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عضویت

جستجوی مقالات مرتبط با کلیدواژه « microleakage » در نشریات گروه « پزشکی »

  • محمدامین بیطرفان، سعید نعمتی انارکی، مهدی الله دادی، سعیده ابراهیم گل*
    سابقه وهدف

    حباب گاز بین دندان و ترمیم ناشی از تغییر فشار محیطی طی پرواز یا غواصی, می تواند موجب درد پالپی یا شکست دندان یا رستوریشن شود. این مطالعه باهدف بررسی اثر تغییر فشار محیطی، بر ریزنشت ترمیم های کلاس V کامپوزیت مستقیم و غیرمستقیم در شرایط آزمایشگاهی طراحی شد.

    مواد و روش ها

    در این مطالعه تجربی- آزمایشگاهی  60 دندان مولر به دوگروه تقسیم شدند. درگروه، A حفره کلاس V با مارژین جینجیوالی 1mm زیر CEJ و لبه اکلوزالی روی مینا تهیه ودرگروه B همانند A به علاوه بول mm 0.5 با زاویه 45 درجه در مینا تهیه شد. گروه A با اینله های کامپوزیتی با کامپوزیتFiltek Z250 (3M ESPE, St. Paul, MN, USA) ترمیم وگروه B ازهمان کامپوزیت, بصورت مستقیم استفاده شد. هر گروه به 2 زیر گروه مورد و شاهد تقسیم شد. نمونه های مورد  تحت 96 سیکل فشار بین 0 تا 5 atm قرار گرفتند. سپس به ترتیب در آب مقطر و محلول نیترات نقره قرارگرفتند. بعداز شستشو باآب, در محلول ظهور زیرنورفلورسنت قرار گرفتند. نهایتا توسط دیسک الماسی برش و ریزنشت با استریومیکروسکوپ با بزرگنمایی 20 بررسی شد. داده ها با مدل two way Nonparametric ارزیابی شدند.

    یافته ها

    ریزنشت اکلوزال در فشار ثابت و متغیر در دو گروه مستقیم و غیر مستقیم تفاوت معناداری نداشت. (01/=P)  اما در دیواره جینجیوال دو گروه مستقیم و غیر مستقیم در فشار ثابت و متغیر تفاوت معناداری با برتری گروه فشار ثابت وجودداشت. (000/0=P)

    نتیجه گیری

    تغییرات فشارمحیطی موجب افزایش میکرولیکیج رستوریشن های مستقیم و غیر مستقیم به خصوص در ناحیه جینجیوال میگردد.

    کلید واژگان: ریزنشت, تغییر فشار محیطی, ترمیم های کلاس V کامپوزیت}
    Mohammadamin Bitarafan, Saeed Nemati Anaraki, Mahdi Allahdadi, Saeedeh Ebrahimgol*
    Background and Aim

    an air void between the restoration and tooth because of Variable Environmental Pressure can lead to pulpal pain or fracture of the tooth or restoration.

    Materials and Methods

    60 molar teeth  divided to 2 groups. Preparation in Group A was a Cl V cavity in wich the Gingival margin was 1mm under CEJ while the occlusal margin was in  enamel. For Group B, we followed the same procedure plus a 0.5mm bevel with 45 degree angle in the enamel margin. Group A was filled with composite inlays of Filtek Z250 (3M ESPE, St. Paul, MN, USA). Group B was restored directly by the same composite.Each group were divided into control and case groups. The case specimens were put into 96 cycle pressure for 0 to 5 atm. Then the specimens were put in distilled water and were kept in silver nitrate solution. After washing them with water, they put in radiographic developer solution under fluorescent light. Finally, they were cut by a  diamond disc and the microleakage were studied under a stereomicroscope with 20X magnification. Data was evaluated using two-way nonparametric model

    Results

    There was no significant difference between direct and indirect restorations, both in fixed and variable pressures in the occlusal walls. P=0.1 Besides, in both direct and indirect groups there was a significant difference in gingival wall between fixed and variable pressure, in a way that in fixed pressure, there was less microleakage. (P=0.000)

    Conclusion

    Changing in environmental pressure increase the microleakage in direct and indirect restorations.

