth was seen in the predentine and odontoblast layer. The alterations under initial dentine caries appeared as increased labelling of the predentine and decreased labelling of the odontoblast layer; no alterations were observed in the underlying pulp. In advanced lesions, the predentine labelling decreased and that in the odontoblast layer and pulp increased. In the initial stages, caries seem to activate collagen synthesis in a relatively restricted area of the underlying structures, but in advanced stages, caries seem to increase the odontoblastic cellular polypeptide chain formation but prevent further maturation of the collagen.

Clinical performance of a glass ionomer restorative system: a 6-year evaluation.

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Gurgan, Sevil; Kutuk, Zeynep Bilge; Ergin, Esra; Oztas, Sema Seval; Cakir, Filiz Yalcin

2017-09-01

The aim of this study is to evaluate the long-term clinical performance of a glass ionomer (GI) restorative system in the restoration of posterior teeth compared with a micro-filled hybrid posterior composite. A total of 140 (80 Cl1 and 60 Cl2) lesions in 59 patients were restored with a GI system (Equia) or a micro hybrid composite (Gradia Direct). Restorations were evaluated at baseline and yearly during 6 years according to the modified-USPHS criteria. Negative replicas at each recall were observed under SEM to evaluate surface characteristics. Data were analyzed with Cohcran's Q and McNemar's tests (p evaluated in 47 patients with a recall rate of 79.6% at 6 years. Significant differences were found in marginal adaptation and marginal discoloration for both restorative materials for Cl1 and Cl2 restorations (p  0.05). A significant decrease in color match was observed in Equia restorations (p performance after 6 years. SEM evaluations were in accordance with the clinical findings. Both materials showed a good clinical performance for the restoration of posterior teeth during the 6-year evaluation. The clinical effectiveness of Equia and Gradia Direct Posterior was acceptable in Cl1 and Cl2 cavities subsequent to 6-year evaluation.

About Kids' Teeth

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... wear a mouthguard when playing sports like basketball, soccer, football and hockey. 17 – 21 Years Old The last teeth to appear are wisdom teeth at around ages 17 – 21. By age 21, all 32 of the adult teeth have usually appeared. Learn about Nutrition Baby Teething Baby Teeth and Teething Baby teeth ...

Strontium-90 concentrations in human teeth in South Ukraine, 5 years after the Chernobyl accident

International Nuclear Information System (INIS)

Kulev, Y.D.; Polikarpov, G.G.; Prigodey, E.V.; Assimakopoulos, P.A.

1994-01-01

Approximately 1000 human teeth, collected in South Ukraine, in 1990-1991, were measured for 90 Sr concentration. The teeth were grouped into 18 samples according to the age and sex of the donors. Measured levels of 90 Sr concentrations were lower by a factor of 10 than measurements taken in the mid-1960s and mid-1970s. An interesting feature of the data is a 3-fold enhancement of contamination levels in the 25-45 year-old age group of the male population. A possible explanation for this anomaly is that this age group contains a significant number of men who were mobilized immediately after the Chernobyl accident for clean-up operations within the 30-km zone around the damaged nuclear power plant

Influence of Cavity Margin Design and Restorative Material on Marginal Quality and Seal of Extended Class II Resin Composite Restorations In Vitro.

Science.gov (United States)

Soliman, Sebastian; Preidl, Reinhard; Karl, Sabine; Hofmann, Norbert; Krastl, Gabriel; Klaiber, Bernd

2016-01-01

To investigate the influence of three cavity designs on the marginal seal of large Class II cavities restored with low-shrinkage resin composite limited to the enamel. One hundred twenty (120) intact human molars were randomly divided into 12 groups, with three different cavity designs: 1. undermined enamel, 2. box-shaped, and 3. proximal bevel. The teeth were restored with 1. an extra-low shrinkage (ELS) composite free of diluent monomers, 2. microhybrid composite (Herculite XRV), 3. nanohybrid composite (Filtek Supreme XTE), and 4. silorane-based composite (Filtek Silorane). After artificial aging by thermocycling and storage in physiological saline, epoxy resin replicas were prepared. To determine the integrity of the restorations' approximal margins, two methods were sequentially employed: 1. replicas were made of the 120 specimens and examined using SEM, and 2. the same 120 specimens were immersed in AgNO3 solution, and the dye penetration depth was observed with a light microscope. Statistical analysis was performed using the Kruskal-Wallis and the Dunn-Bonferroni tests. After bevel preparation, SEM observations showed that restorations did not exhibit a higher percentage of continuous margin (SEM-analysis; p>0.05), but more leakage was found than with the other cavity designs (pcomposite restorations and is no longer recommended. However, undermined enamel should be removed to prevent enamel fractures.

Greyish shadow on the labial gingival margin after insertion porcelain fused to metal crown on anterior teeth

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Ike Damayanti Habar

2016-06-01

Full Text Available The crown is the type of restoration that replaces lost tooth structure caused by caries, trauma, or other causes which aims to restore comfort, function and patient confidence. Porcelain fused to metal restorationis an option that dominate the aesthetic restoration crown sand fixed prosthesisover the last 50 years. Porcelain fused to metal crown, consists of porcelain layer bonded to a thin cast metal coping that fits over the tooth preparation. Such a restoration combines the strength  and accurate fit of a cast metal crown with  the cosmetic effect of a porcelain crown. In some cases, it looks greyish shadow on the labial gingival margin after insertion porcelain fused to metal crowns on anterior teeth that can not be hidden even if the placement of the edge in subgingival. The purpose of this case report is to determine the cause of a greyish shadow on the labial gingival margin after insertion porcelain fused to metal crowns on anterior teeth and how to prevent a greyish shadow very disturbing aesthetics of the patient.

Distinctive genetic activity pattern of the human dental pulp between deciduous and permanent teeth.

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Ji-Hee Kim

Full Text Available Human deciduous and permanent teeth exhibit different developmental processes, morphologies, histological characteristics and life cycles. In addition, their pulp tissues react differently to external stimuli, such as the pulp sensitivity test, dental trauma and pulp therapy materials. These suggest differences in gene expression and regulation, and in this study we compared gene-expression profiles of the human dental pulp from deciduous and permanent teeth. Pulp tissues from permanent premolars and deciduous molars aged 11-14 years were extirpated and mRNA was isolated for cDNA microarray analysis, and quantitative real-time PCR (qPCR. Other teeth were used for immunohistochemical analysis (IHC. Microarray analysis identified 263 genes with a twofold or greater difference in expression level between the two types of pulp tissue, 43 and 220 of which were more abundant in deciduous and permanent pulp tissues, respectively. qPCR analysis was conducted for eight randomly selected genes, and the findings were consistent with the cDNA microarray results. IHC confirmed that insulin-like growth factor 2 mRNA-binding protein 1 (IGF2BP1 was broadly expressed in deciduous dental pulp tissue, but minimally expressed in permanent dental pulp tissue. Immunohistochemical analysis showed that calbindin 1 (CALB1, leucine-rich repeat-containing G-protein-coupled receptor 5 (LGR5, and gamma-aminobutyric acid A receptor beta 1 (GABRB1 were abundantly expressed in permanent predentin/odontoblasts, but only minimally expressed in deciduous dental pulp tissue. These results show that deciduous and permanent pulp tissues have different characteristics and gene expression, suggesting that they may have different functions and responses to therapies focused on pulp or dentin regeneration.

Distinctive genetic activity pattern of the human dental pulp between deciduous and permanent teeth.

Science.gov (United States)

Kim, Ji-Hee; Jeon, Mijeong; Song, Je-Seon; Lee, Jae-Ho; Choi, Byung-Jai; Jung, Han-Sung; Moon, Seok Jun; DenBesten, Pamela K; Kim, Seong-Oh

2014-01-01

Human deciduous and permanent teeth exhibit different developmental processes, morphologies, histological characteristics and life cycles. In addition, their pulp tissues react differently to external stimuli, such as the pulp sensitivity test, dental trauma and pulp therapy materials. These suggest differences in gene expression and regulation, and in this study we compared gene-expression profiles of the human dental pulp from deciduous and permanent teeth. Pulp tissues from permanent premolars and deciduous molars aged 11-14 years were extirpated and mRNA was isolated for cDNA microarray analysis, and quantitative real-time PCR (qPCR). Other teeth were used for immunohistochemical analysis (IHC). Microarray analysis identified 263 genes with a twofold or greater difference in expression level between the two types of pulp tissue, 43 and 220 of which were more abundant in deciduous and permanent pulp tissues, respectively. qPCR analysis was conducted for eight randomly selected genes, and the findings were consistent with the cDNA microarray results. IHC confirmed that insulin-like growth factor 2 mRNA-binding protein 1 (IGF2BP1) was broadly expressed in deciduous dental pulp tissue, but minimally expressed in permanent dental pulp tissue. Immunohistochemical analysis showed that calbindin 1 (CALB1), leucine-rich repeat-containing G-protein-coupled receptor 5 (LGR5), and gamma-aminobutyric acid A receptor beta 1 (GABRB1) were abundantly expressed in permanent predentin/odontoblasts, but only minimally expressed in deciduous dental pulp tissue. These results show that deciduous and permanent pulp tissues have different characteristics and gene expression, suggesting that they may have different functions and responses to therapies focused on pulp or dentin regeneration.

Reasons for Retreatment of Amalgam and Composite Restorations among the Patients Referring to Tabriz Faculty of Dentistry

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Siavash Savadi Oskoee

2007-06-01

Full Text Available

Background and aims. Retreatment of existing restorations not only requires a lot of money and time but also there is a danger of weakening tooth structure and irritating the pulp. Since awareness of the reasons for the retreatment of teeth will save the teeth from possible future failure, the aim of this study was to assess the reasons for retreatment of amalgam and composite restorations in patients referring to Tabriz Faculty of Dentistry.

Materials and methods. In this descriptive study, the subjects had previously received an amalgam or a composite restoration in the Operative Department by dental students and were judged to need retreatment in their second visit. A total of 300 defective teeth were selected by simple random sampling method. The data was collected through examination and questionnaires and analyzed using chi-square test.

Results. There was a statistically significant association between the type of the restorative material and the reason for retreatment (p=0.001.

Conclusion. Although the reasons for the retreatment of amalgam and composite restorations were different, recurrent caries was the main reason for the retreatment for both restorative materials.

Clinical Investigation of a New Bulk Fill Composite Resin in the Restoration of Posterior Teeth

Science.gov (United States)

2017-09-14

Dental Restoration Failure of Marginal Integrity; Dental Caries; Unrepairable Overhanging of Dental Restorative Materials; Poor Aesthetics of Existing Restoration; Secondary Dental Caries Associated With Failed or Defective Dental Restorations; Fractured Dental Restorative Materials Without Loss of Materials; Fracture of Dental Restorative Materials With Loss of Material

Treatment options for permanent teeth with deep caries

OpenAIRE

Marending, Monika; Attin, Thomas; Zehnder, Matthias

2016-01-01

The goal of this narrative review was to summarize and compare treatment options for permanent teeth carious lesions that are radiographically close to the pulp chamber. Thanks to adhesive restorative materials, minimally invasive approaches are possible. In this context, the old question arises as to whether caries must be excavated completely, i.e., down to hard dentin, or whether it could be advantageous to leave some soft dentin, or even merely seal the whole lesion. To answer this questi...

Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries.

Science.gov (United States)

Dorri, Mojtaba; Martinez-Zapata, Maria José; Walsh, Tanya; Marinho, Valeria Cc; Sheiham Deceased, Aubrey; Zaror, Carlos

2017-12-28

Dental caries is a sugar-dependent disease that damages tooth structure and, due to loss of mineral components, may eventually lead to cavitation. Dental caries is the most prevalent disease worldwide and is considered the most important burden of oral health. Conventional treatment methods (drill and fill) involve the use of rotary burs under local anaesthesia. The need for an electricity supply, expensive handpieces and highly trained dental health personnel may limit access to dental treatment, especially in underdeveloped regions.To overcome the limitations of conventional restorative treatment, the Atraumatic Restorative Treatment (ART) was developed, mainly for treating caries in children living in under-served areas of the world where resources and facilities such as electricity and trained manpower are limited. ART is a minimally invasive approach which involves removal of decayed tissue using hand instruments alone, usually without use of anaesthesia and electrically driven equipment, and restoration of the dental cavity with an adhesive material (glass ionomer cement (GIC), composite resins, resin-modified glass-ionomer cement (RM-GICs) and compomers). To assess the effects of Atraumatic Restorative Treatment (ART) compared with conventional treatment for managing dental caries lesions in the primary and permanent teeth of children and adults. Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 22 February 2017), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2017, Issue 1), MEDLINE Ovid (1946 to 22 February 2017), Embase Ovid (1980 to 22 February 2017), LILACS BIREME Virtual Health Library (Latin American and Caribbean Health Science Information database; 1982 to 22 February 2017) and BBO BIREME Virtual Health Library (Bibliografia Brasileira de Odontologia; 1986 to 22 February 2017). The US National Institutes of Health Trials Registry (Clinical

Use of a Novel ORMOCER as a Universal Direct Restorative Material.

Science.gov (United States)

Hakim, Foroud; Vallée, Jessie

2018-01-01

Composite resin is considered the material of choice for direct restoration of teeth when esthetic outcome is a high priority. While material science improvements have mitigated many of the traditional liabilities related to composite resin restorations, shrinkage and related shrinkage stress still play a role in outcomes, placement techniques, and overall success. This case report demonstrates two restorative scenarios using an ORMOCER® composite material. The first features a female patient who, upon completion of preliminary orthodontic treatment, determined in consultation with the orthodontist that her central incisors would present more idealistic display and esthetics if they were lengthened by approximately 1.5 mm. The lengthening of the incisors was to precede the phase II refinement with clear aligners, which would aim to extrude the remaining anterior teeth to develop incisal balance and symmetry. The second case is that of a woman who presented with a newly symptomatic upper right second bicuspid with an existing nearly decade old, large MODL composite resin restoration. This article demonstrates the universal nature of the novel direct restorative material used, making it well-suited for both anterior and posterior applications.

Self-perception of teeth loss of the aged

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Beatriz Unfer

2006-01-01

Full Text Available The objective of this work was to analyze the perceptions of a group of the aged regarding teeth loss. A qualitative study was conducted using the Discourse of the Collective Subject as a methodological technique for ordering the data. The analysis of the interviews and the construction of the Discourse of the Collective Subject disclosed information on the thoughts and values associated with the loss of teeth within this group. The main results suggest that the lack of teeth caused functional and psychological problems, but that these appeared to be offset by solving the aesthetic problem. The justifications disclosed by the collective subject for edentulous predominantly reflect the healthcare model, which focuses on surgical, restorative and rehabilitation procedures, to the detriment of preventive actions and the promotion of health. Thus, the development of initiatives in the field of education and prevention regarding oral health is essential, emphasizing actions that target integral attention to the aged, detaching the social dimension of the illnesses, as well as the role of the State as supplier of health and quality of life to all citizens.

Evaluation of the dental structure loss produced during maintenance and replacement of occlusal amalgam restorations

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Fernanda Sardenberg

2008-09-01

Full Text Available The aim of this in vitro study was to evaluate four different approaches to the decision of changing or not defective amalgam restorations in first primary molar teeth concerning the loss of dental structure. Ditched amalgam restorations (n = 11 were submitted to four different treatments, as follows: Control group - polishing and finishing of the restorations were carried out; Amalgam group - the ditched amalgam restorations were replaced by new amalgam restorations; Composite resin group - the initial amalgam restorations were replaced by composite resin restorations; Flowable resin group - the ditching around the amalgam restorations was filled with flowable resin. Images of the sectioned teeth were made and the area of the cavities before and after the procedures was determined by image analysis software to assess structural loss. The data were submitted to ANOVA complemented by the Student Newman Keuls test (p < 0.05. The cavities in all the groups presented significantly greater areas after the procedures. However, the amalgam group showed more substantial dental loss. The other three groups presented no statistically significant difference in dental structure loss after the re-treatments. Thus, replacing ditched amalgam restorations by other similar restorations resulted in a significant dental structure loss while maintaining them or replacing them by resin restorations did not result in significant loss.

The autoradiographic pattern of the in vitro uptake of proline by the coronal areas of intact and carious human teeth

International Nuclear Information System (INIS)

Karjalainen, S.; Soederling, E.

1979-01-01

The biosynthesis of collagen in teeth was studied by following the uptake of proline in vitro. Whole crowns of human teeth were incubated for 6 h with ( 14 C)- or ( 3 H)-proline. Autoradiographs were prepared from sections of intact teeth and teeth with carious lesions of varying depths and location. The number of silver grains per cm 2 in the predentine, odontoblast layer and pulp were counted in selected fields magnified x 430 representing the deepest parts of the carious lesions. No differences in the labelling pattern were observed between the intact teeth incubated freshly after extraction and those preserved in liquid nitrogen. The densest labelling of intact teeth was seen in the predentine and odontoblast layer. The alterations under initial dentine caries appeared as increased labelling of the predentine and decreased labelling of the odontoblast layer; no alterations were observed in the underlying pulp. In advanced lesions, the predentine labelling decreased and that in the odontoblast layer and pulp increased. In the initial stages, caries seem to activate collagen synthesis in a relatively restricted area of the underlying structures, but in advanced stages, caries seem to increase the odontoblastic cellular polypeptide chain formation but prevent further maturation of the collagen. (author)

Longterm survival and reason for failure of anterior composite restoration

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Nina Djustiana

2016-06-01

Full Text Available Composites resin restorations have been used for repairing and restoring anterior teeth for decades due to the growing needs for a cost- effective aesthetic restoration and the advancement in dental material and polymer technology. Failure of composite restorations cannot be neglected, due to multiple factors, i.e. failure to diagnose the gingival tissue, inadequate tissue management, quality of remaining tooth structure, and inadequate preparation. The aim of this review is to improve clinical performances of direct composite as permanent restorations. Long lasting aesthetic composite restorations required proper mouth preparations ,which  includes supporting and dental hard tissue preparations, tooth preparation, proper isolation, bonding procedures, light cure unit, and the resin composite itself.

Influence of dental restorations and mastication loadings on dentine fatigue behaviour: Image-based modelling approach.

