Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Utilization of Resin Infiltration for the Minimally Invasive Composite Restoration

최소침습적 복합레진 수복을 위한 레진침투법의 활용

  • Kim, Hyungjun (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Park, Soyoung (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Jeong, Taesung (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Kim, Shin (Department of Pediatric Dentistry, College of Dentistry, Pusan National University)
  • 김형준 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 박소영 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실)
  • Received : 2019.07.10
  • Accepted : 2019.09.05
  • Published : 2019.11.30
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Abstract

This study was aimed to assess the new trial for minimal cavity preparation in composite restoration combined with resin infiltration, focusing at application sequence. 32 human primary molars with early carious lesions around small cavity were selected and randomly divided into two groups, according to the sequence of cavity preparation (P), composite filling (F) and resin infiltration (I) as IPF and PFI group. Each group was assessed about amount of tooth reduction, features of resin infiltration, and marginal leakage around restoration. Amount of tooth reduction evaluated using micro-CT was decreased compared with the original lesion size in both groups. Features of resin infiltration were verified under confocal laser scanning microscopy. In both groups, infiltrant resin was found on all around the composite and maintained in spite of extent of decalcification even after artificial caries induction. Marginal micro leakage assessed with silver nitrate immersion and micro-CT was found more frequently in PFI group. The technique combining resin infiltration and composite restoration might ensure better adhesion prognosis as applied by the sequence of resin infiltration, cavity preparation, and composite filling. This new trial was thought meaningful in minimizing the cavity size and contributing to minimal invasive dentistry.

와동 형성이 시작된 우식병소에는 병소 본체 주변으로 탈회가 진행 중인 초기 병소가 혼재한다. 이 연구에서는 법랑질에 국한된 우식 와동을 복합레진으로 수복 시 레진침투법을 병행하는 기법이 치질 보존 측면에서 의미를 갖는지를 평가하고자 하였다. 인접면 우식병소가 있는 탈락된 유구치를 이용, 레진침투(I, Infiltration), 치아삭제(P, preparation), 복합레진 수복(F, filling)의 적용 순서를 달리하여 IPF군과 PFI군으로 나누었다. 수복 범위, 레진침투 양상, 변연부 미세누출의 관점에서 수복물을 평가하였다. 치질 삭제범위는 수복 전후에 micro-CT를 이용하여 평가하였고, 두 실험군 모두에서 치료 전 병소의 크기보다 복합레진 수복물의 크기가 작았다. 공초점 레이저 주사현미경을 이용한 레진침투 양상 평가 결과 두 실험군 모두 복합레진 수복물 주변에서 침투레진이 확인되었으며, 인공 탈회 유발 후에도 침투레진은 대부분 유지되었다. 수복물 변연부 미세누출은 micro-CT로 확인하였고, PFI군에서 더 빈번하게 확인되었다. 복합레진 수복과 레진침투법의 병용은 치질 보존 측면에서 의미를 가지며, 접착 향상을 위하여 레진침투-와동 형성-복합레진 수복의 순으로 진행하는 것이 추천된다.

