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Pötter LA, Vollmer M, Santamaría RM, Splieth CH, Schmoeckel J. Performance of restorations in primary molars over a seven-year period. J Dent 2024; 147:105121. [PMID: 38857648 DOI: 10.1016/j.jdent.2024.105121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 06/05/2024] [Accepted: 06/07/2024] [Indexed: 06/12/2024] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the use and reintervention rate of fillings compared to preformed metal crowns in the everyday clinical practice of German dentists. METHODS In this retrospective, longitudinal analysis, fee codes from the Kassenzahnärztliche Vereinigung Westfalen-Lippe for restorations placed in primary molars between 2012 and 2015 in children until 7 years of age followed for a 7-year period (latest until December 2022) were filtered and analyzed with the Fine and Gray competing risk regression and Cox proportional hazards regression to calculate the risk of reintervention divided into the main outcomes "Successful", "Minor Failure/Repair" and "Major Failure/Endodontic Treatment/Extraction". 367,139 primary molars (one-surface fillings: n = 117,721; two-surface fillings n = 198,815; three-surface fillings n = 36,695; more than three-surface fillings n = 8,267 and preformed metal crowns n = 5,641 were included in this study. RESULTS Teeth treated with preformed crowns needed significantly less re-interventions. Subdistribution hazard ratio for minor events was 0.117 (95 %-CI: 0.097 to 0.141) and hazard ratio of major events (HR=0.786; 95 %-CI: 0.695 to 0.890) when compared to one-surface fillings in multivariable adjusted analysis. Within 7-year follow-up preformed crowns required less repairs (80.6 % success rate, minor failure 4.4 %, major failure 16.3 %) than the teeth treated with composite fillings (46.2 %-52.6 % success rate, minor failure 27.0 %-39.5 %, major failure 15.5 %-28.4 %, p < 0.001). CONCLUSION Within the German healthcare system fillings are the first choice for treating primary molars despite considerably higher reintervention rates. This encourages a discussion on the indication of fillings and the more durable preformed metal crowns to reduce unnecessary reintervention in young children. CLINICAL SIGNIFICANCE This study gives an unprecedented insight into the German healthcare system regarding the reintervention rates of the most relevant treatment techniques for caries in primary molars.
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Affiliation(s)
- Linus A Pötter
- Department of Preventive and Pediatric Dentistry, University of Greifswald, Fleischmannstraße 42-44, Greifswald D-17475, Germany.
| | - Marcus Vollmer
- Institute of Bioinformatics, University Medicine Greifswald, Greifswald D-17475, Germany
| | - Ruth M Santamaría
- Department of Preventive and Pediatric Dentistry, University of Greifswald, Fleischmannstraße 42-44, Greifswald D-17475, Germany
| | - Christian H Splieth
- Department of Preventive and Pediatric Dentistry, University of Greifswald, Fleischmannstraße 42-44, Greifswald D-17475, Germany
| | - Julian Schmoeckel
- Department of Preventive and Pediatric Dentistry, University of Greifswald, Fleischmannstraße 42-44, Greifswald D-17475, Germany
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Sinha N, Hamre HJ, Musial F, L Werner E, Björkman L. Health complaints before and at one and five years after removal of dental amalgam restorations - data from a prospective cohort study in Norway. Acta Odontol Scand 2024; 83:219-229. [PMID: 38699922 DOI: 10.2340/aos.v83.40260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 01/23/2024] [Indexed: 05/05/2024]
Abstract
OBJECTIVE Health complaints attributed to dental amalgam fillings comprise both intraoral and general health complaints. There are data suggesting that patients with medically unexplained physical symptoms (MUPS) attributed to amalgam fillings show improvement in symptoms after removal of all amalgam fillings. However, data indicating changes of specific health complaints are limited. This study evaluated the changes of health complaints after removal of amalgam restorations in patients with health complaints attributed to dental amalgam fillings. METHOD Patients with MUPS attributed to dental amalgam (Amalgam cohort) had all their amalgam fillings removed. The participants indicated an intensity of 11 local and 12 general health complaints on numeric rating scales before the treatment and at follow-up after 1 and 5 years. The comparison groups comprising a group of healthy individuals and a group of patients with MUPS without symptom attribution to dental amalgam did not have their amalgam restorations removed. RESULTS In the Amalgam cohort, mean symptom intensity was lower for all 23 health complaints at follow-up at 1 year compared to baseline. Statistically significant changes were observed for specific health complaints with effect sizes between 0.36 and 0.68. At the 5-year follow-up, the intensity of symptoms remained consistently lower compared to before the amalgam removal. In the comparison groups, no significant changes of intensity of symptoms of health complaints were observed. CONCLUSION After removal of all amalgam restorations, both local and general health complaints were reduced. Since blinding of the treatment was not possible, specific and non-specific treatment effects cannot be separated.
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Affiliation(s)
- Nivedita Sinha
- Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Harald Johan Hamre
- Institute for Applied Epistemology and Medical Methodology, University of Witten/Herdecke, Freiburg, Germany
| | - Frauke Musial
- Department of Community Medicine, Faculty of Health Sciences, The National Research Center in Complementary and Alternative Medicine (NAFKAM), UiT The Arctic University of Norway, Tromsø, Norway
| | - Erik L Werner
- Research Unit for General Practice, NORCE Norwegian Research Centre AS, Bergen, Norway; Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Lars Björkman
- Dental Biomaterials Adverse Reaction Unit, NORCE Norwegian Research Centre AS, Bergen, Norway.
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Alonso ALL, Tirapelli C, Cruvinel PB, Cerqueira NM, Miranda CS, Corona SAM, Souza-Gabriel AE. Longevity of composite restorations in posterior teeth placed by dental students: a 12-year retrospective study. Clin Oral Investig 2024; 28:253. [PMID: 38630376 DOI: 10.1007/s00784-024-05631-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 03/20/2024] [Indexed: 04/19/2024]
Abstract
OBJECTIVES To evaluate the longevity of resin composite restorations placed in posterior teeth by dental students, using data from electronic records from 2008 to 2019. MATERIALS AND METHODS Demographic (gender and age) and clinical variables (dental group, position in dental arch, and the number of restored surfaces) were evaluated. The 5-year follow-up was assessed according to the day the restoration was placed. Kaplan-Meier curves were generated to calculate the annual failure rate. Data were analyzed by Chi-Square, Kruskal-Wallis, and Mann-Whitney tests (α = 0.05). RESULTS In total, 3.883 records relative to return periodicity were analyzed. The final sample consisted of 900 restorations from 479 patients. The majority were females, aged between 31 and 60. In total, 256 failures were reported (success rate = 78%), showing an annual failure rate of 2.05%. The main reasons for failures were restoration replacement (55.5%), endodontics (21.9%), prosthetics (14.5%) and extraction (8.2%). There was a higher risk of failure in restorations involving three or more surfaces (p = 0.000) and in patients over 60 years (p < 0.001). In females (p = 0.030), molars (p = 0.044), and maxillary teeth (p = 0.038) failed in a shorter time. CONCLUSIONS Resin composite restorations placed in permanent posterior teeth by dental students had high survival rates. The main reason for failure was the replacement of restorations. The age group and the number of restored surfaces significantly affected the success of the restorations. CLINICAL RELEVANCE The electronic health records over 12 years showed that 78% of the resin restorations in posterior teeth placed by dental students were successful for a minimum of five years.
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Affiliation(s)
- Ana Laura Lima Alonso
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Camila Tirapelli
- Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Pedro Bastos Cruvinel
- Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Nathália Mancioppi Cerqueira
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Claudio Souza Miranda
- Department of Accounting, School of Economics, Business and Accounting of University of São Paulo, Ribeirão Preto, Brazil
| | - Silmara Aparecida Milori Corona
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Aline Evangelista Souza-Gabriel
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil.
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Vervliet P, De Nys S, Duca RC, Boonen I, Godderis L, Elskens M, Van Landuyt KL, Covaci A. Degradation products of resin-based materials detected in saliva in vivo. Clin Oral Investig 2023; 27:7189-7198. [PMID: 38051347 DOI: 10.1007/s00784-023-05075-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 04/29/2023] [Indexed: 12/07/2023]
Abstract
OBJECTIVES Dental composites remain under scrutiny regarding their (long-term) safety. In spite of numerous studies on the release of monomers both in vitro and in vivo, only limited quantitative data exist on the in vivo leaching of degradation products from monomers and additives. The aim of this observational study was for the first time to quantitatively and qualitatively monitor the release of parent compounds and their degradation products in saliva from patients undergoing multiple restorations. MATERIALS AND METHODS Five patients in need of multiple large composite restorations (minimally 5 up to 28 restorations) due to wear (attrition, abrasion, and erosion) were included in the study, and they received adhesive restorative treatment according to the standard procedures in the university clinic for Restorative Dentistry. Saliva was collected at different time points, starting before the restoration up until 24 h after the treatment with composite restorations. Saliva extracts were analyzed by liquid chromatography-mass spectrometry. RESULTS Leaching of monomers and degradation products was highest within 30 min after the placement of the restorations. The highest median concentrations of monomers were recorded for UDMA, BisEMA-3, and TEGDMA; yet, besides BisEMA-3 and TEGDMA, no monomers could be detected after 24 h. Mono- and demethacrylated degradation products remained present up to 24 h and concentrations were generally higher than those of monomers. In patients with multiple restorations, degradation products were still present in the sample taken before the next operation, several weeks after the previous operation. CONCLUSIONS Exposure to residual monomers and degradation products occurs in the first hours after restoration. Monomers are present in saliva shortly after restoration, but degradation products can be detected weeks after the restoration confirming a long-term release. CLINICAL SIGNIFICANCE Future research should focus more on the release of degradation products from monomers and additives from resin-based materials given their prolonged presence in saliva after restoration.
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Affiliation(s)
- Philippe Vervliet
- Toxicological Centre, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium.
| | - Siemon De Nys
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & University Hospitals Leuven (UZ Leuven), Dentistry, Louvain, Belgium
| | - Radu Corneliu Duca
- Environment and Health, Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35, 3000, Louvain, Belgium
- Environmental Hygiene and Human Biological Monitoring, Department of Health Protection, National Health Laboratory (LNS), 1, Rue Louis Rech, L-3555, Dudelange, Luxembourg
| | - Imke Boonen
- Department of Analytical, Environmental and Geo-Chemistry, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Ixelles, Belgium
| | - Lode Godderis
- Environment and Health, Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35, 3000, Louvain, Belgium
| | - Marc Elskens
- Department of Analytical, Environmental and Geo-Chemistry, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Ixelles, Belgium
| | - Kirsten L Van Landuyt
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & University Hospitals Leuven (UZ Leuven), Dentistry, Louvain, Belgium
| | - Adrian Covaci
- Toxicological Centre, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium.