Science.gov (United States)

Vukicevic, Arso M; Zelic, Ksenija; Jovicic, Gordana; Djuric, Marija; Filipovic, Nenad

2015-05-01

The aim of this study was to use Finite Element Analysis (FEA) to estimate the influence of various mastication loads and different tooth treatments (composite restoration and endodontic treatment) on dentine fatigue. The analysis of fatigue behaviour of human dentine in intact and composite restored teeth with root-canal-treatment using FEA and fatigue theory was performed. Dentine fatigue behaviour was analysed in three virtual models: intact, composite-restored and endodontically-treated tooth. Volumetric change during the polymerization of composite was modelled by thermal expansion in a heat transfer analysis. Low and high shrinkage stresses were obtained by varying the linear shrinkage of composite. Mastication forces were applied occlusally with the load of 100, 150 and 200N. Assuming one million cycles, Fatigue Failure Index (FFI) was determined using Goodman's criterion while residual fatigue lifetime assessment was performed using Paris-power law. The analysis of the Goodman diagram gave both maximal allowed crack size and maximal number of cycles for the given stress ratio. The size of cracks was measured on virtual models. For the given conditions, fatigue-failure is not likely to happen neither in the intact tooth nor in treated teeth with low shrinkage stress. In the cases of high shrinkage stress, crack length was much larger than the maximal allowed crack and failure occurred with 150 and 200N loads. The maximal allowed crack size was slightly lower in the tooth with root canal treatment which induced somewhat higher FFI than in the case of tooth with only composite restoration. Main factors that lead to dentine fatigue are levels of occlusal load and polymerization stress. However, root canal treatment has small influence on dentine fatigue. The methodology proposed in this study provides a new insight into the fatigue behaviour of teeth after dental treatments. Furthermore, it estimates maximal allowed crack size and maximal number of cycles for a

Provision of Atraumatic Restorative Treatment (ART) restorations to Chinese pre-school children--a 30-month evaluation.

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Lo, E C; Holmgren, C J

2001-01-01

The objectives of this study were: to provide restorations using the ART approach to pre-school children in Southern China in a kindergarten environment, using a high-strength glass-ionomer restorative material; to assess the acceptability of this approach and to evaluate on a longitudinal basis the restorations placed. A total of 170 ART restorations were placed in 95 children, aged 5.1 +/- 0.7 years, by seven final-year dental students using standard ART procedures and hand instruments. The restorations were evaluated every six months thereafter by two calibrated independent examiners using explorers and mouth-mirrors. 93% of the children reported that they did not feel pain during treatment and 86% were willing to receive ART restorations again. The cumulative 12- and 30-month survival rates of Class I restorations were 91% and 79%, respectively. The corresponding figures for Class V restorations were 79% and 70%, while those for Class II restorations were 75% and 51%. The failure rates of Class III and IV restorations were high with more than half of them scored as missing within the first year. The ART approach was shown to be acceptable to Chinese pre-school children for providing restorative dental care outside the traditional clinical setting. The success rates were high for Class I and V restorations in primary teeth, modest for Class II, and low for Class III and IV restorations.

In Vitro Evaluation of the Effect of Tooth Structure Loss on Fracture Resistance of Endodontically Treated Teeth

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Shirinzad M

2017-06-01

Full Text Available Introduction: Since preserving the structure of treated teeth is a critical success factor, studying the effects of tooth structure loss on fracture resistance of the tooth tissue appears necessary. The aim of this study was to evaluate the consequences of the loss of different tissues regarding fracture resistance of teeth undergoing root canal treatment without the use of indirect restorations. Methods :In this experimental study, 70 healthy maxillary first premolar teeth were randomly divided into 7 groups of 10 members, including control group, endodontic access preparation only, MOD cavity preparation, cutting buccal cusp, cutting palatal cusp, cutting buccal cusp and marginal ridge, and cutting the palatal cusp and marginal ridge. The coronal section of teeth was restored incrementally with light cure composite. Finally, samples underwent compressive load with 45˚ angle from each cusp slope in the middle of cusp with an instant speed of 1 mm per min in the Instron machine. Fracture resistance was measured and samples were examined under stereo-microscope to evaluate the mode of failure. Results: The resistance to fracture in root canal treated teeth in different groups in order from first to seventh was 797.13 ± 52.92, 722.50 ± 131.40, 432.15 ± 203.20, 592.66 ± 195.86 124.53 ± 33.09, 85.17 ± 18.45, and 26.03 ± 5.21 Newton. ANOVA test showed statistically significant differences between the groups in terms of their fracture resistance (P = 0.000. Conclusions: The results showed that fracture resistance levels of teeth were significantly affected by amount of their tissue loss. In this study, removal of teeth palatal cusp and marginal ridge had a significant effect on decreasing the fracture resistance, while removing the buccal cusps alone cannot have a significant effect.

Replacement of Anterior Composite Resin Restorations Using Conservative Ceramics for Occlusal and Periodontal Rehabilitation: An 18-Month Clinical Follow-Up

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Leonardo Fernandes da Cunha

2016-01-01

Full Text Available This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.

Effectiveness of an infiltrant on sealing of composite restoration margins with/without artificial caries.

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Tulunoglu, Ozlem; Tulunoglu, Ibrahim Fevzi; Antonson, Sibel A; Campillo-Funollet, Marc; Antonson, Donald; Munoz-Viveros, Carlos

2014-11-01

The aim of this in vitro study was to evaluate the effectiveness of a resin infiltrant (ICON) on marginal sealing ability of class II resin restorations with/without-caries. Forty-eight noncarious human pre-molar teeth were embedded and MO and DO preparations of standard dimensions were prepared. The left side of dentin margins of the cavities were left nonbonded (UB) while the right side were bonded using total etch-bonding agent and all restored with a Nanohybrid composite. The teeth were thermocycled and half of the specimens in the UB and B groups were subjected to an artificial caries process. ICON was applied to caries and noncaries subgroups following the manufacturer's directions. Impressions were made at each step: after the restorations were completed, thermocycling, artificial caries procedures, and infiltrant application and the silicone tag lengths were measured with a stereomicroscope. The specimens were immersed in 0.5% basic fuchsine at 37° C for 24 hours, sectioned and microleakage was evaluated with a stereomicroscope. Selected samples and their replicas were assessed for marginal quality under a stereomicroscope and SEM. Statistical evaluation of the data were made using Kruskal-Wallis, Mann-Whitney U and Wilcoxon Sign Rank tests. While bonding application did not create a meaningful difference, the thermocycling and artificial caries significantly increased the gap length and microleakage (p < 0.05). ICON application was decreased the microleakage, created gap-free margins and closed the gaps which were previously occurred at the same cavities (p < 0.05). A resin infiltrant (ICON) application decreased the microleakage, created gap-free margins and closed the gaps, which previously occurred at the same cavities. Approximal application of resin infiltrant may increase the success of the class II composite restorations also reduced the risk of needing more complex restoration therapy.

Effects of finishing/polishing techniques on microleakage of resin-modified glass ilonomer cement restorations.

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Yap, Adrian U J; Yap, W Y; Yeo, Egwin J C; Tan, Jane W S; Ong, Debbie S B

2003-01-01

This study investigated the effect of finishing/polishing techniques on the microleakage of resin-modified glass ionomer restorations. Class V preparations were made on the buccal and lingual/palatal surfaces of freshly extracted teeth. The cavities on each tooth were restored with Fuji II LC (FT [GC]) and Photac-Fil Quick (PF [3M-ESPE]) according to manufacturers' instructions. Immediately after light-polymerization, gross finishing was done with eight-fluted tungsten carbide burs. The teeth were then randomly divided into four groups and finishing/polishing was done with one of the following systems: (a) Robot Carbides (RC); (b) Super-Snap system (SS); (c) OneGloss (OG) and (d) CompoSite Polishers (CS). The sample size for each material-finishing/polishing system combination was eight. After finishing/polishing, the teeth were stored in distilled water at 37 degrees C for one week. The root apices were then sealed with acrylic and two coats of varnish was applied 1 mm beyond the restoration margins. The teeth were subsequently subjected to dye penetration testing (0.5% basic fuchsin), sectioned and scored. Data was analyzed using Kruskal-Wallis and Mann-Whitney U tests at a significance level of 0.05. Results of statistical analysis were as follows: Enamel margins: PF-OGrestorations had significantly less enamel and dentin leakage than PF restorations when treated with OG. The effect of finishing/polishing techniques on microleakage was both tissue and material dependent.

The effect of post material on the characteristic strength of fatigued endodontically treated teeth.

Science.gov (United States)

Pereira, Jefferson Ricardo; do Valle, Accácio Lins; Shiratori, Fabio Kenji; Ghizoni, Janaina Salomon; Bonfante, Estevam Augusto

2014-11-01

The biomechanical properties of post systems may become more important as the amount of remaining tooth structure decreases, thus different materials may influence the characteristic strength of fatigued endodontically treated teeth. The purpose of this study was to assess the characteristic strength and probability of survival of endodontically treated teeth restored with different intraradicular post systems. Forty human maxillary canines with similar root lengths were randomly divided into 4 groups (n=10): cast post and core, stainless-steel prefabricated post, carbon-fiber post, and glass-fiber post. Cores and metallic crowns were fabricated for all specimens. Restored teeth were exposed to mechanical fatigue (250,000 cycles) in a controlled chewing simulator. Each intact specimen was mounted in a special device and aligned at a 45-degree angle to the long axis of the tooth. A universal testing machine was used to apply a static load at a crosshead speed of 0.5 mm/min until specimen failure. The maximum value was recorded in newtons (N). Probability Weibull curves (2-sided 90% confidence bounds) were calculated for each group, and a probability of survival as a function of load at failure was plotted for the groups. A significantly higher characteristic strength was observed for groups carbon-fiber post (755.82 N) and cast post and core (750.6 N) (P<.05) compared with glass-fiber post (461.35 N) and stainless-steel prefabricated post (524.78 N) groups. All the roots in the cast post and core group demonstrated catastrophic fracture, whereas the remaining groups had no root fractures. Prefabricated posts made of glass fiber and stainless steel showed significantly lower characteristic strength and probability of survival than cast post and core, whereas crowns with carbon-fiber posts presented a single load similar to the fracture values of cast posts. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All

Non-destructive, preclinical evaluation of root canal anatomy of human teeth with flat-panel detector volume CT (FD-VCT)

International Nuclear Information System (INIS)

Heidrich, G.; Hassepass, F.; Dullin, C.; Grabbe, E.; Attin, T.; Hannig, C.

2005-01-01

Purpose: Successful endodontic diagnostics and therapy call for adequate depiction of the root canal anatomy with multimodal diagnostic imaging. The aim of the present study is to evaluate visualization of the endodont with flat-panel detector volume CT (FD-VCT). Materials and methods: 13 human teeth were examined with the prototype of a FD-VCT. After data acquisition and generation of volume data sets in volume rendering technology (VRT), the findings obtained were compared to conventional X-rays and cross-section preparations of the teeth. Results: The anatomical structures of the endodont such as root canals, side canals and communications between different root canals as well as dentricles could be detected precisely with FD-VCT. The length of curved root canals was also determined accurately. The spatial resolution of the system is around 140 μm. Only around 73% of the main root canals detected with FD-VCT and 87% of the roots could be visualized with conventional dental X-rays. None of the side canals, shown with FD-VCT, was detectable on conventional X-rays. In all cases the enamel and dentin of the teeth could be well delineated. No differences in image quality could be discerned between stored and freshly extracted teeth, or between primary and adult teeth. (orig.)

Evaluation of radiation effects on dental enamel hardness and dental restorative materials

International Nuclear Information System (INIS)

Adachi, Lena Katekawa; Saiki, Mitiko; Campos, Tomie Nakakuki

2000-01-01

This research presents the results of the microhardness of human dental enamel and of the following dental restorative materials: three dental porcelains - Ceramco II, Finesse and Noritake, and two resin restorative materials - Artglass and Targis, for materials submitted to different times of irradiation at the IEA-R1m nuclear reactor under a thermal neutron flux of 10 12 n cm -2 .s -1 . The results obtained indicated that there is a decrease of the surface microhardness when the enamel is irradiated for 1 h and when dental materials are irradiated for 3 h. However, enamels irradiated for 30 min. did not show significant change of their surface hardness. Therefore, the selection of irradiation time is an important factor to be considered when irradiated teeth or dental materials are used in the investigations of their properties. (author)

An exploratory study of human teeth enamel by using Ft-Raman spectroscopy

International Nuclear Information System (INIS)

Afishah Alias; Siti Rahayu Mohd Hashim; Mihaly, Judith; Julyannie Wajir; Fauziah Abdul Aziz

2009-01-01

Unaffected , affected and heavily affected teeth enamel were studied by using FT-Raman spectroscopy. The 14 permanent teeths enamel surface were measured randomly, resulting in total n = 43 FT-Raman spectra. The results obtained from FT-Raman spectra of heavily affected, affected and unaffected tooths enamel surfaces did not show any significant difference. In this study, Kruskal-Wallis and Wilcoxon rank sum tests were used to compare the intensity between the categories of enamel as well as the surfaces of teeth samples. (author)

No post-no core approach to restore severely damaged posterior teeth: An up to 10-year retrospective study of documented endocrown cases.

Science.gov (United States)

Belleflamme, Marcia M; Geerts, Sabine O; Louwette, Marie M; Grenade, Charlotte F; Vanheusden, Alain J; Mainjot, Amélie K

2017-08-01

The objectives of the present study were to (1) retrospectively evaluate documented cases of ceramic and composite endocrowns performed using immediate dentin sealing (IDS); (2) correlate failures with clinical parameters such as tooth preparation characteristics and occlusal parameters. 99 documented cases of endocrowns were evaluated after a mean observation period of 44.7±34.6months. A classification of restorations was established in function of the level of damage of residual tooth tissues after preparation, from 1 to 3. Evaluation was performed according to FDI criteria and endodontic outcomes were analyzed. Occlusal risk factors were examined and fractographic analysis was performed in case of fracture. 48.4% of patients were shown to present occlusal risk factors. 75.8% of restorations were Class 3 endocrowns. 56.6% were performed on molars, 41.4% on premolars and 2.0% on canines. 84.8% were performed in lithium-disilicate glass-ceramic and 12.1% in Polymer-Infiltrated Ceramic Network (PICN) material. The survival and success rates of endocrowns were 99.0% and 89.9% respectively, while the 10-year Kaplan-Meier estimated survival and success rates were 98.8% and 54.9% respectively. Ten failures were detected: periodontal disease (n=3), endocrown debonding (n=2), minor chipping (n=2), caries recurrence (n=2) and major fractures (n=1). Due to the reduced amount of failures, no statistical correlation could be established with clinical parameters. Endocrowns were shown to constitute a reliable approach to restore severely damaged molars and premolars, even in the presence of extensive coronal tissue loss or occlusal risk factors, such as bruxism or unfavorable occlusal relationships. Practitioners should consider the endocrown instead of the post and core approach to restore severely damaged non-vital posterior teeth. This minimally invasive solution reduces the risk of catastrophic failures and is easily performed. The use of IDS procedure and lithium

Long-term prognosis of endodontically treated teeth: a retrospective analysis of preoperative factors in molars.

Science.gov (United States)

Setzer, Frank C; Boyer, Keith R; Jeppson, Joshua R; Karabucak, Bekir; Kim, Syngcuk

2011-01-01

Long-term predictability of restored endodontically treated teeth is important for the decision of tooth retention versus extraction and implant placement. The purpose of this study was to validate the hypothesis that preoperative factors can predict the long-term prognosis of molars requiring endodontic and restorative treatment for future prognostic investigations. A clinical database was searched for molar endodontic treatments with crown placement and a minimum of 4-year follow-up. Charts of 42 patients with 50 individual treatments were randomly selected. Information concerning crown lengthening; periodontal diagnosis; attachment loss; furcation involvement; mobility; and internal, external, or periradicular resorption was recorded. Radiographs from treatment initiation and follow-up were digitalized. The presence of apical periodontitis was evaluated. Available ferrule was calculated from bitewing radiographs using CAD software (AutoCAD; Autodesk, Cupertino, CA). The resulting data, age, sex, and times of restoration and follow-up were analyzed for correlation with the presence of apical radiolucency at follow-up and the following four possible outcome scenarios: "no event," "nonsurgical retreatment," "surgical retreatment," or "extraction" using Spearman rank order correlation analysis. Patients' ages ranged from 19 to 87 years, 22 were male and 20 female, and 48 teeth (96.0%) were retained at follow-up. Of those, 44 (88.0%) were without intervention ("no event"), and four (8.0%) underwent surgical or nonsurgical retreatment. Two teeth (4.0%) had been extracted. Significant positive correlations existed between "untoward events" (any form of retreatment or extraction) and "prognostic value according to periodontal status" (p = 0.047) and "attachment loss" (p = 0.042). The only preoperative factors significant for the prognosis of restored endodontically treated molars were related to periodontal prognostic value and attachment loss. It can be concluded that

Marginal microleakage evaluation in class V composite restorations of deciduous teeth prepared conventionally and using Er:YAG laser; Avaliacao da microinfiltracao marginal em cavidades classe V de dentes deciduos preparados com laser Er:YAG e alta rotacao

Energy Technology Data Exchange (ETDEWEB)

Pulga, Neusa Vieira Galvao

2001-07-01

The evaluation of marginal microleakage in class V restorations of deciduous teeth prepared using Er:laser and comparison to the ones observed when conventionally prepared, using two photopolimerizable materials, composite resin and glass ionomer cement, was the subject of this study. Twenty eight complete deciduous teeth were divided into four groups Group 1 (G1) prepared with high speed drill + composite resin; Group 2 (G2) prepared with high speed drill + glass ionomer cement; Group 3 (G3) prepared using Er:YAG laser (2.94 {mu}m), 300 mJ, 3 Hz, handpiece 2051, energy density 86 mJ/cm{sup 2} + composite resin; Group 4 (G4) prepared using Er:YAG laser (2.94 {mu}m), 300 mJ, 3 Hz, handpiece 2051, energy density 86 J / cm{sup 2} + glass ionomer cement. After the preparation and restoration the specimens where stored at 37 deg C for 24 hours, thermally stressed, immersed in 50% aqueous solution of silver nitrate for 24 hours while kept in the dark. The specimens were rinsed in water, soaked in photodeveloping solution and exposed to fluorescent light for 6 hours. After this process the samples were sectioned and observed by stereomicroscopy. For comparison the groups were divided into occlusive and cervical microleakage. The results were analysed under the Kruskal-Wallis test. For the occlusive microleakage the statistical significance was 5% among the groups and the average comparison showed higher microleakage for G1 (M=35.1) than for G2 (M=24.0) as well as compared to G3 (M=22.3). The other groups did not present statistical differences among them. For the cervical microleakage the Kruskal-Wallis test did not present any statistical difference. Comparing the occlusive and cervical microleakage data, for every group, using the Wilcoxon test, no statistical differences were observed. Concluding, this study showed the Er:YAG laser to be effective for class V restorations and to result in a smaller microleakage degree using the composite resin. These results indicate

Evaluation of a new nano-filled restorative material for bonding orthodontic brackets.

Science.gov (United States)

Bishara, Samir E; Ajlouni, Raed; Soliman, Manal M; Oonsombat, Charuphan; Laffoon, John F; Warren, John

2007-01-01

To compare the shear bond strength of a nano-hybrid restorative material, Grandio (Voco, Cuxhaven, Germany), to that of a traditional adhesive material (Transbond XT; 3M Unitek, Monrovia, CA, USA) when bonding orthodontic brackets. Forty teeth were randomly divided into 2 groups: 20 teeth were bonded with the Transbond adhesive system and the other 20 teeth with the Grandio restorative system, following manufacturer's instructions. Student t test was used to compare the shear bond strength of the 2 systems. Significance was predetermined at P 5 .05. The t test comparisons (t = 0.55) of the shear bond strength between the 2 adhesives indicated the absence of a significant (P = .585) difference. The mean shear bond strength for Grandio was 4.1 +/- 2.6 MPa and that for Transbond XT was 4.6 +/- 3.2 MPa. During debonding, 3 of 20 brackets (15%) bonded with Grandio failed without registering any force on the Zwick recording. None of the brackets bonded with Transbond XT had a similar failure mode. The newly introduced nano-filled composite materials can potentially be used to bond orthodontic brackets to teeth if its consistency can be more flowable to readily adhere to the bracket base.

