Detection and Removal of Tooth-Colored Composite Resin Using the Fluorescence-Aided Identification Technique

Magni, Eva; Leontiev, Wadim; Meller, Christian; Weiger, Roland; Connert, Thomas

doi:10.3791/63656-v

Cited by 3 publications

(7 citation statements)

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“…This approach is instrumental in minimizing the risk of iatrogenic enamel damage 10,21 . Detailed information, including step‐by‐step guides, on this technique for TTS removal can be found in published reports 22,23 …”

Section: Discussionmentioning

confidence: 99%

Endodontic and restorative management of an adult with avulsion of multiple teeth: A case report with 5 years and 9 months of follow‐up

Eggmann,

Filippi,

Mukaddam

2023

Dental Traumatology

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Simultaneous avulsion of four or more teeth is a rare event. This case report examines the dental care given to an adult who, during a bicycle accident, experienced the avulsion of a mandibular incisor as well as all of his maxillary incisors. In the immediate aftermath of the accident, four out of the five incisors were located, promptly collected, and stored in a tooth rescue box, all within a 20‐min window. Replantation and splinting were performed on the day of the accident. Endodontic treatment involved sequential intracanal dressing with an antibiotic–corticosteroid paste followed by calcium hydroxide prior to root canal obturation. 3 months post‐accident, signs of external replacement resorption (ERR) began to appear in all the replanted teeth. The gap created by the missing maxillary central incisor was managed with a three‐unit fixed dental prosthesis, despite the onset of ERR in the incisors used as abutment teeth. Regular follow‐ups showed a relatively slow ERR progression rate over a span of nearly 6 years. The patient expressed satisfaction with both the esthetic and functional outcomes. This case, marked by multiple avulsions, underscores the importance of immediate and appropriate intervention alongside the imperative for carefully considered long‐term management strategies. Given the decelerated bone remodeling rate in adults, ERR generally progresses at a slower pace than in children. Accordingly, this case demonstrates the viability of retaining replanted teeth over the long term, even when these teeth have been subjected to nonphysiological storage for extended durations, a factor known to impede periodontal healing.

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Section: Discussionmentioning

confidence: 99%

Endodontic and restorative management of an adult with avulsion of multiple teeth: A case report with 5 years and 9 months of follow‐up

Eggmann,

Filippi,

Mukaddam

2023

Dental Traumatology

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“…6,7 Several methods and equipment have been developed to assist with the removal of composite resin restorations to avoid unnecessary wear or material permanence on teeth. 4,5,[8][9][10][11][12][13][14][15][16] In this context, the fluorescence-aided identification technique (FIT) may be effective for stimulating fluorescent particles present in composite resin to facilitate their visualization and removal. A high-speed handpiece emitting ultraviolet (UV) light at an intensity of 350-400 nm can be used for this technique.…”

Section: Introductionmentioning

confidence: 99%

Fluorescence intensity of composite resin for direct veneer removal using a fluorescence‐aided identification technique

Zeine,

Omoto,

Ramos

et al. 2024

J Esthet Restor Dent

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ObjectivesThis laboratory study evaluated the influence of the fluorescence intensity of composite resins on additional tooth wear and the presence of restorative material in different dental thirds during the retreatment of direct veneers.Materials and MethodsThe crown dimensions of 60 bovine incisors were reduced to 10 × 8 mm. The teeth were classified according to the fluorescence intensity of the composites: low (LOW) (TPH Spectra), medium (MED) (Opallis), and high (HIGH) (Essentia) groups. The teeth were divided according to the removal methods: conventional (CON) and fluorescence‐aided identification technique (FIT). The specimens were scanned (T0), received veneer preparation, and scanned again (T1). After restorations, the composites were removed and the teeth were scanned (T2). Measurement assessments between T1 and T2 were performed to determine additional wear, presence of residual areas, and the average between additional wear and the presence of residual areas. Kruskal Wallis, Mann–Whitney, Friedman, 2‐way ANOVA, and post‐Tukey tests were performed (α < 0.05).ResultsThe comparison of composite resins indicated a smaller area of additional wear and greater residue presence in the HIGH group than the LOW group for both techniques in the cervical third. Regarding removal methods, the FIT produced greater additional wear than the CON method for the LOW and MED groups in the middle and cervical thirds. The incisal third exhibited greater additional wear than the other thirds.ConclusionsComposite resins with high fluorescence intensity removed using FIT had less tooth wear. The incisal third was the most affected area for direct veneer removal procedures.Clinical SignificanceA FIT has been proposed for composite resin removal; however, the different fluorescence intensities of composite resins can influence tooth wear caused during this procedure.