Keywords

References

  1. Banerjee A, Frencken JE, Schwendicke F, Innes NPT : Contemporary operative caries management: consensus recommendations on minimally invasive caries removal. Br Dent J , 223:215-222, 2017. https://doi.org/10.1038/sj.bdj.2017.672
  2. Ericson D, Kidd E, Noack MJ, et al.: Minimally invasive dentistry-concepts and techniques in cariology. Oral Health Prev Dent , 1:59-72, 2003.
  3. Black G : A work on operative dentistry: the technical procedures in filling teeth. Medico-Dental Publishing Company, Chicago, 111-119, 1917.
  4. Mm J, Nk B, A P : Minimal intervention dentistry - a new frontier in clinical dentistry. J Clin Diagn Res , 8:ZE04-08, 2014.
  5. Heymann GC, Grauer D : A contemporary review of white spot lesions in orthodontics. J Esthet Restor Dent , 25:85-95, 2013. https://doi.org/10.1111/jerd.12013
  6. OAESE M, Ibrahim STE, Alamoudi NM : Resin Infiltration of Non-Cavitated Proximal Caries Lesions: A Literature Review. J Oral Hyg Health , 6:234, 2018.
  7. Abdelaziz M, Rizzini AL, Krejci I, et al.: Comparing different enamel pretreatment options for resin-infiltration of natural non-cavitated carious lesions. Am J Dent , 29:3-9, 2016.
  8. Lasfargues JJ, Bonte E, Guerrieri A, Fezzani L : Minimal intervention dentistry: part 6. Caries inhibition by resin infiltration. Br Dent J , 214:53-59, 2013. https://doi.org/10.1038/sj.bdj.2013.54
  9. Kim MJ, Lee DS, Kim S, Jeong TS : The Anticariogenic Effect of Resin Infitration According to the Pretreatment of Surface Layers in Natural Incipient Caries Lesions. J Korean Acad Pediatr Dent , 37:412-421, 2010.
  10. Kielbassa AM, Ulrich I, Werth VD, et al.: Resin infiltration of deproteinised natural occlusal subsurface lesions improves initial quality of fissure sealing. Int J Oral Sci , 9:117-124, 2017. https://doi.org/10.1038/ijos.2017.15
  11. Korner P, El Gedaily M, Taubock TT, et al.: Margin Integrity of Conservative Composite Restorations after Resin Infiltration of Demineralized Enamel. J Adhes Dent , 19:483-489, 2017.
  12. Espigares J, Hayashi J, Sadr A, et al.: Enamel margins resealing by low-viscosity resin infiltration. Dent Mater J , 37:350-357, 2018. https://doi.org/10.4012/dmj.2017-153
  13. Ismail AI, Sohn W, Pitts NB, et al.: The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol , 35:170-178, 2007. https://doi.org/10.1111/j.1600-0528.2007.00347.x
  14. Lussi A, Imwinkelried S, Reich E, et al.: Performance and reproducibility of a laser fluorescence system for detection of occlusal caries in vitro. Caries Res , 33:261-266, 1999. https://doi.org/10.1159/000016527
  15. Lussi A, Megert B, Francescut P, et al. : Clinical performance of a laser fluorescence device for detection of occlusal caries lesions. Eur J Oral Sci , 109:14-19, 2001. https://doi.org/10.1034/j.1600-0722.2001.109001014.x
  16. Andrade Neto DM, Carvalho EV, Fechine PB, et al. : Novel hydroxyapatite nanorods improve anti-caries efficacy of enamel infiltrants. Dent Mater, 32:784-793, 2016. https://doi.org/10.1016/j.dental.2016.03.026
  17. Bae YE, Shin JH, Kim JY, et al. : Evaluation of Cavity Wall Adaptation of Bulk-fill Resin Composites in Class II Cavities of Primary Molar. J Korean Acad Pediatr Dent , 44:446-454, 2017.
  18. Groddeck S, Attin T, Taubock TT : Effect of Cavity Contamination by Blood and Hemostatic Agents on Marginal Adaptation of Composite Restorations. J Adhes Dent , 19:259-264, 2017.
  19. Banerjee A, Pickard HM, Watson TF : Pickard's manual of operative dentistry. Oxford university press, 2011.
  20. de Almeida Neves A, Coutinho E, Van Meerbeek B, et al. : Current concepts and techniques for caries excavation and adhesion to residual dentin. J Adhes Dent , 13:7-22, 2011. https://doi.org/10.3290/j.jad.a18443
  21. Torres CR, Rosa PC, Ferreira NS, Borges AB : Effect of caries infiltration technique and fluoride therapy on microhardness of enamel carious lesions. Oper Dent, 37:363-369, 2012. https://doi.org/10.2341/11-070-L
  22. Rocha Gomes Torres C, Borges AB, de Oliveira RS, et al. : Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. J Dent, 39:202-207, 2011. https://doi.org/10.1016/j.jdent.2010.12.004
  23. Abramovitch K, Rice DD : Basic principles of cone beam computed tomography. Dent Clin North Am , 58:463-484, 2014. https://doi.org/10.1016/j.cden.2014.03.002
  24. Makins SR : Artifacts interfering with interpretation of cone beam computed tomography images. Dent Clin North Am , 58:485-495, 2014. https://doi.org/10.1016/j.cden.2014.04.007
  25. Paris S, Meyer-Lueckel H : Masking of labial enamel white spot lesions by resin infiltration-a clinical report. Quintessence Int , 40:713-718, 2009.
  26. Guerrieri A, Gaucher C, Bonte E, Lasfargues JJ : Minimal intervention dentistry: part 4. Detection and diagnosis of initial caries lesions. Br Dent J, 213:551-557, 2012. https://doi.org/10.1038/sj.bdj.2012.1087