Comparative evaluation of microleakage of composite restorations using fifth and seventh generations of adhesive systems

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Mitra Tabari

2014-09-01

Full Text Available Introduction: Simultaneous etching of enamel and dentin using the novel generation of adhesive systems with contracted operational steps, has shown a good clinical efficacy. The aim of this study was to evaluate the microleakage of composite restorations using the V and VII generations of adhesive systems on primary teeth. Methods: This study was performed on 45 human intact extracted primary teeth. Following class V cavity preparation, the samples were randomly divided into three groups included 15 teeth based on the type of bonding agent Single Bond 2, Clearfil S3 Bond or G Bond. After applying the bonding agents, the teeth filled with composite Z250. The microleakage values of incisal and gingival margins were separately scored by 2% basic fuchsine staining based on a 0-3 ordinal ranking system. The data were analyzed by using Kruskal Wallis and Mann_whitney U tests. Results: In overall, the score of microleakage at incisal (0.58±0.94 and gingival (1.06±0.19 edges did not have significant difference. Also, there was no significant difference between incisal and gingival microleakage considering the different types of bonding. Conclusion: Regarding to less operational steps and lower risk of salivary contamination, the VII generation of dentin bonding agents can be applied for filling the class V cavities of primary teeth.

Resin-modified and conventional glass ionomer restorations in primary teeth: 8-year results

DEFF Research Database (Denmark)

Qvist, V.; Manscher, E.; Teglers, P.T.

2004-01-01

clinical trial, cariostatic effects, dental restorations, glass ionomer cement, long-term behaviour, pedodontics, resin-modified glass ionomer......clinical trial, cariostatic effects, dental restorations, glass ionomer cement, long-term behaviour, pedodontics, resin-modified glass ionomer...

Investigation of human teeth with respect to the photon interaction, energy absorption and buildup factor

Energy Technology Data Exchange (ETDEWEB)

Kurudirek, Murat, E-mail: mkurudirek@gmail.co [Faculty of Science, Department of Physics, Ataturk University, 25240 Erzurum (Turkey); Topcuoglu, Sinan [Faculty of Dentistry, Department of Endodontic, Ataturk University, 25240 Erzurum (Turkey)

2011-05-15

The effective atomic numbers and electron densities of human teeth have been calculated for total photon interaction (Z{sub PI{sub e{sub f{sub f}}}},Ne{sub PI{sub e{sub f{sub f}}}}) and photon energy absorption (Z{sub PEA{sub e{sub f{sub f}}}},Z{sub RW{sub e{sub f{sub f}}}}Ne{sub PEA{sub e{sub f{sub f}}}}) in the energy region 1 keV-20 MeV. Besides, the energy absorption (EABF) and exposure (EBF) buildup factors have been calculated for these samples by using the geometric progression fitting approximation in the energy region 0.015-15 MeV up to 40 mfp (mean free path). Wherever possible the results were compared with experiment. Effective atomic numbers (Z{sub PI{sub e{sub f{sub f}}}}) of human teeth were calculated using different methods. Discrepancies were noted in Z{sub PI{sub e{sub f{sub f}}}} between the direct and interpolation methods in the low and high energy regions where absorption processes dominate while good agreement was observed in intermediate energy region where Compton scattering dominates. Significant variations up to 22% were observed between Z{sub PI{sub e{sub f{sub f}}}} and Z{sub PEA{sub e{sub f{sub f}}}} in the energy region 30-150 keV which is the used energy range in dental cone beam computed tomography (CBCT) X-ray machines. The Z{sub eff} values of human teeth were found to relatively vary within 1% if different laser treatments are applied. In this variation, the Er:YAG laser treated samples were found to be less effected than Nd:YAG laser treated ones when compared with control group. Relative differences between EABF and EBF were found to be significantly high in the energy region 60 keV-1 MeV even though they have similar variations with respect to the different parameters viz. photon energy, penetration depth.

[Heat-induced symptomatology in human teeth. An in-vitro study].

Science.gov (United States)

Baldissara, P; Bortolini, S; Papale, G; Scotti, R

1998-09-01

Various dental procedures can generate thermal increase in the dental pulp, in particular if they are incorrectly conducted. In literature the pulp cells are considered very heat sensitive. In this study the symptomatological response of patients during and after thermal administration to the dental crown has been recorded. The analysis of the symptomatology was used as an indication for the definition of the threshold of thermal damage. Twelve healthy teeth of four patients programmed for extraction were subdivided into six couples of homologous teeth. One tooth out of each couple was used for the immediate in vivo recording of the symptoms; the other, once extracted, was used to determine the thermal increase applied through the insertion of a thermocouple sensor. In each couple of teeth the thermal stimulus was equal. The average thermal increase was 11.2 degrees C. Pain starts at temperatures ranging from 39.5 to 50.4 degrees C with an average of 44.6 degrees C. This agrees with classical physiological data which reports the threshold of pain at 45 degrees C. The threshold of pain registered suggests that at temperatures below 44.6 degrees C damage to the dental pulp is improbable, at least in healthy teeth. The limit of 45 degrees C appears, therefore, to be a probable safe threshold, contrary to what is reported in literature.

Comparison of the antibacterial effect of sodium hypochlorite and aloe vera solutions as root canal irrigants in human extracted teeth contaminated with enterococcus faecalis.

Science.gov (United States)

Sahebi, S; Khosravifar, N; Sedighshamsi, M; Motamedifar, M

2014-03-01

The main purpose of a root canal treatment is to eliminate the bacteria and their products from the pulp space. Sodium hypochlorite has excellent antibacterial properties, but also some negative features. The aim of the present study is to compare the antimicrobial effect of Aloe Vera solution with sodium hypochlorite on E.faecalis in the root canals of human extracted teeth. Sixty human extracted single rooted teeth were selected for this in vitro study. The teeth recruited in this study had no cracks, internal resorption, external resorption and calcification. Enterococcus faecalis was injected in the root canals of all teeth. The teeth were then divided into three groups randomly. Each group consisted of 20 teeth that were all rinsed with one of the following solutions: sodium hypochlorite 2.5%, Aloe vera and normal saline. Subsequent to rinsing, root canals of all teeth were sampled. The samples were cultured and growth of the bacteria was assessed after 48 hours. The number of colonies of the bacteria was then counted. The difference between the inhibitory effect of Aloe vera and normal saline on E.faecalis was not significant according to independent t-test (p= 0.966). The inhibitory effect of sodium hypochlorite on E.faecalis was much greater than that of Aloe vera and normal saline (pvera solution is not recommended as a root canal irrigator, but future studies are suggested to investigate the antibacterial effect of Aloe vera with longer duration of exposure and as an intra canal medicament.

Recurrent periodontal abscess associated with "teeth as a tool".

Science.gov (United States)

Bhat, G Subraya; Singh, Vishal; Bhat, K Mahalinga

2012-01-01

We report an unusual case of recurrent periodontal abscess in a 31-year-old male electrician due to his habit of using his teeth as a tool for stripping electrical wires. The patient was not aware of the consequences of this habit. Clinically, there was presence of moderate depth of periodontal pocket around the tooth and, radiographically, there was a vertical defect mesial to the involved teeth. The patient was educated about the consequences of his habit and surgical treatment was undertaken. A papilla preservation flap with regenerative periodontal surgical procedure was done, orthodontic and restorative treatment was planned at the follow-up. This case highlights the importance of eliciting a proper and complete personal history, including occupational details. In our patient these details helped us correlate the destruction of the periodontium to the unusual etiology.

Recurrent periodontal abscess associated with "teeth as a tool"

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G Subraya Bhat

2012-01-01

Full Text Available We report an unusual case of recurrent periodontal abscess in a 31-year-old male electrician due to his habit of using his teeth as a tool for stripping electrical wires. The patient was not aware of the consequences of this habit. Clinically, there was presence of moderate depth of periodontal pocket around the tooth and, radiographically, there was a vertical defect mesial to the involved teeth. The patient was educated about the consequences of his habit and surgical treatment was undertaken. A papilla preservation flap with regenerative periodontal surgical procedure was done, orthodontic and restorative treatment was planned at the follow-up. This case highlights the importance of eliciting a proper and complete personal history, including occupational details. In our patient these details helped us correlate the destruction of the periodontium to the unusual etiology.

Effect of radiofrequency radiation from Wi-Fi devices on mercury release from amalgam restorations.

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Paknahad, Maryam; Mortazavi, S M J; Shahidi, Shoaleh; Mortazavi, Ghazal; Haghani, Masoud

2016-01-01

Dental amalgam is composed of approximately 50% elemental mercury. Despite concerns over the toxicity of mercury, amalgam is still the most widely used restorative material. Wi-Fi is a rapidly using local area wireless computer networking technology. To the best of our knowledge, this is the first study that evaluates the effect of exposure to Wi-Fi signals on mercury release from amalgam restorations. Standard class V cavities were prepared on the buccal surfaces of 20 non-carious extracted human premolars. The teeth were randomly divided into 2 groups (n = 10). The control group was stored in non-environment. The specimens in the experimental groups were exposed to a radiofrequency radiation emitted from standard Wi Fi devices at 2.4 GHz for 20 min. The distance between the Wi-Fi router and samples was 30 cm and the router was exchanging data with a laptop computer that was placed 20 m away from the router. The concentration of mercury in the artificial saliva in the groups was evaluated by using a cold-vapor atomic absorption Mercury Analyzer System. The independent t test was used to evaluate any significant differences in mercury release between the two groups. The mean (±SD) concentration of mercury in the artificial saliva of the Wi-Fi exposed teeth samples was 0.056 ± .025 mg/L, while it was only 0.026 ± .008 mg/L in the non-exposed control samples. This difference was statistically significant (P =0.009). Exposure of patients with amalgam restorations to radiofrequency radiation emitted from conventional Wi-Fi devices can increase mercury release from amalgam restorations.

Effect of At-home and In-office Bleaching on Marginal Microleakage in Composite Resin Restorations using Two Adhesive Systems.

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Klein, Celso A; da Silva, Douglas; Reston, Eduardo G; Borghetti, Diana Lb; Zimmer, Roberto

2018-03-01

The aim of this study is to assess marginal microleakage of cervical cavities restored with composite resins and two different adhesive techniques subjected to at-home and in-office bleaching. In this randomized, blind laboratory experiment, 60 bovine teeth recently extracted were collected and divided into six groups (n = 10 each group). The teeth received cervical cavity preparations (2 mm × 3 mm × 1 mm) with enamel margins. Two different adhesive systems were used (Single Bond 2 and Clearfil SE Bond), in addition to composite resin (Z250). Restored teeth received two different bleaching gels (Opalescence PF and Opalescence Boost). Teeth were thermo-cycled and analyzed under confocal laser scanning microscopy. No significant differences were observed (p > 0.05) in microleakage scores between the two groups not subjected to bleaching nor between the four groups that received bleaching treatment (p > 0.05), regardless of the gel and adhesive system employed. However, when comparing nonbleached with bleached teeth, those not subjected to bleaching showed statistically lower marginal microleakage scores (p bleaching agents used both at-home and in-office, regardless of the adhesive system employed (total-etch or self-etch). Both at-home and in-office bleaching agents have an influence on the adhesive interface of resin restorations, producing changes and inducing marginal leakage.

The effects of various surface treatments on the shear bond strengths of stainless steel brackets to artificially-aged composite restorations.

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Eslamian, Ladan; Borzabadi-Farahani, Ali; Mousavi, Nasim; Ghasemi, Amir

2011-05-01

To compare the shear bond strengths (SBS) of stainless steel brackets bonded to artificially-aged composite restorations after different surface treatments. Forty-five premolar teeth were restored with a nano-hybrid composite (Tetric EvoCeram), stored in deionised water for one week and randomly divided into three equal groups: Group I, he restorations were exposed to 5 per cent hydrofluoric acid for 60 seconds; Group II, the restorations were abraded with a micro-etcher (50 Iim alumina particles); Group III, the restorations were roughened with a coarse diamond bur. Similar premolar brackets were bonded to each restoration using the same resin adhesive and the specimens were then cycled in deionised water between 5 degrees C and 55 degrees C (500 cycles). The shear bond strengths were determined with a universal testing machine at a crosshead speed of 1 mm/min. The teeth and brackets were examined under a stereomicroscope and the adhesive remnants on the teeth scored with the adhesive remnant index (ARI). Specimens treated with the diamond bur had a significantly higher SBS (Mean: 18.45 +/- 3.82 MPa) than the group treated with hydrofluoric acid (Mean: 12.85 +/- 5.20 MPa). The mean SBS difference between the air-abrasion (Mean: 15.36 +/- 4.92 MPa) and hydrofluoric acid groups was not significant. High ARI scores occurred following abrasion with a diamond bur (100 per cent) and micro-etcher (80 per cent). In approximately two thirds of the teeth no adhesive was left on the restoration after surface treatment with hydofluoric acid. Surface treatment with a diamond bur resulted in a high bond strength between stainless steel brackets and artificially-aged composite restorations and was considered to be a safe and effective method of surface treatment. Most of the adhesive remained on the tooth following surface treatment with either the micro-etcher or the diamond bur.

Interim Restorative Approach for the Management of Congenitally Missing Permanent Mandibular Incisors: Presentation of Three Cases

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Prashanth Prakash

2011-01-01

Full Text Available Congenital missing of mandibular permanent incisors with retained primary incisors may jeopardize the esthetic appearance and psychological development of children, especially during the years of transition into adolescence. The retained primary teeth are necessary for the maintenance and normal development of alveolar bone, which in turn is essential for future definitive rehabilitation. In such situations, an interim restoration may be provided before any definitive treatment is given to comfort the young patient during this transition period. Interim restorations may include resin-modified additions to the existing teeth as well as more sophisticated restorations such as resin-retained bridge and removable partial dentures. However, this restoration differs for different clinical situations based on various factors such as age and patient compliance, and also consideration has to be given for the growth changes of the child. The aim of this present paper is to discuss the esthetic management of three cases with bilateral agenesis of permanent mandibular incisors and retained primary incisors with composite interim restoration.

Electron spin resonance dating of human teeth from Toca da Santa shelter of São Raimundo Nonato, Piauí, Brazil

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Kinoshita, A.; Figueiredo, A. M. G.; Felice, G. D.; Lage, M. C. S. M.; Guidon, N.; Baffa, O.

2008-02-01

Results of the dating of fossil human teeth excavated from a shelter in the surroundings areas of the Serra da Capivara National Park, São Raimundo Nonato, Piauí, Brazil are presented. This shelter was partially excavated to search for more data that could improve the archaeological context of the Garrincho’s limestone hill sites, where the Toca do Gordo do Garrincho shelter provided two human teeth dated by conventional C-14 in (12,170 ± 40) yBP (years before present) and calibrated age (2 Sigma, 95% probability) 15,245 14,690 yBP (Beta 136204) [E. Peyre, C. Guérin, N. Guidon, I. Coppens, CR Acad. Sci. Paris, Sciences de la terre et des planètes/ Earth & Planetary Sciences 327 (1998) 335, [1

Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth

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Koroush Taheri Talesh

2011-03-01

Full Text Available Background and aims. Current infiltration techniques for achieving anesthesia in dental procedures are not applicable in posterior mandibular region because of its dense cortical bone. The aim of this study was to evaluate the efficacy of a specific infiltration anesthesia in posterior mandibular teeth instead of inferior alveolar nerve block for restorative procedures. Materials and methods. Crestal anesthesia (CA was assessed both clinically and by computed tomography scan for its efficacy and side effects. A combination of an opaque material (Ultravist and 2% lidocaine was used to trace the anesthetic solution. The combination was primarily injected in the gingival tissue of rabbit and was followed-up regularly for two weeks to assess any possible injury. After confirming its safety, a combination of these materials was injected to volunteers to assess efficacy and diffusion route. A total of 154 patients (77 female, 77 male with matched bilateral posterior teeth in mandible were selected randomly and an IANB and CA were performed randomly and separately in different sessions for the contra lateral teeth. The onset of anesthesia, anesthesia duration, pain, blood pressure, pulse rate, and consumed volume of anesthetic solution was recorded for each technique. Data were analyzed using paired t-test. Results. There were no significant differences in clinical attachment loss, pocket depth, bone level, plaque index, and free gingival margin between the two flaps (p>0.05. Conclusion. CA could be considered as a reliable and safe primary injection in posterior mandibular teeth for restorative treatments.

Automatic teeth axes calculation for well-aligned teeth using cost profile analysis along teeth center arch.

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Kim, Gyehyun; Lee, Jeongjin; Seo, Jinwook; Lee, Wooshik; Shin, Yeong-Gil; Kim, Bohyoung

2012-04-01

In dental implantology and virtual dental surgery planning using computed tomography (CT) images, the examination of the axes of neighboring and/or biting teeth is important to improve the performance of the masticatory system as well as the aesthetic beauty. However, due to its high connectivity to neighboring teeth and jawbones, a tooth and/or its axis is very elusive to automatically identify in dental CT images. This paper presents a novel method of automatically calculating individual teeth axes. The planes separating the individual teeth are automatically calculated using cost profile analysis along the teeth center arch. In this calculation, a novel plane cost function, which considers the intensity and the gradient, is proposed to favor the teeth separation planes crossing the teeth interstice and suppress the possible inappropriately detected separation planes crossing the soft pulp. The soft pulp and dentine of each individually separated tooth are then segmented by a fast marching method with two newly proposed speed functions considering their own specific anatomical characteristics. The axis of each tooth is finally calculated using principal component analysis on the segmented soft pulp and dentine. In experimental results using 20 clinical datasets, the average angle and minimum distance differences between the teeth axes manually specified by two dentists and automatically calculated by the proposed method were 1.94° ± 0.61° and 1.13 ± 0.56 mm, respectively. The proposed method identified the individual teeth axes accurately, demonstrating that it can give dentists substantial assistance during dental surgery such as dental implant placement and orthognathic surgery.

