Clinical Technique for Direct Composite Resin and Glass Ionomer Restorations

Ritter, André V.; Walter, Ricardo; Boushell, Lee W.; Ahmed, Sumitha N.

doi:10.1016/b978-0-323-47833-5.00008-3

Cited by 27 publications

(35 citation statements)

References 47 publications

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“…Etching and bonding procedures were performed as previously described. The proximal box was restored using the oblique incremental technique (Ritter et al, 2019 ) . Thereafter, the occlusal extension of the cavity was restored.…”

Section: Methodsmentioning

confidence: 99%

Influence of occlusal and proximal caries on the outcome of full pulpotomy in permanent mandibular molar teeth with partial irreversible pulpitis: A prospective study

et al. 2021

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Aim To assess the influence of occlusal and proximal deep carious lesions on the outcome of full pulpotomy performed in mandibular teeth with pulpal diagnosis of symptomatic partial irreversible pulpitis. Methodology Eighty deep carious mandibular molar teeth with clinical and radiographic diagnosis of symptomatic partial irreversible pulpitis without periapical rarefaction from patients of either gender between the age of 16–35 years were included. Depending upon the location of deep carious lesion, the teeth were distributed equally into occlusal (n = 40) and proximal caries groups (n = 40). Full pulpotomy was performed under local anaesthesia and aseptic conditions. The pulp tissue was removed until the root canal orifices, and 2.5% sodium hypochlorite (NaOCl) was applied to arrest pulpal bleeding. Mineral trioxide aggregate (MTA) was compacted over the radicular pulp. Teeth were restored with resin‐modified glass ionomer cement (RMGIC) and bulk‐fill composite resin. Pre‐ and post‐operative pain was assessed at 24, 48 and 72 h using a 11‐point Numerical Rating Scale (NRS). Patients were followed at 6 and 12 months for clinical and radiographic evaluation. Asymptomatic teeth without any radiographic evidence of periapical rarefaction were considered successful. The data were analysed using the Shapiro–Wilk W test, two‐sample Wilcoxon rank‐sum test, Pearson chi‐square test, Fisher's exact test and Kappa coefficient. The significance level was predetermined at p < .05. Result An intergroup comparison revealed that the pre‐ and post‐operative pain scores at 24, 48 and 72 h were not significantly different (p > .05). At the end of follow‐up period (12 months), success of full pulpotomy in occlusal and proximal caries group was 95% and 92.5%, respectively (p = .644). For both groups, the combined success rate of full pulpotomy was 93.75%. Conclusion The site of carious lesions (i.e., occlusal or proximal) did not affect the clinical and radiographic outcome of full pulpotomy performed in mature permanent mandibular teeth with symptomatic partial irreversible pulpitis.

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Section: Methodsmentioning

confidence: 99%

Influence of occlusal and proximal caries on the outcome of full pulpotomy in permanent mandibular molar teeth with partial irreversible pulpitis: A prospective study

et al. 2021

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“…Liquid–fluid materials are used because of their high elasticity, which allows for the partial compensation of the pathological occlusal load of the antagonist teeth [ 26 , 27 ]. Two groups of materials are used for the treatment of defects that are greater than 0.5 mm in depth: glass ionomer cement and microfill composites [ 28 , 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

Numerical Study of the Mechanical Behaviour of Wedge-Shaped Defect Filling Materials

et al. 2022

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This paper deals with direct restorations of teeth with non-carious cervical lesions (NCCL). NCCL defects are capable of gradual growth and are accompanied by the degradation of the surrounding tissue. Direct restorative treatment, in which the cavity is filled with a cementing agent, is considered to be an accessible and common treatment option. The study included simulations of the teeth without lesions, the teeth with V and U lesions and the tooth-restorative system. Parameterised numerical tooth models were constructed. Two cases with defect depths of 0.8 mm and ~1.7 mm and three variants with fillet radii of the defect end of 0.1, 0.2 and 0.3 mm were considered. The effect of two biomaterials for restorations was studied, namely Herculite XRV (Kerr Corp, Orange, CA, USA) and Charisma (Heraeus Kulzer GmbH, Hanau, Germany). The models were deformed with a vertical load of 100 to 1000 N from the antagonist tooth. The tooth-restorative system was considered, taking into consideration the contact interaction in the interface areas with the tooth tissues. Within the limits of the research, the character of the distribution of the deformation characteristics and their dependence on the level of loading, the depth of the defect and the radius of the curvature of the “wedge” were established.

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“…The search for an ideal esthetic material for restoring teeth has significantly improved resin-based composite materials. 1 Today resin composites are the most frequently used esthetic restorative material in dentistry. 2 Restorations have a lifespan, and standardized criteria are used to evaluate them.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of the Success of Resin Composite Restorations

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2022

Journal of Advanced Oral Research

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Aim: This review examines the studies on resin composites within the past decade and evaluates the materials’ application methods and success through Fédération Dentaire Internationale (FDI) scores. Materials and Methods: Search results from three databases (a total of 3295 studies) were transferred to Mendeley Desktop (Mendeley, London, UK) software and deduplicated (2638 studies). Eight studies were included in this meta-analysis after scanning the title, abstract, and full-text screening. Risk of bias analysis was performed using the Cochrane Handbook tool. Shapiro–Wilk, Kolmogorov–Smirnov, Kruskal–Wallis, and post hoc Tamhane’s T2 were used for statistical analysis. Results: Conventional composite’s surface staining FDI score was higher than flowable and silorane composites (no difference between these two). Also, conventional composite has the highest score in terms of staining. Conventional composite + two-step self-etch adhesive and bulk fill composite + two-step self-etch adhesive have lower FDI scores in marginal staining. In noncarious cervical lesions (NCCL), conventional composite + two-step total-etch adhesive has a higher score than flowable composite + two-step self-etch adhesive. Flowable composite + two-step self-etch adhesive and conventional composite + single-step self-etch adhesive have the highest FDI scores for marginal adaptation (no statistical difference between them). Conventional composite + two-step self-etch adhesive and bulk fill composite + two-step self-etch have the lowest scores (no statistical difference between them). For recurrence of caries, all groups have Score 1, the best score, and there is no significant difference between them. Conclusions: Each restorative material and adhesive system has different advantages, and the practitioner must choose the most appropriate.

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Clinical Technique for Direct Composite Resin and Glass Ionomer Restorations

Cited by 27 publications

References 47 publications

Influence of occlusal and proximal caries on the outcome of full pulpotomy in permanent mandibular molar teeth with partial irreversible pulpitis: A prospective study

Influence of occlusal and proximal caries on the outcome of full pulpotomy in permanent mandibular molar teeth with partial irreversible pulpitis: A prospective study

Numerical Study of the Mechanical Behaviour of Wedge-Shaped Defect Filling Materials

A Systematic Review and Meta-Analysis of the Success of Resin Composite Restorations

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