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Hatipoğlu Ö, Martins JFB, Karobari MI, Taha N, Aldhelai TA, Ayyad DM, Madfa AA, Martin-Biedma B, Fernandez R, Omarova BA, Yi LW, Alfirjani S, Lehmann A, Sugumaran S, Petridis X, Krmek SJ, Wahjuningrum DA, Iqbal A, Abidin IZ, Intriago MG, Elhamouly Y, Palma PJ, Hatipoğlu FP. Repair versus replacement of defective direct dental restorations: A multinational cross-sectional study with meta-analysis. J Dent 2024; 148:105096. [PMID: 38796090 DOI: 10.1016/j.jdent.2024.105096] [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: 01/08/2024] [Revised: 04/22/2024] [Accepted: 05/22/2024] [Indexed: 05/28/2024] Open
Abstract
OBJECTIVES When dental practitioners encounter a defective restoration, they are faced with a crucial decision whether to repair or replace it. This study aims to explore international preferences for repair procedures and the clinical steps taken during the repair process. METHOD An 11-question survey was distributed to dentists across 21 countries via different platforms. The survey comprised two sections: the first included five questions aimed at gathering demographic information, while the second consisted of six questions focusing on participants' practices related to the repair of composite or amalgam restorations A meta-analysis was employed to ascertain the pooled odds ratio of repairing versus replacement. The statistical analysis was carried out using the RevMan 5.3 program and forest plots were generated using the same program to visualize the results. RESULTS The survey was completed by 3680 dental practitioners. The results indicated a strong tendency to repair defective composite restorations (OR: 14.23; 95 % CI: 7.40, 27.35, p < 0.001). In terms of amalgam, there was a significant tendency to replace the restorations (OR: 0.19; 95 % CI: 0.12, 0.30, p < 0.001). When repairing restorations, the most common protocols were etching with orthophosphoric acid and creating an enamel bevel, regardless of the restorative material used. CONCLUSION The findings of this study indicate that there exists a knowledge gap among dental practitioners regarding restoration repair. It is imperative that dental practitioners receive proper education and training on restoration repair, to ensure the usage of adequate protocols and restoration survival. CLINICAL SIGNIFICANCE A significant portion of dental practitioners lack the necessary knowledge and education required for the repair of restorations. Therefore, it is imperative to establish guidelines aimed at enhancing the management of defective restorations, along with protocols for clinical interventions. This includes the incorporation of proper courses in undergraduate, graduate, and continuing education programs.
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Affiliation(s)
- Ömer Hatipoğlu
- Department of Restorative Dentistry, Nigde Omer Halisdemir University, Turkey.
| | | | - Mohmed Isaqali Karobari
- Dental Research Unit, Center for Global Health Research, Saveetha Institute of Medical and Technical Sciences, Saveetha Medical College and Hospital, Chennai, Tamil Nadu 600077, India.
| | - Nessrin Taha
- Department of Conservative Dentistry Jordan, University of Science and Technology, Irbid, Jordan.
| | - Thiyezen Abdullah Aldhelai
- Department of Orthodontics and pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia.
| | - Daoud M Ayyad
- Head of the Endodontics Department, Faculty of Dentistry, Al-Quds University, Palestine.
| | - Ahmed A Madfa
- Department of Restorative Dental Science, College of Dentistry, University of Ha'il, Ha'il, Saudi Arabia.
| | | | - Rafael Fernandez
- Endodontist, associate professor from endodontic department at CES University, Medellín.
| | - Bakhyt A Omarova
- S. D. Asfendiyarov Kazakh National Medical University, Dentistry School, Departement of Therapeutic Dentistry, Almaty, Kazakhstan.
| | - Lim Wen Yi
- Department of Restorative Dentistry, National Dental Centre Singapore.
| | - Suha Alfirjani
- Department of Conservative Dentistry and Endodontics, University of Benghazi, Libya.
| | - Anna Lehmann
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poland.
| | - Surendar Sugumaran
- Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
| | - Xenos Petridis
- Department of Endodontics, Section of Dental Pathology and Therapeutics, School of Dentistry, National and Kapodistrian University of Athens, Greece.
| | - Silvana Jukić Krmek
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gundulićeva 5, Zagreb 10000, Croatia.
| | | | - Azhar Iqbal
- Department of Restorative Dental sciences, College of Dentistry, Jouf University, Sakaka, Saudi Arabia; Department of Operative Dentistry & Endodontics, Frontier Medical and Dental College, Abbottabad, Pakistan.
| | - Imran Zainal Abidin
- Department of Restorative Dentistry, International Islamic University Malaysia, Malaysia.
| | | | - Yasmine Elhamouly
- Department of Pediatric and Community Dentistry, Faculty of Dentistry, Pharos University in Alexandria, Egypt.
| | - Paulo Jorge Palma
- Centre for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra 3000-075, Portugal; Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra 3000-075, Portugal.
