• Title/Summary/Keyword: Restorative treatment

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Microhybrid versus nanofill composite in combination with a three step etch and rinse adhesive in occlusal cavities: five year results

  • Tuncer, Safa;Demirci, Mustafa;Oztas, Evren;Tekce, Neslihan;Uysal, Omer
    • Restorative Dentistry and Endodontics
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    • v.42 no.4
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    • pp.253-263
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    • 2017
  • Objectives: The aim of the study was to evaluate the 5-year clinical performance of occlusal carious restorations using nanofill and microhybrid composites, in combination with 3-step etch-and-rinse adhesives, in patients who were going to commence orthodontic treatment. Materials and Methods: A total of 118 restorations for occlusal caries were conducted prior to orthodontic treatment. Occlusal restorations were performed both with Filtek Supreme XT (3M ESPE) and Filtek Z250 (3M ESPE) before beginning orthodontic treatment with fixed orthodontic bands. Restorations were clinically evaluated at baseline and at 1, 2, 3, 4, and 5-year recalls. Results: None of the microhybrid (Filtek Z250) and nanofill (Filtek Supreme XT) composite restorations was clinically unacceptable with respect to color match, marginal discoloration, wear or loss of anatomical form, recurrent caries, marginal adaptation, or surface texture. A 100% success rate was recorded for both composite materials. There were no statistically significant differences in any of the clinical evaluation criteria between Filtek Z250 and Filtek Supreme XT restorations for each evaluation period. Conclusions: The composite restorations showed promising clinical results relating to color matching, marginal discoloration, wear or loss of anatomical form, recurrent caries, marginal adaptation, and surface texture at the end of the 5-year evaluation period.

Mechanical Properties of Polymeric Dental Restorative Composites Filled With Silica Treated by Heat at Various Temperatures (다양한 온도에서 열처리시킨 실리카가 충진된 치아수복용 고분자 복합체의 기계적 물성)

  • Kim, Ohyoung;Lee, Jung Soo;Seo, Kitaek;Kang, Doo Whan;Kang, Ho-Jong;Gong, Myoung-Seon;Oh, Myoung-Hwan
    • Applied Chemistry for Engineering
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    • v.16 no.4
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    • pp.549-555
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    • 2005
  • To evaluate the posterior and anterior restoration of polymeric dental restorative composite (PDRC), PDRC was prepared using a silica filler treated by heat at various temperatures. Compressive strength (CS) and diametral tensile strength (DTS) values were investigated to study the effect of a heat-treated silica on the mechanical properties of PDRC using the recommended dental specifications. Both the particle size and specific volume of silica were decreased upon increasing the heat treatment temperature. CS and DTS values of PDRC containing a heat-treated silica showed 1.2 and 1.3 times, respectively, higher than that of the PDRC containing a neat silica. Also, it was found that the lower heat treatment temperature, the better mechanical properties of PDRC were observed because there was less agglomeration between silica particles. Specially, PDRC using a silica treated at $600^{\circ}C$ showed superior mechanical strength.

Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups

  • Lim, Jae-Hyung;Lee, Ji-Hyun;Shin, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.39 no.1
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    • pp.56-62
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    • 2014
  • A tooth with primary endodontic disease that demonstrates a periodontal defect might be extracted because of misdiagnosis as severe periodontal disease or a vertical root fracture. The aim of this case report was to demonstrate the long-term survival of endodontically treated teeth, which had been initially considered unsavable. With meticulous evaluation including the patient's dental history, clinical and radiographic examinations, teeth with primary endodontic lesions could be differentiated and saved after proper root canal treatment. Pain history, vitality test, and radiographic examinations, as well as a general periodontal condition check with periodontal probing on an affected tooth, might be the key methods to differentiate endodontic pathosis from that of periodontal disease.

Cone-beam computed tomographic evaluation of the root canal anatomy of the lower premolars and molars in a Brazilian sub-population

  • Jessica Cecilia Almeida;Amanda Pelegrin Candemil;Gunther Ricardo Bertolini;Aline Evangelista Souza-Gabriel;Antonio Miranda Cruz-Filho;Manoel Damiao Sousa-Neto;Ricardo Gariba Silva
    • Imaging Science in Dentistry
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    • v.53 no.1
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    • pp.77-82
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    • 2023
  • Purpose: This study evaluated anatomical variations in the root canals of the lower premolars and molars in a Brazilian sub-population using cone-beam computed tomography (CBCT). Materials and Methods: In total, 121 CBCT images of patients were selected from a database. All images contained lower first and second premolars and molars on both sides of the arch, fully developed roots, and no treatment, resorption, or calcifications. In each image, the root canals of the lower premolars and molars were evaluated according to the Vertucci classification in On-Demand 3D software in the multiplanar reconstruction with dynamic navigation. Twenty-five percent of the images were re-assessed to analyze intraobserver confidence with the kappa test. Data were statistically evaluated with linear regression to evaluate the correlations of anatomic variations with age and sex, and the Wilcoxon test to analyze the laterality of variations, with a significance level of 5%. Results: The intraobserver agreement (0.94) was excellent. In general, the root canals of lower premolars and molars showed a higher prevalence of type I than other Vertucci classification types, followed by type V in premolars and type II in molars. When the molar roots were evaluated separately, type II was more frequent in mesial roots and type I in distal roots. Although age showed no correlations with the results, sex and laterality showed correlations with tooth 45 and the lower second premolars, respectively. Conclusion: The lower premolars and molars of a Brazilian sub-population showed a wide range of root canal anatomic variations.

Effect of intracanal medicaments used in endodontic regeneration procedures on microhardness and chemical structure of dentin

  • Yassen, Ghaeth Hamdon;Eckert, George Joseph;Platt, Jeffrey Allen
    • Restorative Dentistry and Endodontics
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    • v.40 no.2
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    • pp.104-112
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    • 2015
  • Objectives: This study was performed to investigate the effects of different intracanal medicaments on chemical structure and microhardness of dentin. Materials and Methods: Fifty human dentin discs were obtained from intact third molars and randomly assigned into two control groups and three treatment groups. The first control group received no treatment. The second control group (no medicament group) was irrigated with sodium hypochlorite (NaOCl), stored in humid environment for four weeks and then irrigated with ethylenediaminetetraacetic acid (EDTA). The three treatment groups were irrigated with NaOCl, treated for four weeks with either 1 g/mL triple antibiotic paste (TAP), 1 mg/mL methylcellulose-based triple antibiotic paste (DTAP), or calcium hydroxide [$Ca(OH)_2$] and finally irrigated with EDTA. After treatment, one half of each dentin disc was subjected to Vickers microhardness (n = 10 per group) and the other half was used to evaluate the chemical structure (phosphate/amide I ratio) of treated dentin utilizing attenuated total reflection Fourier transform infrared spectroscopy (n = 5 per group). One-way ANOVA followed by Fisher's least significant difference were used for statistical analyses. Results: Dentin discs treated with different intracanal medicaments and those treated with NaOCl + EDTA showed significant reduction in microhardness (p < 0.0001) and phosphate/amide I ratio (p < 0.05) compared to no treatment control dentin. Furthermore, dentin discs treated with TAP had significantly lower microhardness (p < 0.0001) and phosphate/amide I ratio (p < 0.0001) compared to all other groups. Conclusions: The use of DTAP or $Ca(OH)_2$ medicaments during endodontic regeneration may cause significantly less microhardness reduction and superficial demineralization of dentin compared to the use of TAP.