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Kanzow P, Lechte C, Wiegand A, Wilson NHF, Lynch CD, Blum IR. Teaching of posterior composites for the restoration of permanent teeth in undergraduate dental training programmes: Systematic review and meta-analysis. J Dent 2023; 135:104589. [PMID: 37336355 DOI: 10.1016/j.jdent.2023.104589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 06/08/2023] [Accepted: 06/11/2023] [Indexed: 06/21/2023] Open
Abstract
OBJECTIVES To systematically assess aspects of teaching of posterior composite restorations (PCRs) in permanent teeth in dental schools. STUDY SELECTION Quantitative studies reporting on dental schools' teaching regarding the placement of PCRs in permanent teeth. Random-effects meta-analyses and meta-regressions were performed. Risk of bias was assessed based on the Medical Education Research Study Quality Instrument (MERSQI). SOURCES Electronic databases (MEDLINE via PubMed, EMBASE via Ovid, Web of Science, and Scopus) were searched in January 2023. DATA Forty sources reporting on 34 studies having surveyed 1,286 dental schools were included. Overall, 92.7% (95%-CI: 88.2-95.5) of dental schools reported to teach PCRs. PCRs in three-surface Class II cavities are taught by 82.0% (95%-CI: 70.4-89.7). The mandatory use of liners in deep cavities is taught by 78.3% (95%-CI: 68.9-85.5), and 44.0% (95%-CI: 34.3-54.2) reported to teach bulk-fill composites. While most posterior restorations placed by students were composites (56.1%; 95%-CI: 46.0-65.8), 94.7% (95%-CI: 86.6-98.0) of dental schools (still) teach posterior amalgam restorations. The proportion of dental schools teaching PCRs in three-surface Class II cavities increased and the mean proportion of PCRs among all posterior restorations increased over time (padj.≤0.003). CONCLUSIONS The teaching of PCRs in dental schools around the world reflects the increased use of resin composite in clinical practice, with students in countries where dental amalgam continues to be used, placing more posterior composites than restorations of dental amalgam. The teaching of PCRs, which is anticipated to increase, will continue to be refined with further developments in adhesive materials, devices, instrumentation, and techniques. CLINICAL SIGNIFICANCE Graduating dentists can be expected to be familiar with the use of resin composites for the restoration of posterior teeth.
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Affiliation(s)
- Philipp Kanzow
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Germany.
| | - Clemens Lechte
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Germany
| | - Annette Wiegand
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Germany
| | | | - Christopher D Lynch
- University Dental School & Hospital, University College Cork, Wilton, Cork, Ireland
| | - Igor R Blum
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, United Kingdom
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A 23-Year Observational Follow-Up Clinical Evaluation of Direct Posterior Composite Restorations. Dent J (Basel) 2023; 11:dj11030069. [PMID: 36975566 PMCID: PMC10047388 DOI: 10.3390/dj11030069] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 02/15/2023] [Accepted: 02/21/2023] [Indexed: 03/06/2023] Open
Abstract
The purpose of this observational follow-up clinical study was to observe the quality of posterior composite restorations more than 23 years after application. A total of 22 patients, 13 male and 9 female (mean age 66.1 years, range 50–84), with a total of 42 restorations attended the first and second follow-up examinations. The restorations were examined by one operator using modified FDI criteria. Statistical analysis was performed with the Wilcoxon Mann–Whitney U test and Wilcoxon exact matched-pairs test with a significance level of p = 0.05. Bonferroni–Holm with an adjusted significance level of alpha = 0.05 was applied. With the exception of approximal anatomical form, significantly worse scores were seen for six out of seven criteria at the second follow-up evaluation. There was no significant difference in the first and second follow-up evaluations in the grades of the restorations with regard to having been placed in the maxilla or mandible, as well as for one-surface or multiple-surface restorations. The approximal anatomical form showed significantly worse grades at the second follow-up when having been placed in molars. In conclusion, the study results show that significant differences regarding FDI criteria in posterior composite restorations occur after more than 23 years of service. Further studies with extended follow-up time and at regular and short time intervals are recommended.
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Perng WT, Ma KSK, Hung HY, Tsai YC, Huang JY, Liao PL, Hung YM, Wei JCC. Dental caries and risk of newly-onset systemic lupus erythematosus: a nationwide population-based cohort study. Curr Med Res Opin 2023; 39:307-317. [PMID: 36533392 DOI: 10.1080/03007995.2022.2159146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVE This study investigated whether patients with history of dental caries are associated with an increased risk of newly-onset systemic lupus erythematosus (SLE). METHODS A total of 501,461 carious patients and 258,918 controls without carious teeth were enrolled between 1997 and 2013 from the National Health Insurance Research Database. Subgroup analyses were conducted based on restorative materials including amalgam, composite resins, or both. The cumulative incidence and hazard ratios (HRs) of SLE development were derived after adjusting for age, sex, socioeconomic status, income, insured classification, comorbidities, and frequency of dental visit in a multivariable model. RESULTS The risk of SLE was significantly higher in carious patients (HR = 1.98, 95% confidence interval [CI] = 1.65-2.38) compared to controls. Dose-dependent relationship between caries and risk of SLE was identified. The risk of SLE was higher among those who had dental visits ≧11 (HR = 2.53, 95% CI = 1.86-3.43), followed by those with 3-10 dental visits (HR = 1.86, 95% CI = 1.36-2.54), when compared to those with 1-2 visits, and was higher among those who had carious teeth extractions ≧5 (HR = 1.88, 95% CI = 1.19-2.97), followed by those with 1-4 carious teeth extractions (HR = 1.36, 95% CI = 1.17-1.59) than those without extraction. The risk of SLE for dental caries management among different restorative materials, including amalgam, composite resins, or both, was not statistically different. CONCLUSIONS Patients with dental caries were associated with higher SLE risks. The relationship between dental caries and risk of SLE was dose-dependent, regardless of the material used for the restoration.
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Affiliation(s)
- Wuu-Tsun Perng
- Department of Recreational Sport & Health Promotion, National Pingtung University of Science and Technology, Pingtung, Taiwan
- Graduate Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
| | - Kevin Sheng-Kai Ma
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA
| | - Hsin-Yu Hung
- Department of Education, Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Yi-Chieh Tsai
- School of Medicine, Chung Shan Medical University, Taichung, Taiwan
| | - Jing-Yang Huang
- Department of Medical Research, Chung Shan Medical University, Taichung, Taiwan
| | - Pei-Lun Liao
- Department of Medical Research, Chung Shan Medical University, Taichung, Taiwan
| | - Yao-Min Hung
- Division of Nephrology, Department of Internal Medicine, Taipei Veterans General Hospital Taitung Branch, Taitung, Taiwan
- College of Health and Nursing, Meijo University, Pingtung, Taiwan
- College of Science and Engineering, National Taitung University, Taitung, Taiwan
| | - James Cheng-Chung Wei
- Division of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital, Taichung, Taiwan
- Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
- Graduate Institute of Integrated Medicine, China Medical University, Taichung, Taiwan
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Hall AF. Reflections from undergraduate teaching experiences: some problems and solutions of restoring teeth with dental resin composite instead of dental amalgam. Br Dent J 2022; 232:607-610. [PMID: 35562451 DOI: 10.1038/s41415-022-4201-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Accepted: 03/21/2022] [Indexed: 11/09/2022]
Abstract
This is a simple personal reflection on some of the problems and solutions related to the increasing use of composite resin to replace dental amalgam when dental students learn to place restorations at the start of their careers. To the author, much seems common sense. Much is not, or cannot, be backed up by ideal science and some may still be considered outdated to the more progressive practitioner. Unfortunately, prospective, ideally-designed clinical trials may no longer be possible to seek the answers we lack due to ethical, organisational, financial or other constraints.
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Affiliation(s)
- Andrew F Hall
- Unit of Restorative Dentistry, Dundee University Dental School, Dundee, DD1 4HR, UK.
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Alkadhimi A, Reeves S, T DiBiase A. How to appraise the literature: basic principles for the busy clinician - part 2: systematic reviews and meta-analyses. Br Dent J 2022; 232:569-575. [PMID: 35459833 DOI: 10.1038/s41415-022-4151-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 04/25/2021] [Indexed: 01/08/2023]
Abstract
With the increasing numbers of primary research papers being published in dentistry and healthcare in general, it is almost impossible for busy clinicians to keep up with the literature. Reviews summarising the outcomes of trials can therefore be a considerably efficient tool for obtaining the relevant information about what works and what does not. To this end, systematic reviews are critical in summarising the best available evidence and providing an indication of its strength. However, as with clinical trials, they can be difficult to interpret, of varying quality and dependent on the studies they include. This is the second part of a two-part series and will discuss the principles of critically appraising systematic reviews and meta-analyses. It follows on from part one, which focused on appraising randomised controlled trials.
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Affiliation(s)
- Aslam Alkadhimi
- Senior Registrar in Orthodontics, The Royal London Hospital Barts Health NHS Trust and East Kent Hospitals University NHS Foundation Trust, London, UK.
| | - Samuel Reeves
- Dental Core Trainee, East Kent Hospitals University NHS Foundation Trust, UK
| | - Andrew T DiBiase
- Consultant Orthodontist, East Kent Hospitals University NHS Foundation Trust, UK
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Effect of Surface Polishing on Nano-Hardness and Elastic Modulus of Different Resin Composites after Immersion in Alcoholic Medium. JOURNAL OF COMPOSITES SCIENCE 2021. [DOI: 10.3390/jcs5120327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
There has been a great tendency toward using resin composite in dentistry and exploring nano-hardness, elastic modulus, and effect of polishing on its mechanical properties after its artificial ageing. This study aimed to evaluate the effect of surface polishing of four different resin composites on their nano-hardness and elastic modulus. This effect was tested right after light curing of composite resin and after its artificial ageing (immersion in alcoholic medium). Nanoindentation test preparations, surface roughness, surface hardness, and scanning electron microscope were conducted across the four different resin composites: Clearfil AP-X (APX), Estelite Sigma Quick (ESQ), Beautifil II (BE2), and FiltekTM Supreme Ultra Universal restorative (FSU). We found that difference in fillers load and particle size are amongst the factors influencing hardness and modulus of elasticity. The APX is the highest in term of hardness due to fillers load and size while the ESQ is the lowest because all fillers in nano size and distributed homogenously. The significance of surface polishing of the studied resin composite restorations was highlighted. Future research may focus on exploring survival rate of polished and non-polished composite surfaces with emphasis on measuring degree of conversion and impacts of polished and non-polished surfaces on the individuals’ oral health quality of life.
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Apel Z, Vafaeian B, Apel DB, Hussain A. Occlusal stresses in beveled versus non-beveled tooth preparation. BIOMEDICAL ENGINEERING ADVANCES 2021. [DOI: 10.1016/j.bea.2021.100010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
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Abstract
Sectional matrix techniques offer more predictable solutions to achieving contact areas when placing direct interproximal posterior composites than circumferential matrix techniques, resulting in reduced reported complaints of food packing from patients. Despite this, a large majority of UK dentists and therapists don't currently use them. Sectional matrix systems are technique-sensitive to use, which can be a barrier to implementation for inexperienced users. The matrices can easily distort during their placement and stabilisation and when placing the restorative material. This can result in unwanted, clinically relevant problems in the resulting restorations, some of which may not be discernible once they have occurred. This paper explores the advantages and disadvantages of sectional matrices and the processes and techniques involved in their use, before discussing the potential for distortion at each step. It offers solutions to some of the commonly seen problems which will provide more predictable outcomes for those already using these techniques and encourage non-users to add them to their armamentarium.
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A Contemporary Evaluation on Posterior Direct Restoration Teaching among Undergraduates in Dental Schools in Malaysia. Dent J (Basel) 2021; 9:dj9100123. [PMID: 34677185 PMCID: PMC8534716 DOI: 10.3390/dj9100123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 10/05/2021] [Accepted: 10/08/2021] [Indexed: 11/22/2022] Open
Abstract
There is a current trend to restore posterior teeth with composite resin due to increasing demands on natural tooth colour restoration and increased concern about the safety of amalgam restorations. The objective was to evaluate the current teaching of posterior direct restoration among restorative dental lecturers in Malaysia compared to available international literature. An online questionnaire, which sought information on the teaching of posterior restoration was developed and distributed to 13 dental schools in Malaysia. The response rate for the questionnaire was 53.8%. The most popular posterior restoration teaching methods among the respondents were lecture (95.7%), demonstration (87.0%) and problem-based learning (PBL) (73.9%), while continuous assessment and a practical competency test (82.6%) were the most popular assessment methods. Placing a hard setting calcium hydroxide and GIC base for deep cavity restored by composite restoration was taught in 79.2% of cases. The standard protocols for posterior composite restoration were incremental filling in deep cavity (87.5%), using circumferential metal bands with wooden wedge (91.7%), with a total etch system (95.8%), using a light emitting diode (LED) light curing unit (91.7%), finishing using water cooling (80%) and finishing with a disc (87.5%). Graduates from dental schools in Malaysia received similar theoretical, preclinical and clinical teaching on posterior restoration techniques, although there were variations in the delivery methods, techniques and assessments, pointing to a need for uniformity and consensus.
