Impact of direct restorative dental materials on surface root caries treatment. Evidence based and current materials development: A systematic review

Abstract

This systematic review provides an update on the development and efficacy of direct restorative dental materials for root caries interventions from in vitro and clinical studies. PubMed, Embase, and Web of Science were searched using specific MeSH keywords. Full articles from September 1990 to October 2021 were collected. Additional articles were identified by reference retrieval and manual searching. Studies not related to restorative materials for root caries treatment, case reports, non-original articles, and/or articles not written in English were excluded. Bias risk assessment was performed for the clinical studies. Forty-two articles (eleven clinical studies and thirty-one in vitro studies) were included for analysis. Most in vitro studies indicated an excellent cariostatic effect of glass ionomer cement. Resin-modified glass ionomer restorations also presented reduced recurrent caries activity but had a lower efficacy than glass ionomer cement restorations. For composite resin restorations, the main material development strategies are to strengthen the tooth structure and integrate antimicrobial activity. The clinical studies offered limited data, so the most appropriate material for surface root caries treatment is still inconclusive. However, atraumatic restorative treatment (ART) is an alternative treatment for patients with limiting conditions. Further clinical studies are required to confirm the efficacy of bioactive materials.

Does dental material type influence bacterial adhesion under the same polishing conditions? Direct observation using a fluorescent staining technique: An <i>in vitro</i> study

“…Current material development is focused on the incorporation of bioactive agents into dental restorative materials. Several antimicrobial agents, including silver nanoparticles, 12-methacryloyloxydodecyl pyridinium bromide, dimethylaminohexadecyl methacrylate, and pre-reacted glass ionomer, have been added to CRs to improve their antimicrobial activity 37) . In addition, antiprotein adsorptive agents such as 2-methacryloyloxyethyl phosphorylcholine have been shown to reduce bacterial adhesion by interrupting the formation of the protein pellicle film 38) .…”

Effect of desensitizing dentifrices on eroded dentin wettability

“…Restorative treatments are effective when the adhesive material adheres satisfactorily to the dental substrate [12][13][14][15]. Close contact between the adhesive material and the dental substrate is necessary for adhesion to occur [13][14][15][16][17].…”

“…Restorative treatments are effective when the adhesive material adheres satisfactorily to the dental substrate [12][13][14][15]. Close contact between the adhesive material and the dental substrate is necessary for adhesion to occur [13][14][15][16][17]. The surface contact area between a liquid (adhesive) and a solid (dental surface) increases when substrate wettability by the liquid adhesive is good [18][19][20].…”