Abstract:The aim of this study was to evaluate the postoperative effect of one bleaching agent containing 40% peroxide hydrogen on the interface between dental tissues and a microhybrid composite resin bonded with a universal adhesive applied in total-etch and self-etch technique. Standardized Class V restorations were performed in oral surfaces of 40 extracted human molars with the gingival margins placed bellow the cement-enamel junction. For 20 restorations the adhesive was applied with preliminary etching and for… Show more
“…The surface of rebuilt crystals is made of a facet of well-structured minerals; it is more resistant and less soluble to acid than the original mineral that contained a carbon apatite; the subsequent acid attacks will be less efficient [22]. The qualities necessary for an ideal remineralization agent are the following: (1) to release calcium and (3) not to favour the formation of plaque; (4) to be active at an acid pH acid in order to stop demineralization during the cariogenic attack; (5) to be active in the xerostomic patients, for whom saliva is not efficient in blocking the caries process; (6) to encourage remineralizing properties of saliva; (7) the new materials must present additional advantages compared to fluoride [23,24]. During the time manufacturers tried to improve toothpastes content by adding different beneficial agents, except fluoride.…”
Section: Resultsmentioning
confidence: 99%
“…In oral environment the teeth and the materials for restoration are exposed to diverse acidic or mechanical challenges that lead to dental hard tissues demineralization [1] or wear [2], to material degradation [3,4] and to material-tooth interface failure [5][6][7].…”
The aims of the study were to characterize enamel, dentine and cementum surface aspect after using non-fluoride remineralization toothpastes containing calcium carbonate and calcium glycerophosphate by SEM evaluation, to determine chemical composition of enamel, dentin and cement after remineralization products application by EDX assessment, and to compare the remineralization capacity of the tested products. Ten extracted teeth having no dental caries, erosive or wear lesions were selected for the study. The teeth were split bucco-lingually and mesio-distally in four pieces. A free window of enamel, dentine, and cementum (4X4 mm) in the cervical area of the slices was preserved. In control group the slices were subjected to a artificial caries lesion formation. In study groups EcoBio� (President Company), Bio-natural (Dentissimo, Swiss Biodent), and Arthrodont Cassic (Pierre Fabre Oral Care) toothpastes were applied two times a day, for 3 minutes during caries lesion formation. The surface topography has been analyzed using a scanning electron microscope and the quantitative and qualitative chemical composition has been evaluated using an EDX detector. Interprismatic and intraprismatic mineral loss is clearly visible at higher magnification in enamel samples in control group. Some areas of demineralization are still present, and also small areas of extern deposits are visible on enamel, dentine and cementum samples in the groups were tested products were applied. All the tested toothpastes increased calcium and phosphorous ion concentrations in enamel, dentine and cementum. The highest remineralization effect was recorded in enamel by Dentissiomo, followed by Arthrodent and EcoBio toothpastes. In dentine and cementum the highest remineralization effect was registered by Arthrodent, followed by Dentissiomo and EcoBio toothpastes.
“…The surface of rebuilt crystals is made of a facet of well-structured minerals; it is more resistant and less soluble to acid than the original mineral that contained a carbon apatite; the subsequent acid attacks will be less efficient [22]. The qualities necessary for an ideal remineralization agent are the following: (1) to release calcium and (3) not to favour the formation of plaque; (4) to be active at an acid pH acid in order to stop demineralization during the cariogenic attack; (5) to be active in the xerostomic patients, for whom saliva is not efficient in blocking the caries process; (6) to encourage remineralizing properties of saliva; (7) the new materials must present additional advantages compared to fluoride [23,24]. During the time manufacturers tried to improve toothpastes content by adding different beneficial agents, except fluoride.…”
Section: Resultsmentioning
confidence: 99%
“…In oral environment the teeth and the materials for restoration are exposed to diverse acidic or mechanical challenges that lead to dental hard tissues demineralization [1] or wear [2], to material degradation [3,4] and to material-tooth interface failure [5][6][7].…”
The aims of the study were to characterize enamel, dentine and cementum surface aspect after using non-fluoride remineralization toothpastes containing calcium carbonate and calcium glycerophosphate by SEM evaluation, to determine chemical composition of enamel, dentin and cement after remineralization products application by EDX assessment, and to compare the remineralization capacity of the tested products. Ten extracted teeth having no dental caries, erosive or wear lesions were selected for the study. The teeth were split bucco-lingually and mesio-distally in four pieces. A free window of enamel, dentine, and cementum (4X4 mm) in the cervical area of the slices was preserved. In control group the slices were subjected to a artificial caries lesion formation. In study groups EcoBio� (President Company), Bio-natural (Dentissimo, Swiss Biodent), and Arthrodont Cassic (Pierre Fabre Oral Care) toothpastes were applied two times a day, for 3 minutes during caries lesion formation. The surface topography has been analyzed using a scanning electron microscope and the quantitative and qualitative chemical composition has been evaluated using an EDX detector. Interprismatic and intraprismatic mineral loss is clearly visible at higher magnification in enamel samples in control group. Some areas of demineralization are still present, and also small areas of extern deposits are visible on enamel, dentine and cementum samples in the groups were tested products were applied. All the tested toothpastes increased calcium and phosphorous ion concentrations in enamel, dentine and cementum. The highest remineralization effect was recorded in enamel by Dentissiomo, followed by Arthrodent and EcoBio toothpastes. In dentine and cementum the highest remineralization effect was registered by Arthrodent, followed by Dentissiomo and EcoBio toothpastes.