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Risk of failure of repaired versus replaced defective direct restorations in permanent teeth: a systematic review and meta-analysis. Clin Oral Investig 2022; 26:4917-4927. [PMID: 35362754 DOI: 10.1007/s00784-022-04459-0] [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: 08/11/2021] [Accepted: 03/12/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVE This study aimed to systematically review the literature to compare the risk of failure of repaired and replaced defective direct resin composite and amalgam restorations performed in permanent teeth. MATERIALS AND METHODS The PubMed/MEDLINE, Scopus, Lilacs, BBO, Web of Science, SciELO, Cochrane Central Register of Controlled Trials (CENTRAL) databases, and gray literature were searched to identify longitudinal clinical studies related to the research question. No publication year or language restriction was considered. Two authors independently selected the studies, extracted the data, and assessed the risk of bias and certainty of evidence. A meta-analysis was performed using a fixed effects model at a 5% significance level. RESULTS From 1224 potentially eligible studies, thirteen were selected for full-text analysis, and three were included in the systematic review and meta-analysis. There was no difference in the risk of failure of repaired and replaced defective direct restorations (RR: 1.21, 95% CI: 0.51-2.83), either for resin composite (p = 0.97) or amalgam (p = 0.51) restorations. The risk of bias was high and the certainty of evidence was very low. CONCLUSION Based on the very low certainty of evidence, the repair of direct restorations does not present a significant difference in the risk of failure when compared to replacements in permanent teeth. CLINICAL RELEVANCE Restoration repair is a procedure that is included in the minimal intervention principle for improvement of tooth longevity in that the risk of failure of repaired partially defective restorations in permanent teeth seems similar to that of replacement. Further studies are required before definitive conclusions can be drawn.
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Zajkani E, Omidi F, Taromi Z. Evaluation of Microleakage at the Junction Between Combined Amalgam/Composite Resin Restorations Using Different Bonding Systems in Class II Cavities. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
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Schwendicke F. Less Is More? The Long-Term Health and Cost Consequences Resulting from Minimal Invasive Caries Management. Dent Clin North Am 2019; 63:737-749. [PMID: 31470927 DOI: 10.1016/j.cden.2019.06.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Caries is a chronic disease, with long-term sequelae, often initiated early in life. Managing caries and carious lesions often has long-term consequences. These consequences involve the health (or its absence) generated by a caries management strategy, but also costs. This article discusses the long-term health and costs consequences resulting from different caries management strategies. It is demonstrated why, and under which circumstances, minimal invasive caries management may be beneficial for patients, but also for health services, with regard to both health gained and costs generated. Moreover, possible factors influencing the cost-effectiveness of different caries management strategies will be discussed.
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Affiliation(s)
- Falk Schwendicke
- Department for Operative and Preventive Dentistry, Charité - Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, Berlin 14197, Germany.