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Liu J, Zhang H, Sun H, Liu Y, Liu W, Su B, Li S. The Development of Filler Morphology in Dental Resin Composites: A Review. MATERIALS (BASEL, SWITZERLAND) 2021; 14:5612. [PMID: 34640020 PMCID: PMC8509641 DOI: 10.3390/ma14195612] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 09/22/2021] [Accepted: 09/23/2021] [Indexed: 11/17/2022]
Abstract
Dental resin composites (DRCs) with diverse fillers added are widely-used restorative materials to repair tooth defects. The addition of fillers brings an improvement in the mechanical properties of DRCs. In the past decade, diverse fillers have emerged. However, the change of emerging fillers mainly focuses on the chemical composition, while the morphologic characteristics changes are often ignored. The fillers with new morphologies not only have the advantages of traditional fillers (particles, fibrous filler, etc.), but also endow some additional functional characteristics (stronger bonding ability to resin matrix, polymerization resistance, and wear resistance, drug release control ability, etc.). Moreover, some new morphologies are closely related to the improvement of traditional fillers, porous filler vs. glass particles, core-sheath fibrous vs. fibrous, etc. Some other new morphology fillers are combinations of traditional fillers, UHA vs. HA particles and fibrous, tetrapod-like whisker vs. whisker and fibrous filler, mesoporous silica vs. porous and silica particles. In this review, we give an overall description and a preliminary summary of the fillers, as well as our perspectives on the future direction of the development of novel fillers for next-generation DRCs.
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Affiliation(s)
- Jiani Liu
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases, Department of Dental Materials, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China; (J.L.); (H.Z.); (Y.L.); (W.L.)
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
| | - Hao Zhang
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases, Department of Dental Materials, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China; (J.L.); (H.Z.); (Y.L.); (W.L.)
| | - Huijun Sun
- Bristol Dental School, University of Bristol, Lower Maudlin Street, Bristol BS1 2LY, UK; (H.S.); (B.S.)
| | - Yanru Liu
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases, Department of Dental Materials, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China; (J.L.); (H.Z.); (Y.L.); (W.L.)
| | - Wenlin Liu
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases, Department of Dental Materials, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China; (J.L.); (H.Z.); (Y.L.); (W.L.)
| | - Bo Su
- Bristol Dental School, University of Bristol, Lower Maudlin Street, Bristol BS1 2LY, UK; (H.S.); (B.S.)
| | - Shibao Li
- State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases, Department of Dental Materials, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China; (J.L.); (H.Z.); (Y.L.); (W.L.)
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Worthington HV, Khangura S, Seal K, Mierzwinski-Urban M, Veitz-Keenan A, Sahrmann P, Schmidlin PR, Davis D, Iheozor-Ejiofor Z, Rasines Alcaraz MG. Direct composite resin fillings versus amalgam fillings for permanent posterior teeth. Cochrane Database Syst Rev 2021; 8:CD005620. [PMID: 34387873 PMCID: PMC8407050 DOI: 10.1002/14651858.cd005620.pub3] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
BACKGROUND Traditionally, amalgam has been used for filling cavities in posterior teeth, and it continues to be the restorative material of choice in some low- and middle-income countries due to its effectiveness and relatively low cost. However, there are concerns over the use of amalgam restorations (fillings) with regard to mercury release in the body and the environmental impact of mercury disposal. Dental composite resin materials are an aesthetic alternative to amalgam, and their mechanical properties have developed sufficiently to make them suitable for restoring posterior teeth. Nevertheless, composite resin materials may have potential for toxicity to human health and the environment. The United Nations Environment Programme has established the Minamata Convention on Mercury, which is an international treaty that aims "to protect the [sic] human health and the environment from anthropogenic emissions and releases of mercury and mercury compounds". It entered into force in August 2017, and as of February 2021 had been ratified by 127 governments. Ratification involves committing to the adoption of at least two of nine proposed measures to phase down the use of mercury, including amalgam in dentistry. In light of this, we have updated a review originally published in 2014, expanding the scope of the review by undertaking an additional search for harms outcomes. Our review synthesises the results of studies that evaluate the long-term effectiveness and safety of amalgam versus composite resin restorations, and evaluates the level of certainty we can have in that evidence. OBJECTIVES To examine the effects (i.e. efficacy and safety) of direct composite resin fillings versus amalgam fillings. SEARCH METHODS An information specialist searched five bibliographic databases up to 16 February 2021 and used additional search methods to identify published, unpublished and ongoing studies SELECTION CRITERIA: To assess efficacy, we included randomised controlled trials (RCTs) comparing dental composite resin with amalgam restorations in permanent posterior teeth that assessed restoration failure or survival at follow-up of at least three years. To assess safety, we sought non-randomised studies in addition to RCTs that directly compared composite resin and amalgam restorative materials and measured toxicity, sensitivity, allergy, or injury. DATA COLLECTION AND ANALYSIS We used standard methodological procedures expected by Cochrane. MAIN RESULTS We included a total of eight studies in this updated review, all of which were RCTs. Two studies used a parallel-group design, and six used a split-mouth design. We judged all of the included studies to be at high risk of bias due to lack of blinding and issues related to unit of analysis. We identified one new trial since the previous version of this review (2014), as well as eight additional papers that assessed safety, all of which related to the two parallel-group studies that were already included in the review. For our primary meta-analyses, we combined data from the two parallel-group trials, which involved 1645 composite restorations and 1365 amalgam restorations in 921 children. We found low-certainty evidence that composite resin restorations had almost double the risk of failure compared to amalgam restorations (risk ratio (RR) 1.89, 95% confidence interval (CI) 1.52 to 2.35; P < 0.001), and were at much higher risk of secondary caries (RR 2.14, 95% CI 1.67 to 2.74; P < 0.001). We found low-certainty evidence that composite resin restorations were not more likely to result in restoration fracture (RR 0.87, 95% CI 0.46 to 1.64; P = 0.66). Six trials used a split-mouth design. We considered these studies separately, as their reliability was compromised due to poor reporting, unit of analysis errors, and variability in methods and findings. Subgroup analysis showed that the findings were consistent with the results of the parallel-group studies. Three trials investigated possible harms of dental restorations. Higher urinary mercury levels were reported amongst children with amalgam restorations in two trials, but the levels were lower than what is known to be toxic. Some differences between amalgam and composite resin groups were observed on certain measures of renal, neuropsychological, and psychosocial function, physical development, and postoperative sensitivity; however, no consistent or clinically important harms were found. We considered that the vast number of comparisons made false-positive results likely. There was no evidence of differences between the amalgam and composite resin groups in neurological symptoms, immune function, and urinary porphyrin excretion. The evidence is of very low certainty, with most harms outcomes reported in only one trial. AUTHORS' CONCLUSIONS Low-certainty evidence suggests that composite resin restorations may have almost double the failure rate of amalgam restorations. The risk of restoration fracture does not seem to be higher with composite resin restorations, but there is a much higher risk of developing secondary caries. Very low-certainty evidence suggests that there may be no clinically important differences in the safety profile of amalgam compared with composite resin dental restorations. This review supports the utility of amalgam restorations, and the results may be particularly useful in parts of the world where amalgam is still the material of choice to restore posterior teeth with proximal caries. Of note, however, is that composite resin materials have undergone important improvements in the years since the trials informing the primary analyses for this review were conducted. The global phase-down of dental amalgam via the Minamata Convention on Mercury is an important consideration when deciding between amalgam and composite resin dental materials. The choice of which dental material to use will depend on shared decision-making between dental providers and patients in the clinic setting, and local directives and protocols.
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Affiliation(s)
- Helen V Worthington
- Cochrane Oral Health, Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Sara Khangura
- Canadian Agency for Drugs and Technologies in Health (CADTH), Ottawa, Canada
| | - Kelsey Seal
- Canadian Agency for Drugs and Technologies in Health (CADTH), Ottawa, Canada
| | | | - Analia Veitz-Keenan
- Department of Oral Maxillofacial Pathology, Radiology and Medicine, New York University College of Dentistry, New York, USA
| | - Philipp Sahrmann
- Clinic of Conservative and Preventive Dentistry, Center for Dental and Oral Medicine and Maxillo-Facial Surgery, University of Zurich, Zurich, Switzerland
| | - Patrick Roger Schmidlin
- Clinic of Conservative and Preventive Dentistry, Center for Dental and Oral Medicine and Maxillo-Facial Surgery, University of Zurich, Zurich, Switzerland
| | - Dell Davis
- Texas Medical Center Library, Houston Academy of Medicine, Houston, USA
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Wong VYY, Chua YK, Jr Koh H, Low KMT. A retrospective cross-sectional study of early patient-reported failures of direct restorations placed in a primary dental care setting. Br Dent J 2021; 231:43-48. [PMID: 34244647 DOI: 10.1038/s41415-021-3166-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 10/14/2020] [Indexed: 11/09/2022]
Abstract
Introduction A retrospective cross-sectional study of early patient-reported failures of restorations was initiated to understand the reasons and factors associated with early failure. Early patient-reported failures are defined as restorations requiring replacement within three months of placement.Aim To investigate if restorative material placed or any other tooth/restoration/patient factors may be associated with early patient-reported failures.Methods In total, 360 restorations were replaced from January 2016 to December 2017. Multivariable analyses (logistic regression model) were used to identify any patient/tooth/restoration factors that were associated with early patient-reported failures.Results Dislodgement, fracture and pain/sensitivity were the three main failure modes. There was significant association between restorative material type and dislodgement and restoration fracture. The odds of dislodgement for composite resin (CR) were 4.3 times higher compared to amalgam. The odds of dislodgement for glass-ionomer cement (GIC) and resin-modified GIC were 3.7 times higher compared to amalgam. The odds of fracture for CR were ten times lower compared to amalgam. The odds of pain for teeth with a history of restoration failure for a particular tooth were five times lower compared to no history of restoration failure for a particular tooth.Conclusions Restorative material type affected patient-reported failures.
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Affiliation(s)
| | - Yoke Kwan Chua
- Dental Surgeon, National Healthcare Group Polyclinics, Geylang, Singapore
| | - Holy Jr Koh
- Principal Dental Surgeon, National Healthcare Group Polyclinics, Ang Mo Kio, Singapore
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Hadad H, de Jesus LK, Poli PP, Garcia-Júnior IR, Souza FÁ, de Oliveira FRG. Aspiration of the dental crown in an elderly patient. Radiol Case Rep 2021; 16:2280-2285. [PMID: 34194591 PMCID: PMC8233169 DOI: 10.1016/j.radcr.2021.05.041] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 05/13/2021] [Accepted: 05/15/2021] [Indexed: 01/29/2023] Open
Abstract
The aspiration of objects and foreign bodies requires quick and systematic care. During emergent orotracheal intubation, accidental dental crown release can cause a threat to the patient's life. This paper aimed to report a case of foreign body (dental prosthetic crown) aspiration and its management and discuss alternative approaches. An 81-year-old male patient, who was admitted to the hospital's intensive care unit (ICU) for meningitis, presented with altered consciousness, and decreased oxygen saturation. He underwent emergent orotracheal intubation. After intubation, chest radiography was performed to check for proper orotracheal tube positioning and lung expansion. The resultant images revealed the presence of a foreign body within the right lower lobe bronchus in the shape of a dental crown. The foreign body, intubation cannula and basket clamp were successfully removed, followed by reintubation of the patient. The foreign body was a prosthetic upper premolar dental crown (24). While care should be taken to avoid complications, if a foreign body is aspirated during emergent orotracheal intubation, endoscopic removal appears safe and effective. Careful creation, placement, maintenance, and preservation of prosthetic crowns are critically important in elderly patients.