    Keywords: Microleakage, Environmental Pressure, CIV Composite Restorations}
  • Fariborz Moazami, Negar Ghorbani Jahandizi, MohammadMehdi Shekouhi, Yasmin Ghahramani
    Introduction

    Apical surgery aims to eradicate the apical part of the root and the lesion to enhance the healing. The sealing ability of retrograde filling material is an essential factor affecting the success rate of the surgery. Mineral trioxide aggregate (MTA) is thegold standard of retrograde filling materials, with approved sealing capability and biocompatibility. Newly introduced root repair material with an approved antibacterial effect similar to MTA is Nano-fast cement (NFC) which should be investigated for its sealing ability. This study aimed to evaluate the sealing ability of NFC vs. MTA.

    Materials and Methods

    Root apices of 48 single-rooted teeth were resected at 90 degrees and were prepared at 3 mm depth. The teeth were randomly divided into 2 experimental groups (n=21), negative control group (n=3), and positive control group (n= 3). MTA and NFC plugs were condensed as retrograde filling material. The samples were evaluated by a modified fluid filtration device for 1 hour. The measurement was conducted at 24 h, 1, and 3 months. Data were analyzed by Friedman Test and Kruskal-Wallis test.

    Results

    According to the results, NFC at 3-months interval showedthe least microleakage, and MTA had the highest at the baseline. However, the results between the two groups were not statistically significant in all intervals. NFC reached the ideal sealing ability within 1 month, which was reached for MTA after 3 months.

    Conclusions

    The results of this in vitrostudy showed that the microleakage value of NFC is comparable to MTA.In light of current findings, NFC shows characteristics of a suitable calcium silicate-based cement. Further clinical researches are needed to introduce the NFC as retrograde apical plug or for other endodontic applications.

    Keywords: Fluid Filtration, Microleakage, MTA, Nano-fast Cement, Retrograde Obturation}
  • مهدی تبریزی زاده، فاطمه آیت اللهی، فاطمه ولی زاده*
    مقدمه

    ریزنشت از مهم ترین عوامل در شکست درمان سیستم کانال ریشه محسوب می گردد. ریزسختی از جمله خصوصیات فیزیکی بیوسرامیک ها می باشد که می تواند تحت تاثیر فاکتورهای محیطی مختلف مانند رطوبت محیط قرار بگیرد. مطالعه حاضر با هدف بررسی تاثیر اضافه کردن آب به سمان نیمه ست شده بر روی میزان ریزسختی و ریزنشت CEM cement انجام شد.

    روش بررسی

    در این مطالعه آزمایشگاهی تعداد50 دندان تک ریشه انتخاب گردید . دندان ها از ناحیه CEJ و هم چنین 3 میلی متر اپیکالی ریشه ها با فرز قطع شدند و بلوک های عاجی به ارتفاع 5 میلی متر تهیه شد. پیزوریمر شماره 2 برای آماده سازی کانال استفاده شد. دندان ها به دو گروه 23 تایی مورد و دوگروه 2 تایی کنترل مثبت و منفی تقسیم شدند. در گروه اول CEM-Cement تهیه شده مطابق با دستور کارخانه سازنده، در کانال قرار گرفت. در گروه دوم بعد از اضافه کردن آب به مخلوط نیمه ست شده CEM-Cement، کانال با سمان مورد نظر پرشد. نمونه ها برای 3 روز داخل رنگ متیلن بلو1% قرار گرفتند و سپس برش داده شدند. میزان ریزنشت زیر استریومیکروسکوپ ثبت شد. ریز سختی نمونه ها بعد از مانت در رزین آکریلی، با دستگاهVickers  اندازه گیری شد. آنالیز آماری با استفاده از نرم افزارversion 16  SPSS و آزمون  ,Mann-Whitney Kruskal-Wallis و one-way ANOVA صورت گرفت.

    نتایج

    بین دو گروه مورد مطالعه از نظر میزان ریز نشت (0/008>P-Value) و ریزسختی)0/001>P-Value تفاوت آماری معناداری دیده شد.

    نتیجه گیری

    طبق نتایج مطالعه حاضر اضافه کردن آب به سمان نیمه ست شده نه تنها تاثیر بسیار بد کلینیکی ندارد بلکه حتی ممکن است سیل را افزایش دهد.

    کلید واژگان: ریزسختی, ریزنشت, CEM-Cement}
    Mehdi Tabrizizadeh, Fatemeh Ayatollahi, Fatemeh Valizadeh*
    Introduction

    Microleakage is one of the most important factors in the failure of root canal treatment. Microhardness is one of the physical properties of bioceramics that can be affected by various environmental factors such as enviromental humidity. The aim of this study was to evaluation the effect of adding water to semi-setting cement on the microhardness and microleakage of CEM cement.