Minor and trace elements in human bones and teeth

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Iyengar, G V; Tandon, L

1999-07-01

Chemical elements play a great role in the metabolism of bones and teeth. Some elements are beneficial (F at non toxic concentrations in bones and teeth, supplementation of Cu, Mn and Zn along with Ca to delay or prevent the onset of osteoporosis) and some others (chronic exposure to Pb even at moderate concentrations, and excessive exposures to F as in fluorosis situations) are detrimental for the normal functioning of the skeleton. Knowledge on the roles played by both groups of elements can be enhanced if reliable compositional picture is available for scrutiny. The present survey was undertaken to assess the literature status on chemical composition of bones and teeth, and revealed that much needs to be done in order to have tangible collection of meaningful data. In this context, there is a desperate need for harmonization (types of samples chosen, procedures adopted to process the specimens, and finally the determination of analytes) to generate comparable data. To begin with, it is necessary to develop a bioanalytical protocol that exemplifies the merits and demerits of analyzing bones and teeth. Identification of any particular type of bone as a representative sample for the whole skeleton appears to be a far cry. Even if such a representative segment of a particular bone is identified, the logistics related to medico-legal (autopsy) and anatomical (biopsy) parameters will prevail as decisive factors. For the sake of gaining a comprehensive insight into the distribution of various trace elements in different types of bones, it is necessary to carry out controlled investigations on different types of bones (and cortical and trabecular segments from the same sources) from the same cadaver under well defined sampling conditions. On the analytical side, development of hard tissue RMs for whole bone, as well as for cortical, trabecular and marrow segments separately, would be very helpful for future investigations. (author)

Minor and trace elements in human bones and teeth

International Nuclear Information System (INIS)

Iyengar, G.V.; Tandon, L.

1999-01-01

Chemical elements play a great role in the metabolism of bones and teeth. Some elements are beneficial (F at non toxic concentrations in bones and teeth, supplementation of Cu, Mn and Zn along with Ca to delay or prevent the onset of osteoporosis) and some others (chronic exposure to Pb even at moderate concentrations, and excessive exposures to F as in fluorosis situations) are detrimental for the normal functioning of the skeleton. Knowledge on the roles played by both groups of elements can be enhanced if reliable compositional picture is available for scrutiny. The present survey was undertaken to assess the literature status on chemical composition of bones and teeth, and revealed that much needs to be done in order to have tangible collection of meaningful data. In this context, there is a desperate need for harmonization (types of samples chosen, procedures adopted to process the specimens, and finally the determination of analytes) to generate comparable data. To begin with, it is necessary to develop a bioanalytical protocol that exemplifies the merits and demerits of analyzing bones and teeth. Identification of any particular type of bone as a representative sample for the whole skeleton appears to be a far cry. Even if such a representative segment of a particular bone is identified, the logistics related to medico-legal (autopsy) and anatomical (biopsy) parameters will prevail as decisive factors. For the sake of gaining a comprehensive insight into the distribution of various trace elements in different types of bones, it is necessary to carry out controlled investigations on different types of bones (and cortical and trabecular segments from the same sources) from the same cadaver under well defined sampling conditions. On the analytical side, development of hard tissue RMs for whole bone, as well as for cortical, trabecular and marrow segments separately, would be very helpful for future investigations. (author)

Human health and ecological risks from environmental restoration and waste management activities

International Nuclear Information System (INIS)

Pehlman, P.A.; Wollert, D.A.; Phillippi, R.H.

1994-01-01

This paper summarizes the methodologies for estimating human health and ecological risks resulting from Environmental Restoration and Waste Management activities across the Department of Energy (DOE) complex. DOE is currently assessing these activities as part of the Environmental Restoration and Waste Management Programmatic Environmental Impact Statement (EM-PEIS)

Human permanent teeth are divided into two parts at the cemento-enamel junction in the divine golden ratio.

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Anand, Rahul; Sarode, Sachin C; Sarode, Gargi S; Patil, Shankargouda

2017-01-01

The aim of this study is to find out whether tooth length (crown length + root length) follows the rule of most divine and mysterious phi (ϕ) or the golden ratio. A total of 140 teeth were included in the study. The crown-root ratio was manually calculated using vernier caliper and its approximation to golden ratio or the divine number phi (ϕ) was examined. The average root-crown ratio (R/C) for maxillary central incisor was 1.627 ± 0.04, and of its antagonist, mandibular central incisor was 1.628 ± 0.02. The tooth-root ratio (T/R) for the same was 1.609 ± 0.016 and 1.61 ± 0.008, respectively. Similar values were appreciated for lateral incisors where the R/C ratio in the maxillary and mandibular teeth was 1.632 ± 0.015 and 1.641 ± 0.012 and the T/R ratio was 1.606 ± 0.005 and 1.605 ± 0.005, respectively. On measuring the tooth length in linear fashion from the cusp tip to the root apex, we found that the tooth was divided into two parts at the cemento-enamel junction in the golden ratio. This information can be exploited in restorative and implant dentistry in future.

Composite Replacement of Amalgam Restoration Versus Freshly Cut Dentin: An In Vitro Microleakage Comparison.

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Redwan, H; Bardwell, D N; Ali, A; Finkelman, M; Khayat, S; Weber, H-P

2016-01-01

The aim of this study was to evaluate the microleakage of the composite restorations when bonded to tooth structure previously restored with amalgam material compared with that of freshly cut dentin. Thirty intact, extracted intact human molars were mounted in autopolymerizing acrylic resin. Class II box preparations were prepared on the occluso-proximal surfaces of each tooth (4-mm bucco-lingual width and 2-mm mesio-distal depth) with the gingival cavosurface margin 1 mm above the CEJ. Each cavity was then restored using high copper amalgam restoration (Disperalloy, Dentsply) and then thermocycled for 10,000 thermal cycles. Twenty-five of the amalgam restorations were then carefully removed and replaced with Filtek Supreme Ultra Universal (3M ESPE); the remaining five were used for scanning electron microscopy and energy dispersive x-ray spectroscopy analysis. A preparation of the same dimensions was performed on the opposite surface of the tooth and restored with composite resin and thermocycled for 5000 thermal cycles. Twenty samples were randomly selected for dye penetration testing using silver nitrate staining to detect the microleakage. The specimens were analyzed with a stereomicroscope at a magnification of 20×. All of the measurements were done in micrometers; two readings were taken for each cavity at the occlusal and proximal margins. Two measurements were taken using a 0-3 scale and the percentage measurements. Corrosion products were not detected in either group (fresh cut dentin and teeth previously restored with amalgam). No statistically significant difference was found between the microleakage of the two groups using a 0-3 scale at the occlusal margins (McNemar test, p=0.727) or proximal margins (Wilcoxon signed-rank test, p=0.174). No significance difference was found between the two groups using the percentage measurements and a Wilcoxon signed-rank test at either the occlusal (p=0.675) or proximal (p=0.513) margins. However, marginal

Atraumatic restorative treatment in atypical cavities

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Letícia Simino Carvalho

2009-10-01

Full Text Available The atraumatic restorative treatment has been widely divulged among professionals in the area of Pediatric Dentistry. This restorative technique is included in the philosophy of Minimal Intervention and is considered one of the most conservative treatments, because only the layer of infected dentin caries is removed. Moreover, the atraumatic restorative treatment has been shown to be less painful than conventional approaches, and local anesthesia is rarely required. After the removal of the infected dentin, the cavities are filled with glass ionomer cement, a material that has antimicrobial capacity, good marginal sealing and constant fluorine release and recharge. In spite of the increasing number of studies about atraumatic restorative treatment, only studies related to restorations in occlusal cavities have shown scientific evidences about the technique. The aim of this study was to evaluate the feasibility of atraumatic restorative treatment in cavities with 3 or more surfaces involved, by means of a clinical case report of a patient with extensive dstruction in primary teeth, who was submitted to atraumatic restorative treatment, and observe the result of the treatment after one year of clinical and radiographic control.

Congenital adrenal hyperplasia: a case report with premature teeth exfoliation and bone resorption.

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Angelopoulou, Matina V; Kontogiorgos, Elias; Emmanouil, Dimitris

2015-06-01

Congenital adrenal hyperplasia (CAH) is an inherited autosomal recessive disorder characterized by insufficient production of cortisol. The aim of this case report was to present a child with CAH, premature exfoliation of primary teeth and accelerated eruption of his permanent teeth related to bone resorption. A 4.5-year-old Caucasian boy with CAH and long-term administration of glucocorticoids was referred for dental restoration. Clinical examination revealed primary molars with worn stainless steel crowns, severe attrition of the upper canines, and absence of the upper incisors. Before the completion of treatment, abnormal mobility of the first upper primary molars and the lower incisors was detected, and a few days later the teeth exfoliated prematurely. Histologic examination revealed normal tooth structure. Alkaline phosphatase and blood cells values were normal. Eruption of the permanent dentition was also accelerated. Tooth mobility was noticed in the permanent teeth as soon as they erupted, along with bone destruction. Examination revealed an elevated level of receptor activator of nuclear factor-κB ligand and lower-than-normal osteoprotegerin and vitamin D levels. The patient was treated with vitamin D supplements, and his teeth have been stable ever since. CAH is a serious chronic disorder appearing in children with accelerated dental development and possibly premature loss of primary teeth. Copyright © 2015 by the American Academy of Pediatrics.

Microtensile bond strength of bulk-fill restorative composites to dentin.

Science.gov (United States)

Mandava, Jyothi; Vegesna, Divya-Prasanna; Ravi, Ravichandra; Boddeda, Mohan-Rao; Uppalapati, Lakshman-Varma; Ghazanfaruddin, M D

2017-08-01

To facilitate the easier placement of direct resin composite in deeper cavities, bulk fill composites have been introduced. The Mechanical stability of fillings in stress bearing areas restored with bulk-fill resin composites is still open to question, since long term clinical studies are not available so far. Thus, the objective of the study was to evaluate and compare the microtensile bond strength of three bulk-fill restorative composites with a nanohybrid composite. Class I cavities were prepared on sixty extracted mandibular molars. Teeth were divided into 4 groups (n= 15 each) and in group I, the prepared cavities were restored with nanohybrid (Filtek Z250 XT) restorative composite in an incremental manner. In group II, III and IV, the bulk-fill composites (Filtek, Tetric EvoCeram, X-tra fil bulk-fill restoratives) were placed as a 4 mm single increment and light cured. The restored teeth were subjected to thermocycling and bond strength testing was done using instron testing machine. The mode of failure was assessed by scanning electron microscope (SEM). The bond strength values obtained in megapascals (MPa) were subjected to statistical analysis, using SPSS/PC version 20 software.One-way ANOVA was used for groupwise comparison of the bond strength. Tukey's Post Hoc test was used for pairwise comparisons among the groups. The highest mean bond strength was achieved with Filtek bulk-fill restorative showing statistically significant difference with Tetric EvoCeram bulk-fill ( p composites. Adhesive failures are mostly observed with X-tra fil bulk fill composites, whereas mixed failures are more common with other bulk fill composites. Bulk-fill composites exhibited adequate bond strength to dentin and can be considered as restorative material of choice in posterior stress bearing areas. Key words: Bond strength, Bulk-fill restoratives, Configuration factor, Polymerization shrinkage.

Posterior composite restoration update: focus on factors influencing form and function

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Bohaty BS

2013-05-01

Full Text Available Brenda S Bohaty,1,2 Qiang Ye,3 Anil Misra,3,4 Fabio Sene,6 Paulette Spencer3,51Department of Pediatric Dentistry, University of Missouri-Kansas City School of Dentistry, Kansas City, MO, USA; 2Department of Pediatric Dentistry, Children's Mercy Hospital, Kansas City, MO, USA; 3Bioengineering Research Center, 4Department of Civil, Environmental, and Architectural Engineering, 5Department of Mechanical Engineering, University of Kansas, Lawrence, KS, USA; 6Department of Restorative Dentistry, State University of Londrina, School of Dentistry, Londrina, BrazilAbstract: Restoring posterior teeth with resin-based composite materials continues to gain popularity among clinicians, and the demand for such aesthetic restorations is increasing. Indeed, the most common aesthetic alternative to dental amalgam is resin composite. Moderate to large posterior composite restorations, however, have higher failure rates, more recurrent caries, and increased frequency of replacement. Investigators across the globe are researching new materials and techniques that will improve the clinical performance, handling characteristics, and mechanical and physical properties of composite resin restorative materials. Despite such attention, large to moderate posterior composite restorations continue to have a clinical lifetime that is approximately one-half that of the dental amalgam. While there are numerous recommendations regarding preparation design, restoration placement, and polymerization technique, current research indicates that restoration longevity depends on several variables that may be difficult for the dentist to control. These variables include the patient's caries risk, tooth position, patient habits, number of restored surfaces, the quality of the tooth–restoration bond, and the ability of the restorative material to produce a sealed tooth–restoration interface. Although clinicians tend to focus on tooth form when evaluating the success and failure of

The psychosocial impacts of implantation on the dental aesthetics of missing anterior teeth patients.

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Chen, P; Yu, S; Zhu, G

2012-12-01

The aim of the current study was to investigate the psychosocial impact of dental aesthetics among patients who received anterior implant-supported prostheses. The current study is a cross-sectional evaluation involving 115 individuals who had gone through treatment at the dental clinics of general hospitals. Participants completed the Chinese version of the psychosocial impact of dental aesthetics questionnaire (PIDAQ) before implantation and six months after crown restoration. Basic demographic information was recorded. Six months after implant crown restoration, participants were asked to self-assess their own oral aesthetics compared to before implantation. A total of 106 patients completed the study. PIDAQ scores correlated significantly with the self-assessment of the degree of oral aesthetics. Six months after crown restoration, the two factors (social impact and aesthetic attitude) decreased and the dental self-confidence score increased significantly compared to pre-implantation scores. Gender and education level significantly affected PIDAQ. Anterior implant-supported prostheses significantly affected the patients' psychosocial perception. Implantation of missing anterior teeth can significantly improve patients' negative psychosocial impact of dental aesthetics. Gender and education level are correlated with the degree of improvement. The PIDAQ can be used in assessing the psychosocial effects of implantation in missing anterior teeth.

The edentulous mandible opposing maxillary natural teeth: treatment considerations utilizing implant overdentures.

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Winkler, S; Monasky, G E

1993-01-01

The restoration of the edentulous mandible opposing all or part of the maxillary natural dentition with implant overdentures is described. There are many situations in which the maxillary teeth opposing an edentulous mandible can and should be retained. Mandibular implant overdentures can be utilized as long as health considerations, morphologic features of the resorbed mandible, and maxillomandibular jaw relationships are satisfactory.

Teeth characterization using ion beam analysis

International Nuclear Information System (INIS)

Rizzutto, M.A.; Added, N.; Tabacniks, M.H.; Falla-Sotelo, F.; Curado, J.F.; Francci, C.; Markarian, R.A.; Quinelato, A.; Youssef, F.; Mori, M.; Youssef, M.

2006-01-01

A collaboration project between the School of Dentistry and the Institute of Physics of the University of Sao Paulo has been established to measure elemental concentrations in teeth by proton induced X-ray emission (PIXE) and heavy ion elastic recoil detection analysis (HI-ERDA) techniques. Data on trace elements in human, bovine and swine teeth, analyzed by PIXE with a 2.4 MeV proton beam, were compared and concentrations for several elements were obtained with tens of μg/g sensitivity. HI-ERDA measurements employing a 52 MeV Cl beam were done to evaluate changes in elementary concentration in dental enamel after bleaching treatment with different products in 25 bovine incisors teeth. This nondestructive technique allowed the measurements of Ca, P, O and C concentrations above the limit of 100 μg/g. (author)

Prevalence of technical errors and periapical lesions in a sample of endodontically treated teeth: a CBCT analysis.

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Nascimento, Eduarda Helena Leandro; Gaêta-Araujo, Hugo; Andrade, Maria Fernanda Silva; Freitas, Deborah Queiroz

2018-01-21

The aims of this study are to identify the most frequent technical errors in endodontically treated teeth and to determine which root canals were most often associated with those errors, as well as to relate endodontic technical errors and the presence of coronal restorations with periapical status by means of cone-beam computed tomography images. Six hundred eighteen endodontically treated teeth (1146 root canals) were evaluated for the quality of their endodontic treatment and for the presence of coronal restorations and periapical lesions. Each root canal was classified according to dental groups, and the endodontic technical errors were recorded. Chi-square's test and descriptive analyses were performed. Six hundred eighty root canals (59.3%) had periapical lesions. Maxillary molars and anterior teeth showed higher prevalence of periapical lesions (p technical error in all root canals, except for the second mesiobuccal root canal of maxillary molars and the distobuccal root canal of mandibular molars, which were non-filled in 78.4 and 30% of the cases, respectively. There is a high prevalence of apical radiolucencies, which increased in the presence of poor coronal restorations, endodontic technical errors, and when both conditions were concomitant. Underfilling was the most frequent technical error, followed by non-homogeneous and non-filled canals. Evaluation of endodontic treatment quality that considers every single root canal aims on warning dental practitioners of the prevalence of technical errors that could be avoided with careful treatment planning and execution.

Interdisciplinary approach for management of ectopically erupted maxillary anterior teeth and incisal guidance

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Shailesh Mohanlal Bhandari

2016-01-01

Full Text Available Orthodontists treat many patients with ectopically erupted, malformed, and transposed maxillary incisors. Increased mobility and long-term retention are significant concerns in cases with root resorption. Understanding of interdisciplinary approach is a must for these challenging and complex dental situations. However, careful diagnosis and judicious management of these potentially volatile patients can alleviate the risk of compromised esthetics and function. Occasionally, patients require restorative treatment during or after orthodontic therapy. Should the objectives of orthodontic treatment differ for the restorative patient compared with the nonrestorative patient? How should the treatment planning sequence proceed? This case report will discuss the many interdisciplinary issues that are involved in placing and restoring the ectopically erupted and malformed anterior teeth in orthodontic patients.

Fracture resistance of endodontically-treated teeth: effect of combination bleaching and an antioxidant.

Science.gov (United States)

Khoroushi, Maryam; Feiz, Atieh; Khodamoradi, Roghayeh

2010-01-01

This in vitro study assessed the fracture resistance of endodontically-treated teeth undergoing combination bleaching with 38% and 9.5% hydrogen peroxide gels as in-office and at-home bleaching techniques, respectively. In addition, the effect of an antioxidizing agent, sodium ascorbate, was investigated. Sixty maxillary premolars were endodontically-treated, received a glass ionomer barrier as a mechanical seal and were embedded in acrylic resin up to the cemento-enamel junction. The specimens were divided into four groups (n = 15) as follows: G I: no bleaching, access cavity restored with resin composite (negative control); G II: bleached for three weeks daily using 9.5% hydrogen peroxide for two hours and three sessions of in-office bleaching using 38% hydrogen peroxide every seven days, then restored (positive control); G III: bleached similar to G II and restored after one week; G IV: bleached similar to G II, along with the use of an antioxidizing agent for 24 hours, then restored. In each in-office and at-home bleaching session, the whitening gels were applied to the buccal surface of the tooth and placed inside the pulp chamber (inside/outside bleaching technique). Finally, the specimens underwent fracture resistance testing; the data were analyzed using ANOVA and Scheffé's test (alpha = 0.05). Significant differences were observed among the study groups (p 0.05). Within the limitations of the current study, it can be concluded that the fracture resistance of endodontically-treated teeth decreases after combination bleaching. The use of sodium ascorbate can reverse decreased fracture resistance.

[The social value of teeth and access to dental health services].