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“…Several methods can remove dental splints and the remaining resin composite on the enamel surface, including the use of multifluted tungsten and diamond burs 10 . The use of violet light is reportedly an important aid in removing orthodontic adhesives from the enamel surface 11–14 . The use of multiplier counter‐angle associated with multifluted burs to remove the remnant resin composite tends to be the most effective method for preserving the structure of healthy enamel during the removal of resin composites 15,16 .…”

Section: Introductionmentioning

confidence: 99%

“…10 The use of violet light is reportedly an important aid in removing orthodontic adhesives from the enamel surface. [11][12][13][14] The use of multiplier counter-angle associated with multifluted burs to remove the remnant resin composite tends to be the most effective method for preserving the structure of healthy enamel during the removal of resin composites. 15,16 However, without using additional light, this method can still damage the enamel structure, ranging from 0.05 15 to 50 μm.…”

Section: Introductionmentioning

confidence: 99%

“…15,16 However, without using additional light, this method can still damage the enamel structure, ranging from 0.05 15 to 50 μm. 17 Using a successfully implemented protocol using violet lamp in dark room using special lamps, [11][12][13][14] this study aimed to investigate the effect of the low-cost flashlight compared with violet lighting present in multiwave light curing units (LCU) associated with the use of diamond or multifluted burs on damage to the enamel caused during dental splint removal. The null hypotheses were that light source and bur type would not influence the enamel damage caused after splint removal.…”

Section: Introductionmentioning

confidence: 99%

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Fluorescence‐aided identification technique using a low‐cost violet flashlight and rotatory instruments for dental trauma splint removal

Vilela

Soares

Gonçalves

et al. 2023

Dental Traumatology

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Background/AimRemoving resin composites used for bonding dental trauma splints may result in irreversible damage to the enamel. This in vitro study evaluated the influence of additional violet illumination and different bur types on damage caused to tooth enamel.Materials and MethodsFifteen maxillary models with four bovine incisor teeth were prepared. All models were scanned using a laboratory scanning system (s600 ARTI; Zirkonzahn). Six experimental groups (n = 10) were generated by two study factors: lighting type (three levels), (1) low‐cost (5–7 US$) violet LED flashlight (LUATEK, LT 408); (2) VALO Cordless light curing unit (Ultradent) with black lens; or (3) without additional illumination; and rotatory instrument (two levels), (1) diamond bur or (2) multifluted tungsten‐carbide bur. New scanning was performed after splint removal, and the generated files were superimposed on the initial scans using Cumulus software. The light emitted by both violet light sources was characterized by using integrating sphere and beam profile. A qualitative and quantitative analysis of enamel damage and two‐way ANOVA followed by Tukey's post hoc was used at an α = 0.05.ResultsThe use of low‐cost violet flashlight that emitted the violet peak light at 385 nm and VALO Cordless with black lens at 396 nm resulted in significantly lower damage to the enamel surface than those in the groups without additional violet light (p < .001). An interaction between rotatory instruments and lighting was found. When no additional violet lighting was used, the diamond bur presented higher mean and maximum depth values.ConclusionsFluorescence lighting facilitated the removal of remnant resin composite dental trauma splints, leading to less invasive treatment. The diamond bur resulted in higher enamel damage than that affected by the multifluted bur when no violet lighting was used. A low‐cost violet flashlight is a useful fluorescence‐aided identification technique for removing resin composite dental trauma splints.

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Detection and Removal of Tooth-Colored Composite Resin Using the Fluorescence-Aided Identification Technique

Cited by 3 publications

References 0 publications

Endodontic and restorative management of an adult with avulsion of multiple teeth: A case report with 5 years and 9 months of follow‐up

Endodontic and restorative management of an adult with avulsion of multiple teeth: A case report with 5 years and 9 months of follow‐up

Fluorescence intensity of composite resin for direct veneer removal using a fluorescence‐aided identification technique

Fluorescence‐aided identification technique using a low‐cost violet flashlight and rotatory instruments for dental trauma splint removal

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