    Methods

    50 single-rooted teeth were selected. Teeth were cut from the CEJ region and the apical 3 mm of the root were trimmed and dentinal blocks with 5 mm height were prepared Peeso reamer size 2 was used to prepare the canal. The teeth were divided into two groups of 23 cases and two groups of 2 positive and negative controls. In the first group, CEM-cement prepared according to the manufacturer's instructions was placed in the canal. In the second group, after adding water to the semi-setting CEM cement mixture, the canal was filled with this cement. The samples were placed in 1% methylene blue for 3 days and then cut. Microleakage was recorded under a stereomicroscope. The microhardness of the samples was measured with Vickers device after mounting in acrylic resin. Statistical analysis was performed using SPSS19 software and Mann-Whitney Kruskal-Wallis and one-way ANOVA tests.

    Results

    There was a statistically significant difference between the two groups in microleakage (P-Value <0.008) and microhardness (P-Value <0.001).

    Conclusion

    According to the results of the present study, adding water to the semi-setting CEM cement not only does have a very bad clinical effect, but also may even increase sealling ability.

    Keywords: Microhardness, Microleakage, CEM-Cement}
  • Farnaz Farahat, Mehrad Karimi *, Tayebe Sadat Baghaei Ardakani, Zahra Shevidi
    Objective
    Although oxidative mouthwashes have many antimicrobial benefits, it has been suggested that residual oxygen interferes with composite resin adhesion to dental structures. This study aimed to evaluate the effect of an oxidative mouthwash on the microleakage of composite restorations.
    Methods
    Twenty-four extracted human third molars were randomly assigned into three groups: Group 1: a 0.05% sodium fluoride mouthwash, Group 2: an oxidative mouthwash, and Group 3: distilled water. The teeth were immersed in the corresponding solution for 10 minutes a day over 14 days. Class V cavities were prepared in the buccal and lingual surfaces of the teeth (n=15 per group) and restored with Filtek Z250 composite. The teeth were thermocycled between 5º C and 55º C for 1000 cycles, then immersed in 2% fuchsin solution for 24 hours, followed by sectioning in the bucco-lingual direction. The gingival and occlusal microleakage were inspected using a stereomicroscope. Data were analyzed using Kruskal-Wallis and Mann-Whitney U tests. The statistical significance level was considered at P 0.05.
    Results
    The highest and lowest average microleakage scores were observed at the gingival and occlusal margin of cavities immersed in the sodium fluoride mouthwash, respectively. No statistical differences were observed in microleakage among the three groups either at the occlusal or at the gingival margin (P>0.05). The Mann-Whitney U test showed a statistically greater microleakage at the cervical (1.05±1.1) compared to the occlusal (0.694±0.53) margins, irrespective of the treatment groups (P=0.033).
    Conclusions
    Using an oxidative mouthwash does not affect the microleakage of composite restorations
    Keywords: Composite resins, Dental restoration, Microleakage, Mouthwash, stereomicroscope}
  • سمیه حکمت فر، کریم جعفری، کاظم علی پور*، شکوفه بنائی
    زمینه و هدف

    سمان های گلاس آینومر رایج ترین ماده ترمیمی در دندانپزشکی کودکان هستند. گلاس آینومرها قابلیت اتصال شیمیایی به مینا، عاج و آزادسازی فلوراید را دارند. در شرایط بالینی ریزنشت یکی از مشکلات کاربرد گلاس آینومر محسوب می شود؛ بنابراین این مطالعه با هدف مقایسه میزان ریزنشت دو نوع گلاس آینومر در ترمیم دندان شیری طراحی گردید.

    مواد و روش ها

    این مطالعه آزمایشگاهی بر روی 80 عدد دندان شیری قدامی ماگزیلا انجام پذیرفت. یک حفره کلاس 5 به ابعاد 3 ×2×  1/5میلی متر بر روی دندان ها آماده شد. دندان ها به صورت تصادفی به دو گروه تقسیم شدند:1) گلاس آینومر Fuji II LC و 2) گلاس آینومر Equia Forte. دندان ها در 500 سیکل حرارتی با دمای بین 5 تا 55 درجه سانتی گراد به مدت 25 ثانیه در آب سرد و گرم قرار گرفتند. نمونه ها برای تست نفوذ رنگ به مدت 24 ساعت در محلول فوشین غوطه ور شدند. سپس از مرکز ترمیم ها به صورت باکولینگوالی برش داده شد و میزان ریزنشت در زیر استریومیکروسکوپ ارزیابی و نمره گذاری شد. داده ها با استفاده از آزمون کای دو مورد آنالیز قرار گرفتند.

