1
|
Elgezawi M, Haridy R, Abdalla MA, Heck K, Draenert M, Kaisarly D. Current Strategies to Control Recurrent and Residual Caries with Resin Composite Restorations: Operator- and Material-Related Factors. J Clin Med 2022; 11:jcm11216591. [PMID: 36362817 PMCID: PMC9657252 DOI: 10.3390/jcm11216591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 10/28/2022] [Accepted: 11/02/2022] [Indexed: 11/09/2022] Open
Abstract
This review addresses the rationale of recurrent and/or residual caries associated with resin composite restorations alongside current strategies and evidence-based recommendations to arrest residual caries and restrain recurrent caries. The PubMed and MEDLINE databases were searched for composite-associated recurrent/residual caries focusing on predisposing factors related to materials and operator’s skills; patient-related factors were out of scope. Recurrent caries and fractures are the main reasons for the failure of resin composites. Recurrent and residual caries are evaluated differently with no exact distinguishment, especially for wall lesions. Recurrent caries correlates to patient factors, the operator’s skills of cavity preparation, and material selection and insertion. Material-related factors are significant. Strong evidence validates the minimally invasive management of deep caries, with concerns regarding residual infected dentin. Promising technologies promote resin composites with antibacterial and remineralizing potentials. Insertion techniques influence adaptation, marginal seal, and proximal contact tightness. A reliable diagnostic method for recurrent or residual caries is urgently required. Ongoing endeavors cannot eliminate recurrent caries or precisely validate residual caries. The operator’s responsibility to precisely diagnose original caries and remaining tooth structure, consider oral environmental conditions, accurately prepare cavities, and select and apply restorative materials are integral aspects. Recurrent caries around composites requires a triad of attention where the operator’s skills are cornerstones.
Collapse
Affiliation(s)
- Moataz Elgezawi
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
- Correspondence: (M.E.); (D.K.); Tel.: +49-89-4400-59452 (D.K.); Fax: +49-89-4400-59302 (D.K.)
| | - Rasha Haridy
- Department of Clinical Dental Sciences, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia
- Department of Conservative Dentistry, Faculty of Dentistry, Cairo University, Cairo 4240310, Egypt
| | - Moamen A. Abdalla
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
| | - Katrin Heck
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethe Str. 70, 80336 Munich, Germany
| | - Miriam Draenert
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethe Str. 70, 80336 Munich, Germany
| | - Dalia Kaisarly
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethe Str. 70, 80336 Munich, Germany
- Correspondence: (M.E.); (D.K.); Tel.: +49-89-4400-59452 (D.K.); Fax: +49-89-4400-59302 (D.K.)
| |
Collapse
|
2
|
Aksoy M, Şen S, Kaptan A, Büyükkok Ç, Tulga-Öz F. Does the heat generated by fluorescence-aided caries excavation system effect the pulp temperature of primary teeth irreversibly? An in-vitro evaluation of the temperature changes in the pulp chamber. J Clin Exp Dent 2021; 13:e1096-e1103. [PMID: 34824695 PMCID: PMC8601692 DOI: 10.4317/jced.58785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 10/11/2021] [Indexed: 11/05/2022] Open
Abstract
Background This study aimed to analyze the effect of the Fluorescence Aided Caries Excavation (FACE) and the remaining dentin thickness on the temperature changes of the pulp chamber. Material and Methods Freshly extracted deciduous molars and a pulpal microcirculation model were used in the study. The sample size was calculated according to power analyses (power at 90%) based on previous studies. Thus, 40 samples were needed. Standard cavities (3x3 mm) were designed to obtain a 2 mm distance through to the pulp chamber, and in each tooth (n=10), these cavities were modified to obtain 1.5 mm, 1mm, and 0.5 mm final distance through to the pulp. Coronal parts of the teeth were placed on an acrylic plate with three gaps for feeding and extraction needles and the thermocouple. The temperature changes were recorded from the initial time to 15 s and 30 s,1 min, 1.5 min, 2 min, 2.5 min, 3 min intervals. Results The results showed that hence the thickness between cavity floor and pulp chamber was decreased, and application time of FACE was increased, an increase in temperature changes was detected. However, the recorded values were not mean to cause irreversible damages to the pulp chamber. Conclusions The recent study showed that Face is an appropriate caries detecting system that does not affect the pulp chamber's health, and it can be safely used in the primary teeth. Key words:Caries assessment, dental caries, dental pulp, pediatric dentistry.
