• Restorative Dentistry and Endodontics
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• v.30 no.1
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• pp.49-57
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• 2005

The purpose of this study was to evaluate the effect of multiple application of all-in-one dentin adhesive system on microtensile bond strength to caries-affected dentin. Twenty one extracted human molars with occlusal caries extending into mid-dentin were prepared by grinding the occlusal surface flat. The carious lesions were excavated with the aid of caries detector dye. The following adhesives were applied to caries-affected dentin according to manufacturer's directions; $Scotchbond^{TM}$ Multi-Purpose in SM group, Adper Prompt $L-Pop^{TM}$ 1 coat in LP1 group, 2 coats in LP2 group, 3 coats in LP3 group, $Xeno^{(R)}$ III 1 coat in XN1 group, 2 coats in XN2 group. and 3 coats in XN3 group. After application of the adhesives, a cylinder of resin-based composite was built up on the occlusal surface. Each tooth was sectioned vertically to obtain the $1{\times}1\;mm^2$ sticks. The microtensile bond strength was determined. Each specimen was observed under SEM to examine the failure mode. Data were analyzed with one-way ANOVA. The results of this study were as follows; 1. The microtensile bond strength values were; SM ($14.38{\pm}2.01$ MPa), LP1 ($9.15{\pm}1.81$ MPa), LP2(14.08{\pm}1.75$ MPa), LP3 ($14.06{\pm}1.45$ MPa). XN1 (13.65{\pm}1.95$ MPa). XN2 ($13.98{\pm}1.60$) MPa, XN3 ($13.88{\pm}1.66$) MPa, LP1 was significantly lower than the other groups in bond strength (p < 0.05). All groups except LP1 were not significantly different in bond strength (p > 0.05). 2. In LP1, there were a higher number of specimens showing adhesive failure. Most specimens of all groups except LP1 showed mixed failure.

• Journal of the korean academy of Pediatric Dentistry
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• v.37 no.4
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• pp.532-536
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• 2010

Hidden caries is a subtype of the occlusal pit and fissure caries type and is defined as a dentinal caries lesion near the occlusal surface of the tooth seen on a radiograph. In visual examination, the occlusal enamel is seen intact or is minimally perforated. Covert caries, Occlult caries or Fluoride syndrome are used as synonym. The percentage of occlusal dentin lesions that are clinically undetected ranges from 1.4-50%. Little is known about the mechanisms involved in the development of hidden caries. But it is thought that extensive use of topical fluoride or the special bacteriological profile has been a major factor. This case report is about detection and treatment of hidden caries of two children who visited the department of pediatric dentistry, Yonsei University Dental Hospital. The color of caries dentin found in hidden caries lesion is lighter than cavity forming caries, which makes it more difficult to detect caries by visual examination. Therefore diagnosis of hidden caries is often accomplished after clinical sign is recognized by patients. The use of advanced caries detection aids such as Diagnodent.. with periodic radiographic examination is seemed to be helpful for early detection of hidden caries.