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Affiliation(s)
- Henrique Hadad
- Oral & Maxillofacial Surgery, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | - Laís Kawamata de Jesus
- Oral & Maxillofacial Surgery, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | - Pier Paolo Poli
- Implant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Idelmo Rangel Garcia-Júnior
- Oral & Maxillofacial Surgery, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | - Francisley Ávila Souza
- Oral & Maxillofacial Surgery, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil
| | - Flávio Roberto Garbelini de Oliveira
- Thoracic Surgeon and Bronchoscopist, Unimed Hospital, Araçatuba, Brazil.,Professor of Medicine, Salesian Catholic University Center Auxilium (UNISALESINO), Araçatuba, Brazil
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18
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Geier DA, Geier MR. Dental Amalgams and the Incidence Rate of Arthritis among American Adults. CLINICAL MEDICINE INSIGHTS-ARTHRITIS AND MUSCULOSKELETAL DISORDERS 2021; 14:11795441211016261. [PMID: 34045912 PMCID: PMC8138300 DOI: 10.1177/11795441211016261] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 04/20/2021] [Indexed: 12/24/2022]
Abstract
This hypothesis-testing study evaluated the relationship between mercury
(Hg)-based dental amalgams and arthritis diagnoses among adults in the United
States (US). A total of 86 305 425 weighted-persons with ⩾1 dental amalgam
filling surface (DAFS) (exposed group) and 32 201 088 weighted-persons with ⩾1
other dental filling surface (ODFS) (no DAFS, unexposed group) were examined in
the 2015 to 2016 National Health and Nutritional Examination Survey (NHANES).
All persons were 20 to 80 years-old with known demographic characteristics and
arthritis status. Survey logistic regression and survey frequency modeling in
SAS were employed with and without adjustment of covariates. The arthritis rate
was significantly increased in the exposed group compared to the unexposed group
in the unadjusted (7.68-fold) and adjusted (4.89-fold) models. Arthritis (per
10 000 weighted-person-years) was 6.0-fold significantly increased in the
exposed group (6.2) compared to the unexposed group (1.06). A significant
bimodal dose-dependent relationship between DAFS and arthritis rate was
observed. The arthritis rate increased with increasing DAFS (peak among persons
with 4-7 DAFS) and, subsequently, decreased among those with >6 DAFS. A
significant decrease in arthritis rate among persons with >13 DAFS as
compared to those persons with 4 to 7 DAFS was observed. A significant
association between DAFS and arthritis risk and a dose-dependent DAFS associated
immune-stimulation/immune-suppression with arthritis risk were observed. An
estimated additional $96 835 814 US dollars (USD) are spent on annual medical
costs and $184 797 680 USD are lost in annual wages from reported new onset
arthritis attributably associated with DAFS (annual total cost = $281 633 494
USD).
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Affiliation(s)
- David A Geier
- Institute of Chronic Illnesses, Inc, Silver Spring, MD, USA.,CoMeD, Inc, Silver Spring, MD, USA
| | - Mark R Geier
- Institute of Chronic Illnesses, Inc, Silver Spring, MD, USA.,CoMeD, Inc, Silver Spring, MD, USA
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Clarin A, Ho D, Soong J, Looi C, Ipe DS, Tadakamadla SK. The Antibacterial and Remineralizing Effects of Biomaterials Combined with DMAHDM Nanocomposite: A Systematic Review. MATERIALS (BASEL, SWITZERLAND) 2021; 14:1688. [PMID: 33808198 PMCID: PMC8037094 DOI: 10.3390/ma14071688] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 03/23/2021] [Accepted: 03/26/2021] [Indexed: 12/14/2022]
Abstract
Researchers have developed novel nanocomposites that incorporate additional biomaterials with dimethylaminohexadecyl methacrylate (DMAHDM) in order to reduce secondary caries. The aim of this review was to summarize the current literature and assess the synergistic antibacterial and remineralizing effects that may contribute to the prevention of secondary caries. An electronic search was undertaken in MEDLINE using PubMed, Embase, Scopus, Web of Science and Cochrane databases. The initial search identified 954 papers. After the removal of duplicates and screening the titles and abstracts, 15 articles were eligible for this review. The amalgamation of 2-methacryloyloxyethyl phosphorylcholine (MPC) and silver nanoparticles (AgNPs) with DMAHDM resulted in increased antibacterial potency. The addition of nanoparticles of amorphous calcium phosphate (NACP) and polyamidoamine dendrimers (PAMAM) resulted in improved remineralization potential. Further clinical studies need to be planned to explore the antibacterial and remineralizing properties of these novel composites for clinical success.
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Affiliation(s)
- Alison Clarin
- School of Dentistry and Oral Health, Griffith University, Gold Coast 4217, Australia; (A.C.); (D.H.); (J.S.); (C.L.); (D.S.I.)
| | - Daphne Ho
- School of Dentistry and Oral Health, Griffith University, Gold Coast 4217, Australia; (A.C.); (D.H.); (J.S.); (C.L.); (D.S.I.)
| | - Jana Soong
- School of Dentistry and Oral Health, Griffith University, Gold Coast 4217, Australia; (A.C.); (D.H.); (J.S.); (C.L.); (D.S.I.)
| | - Cheryl Looi
- School of Dentistry and Oral Health, Griffith University, Gold Coast 4217, Australia; (A.C.); (D.H.); (J.S.); (C.L.); (D.S.I.)
| | - Deepak Samuel Ipe
- School of Dentistry and Oral Health, Griffith University, Gold Coast 4217, Australia; (A.C.); (D.H.); (J.S.); (C.L.); (D.S.I.)
- Menzies Health Institute Queensland, Gold Coast 4217, Australia
| | - Santosh Kumar Tadakamadla
- School of Dentistry and Oral Health, Griffith University, Gold Coast 4217, Australia; (A.C.); (D.H.); (J.S.); (C.L.); (D.S.I.)
- Menzies Health Institute Queensland, Gold Coast 4217, Australia
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Peršić Bukmir R, Paljević E, Pezelj-Ribarić S, Brekalo Pršo I. Coronal Restoration as a Predictor of Periapical Disease in Non-Endodontically Treated Teeth. Acta Stomatol Croat 2021; 55:56-68. [PMID: 33867538 PMCID: PMC8033623 DOI: 10.15644/asc55/1/7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Objectives To compare the frequency of apical periodontitis (AP) in non-endodontically treated teeth restored with full coverage crowns, amalgam and resin composite fillings, and to disclose the association of type and quality of coronal restoration with periapical disease. Material and Methods The cross-sectional study involved 597 subjects who attended the Dental Clinic of the Clinical Hospital Centre, Rijeka, Croatia for the first time. Data were collected by means of a clinical and radiological survey. The following data were recorded for all permanently restored non-endodontically treated teeth: the type, the quality of coronal restoration according to clinical and radiographic criteria for marginal integrity as well as the recurrent caries presence, periapical status and marginal bone loss. Chi-square tests were used to analyze the difference in periapical status regarding the type and the quality of restoration. The multivariate logistic regression analysis was used to assess the effect of explanatory tooth-specific variables on periapical status. Results There was no significant difference in the proportion of AP with regards to the type and material of adequate quality coronal restorations (χ2=5.000, P=0.082). The regression analysis revealed significant positive associations with outcome variable (AP) for crowns (OR=3.39; P<0.001), recurrent caries (OR=4.67; P<0.001) and premolar teeth (OR=1.73; P=0.002). Conclusion If the quality of restorations is adequate, there is no difference in the periapical status of non-endodontically treated teeth regarding the type and material of coronal restoration.
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Affiliation(s)
- Romana Peršić Bukmir
- Department of Endodontics and Restorative Dentistry, Rijeka Clinical Hospital Centre, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Ema Paljević
- Department of Endodontics and Restorative Dentistry, Rijeka Clinical Hospital Centre, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Sonja Pezelj-Ribarić
- Department of Oral Medicine and Periodontology, Rijeka Clinical Hospital Centre, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Ivana Brekalo Pršo
- Department of Endodontics and Restorative Dentistry, Rijeka Clinical Hospital Centre, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
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Luca BI, Ilie N. Estimation of the tolerance threshold for the irradiance of modern LED curing units when simulating clinically relevant polymerization conditions. Dent Mater J 2021; 40:750-757. [PMID: 33678801 DOI: 10.4012/dmj.2020-261] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The study aims to characterize various LED light curing units (LED-LCU) in order to determine the tolerance threshold for varying the polymerization conditions. Two violet-blue and two blue LED-LCUs were analyzed by using a laboratory-grade spectrophotometer system. Fifty-five curing conditions were simulated in each LED-LCU by varying the position (centered and with an offset of 3-mm to the left, right, lower and upper direction) and the exposure distance (0 mm to 10 mm in 1-mm steps). Irradiance decreased with increasing exposure distance, while the effect of the LCU position was significant and LCU-specific. Only one LED-LCU enables the irradiance threshold of 1,000 mW/cm2 to be achieved in all positions up to an exposure distance of 4 mm. LCUs with a more homogeneous light beam profile more easily tolerate deviations from the ideal curing conditions. The study enables dentists to identify the limits of modern LED-LCUs and to estimate potential deviations from ideal curing conditions for clinically relevant situations.
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Affiliation(s)
- Bianca-Ioana Luca
- Department of Conservative Dentistry and Periodontology, University Hospital
| | - Nicoleta Ilie
- Department of Conservative Dentistry and Periodontology, University Hospital
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22
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Menezes-Silva R, Velasco SRM, BRESCIANi E, Bastos RDS, Navarro MFDL. A prospective and randomized clinical trial evaluating the effectiveness of ART restorations with high-viscosity glass-ionomer cement versus conventional restorations with resin composite in Class II cavities of permanent teeth: two-year follow-up. J Appl Oral Sci 2021; 29:e20200609. [PMID: 33656064 PMCID: PMC7934279 DOI: 10.1590/1678-7757-2020-0609] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 10/19/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To compare the effectiveness of ART restorations using High Viscosity Glass-ionomer cement (HVGIC) with conventional restorations using resin composite in Class II cavities of permanent teeth, in a 2-year follow-up. METHODOLOGY Seventy-seven restorations were made with each restorative material, Equia Fil-GC Corporation (ART restorations) and Z350-3M (conventional restoration), in 54 participants in this parallel and randomized clinical trial. Restorations were evaluated at 6 months, 1 and 2 years using the ART and the modified United States Public Health Service (USPHS) criteria. Chi-square test and Survival Analysis (p<0.05) were used for statistical analysis. RESULTS The success rates for ART restorations were 98.7% (6 months) and 95.8% (1 year) for both criteria. At 2 years, success rate was 92% and 90.3% when scored by the modified USPHS and ART criteria (p=0.466), respectively. The success rates for conventional restorations were 100% (6 months), 98.7% (1 year) and 91.5% (2 years) for both assessment criteria. ART restorations presented a lower survival rate by the criterion of ART (83.7%) when compared to the modified USPHS criterion of (87.8%), after 2 years (p=0.051). The survival of conventional restorations was 90.7% for both evaluation criteria. CONCLUSION At the 2-years follow-up evaluation, no statistically significant difference was observed between the success rate of ART restorations with HVGIC compared to conventional restorations with resin composite in Class II cavities of permanent teeth.