Collapse
Affiliation(s)
- Merve Aksoy
- Health Sciences University Faculty of Gulhane Dentistry, Department of Pedodontics, Ankara, Turkey
| | - Selin Şen
- Ankara University Faculty of Dentistry, Department of Pedodontics, Ankara, Turkey
| | - Arife Kaptan
- Cumhuriyet University, Faculty of Dentistry, Department of Pedodontics, Sivas, TurkeyCumhuriyet University, Faculty of Dentistry, Department of Pedodontics, Sivas, Turkey
| | - Çiğdem Büyükkok
- Cumhuriyet University, Faculty of Dentistry, Department of Pedodontics, Sivas, TurkeyCumhuriyet University, Faculty of Dentistry, Department of Pedodontics, Sivas, Turkey
| | - Firdevs Tulga-Öz
- Ankara University Faculty of Dentistry, Department of Pedodontics, Ankara, Turkey
| |
Collapse
|
3
|
Scholz KJ, Hinderberger M, Widbiller M, Federlin M, Hiller KA, Buchalla W. Influence of selective caries excavation on marginal penetration of class II composite restorations in vitro. Eur J Oral Sci 2020; 128:405-414. [PMID: 32749026 DOI: 10.1111/eos.12726] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2020] [Indexed: 11/29/2022]
Abstract
Selective caries excavation may support pulp preservation. This in vitro study investigated the influence of selective removal of demineralized dentin on marginal integrity of composite restorations as determined by dye penetration. Dentinal caries-like lesions were produced in the approximal surfaces of 40 extracted human molars (ethylenediaminetetraacetate, 0.5 M, 96 h). The following test procedures were established: complete excavation, selective excavation, and caries-free control. Two class II cavities with enamel at the cervical margins were prepared per tooth and demineralization volume was determined by micro-computed tomography for the purpose of a stratified distribution to receive complete excavation or selective excavation. After complete or selective excavation (30 cavities each), adhesive composite restorations were placed. Cavities without demineralized dentin (20 cavities) served as control. The marginal integrity of restorations was evaluated by dye penetration with and without thermocycling or mechanical loading. Results were analyzed by non-parametrical statistical tests (Mann-Whitney U Test) with an α = 0.05 level of significance. Dye penetration did not differ significantly among completely excavated, selectively excavated, or undemineralized teeth, but was increased by thermocycling and mechanical loading in all experimental groups. Selective caries removal did not increase marginal penetration in class II restorations. The presence of remaining demineralized dentin surrounded by sound dentin did not impair marginal integrity of restorations with margins placed in sound enamel.