Science.gov (United States)

Fonseca, Luciara Leão Viana; Nehmy, Rosa Maria Quadros; Mota, Joaquim Antônio César

2015-10-01

Oral healthcare provided by the Unified Health System (SUS) faces the challenge of attending the epidemiological profile of Brazil's adult population. Qualitative research using semi-structured interviews was conducted to understand the experiences, expectations and perception of SUS users to services in Diamantina, State of Minas Gerais, and content analysis was used to assess the data. Discussion of the results was based on dialogue between the symbolic interactionism of Goffman and Bourdieu's concept of habitus. The results show that the users did not give importance to dental care during childhood and adolescence because care was unknown to them. There was no offer of treatment besides dental extraction. Today, they value teeth and suffer the embarrassment caused by rotten teeth. However, access to dental restoration via SUS is not possible. For their children, they perceive better access to information and care, but for specialized procedures there are barriers. They express resignation both in relation to the poor state of the teeth and the difficulties of access to dental care, which can be understood by the constant exclusion experienced by them in the past, shaping their actions in the present. It was concluded that oral health in SUS should incorporate the social value and the aesthetic dimension of teeth as a social right.

[Detection of marginal leakage of Class V restorations in vitro by micro-CT].

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Gu, Lin-juan; Zhao, Xin-yi; Li, Shi-bao

2012-09-01

To evaluate the reliability and superiority of micro-CT in marginal leakage assessment of Class V restorations. Class V preparations with gingival margins in dentin and occlusal in enamel were made in sixteen extracted non-carious human molars and restored with dental bonding agents and composite resin. All teeth were then immersed in 50% ammonia-silver nitrate solution for 12 hours, followed by developing solution for 8 hours. Each restoration was scanned by a micro-CT and silver leakage was measured and three-dimensional image of the silver leakage alone cavity wall were reconstructed. Afterward, all restorations were sectioned and examined for leakage depth using a microscope. The silver leakage depth of each restoration obtained by micro-CT and microscope were compared for equivalency. The silver leakage depths in gingival wall obtained with micro-CT (0.78 mm) and microscope (0.74 mm) showed no significant difference (P > 0.05), while the judgment of leakage depths in occlusal wall in micro-CT image (0.40 mm) was affected by adjacent enamel structure, giving less leakage depths compared to microscope (0.72 mm)(P leakages showed channels on their way to spreading. Micro-CT can detect precisely the silver leakage in the dentin wall of a restoration and display its three-dimensional shape fully. Enamel structure affects the detection of the silver leakage next to it.

Fatigue resistance and crack propensity of large MOD composite resin restorations: direct versus CAD/CAM inlays.

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Batalha-Silva, Silvana; de Andrada, Mauro Amaral Caldeira; Maia, Hamilton Pires; Magne, Pascal

2013-03-01

To assess the influence of material/technique selection (direct vs. CAD/CAM inlays) for large MOD composite adhesive restorations and its effect on the crack propensity and in vitro accelerated fatigue resistance. A standardized MOD slot-type tooth preparation was applied to 32 extracted maxillary molars (5mm depth and 5mm bucco-palatal width) including immediately sealed dentin for the inlay group. Fifteen teeth were restored with direct composite resin restoration (Miris2) and 17 teeth received milled inlays using Paradigm MZ100 block in the CEREC machine. All inlays were adhesively luted with a light curing composite resin (Filtek Z100). Enamel shrinkage-induced cracks were tracked with photography and transillumination. Cyclic isometric chewing (5 Hz) was simulated, starting with a load of 200 N (5000 cycles), followed by stages of 400, 600, 800, 1000, 1200 and 1400 N at a maximum of 30,000 cycles each. Samples were loaded until fracture or to a maximum of 185,000 cycles. Teeth restored with the direct technique fractured at an average load of 1213 N and two of them withstood all loading cycles (survival=13%); with inlays, the survival rate was 100%. Most failures with Miris2 occurred above the CEJ and were re-restorable (67%), but generated more shrinkage-induced cracks (47% of the specimen vs. 7% for inlays). CAD/CAM MZ100 inlays increased the accelerated fatigue resistance and decreased the crack propensity of large MOD restorations when compared to direct restorations. While both restorative techniques yielded excellent fatigue results at physiological masticatory loads, CAD/CAM inlays seem more indicated for high-load patients. Copyright © 2012 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Preventing Advanced Carious Lesions with Caries Atraumatic Restorative Technique.

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Byrd, Tammi O

2016-06-01

An alternative approach to controlling dental caries and preventing the associated pain, called atraumatic restorative technique (ART), is described for populations in need, where dental hygienists restore decayed teeth with glass ionomer restorations without prior removal of all decayed tooth structure. There are populations whose decay needs are not adequately being met within the current oral health care delivery system. These include those in poverty conditions, vulnerable children, and the elderly who are often in long-term care facilities without adequate resources or opportunities for traditional dentistry. ART provides a viable option for controlling caries and relieving the pain of untreated decay. The purpose of this article is to suggest that the evidence surrounding ART be viewed objectively and that dental hygienists, with additional education in this approach, can contribute to relieving the pain of untreated dental decay. Evidence suggests that teeth can be effectively restored with ART. Dental hygienists represent an appropriate workforce to provide ART with their current background and education combined plus a brief training program; it is suggested that dental hygiene educational programs include ART within the curriculum. Along with dental sealants and fluoride varnish application, ART can be an important component of a comprehensive preventive program to address the unmet needs of vulnerable populations. Copyright © 2016 Elsevier Inc. All rights reserved.

Ectopic Hard Tissue Formation by Odonto/Osteogenically In Vitro Differentiated Human Deciduous Teeth Pulp Stem Cells.

Science.gov (United States)

Kim, Seunghye; Song, Je Seon; Jeon, Mijeong; Shin, Dong Min; Kim, Seong-Oh; Lee, Jae Ho

2015-07-01

There have been many attempts to use the pulp tissue from human deciduous teeth for dentin or bone regeneration. The objective of this study was to determine the effects of odonto/osteogenic in vitro differentiation of deciduous teeth pulp stem cells (DTSCs) on their in vivo hard tissue-forming potential. DTSCs were isolated from extracted deciduous teeth using the outgrowth method. These cells were exposed to odonto/osteogenic stimuli for 4 and 8 days (Day 4 and Day 8 groups, respectively), while cells in the control group were cultured in normal medium. The in vitro differentiated DTSCs and the control DTSCs were transplanted subcutaneously into immunocompromised mice with macroporous biphasic calcium phosphate and sacrificed at 8 weeks post-implantation. The effect of odonto/osteogenic in vitro differentiation was evaluated using alkaline phosphatase (ALP) staining and quantitative reverse transcription polymerase chain reaction (RT-PCR). The in vivo effect was evaluated by qualitative RT-PCR, assessment of ALP activity, histologic analysis, and immunohistochemical staining. The amount of hard tissue was greater in Day 4 group than Day 8 group (p = 0.014). However, Day 8 group generated lamellar bone-like structure, which was immunonegative to anti-human dentin sialoprotein with significantly low expression level of DSPP compared with the control group (p = 0.008). This study demonstrates that odonto/osteogenic in vitro differentiation of DTSCs enhances the formation of bone-like tissue, instead of dentin-like tissue, when transplanted subcutaneously using MBCP as a carrier. The odonto/osteogenic in vitro differentiation of DTSCs may be an effective modification that enhances in vivo bone formation by DTSCs.

EFFECTS OF POLISHING TIME AND THERMALCYCLINGON THE MICROLEAKAGE OF FOUR TOOTH –COLOURED DIRECT RESTORATIVE MATERIALS

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V MORTAZAVI

2002-09-01

Full Text Available Introdaction. Microleakage has been recognized as a major clinical problem with direct filled dental restorations.The purpose of this study was to investigate and to compare the microleakage of four direct filled tooth-coloured materials, evaluation the effects of polishing time and thermocycling on the microleakage of these materials. Methods. Wedge-shaped class V cavities were prepared on buccal and lingual surfaces of 96 intact extracted human molar teeth. The teeth were randomly divided into three treatment groups and four subgroups. The cavities of each subgroup were filled using one of these materials: a conventional glass ionomer; a resin modified glass ionomer; a composite resin and a compomer. Polishing in the teeth of group 1 was done immediately after placement of restorations and in group 2 one week later. In group 3 delayed polishing and thermocycling (X100 was done. All of the teeth were stored in distilled water for one week and then stained with dye, sectioned, and scored for microleakage on occlusal and cervical edges. Results were statistically analyzed by Kruskal wallis and Mann whitney tests. Results. There was a statistically difference between the microleakage scores of four materials (P < 0.001. Immediately polished glass ionomer and compomer groups have significantly more microleakage than delayed polished groups (P < 0.001. Thermocycting could infulence the microleakage of composite on cervical edges (P < 0.05. Discussion. The precense of differences between the nature of materials and also the surface treatment such as primer or etchant application could influence the microleakage. The prescence of differences in reaction rate between the materials and the time that they reach to their adequate mechanical strength and adhesive bond strength lead to presence of differences between the effect of polishing time on the microleakage scores of materials.

Marginal and internal fit of nano-composite CAD/CAM restorations

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So-Hyun Park

2016-02-01

Full Text Available Objectives The purpose of this study was to compare the marginal and internal fit of nano-composite CAD-CAM restorations. Materials and Methods A full veneer crown and an mesio-occluso-distal (MOD inlay cavity, which were prepared on extracted human molars, were used as templates of epoxy resin replicas. The prepared teeth were scanned and CAD-CAM restorations were milled using Lava Ultimate (LU and experimental nano-composite CAD/CAM blocks (EB under the same milling parameters. To assess the marginal and internal fit, the restorations were cemented to replicas and were embedded in an acrylic mold for sectioning at 0.5 mm intervals. The measured gap data were pooled according to the block types and measuring points for statistical analysis. Results Both the block type and measuring point significantly affected gap values, and their interaction was significant (p = 0.000. In crowns and inlays made from the two blocks, gap values were significantly larger in the occlusal area than in the axial area, while gap values in the marginal area were smallest (p < 0.001. Among the blocks, the restorations milled from EB had a significantly larger gap at all measuring points than those milled from LU (p = 0.000. Conclusions The marginal and internal gaps of the two nano-composite CAD/CAM blocks differed according to the measuring points. Among the internal area of the two nano-composite CAD/CAM restorations, occlusal gap data were significantly larger than axial gap data. The EB crowns and inlays had significantly larger gaps than LU restorations.

Atraumatic restorative treatment and minimal intervention dentistry.

Science.gov (United States)

Frencken, J E

2017-08-11

Too many people worldwide suffer from the consequences of untreated dentine carious lesions. This finding reflects the inability of the currently used traditional mode of treatments to manage such lesions. A change is needed. Dental training institutions should depart from the traditional 'drill and fill' treatments and embrace the holistic oral healthcare approach that is minimal intervention dentistry (MID) and includes within it minimally invasive operative skills. Dental caries is, after all, a preventable disease. The atraumatic restorative treatment (ART) concept is an example of MID. ART consists of a preventive (ART sealant) and a restorative (ART restoration) component. ART sealants using high-viscosity glass-ionomer (HVGIC) have a very high dentine carious lesion preventive effect. The survival rate of these sealants is not significantly different from that of sealants produced with resin. The survival rate of ART/HVGIC restorations matches those of amalgam and resin composite in single- and multiple-surface cavities in primary teeth and in single-surface cavities in permanent teeth. The principles of carious tissue removal within a cavity recommended by the International Caries Consensus Collaboration are in line with those of treating a cavity using ART. Owing to its good performance and the low levels of discomfort/pain and dental anxiety associated with it, ART and/or other evidence-based atraumatic care procedures should be the first treatment for a primary dentine carious lesion. Only if the use of ART is not indicated should other more invasive and less-atraumatic care procedures be used in both primary and permanent dentitions.

Recurrent periodontal abscess associated with “teeth as a tool”

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Bhat, G. Subraya; Singh, Vishal; Bhat, K. Mahalinga

2012-01-01

We report an unusual case of recurrent periodontal abscess in a 31-year-old male electrician due to his habit of using his teeth as a tool for stripping electrical wires. The patient was not aware of the consequences of this habit. Clinically, there was presence of moderate depth of periodontal pocket around the tooth and, radiographically, there was a vertical defect mesial to the involved teeth. The patient was educated about the consequences of his habit and surgical treatment was undertaken. A papilla preservation flap with regenerative periodontal surgical procedure was done, orthodontic and restorative treatment was planned at the follow-up. This case highlights the importance of eliciting a proper and complete personal history, including occupational details. In our patient these details helped us correlate the destruction of the periodontium to the unusual etiology. PMID:22628975

Depth profilometric case studies in caries diagnostics of human teeth using modulated laser radiometry and luminescence

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Jeon, Raymond J.; Mandelis, Andreas; Abrams, Stephen H.

2003-01-01

Simultaneous measurements from human teeth of photothermal radiometric (PTR) and luminescence (LM) signals induced by an intensity modulated laser have been performed to assess the feasibility of detecting deep lesions and near-surface cracks, to examine the effects of varying enamel thicknesses, the presence of fillings, and stains on the surface of teeth. A commercial dc luminescence monitoring instrument (DIAGNOdent by KaVo) was also used to examine a set of teeth for comparison purposes with PTR and LM. PTR amplitude signals from carious regions and from thin enamel were higher than those from healthy regions and thicker enamel. A crack produces a peak in the PTR amplitude scan, as well as a sudden change in the luminescence amplitude at the corresponding point. At low frequencies (5 Hz), the PTR amplitude showed high sensitivity to a deep (about 2 mm) lesion, while at high frequencies (700 Hz) it was more sensitive to surface cracks. It was concluded that by selecting proper modulation frequencies of the laser, measurements of PTR and LM signals could be used as a dental diagnostic technique with a small, inexpensive, low-power (<30 mW) semiconductor laser as a light source emitting in the optical window range of hard tissue (650-1000 nm).

Diagnostic accuracy of different display types in detection of recurrent caries under restorations by using CBCT.

Science.gov (United States)

Baltacıoĝlu, İsmail H; Eren, Hakan; Yavuz, Yasemin; Kamburoğlu, Kıvanç

To assess the in vitro diagnostic ability of CBCT images using seven different display types in the detection of recurrent caries. Our study comprised 128 extracted human premolar and molar teeth. 8 groups each containing 16 teeth were obtained as follows: (1) Black Class I (Occlusal) amalgam filling without caries; (2) Black Class I (Occlusal) composite filling without caries; (3) Black Class II (Proximal) amalgam filling without caries; (4) Black Class II (Proximal) composite filling without caries; (5) Black Class I (Occlusal) amalgam filling with caries; (6) Black Class I (Occlusal) composite filling with caries; (7) Black Class II (Proximal) amalgam filling with caries; and (8) Black Class II (Proximal) composite filling with caries. Teeth were imaged using 100 × 90 mm field of view at three different voxel sizes of a CBCT unit (Planmeca ProMax(®) 3D ProFace™; Planmeca, Helsinki, Finland). CBCT TIFF images were opened and viewed using custom-designed software for computers on different display types. Intra- and interobserver agreements were calculated. The highest area under the receiver operating characteristic curve (Az) values for each image type, observer, reading and restoration were compared using z-tests against Az = 0.5. The significance level was set at p = 0.05. We found poor and moderate agreements. In general, Az values were found when software and medical diagnostic monitor were utilized. For Observer 2, Az values were statistically significantly higher when software was used on medical monitor [p = 0.036, p = 0.015 and p = 0.002, for normal-resolution mode (0.200 mm(3) voxel size), high-resolution mode (0.150 mm(3) voxel size) and low-resolution mode (0.400 mm(3) voxel size), respectively]. No statistically significant differences were found among other display types for all modes (p > 0.05). In general, no difference was found among 3 different voxel sizes (p > 0.05). In general, higher Az values were

Diagnostic accuracy of different display types in detection of recurrent caries under restorations by using CBCT

Science.gov (United States)

Baltacıoĝlu, İsmail H; Eren, Hakan; Yavuz, Yasemin

2016-01-01

Objectives: To assess the in vitro diagnostic ability of CBCT images using seven different display types in the detection of recurrent caries. Methods: Our study comprised 128 extracted human premolar and molar teeth. 8 groups each containing 16 teeth were obtained as follows: (1) Black Class I (Occlusal) amalgam filling without caries; (2) Black Class I (Occlusal) composite filling without caries; (3) Black Class II (Proximal) amalgam filling without caries; (4) Black Class II (Proximal) composite filling without caries; (5) Black Class I (Occlusal) amalgam filling with caries; (6) Black Class I (Occlusal) composite filling with caries; (7) Black Class II (Proximal) amalgam filling with caries; and (8) Black Class II (Proximal) composite filling with caries. Teeth were imaged using 100 × 90 mm field of view at three different voxel sizes of a CBCT unit (Planmeca ProMax® 3D ProFace™; Planmeca, Helsinki, Finland). CBCT TIFF images were opened and viewed using custom-designed software for computers on different display types. Intra- and interobserver agreements were calculated. The highest area under the receiver operating characteristic curve (Az) values for each image type, observer, reading and restoration were compared using z-tests against Az = 0.5. The significance level was set at p = 0.05. Results: We found poor and moderate agreements. In general, Az values were found when software and medical diagnostic monitor were utilized. For Observer 2, Az values were statistically significantly higher when software was used on medical monitor [p = 0.036, p = 0.015 and p = 0.002, for normal-resolution mode (0.200 mm3 voxel size), high-resolution mode (0.150 mm3 voxel size) and low-resolution mode (0.400 mm3 voxel size), respectively]. No statistically significant differences were found among other display types for all modes (p > 0.05). In general, no difference was found among 3 different voxel sizes (p > 0.05). In general

Evaluation of the effect of food and beverages on enamel and restorative materials by SEM and Fourier transform infrared spectroscopy.

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Sari, Mustafa Erhan; Erturk, Aliye Gediz; Koyuturk, Alp Erdin; Bekdemir, Yunus

2014-01-01

To examine different types of restorative materials used in children as well as primary and permanent teeth enamel when affected by erosive foods. Buttermilk, fruit yoghurt, Coca-cola, fruit juice, Filtek Z-250, Dyract Extra, Fuji II LC, and Fuji IX and tooth enamel were used. Measurements were performed on 1-day, 1-week, 1-month, 3-month, 6-month time periods by using ATR-FTIR technique and surface of the specimens were examined with SEM. Permanent tooth showed the least change among human tooth samples when compared to restorative materials. Among filler materials, the most change was observed in Fuji IX. In terms of beverages the most changes on absorption peaks obtained from spectra were seen on the samples held in Coca-Cola and orange-juice. The exposure of human enamel and restorative materials to acidic drinks may accelerate the degradation process and so reduce the life time of filler materials at equivalent integral exposure times longer than three months. Clinical Relevance Erosive foods and drinks having acidic potential destroy not only tooth enamel but also restorative materials. Copyright © 2013 Wiley Periodicals, Inc.

