Effect of adhesive resin application on the progression of cavitated and non-cavitated incipient carious lesions. 2012

Ibrahim H El-Kalla, and Hussein I A Saudi, and Rizk A I El-Agamy
Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. KallaIH@mans.edu.eg

OBJECTIVE To evaluate the penetration of two different adhesive resin systems into cavitated and non-cavitated artificial carious lesions and the behavior of treated carious lesions under further acid attack. METHODS Artificial caries-like lesions were created on the proximal surface of 100 human primary molars by a demineralizing gel. The teeth were assigned to three groups according to the adhesive resin used. Group 1 (G1) was for Single Bond adhesive resin, Group 2 (G2) for Xeno V adhesive resin, and Group 3 (G3) was without any adhesive application. Each group was randomly and equally subdivided into subgroups a and b. In subgroup a, the teeth were kept with intact artificial caries-like lesion surfaces while in the subgroup b, a minute cavity was made at the center of artificial caries-like lesions using a sharp explorer. Each tooth was sectioned occluso-cervically into two halves through the center of the lesion; the sectioned surface was polished and examined under a reflected light microscope for estimating the depth of the carious lesion or penetration of the adhesive resin. All tooth halves were coated at the sectioned surface with two layers of acid resistant nail varnish and returned again to the demineralizing solution to assess the progression or arrest of the carious lesion after the second acid attack. RESULTS The penetration depth of adhesive resins did not differ significantly between subgroups (P>0.05). After the second acid attack, the infiltrated carious lesions showed no lesion progression while the non-infiltrated lesions showed advanced caries progression.

UI MeSH Term Description Entries
D008963 Molar The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821) Molars
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014094 Tooth, Deciduous The teeth of the first dentition, which are shed and replaced by the permanent teeth. Primary Tooth,Tooth, Primary,Baby Teeth,Baby Tooth,Dentition, Deciduous,Dentition, Primary,Milk Teeth,Milk Tooth,Primary Teeth,Teeth, Deciduous,Teeth, Primary,Deciduous Dentition,Deciduous Dentitions,Deciduous Teeth,Deciduous Tooth,Dentitions, Deciduous,Dentitions, Primary,Primary Dentition,Primary Dentitions,Teeth, Baby,Teeth, Milk,Tooth, Baby,Tooth, Milk
D018450 Disease Progression The worsening and general progression of a disease over time. This concept is most often used for chronic and incurable diseases where the stage of the disease is an important determinant of therapy and prognosis. Clinical Course,Clinical Progression,Disease Exacerbation,Exacerbation, Disease,Progression, Clinical,Progression, Disease
D019279 Resin Cements Dental cements composed either of polymethyl methacrylate or dimethacrylate, produced by mixing an acrylic monomer liquid with acrylic polymers and mineral fillers. The cement is insoluble in water and is thus resistant to fluids in the mouth, but is also irritating to the dental pulp. It is used chiefly as a luting agent for fabricated and temporary restorations. (Jablonski's Dictionary of Dentistry, 1992, p159) Resin Cement,Cement, Resin,Cements, Resin

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