Collapse
Affiliation(s)
- Konstantin J Scholz
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| | - Michael Hinderberger
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| | - Matthias Widbiller
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| | - Marianne Federlin
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| | - Karl-Anton Hiller
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| | - Wolfgang Buchalla
- Department of Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
| |
Collapse
|
4
|
Reymus M, Stawarczyk B, Winkler A, Ludwig J, Kess S, Krastl G, Krug R. A critical evaluation of the material properties and clinical suitability of in‐house printed and commercial tooth replicas for endodontic training. Int Endod J 2020; 53:1446-1454. [DOI: 10.1111/iej.13361] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 06/26/2020] [Accepted: 06/29/2020] [Indexed: 01/09/2023]
Affiliation(s)
- M. Reymus
- Department of Conservative Dentistry and PeriodontologyUniversity HospitalLudwig‐Maximilians‐University MunichGermany
| | - B. Stawarczyk
- Department of Prosthetic Dentistry University Hospital Ludwig‐Maximilians‐University Munich Germany
| | - A. Winkler
- Department of Conservative DentistryUniversity HospitalJulius‐Maximilians‐University WürzburgGermany
| | - J. Ludwig
- Department of Conservative DentistryUniversity HospitalJulius‐Maximilians‐University WürzburgGermany
| | - S. Kess
- Department of Orthodontics University Hospital Julius‐Maximilians‐University Würzburg Germany
| | - G. Krastl
- Department of Conservative DentistryUniversity HospitalJulius‐Maximilians‐University WürzburgGermany
| | - R. Krug
- Department of Conservative DentistryUniversity HospitalJulius‐Maximilians‐University WürzburgGermany
| |
Collapse
|
5
|
MİTOVA N, RASHKOVA M, LAZAROVA Z, GATEVA N. Using a dental operating microscope in the treatment of reversible pulpitis in primary teeth. CUMHURIYET DENTAL JOURNAL 2020. [DOI: 10.7126/cumudj.643952] [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
|
6
|
Koç-Vural U, Ergin E, Gurgan S. Microhardness and shear bond-strength of carious dentin after fluorescence-aided or conventionally excavation: (An in-vitro comparison). J Clin Exp Dent 2018; 10:e668-e672. [PMID: 30057709 PMCID: PMC6057073 DOI: 10.4317/jced.53592] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2016] [Accepted: 03/14/2018] [Indexed: 11/05/2022] Open
Abstract
Background To compare the fluorescence-aided and conventionally excavated dentin with microhardness and shear bond strength(SBS) tests. Material and Methods Twenty-four teeth with dentin caries were bisected through the center of the lesion into two halves. Forty-eight dentin specimens were embedded and mounted in an acrylic resin. All carious tissue was removed and classified as caries free using conventional visual tactile criteria. Then half of the specimens(n=24) were reinspected with fluorescence-aided caries excavation light(FACE) (FaceLight, W&H Dentalwerk, Bürmoos GmbH, Austria). Specimens were subjected to microhardness and shear bond strength testings. The fracture mode analysis was also performed. The data were compared with Student's t test and Chi-square test. Results Residual caries was observed in 2 out of 24 conventionally excavated specimens with FACE inspection(p>0.05). Mean Vickers hardness of the dentin was 61.5±5 in the FACE group and 70.3±3 kg/mm2 in the conventionally excavated group(p>0.05). The mean SBS value of FACE group was 11.42±1.63 MPa and 18.27±1.43 MPa in conventionally excavated group. There was no statistically significant difference between conventional and FACE groups for microhardness and SBS tests(p>0.05). There were also no significant differences on the fracture mode distributions of the groups(p>0.05). Conclusions FACE method could be considered as a promising technique for removing infected dentin. Key words:FACE, conventional excavation, residual caries detection, shear bond strength, microhardness.
Collapse
Affiliation(s)
- Uzay Koç-Vural
- Hacettepe University, Department of Restorative Dentistry, 06100 Sıhhıye/Ankara
| | - Esra Ergin
- Hacettepe University, Department of Restorative Dentistry, 06100 Sıhhıye/Ankara
| | - Sevil Gurgan
- Hacettepe University, Department of Restorative Dentistry, 06100 Sıhhıye/Ankara
| |
Collapse
|
7
|
Seyedmahmoud R, McGuire JD, Wang Y, Thiagarajan G, Walker MP. The interrelationship of microstructure and hardness of human coronal dentin using reference point indentation technique and micro-Raman spectroscopy. Dent Mater 2017; 33:1069-1074. [PMID: 28751072 DOI: 10.1016/j.dental.2017.07.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Revised: 07/06/2017] [Accepted: 07/07/2017] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The aim of this paper is to determine the interrelationship between the microstructure - in terms of chemical composition and crystallinity - to the microhardness of coronal dentin. METHODS Dentin microhardness was tested by a novel reference point indenter and compared to the traditional Knoop hardness method. Micro-Raman spectroscopy was used to determine the chemical composition and crystallinity of dentin. RESULTS From the occlusal groove to the border of the coronal pulp chamber, dentin hardness decreased from superficial dentin (SD) to deep dentin (DD). Mineral/organic matrix ratios (phosphate/CH and phosphate/amide I) also decreased from SD to DD; however, this change was significant (P<0.05) in the phosphate/amide I ratio only. The phosphate/carbonate ratio decreased significantly by varying position from SD to DD. The degree of the crystallinity, as measured by the full width at half maximum (FWHM) of the peak at 960cm-1, decreased significantly going from superficial to deep dentin. SIGNIFICANCE For the first time, the interrelationship between the microstructure and the mechanical properties of coronal dentin was determined by using the novel reference point indentation technique and micro-Raman spectroscopy. We hypothesize that the decrease in hardness from superficial to deep dentin can potentially be explained by decreased mineral content and increased carbonate content, which is also associated with decreased crystallinity. Collectively, there is a positive association between dentin hardness and mineral content and a negative association between dentin hardness and carbonate content.