    یافته ها

     بر اساس نتایج این مطالعه گلاس آینومر Fuji II LC میزان ریزنشت بیشتری نسبت به گلاس آینومر Equia Forte نشان داد و از لحاظ آماری تفاوت معنی داری بین گروه ها مشاهده شد.(0/05<p)

    نتیجه گیری

    گلاس آینومر Equia Forte ممکن است یک ماده مناسب در ترمیم دندان های شیری با توجه به میزان ریزنشت کمتر و سهولت کاربرد در هنگام درمان کودکان باشد.

    کلید واژگان: میکرولیکیج, گلاس آینومر, حفرات کلاس 5, دندان شیری}
    Somayeh Hekmatfar, Karim Jafari, Kazem Alipour*, Shokofeh Banaei
    Background and Aim

    Glass ionomer cements (GICs) are the most common restorative material in pediatric dentistry. GlCs have the ability to chemically bond to enamel and dentine and can release fluoride. In clinical situations, microleakage is a major challenge when using glass ionomer cement. Therefore, this study was designed to compare the microleakage of two types of glass ionomer in primary teeth restorations.

    Materials and Methods

    This experimental study included 80 maxillary anterior deciduous teeth. Class V cavities measuring 1.5 × 2 × 3 mm were prepared on the teeth. The specimens were randomly divided into two groups as follows: 1) Fuji II LC, 2) Equia Forte. The teeth were subjected to 500 thermocycles between 5 °C and 55°C by immersion in hot and cold water for 25 seconds. The samples were immersed in the fuchsia solution for 24 hours to test dye penetration. Then, the center of the restorations was cut buccolingually and the amount of microleakage was evaluated and scored under a stereomicroscope. Data were analyzed by chi-square test.

    Results

    Based on the results of this study Fuji II LC GIC showed higher microleakage scores than Equia Forte GIC and a statistically significant difference was observed between the groups. (P <0.05)

    Conclusion

    Equia Forte GIC may be a useful restorative material in the primary teeth restoration for young children due to the low microleakage score and the relatively quick placement.

    Keywords: Microleakage, Glass ionomer, Class V cavity, Primary teeth}
  • Samaneh Hesami, Davood Ghasemi *, Shahriar Shahriari

    Statement of the Problem:

     Sealants are placed to prevent carious lesion initiation and to arrest caries progression by providing a physical barrier that inhibits microorganisms and food particles from collecting in pit and fissures .The two most common materials used for sealing pits and fissures are resins and glass-ionomers. Ionoseal is a light curing GI composite cement.The aim of this study was to compare the microtensile bond strength and microleakage of Ionoseal with different surface pretreatment.

    Materials and Methods

    This in vitro ,an experimental study was conducted on 95 sound human premolar in 5 groups(in each group 5 teeth for microtensile test and 14 teeth for microleakage test).A :35% phosphoric acid + total etch adhesive + Ionoseal ,B :universal adhesive + Ionoseal ,C: 35% phosphoric acid + Ionoseal,D: Ionoseal, E: 35% phosphoric acid + Embrace fissure sealant. On the prepared buccal enamel of each tooth, a 5 mm block of the sealing material was created and underwent thermocycling .By serially cutting, specimens about1×1mm in cross section were obtained and loaded in tensile (0.5 mm/min) until failure occurred .For microleakage test,sealing material was placed into the prepared occlusal fissures and teeth were thermocycled and then immersed in methylene blue 5% .An incision was made buccolingually. The dye penetration rate was measured based on Williams and winter criteria under stereomicroscope.

    Results

    Mean microtensile bond strength was significantly different between groups (P

    Keywords: Fissure sealant, Composite, Microleakage}
  • Nidhal Salim Dilian, Aláa Jawad Kadhim
    Objective

    The aim of this study was to compare the marginal microleakage between bulk-fill, preheated bulk-fill, and bulk-fill flowable composite resins above and below cemento-enamel junction (CEJ) using micro-computed tomography.

