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Objetive: To evaluate microleakage of composite resins (CR) placed over different cavitary liners after managing deep caries lesions through selective removal of soft carious tissue to soft dentin (SRCT-S). Material and Methods: Fifty four human teeth were collected for microleakage testing. Each a...

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Main Authors: Cecilia Muñoz-Sandoval, Karla Gambetta-Tessini, Claudia Rodriguez-Jaque, Daniel Bravo-Cavicchioli, Rodrigo A. Giacaman
Format: Article
Language:English
Published: Universidad de Concepción. 2022-06-01
Series:Journal of Oral Research
Subjects:
Online Access:https://joralres.com/index.php/JOralRes/article/view/joralres.2022.036/1052
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author Cecilia Muñoz-Sandoval
Karla Gambetta-Tessini
Claudia Rodriguez-Jaque
Daniel Bravo-Cavicchioli
Rodrigo A. Giacaman
author_facet Cecilia Muñoz-Sandoval
Karla Gambetta-Tessini
Claudia Rodriguez-Jaque
Daniel Bravo-Cavicchioli
Rodrigo A. Giacaman
author_sort Cecilia Muñoz-Sandoval
collection DOAJ
description Objetive: To evaluate microleakage of composite resins (CR) placed over different cavitary liners after managing deep caries lesions through selective removal of soft carious tissue to soft dentin (SRCT-S). Material and Methods: Fifty four human teeth were collected for microleakage testing. Each assay comprised ICDAS 5 or ICDAS 6 carious lesions and sound teeth for controls. Sound teeth were prepared with cavities that mirrored the carious teeth cavities, which were prepared with SRCT-S. Sound and carious teeth were further randomly assigned to one of the three experimental groups: Group A: universal adhesive (UA) + CR, Group B: glass ionomer cement liner + UA + CR, and Group C: calcium hydroxide + UA+ CR. Occlusal microleakage (OM) and cervical microleakage (CM) was classified within one of 5 depth categories. ANOVA and Chi-square tests were computed (p<0.05). Results: OM and CM were similarly distributed across subgroups (p>0.05). All Group C samples with carious lesions presented some degree of microleakage. However, no statistically significant differences were observed between groups and within each group (p>0.05). Conclusion: Teeth restored with CR after SRCT-S using calcium hydroxide as a liner material seem to exhibit higher microleakage than those restored using glass ionomer or UA alone. Further clinical research is needed to deepen these findings. Clinical significance: The application of calcium hydroxide as a liner under a composite resin may reduce the longevity of a restoration after performing selective or partial removal of carious tissues. Clinicians should rethink the need of using calcium hydroxide for this application, albeit the lack of clinical evidence.
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spelling doaj.art-9a4b08f6d36f48bf99f36eb71c71f0ee2023-01-24T23:03:32ZengUniversidad de Concepción.Journal of Oral Research0719-24600719-24792022-06-01113111https://doi.org/10.17126/joralres.2022.036Sci-Hub, Knowledge, Information, Dentistry, Students, dental, Open access publishingCecilia Muñoz-Sandoval0https://orcid.org/0000-0001-7626-2961Karla Gambetta-Tessini1https://orcid.org/0000-0003-2064-9619Claudia Rodriguez-Jaque2Daniel Bravo-Cavicchioli3https://orcid.org/0000-0001-7316-1639Rodrigo A. Giacaman4https://orcid.org/0000-0003-3362-5173Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile.Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, ChileBiomaterials Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile.Biomaterials Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile.Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Chile. | Interuniversity Center on Healthy Aging (CIES), Chile.Objetive: To evaluate microleakage of composite resins (CR) placed over different cavitary liners after managing deep caries lesions through selective removal of soft carious tissue to soft dentin (SRCT-S). Material and Methods: Fifty four human teeth were collected for microleakage testing. Each assay comprised ICDAS 5 or ICDAS 6 carious lesions and sound teeth for controls. Sound teeth were prepared with cavities that mirrored the carious teeth cavities, which were prepared with SRCT-S. Sound and carious teeth were further randomly assigned to one of the three experimental groups: Group A: universal adhesive (UA) + CR, Group B: glass ionomer cement liner + UA + CR, and Group C: calcium hydroxide + UA+ CR. Occlusal microleakage (OM) and cervical microleakage (CM) was classified within one of 5 depth categories. ANOVA and Chi-square tests were computed (p<0.05). Results: OM and CM were similarly distributed across subgroups (p>0.05). All Group C samples with carious lesions presented some degree of microleakage. However, no statistically significant differences were observed between groups and within each group (p>0.05). Conclusion: Teeth restored with CR after SRCT-S using calcium hydroxide as a liner material seem to exhibit higher microleakage than those restored using glass ionomer or UA alone. Further clinical research is needed to deepen these findings. Clinical significance: The application of calcium hydroxide as a liner under a composite resin may reduce the longevity of a restoration after performing selective or partial removal of carious tissues. Clinicians should rethink the need of using calcium hydroxide for this application, albeit the lack of clinical evidence.https://joralres.com/index.php/JOralRes/article/view/joralres.2022.036/1052dental cavity liningadhesiondental cariescomposite resinsglass ionomer cementsmicroleakage
spellingShingle Cecilia Muñoz-Sandoval
Karla Gambetta-Tessini
Claudia Rodriguez-Jaque
Daniel Bravo-Cavicchioli
Rodrigo A. Giacaman
Sci-Hub, Knowledge, Information, Dentistry, Students, dental, Open access publishing
Journal of Oral Research
dental cavity lining
adhesion
dental caries
composite resins
glass ionomer cements
microleakage
title Sci-Hub, Knowledge, Information, Dentistry, Students, dental, Open access publishing
title_full Sci-Hub, Knowledge, Information, Dentistry, Students, dental, Open access publishing
title_fullStr Sci-Hub, Knowledge, Information, Dentistry, Students, dental, Open access publishing
title_full_unstemmed Sci-Hub, Knowledge, Information, Dentistry, Students, dental, Open access publishing
title_short Sci-Hub, Knowledge, Information, Dentistry, Students, dental, Open access publishing
title_sort sci hub knowledge information dentistry students dental open access publishing
topic dental cavity lining
adhesion
dental caries
composite resins
glass ionomer cements
microleakage
url https://joralres.com/index.php/JOralRes/article/view/joralres.2022.036/1052
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