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Affiliation(s)
- Rafael Menezes-Silva
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Materiais Dentários, Endodontia e Dentística, Bauru, SP, Brasil
| | | | - Eduardo BRESCIANi
- Universidade Estadual Paulista (UNESP), Instituto de Ciências e Tecnologia, São José dos Campos, SP, Brasil
| | - Roosevelt da Silva Bastos
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Materiais Dentários, Endodontia e Dentística, Bauru, SP, Brasil
| | - Maria Fidela de Lima Navarro
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Materiais Dentários, Endodontia e Dentística, Bauru, SP, Brasil
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23
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KAPDAN A, KAYA S, EREN D. Influence Of Different Led Curing-Units On Depth Of Cure and Micro-Hardness Of Nano-Hybrid Resin Composite. CUMHURIYET DENTAL JOURNAL 2021. [DOI: 10.7126/cumudj.855065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Practice-based analysis of direct posterior dental restorations performed in a public health service: Retrospective long-term survival in Brazil. PLoS One 2020; 15:e0243288. [PMID: 33351807 PMCID: PMC7755217 DOI: 10.1371/journal.pone.0243288] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 11/18/2020] [Indexed: 11/19/2022] Open
Abstract
The aim of this retrospective study was to evaluate the survival and associated factors for the longevity of direct posterior restorations and to verify whether the geographic location of public health units could influence the long-term survival of such restorations. Data were extracted from electronic patient files of the Brazilian public oral health services. The sample comprised 2,405 class I and II restorations performed 4 to 24 years ago (mean, 8.9 years) in 351 patients (6.8 teeth/patient) across 12 public health units located in different city regions (42 professionals—55 restorations). The restoration was considered successful if it had not been repaired or replaced at the time of evaluation; failure was defined as replacement of the restoration, the need for endodontic treatment, tooth/restoration fracture or tooth extraction. Data were analyzed using the Kaplan-Meier test for restoration survival and Cox regression to evaluate the factors associated with failure. The majority of the restorations involved the use of amalgam (85%), involved a single face (70%), and were without pulp/dentin capping (85%). The overall survival rate was 95%, and the mean observation time was 8.9 years. The restoration survival was 79% (95% CI: 60.6–89.5) over 24 years, and the mean survival time was 22.2 years (95% CI: 21.9–22.6 years). The annual failure rate up to 24 years was 0.9%. After the adjustment, only the number of restored faces and the geographic location where the restoration was performed remained associated with failure of the restoration. The direct posterior restorations performed at the evaluated public health service units presented high survival rates. The restorations of people with lower access to POHS had lower survival rates. Class I restorations presented higher survival rates than class II restorations with two or more faces, regardless of the restorative material used.
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Silva MF, Dias MF, Lins-Filho PC, Silva CHV, Guimarães RP. Color stability of Bulk-Fill composite restorations. J Clin Exp Dent 2020; 12:e1086-e1090. [PMID: 33262876 PMCID: PMC7680568 DOI: 10.4317/jced.57579] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Accepted: 08/10/2020] [Indexed: 11/29/2022] Open
Abstract
Background The color stability of the composite resin is an important property that influences its clinical longevity, which remains an inherent challenge to the material. Thus, the purpose of this study was to evaluate the color stability of bulk-fill resins when exposed to dye.
Material and Methods Cavities were prepared in 80 bovine incisors, which were randomly assigned into 4 groups (n = 20) according with the resin composite used: P60 (Control Group - Filtek P60, 3M/ESPE), FP (Filtek Bulk-Fill Posterior, 3M/ESPE), SDR (SDR, Dentsply) and FF (Filtek Bulk Fill Flow, 3M/ESPE). All restorations were performed according to the protocol of each manufacturer, the control group was restored using the incremental technique, and the other groups using single-increment technique. The color of each restoration was measured using a portable digital spectrophotometer (Easyshade-Vita) according to the CIELab system, and then the teeth were submerged in red wine for 07 days, kept in a biological oven at 37ºC. New color registration was performed to measure the ΔE index of color variation.
Results The P60 group had the lowest average ΔE (16.96), while the FF group had the highest average (28.09) and ranged from 21.19 to 26.28 in the FP and SDR groups.
Conclusions Analysis of the color variation showed that the control group had better color stability than the Bulk-Fill resins evaluated. Key words:Dental restoration failure, Food coloring agents, polymerization.
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Affiliation(s)
| | - Marlon-Ferreira Dias
- Master student of the Dentistry postgraduate program of Universidade Estadual Paulista
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Clinical Effects of Mercury in Conservative Dentistry: A Systematic Review, Meta-Analysis, and Trial Sequential Analysis of Randomized Controlled Trials. Int J Dent 2020; 2020:8857238. [PMID: 32849873 PMCID: PMC7441433 DOI: 10.1155/2020/8857238] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 07/22/2020] [Accepted: 07/29/2020] [Indexed: 11/24/2022] Open
Abstract
Methods A systematic literature search was conducted in four electronic databases (Ovid via PubMed, Web of Science, Scopus, and CENTRAL) including all available randomised controlled trials published in the last 15 years comparing the use of dental amalgam with composite resins in humans with a follow-up period of at least one year. The primary outcome was the Hg concentration in biological fluids (urine, hair, blood, and saliva) with the aim of assessing their reliability as biomarkers of Hg exposure. The risk of bias was assessed through the Cochrane Collaboration tool and the overall quality of evidence through the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system. The results of the meta-analysis were expressed using a random-effects model, and their power was assessed through the trial sequential analysis (TSA). Results From the initial 2555 results, only 6 publications were included in the review: five were considered as having high risk of bias, whereas one as having moderate risk. Only two articles were eligible for quantitative analysis. The meta-analysis gathered data from 859 patients but was nevertheless not significant (p = 0.12). The TSA confirmed this evidence revealing that it was due to a lack of statistical power since the required information size (RIS) threshold is not reached. Conclusions The existing evidence revealed that there are not enough data to support the hypothesis that restorations with dental amalgam can cause nephrotoxicity when compared with composite resins restorations.
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Ilie N. Spatial Distribution of the Micro-Mechanical Properties in High-Translucent CAD/CAM Resin-Composite Blocks. MATERIALS 2020; 13:ma13153352. [PMID: 32731488 PMCID: PMC7435856 DOI: 10.3390/ma13153352] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 07/15/2020] [Accepted: 07/27/2020] [Indexed: 11/20/2022]
Abstract
Industrially cured, high-translucent computer-aided design/computer-aided manufacturing (CAD/CAM) resin-based composites (RBC) are the most recently launched dental restoratives. Clinical treatments and laboratory tests are based on a homogeneous distribution of properties within CAD/CAM blocks to obtain constant and reproducible results. The study therefore aims to determine the spatial distribution of various micro-mechanical parameters (Vickers hardness, Martens hardness, indentation modulus, creep, elastic and total indentation work) in five representative CAD/CAM RBCs. The properties of the tooth structure were evaluated under similar conditions. Filler size and shape were analyzed by scanning electron microscopy. A multivariate analysis (general linear model) identified a very strong influence of the material on all measured properties (p < 0.001; partial eta squared ηP2 > 0.943), whereby the most sensitive parameters when identifying differences within regions were the indentation modulus and the elastic indentation work. CAD/CAM RBC blocks show gradually varying properties that can increase or decrease from central to peripheral areas regardless of the chemical composition of the materials or the inorganic filler fraction. The degree of variation in the measured properties is material-specific and less than 8.7%. Clinical applications and in vitro study designs should consider slight inhomogeneity in CAD/CAM RBC blocks, while the location of the regions with best mechanical performance depends on the material.
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Affiliation(s)
- Nicoleta Ilie
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, D-80336 Munich, Germany
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Gugnani N, Gugnani S. ART with high viscosity GIC and composite restorations in class II cavities: can they thrive in the post-amalgam era? Evid Based Dent 2020; 21:22-23. [PMID: 32221490 DOI: 10.1038/s41432-020-0078-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Design This study is a parallel group randomised un-blinded trial with equal allocation to evaluate and compare the success of ART with HVGIC and composite restorations in class II cavities in permanent molars. Study population The study populations included 154 participants who were selected from 17 different schools of Bauru and adjoining areas in Sao Paulo, Brazil. Children with good general and oral health and having 1 or 2 class II cavities were chosen. Only one restoration per child which exhibited good occlusal contact was finally chosen for the purpose of study. The participants were then stratified as per DMFT-score and cavity size. After stratifying the participants in four conglomerates, they were randomly allocated to either ART with HVGIC or composite restoration group. Later, the participants were recalled at 6 and 12 months and the restorations were evaluated using ART and modified-USPHS criteria. Data analysis Frequency statistics, which included chi square, chi square for trend and Fisher's exact test, were used for determining the association between restoration type and different baseline variables and for determining the association between distribution of scores obtained with ART and composite restorations for different evaluation criteria. Results With ART criteria, success rates of ART and composite restoration were found to be 98.7% and 100% at 6 months while at 12 months the success rates were observed to be 98.7% and 95.8%, respectively. The distribution of scores at both the time periods was found to be statistically significant (p = 0.033). Same success rates were observed when the restorations were evaluated using modified-USPHS criteria, with statistical difference at the 6 month post-operative recall (p = 0.001), and non-significant difference at the 12 month recall visit (p = 0.310). Survival rates of ART and composite restoration were observed to be 94.8% and 98.7% with no-significant difference in the survival curves (p = 0.173)Conclusions In class II cavities in permanent molars, ART restorations with high viscosity GIC, done in a school setting exhibited similar success rates as composite restoration done in a clinical setting.
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Affiliation(s)
- Neeraj Gugnani
- Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College, Yamunanagar, Haryana, India
| | - Shalini Gugnani
- Department of Periodontics and Oral Implantology, DAV (C) Dental College Yamunanagar, Haryana, India
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Zhang A, Chen R, Aregawi W, He Y, Wang S, Aparicio C, Rudney J, Chew HP, Fok AS. Development and calibration of biochemical models for testing dental restorations. Acta Biomater 2020; 109:132-141. [PMID: 32289496 PMCID: PMC7244368 DOI: 10.1016/j.actbio.2020.04.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 04/03/2020] [Accepted: 04/07/2020] [Indexed: 02/07/2023]
Abstract
Currently, resin composites are the most popular materials for dental restoration in clinical practice. Although the properties of such materials have been improved significantly, together with better clinical techniques used for their placement, early restoration failure still occurs too frequently. As clinical studies take years to complete, and new resin composites are being produced at ever increasing pace, laboratory assessment using accelerated but representative tests is necessary. The main types of failure in resin-composite restoration are tooth/restoration fracture and secondary caries, which are caused by a combination of mechanical and biochemical challenges. In this study, a biofilm model (S. mutans) and a chemical model (lactic-acid buffer) for producing artificial caries in bovine dentin are developed and calibrated against in situ data. Using a power law relationship between the demineralization depth and challenge duration, scale factors that convert the in vitro durations to the equivalent clinical durations are determined for different pH values for each model. The scale factors will allow the synchronization of biochemical and mechanical challenges in terms of their rates of action to potentially test resin-composite restoration in an accelerated but clinically representative manner. STATEMENT OF SIGNIFICANCE: Although the properties of resin composites for dental restoration have been improved significantly, early restoration failure still occurs too frequently. As clinical studies take years to complete, accelerated laboratory testing is necessary. Resin-composite restoration fail mainly through fracture and secondary caries, caused by a combination of mechanical and biochemical challenges. In this study, a biofilm and a chemical model for producing artificial caries in bovine dentin are calibrated against in situ data. Using a power law relationship between demineralization depth and challenge duration, scale factors are determined for different pH for each model. The scale factors will allow the synchronization of biochemical and mechanical challenges in testing resin-composite restoration in an accelerated but clinically representative manner.