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Çelik E, Şahin SC, Dede DÖ. Effect of surface treatments on the bond strength of indirect resin composite to resin matrix ceramics. J Adv Prosthodont 2019; 11:223-231. [PMID: 31497270 PMCID: PMC6718842 DOI: 10.4047/jap.2019.11.4.223] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 08/07/2019] [Accepted: 08/09/2019] [Indexed: 11/21/2022] Open
Abstract
PURPOSE The purpose of this study was to evaluate the shear bond strength (SBS) of an indirect resin composite (IRC) to the various resin matrix ceramic (RMC) blocks using different surface treatments. MATERIALS AND METHODS Ninety-nine cubic RMC specimens consisting of a resin nanoceramic (RNC), a polymer-infiltrated hybrid ceramic (PIHC), and a flexible hybrid ceramic (FHC) were divided randomly into three surface treatment subgroups (n = 11). In the experimental groups, untreated (Cnt), tribochemical silica coating (Tbc), and Neodymium-Doped Yttrium Aluminum Garnet (Nd:YAG) laser irradiation (Lsr) with 3 W (150 mJ/pulse, 20 Hz for 20 sec.) were used as surface treatments. An indirect composite resin (IRC) was layered with a disc-shape mold (2 × 3 mm) onto the treated-ceramic surfaces and the specimens submitted to thermal cycling (6000 cycles, 5 – 55℃). The SBS test of specimens was performed using a universal testing machine and the specimens were examined with a scanning electron microscope to determine the failure mode. Data were statistically analyzed with two-way analysis of variance (ANOVA) and Tukey HSD test (α=.05). RESULTS According to the two-way ANOVA, only the surface treatment parameter was statistically significant (P<.05) on the SBS of IRC to RMC. The SBS values of Lsr-applied RMC groups were significantly higher than Cnt groups for each RMC material, (P<.05). Significant differences were also determined between Tbc surface treatment applied and untreated (Cnt) PIHC materials (P=.039). CONCLUSION For promoting a reliable bond strength during characterization of RMC with IRC, Nd:YAG laser or Tbc surface treatment technique should be used, putting in consideration the microstructure and composition of RMC materials and appropriate parameters for each material.
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Affiliation(s)
- Ersan Çelik
- Department of Prosthodontics, Faculty of Dentistry, Ordu University, Ordu, Turkey
| | - Sezgi Cinel Şahin
- Department of Prosthodontics, Faculty of Dentistry, Pamukkale University, Denizli, Turkey
| | - Doğu Ömür Dede
- Department of Prosthodontics, Faculty of Dentistry, Ordu University, Ordu, Turkey
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Çelik E, Sahin SC, Dede DÖ. Shear Bond Strength of Nanohybrid Composite to the Resin Matrix Ceramics After Different Surface Treatments. Photomed Laser Surg 2018; 36:424-430. [PMID: 30020854 DOI: 10.1089/pho.2018.4467] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE The purpose of this study was to evaluate the effects of different surface treatments on the shear bond strength (SBS) of a composite resin to the various resin matrix ceramics (RMC). BACKGROUND Clinical applications of physical and chemical surface conditioning methods may be required for RMC to optimize the adhesion of additional resin materials. MATERIALS AND METHODS Ninety-nine RMC specimens (6 × 6 × 2 mm) were prepared from a resin nanoceramic (RNC), a polymer-infiltrated hybrid ceramic (PIHC), and a flexible hybrid ceramic (FHC) block with a cutting machine under copious water. All specimens divided randomly into three surface treatment subgroups (n = 11): (1) untreated (Cnt), (2) tribochemical silica coated (Tbc), and (3) neodymium-doped yttrium aluminum garnet (Nd:YAG) laser irradiated with 3 W (150 mJ/pulse, 20 Hz) for 20 sec. A nanohybrid composite resin was layered with a disc-shape mold (2 × 3 mm) onto the ceramics and submitted to thermal cycling (3000 cycles, 5-55°C). The SBS test of specimens was performed using a universal testing machine. Data were statistically analyzed with two-way analysis of variance (ANOVA) and Tukey HSD test (α = 0.05). RESULTS The type of RMC, surface treatments, and their interactions was statistically significant on SBS, according to the ANOVA (p < 0.05). Both the Tbc and Lsr surface treatments significantly increased the SBS values of FHC (p < 0.001), while significant increases were observed only for Lsr0applied RNC and Tbc applied PIHC groups (p < 0.001). CONCLUSIONS The tribochemical silica coating and laser irradiation techniques may be suitable for improving the surface topography of specific types of RMC. While the same surface treatment technique may not provide similar successful results for all types of RMC, it is recommended to choose the most effective and reliable technique for clinical application.