The management trauma of permanent teeth to prevent resorption: Experience in seven cases

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Syamsiah Syam

2016-06-01

Full Text Available Root resorption is one of the complications that often occur as a result of trauma in the permanent dentition. Resorption may be frequently observed unexpectedly because asymptomatic. The anterior teeth are more affected by root resorption and therefore it is very important for patients in social economic and psychological life, the different ways to do so that the teeth remain intact from damage. The objective of this case reports is to know the management trauma of the permanent teeth so as to prevent the occurrence of resorption. Case reports: Case 1 is a case that has been done replanted avulsed; Case 2 is a case that has been done replanted avulsed and fixed with orthodontic appliance; case 3 and 4 is a case of post-trauma has done an inadequate endodontic treatment; 5 case is a case of post-traumatic avulsion and luxation without a crown fracture that has been by interdental wiring IDW and endodontict; case 6 is a case of post-trauma simphisis fracture, condylus bilateral fractures, and 2/3 crown fracture that has been treatment by Open Reduction Internal Fixation (ORIF, IDW, endodontics, and restoration of the crown; 7 case is a case of post-trauma with fracture of the crown that has been treatment by endodontic and restoration of the crown, however resorption is remaining after the treatment  done. Treatment is based on removal or reduction of the source of infection.

Microtomography evaluation of dental tissue wear surface induced by in vitro simulated chewing cycles on human and composite teeth

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Rossella Bedini

2012-01-01

Full Text Available In this study a 3D microtomography display of tooth surfaces after in vitro dental wear tests has been obtained. Natural teeth have been compared with prosthetic teeth, manufactured by three different polyceramic composite materials. The prosthetic dental element samples, similar to molars, have been placed in opposition to human teeth extracted by paradontology diseases. After microtomography analysis, samples have been subjected to in vitro fatigue test cycles by servo-hydraulic mechanical testing machine. After the fatigue test, each sample has been subjected again to microtomography analysis to obtain volumetric value changes and dental wear surface images. Wear surface images were obtained by 3D reconstruction software and volumetric value changes were measured by CT analyser software. The aim of this work has been to show the potential of microtomography technique to display very clear and reliable wear surface images. Microtomography analysis methods to evaluate volumetric value changes have been used to quantify dental tissue and composite material wear.

Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth

DEFF Research Database (Denmark)

Fellows, Jeffrey L; Gordan, Valeria V; Gilbert, Gregg H

2014-01-01

PURPOSE: Current evidence in dentistry recommends non-surgical treatment to manage enamel caries lesions. However, surveyed practitioners report they would restore enamel lesions that are confined to the enamel. Actual clinical data were used to evaluate patient, dentist, and practice...... characteristics associated with restoration of enamel caries, while accounting for other factors. METHODS: Data from a National Dental Practice-Based Research Network observational study of consecutive restorations placed in previously unrestored permanent tooth surfaces and practice/demographic data from 229...... participating network dentists were combined. ANOVA and logistic regression, using generalized estimating equations (GEE) and variable selection within blocks, were used to test the hypothesis that patient, dentist, and practice characteristics were associated with variations in enamel restorations of occlusal...

Teeth: Among Nature's Most Durable Biocomposites

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Lawn, Brian R.; Lee, James J.-W.; Chai, Herzl

2010-08-01

This paper addresses the durability of natural teeth from a materials perspective. Teeth are depicted as smart biocomposites, highly resistant to cumulative deformation and fracture. Favorable morphological features of teeth at both macroscopic and microscopic levels contribute to an innate damage tolerance. Damage modes are activated readily within the brittle enamel coat but are contained from spreading catastrophically into the vulnerable tooth interior in sustained occlusal loading. Although tooth enamel contains a multitude of microstructural defects that can act as sources of fracture, substantial overloads are required to drive any developing cracks to ultimate failure—nature's strategy is to contain damage rather than avoid it. Tests on model glass-shell systems simulating the basic elements of the tooth enamel/dentin layer structure help to identify important damage modes. Fracture and deformation mechanics provide a basis for analyzing critical conditions for each mode, in terms of characteristic tooth dimensions and materials properties. Comparative tests on extracted human and animal teeth confirm the validity of the model test approach and point to new research directions. Implications in biomechanics, especially as they relate to dentistry and anthropology, are outlined.

Fracture resistance of class IV fiber-reinforced composite resin restorations: An in vitro study

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P S Praveen Kumar

2017-01-01

Full Text Available Objectives: The aim of this study was to evaluate fracture resistance of incisal edge fractures (Class IV restored with a Glass Fiber-reinforced Composite (FRC. Materials and Methods: Twenty-four extracted sound maxillary central incisors were randomly divided into two groups. Group I (control contained untreated teeth. Samples in experimental groups II were prepared by cutting the incisal (one-third part of the crown horizontally and was subjected to enamel preparations, then restored with a Glass FRC. Fracture resistance was evaluated as Newton's for samples tested in a Hounsfield universal testing machine. Failure modes were examined microscopically. Results: Mean peak failure load (Newton's observed in Glass Fiber-reinforced Nanocomposite was 863.50 ± 76.12. The experimental group showed similar types of failure modes with the majority occurring as cohesive and mixed type. 58% of the teeth in Glass FRC group fractured below the cementoenamel junction. Conclusion: Using Fiber reinforced composite substructure under conventional composites in Class IV restorations, the fracture resistance of the restored incisal edge could be increased.

Knowledge and Awareness among Parents and General Dental Practitioners regarding Rehabilitation with Full Coverage Restoration in Children: A Multi-centric Trial.

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Moda, Aman; Saroj, Gyanendra; Sharma, Swati; Gupta, Basant

2016-01-01

The aim of this study was to evaluate the knowledge and awareness among parents and general dental practitioners regarding rehabilitation with full coverage restoration in children following pulp therapy. A multiple choice questionnaire was given to 1,000 parents and 400 general practitioners in this multicentric trial. The questionnaire assessed their beliefs, knowledge regarding care of primary teeth, assessment of treating children, and knowledge regarding importance of primary teeth. All the questionnaires were then compiled and statistically analyzed using Statistical Package for Social Sciences (SPSS) software. 53% parents did not know the importance of primary teeth and 73% parents also thought that no treatment is possible for pulpally involved primary teeth. 20% parents believed that root canal treatment can be possible for children and only 10% knew about full coverage restorations. 40% of the general dentists felt that the best treatment in the case of primary necrotic teeth is extraction and only 13% knew about stainless steel crowns. 62% of general dental practitioners pointed out patients' noninterest in providing crowns whereas 68% parents reported non-information by dentists. Both parents and general dental practitioners have incomplete and inadequate knowledge regarding full coverage restorations, and we need to improve the knowledge and dental awareness of the parents and the general dental practitioners. How to cite this article: Moda A, Saroj G, Sharma S, Gupta B. Knowledge and Awareness among Parents and General Dental Practitioners regarding Rehabilitation with Full Coverage Restoration in Children: A Multi-centric Trial. Int J Clin Pediatr Dent 2016;9(2):177-180.

Wisdom Teeth Management

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Wisdom Teeth Management Wisdom teeth, or third molars, are the last teeth to develop and appear in your mouth. They come ... of third molars, disease status, and to suggest management options ranging from removal to a monitored retention ...

ART restorations and sealants placed in Chinese school children--results after three years.

Science.gov (United States)

Holmgren, C J; Lo, E C; Hu, D; Wan, H

2000-08-01

These were to assess whether ART restorations and sealants could be provided to children in a school environment in China, to assess patient acceptability of the ART approach, and to evaluate on a longitudinal basis the treatments performed. This study was conducted in Deyang, Sichuan Province, in western China. A total of 294 ART restorations were placed in 197 children and 191 fissure sealants were placed in 140 children by five middle-level dentists in four secondary schools. Standard instruments and procedures for ART were used. The restorative material used was a high-strength glass-ionomer (Ketac-Molar, ESPE). The treatments were evaluated annually after placement by the same examiner who had not been involved in the placement of the restorations nor sealants using explorers and mouth-mirrors. At the 3-year examination an independent external examiner evaluated the restorations using USPHS criteria. Most of the children did not report discomfort during treatment and 92% were willing to receive ART restorations again. The cumulative 1-year and 3-year survival rates of small Class I restorations were 99% and 92% respectively. The corresponding figures for large Class I restorations were 90% and 77%. After 3 years, 72% of the sealants were either partially or completely retained. Only 2% of the sealed teeth developed fissure caries and these involved teeth where the sealants had been lost. Similar success rates were found using USPHS criteria. The ART approach for preventing and treating tooth decay in Chinese school children was shown to be appropriate, effective and acceptable. The 3-year survival rates of the restorations were high but were related to the size and type of the restoration.

Fracture resistance and failure modes of polymer infiltrated ceramic endocrown restorations with variations in margin design and occlusal thickness.

Science.gov (United States)

Taha, Doaa; Spintzyk, Sebastian; Schille, Christine; Sabet, Ahmed; Wahsh, Marwa; Salah, Tarek; Geis-Gerstorfer, Jürgen

2017-12-11

The purpose of this in vitro study was to assess the effect of varying the margin designs and the occlusal thicknesses on the fracture resistance and mode of failures of endodontically treated teeth restored with polymer infiltrated ceramic endocrown restorations. Root canal treated mandibular molars were divided into four groups (n=8) and were prepared to receive Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) fabricated polymer infiltrated ceramic endocrowns (ENAMIC blocks). Group B2 represents teeth prepared with a butt joint design receiving endocrowns with 2mm occlusal thickness and the same for group B3.5 but with 3.5mm occlusal thickness. Group S2 represents teeth prepared with 1mm shoulder finish line receiving endocrowns with 2mm occlusal thickness and the same for group S3.5 but with 3.5mm occlusal thickness. After cementation and thermal aging, fracture resistance test was performed and failure modes were observed. Group S3.5 showed the highest mean fracture load value (1.27±0.31kN). Endocrowns with shoulder finish line had significantly higher mean fracture resistance values than endocrowns with butt margin (p<0.05). However, the results were not statistically significant regarding the restoration thickness. Evaluation of the fracture modes revealed no statistically significant difference between the modes of failure of tested groups. For the restoration of endodontically treated teeth, adding a short axial wall and shoulder finish line can increase the fracture resistance. However, further investigations, especially the fatigue behavior, are needed to ensure this effect applies with small increases of restoration thickness. Copyright © 2017 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

Teeth Caries Decay in MR Imaging

International Nuclear Information System (INIS)

Tanasiewicz, M.M.; Kupka, T.W.; Weglarz, W.P.; Jasinski, A.

2005-01-01

X-ray based visualization techniques were for many years the only way to asses structure and state of the human teeth. MRI has been used in the research of the healthy and decayed teeth during last decade. Several papers were presented showing usefulness of spin echo and gradient echo imaging, Single Point Imaging, SPRITE and STRAFI techniques for visualization of the dental surface geometry as well as for distinction between soft tissue (pulp) and mineralized tissue (enamel, dentine and root cement) in the extracted teeth. Recently, MRI was used for estimation of the facial bone structure, in preparation to implantation, localization of the tumor in the facial bone tissue, and in detection of the osteoporosis. The aim of this work was to investigate potential of MRI for detection and estimation of the caries, on the level of laboratory pre-clinical tests. This work was done within the project to develop original, MRI based diagnostic technique for dentistry needs. MRI experiments were performed on the 5 decayed extracted human teeth (impossible conservative therapy), obtained at Dept. of Dental Surgery MUS. After extraction teeth were stored in saline. MRI measurements were done in MR Tomography Lab INP. Prior to the experiment, tooth was degassed to minimize magnetic susceptibility artifacts. A 3D spin echo pulse sequence on the 4.7 T research MRI system, equipped with Maran DRX console, and dedicated home-built probe head, was used to obtain three dimensional (256x128x128) images of the teeth. Corresponding resolution was 60x120x160 mm 3 . High intensity signal from water penetrated into the porous decayed regions of tooth, contrasted with lack of signal from mineralized tooth tissue, allow for visualization of the presence and extent of caries. Among the 5 measured teeth, MRI allows for detection of the caries in two most decayed tooth. High intensity signal from water penetrated into the porous decayed regions of tooth, contrasted with lack of signal from

Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth.

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Garcia-Godoy, Franklin; Murray, Peter E

2012-02-01

The regeneration of immature permanent teeth following trauma could be beneficial to reduce the risk of fracture and loss of millions of teeth each year. Regenerative endodontic procedures include revascularization, partial pulpotomy, and apexogenesis. Several case reports give these procedures a good prognosis as an alternative to apexification. Care is needed to deliver regenerative endodontic procedures that maintain or restore the vitality of teeth, but which also disinfect and remove necrotic tissues. Regeneration can be accomplished through the activity of the cells from the pulp, periodontium, vascular, and immune system. Most therapies use the host's own pulp or vascular cells for regeneration, but other types of dental stem cell therapies are under development. There are no standardized treatment protocols for endodontic regeneration. The purpose of this article is to review the recent literature and suggest guidelines for using regenerative endodontic procedures for the treatment of permanent immature traumatized teeth. Recommendations for the selection of regenerative and conventional procedures based on the type of tooth injury, fracture type, presence of necrosis or infection, periodontal status, presence of periapical lesions, stage of tooth development, vitality status, patient age, and patient health status will be reviewed. Because of the lack of long-term evidence to support the use of regenerative endodontic procedures in traumatized teeth with open apices, revascularization regeneration procedures should only be attempted if the tooth is not suitable for root canal obturation, and after apexogenesis, apexification, or partial pulpotomy treatments have already been attempted and have a poor prognosis. © 2011 John Wiley & Sons A/S.

Effect of type of cavity preparation (bur,Er:YAG laser and restorative materials on prevention of caries lesion

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Masumeh Hasani Tabatabaei

2017-03-01

Full Text Available Background and Aims: Despite the reduction of incidence of dental caries in recent years, this disease is common and many efforts were conducted to decrease the prevalence of dental caries. On the other hand secondary caries lesions are the main reason for replacement of direct restorations. Therefore, the aim of the current study was to evaluate suitable methods of preparation and restorative materials to reduce caries recurrence. Materials and Methods: In this experimental study, eighty human teeth were collected and stored in normal saline. The teeth were soft-tissue debrided and cleaned with water/pumice slurry and rubber cups in a low-speed handpiece. Speciments were randomly divided in two main groups. Cavities were prepared with diamond burs or Er:YAG laser (10 Hz, 300 mJ, 3W. Each group was divided into 4 sub-groups, and restored with a glass-ionomer cement (Fuji IX, resin modified glass-ionomer (Fuji II LC, total etch bonding + composite resin or self-etch bonding + composite resin. The specimens were submitted to pH cycling. Speciments were then sectioned, polished and Vickers microhardness measurements were performed on each specimen. Differences among the medians were analyzed using two way ANOVA test at a 95% confidence level and Tukey test. Results: Statistical analysis showed significant difference in the type of substrate (enamel, dentin in both main groups (P<0.0001 but no differences in the caries lesion development between the cavities restored with the same material and prepared with diamond burs or Er:YAG laser. Conclusion: The Er:YAG laser used for cavity preparation and different types of restorative materials used did not show the ability to guarantee significantly more acid-resistance tooth structure against demineralization.

The restoration and management of nature: A conference and forthcoming book explore restoration from the perspectives of the social science and humanities

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Paul H. Gobster; Bruce Hull

1999-01-01

Although major advances have been made in recent years in the physical science and technology of restoration, we think there is an equally important human side to restoration that has received little attention from researchers and practitioners. This journal provides a good case in point. Even though its editor, William Jordan III, is a principal spokesperson for the...

A novel mutation of adenomatous polyposis coli (APC) gene results in the formation of supernumerary teeth.

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Yu, Fang; Cai, Wenping; Jiang, Beizhan; Xu, Laijun; Liu, Shangfeng; Zhao, Shouliang

2018-01-01

Supernumerary teeth are teeth that are present in addition to normal teeth. Although several hypotheses and some molecular signalling pathways explain the formation of supernumerary teeth, but their exact disease pathogenesis is unknown. To study the molecular mechanisms of supernumerary tooth-related syndrome (Gardner syndrome), a deeper understanding of the aetiology of supernumerary teeth and the associated syndrome is needed, with the goal of inhibiting disease inheritance via prenatal diagnosis. We recruited a Chinese family with Gardner syndrome. Haematoxylin and eosin staining of supernumerary teeth and colonic polyp lesion biopsies revealed that these patients exhibited significant pathological characteristics. APC gene mutations were detected by PCR and direct sequencing. We revealed the pathological pathway involved in human supernumerary tooth development and the mouse tooth germ development expression profile by RNA sequencing (RNA-seq). Sequencing analysis revealed that an APC gene mutation in exon 15, namely 4292-4293-Del GA, caused Gardner syndrome in this family. This mutation not only initiated the various manifestations typical of Gardner syndrome but also resulted in odontoma and supernumerary teeth in this case. Furthermore, RNA-seq analysis of human supernumerary teeth suggests that the APC gene is the key gene involved in the development of supernumerary teeth in humans. The mouse tooth germ development expression profile shows that the APC gene plays an important role in tooth germ development. We identified a new mutation in the APC gene that results in supernumerary teeth in association with Gardner syndrome. This information may shed light on the molecular pathogenesis of supernumerary teeth. Gene-based diagnosis and gene therapy for supernumerary teeth may become available in the future, and our study provides a high-resolution reference for treating other syndromes associated with supernumerary teeth. © 2017 The Authors. Journal of

Assessment of caries status among schoolchildren according to decayed-missing-filled teeth/decayed-extract-filled teeth index, International Caries Detection and Assessment System, and Caries Assessment Spectrum and Treatment criteria

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E Rajendra Reddy

2017-01-01

Full Text Available Background: Detection and evaluation of dental caries is of epidemiological importance. Its early detection is important to commence appropriate treatment planning. Cavitated, noncavitated, and initial lesions of dental caries can be detected by various indices. Objectives: The objective of the study was to assess the caries experience in schoolchildren using decayed-missing-filled teeth (DMFT/decayed-extracted-filled teeth (deft, International Caries Detection and Assessment System-II (ICDAS-II, and Caries Assessment Spectrum and Treatment (CAST systems. Materials and Methods: An epidemiological survey was carried out among 1550 schoolchildren (37,644 teeth between the age ranges of 4 and 14 years. American Dental Association type III examination was performed using plane mouth mirrors and community periodontal index probes using DMFT/deft, ICDAS II, and CAST indices. Results: Out of 37,644 teeth examined, 2,718 teeth had shown caries. Caries experience with DMFT/deft index was 5.54%. Highest score of DMFT was observed in deciduous dentition period (59.02%. Overall prevalence of dental caries with ICDAS and CAST system was 6.7% and 6.95%, respectively. The highest percentage of noncavitated lesions (ICDAS - 2.26% and CAST - 3.9% and greater prevalence of caries among deciduous teeth (ICDAS - 53.2% and CAST - 58.7% was observed with both ICDAS and CAST systems. Conclusion: A high prevalence of noncavitated lesions and less number of sealants and restorations indicates the lack of awareness for prevention and treatment of oral diseases, which suggests a strong need for preventive and operative treatments.

