Resin Infiltration Technique for Proximal Caries Lesions in the Permanent Dentition: A Contrarian Viewpoint

Sm, Nainar

doi:10.2341/13-218-e

Cited by 5 publications

(5 citation statements)

References 15 publications

(9 reference statements)

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“…Resin infiltration is another valid option 5–8 when the lesions are not cavitated and are radiographically limited to the enamel or external third of the dentin layer 9 . On the other hand, some authors consider that this type of treatment requires further research 10 . The microinvasive treatment of approximal lesions significantly reduces their risk of progression when compared with noninvasive treatments such as plaque control 6 .…”

Section: Introductionmentioning

confidence: 99%

Combined Near-Infrarred Light Transillumination and Direct Digital Radiography Increases Diagnostic In Approximal Caries

Melo

Pascual

Ruiz‐Camps

et al. 2019

Sci Rep

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The objective of this study was to evaluate the clinical ability of Near-Infrared Light-Transillumination (NILT) for approximal dentinal caries detection and to compare with direct digital-radiography (DDR), as well as to determine whether the combination of both techniques improves the diagnostic capacity of the lesions. From 88 patients (over 18 years), 138 posterior teeth (76 molars and 62 premolars), that had approximal caries reached into dentine determined by DDR, were included. Lesion extension and DDR images were scored as follows: D0 = sound surface, D1/D2 = caries restricted to the outer/inner-half of the enamel, and D3/4 = caries restricted to the outer/inner-half of the dentin. Opening of the approximal surface using 0.5 mm-in-diameter diamond-bar was used as gold-standard. The lesion extension was then determined by the following criteria: no dentinal caries (D0/1/2) or dentinal caries (D3/4). Seventy-one lesions were D3 and 67 lesions were D4. Sensitivities of overall/D3/D4 were 98.0/95.7/100.0 (NILT) and 100/100/100 (DDR), respectively. Correlations with gold-standard were 0.92 (NILT) and 0.42 (DDR), respectively. The correlation increased to 0.97 (p = 0.045) on combining NILT and DDR. There was no difference in sensitivity between the methods (p > 0.05); but was differences in the correlation (p < 0.01). It can be concluded that NILT showed sensitivity similar to that of DDR and higher correlation than DDR for approximal dentinal caries detection. Accordingly, it may be used to monitor the progression of caries without exposing the patient to ionizing radiation, this being of particular interest in growing patients and in pregnant women. In this respect, NILT can be an effective diagnostic tool adjunctive to bitewing radiographs in detecting approximal dentinal caries. The combination of NILT and DDR represents an increase in the diagnosis of approximal lesions The proposed diagnostic protocol comprises visual examination, followed by NILT and DDR only if the former technique detects approximal caries.

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Section: Introductionmentioning

confidence: 99%

Combined Near-Infrarred Light Transillumination and Direct Digital Radiography Increases Diagnostic In Approximal Caries

Melo

Pascual

Ruiz‐Camps

et al. 2019

Sci Rep

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“…Enamel micro-abrasion and resin infiltration techniques can provide a significant and immediate improvement in the post-orthodontic WSLs. However, it was claimed that these techniques are invasive and eliminate the chance for enamel remineralization and natural color recovery ( Nainar 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of topical fluoride application and diode laser-irradiation on white spot lesions of human enamel

Alqahtani

Almosa

Alsaif

et al. 2021

The Saudi Dental Journal

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Objectives This study aims to evaluate the effectiveness of topical fluoride application and diode laser-irradiation on the hardness of demineralized enamel and to evaluate the esthetic improvement of the white spot lesions (WSLs) using a visual analog scale (VAS). Materials and Methods Artificial WSLs (3x3 mm) were created on the enamel surface of 45 human third molars. The teeth were randomly assigned into three groups (n = 15): group A, fluoride only; group B, combined therapy of fluoride and diode laser; and group C, control. Vicker’s hardness number (VHN) was measured at baseline, after demineralization and after treatment. To evaluate the esthetic improvement after treatment, 14 raters evaluated each group’s photographs using a 100-millimeter VAS. A one-way ANOVA or Brown-Forsythe and Games-Howell post hoc procedure were performed for statistical analysis. The level of significance was set at α = 0.05 for all tests. Results Group A mean VHN was significantly higher than groups B and C, and group B was significantly higher than group C (P < 0.05). However, the mean VAS rating for the combined therapy group (B) was significantly higher than that for groups A and C (P < 0.05). Conclusion Combination therapy significantly improved the esthetic appearance of WSLs compared to the fluoride only group. However, there was less enamel hardness versus treatment with fluoride only.

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“…[ 1 ] The handling properties and injectable delivery system of flowable composites have improved the material placement in preparations and have increased the range of clinical applications. [ 2 3 ] Flowable composites have a good wetting ability; therefore, they are expected to be adapted to the internal cavity wall better than the conventional hybrid composites which are more viscous. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, they are now also recommended for larger or deeper posterior cavities and in higher thicknesses, similar to the conventional hybrid composites. [ 2 3 4 ]…”

Section: Introductionmentioning

confidence: 99%

Microtensile bond strength and failure modes of flowable composites on primary dentin with application of different adhesive strategies

Durmuşlar

Ölmez

2017

Contemp Clin Dent

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Background:Resin composite is an option for the restoration of primary teeth, and new materials with simplified procedures are increasingly being suggested.Aims:This study aims to evaluate the microtensile bond strengths and fracture modes of flowable composites on primary dentin with application of different adhesive strategies.Materials and Methods:Sixty extracted noncaries primary molars were abraded from buccal surfaces to expose dentin surface. The teeth were randomly divided into three groups as follows: Group 1, Vertise™ Flow (Kerr) (self-adhering flowable composite); Group 2, G-aenial Universal Flo® (GC Europe) (used with one-step self-etch system); Group 3, Tetric® N-Flow (Ivoclar/Vivadent) (used with two-step total etch system). Then, the flowable composites were applied to buccal dentin surfaces with the help of guide mold. Samples were embedded in acrylic blocks and sectioned to form dentin-composite sticks with a surface area of approximately 1 mm2. Finally, a total of 180 sticks were obtained to give each group of 60 sticks. Microtensile bond strengths were measured using a universal testing machine (1 mm/min). Fracture modes were evaluated with scanning electron microscopy.Statistical Analysis:Microtensile bond strengths data were analyzed by Kruskal–Wallis nonparametric test.Results:The microtensile bond strengths of G-aenial (15.5 megapascals [Mpa]) and Tetric (13.0 MPa) were statistically significant higher than Vertise (2.3 MPa). It was recorded that most of fractures in G-aenial was 40% cohesive, Tetric was 53.3% mixed, and Vertise was 83.3% adhesive.Conclusions:The self-adhering flowable composite Vertise™ Flow had the lowest and G-aenial Universal Flo® had the highest microtensile bond values.

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Resin Infiltration Technique for Proximal Caries Lesions in the Permanent Dentition: A Contrarian Viewpoint

Cited by 5 publications

References 15 publications

Combined Near-Infrarred Light Transillumination and Direct Digital Radiography Increases Diagnostic In Approximal Caries

Combined Near-Infrarred Light Transillumination and Direct Digital Radiography Increases Diagnostic In Approximal Caries

Effect of topical fluoride application and diode laser-irradiation on white spot lesions of human enamel

Microtensile bond strength and failure modes of flowable composites on primary dentin with application of different adhesive strategies

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