    Methods

    Sixty freshly extracted premolar teeth were prepared with a slot shaped cavities of a total of 120 Class II: 3 mm (bucco-lingual), 2 mm (mesio-distal) with mesial gingival margin located 1 mm coronal to CEJ, and distal gingival margin located 1 mm apical to the CEJ. The samples were randomly divided into two main groups according to the restorative material (Tetric EvoCeram and 3M Filtek), and each group was further sub-divided into three subgroups according to the consistency (bulk fill, preheated bulk fill, and bulk fill flowable). The specimens were thermocycled (500 cycles, 5–55 °C, 30 seconds dwell time) and immersed in a 50% ammonical silver nitrate for 24 hours. Microleakage was evaluated using micro-CT. Data analyzed via three-way ANOVA and random forest model (a machine learning algorithm).

    Results

    There was no statistically significant three-way interaction between type of composite, location of gingival margin related to CEJ, and filling technique (P=0.103). However, the random forest model (a machine learning algorithm) showed type of composite is the most influential factor.

    Conclusion

    Within the limitations of this study, considering the importance of the type of composite, the teeth restored with preheated bulk fill composite showed decrease in microleakage in comparison with bulk fill flowable composite.

    Keywords: Bulk fill composite resin, bulk fill flowable, micro-CT, microleakage, preheated composite resin}
  • Mais Zubair Jasim, Muna Saleem Khalaf
    Introduction

    We aimed to evaluate the microleakage of composite resin and self-cure glass ionomer (GI) restorations in primary molars when the restorations were applied at the same day of silver diamine fluoride (SDF) treatment, and after 14 days.

    Methods

    Class V cavities made at the buccal surface of 64 deciduous molars. For the experimental group of 32 teeth treated with SDF (eight teeth filled with composite and eight teeth filled with GI after 1 day and 14 days), the remaining 32 teeth without application of SDF served as a control group. All samples were then thermocycled and immersed in 2% methylene before being molded in epoxy resin to facilitate cutting into two sections. The dye penetration was then measured using a stereomicroscope at 20× magnification.

    Results

    Overall model test showed statistical significant difference among study groups (P < 0.001). Post hoc test showed significant difference for usage of silver diamine fluoride (P < 0.001) and non-significant differences for type of restoration (P=0.21) and time (P=0.43).

    Conclusion

    There was a significant reduction in microleakage following the usage of SDF before restoration over time.

    Keywords: Composite resin, glass ionomer, microleakage, silver diamine fluoride}
  • Romina Meshkinnejad, Afrooz Nakhostin*, Farshad Khosraviani
    Background

    Bleaching teeth is popular because the discoloration is a major people’s concern. This study aimed to compare the effect of three antioxidants on the microleakage of composite resin filling after bleaching teeth with 35% H2O2, thus minimizing the potential clinical toxicity of filling materials entering patients’ body.

    Methods

    Sixty-six extracted intact teeth were included in this study. After preparation of a ClV cavity on the buccal surface, the teeth were randomly divided into six groups (n=11, each). Except for group A (control), all others were bleached. Cavities in group A were filled with composite resin. In group B, the samples were immediately restored after bleaching while in group C, the filling was delayed for two weeks after bleaching. In groups D, E, and F, the cavities were treated with either sodium ascorbate, ascorbic acid, or vitamin C, and the filling restored. Teeth were sectioned and the microleakages examined microscopically, and the data were analyzed statistically.

    Results

    Group A showed the least amount of microleakage. In Group B, there was a significant increase in the microleakage when the samples were filled immediately after bleaching. The microleakages among groups of C, D, E, and F were similar to those in group A.

    Conclusion

    The microleakage increased significantly after bleaching with 35% H2O2, while treating dental cavities with the antioxidants effectively reduced the microleakage. Thus, delayed filling is a useful approach to minimize the microleakage. The findings help reduce or prevent the clinical toxicity arising from the microleakage of filling materials.

    Keywords: Antioxidant, Bleaching, Composite resin, Microleakage, Toxicity}
  • Fatemeh Koohpeima, MohammadJavad Mokhtari *, AmirHossein Rezaie
    Introduction

    Despite the incredible popularity of dental composites, their application is associated with several difficulties, one of the most important of which is the microleakage phenomenon. Incorporation of silver nanoparticles in composites exerts antibacterial effects; nonetheless, the impact of silver nanoparticles on microleakage has not yet been studied. This research conducted to assess the effect of silver nanoparticles application as a precursor on the microleakage of composite-filled clV cavities using two different approaches of universal bond application.

