Dentin pretreatment and caries inhibition by a fluoride-releasing resin. 1993

G Rebitski, and K J Donly
Center for Clinical Studies and Department of Pediatric Dentistry, College of Dentistry, University of Iowa.

The purpose of this study was to examine the effect that phosphoric acid etchant, used to remove the smear layer, may have on dentin demineralization inhibition. Fifteen molars had Class V preparations placed on the mesial and distal surfaces, the gingival seat being placed 1 mm below the cementoenamel junction. Randomly, one preparation of each tooth had etchant placed carefully on only enamel for 30 seconds. Etchant was placed on the gingival seat dentin of the remaining preparations, as well as the enamel for 30 seconds. A HEMA dentin primer containing maleic acid was placed and allowed to dry on the unetched dentin, then a Bis-GMA resin with tetrabutyl ammonium tetrafluoroborate was placed. Only the fluoridated resin was placed over the dentin that had been etched. All teeth were then restored with resin composite and subjected to an artificial caries challenge (pH 4.4) for 7 days. Sections 100 microns were obtained, photographed under polarized light microscopy and demineralized areas were digitized. Results demonstrated the mean area (mm2 +/- S.D.) demineralization 0.5 mm from the gingival margin to be: etched dentin (0.77 +/- 0.36); non-etched dentin (1.52 +/- 0.98). A t-test indicated that there was significantly less demineralization when the fluoridated resin came in direct contact with dentin that had the smear layer removed (P < 0.05).

UI MeSH Term Description Entries
D008689 Methacrylates Acrylic acids or acrylates which are substituted in the C-2 position with a methyl group. Methacrylate
D010756 Phosphoric Acids Inorganic derivatives of phosphoric acid (H3PO4). Note that organic derivatives of phosphoric acids are listed under ORGANOPHOSPHATES. Pyrophosphoric Acids,Acids, Phosphoric,Acids, Pyrophosphoric
D001881 Borates Inorganic or organic salts and esters of boric acid. Borate
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
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
D003793 Dental Restoration, Permanent A restoration designed to remain in service for not less than 20 to 30 years, usually made of gold casting, cohesive gold, or amalgam. (Jablonski, Dictionary of Dentistry, 1992) Dental Fillings, Permanent,Dental Filling, Permanent,Dental Permanent Filling,Dental Permanent Fillings,Dental Restorations, Permanent,Filling, Dental Permanent,Filling, Permanent Dental,Fillings, Dental Permanent,Fillings, Permanent Dental,Permanent Dental Filling,Permanent Dental Fillings,Permanent Dental Restoration,Permanent Dental Restorations,Permanent Filling, Dental,Permanent Fillings, Dental,Restoration, Permanent Dental,Restorations, Permanent Dental
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
D005459 Fluorides Inorganic salts of hydrofluoric acid, HF, in which the fluorine atom is in the -1 oxidation state. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Sodium and stannous salts are commonly used in dentifrices. Fluoride
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000134 Acid Etching, Dental Preparation of TOOTH surfaces and DENTAL MATERIALS with etching agents, usually phosphoric acid, to roughen the surface to increase adhesion or osteointegration. Dental Acid Etching,Etching, Dental Acid

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