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Scholz, Konstantin J. ; Hinderberger, Michael ; Widbiller, Matthias ; Federlin, Marianne ; Hiller, Karl-Anton ; Buchalla, Wolfgang

Influence of selective caries excavation on marginal penetration of class II composite restorations in vitro

Scholz, Konstantin J. , Hinderberger, Michael, Widbiller, Matthias , Federlin, Marianne, Hiller, Karl-Anton and Buchalla, Wolfgang (2020) Influence of selective caries excavation on marginal penetration of class II composite restorations in vitro. European Journal of Oral Sciences 128 (5), pp. 405-414.

Date of publication of this fulltext: 26 Jan 2021 18:06
Article
DOI to cite this document: 10.5283/epub.44564


Abstract

Selective caries excavation may support pulp preservation. This in vitro study investigated the influence of selective removal of demineralized dentin on marginal integrity of composite restorations as determined by dye penetration. Dentinal caries-like lesions were produced in the approximal surfaces of 40 extracted human molars (ethylenediaminetetraacetate, 0.5 M, 96 h). The following test ...

Selective caries excavation may support pulp preservation. This in vitro study investigated the influence of selective removal of demineralized dentin on marginal integrity of composite restorations as determined by dye penetration. Dentinal caries-like lesions were produced in the approximal surfaces of 40 extracted human molars (ethylenediaminetetraacetate, 0.5 M, 96 h). The following test procedures were established: complete excavation, selective excavation, and caries-free control. Two class II cavities with enamel at the cervical margins were prepared per tooth and demineralization volume was determined by micro-computed tomography for the purpose of a stratified distribution to receive complete excavation or selective excavation. After complete or selective excavation (30 cavities each), adhesive composite restorations were placed. Cavities without demineralized dentin (20 cavities) served as control. The marginal integrity of restorations was evaluated by dye penetration with and without thermocycling or mechanical loading. Results were analyzed by non-parametrical statistical tests (Mann-WhitneyUTest) with an alpha = 0.05 level of significance. Dye penetration did not differ significantly among completely excavated, selectively excavated, or undemineralized teeth, but was increased by thermocycling and mechanical loading in all experimental groups. Selective caries removal did not increase marginal penetration in class II restorations. The presence of remaining demineralized dentin surrounded by sound dentin did not impair marginal integrity of restorations with margins placed in sound enamel.



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Details

Item typeArticle
Journal or Publication TitleEuropean Journal of Oral Sciences
Publisher:Wiley
Place of Publication:HOBOKEN
Volume:128
Number of Issue or Book Chapter:5
Page Range:pp. 405-414
Date4 August 2020
InstitutionsMedicine > Lehrstuhl für Zahnerhaltung und Parodontologie
Identification Number
ValueType
10.1111/eos.12726DOI
KeywordsPARTIAL CERAMIC CROWNS; BOND STRENGTH; CARIOUS DENTIN; INTEGRITY; ENAMEL; HARDNESS; LESIONS; TEETH; MICROLEAKAGE; CAVITY; dental bonding; dental caries; dental cavity preparation; permanent dental restorations
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-445644
Item ID44564

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