Enamel microabrasion has become accepted as a conservative, nonrestorative method of removing intrinsic and superficial dysmineralization defects from dental fluorosis, restoring esthetics with minimal loss of enamel. However, it can be difficult to determine if restoration is necessary in dental fluorosis, because the lesion depth is often not easily recognized. This case report presents a method for analysis of enamel hypoplasia that uses quantitative light-induced fluorescence (QLF) followed by a combination of enamel microabrasion with carbamide peroxide home bleaching. We describe the utility of QLF when selecting a conservative treatment plan and confirming treatment efficacy. In this case, the treatment plan was based on QLF analysis, and the selected combination treatment of microabrasion and bleaching had good results.
The aim of this study was to evaluate the effects of various activation methods on the efficiency of soft-tissue removal in the artificial root canal system. The artificial root canal system, including the isthmus, was fabricated using poly (methyl methacrylate). Grounded pork was filled in the isthmus, soaked with NaOCl for 5 minutes, and followed by various irrigation and activation procedures. Group 1 performed irrigation using a side-vented needle and syringe, and group 2 performed sonic activation using an activator. Furthermore, group 3 performed ultrasonic activation using EndoSonic PS tip with EMS scaler engine. Subsequently, the time taken for the complete removal of grounded pork from the isthmus was measured. The sonic and ultrasonic activation groups showed significantly higher irrigation efficacy than those without activation. The ultrasonic activation group showed a higher efficiency when compared with the sonic activation group. In conclusion, additional activation of irrigants can improve the efficiency of soft-tissue removal in anatomical structures, such as the isthmus.
The aim of this study was to evaluate degradation in commercial dental nanofilled adhesive resins using quantitative light-induced fluorescence (QLF). Three adhesives were selected: D/E resin (DR), Single Bond Plus (SB), and G-Bond (GB). The adhesives were mixed with porphyrin for the QLF analysis. Specimens were prepared by dispensing blended adhesives into a flexible mold and polymerizing. Then, the QLF analysis of the specimens was done and the porphyrin values (Simple Plaque Score andΔR) were measured. After thermocycling of the specimens (5000 cycles, 5 to 55°C) for the degradation, the specimens were assayed by QLF again. The porphyrin values were analyzed using pairedt-test at a 95% confidence level. A significant reduction in SPS was observed in all groups after thermocycling. TheΔRsignificantly decreased after thermocycling except areaΔR30 of SB group. Overall, porphyrin values decreased after thermocycling which indicates that the degradation of the adhesive resins may be measured by the change of porphyrin value. The QLF method could be used to evaluate the degradation of adhesive resin.
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