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Affiliation(s)
- Anqi Zhang
- Minnesota Dental Research Center for Biomaterials and Biomechanics (MDRCBB), School of Dentistry, University of Minnesota, 16-212 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, United States
| | - Ruoqiong Chen
- Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, United States
| | - Wondwosen Aregawi
- Minnesota Dental Research Center for Biomaterials and Biomechanics (MDRCBB), School of Dentistry, University of Minnesota, 16-212 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, United States
| | - Yiting He
- Department of Prosthodontics, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, People's Republic of China
| | - Shuting Wang
- Department of Stomatology, Peking University People's Hospital, Beijing, People's Republic of China
| | - Conrado Aparicio
- Minnesota Dental Research Center for Biomaterials and Biomechanics (MDRCBB), School of Dentistry, University of Minnesota, 16-212 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, United States
| | - Joel Rudney
- Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, United States
| | - Hooi Pin Chew
- Minnesota Dental Research Center for Biomaterials and Biomechanics (MDRCBB), School of Dentistry, University of Minnesota, 16-212 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, United States
| | - Alex S Fok
- Minnesota Dental Research Center for Biomaterials and Biomechanics (MDRCBB), School of Dentistry, University of Minnesota, 16-212 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, United States.
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Diamantopoulou EI, Plastiras OE, Mourouzis P, Samanidou V. Validation of a Simple HPLC-UV Method for the Determination of Monomers Released from Dental Resin Composites in Artificial Saliva. Methods Protoc 2020; 3:mps3020035. [PMID: 32375232 PMCID: PMC7359714 DOI: 10.3390/mps3020035] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Revised: 04/28/2020] [Accepted: 04/29/2020] [Indexed: 11/24/2022] Open
Abstract
Bisphenol-A (BPA), bisphenol A glycerolate dimethacrylate (Bis-GMA), triethylene glycol dimethacrylate (TEGDMA), and urethane dimethacrylate (UDMA) are organic monomers that can be released from dental composites into the oral cavity. Over specific concentrations, they can act as endocrine disruptors or cause toxic effects. The purpose of this work is to develop and validate an analytical method to determine BPA, Bis-GMA, TEGDMA, and UDMA monomers released from synthetic dental resins in artificial saliva. The method was validated before its application to new hybrid ceramic materials used in computer-aided design and computer-aided manufacturing (CAD/CAM) restorations to determine the release of monomers in various time intervals (e.g., 24 h, and 7, 14, 30, and 60 days), both in methanolic solutions, as well as in artificial saliva. Chromatographic analysis was performed isocratically on a Perfect Sil Target ODS-3 analytical column (250 mm × 4.6 mm, 5 µm) with CH3CN/H2O, 58/42% v/v as mobile phase within 23 min. The developed method was validated in terms of selectivity, linearity, accuracy, and precision.
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Affiliation(s)
- Elisavet-Ioanna Diamantopoulou
- Department of Chemistry, Laboratory of Analytical Chemistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (E.-I.D.); (O.-E.P.)
| | - Orfeas-Evanggelos Plastiras
- Department of Chemistry, Laboratory of Analytical Chemistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (E.-I.D.); (O.-E.P.)
| | - Petros Mourouzis
- Department of Dental Tissues Pathology and Therapeutics, Division of Operative Dentistry, Faculty of Dentistry, Aristotle University of Thessaloniki, GR-54124 Thessaloniki, Greece;
| | - Victoria Samanidou
- Department of Chemistry, Laboratory of Analytical Chemistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (E.-I.D.); (O.-E.P.)
- Correspondence: ; Tel.: +30-2310-997698
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Splieth CH, Kanzow P, Wiegand A, Schmoeckel J, Jablonski-Momeni A. How to intervene in the caries process: proximal caries in adolescents and adults-a systematic review and meta-analysis. Clin Oral Investig 2020; 24:1623-1636. [PMID: 32306093 DOI: 10.1007/s00784-020-03201-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 01/07/2020] [Indexed: 01/08/2023]
Abstract
OBJECTIVES For an ORCA/EFCD consensus, this systematic review assessed the question "How to intervene in the caries process in proximal caries in adolescents and adults". MATERIAL AND METHODS Separating between the management of initial and cavitated proximal caries lesions, Medline via PubMed was searched regarding non-operative/non-invasive, minimally/micro-invasive and restorative treatment. First priority was systematic reviews or randomized controlled trials (RCTs), otherwise cohort studies. After extraction of data, the potential risk of bias was estimated depending on the study type, and the emerging evidence for conclusions was graded. RESULTS Regarding non-invasive/non-operative care (NOC), no systematic reviews or RCTs were found. In cohort studies (n = 12) with a low level of evidence, NOC like biofilm management and fluoride was associated with a low proportion and slow speed of progression of initial proximal lesions. Minimally/micro-invasive (MI) treatments such as proximal sealants or resin infiltration (four systematic reviews/meta-analyses) were effective compared with a non-invasive/placebo control at a moderate level of evidence. Data on restorative treatment came with low evidence (5 systematic reviews, 13 RCTs); with the limitation of no direct comparative studies, sample size-weighted mean annual failure rates of class II restorations varied between 1.2 (bulk-fill composite) and 3.8% (ceramic). Based on one RCT, class II composite restorations may show a higher risk of failure compared with amalgam. CONCLUSIONS Proximal caries lesions can be managed successfully with non-operative, micro-invasive and restorative treatment according to lesion stage and caries activity. CLINICAL RELEVANCE Proximal caries treatment options like non-operative, micro-invasive and restorative care should be considered individually.
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Affiliation(s)
- C H Splieth
- Clinic for Preventive and Paediatric Dentistry, University of Greifswald, Fleischmannstr. 42, 17475, Greifswald, Germany.
| | - P Kanzow
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - A Wiegand
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - J Schmoeckel
- Clinic for Preventive and Paediatric Dentistry, University of Greifswald, Fleischmannstr. 42, 17475, Greifswald, Germany
| | - A Jablonski-Momeni
- Department of Orthodontics, Dental School, Philipps-University Marburg, Marburg, Germany
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Kanzow P, Büttcher AF, Wilson NH, Lynch CD, Blum IR. Contemporary teaching of posterior composites at dental schools in Austria, Germany, and Switzerland. J Dent 2020; 96:103321. [DOI: 10.1016/j.jdent.2020.103321] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 03/12/2020] [Accepted: 03/13/2020] [Indexed: 12/27/2022] Open
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Al-Zain AO, Marghalani HY. Influence of Light-curing Distances on Microflexural Strength of Two Resin-based Composites. Oper Dent 2020; 45:297-305. [DOI: 10.2341/19-001-l] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objective:
Our objective was to investigate the influence of different curing distances on microflexural strength and the microflexural modulus of two resin-based composites.
Methods:
Two nanohybrid composites were used; Filtek Z250 (Z250) and Tetric EvoCeram (TEC). Rectangular specimens were prepared (2-mm wide × 1-mm deep × 6-mm long) light cured according to the manufacturer's instructions at 0-mm, 2-mm, and 8-mm distances (n=10) and were stored wet at 37°C for 24 hours. A microflexural strength test was performed using a universal testing machine at a crosshead speed of 1 mm/min. The microflexural strength and microflexural modulus data were analyzed using a two-way analysis of variance followed by a Tukey multiple comparison post hoc test (α=0.05).
Results:
The TEC composite had a significantly higher microflexural strength at an 8-mm distance compared with the 0-mm distance. The Z250 composite expressed significantly higher microflexural strength, at 2-mm and 8-mm compared with the 0-mm distance. TEC showed a significantly higher microflexural modulus at an 8-mm distance compared with the 0-mm and 2-mm distances. Z250 also exhibited a significantly higher microflexural modulus at the 2-mm distance, compared with the 8-mm distance. In total, Z250 presented a significantly higher microflexural strength and modulus compared with TEC.
Conclusion:
Curing the explored composites at 2-mm or 8-mm distances from the specimen surface did not have a significant influence on microflexural strength but did significantly affect the microflexural modulus.
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Affiliation(s)
- AO Al-Zain
- Afnan O Al-Zain, BDS, MSD, PhD, Diploma of Professional Development in Teaching and Learning, Operative and Esthetic Dentistry Division, Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - HY Marghalani
- Hanadi Y Marghalani, BDS, MSc, PhD, DRBBA-Research Group, Operative and Esthetic Dentistry Division, Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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Freiberg A, Wienke A, Bauer L, Niedermaier A, Führer A. Dental Care for Asylum-Seekers in Germany: A Retrospective Hospital-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082672. [PMID: 32295091 PMCID: PMC7215588 DOI: 10.3390/ijerph17082672] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 04/08/2020] [Accepted: 04/10/2020] [Indexed: 12/16/2022]
Abstract
Background: The growing immigration to Germany led to more patients whose medical needs are divergent from those of the domestic population. In the field of dental health care there is a debate about how well the German health system is able to meet the resulting challenges. Data on asylum-seekers' dental health is scarce. This work is intended to reduce this data gap. Methods: We conducted this retrospective observational study in Halle (Saale), Germany. We included all persons who were registered with the social welfare office (SWO) in 2015 and received dental treatments. From the medical records, we derived information such as complaints, diagnoses, and treatments. Results: Out of 4107 asylum-seekers, the SWO received a bill for 568 people. On average, there were 1.44 treatment cases (95%-CI: 1.34-1.55) and 2.53 contacts with the dentist per patient (95%-CI: 2.33-2.74). Among those, the majority went to the dentist because of localized (43.2%, 95%-CI: 38.7-47.7) and non-localized pain (32.0%, 95%-CI: 27.8-36.2). The most widespread diagnosis was caries (n = 469, 98.7%, 95%-CI: 97.7-99.7). Conclusion: The utilization of dental care is lower among asylum-seekers than among regularly insured patients. We assume that the low prevalence rates in our data indicate existing access barriers to the German health care system.
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Physical and mechanical characterisation of flowable dental composites reinforced with short aspect ratio micro-sized S-Glass fibres. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 111:110771. [PMID: 32279786 DOI: 10.1016/j.msec.2020.110771] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2019] [Revised: 01/08/2020] [Accepted: 02/22/2020] [Indexed: 11/24/2022]
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Broadbent JM, Murray CM, Schwass DR, Brosnan M, Brunton PA, Lyons KS, Thomson WM. The Dental Amalgam Phasedown in New Zealand: A 20-year Trend. Oper Dent 2020; 45:255-264. [PMID: 31995425 DOI: 10.2341/19-024-c] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND OBJECTIVES Information on the choice of material and performance of restorations placed in a dental practice annually is limited. The Minamata Convention on Mercury is likely to affect the use of amalgam worldwide. The objective of this research was to investigate the use of restorative materials at the University of Otago Faculty of Dentistry in New Zealand from 1998 to 2017. METHODS Data from the Faculty of Dentistry's database from the years of interest were compiled. These data included information on the characteristics of restorations, including information on the material used and number of surfaces involved for each restoration. The tooth in which each restoration was placed was categorized by arch, tooth type, and deciduous or permanent dentition. RESULTS Records identified 227,514 permanent restorations placed from January 1998 to December 2017, of which 91.7% were direct restorations. Among direct restorations, composite resin was the most commonly used material, followed by amalgam, glass ionomer, and compomer. The use of amalgam for direct restorations decreased from 52.3% of direct restorations in 1998 to 7.1% in 2017. A corresponding increase was observed in the use of tooth-colored direct restorations, particularly composites. Among indirect restorations, porcelain fused to metal, gold, and stainless steel (in pediatric applications) were the materials most frequently used. CONCLUSIONS Despite having no official policy on reducing the use of dental amalgam, the Faculty of Dentistry is following the global trend in reducing its use, with composite resin now well established as the predominant restorative material used. If the current rate of decline persists unchecked, the Faculty of Dentistry could transition to being amalgam free by 2020, although it seems likely that the characteristics and principles of use of the material (and its removal) will be taught for some time to come. This knowledge is important to planning curriculum changes needed to prepare graduates for clinical practice.
