Fluid flow after resin-composite restoration in extracted carious teeth

Eur J Oral Sci. 2009 Jun;117(3):334-42. doi: 10.1111/j.1600-0722.2009.00616.x.

Abstract

The aim of this study was to investigate fluid flow in dentin after restoration of carious teeth with resin composite bonded with a total-etching adhesive, with or without glass-ionomer cement lining. The roots of extracted third molars were removed and the crowns were connected to a fluid flow-measuring device. Each carious lesion was stained with caries detector dye and caries was removed using slow-speed burs and spoon excavators. Caries-excavated teeth were divided into two groups for restoration with resin composite bonded with a total-etch adhesive: (i) without lining; and (ii) lined with glass-ionomer cement before bonding. In non-carious teeth, cavities of similar dimensions were prepared, divided into two groups, and restored in the same manner. Fluid flow was recorded, after restoration, for up to 1 month. Caries-affected dentin was examined by scanning electron microscopy (SEM), and the bonded interfaces were observed using a confocal laser scanning microscope. No significant difference in fluid flow was observed between the two restorative procedures or between the carious and non-carious groups. The SEM images showed that the dentinal tubules of acid-etched, caries-affected dentin were usually still occluded, while some were patent. Limited penetration of fluorescent dye into dentin and into the bonded interfaces of restored carious teeth was observed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acid Etching, Dental
  • Adolescent
  • Adult
  • Bisphenol A-Glycidyl Methacrylate / chemistry
  • Composite Resins* / chemistry
  • Dental Caries / metabolism
  • Dental Caries / therapy*
  • Dental Cavity Lining
  • Dental Cavity Preparation / methods
  • Dental Cements / chemistry
  • Dental Materials* / chemistry
  • Dental Restoration, Permanent / methods*
  • Dentin / ultrastructure
  • Dentin Permeability
  • Dentin-Bonding Agents / chemistry
  • Dentinal Fluid / metabolism*
  • Fluorescent Dyes
  • Glass Ionomer Cements / chemistry
  • Humans
  • Microscopy, Confocal
  • Microscopy, Electron, Scanning
  • Rhodamines
  • Time Factors
  • Young Adult

Substances

  • Composite Resins
  • Dental Cements
  • Dental Materials
  • Dentin-Bonding Agents
  • Filtek Supreme
  • Fluorescent Dyes
  • Glass Ionomer Cements
  • Rhodamines
  • single bond
  • Fuji glass-ionomer lining cement
  • Bisphenol A-Glycidyl Methacrylate
  • rhodamine B