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Affiliation(s)
- Ersan Çelik
- 1 Department of Prosthodontics, Faculty of Dentistry, Ordu University , Ordu, Turkey
| | - Sezgi Cinel Sahin
- 2 Department of Prosthodontics, Faculty of Dentistry, Pamukkale University , Denizli, Turkey
| | - Doğu Ömür Dede
- 1 Department of Prosthodontics, Faculty of Dentistry, Ordu University , Ordu, Turkey
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Bioactive Dental Composites and Bonding Agents Having Remineralizing and Antibacterial Characteristics. Dent Clin North Am 2018; 61:669-687. [PMID: 28886763 DOI: 10.1016/j.cden.2017.05.002] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Current dental restorative materials are typically inert and replace missing tooth structures. This article reviews efforts in the development of a new generation of bioactive materials designed to not only replace the missing tooth volume but also possess therapeutic functions. Composites and bonding agents with remineralizing and antibacterial characteristics have shown promise in replacing lost minerals, inhibiting recurrent caries, neutralizing acids, repelling proteins, and suppressing biofilms and acid production. Furthermore, they have demonstrated a low cytotoxicity similar to current resins, with additional benefits to protect the dental pulp and promote tertiary dentin formation. This new class of bioactive materials shows promise in reversing lesions and inhibiting caries.
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MARMENTINI B, CAROSSI MV, HENTZ LLS, RODRIGUES-JUNIOR SA. Objective criteria for assessment of the quality of dental restorations improve student’s critics towards the treatment assignment: a randomized controlled trial. REVISTA DE ODONTOLOGIA DA UNESP 2018. [DOI: 10.1590/1807-2577.05018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction Objective parameters may help the decision of how to manage existing dental restorations in patients. Objective This study tested the following hypotheses: i) teaching objective criteria to dental students enhances their criticism toward the indication for replacement of dental restorations; and ii) a complementary practical approach enhances the proportion of correctly indicated treatments compared with a strictly theoretical approach. Method This block-randomized controlled trial involved dental students from a Brazilian university who were randomized to either a didactic/theoretical class group (A, control) or a didactic/theoretical class followed by practical training (group B); both conditions were applied in a moodle-based environment. The proportion of correctly indicated interventions before and after teaching the criteria was compared with using Mann–Whitney U-test (p<0.05), and a comparison between the approaches was established with Wilcoxon test (p<0.05). Result The baseline proportion of correct assignments significantly increased after interventions for both groups (p=0.02), with no significant difference between the interventions (p=0.871). Conclusion The proposed online training enhanced the proportion of correct assignments to restorations, confirming the first study hypothesis. The second hypothesis was rejected because differences between the strategies had no effect on the proportion of correct answers. Focusing on teaching objective criteria for assessment of the quality of restorations would enhance students’ ability to correctly treat them.
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Kanzow P, Wiegand A, Schwendicke F. Cost-effectiveness of repairing versus replacing composite or amalgam restorations. J Dent 2016; 54:41-47. [DOI: 10.1016/j.jdent.2016.08.008] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Revised: 08/24/2016] [Accepted: 08/25/2016] [Indexed: 10/21/2022] Open
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Blum IR, Lynch CD, Wilson NH. Factors influencing repair of dental restorations with resin composite. Clin Cosmet Investig Dent 2014; 6:81-7. [PMID: 25378952 PMCID: PMC4207439 DOI: 10.2147/ccide.s53461] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The presentation of patients with dental restorations that exhibit minor defects is one of the commonest clinical situations in the practice of general dentistry. The repair of such restorations, rather than replacement, is increasingly considered to be a viable alternative to replacement of the defective restoration. This paper considers factors influencing the repair of direct restorations, including indications and details of relevant techniques, based on the best available knowledge and understanding of this important aspect of minimal intervention dentistry. Practitioners who do not consider repair before deciding to replace restorations that present with limited defects are encouraged to consider including repair in the treatment options in such situations. The effective repair of direct restorations can greatly influence the rate of descent down the “restorative death spiral”.
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Affiliation(s)
- Igor R Blum
- Maurice Wohl Dental Academy, King's College London Dental Institute, London, UK
| | - Christopher D Lynch
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, Wales, UK
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Lynch CD, Hayashi M, Seow LL, Blum IR, Wilson NHF. The Management of Defective Resin Composite Restorations: Current Trends in Dental School Teaching in Japan. Oper Dent 2013; 38:497-504. [DOI: 10.2341/12-217-c] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARYAim:The aim of this article is to investigate the contemporary teaching of the management of defective direct resin composite restorations in dental schools in Japan.Methods:A questionnaire relating to the teaching of the management of defective resin composite restorations was developed and e-mailed to 29 dental schools in Japan in 2010.Results:Completed responses were received from 19 of the 29 invited schools (response rate = 66%). Eighteen schools (95%) report that they included the teaching of repair of direct defective resin composite restorations in their dental school programs. Thirteen schools reported that they included both clinical and didactic instruction on the repair of direct resin composite restorations. Fourteen schools did not teach any mechanical roughening of the exposed resin composite restoration surface before undertaking a repair. The most commonly reported treatment was acid etching with phosphoric acid (12 schools). The most commonly taught material for completing repairs was a flowable resin composite (16 schools).Conclusion:The teaching of repair of defective resin composite restorations is well established within many Japanese dental schools, to a greater extent than in some other regions of the world. The impact of this teaching on subsequent clinical practices in Japan should be investigated. Furthermore, it is concluded that there is a need for much stronger leadership in operative and conservative dentistry, ideally at the global level, to resolve differences in key aspects of operative procedures such as repairs.