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Sismanoglu S. Efficiency of self-adhering flowable resin composite and different surface treatments in composite repair using a universal adhesive. Niger J Clin Pract 2019; 22:1675-1679. [PMID: 31793473 DOI: 10.4103/njcp.njcp_233_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Aims The aim of this in vitro investigation was to evaluate the efficiency of self-adhering flowable resin composite (Vertise Flow, Kerr, Orange, CA, USA) and different surface treatments in the repair microtensile bond strength (μTBS) of aged nanofill resin composites using a universal adhesive. Materials and Methods Aged substrates (×5000 thermocycling) were prepared using a nanofill (Filtek Ultimate; 3M ESPE) resin composite and randomly assigned to different surface treatments: (1) no treatment (control), (2) acid etching with 37% phosphoric acid, (3) Al2O3sandblasting, and (4) sandblasting with CoJet (3M ESPE). After surface treatment, specimens were further divided into two groups: no universal adhesive application and universal adhesive application. Vertise Flow was added to the substrates at 2-mm layer increments to a height of 5 mm and light cured. Restored specimens were sectioned to obtain 1.0-mm2 beams for μTBS testing. Data were analyzed with two-way analysis of variance and Tukey's honest significant difference tests (P < 0.05). Results The lowest μTBS values were recorded in the control and acid etching groups with no universal adhesive application (P < 0.05). Universal adhesive application significantly increased the repair μTBS values of all surface treatments (P < 0.05), except CoJet treatment. There were no significant differences between Al2O3sandblasting, CoJet application, and acid etching groups with the universal adhesive application (P > 0.05). Conclusion Vertise Flow can be used effectively in the repair of old nanofill resin composites. The usage of universal adhesive with prior acid etching to obtain acceptable repair performance would be the practical choice under clinical conditions.
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Affiliation(s)
- S Sismanoglu
- Department of Restorative Dentistry, Faculty of Dentistry, Altnıbaş University, Istanbul, Turkey
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Fugolin AP, Dobson A, Huynh V, Mbiya W, Navarro O, Franca CM, Logan M, Merritt JL, Ferracane JL, Pfeifer CS. Antibacterial, ester-free monomers: Polymerization kinetics, mechanical properties, biocompatibility and anti-biofilm activity. Acta Biomater 2019; 100:132-141. [PMID: 31574321 PMCID: PMC6894497 DOI: 10.1016/j.actbio.2019.09.039] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 09/26/2019] [Accepted: 09/26/2019] [Indexed: 01/09/2023]
Abstract
OBJECTIVES Quaternary ammonium (QA) methacrylate monomers have been extensively investigated and demonstrate excellent antibacterial properties. However, the presence of ester bonds makes them prone to degradation in the oral cavity. In this study, ester-free QA monomers based on meth-acrylamides were synthesized and screened for polymerization kinetics, mechanical properties and antibacterial effects. MATERIALS AND METHODS Tertiary quaternary ammonium acrylamides (AM) and methacrylamides (MAM) with alkyl side chain lengths of 9 and 14 carbons (C9 and C14) were synthesized and incorporated at 10 wt% into experimental composites based on BisGMA:TEGDMA (1:1), camphorquinone/ethyl-4-dimethylaminobenzoate (0.2/0.8 wt%) and 70 wt% barium glass fillers. Analogous methacrylate versions (MA) were used as controls. Degree of conversion (DC) and rate of polymerization (RP) during photoactivation (800 mW/cm2) were followed in real-time with near-IR. Flexural Strength (FS) and Modulus (E) were measured on 2 × 2 × 25 mm bars in 3-point bending after 24 h dry storage and 7-day storage in water at 37 °C. Antimicrobial properties and biofilm adhesion (fouling) were evaluated by bioluminescence (Luciferase Assay) and biofilm removal by water spray microjet impingement test, respectively. Cytotoxicity was assessed by MTT assay on dental pulp stem cells (DPSC). Data were analyzed with one-way ANOVA/Tukey's test (α = 0.05). RESULTS DC was similar for all groups tested (∼70%). Both MAMs and C14-AM presented significantly lower RP. Under dry conditions, FS (110-120 MPa) and E (8-9 GPa) were similar for all groups. After water storage, all materials presented FS/E similar to the control, except for C14-AM (for FS) and C14-MAM (for E), which were lower. All C14 versions were strongly antibacterial, decreasing the titer counts of biofilm by more than two orders of magnitude in comparison to the control. C9 monomers did not present significant antibacterial nor antifouling properties. And biofilms had approximately equivalent adhesion on the C9 composites as on the control. Cytotoxicity did not show significant differences between the MA and AM versions and the control group. CONCLUSIONS C14-QA monomers based on methacrylates and meth-acrylamides present strong antibacterial properties, and in general, similar conversion/mechanical properties compared to the methacrylate control. STATEMENT OF SIGNIFICANCE This work demonstrates the viability of methacrylamides and acrylamides as potential components in dental restorative materials with antimicrobial properties. The use of ester-free polymerizable functionalities has the potential of improving the degradation resistance of these materials long-term. The use of (meth)acrylamides did not interfere with the antimicrobial potential of quaternary ammonium-based materials.
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Affiliation(s)
- Ana P Fugolin
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Adam Dobson
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Vincent Huynh
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Wilbes Mbiya
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Oscar Navarro
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Cristiane M Franca
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Matthew Logan
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Justin L Merritt
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Jack L Ferracane
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA
| | - Carmem S Pfeifer
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Oregon Health & Science University, 2730 SW Moody Ave, Portland, OR 97201, USA.
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Ionescu A, Brambilla E, Hahnel S. Does recharging dental restorative materials with fluoride influence biofilm formation? Dent Mater 2019; 35:1450-1463. [PMID: 31400984 DOI: 10.1016/j.dental.2019.07.019] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 06/28/2019] [Accepted: 07/15/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES To investigate the influence of recharging dental restorative materials with fluoride on biofilm formation. METHODS Specimens produced from a high-viscosity glass ionomer cement (HVGIC), a resin-modified glass ionomer cement (RMGIC), and a resin-based composite (RBC) were randomly allotted to incubation in artificial saliva either for one week (AS-1), for five weeks (AS-5), for five weeks including twice/day brushing with 1450ppm NaF toothpaste (AS-5-brush), or one-time exposition to 5000ppm NaF after five weeks of incubation (AS-5-exp). Human enamel was used as reference. Surface roughness and the release of fluoride from the specimens was determined; biofilm formation was simulated using mono- or multispecies microbiological models and analysed employing an MTT-based approach and confocal laser-scanning microscopy. RESULTS Monospecies biofilm formation was significantly reduced on HVGIC in comparison to RMGIC and RBC. It was also reduced on HVGIC and enamel after treatment with fluoride in groups AS-5-brush and AS-5-exp in comparison to AS-5. These effects were particularly pronounced after 24h, and less pronounced after 48h of biofilm formation. In the multispecies microbiological model, similar observations were identified for HVGIC, while for enamel a significant reduction in biofilm formation was observed in groups AS-5-brush and AS-5-exp. No significant effect of fluoride treatments was identified for RMGIC and RBC, regardless of the microbiological model applied. SIGNIFICANCE These data indicate that biofilm formation on the surfaces of a glass ionomer cement and enamel can be relevantly influenced by treatment with fluoride. Enamel may serve as a fluoride reservoir which requires regular recharge.
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Affiliation(s)
- Andrei Ionescu
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy
| | - Eugenio Brambilla
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy
| | - Sebastian Hahnel
- Poliklinik für Zahnärztliche Prothetik und Werkstoffkunde, Leipzig University, Leipzig, Germany.
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Avoaka-Boni MC, Djolé SX, Désiré Kaboré WA, D Gnagne-Koffi YN, E Koffi AF. The causes of failure and the longevity of direct coronal restorations: A survey among dental surgeons of the town of Abidjan, Côte d'Ivoire. J Conserv Dent 2019; 22:270-274. [PMID: 31367112 PMCID: PMC6632625 DOI: 10.4103/jcd.jcd_541_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective: This study aimed to itemize the causes for the failure of direct coronal restorations (DCRs) according to the practitioners of Côte d'Ivoire in order to provide recommendations for good practice. Materials and Methods: A descriptive, self-reporting, prospective survey was carried out among 109 dental surgeons (DSs) in the town of Abidjan based on 587 randomly selected practitioners supplied by the National Board of the Order. Results: The results show that 98.10% of the surveyed DSs had previously encountered cases of failure. Fracturing of the restoration, which is the basis for the hiatus, is the main cause of failure according to 51.40% of the surveyed practitioners, followed by pain “under the restoration” cited by 26.20% of them. Failure occurs within 6 months (30.85% of those surveyed), after 5 years (9.6% of those surveyed) for restorations with composite or glass ionomer cement (GIC), while for DCRs with amalgam, failure occurs within 6 months (28.70%), after 5 years (16%) and beyond 10 years (3.20%). Conclusion: The practitioners often encountered failures of DCRs, with fracture of the restoration as the cause. Dental amalgam appears to have a greater longevity than adhesive restorations. Faced with a failure, they more often opted for a replacement of the DCRs rather than a repair.
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Affiliation(s)
- Marie-Chantal Avoaka-Boni
- Department of Conservative Dentistry and Endodontics, University Felix Houphouët-Boigny, Abidjan, Côte d'Ivoire
| | - Stéphane X Djolé
- Department of Conservative Dentistry and Endodontics, University Felix Houphouët-Boigny, Abidjan, Côte d'Ivoire
| | - Wendpoulomdé Aimé Désiré Kaboré
- Research Center of Health Sciences (UFR/SDS), University Ouaga I Professor Joseph KI-ZERBO, Ouagadougou, Burkina Faso, West Africa, Burkina Faso
| | - Yolande N D Gnagne-Koffi
- Department of Conservative Dentistry and Endodontics, University Felix Houphouët-Boigny, Abidjan, Côte d'Ivoire
| | - Alexandra F E Koffi
- Department of Conservative Dentistry and Endodontics, University Felix Houphouët-Boigny, Abidjan, Côte d'Ivoire
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Abu‐Awwad M. Dentists' decisions regarding the need for cuspal coverage for endodontically treated and vital posterior teeth. Clin Exp Dent Res 2019; 5:326-335. [PMID: 31452943 PMCID: PMC6704031 DOI: 10.1002/cre2.185] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 03/22/2019] [Accepted: 03/26/2019] [Indexed: 11/12/2022] Open
Abstract
Objectives Deciding when cuspal coverage is needed for posterior teeth is considered a challenge for dentists. The aims were to assess dentists' decision making regarding the need for cuspal coverage for vital teeth (VT) and endodontically treated teeth (ETT) with varying amounts of tooth structure loss and to identify clinical situations of dissimilarity and uncertainty in decision making. Materials and Methods A random sample of 182 dentists were invited to participate in the survey. The survey included photos of 13 posterior teeth: six VT and seven ETT. The clinical situations selected were based on a hypothetical scale of typodont teeth with ascending amounts of tooth structure loss. A brief description of each situation was provided. Each dentist was asked to decide whether cuspal coverage is needed, not needed, or unsure. Descriptive analyses using SPSS were conducted. Seventy-five percent was chosen as a cutoff point for assessing similarity in decision making. The unsure answer reflected uncertainty. Associations were assessed using chi-square test. Results One hundred twenty dentists participated (65.9% response rate, 70 females). Median for years of experience was 3.5 (interquartile range 1.1-10.8). Analyses revealed a similarity percentage of <75% in decision making among dentists for six clinical situations: four VT and two ETT. More similarity was observed for situations at both ends of the scale with minimal and severe amounts of tooth structure loss and more for ETT than for VT. The highest percentages of uncertainty were more for VT than for ETT. Clinical conditions of VT were more likely to receive the "not sure" decision compared with those of ETT (χ2, P < .001). No association was detected with gender (χ2, P = .509) or years of experience (χ2, P = .223). Conclusions Dissimilarity and uncertainty in deciding when cuspal coverage is needed were observed especially for VT and teeth with a moderate amount of structure loss.
