Resin-dentin interfaces of endodontically-treated restored teeth. 2003

Francesco Mannocci, and Egidio Bertelli, and Timothy F Watson, and Thomas Pitt Ford
Department of Restorative Dentistry, University of Siena, Italy. mannocci@sirius.pisa.it

OBJECTIVE To compare by confocal and scanning electron microscopy the post-resin-dentin interfaces of endodontically-treated teeth which had been restored with dentin-bonding systems and composite and needed to be extracted after 6 months to 6 years of clinical service. METHODS Sixteen single rooted teeth showing proximal lesions penetrating the pulp chamber were included in the investigation and divided into two groups. Group 1 teeth were endodontically-treated, restored with carbon fiber posts and resin-based composite. Group 2 teeth were treated in the same way and covered with porcelain fused-to-metal crowns. RESULTS Two thirds of the observed interfaces showed resin penetration of the root dentin in the middle and coronal third of the post space preparation, while only one third of the interface showed resin infiltration in the apical third of the post space preparation. Debonding of the adhesive from the resin infiltrated dentin area and debonding of the composite cement from the adhesive were the most frequently observed failure modes and were observed in one third of the observed interfaces. There was no difference between the post-resin-dentin interfaces of teeth covered and teeth not covered with porcelain-fused to metal crowns. Teeth extracted after longer periods of clinical service showed more abundant areas of debonding of the adhesive from the resin-dentin interdiffusion zone. The presence of bacteria in resin infiltrated dentin tubules was observed in two specimens.

UI MeSH Term Description Entries
D008297 Male Males
D008855 Microscopy, Electron, Scanning Microscopy in which the object is examined directly by an electron beam scanning the specimen point-by-point. The image is constructed by detecting the products of specimen interactions that are projected above the plane of the sample, such as backscattered electrons. Although SCANNING TRANSMISSION ELECTRON MICROSCOPY also scans the specimen point by point with the electron beam, the image is constructed by detecting the electrons, or their interaction products that are transmitted through the sample plane, so that is a form of TRANSMISSION ELECTRON MICROSCOPY. Scanning Electron Microscopy,Electron Scanning Microscopy,Electron Microscopies, Scanning,Electron Microscopy, Scanning,Electron Scanning Microscopies,Microscopies, Electron Scanning,Microscopies, Scanning Electron,Microscopy, Electron Scanning,Microscopy, Scanning Electron,Scanning Electron Microscopies,Scanning Microscopies, Electron,Scanning Microscopy, Electron
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011176 Post and Core Technique Use of a metal casting, usually with a post in the pulp or root canal, designed to support and retain an artificial crown. Dental Dowels,Dental Dowel,Dowel, Dental,Dowels, Dental,Post Technic,Post Technique,Post and Core Technic,Post-Core Technic,Post Technics,Post Techniques,Post-Core Technics,Technic, Post,Technic, Post-Core,Technics, Post,Technics, Post-Core,Technique, Post,Techniques, Post
D002244 Carbon A nonmetallic element with atomic symbol C, atomic number 6, and atomic weight [12.0096; 12.0116]. It may occur as several different allotropes including DIAMOND; CHARCOAL; and GRAPHITE; and as SOOT from incompletely burned fuel. Carbon-12,Vitreous Carbon,Carbon 12,Carbon, Vitreous
D002484 Cementation The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive. Cementations
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D003738 Dental Cements Substances used to bond COMPOSITE RESINS to DENTAL ENAMEL and DENTIN. These bonding or luting agents are used in restorative dentistry, ROOT CANAL THERAPY; PROSTHODONTICS; and ORTHODONTICS. Dental Adhesives,Luting Agents,Orthodontic Adhesives,Cement, Dental,Cements, Dental,Dental Cement,Adhesive, Dental,Adhesive, Orthodontic,Adhesives, Dental,Adhesives, Orthodontic,Dental Adhesive,Luting Agent,Orthodontic Adhesive
D003804 Dentin The hard portion of the tooth surrounding the pulp, covered by enamel on the crown and cementum on the root, which is harder and denser than bone but softer than enamel, and is thus readily abraded when left unprotected. (From Jablonski, Dictionary of Dentistry, 1992) Dentine,Dentines,Dentins
D003806 Dentin Permeability The property of dentin that permits passage of light, heat, cold, and chemical substances. It does not include penetration by microorganisms. Dentin Permeabilities,Permeabilities, Dentin,Permeability, Dentin

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