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Affiliation(s)
- CD Lynch
- Christopher D. Lynch, PhD, BDS, MFD RCSI, FFGDP (UK), FDS (Rest Dent) RCSI, PGCME, FACD, FHEA, senior lecturer/honorary consultant in Restorative Dentistry, Tissue Engineering and Reparative Dentistry, School of Dentistry, Cardiff, United Kingdom
| | - M Hayashi
- Mikako Hayashi DDS, PhD, professor, Department of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, Suita, Japan
| | - LL Seow
- Mikako Hayashi DDS, PhD, professor, Department of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, Suita, Japan
| | - IR Blum
- Liang Lin Seow PhD, MSc, BDS, FDS RCS, associate professor and director of Dental Practice, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - NHF Wilson
- Igor R. Blum DDS, PhD, Dr Med Dent, MSc, MFDSRCS(Eng), MFDSRCS(Edin), clinical lecturer/ specialist n Restorative Dentistry, University of Bristol Dental School and Hospital, Bristol, United Kingdom
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Zhou H, Li F, Weir MD, Xu HHK. Dental plaque microcosm response to bonding agents containing quaternary ammonium methacrylates with different chain lengths and charge densities. J Dent 2013; 41:1122-31. [PMID: 23948394 DOI: 10.1016/j.jdent.2013.08.003] [Citation(s) in RCA: 85] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Revised: 07/30/2013] [Accepted: 08/03/2013] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVES Antibacterial bonding agents are promising to combat bacteria and caries at tooth-restoration margins. The objectives of this study were to incorporate new quaternary ammonium methacrylates (QAMs) to bonding agent and determine the effects of alkyl chain length (CL) and quaternary amine charge density on dental plaque microcosm bacteria response for the first time. METHODS Six QAMs were synthesized with CL=3, 6, 9, 12, 16, 18. Each QAM was incorporated into Scotchbond multi-purpose (SBMP). To determine the charge density effect, dimethylaminododecyl methacrylate (DMAHDM, CL=16) was mixed into SBMP at mass fraction=0%, 2.5%, 5%, 7.5%, 10%. Charge density was measured using a fluorescein dye method. Dental plaque microcosm using saliva from ten donors was tested. Bacteria were inoculated on resins. Early-attachment was tested at 4h. Biofilm colony-forming units (CFU) were measured at 2 days. RESULTS Incorporating QAMs into SBMP reduced bacteria early-attachment. Microcosm biofilm CFU for CL=16 was 4 log lower than SBMP control. Charge density of bonding agent increased with DMAHDM content. Bacteria early-attachment decreased with increasing charge density. Biofilm CFU at 10% DMAHDM was reduced by 4 log. The killing effect was similarly-strong against total microorganisms, total streptococci, and mutans streptococci. CONCLUSIONS Increasing alkyl chain length and charge density of bonding agent was shown for the first time to decrease microcosm bacteria attachment and reduce biofilm CFU by 4 orders of magnitude. Novel antibacterial resins with tailored chain length and charge density are promising for wide applications in bonding, cements, sealants and composites to inhibit biofilms and caries.