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Affiliation(s)
- Motasum Abu‐Awwad
- Department of Prosthodontics, School of DentistryUniversity of JordanAmmanJordan
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Menezes-Silva R, Velasco SRM, Bastos RS, Molina G, Honório HM, Frencken JE, Navarro MFL. Randomized clinical trial of class II restoration in permanent teeth comparing ART with composite resin after 12 months. Clin Oral Investig 2019; 23:3623-3635. [DOI: 10.1007/s00784-018-2787-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Accepted: 12/18/2018] [Indexed: 11/29/2022]
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Eren D, Aydoğan C. BİR NANOHİBRİT KOMPOZİTİN TAMİRİNDE KULLANILAN FARKLI YÜZEY İŞLEMLERİ VE KOMPOZİT REZİNLERİN MİKROSIZINTIYA ETKİSİ. CUMHURIYET DENTAL JOURNAL 2018. [DOI: 10.7126/cumudj.449364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Al-Asmar AA, Al-Khatib KM, Al-Amad TZ, Sawair FA. Has the implementation of the Minamata convention had an impact on the practice of operative dentistry in Jordan? J Int Med Res 2018; 47:361-369. [PMID: 30282511 PMCID: PMC6384461 DOI: 10.1177/0300060518802523] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective To assess Jordanian dentists’ current perception and attitudes towards amalgam and composite restorations four years after the Minamata treaty was endorsed and suggest decision making factors that may influence the type of restoration requested by patients. Methods The cross-sectional study was conducted through structured questionnaires distributed to dentists in Amman, Jordan from June 2017 to February 2018. Results Of the 1686 dentists who were contacted 758 dentists (response rate 45%) responded to the questionnaire either by email or via field visits. Jordanian dentists used more composite restorations than amalgam. Recurrent caries followed by fracture of the restoration were the main reasons for replacement of both fillings by dentists. However, dentists suggested that the main reason patients requested replacement of amalgam was for ‘staining’. In addition, a large proportion of the dentists had experienced patients who had asked either for replacement of amalgam (77%) or refused an amalgam filling (99%) for aesthetic reasons. In the opinion of the dentists, only 20% patients requested replacement of amalgam because of the mercury content. Conclusion The findings of this survey suggest that a ‘phase-down’ of dental amalgam is being implemented in Jordan's dental clinics but it is not associated with commitment to the Minamata Convention, rather to current dental practice trends and patients’ aesthetic demands.
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Affiliation(s)
- Ayah Abdullah Al-Asmar
- 1 Department of Conservative Dentistry, Faculty of Dentistry, University of Jordan, Amman, Jordan
| | | | | | - Faleh A Sawair
- 3 Director/University Accreditation and Quality Assurance Centre, Department of Oral Pathology, Faculty of Dentistry, University of Jordan, Amman, Jordan
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Takahashi N, Lee C, Da Silva JD, Ohyama H, Roppongi M, Kihara H, Hatakeyama W, Ishikawa-Nagai S, Izumisawa M. A comparison of diagnosis of early stage interproximal caries with bitewing radiographs and periapical images using consensus reference. Dentomaxillofac Radiol 2018; 48:20170450. [PMID: 30222021 DOI: 10.1259/dmfr.20170450] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVES: The purpose of this study was to assess the diagnostic property of intraoral bitewing radiographs (BTW) for early stage interproximal caries, and to compare them with periapical radiographs (PA) at different levels of caries progression. METHODS: A total of 241 interproximal surfaces of BTW and corresponding PAs were used. Seven teaching faculty consisting of three oral and maxillofacial radiologists, two operative faculty, and two prosthodontists evaluated the images. The observers graded images as either "intact", "enamel caries <1/2 width", "enamel caries >1/2 width", or "caries into dentin". The gold-standard was established by consensus of two experienced faculty with 35 years and 27 years of experience. Specificity, sensitivity, positive-predictive value, and negative-predictive value were calculated for the different level of caries progression. Furthermore, receiver operating curves) of BTW and PAs of each evaluator were made and the area under the curve of BTW and PAs were compared. RESULTS: There was no significant difference in the specificity of BTW and PAs. BTW showed significantly higher sensitivity than PAs in all levels of caries progression (p<0.01). Positive-predictive value and negative-predictive value of BTWs were also significantly higher than PAs. One-way ANOVA and Tukey HSD test showed a significant difference in sensitivity with different levels of caries progression. The average area under the curve was significantly higher for BTWs than PAs (p<0.01). CONCLUSIONS: BTWs offer a significant advantage over PAs in the diagnoses of early stages of interproximal carious lesions.
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Affiliation(s)
- Noriaki Takahashi
- 1 Iwate Medical University, School of Dental Medicine , Morioka , Japan
| | - Cliff Lee
- 2 Harvard School of Dental Medicine , Boston, MA , USA.,3 University California, School of Dentistry , San Francisco, CA , USA
| | | | - Hiroe Ohyama
- 2 Harvard School of Dental Medicine , Boston, MA , USA
| | - Motoi Roppongi
- 1 Iwate Medical University, School of Dental Medicine , Morioka , Japan
| | - Hidemichi Kihara
- 1 Iwate Medical University, School of Dental Medicine , Morioka , Japan
| | | | | | - Mitsuru Izumisawa
- 1 Iwate Medical University, School of Dental Medicine , Morioka , Japan
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Stencel R, Kasperski J, Pakieła W, Mertas A, Bobela E, Barszczewska-Rybarek I, Chladek G. Properties of Experimental Dental Composites Containing Antibacterial Silver-Releasing Filler. MATERIALS (BASEL, SWITZERLAND) 2018; 11:E1031. [PMID: 29912158 PMCID: PMC6025467 DOI: 10.3390/ma11061031] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 06/11/2018] [Accepted: 06/11/2018] [Indexed: 12/19/2022]
Abstract
Secondary caries is one of the important issues related to using dental composite restorations. Effective prevention of cariogenic bacteria survival may reduce this problem. The aim of this study was to evaluate the antibacterial activity and physical properties of composite materials with silver sodium hydrogen zirconium phosphate (SSHZP). The antibacterial filler was introduced at concentrations of 1%, 4%, 7%, 10%, 13%, and 16% (w/w) into model composite material consisting of methacrylate monomers and silanized glass and silica fillers. The in vitro reduction in the number of viable cariogenic bacteria Streptococcus mutans ATCC 33535 colonies, Vickers microhardness, compressive strength, diametral tensile strength, flexural strength, flexural modulus, sorption, solubility, degree of conversion, and color stability were investigated. An increase in antimicrobial filler concentration resulted in a statistically significant reduction in bacteria. There were no statistically significant differences caused by the introduction of the filler in compressive strength, diametral tensile strength, flexural modulus, and solubility. Statistically significant changes in degree of conversion, flexural strength, hardness (decrease), solubility (increase), and in color were registered. A favorable combination of antibacterial properties and other properties was achieved at SSHZP concentrations from 4% to 13%. These composites exhibited properties similar to the control material and enhanced in vitro antimicrobial efficiency.
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Affiliation(s)
- Robert Stencel
- Private Practice, Center of Dentistry and Implantology, ul. Karpińskiego 3, 41-500 Chorzów, Poland.
| | - Jacek Kasperski
- Department of Prosthetic Dentistry, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, pl. Akademicki 17, 41-902 Bytom, Poland.
| | - Wojciech Pakieła
- Faculty of Mechanical Engineering, Institute of Engineering Materials and Biomaterials, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland.
| | - Anna Mertas
- Chair and Department of Microbiology and Immunology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, ul. Jordana 19, 41-808 Zabrze, Poland.
| | - Elżbieta Bobela
- Chair and Department of Microbiology and Immunology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, ul. Jordana 19, 41-808 Zabrze, Poland.
| | - Izabela Barszczewska-Rybarek
- Department of Physical Chemistry and Technology of Polymers, Silesian University of Technology, 44-100 Gliwice, Poland.
| | - Grzegorz Chladek
- Faculty of Mechanical Engineering, Institute of Engineering Materials and Biomaterials, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland.
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Mourouzis P, Samanidou V, Koulaouzidou EA, Palaghias G. HPLC study for evaluating the significance of pH in the inhibiting effect of phosphate buffer on the leaching pattern of resin composites. J LIQ CHROMATOGR R T 2018. [DOI: 10.1080/10826076.2018.1441157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Petros Mourouzis
- Division of Dental Tissues Pathology and Therapeutics, Department of Operative Dentistry and Basic Dental Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Victoria Samanidou
- Department of Chemistry, Laboratory of Analytical Chemistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Elisabeth A. Koulaouzidou
- Division of Dental Tissues Pathology and Therapeutics, Department of Operative Dentistry and Basic Dental Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Georgios Palaghias
- Division of Dental Tissues Pathology and Therapeutics, Department of Operative Dentistry and Basic Dental Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
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49
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Stamp technique for direct resin composite restoration in pregnancy – case report. GINECOLOGIA.RO 2018. [DOI: 10.26416/gine.22.4.2018.2145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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Vieira AR, Silva MB, Souza KKA, Filho AVA, Rosenblatt A, Modesto A. A Pragmatic Study Shows Failure of Dental Composite Fillings Is Genetically Determined: A Contribution to the Discussion on Dental Amalgams. Front Med (Lausanne) 2017; 4:186. [PMID: 29164121 PMCID: PMC5681741 DOI: 10.3389/fmed.2017.00186] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Accepted: 10/16/2017] [Indexed: 01/01/2023] Open
Abstract
Composite resins for posterior tooth restorations have become a viable alternative to dental amalgam. Failures sometimes cannot be easily explained, and we hypothesize that a genetic component may influence longevity of restorations. We aimed to determine if there is any evidence for a difference in the performance of amalgams versus composite resin in extensive posterior restorations. We also aimed to determine if risk factors such as age, sex, smoking tobacco, alcohol drinking, diabetes status, and periodontal health status may have a role in the failures of extensive anterior composite restorations. Finally, we investigated if genetic variation in matrix metalloproteinases that are present in the mineralized dentin is associated with failure of composite resin. The data used to perform this research were obtained from the Dental Registry and DNA Repository project after screening 4,856 patients. All restorations were evaluated at times of 1, 2, and 5 years after the restoration placement. 6,266 amalgam and 2,010 composite restorations were analyzed in a total of 807 patients in a period of approximately 10 years (period corresponding to the database existence). An additional 443 extensive direct composite resin restorations in anterior teeth were also studied. Failure rates of amalgam and composite restorations are similar, and by the end of 5 years, composites outperformed amalgams slightly. Failures of anterior composite restorations occurred more often in males who smoked tobacco (p = 0.05), despite a similar number of females and males that smoked tobacco in the sample (116 individuals smoked tobacco, 54 females and 62 males). Alcohol drinking increased failure rate within 2 years (p = 0.03). We found a statistically significant association between matrix metalloproteinase 2 rs9923304 and failure of composite restorations (p = 0.007). Composite resins can replace amalgam restorations. Smoking tobacco and drinking alcohol will increase the chance of restoration failure.
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Affiliation(s)
- Alexandre R Vieira
- Departments of Oral Biology, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, United States.,Departments of Pediatric Dentistry, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, United States
| | - Marília B Silva
- Departments of Oral Biology, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, United States
| | - Kesia K A Souza
- Departments of Oral Biology, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, United States
| | - Arnôldo V A Filho
- Department of Preventive Dentistry, University of Pernambuco School of Dentistry, Recife, Pernambuco, Brazil
| | - Aronita Rosenblatt
- Department of Preventive Dentistry, University of Pernambuco School of Dentistry, Recife, Pernambuco, Brazil
| | - Adriana Modesto
- Departments of Pediatric Dentistry, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, United States
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