Collapse
Affiliation(s)
- Rasoul Seyedmahmoud
- Department of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States
| | - Jacob D McGuire
- Department of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States
| | - Yong Wang
- Department of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States; Center of Excellence in Musculoskeletal and Dental Tissues, University of Missouri-Kansas City, MO, United States.
| | - Ganesh Thiagarajan
- Department of Civil and Mechanical Engineering, School of Computing and Engineering, University of Missouri-Kansas City, MO, United States
| | - Mary P Walker
- Department of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States; Center of Excellence in Musculoskeletal and Dental Tissues, University of Missouri-Kansas City, MO, United States.
| |
Collapse
|
8
|
Koç Vural U, Kütük ZB, Ergin E, Yalçın Çakır F, Gürgan S. Comparison of two different methods of detecting residual caries. Restor Dent Endod 2017; 42:48-53. [PMID: 28194364 PMCID: PMC5299755 DOI: 10.5395/rde.2017.42.1.48] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Accepted: 11/29/2016] [Indexed: 11/11/2022] Open
Abstract
Objectives The aim of this study was to investigate the ability of the fluorescence-aided caries excavation (FACE) device to detect residual caries by comparing conventional methods in vivo. Materials and Methods A total of 301 females and 202 males with carious teeth participated in this study. The cavity preparations were done by grade 4 (Group 1, 154 teeth), grade 5 (Group 2, 176 teeth), and postgraduate (Group 3, 173 teeth) students. After caries excavation using a handpiece and hand instruments, the presence of residual caries was evaluated by 2 investigators who were previously calibrated for visual-tactile assessment with and without magnifying glasses and trained in the use of a FACE device. The tooth number, cavity type, and presence or absence of residual caries were recorded. The data were analyzed using the Chi-square test, the Fisher's Exact test, or the McNemar test as appropriate. Kappa statistics was used for calibration. In all tests, the level of significance was set at p = 0.05. Results Almost half of the cavities prepared were Class II (Class I, 20.9%; Class II, 48.9%; Class III, 20.1%; Class IV, 3.4%; Class V, 6.8%). Higher numbers of cavities left with caries were observed in Groups 1 and 2 than in Group 3 for all examination methods. Significant differences were found between visual inspection with or without magnifying glasses and inspection with a FACE device for all groups (p < 0.001). More residual caries were detected through inspection with a FACE device (46.5%) than through either visual inspection (31.8%) or inspection with a magnifying glass (37.6%). Conclusions Within the limitations of this study, the FACE device may be an effective method for the detection of residual caries.
Collapse
Affiliation(s)
- Uzay Koç Vural
- Department of Restorative Dentistry, Hacettepe University, Sıhhıye, Ankara, Turkey
| | - Zeynep Bilge Kütük
- Department of Restorative Dentistry, Hacettepe University, Sıhhıye, Ankara, Turkey
| | - Esra Ergin
- Department of Restorative Dentistry, Hacettepe University, Sıhhıye, Ankara, Turkey
| | - Filiz Yalçın Çakır
- Department of Restorative Dentistry, Hacettepe University, Sıhhıye, Ankara, Turkey
| | - Sevil Gürgan
- Department of Restorative Dentistry, Hacettepe University, Sıhhıye, Ankara, Turkey
| |
Collapse
|