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Affiliation(s)
- Han Zhou
- State Key Laboratory of Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China; Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland Dental School, Baltimore, MD 21201, USA
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Zhang K, Cheng L, Wu EJ, Weir MD, Bai Y, Xu HHK. Effect of water-ageing on dentine bond strength and anti-biofilm activity of bonding agent containing new monomer dimethylaminododecyl methacrylate. J Dent 2013; 41:504-13. [PMID: 23583528 DOI: 10.1016/j.jdent.2013.03.011] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2012] [Revised: 03/28/2013] [Accepted: 03/29/2013] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVES The objectives of this study were to develop bonding agent containing a new antibacterial monomer dimethylaminododecyl methacrylate (DMADDM) as well as nanoparticles of silver (NAg) and nanoparticles of amorphous calcium phosphate (NACP), and to investigate the effects of water-ageing for 6 months on dentine bond strength and anti-biofilm properties for the first time. METHODS Four bonding agents were tested: Scotchbond Multi-Purpose (SBMP) Primer and Adhesive control; SBMP+5% DMADDM; SBMP+5% DMADDM+0.1% NAg; and SBMP+5% DMADDM+0.1% NAg with 20% NACP in adhesive. Specimens were water-aged for 1d and 6 months at 37°C. Then the dentine shear bond strengths were measured. A dental plaque microcosm biofilm model was used to inoculate bacteria on water-aged specimens and to measure metabolic activity, colony-forming units (CFUs), and lactic acid production. RESULTS Dentine bond strength showed a 35% loss in 6 months of water-ageing for SBMP control (mean±sd; n=10); in contrast, the new antibacterial bonding agents showed no strength loss. The DMADDM-NAg-NACP containing bonding agent imparted a strong antibacterial effect by greatly reducing biofilm viability, metabolic activity and acid production. The biofilm CFU was reduced by more than two orders of magnitude, compared to SBMP control. Furthermore, the DMADDM-NAg-NACP bonding agent exhibited a long-term antibacterial performance, with no significant difference between 1d and 6 months (p>0.1). CONCLUSIONS Incorporating DMADDM-NAg-NACP in bonding agent yielded potent and long-lasting antibacterial properties, and much stronger bond strength after 6 months of water-ageing than a commercial control. The new antibacterial bonding agent is promising to inhibit biofilms and caries at the margins. The method of DMADDM-NAg-NACP incorporation may have a wide applicability to other adhesives, cements and composites.
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Affiliation(s)
- Ke Zhang
- Biomaterials & Tissue Engineering Division, Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland Dental School, Baltimore, MD 21201, USA
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Opdam NJ, Bronkhorst EM, Loomans BA, Huysmans MCD. Longevity of repaired restorations: A practice based study. J Dent 2012; 40:829-35. [DOI: 10.1016/j.jdent.2012.06.007] [Citation(s) in RCA: 96] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2012] [Revised: 06/27/2012] [Accepted: 06/29/2012] [Indexed: 11/25/2022] Open
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Blum IR, Nikolinakos N, Lynch CD, Wilson NHF, Millar BJ, Jagger DC. An in vitro comparison of four intra-oral ceramic repair systems. J Dent 2012; 40:906-12. [PMID: 22819811 DOI: 10.1016/j.jdent.2012.07.008] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2012] [Revised: 07/09/2012] [Accepted: 07/10/2012] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES This study evaluated the effect of different surface conditioning methods on the tensile bond strength (TBS) and integrity of the leucite-reinforced glass ceramic (Cerana(®) inserts)-resin composite interface, using four commercially available ceramic repair systems. METHODS Two hundred extra-large Cerana(®) inserts were mechanically treated and stored in artificial saliva for 3 weeks and subsequently randomly assigned to one of the following ceramic repair systems (n=40/group): Group 1, Ceramic Repair(®) (Ivoclar Vivadent, Liechtenstein); Group 2, Cimara(®) (Voco, Germany); Group 3, Clearfil Repair(®) (Kuraray, Japan); Group 4, CoJet system(®) (3M ESPE, Germany); and Group 5, no surface conditioning and no adhesive system applied: the control group. Subsequently, resin composite material was added to the substrate surfaces and the ceramic-resin composite specimens were subjected to TBS testing. Representative samples from the test groups were subjected to scanning electron microscopy (SEM) to determine the mode of failure. The data were analysed statistically using a one-way multivariate analysis of variance and Kruskal-Wallis test at a 95% confidence interval level. RESULTS Surface conditioning with the CoJet(®) system resulted in significantly higher bond strength values (5.2 ± 1.1 MPa) than surface conditioning with the other repair systems (p=0.03). The SEM examination of the failed interfaces revealed that all the specimens examined failed adhesively. SIGNIFICANCE Whilst highest bond strength values were observed with the CoJet(®) system all tested repair systems resulted in relatively weak TBS values and, as a consequence, these repair systems may be indicated only as interim measures.