Combination of natural teeth and osseointegrated implants as prosthesis abutments in a posterior cantilever bridge

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Michael Josef Kridanto Kamadjaja

2008-06-01

Full Text Available Dental implants have been used for several decades. Patients of all ages have chosen dental implants to replace a single tooth or several teeth or to support partial or full dentures. This paper reports two cases of patients treated with dental implant as alternative to replace the missing teeth and connected with natural tooth as abutments in a fixed restoration with distal cantilever bridge. The underlining reasons that we decided to make such kind fixed prostheses are because of clinically imposible to put the implant on certain area and the patients asked for prostheses as optimum as possible, so the mastication function could return to the homeostasis condition. The benefit of these treatments are that prostheses could be made as optimum as possible with a more economic price, so the patients feel quite satisfied. The result shows that a few years after the treatments finished there is no any disadvantageous effect of connecting teeth to implants as abutments in fixed partial dentures and there is no sign of a harmful effect to the opposing teeth either.

ATRAUMATIC RESTORATIVE TREATMENT IN TEMPORARY DENTITION

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Ana PETCU

2017-03-01

Full Text Available Atraumatic restorative treatment (ART is a minimally invasive method of treatment of dental caries that uses only hand tools. ART was originally developed in Tanzania in the 1980’s as part of an oral health program, created by the need to find a method of teeth preservation in people of all ages from disadvantaged communities, where resources like water, electricity and conventional dental equipment were rarely available

Forensic DNA typing from teeth using demineralized root tips.

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Corrêa, Heitor Simões Dutra; Pedro, Fabio Luis Miranda; Volpato, Luiz Evaristo Ricci; Pereira, Thiago Machado; Siebert Filho, Gilberto; Borges, Álvaro Henrique

2017-11-01

Teeth are widely used samples in forensic human genetic identification due to their persistence and practical sampling and processing. Their processing, however, has changed very little in the last 20 years, usually including powdering or pulverization of the tooth. The objective of this study was to present demineralized root tips as DNA sources while, at the same time, not involving powdering the samples or expensive equipment for teeth processing. One to five teeth from each of 20 unidentified human bodies recovered from midwest Brazil were analyzed. Whole teeth were demineralized in EDTA solution with daily solution change. After a maximum of approximately seven days, the final millimeters of the root tip was excised. This portion of the sample was used for DNA extraction through a conventional organic protocol. DNA quantification and STR amplification were performed using commercial kits followed by capillary electrophoresis on 3130 or 3500 genetic analyzers. For 60% of the unidentified bodies (12 of 20), a full genetic profile was obtained from the extraction of the first root tip. By the end of the analyses, full genetic profiles were obtained for 85% of the individuals studied, of which 80% were positively identified. This alternative low-tech approach for postmortem teeth processing is capable of extracting DNA in sufficient quantity and quality for forensic casework, showing that root tips are viable nuclear DNA sources even after demineralization. Copyright © 2017 Elsevier B.V. All rights reserved.

Sensibility of Teeth Having Based versus Non-Based Amalgam Restorations: A Clinical Study.

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1983-04-01

50:129-34, Apr. 1980. 102. Morrant, G. Dental instrumentation and pulpal injury: clinical considerations. Brit. Endodont . Soc. J., 10:3-8, 55-63...on the teeth are suspected mechanisms. In general, the effects of rotary cavity preparations--cutting of dentinal tubules and odontoblastic processes...aspiration of odontoblasts is of no consequence to the pulp providing the cells in the cell rich zone are intact. The idea that heat production from rotary

[Effect of saliva contamination on microleakage around class-5 cavities restored with three different types of adhesive materials].

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Iovan, Gianina; Stoleriu, Simona; Andrian, S; Dia, V; Căruntu, Irina Draga

2004-01-01

The recent improvement of adhesive materials should decrease the risk related to saliva contamination. The aim of this study was to evaluate the effect of saliva contamination on the microleakage within class V cavities restored with three different types of materials: conventional glass ionomer cement, composite resin and compomer. 30 human extracted teeth were randomly divided in 3 equal groups. In each group, class V cavities were prepared on both facial and lingual surfaces (but joint for glass ionomer cement and bevelled incisal margin for composite resin and compomer). The lingual cavities were contaminated with saliva prior to restoration, while the facial cavities were not contaminated, serving as control. After water storage for 24 hours, teeth were immersed in 1% methylene blue solution for 24 hours. The axial sections were viewed under an optical microscope and the extent of dye penetration along cervical, axial and incisal margins was measured in millimetres. Statistic analysis showed that under salivary contamination, microleakage increased along the cervical margin of restoration for all three tested materials. Saliva contamination resulted in microleakage within the axial wall of the cavity only for the conventional glass ionomer cement. These data indicate that composite resin and compomer used together with new adhesives seem to be less sensitive to saliva contamination compared to conventional materials. However, under saliva contamination, cervical microleakage cannot be completely prevented and proper isolation should still be mandatory.

Remarkable resilience of teeth.

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Chai, Herzl; Lee, James J-W; Constantino, Paul J; Lucas, Peter W; Lawn, Brian R

2009-05-05

Tooth enamel is inherently weak, with fracture toughness comparable with glass, yet it is remarkably resilient, surviving millions of functional contacts over a lifetime. We propose a microstructural mechanism of damage resistance, based on observations from ex situ loading of human and sea otter molars (teeth with strikingly similar structural features). Section views of the enamel implicate tufts, hypomineralized crack-like defects at the enamel-dentin junction, as primary fracture sources. We report a stabilization in the evolution of these defects, by "stress shielding" from neighbors, by inhibition of ensuing crack extension from prism interweaving (decussation), and by self-healing. These factors, coupled with the capacity of the tooth configuration to limit the generation of tensile stresses in largely compressive biting, explain how teeth may absorb considerable damage over time without catastrophic failure, an outcome with strong implications concerning the adaptation of animal species to diet.

Advanced restorative dentistry - a problem for the elderly? An ethical dilemma.

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Murray, C G

2015-03-01

The type of dental restorations taken into old age may have an adverse effect on the quality of life of the elderly. Root caries and dry mouth increase in prevalence with age and may precipitate the breakdown of remaining natural and restored teeth. At present the availability of dental personnel and facilities in residential aged care facilities (RACFs) is limited, often non-existent, and the elderly living at home may be unable to easily gain access to dental care. Thus, the provision of appropriate and timely dental treatment may not occur, resulting in prolonged pain and suffering. It is important that, as our elderly population increasingly retain natural teeth into advanced old age, appropriate funds are made available to ensure their dental health is maintained. A lack of early intervention to arrest dental disease may result in life-threatening medical consequences in the elderly, such as ventilator assisted pneumonia or the need for a general anaesthetic and possible associated medical risks. Significant local disease, such as osteonecrosis, may also result from a lack of appropriate dental intervention. The necessity to remove questionable teeth prior to irradiation for neoplastic disease or bisphosphonate prescription for neoplastic disease or severe osteoporosis emphasizes the need for regular dental care. In contrast, extensive dental restorative treatment for younger people may have benefits, such as optimal dental aesthetics and oral function, but in older individuals careful consideration should be given to select the most appropriate treatment modality so that adverse situations can be avoided or their resolution simplified should they occur later when the individual is compromised or in a RACF. This may mean the use of conservative dental restorative materials and an avoidance of complex restorative options which may be difficult for the individual or RACF staff to maintain. Some years after receipt of their complex restorations they may be unable

A study of geographical variations in the concentrations of plutonium and radiostrontium in human teeth throughout the British Isles

International Nuclear Information System (INIS)

O'Donnell, Rauiri

1993-05-01

Concern has been expressed about the impact on humans of plutonium and radiostrontium releases from nuclear installations in the United Kingdom, with public interest focusing on reported leukaemia clusters in the vicinity of some of these installations. In particular, it is not clear whether such discharges result in and increase in the body burden of plutonium and radiostrontium (present as a consequence of global fallout) in the local population. In this collaborative study the comparative exposures to 239,240Pu and 90Sr of different geographically located child populations in the British Isles have been examined using teeth removed from children for orthodontic purposes. Minute traces on 239,240Pu were found to be present in children's teeth. The overall mean concentration was 5+4 mBq/kg (ash), which is three orders of magnitude lower than reported total activities. Approximately 75% of the samples analysed showed concentrations below the mean value. Although there is considerable scatter in the data, there is some evidence of a marginal enhancement in the 239,240Pu concentration measured in the general vicinity of Cumbria, where the BNF plc. nuclear fuel reprocessing complex is located. Concentrations of 90Sr in teeth exceeded those of plutonium by three orders of magnitude, the overall mean being 8+5Bq/kg (ash). However, there was no evidence of any enhancement in the levels throughout Cumbria. No correlation was observed between 239,240Pu or 90Sr concentrations and mean annual rainfall, not was there any correlation between the levels of these radionuclides in the same samples. The plutonium and radiostrontium concentrations measured in teeth are similar to those reported for human bone in the British Isles and suggests that teeth can be used as an indicator of skeletal burden. On the basis of the above mentioned data, estimates have been made of the approximate risks of leukaemia and non-Hodgkins lymphoma assuming chronic intakes of these radionuclides. The

Restoration-Guided Implant Rehabilitation of the Complex Partial Edentulism: a Clinical Report

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Nikitas Sykaras

2010-01-01

Full Text Available Background: The hard and soft tissue deficiency is a limiting factor for the prosthetic restoration and any surgical attempt to correct the anatomic foundation needs to be precisely executed for optimal results. The purpose of this paper is to describe the clinical steps that are needed to confirm the treatment plan and allow its proper execution.Methods: Team work and basic principles are emphasized in a step-by-step description of clinical methods and techniques. This clinical report describes the interdisciplinary approach in the rehabilitation of a partially edentulous patient. The importance of the transitional restoration which sets the guidelines for the proper execution of the treatment plan is especially emphasized along with all the steps that have to be followed.Results: The clinical report describes the diagnostic arrangement of teeth, the ridge augmentation based on the diagnostic evaluation of the removable prosthesis, the implant placement with a surgical guide in the form of the removable partial denture duplicate and finally the special 2-piece design of the final fixed prosthesis.Conclusions: Clinical approach and prosthesis design described above offers a predictable way to restore partial edentulism with a fixed yet retrievable prosthesis, restoring soft tissue and teeth and avoiding an implant supported overdenture.

Recycling Energy to Restore Impaired Ankle Function during Human Walking

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Collins, S.H.; Kuo, A.D.

2010-01-01

Background: Humans normally dissipate significant energy during walking, largely at the transitions between steps. The ankle then acts to restore energy during push-off, which may be the reason that ankle impairment nearly always leads to poorer walking economy. The replacement of lost energy is

Detection of marginal leakage of Class V restorations in vitro by micro-computed tomography.

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Zhao, X Y; Li, S B; Gu, L J; Li, Y

2014-01-01

This in vitro study evaluated the efficacy of micro-computed tomography (CT) in marginal leakage detection of Class V restorations. Standardized Class V preparations with cervical margins in dentin and occlusal margins in enamel were made in 20 extracted human molars and restored with dental bonding agents and resin composite. All teeth were then immersed in 50% ammoniacal silver nitrate solution for 12 hours, followed by a developing solution for eight hours. Each restoration was scanned by micro-CT, the depth of marginal silver leakage in the central scanning section was measured, and the three-dimensional images of the silver leakage around each restoration were reconstructed. Afterward, all restorations were cut through the center and examined for leakage depth using a microscope. The silver leakage depth of each restoration obtained by the micro-CT and the microscope were compared for equivalency. The silver leakage depth in cervical walls observed by micro-CT and microscope showed no significant difference; however, in certain cases the judgment of leakage depth in the occlusal wall in micro-CT image was affected by adjacent enamel structure, providing less leakage depth than was observed with the microscope (pleakage around the Class V restorations with clear borders only in the dentin region. It can be concluded that micro-CT can detect nondestructively the leakage around a resin composite restoration in two and three dimensions, with accuracy comparable to that of the conventional microscope method in the dentin region but with inferior accuracy in the enamel region.

Histopathologic study on irradiated human developing teeth

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Takeda, Yasunori (Iwate Medical Coll., Morioka (Japan). School of Dentistry)

1982-12-01

The patient was a 7-year-old boy who had been suffering from Ewing's sarcoma originating in the mandible. Irradiation with 8000 rad of Linac was performed on the mandible prior to mandibulectomy. The results of the histopathologic examination of the teeth including resected material were as follows: 1. Although the tumor tissue was not found in the resected material, complete resoption of the medullar trabecular bone with fibrosis was noted in the area between the first molar region and the mandibular ramus. 2. The first and the second premolar teeth were in the early stage of root formation, and conglomerates of dysplastic dentin were formed in the proliferative zones. This dysplastic dentin was surrounded by loose fibrous connective tissues. 3. The dysplastic dentin showed low mineralization, embedded irregular arranged-fibrous tissue matrix and scattered various-sized lacunae containing a few tiny and pyknotic cells. 4. Irregularly arranged odontoblasts with a pyknotic appearance were found along the tubular dentin, but diffuse fibrosis occurred in the pulpal tissues. 5. The first molar tooth had completed its root formation. Various amounts of osteodentin were formed at the secondary dentin layer. Inner-resorption of dentin and fibrosis of the pulpal tissue were also found. These changes concerning the first molar tooth were also due to the effects of irradiation. 6. The second molar tooth was resorbed by tumor infiltration, and dysplastic dentin was on the resorbed surface of the dentin.

Lead and cadmium in human teeth from Jordan by atomic absorption spectrometry: Some factors influencing their concentrations

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Alomary, A. [Department of Chemistry, Yarmouk University, Irbid (Jordan)]. E-mail: ahmedalomary1000@hotmail.com; Al-Momani, I.F. [Department of Chemistry, Yarmouk University, Irbid (Jordan); Massadeh, A.M. [Department of Medicinal Chemistry and Pharmacognosy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid (Jordan)

2006-10-01

The aim of this study was to measure the concentrations of lead (Pb) and cadmium (Cd) in human teeth and to investigate the affecting factors. Teeth samples (n = 268) were collected from people living in different cities in Jordan including Amman, Zarqa, Al-Mafraq and Irbid and analyzed for Pb and Cd using atomic absorption spectrometry (AAS). A questionnaire was used to gather information on each person, such as age, sex, place where the patient lives, smoking, presence of amalgam fillings inside the mouth, and whether the patient uses toothpaste or not. The mean concentrations of Pb and Cd were 28.91 {mu}g/g and 0.44 {mu}g/g, respectively. The results indicate that there is a clear relation between Pb and Cd concentrations and the presence of amalgam fillings, smoking, and place of living. Pb was sex-dependent, whereas Cd was not. Our results show that Pb and Cd concentrations in samples obtained from Al-Mafraq and Irbid are higher than those obtained from Amman and Zarqa. Pb was highest in Mafraq, whereas Cd was highest in Irbid. The Pb and Cd concentrations in teeth from smokers (means: Pb = 31.89 {mu}g/g, Cd = 0.49 {mu}g/g) were significantly higher than those from nonsmokers (means: Pb = 24.07 {mu}g/g, Cd = 0.37 {mu}g/g). Pb and Cd concentrations in teeth of patients with amalgam fillings (means: Pb = 31.02 {mu}g/g and Cd = 0.52 {mu}g/g) were significantly higher than those from patients without amalgam fillings (means: Pb = 26.87 {mu}g/g and Cd = 0.41 {mu}g/g). Our results show that brushing the teeth daily with toothpaste does not significantly decrease the concentration of both Pb and Cd. The mean concentrations of Pb and Cd do not vary significantly between the ages 20-30, 31-40, and 41-50, but both increased rapidly at age 51-60.

Lead and cadmium in human teeth from Jordan by atomic absorption spectrometry: Some factors influencing their concentrations

International Nuclear Information System (INIS)

Alomary, A.; Al-Momani, I.F.; Massadeh, A.M.

2006-01-01

The aim of this study was to measure the concentrations of lead (Pb) and cadmium (Cd) in human teeth and to investigate the affecting factors. Teeth samples (n = 268) were collected from people living in different cities in Jordan including Amman, Zarqa, Al-Mafraq and Irbid and analyzed for Pb and Cd using atomic absorption spectrometry (AAS). A questionnaire was used to gather information on each person, such as age, sex, place where the patient lives, smoking, presence of amalgam fillings inside the mouth, and whether the patient uses toothpaste or not. The mean concentrations of Pb and Cd were 28.91 μg/g and 0.44 μg/g, respectively. The results indicate that there is a clear relation between Pb and Cd concentrations and the presence of amalgam fillings, smoking, and place of living. Pb was sex-dependent, whereas Cd was not. Our results show that Pb and Cd concentrations in samples obtained from Al-Mafraq and Irbid are higher than those obtained from Amman and Zarqa. Pb was highest in Mafraq, whereas Cd was highest in Irbid. The Pb and Cd concentrations in teeth from smokers (means: Pb = 31.89 μg/g, Cd = 0.49 μg/g) were significantly higher than those from nonsmokers (means: Pb = 24.07 μg/g, Cd = 0.37 μg/g). Pb and Cd concentrations in teeth of patients with amalgam fillings (means: Pb = 31.02 μg/g and Cd = 0.52 μg/g) were significantly higher than those from patients without amalgam fillings (means: Pb = 26.87 μg/g and Cd = 0.41 μg/g). Our results show that brushing the teeth daily with toothpaste does not significantly decrease the concentration of both Pb and Cd. The mean concentrations of Pb and Cd do not vary significantly between the ages 20-30, 31-40, and 41-50, but both increased rapidly at age 51-60

Non-syndromic supernumerary teeth: report of a case with 6 supernumerary teeth

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Taghibakhsh M

2011-02-01

Full Text Available "nBackground and Aims: Multiple supernumerary teeth are rare and often found in association with syndromes such as Gardner, Cleidocranial dysplasia and cleft lip and palate, with a much less chance for isolated"nnon-syndromic cases. The aim of this study was to report a case with 6 supernumerary teeth without syndromic association."nCase Report: The patient was a 33 year-old female, referred to oral diseases and diagnosis department with chief complaint of sensitivity to cold and hot food in right upper premolar region. Oral examination revealed 5 erupted lingually supernumerary teeth (four in mandibular and one in maxillary premolar region, respectively. Further panoramic radiography clarified an extra impacted tooth in the palatal region of left premolar maxillary area. All extra teeth had been appeared since the age of 17 during one year, as the patient claimed. Medical history and thorough clinical and paraclinical examinations were not significant except for the hypothyroidism, since 5 years ago. No other family member noticed to be the case. Based on our findings, a diagnosis of non-syndromic multiple supernumerary teeth was established."nConclusion: A thorough examination of each patient presented with supernumerary teeth, including panoramic and intraoral radiographic images may provide valuable information regarding accompanying syndromes and unerupted teeth. Early diagnosis is an essential step for orthodontic or surgical decisions making, preventing or avoiding worsening complications such as malocclusion, adjacent normal teeth delayed eruption or rotation, diasthema, cystic lesions and resorption of contiguous teeth.