“…Modern adhesive resins for restorative therapy can form strong bonds of 30–50 MPa with dentin, but for a limited time [ 2 ]. The limited durability of this bond affects the restoration’s longevity [ 3 ]. Previous studies have shown that 75% of resin restorations fail as a result of the degradation of the interface between the adhesive resin and dentin, resulting in restoration loss, secondary caries or pulpal sensitivity [ 4 , 5 ].…”
Background and Objectives: The aim of this in vitro study was to evaluate the combined effect of a 2% chlorhexidine aqueous solution and a universal adhesive system applied in self-etch and etch-and-rinse strategies on the composite resin–dentin interface. Materials and Methods: Class V cavities were prepared on the facial and lingual surfaces of forty caries-free molars extracted for orthodontic reasons. The samples were randomly divided into two groups corresponding to the used etching protocol: I—etch-and-rinse; II—self-etch. In each tooth, one cavity was assigned for the control subgroups -IA (n = 20) and IIA (n = 20)—adhesive only, and the opposite cavity was pretreated with a 2% chlorhexidine solution—Gluco CHeX Cerkamed—subgroups IB (n = 20) and IIB (n = 20). Both sets of groups were restored using a universal adhesive system (Single Bond Universal Adhesive, 3M-ESPE) and a bulk-fill composite resin (Filtek One Bulk Fill Restorative, 3M-ESPE). The roots and the pulp tissue were then removed, and a needle connected to a perfusor with 100 mL saline solution was used for pulp pressure simulation with a hydrostatic pressure of 20 cm H2O. Cariogenic attack was simulated using a demineralizing solution for 3 days at a constant temperature of 25 °C. The teeth were then sectioned in a facial-lingual direction and the microleakages at the occlusal and cervical margins were registered and scored using an optical Carl-Zeiss AXIO Imager A1m microscope (Carl-Zeiss). The composite resin–dentin interface was analyzed using a SEM Vega Tescan LMH II. Statistical analysis was performed using the Kruskal–Wallis test with a significance level of p < 0.05. Results: Microleakage evaluation showed no significant differences among the study groups (p > 0.05). In subgroup IA, significant differences were recorded between occlusal and cervical margins (p < 0.05). Conclusions: Application of chlorhexidine on tooth substrate before using a universal bonding system in total etch or self-etch mode has no influence on the adhesive interface in the condition of cariogenic attack. The thickness of the adhesive resin layer seems to be less uniform when using chlorhexidine, but the morphological differences at the adhesive interface have no influence on the sealing capacity of the universal bonding system, regardless of the etching strategy.
“… 6 However, some other studies that used a universal adhesive in both self-etch and total-etch methods concluded that etching and bleaching with 40% hydrogen peroxide does not affect the microleakage of enamel and dentin margins. 7 Therefore, considering the contradictions in the past studies and the lack of sufficient information regarding the effect of bleaching on the microleakage of universal adhesives, the present study investigated the effects of home bleaching and office bleaching on the microleakage of class five composite resin restorations using two universal adhesive systems.…”
Background. When bleaching agents contact dental structures, they act on restorative materials and adhesive interfaces. This study investigated the effect of "at-home" and "in-office" bleaching on the microleakage of composite resin restorations performed with different universal adhesives in self-etch and etch-and-rinse modes. Methods. Class V cavities were prepared in 132 premolars. The samples were divided into four groups (n=33). All Bond Universal adhesive was used in the first and second groups, and G-Premio Bond adhesive was used in the third and fourth groups. The total-etch mode was used in the first and third groups, and the self-etch mode was used in the second and fourth groups. The samples were divided into three subgroups (n=11). In the first subgroup, home bleaching was used, and in the second subgroup, office bleaching was used. In the third subgroup, bleaching was not performed. The specimens were examined under a stereomicroscope for microleakage. Ordinal regression analysis was applied (P<0.05). Results. The adhesive type, application method, and margin type significantly affected microleakage (P<0.05). The amount of microleakage in All Bond Universal adhesive was significantly higher than in G-Premio Bond adhesive. The chance of microleakage in the self-etch mode was almost twice as high as in the etch-and-rinse mode. The bleaching method did not significantly affect microleakage (P>0.05). Conclusion. Based on the results of the microleakage test, bleaching after composite resin restorations did not significantly affect the microleakage of Class V restorations.
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