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Affiliation(s)
- Igor R Blum
- University of Bristol Dental Hospital & School, Lower Maudlin Street, Bristol BS1 2LY, United Kingdom.
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Pilo R, Nissan J, Shafir H, Shapira G, Alter E, Brosh T. The influence of long term water immersion on shear bond strength of amalgam repaired by resin composite and mediated by adhesives or resin modified glass ionomers. J Dent 2012; 40:594-602. [PMID: 22504527 DOI: 10.1016/j.jdent.2012.04.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2011] [Revised: 04/01/2012] [Accepted: 04/02/2012] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To assess the shear bond strength between amalgam and resin composite mediated by either multipurpose adhesive systems or RMGI when subjected to long term immersion in saline. METHODS Part I: Cylindrical specimens (6 mm × 6 mm) composed of equal parts of sandblasted set amalgam (Oralloy) and composite (Z-100), with a thin layer of either Scotchbond Multipurpose, All Bond 2, Amalgam Bond Plus, High Q Bond Plus or Vitrebond in between were fabricated (n = 100 × 5). Each group was divided into 3 subgroups, immersed in saline at 37 °C for either 48 h, 3 or 6 months, followed by thermocycling (5000; 5/55 °C) and shear bond strength testing (SBS). Part II: Identical specimens were fabricated with intermediary of either Ketac Cem, Fuji Lining LC, Rely X Luting, Fuji Plus or Meron Plus (n = 100 × 5). Immersion periods, followed by thermocycling and SBS testing as in Part I. Two representative specimens from each subgroup were sectioned and inspected under SEM. RESULTS The two classes of intermediary agents yielded SBS which differed mainly in the 6 months incubation period. While multipurpose adhesives provided SBS values of ~9-10 MPa RMGI provided higher SBS of ~16 MPa. All Bond 2 and Amalgam Bond Plus exhibited deterioration of SBS during the 6 month period as well as Rely X Luting. Gap sizes between 0.5 and 3 μm exist between all intermediaries and the amalgam; on the other hand all intermediaries exhibit gap-free interfaces between the adhesives/RMGI and the composite. CONCLUSIONS Vitrebond in particular and RMGIs in general can serve as an excellent coupler of resin composite to amalgam, providing a durable bond.
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Affiliation(s)
- R Pilo
- Department of Oral Rehabilitation, The Maurice and Gabriella School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
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Durability of composite repair using different surface treatments. J Dent 2012; 40:513-21. [PMID: 22410401 DOI: 10.1016/j.jdent.2012.03.001] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2011] [Revised: 02/29/2012] [Accepted: 03/01/2012] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To evaluate the surface treatment and hydrophilicity of the bonding agent on the composite repair strength (RS), silver nitrate uptake (SNU), surface roughness (SR) and estimation of surface area (SA). METHODS Fifty resin blocks (Opallis, FGM) were polished and divided in 5 groups: no treatment (NT); roughening with a fine (FDB); medium (MDB); coarse-grit (CDB) and 50-μm aluminium oxide sandblasting (AO). A hydrophobic (Adhesive, Scotchbond Multi-Purpose Plus, 3M ESPE) or hydrophilic (Adper Single Bond 2, 3M ESPE) adhesive was applied, followed by composite placement (Opallis, FGM). Composite-composite bonded sticks (0.9 mm2) were tested in tension (1.0mm/min) immediately [IM] or after 6 months [6M] of water storage. Two sticks from each tooth, at each time, were immersed in a 50% silver nitrate solution and evaluated by SEM. A profilometer was used to measure SR. SEM images were used to estimate the SA using the Image J software. Data were analysed by ANOVA and Tukey's tests. RESULTS The AO showed the highest CR strength for both adhesives, whilst the NT group showed the lowest, irrespective of the storage period. The diamond burs had intermediate performance. Silver nitrate deposits were seen after 6M for the hydrophilic adhesive. The ranking of SR values (Ra) from the lowest to the highest was: NT<FDB<MDB<AO≤CDB. A higher SA was produced by AO treatment. CONCLUSIONS The AO treatment provides the highest CR strength likely due to the high SA produced. The bonding agent did not seem to affect the CR strength after 6M, although early signs of degradation were detected for the hydrophilic system. CLINICAL SIGNIFICANCE Polished composite should be preferred roughened with aluminium oxide followed by the application of a hydrophobic intermediate agent before composite repair.
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