The significance of biometric parameters in determining anterior teeth width

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Strajnić Ljiljana

2013-01-01

Full Text Available Background/Aim. An important element of prosthetic treatment of edentulous patients is selecting the size of anterior artificial teeth that will restore the natural harmony of one’s dentolabial structure as well as the whole face. The main objective of this study was to determine the correlation between the inner canthal distance (ICD and interalar width (IAW on one side and the width of both central incisors (CIW, the width of central and lateral incisors (CLIW, the width of anterior teeth (ATW, the width between the canine cusps (CCW, which may be useful in clinical practice. Methods. A total of 89 subjects comprising 23 male and 66 female were studied. Their age ranged from 19 to 34 years with the mean of 25 years. Only the subjects with the preserved natural dentition were included in the sample. All facial and intraoral tooth measurements were made with a Boley Gauge (Buffalo Dental Manufacturing Co., Brooklyn NY, USA having a resolution of 0.1mm. Results. A moderate correlation was established between the interalar width and combined width of anterior teeth and canine cusp width (r = 0.439, r = 0.374. A low correlation was established between the inner canthal distance and the width of anterior teeth and canine cusp width (r = 0.335, r = 0.303. The differences between the two genders were highly significant for all the parameters (p < 0.01. The measured facial distances and width of anterior teeth were higher in men than in women. Conclusion. The results of this study suggest that the examined interalar width and inner canthal distance cannot be considered reliable guidelines in the selection of artificial upper anterior teeth. However, they may be used as a useful additional factor combined with other methods for objective tooth selection. The final decision should be made while working on dentures fitting models with the patient’s consent.

Restoration Survival: Revisiting Patients' Risk Factors Through a Systematic Literature Review

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Sande, F.H. van de; Collares, K.; Correa, M.B.; Cenci, M.S.; Demarco, F.F.; Opdam, N.J.M.

2016-01-01

A literature review was conducted to investigate the influence of patient-related factors on restoration survival in posterior permanent teeth as well as to report the methods used to collect these factors. The selection of articles on longitudinal clinical studies investigating the survival of

Trace element analysis of teeth from pre-Columbian population groups in Mexico

International Nuclear Information System (INIS)

Solis, C.; Oliver, A.; Andrade, E.; Macias, R.; Mansilla, J.; Chavez-Lomeli, M.E.

1999-01-01

Human teeth from pre-Columbian and recent population groups have been analyzed by PIXE. Ancient teeth corresponding to children and adults were obtained from archaeological burials located in five geographic areas of Mexico. Inter-specific and inter-site differences in the trace element contents of enamel were compared in order to get some insight into differences in diet, environmental conditions, teeth health, disease state and post mortem alteration among the co-occurring populations. For permanent teeth from adults, small variations in trace element levels were found depending on the collection site or tooth health, but for deciduous teeth from children, the concentration of elements such as Mn, Fe and Sr varied considerably. In this work, the possible sources of variation are discussed. (author)

Restorative Management of Severe Localized Tooth Wear Using a Supraoccluding Appliance: A 5-Year Follow-Up

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Tsz Leung Wong

2018-01-01

Full Text Available This case report illustrates a novel conservative restorative management of a patient with bulimia nervosa who presented with severe localized upper palatal tooth wear and an anterior reverse overjet. This was achieved by using a localized bite raising or supraoccluding appliance, cemented on the lingual side of the lower anterior teeth to create interocclusal space, obviating the need for tooth reduction of the eroded upper palatal and incisal tooth surfaces. Surgical crown lengthening was performed to create a better aesthetic gingival architecture. All-ceramic restorations were provided on the upper anterior teeth to restore the tooth surface loss and provide a positive overbite and overjet. There was no complication or other observable biological change detected at the 5-year follow-up. The use of an appliance applying the supraoccluding technique, or Dahl concept, is a safe, conservative, and useful treatment option in the management of localized tooth wear.

Posterior teeth occlusion and dysphagia risk in older nursing home residents: a cross-sectional observational study.

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Okabe, Y; Takeuchi, K; Izumi, M; Furuta, M; Takeshita, T; Shibata, Y; Kageyama, S; Ganaha, S; Yamashita, Y

2017-02-01

The total number of natural teeth was related to swallowing function among older adults; however, limited information is available regarding the impact of occluding pairs of teeth on swallowing function. This study aimed to examine the association between posterior teeth occlusion and dysphagia risk in older nursing home residents. This cross-sectional study included 238 residents aged ≥60 years from eight nursing homes in Aso City, Japan. Swallowing function was evaluated using the modified water swallowing test (MWST); the primary outcome was dysphagia risk (MWST score ≤3). Posterior teeth occlusion was assessed using number of functional tooth units (FTUs), determined based on number and location of the remaining natural and artificial teeth on implant-supported, fixed or removable prostheses. Univariate and multivariate logistic regression analyses were performed to examine the association between posterior teeth occlusion and dysphagia risk, adjusted for the covariates of number of natural teeth, demographic characteristics, comorbidities, physical function, body mass index and cognitive function. Of the 238 subjects, 44 (18·5%) were determined to be at risk of dysphagia based on the MWST scores. The odds ratio (OR) of dysphagia risk decreased in subjects with higher total FTUs [OR = 0·92, 95% confidence interval (CI) 0·87-0·98]. After adjusting for covariates, this association remained significant (OR = 0·90, 95% CI 0·84-0·97). Loss of posterior teeth occlusion was independently associated with dysphagia risk in older nursing home residents. Maintaining and restoring posterior teeth occlusion may be an effective measure to prevent dysphagia. © 2016 John Wiley & Sons Ltd.

Restoration Survival: Revisiting Patients' Risk Factors Through a Systematic Literature Review.

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van de Sande, F H; Collares, K; Correa, M B; Cenci, M S; Demarco, F F; Opdam, Njm

2016-09-01

A literature review was conducted to investigate the influence of patient-related factors on restoration survival in posterior permanent teeth as well as to report the methods used to collect these factors. The selection of articles on longitudinal clinical studies investigating the survival of posterior restorations (except full crowns and temporary fillings) and including patient-related factors was performed by applying predefined criteria. The review was organized into two parts, the first describing how patient factors were assessed in the studies (n=45) and the second presenting the statistical significance (n=27) and size of the effect (n=11) of these factors on restoration survival. Patient-related factors mentioned in the studies included age; gender; caries risk; caries activity/severity; decayed, missing, filled teeth; number of restorations; oral hygiene; and bruxism, among others. Sixteen studies included the patient age or age range in the analysis, which was found to be significant in 47% of the studies. Regarding gender, four of 17 reports found a significant effect on survival, showing more failures for men in three studies. The caries risk profile or related variables were included in the analysis of 15 studies, and a significant effect on survival was reported for high-caries-risk individuals (or related variables) in 67% of these studies. Bruxism was also found to influence restoration survival in three of six studies where this variable was investigated. Some issues were found regarding the reporting of methods used to classify patients according to risk and were thoroughly discussed. In view of the information gathered in this review, the assessment of patient factors along with other variables should become part of clinical studies investigating restoration survival, since several of these factors were shown to influence the failure of restorations, regardless of the material type.

Phenotypic and growth characterization of human mesenchymal stem cells cultured from permanent and deciduous teeth

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Revathi Shekar

2012-01-01

Conclusions: Permanent and deciduous teeth are both viable sources of stem cells. The permanent teeth were easier to culture because of a lower chance of contamination with oral microflora. The growth characteristics of the cells obtained from both these sources were similar. However, there was a difference in the ratio of fibroblastoid cells to epithelioid cells between the cultures obtained from the permanent and deciduous teeth.

Temporary restorative treatment in children and adolescents with amelogenesis imperfecta: Scoping review.

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Cristhian Cisneros

2017-12-01

Full Text Available Background: Amelogenesis imperfecta (AI is a group of disorders that affect the enamel of the teeth, either in quality or quantity. This alteration causes sensitivity and is associated with factors that could affect the strength of the adhesive bond of the restorative material. Aim: To review the literature regarding the most used temporary restorative treatment in children and adolescents with AI. Methods: This scoping review aimed to include case reports, literature reviews and original studies that evaluated restorative materials for the teeth of children and adolescents with AI. Editorials, meeting abstracts and letters to the editor were excluded. The following electronic databases were used: Medline (Ovid, PubMed, Ebsco, Scopus (Elsevier and Web of Science (Thomson Reuters. Manual searches in the reference lists of the included articles were also carried out. Finally, a search in Google Scholar restricted to the first 100 hits was performed. Duplicates were eliminated upon identification. The search covered a period between the years of 2011 and 2016. PRISMA guidelines were used for reporting the review. The evidence ranking was carried out by means of the Oxford criteria. Results: Six articles met the eligibility criteria and were included in this scoping review. Three articles were case reports, one was a review and two were original studies. For the treatment of AI, direct or indirect composite resins were the most commonly used material of choice in the retrieved studies because they demonstrate greater longevity, aesthetics and function compared to the other materials used. Conclusions: Among children and adolescents with AI, the temporary restorative treatment that demonstrated better long-term results in permanent teeth was the direct and indirect composite resins. However, high quality studies should be conducted to confirm the results presented herein.

Criteria adopted by dentists to indicate the extraction of periodontally involved teeth

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Carlos Heitor Cunha Moreira

2007-10-01

Full Text Available When dealing with patients with periodontal disease of variable severities, dentists must often choose between treating and restoring the involved tooth or indicating its extraction. Different criteria have been adopted in this decision-making process. The purpose of this study was to evaluate the criteria adopted by dentists to indicate the extraction of teeth with periodontitis. Dentists were interviewed at their private practices in three cities of the state of Rio Grande do Sul, Brazil. The evaluated criteria included severity of attachment loss, tooth mobility, furcation involvement, prosthetic planning, periodontal-endodontic lesion, possible systemic involvement due to the presence of periodontitis, referral to a periodontist for evaluation, radiographic bone loss greater than 50%, presence of extensive caries, socio-economic and cultural status of the patient, among others. The most often adopted criteria to indicate the extraction of periodontally affected teeth were the presence of mobility (37.5%, severity of attachment loss (24.3% and radiographic bone loss greater than 50% (21.2%. The results of the present study demonstrated the difficulties faced by dentists to indicate the extraction of teeth with severe attachment loss, in addition to the establishment of an adequate prognosis. Aspects associated with the past disease were still the most often reported to indicate the extraction of teeth for periodontal reasons.

Simple direct composite resin restoration on endodontically treated tooth: A case report

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Wahyuni Suci Dwiandhany

2016-06-01

Full Text Available Endodontically treated teeth generally havegreat structure loss so that the resistance to fracture is reduced. Therefore, the post-endodontic restoration design that covers the entire cusp (full cuspal coverage is necessary to increase the resistance of teeth to fracture. The aim of this case report is to present direct onlay restoration technique using composite resin material in non-vital tooth with chronic apical periodontitis. A 74-years-old male patient came to the clinic complaining of discomfort in the lower right posterior tooth related to eating since 1 week ago. Clinical examination revealed a large amalgam restoration on the second lower right molar, the tooth is negative to pulp sensitivity test, and tender to percussion. Radiographically, the tooth showed periapical radiolucency at distal and mesial root. The diagnosis of the tooth was chronic apical periodontitis. The treatment plan is a non-vital root canal treatment with multiple visit. Root canal preparation with rotary files (ProTaper Next, Dentsply, Germany was performed on the first visit and irrigated with NaOCl. On the next visit, during subjective examination, there was no pain complaints and the percussion test was negative so the obturation with a single cone technique can be done. On the final visit, direct onlay restoration using nano-hybrid composite resin material (Polofil NHT, Voco, Germany was performed. In conclusion, after 3 months follow up, the marginal integrity of the restoration remains intact and the tooth were functioned properly.

Supernumerary teeth in clinical practice

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Anna K. Szkaradkiewicz

2011-07-01

Full Text Available Introduction: Hyperdontia is the condition of having supernumerary teeth, or teeth which appear in addition to the regular number of teeth. The prevalence rates of supernumerary teeth in the permanent dentition amounts 0.1-6.9%, and in deciduous dentition 0.4-0.8%. The presence of supernumerary teeth can be found in everyday dental practice.Case presentation: We describe 3 cases of patients with supernumerary teeth. First patient had supernumerary lateral incisor 12s, second - premolar fused, multicuspid, supernumerary deciduous tooth 64s of having several interconnected roots, and third - erupted odontoma between teeth 13 and 14. In all cases treatment involved the removal of the supernumerary tooth.Conclusions: The decision on proceeding with the supernumerary teeth should be based on the full clinical picture and interview. Early diagnosis and removal of supernumerary teeth allow to avoid or reduce possible complications.

The effect of Trigona sp propolis from Luwu regency, South Sulawesi province, Indonesia on human enamel teeth (an in vitro study

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Ardo Sabir

2016-06-01

Full Text Available Propolis is a resinous substance produced by honey bees. It is well-known that propolis exhibits both antibacterial and anti-inflammatory activities therefore it has been used in folk medicine since primeval times.In recent years, propolis has been used as active component of mouthwashes in the attempt to treat gingivitis and periodontitis. The purpose of the present study is to know in vitro effect of Ethanolic Extract of Propolis (EEP solution on the microhardness of human enamel teeth. Solution of 0.125% EEP has been made from propolis which was collected from honeycombs in Luwu Regency, South Sulawesi Province. Aquadest and 1% povidone iodine were used as negative and positive control. Calcium, phosphate, fluoride concentrations and pH of the solutions were also measured using Atomic Absorption Spectroscopy and a digital pH meter. Ninety human maxillary first incisors which extracted for periodontal reasons were used in this study. The roots of the teeth were removed at the cementoenamel junction. The crowns were randomly divided into three groups of 30 each and were immersed in aquadest solution pH 8.4 (Group I; 0.125% EEP solution pH 4.3 (Group II or 1% povidone iodine solution pH 3.0 (Group III for 21, 42, 63, and 84 minutes respectively. A Vickers Hardness Tester was used to measure enamel surface microhardness before and after immersion. Data was statistically analyzed using one-way ANOVA and Tukey tests with significance level of 5%. The results showed that except immersed in aquadest, enamel microhardness increased after being immersed in EEP and povidone iodine solutions, although statistical analysis did not show significant differences (p>0.05 microhardness of enamel teeth before and after immersed in each group.In conclusion, immersion the teeth in 0.125% EEP solution pH 4.3 with 2.69 ppm phosphate, 1.49 ppm calcium, and 0.00 ppm fluoride concentrations for 84 minutes increased human enamel hardness in vitro.

Effects of Er, Cr:YSGG laser irradiation on external adaptation of restorations in caries-affected cavities

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Tonetto, Mateus Rodrigues; Saad, José Roberto Cury; Campos, Edson Alves de; Neto, Sizenando de Toledo Porto; De Andrade, Marcelo Ferrarezi; Bandéca, Matheus Coelho; Borges, Alvaro Henrique; Pinto, Shelon Cristina Souza

2013-01-01

This study evaluated the effect of Er,Cr:YSGG laser irradiation on the external adaptation of composite resin restorations in caries-affected cavities. Mixed class V cavity preparations were performed in 36 intact human third molars, in half of which caries was artificially induced. Both healthy and carious dentin were etched with 35% phosphoric acid (Ultradent Products Inc., South Jordan, Utah, USA), and the teeth were divided into three groups, i.e., (a) untreated etched dentin, (b) application of the Er, Cr:YSGG laser and (c) use of chlorhexidine as an adjunct in the bonding process. Restorations were fabricated with Z350 XT FiltekTM composite resin (3M ESPE) and subsequently the specimens were subjected to thermocycling to simulate artificial ageing. Quantitative analysis of external adaptation was performed by scanning electron microscopy in both healthy and affected dentin using epoxy resin replicas. It was concluded that the application of laser and chlorhexidine did not affect the percentages of marginal adaptation of class V restorations. Furthermore, thermocycling may influence adaptation values. (letter)

Factors inhibiting the implementation of the Atraumatic Restorative Treatment approach in public oral health services in Gauteng province, South Africa

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Steffen Mickenautsch

2007-02-01

Full Text Available OBJECTIVE: To investigate potential barriers to the utilisation of the ART approach in a South African public oral health service. METHOD: 7 barriers were identified: patient load/work load, operator opinion, patient opinion, service management, material supply, clinical ART skill, chair-side assistance. Operators were asked to answer a questionnaire one year after completing the ART training. Responses ranged from 1 = no barrier to 5 = highest barrier. Treatment data per operator were collected during 1 year after training, for both dentitions, including: number of extracted teeth, placed traditional restorations, ART restorations. The restoration/extraction (REX ratio and the proportion of ART restorations (ART% of the total number of restorations were calculated and correlated with the barrier variables. Pearson correlation, ANOVA and 2-tailed t-tests were used in the statistical analyses. RESULTS: Patient load/work load (mean = 2.80: SE = 0.16 was the strongest barrier (p<0.001 and clinical ART skill was the weakest barrier (p<0.001. A significant correlation between material supply and mean REX score was observed in both dentitions. In primary teeth, the ART% correlated significantly with clinical ART skill (r= -0.63; p<0.01. In permanent teeth, statistically significant correlations were observed between ART% and patient load/work load (r = -0.54; p<0.05, patient opinion (r = -0.76; p<0.01, operator opinion (r = -0.53; p<0.05, chair-side assistance (r = -0.57; p<0.05, oral health service management (r = -0.46; p<0.05. CONCLUSIONS: 1 year after ART training completion high patient load/work load, followed by insufficient provision of materials/instruments, were the two most inhibiting barriers to the use of ART in the public oral health services. Dentists' perceptions of low clinical skill levels in performing ART confidently inhibited the use of ART in primary teeth in children.

Histological Evaluation of Allium sativum Oil as a New Medicament for Pulp Treatment of Permanent Teeth.

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Mohammad, Shukry Gamal; Raheel, Syed Ahmed; Baroudi, Kusai

2015-02-01

The objective of this study was to evaluate the histo pathology effects of two medicaments Allium sativum oil and formocresol on the remaining pulp tissue of the permanent teething children. A total of 18 premolars were included in this study. Two sound premolars were extracted and subjected to histological examination to show the normal pulp tissue. Pulpo tomy procedure was performed in the rest of the remaining 16 premolars; half of them using Allium sativum oil and the rest of the tested premolars were medicated using formocresol and all were sealed with suitable restoration. Then, premolars extracted at variable intervals (48 hours, 2 weeks, 1 month, 2 months), stained using hemotoxylin and eosin etain (H&E) and prepared for histopathology examination. Histological evaluation seemed far more promising for Allium sativum oil than formocresol. Histological evaluation revealed that teeth treated with Allium sativa oil showed infammatory changes that had been resolved in the end of the study. On the contrary, the severe chronic infammation of pulp tissue accompanied with formocresol eventually produced pulp necrosis with or without fibrosis. In addition, pulp calcification was evidenced in certain cases. Allium sativum oil is a biocompatible material that is compatible with vital human pulp tissue. It offers a good healing potential, leaving the remaining pulp tissue healthy and functioning.

Biophysical dose measurement using electron paramagnetic resonance in rodent teeth

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