    Methods

    Sixty non-carious human molars were collected, and clV cavities were provided on the buccal surfaces. The samples were categorized to 4 groups (n=15 in each group) and were restored using four different methods. After placement in 2% basic fuchsin solution for 24 h, permeability was determined between the cavity wall and restorative material in the gingival and occlusal margins. Thereafter, one sample of each group was selected. After preparation, the specimens were analyzed using backscattered electron scanning electron microscopy. Finally, the cytotoxicity was assessed by the Methyl-thiazolyl-tetrazolium (MTT) assay.

    Results

    In both gingival and occlusal margins, if the silver nanoparticles were used, microleakage significantly decreased (P≤0.001). The addition of silver nanoparticles had no adverse effect on human gingival fibroblasts (HGF) cell viability.

    Conclusion

    It seems that the use of silver nanoparticles in the total-etch method can improve phosphoric acid penetration into dentinal tubules, increases the depth of etching, and promotes the bond quality

    Keywords: ClV Restoration, Microleakage, MTT Assay, Silver nanoparticles, Universal Bond}
  • عبدالرحیم داوری، فرناز فراهت، مهناز مهرانفر*
    مقدمه

    ریزنشت مواد ترمیمی می تواند باعث پوسیدگی ثانویه شود. اخیرا استفاده از لیزر جهت تراش حفرات، مورد مطالعه قرار گرفته است. هدف از انجام این مطالعه، تعیین میزان ریزنشت دو نوع گلاس آیونومر در حفرات کلاس V تهیه شده با روش کانونشنال و لیزر Er-YAG بود.

    مواد و روش ها

    28 دندان پرمولر سالم کشیده شده، جمع آوری و به 4 گروه (در هر گروه 7 نمونه) تقسیم شدند: گروهA، روش آماده سازی: فرز/ماده ی ترمیمی: گلاس آیونومرکانونشنال. گروه B، روش آماده سازی: فرز/ماده ی ترمیمی: گلاس آیونومر رزین مدیفاید. گروه C، روش آماده سازی: لیزرEr-YAG/ماده ی ترمیمی: گلاس آیونومر کانونشنال و گروه D، روش آماده سازی: لیزر Er-YAG/ ماده ی ترمیمی: گلاس آیونومر رزین مدیفاید. حفرات کلاس V با ابعاد یکسان (به صورتی که مارجین اکلوزال آن در مینا و مارجین جینجیوال در سمان باشد) در سطح باکال 14 نمونه با فرز و 14 نمونه دیگر با لیزر Er-YAG تهیه شد. از مواد ترمیمی گلاس آیونومر سلف کیور و گلاس آیونومر رزین مدیفاید، جهت ترمیم حفرات استفاده شد. بعد از ترموسایکلینگ، دندان ها به مدت 24 ساعت در فوشین 2 درصد غوطه ور گشتند؛ سپس نمونه ها از مرکز ترمیم ها در جهت باکولینگوال، سکشن داده شده و زیر استریومیکروسکوپ بررسی شدند. آنالیز داده ها براساس آزمون  Fisher-exact test، Kruskal-Wallis و Mann-Whitney انجام شد.

    یافته ها

    تفاوت آماری معناداری در ریزنشت گروه های مختلف در مارجین جینجیوال وجود نداشت. در مارجین اکلوزال تفاوت آماری معنادار بین گروه B و تمام گروه ها وجود داشت. طبق آزمون من-ویتنی، تفاوت آماری معناداری در ریزنشت بین مارجین اکلوزال و جینجیوال، تنها در گروه B وجود داشت.

    نتیجه گیری

    با توجه به تفاوت آماری معنی دار در ریزنشت بین گروه B و سایر گروه ها در مارجین اکلوزال و پایین تر بودن میانگین رتبه ای ریزنشت در گروه B نسبت به دیگر گروه ها، می توان نتیجه گرفت؛ روش لیزر و گلاس آیونومر کانونشنال، ریزنشت بیشتری نسبت به روش کانونشنال و گلاس آیونومر رزین مدیفاید، ایجاد کرده اند.

    کلید واژگان: ریزنشت, گلاس آیونومر, لیزرEr-YAG}
    Abdolrahim Davari, Farnaz Farahat, Mahnaz Mehranfar
    Introduction

    The microleakage of restorative material can cause secondary caries. The application of laser for tooth preparation has been recently studied. The present study aimed to determine the microleakage of two types of glass ionomers in class V cavities prepared by conventional method and laser Er-YAG.

    Materials and Methods

    A total of 28 extracted caries-free premolar teeth were selected and assigned to four groups, including Group A(preparation method bur/restorative material: conventional glass ionomer), Group B(preparation method bur/restorative material: resin-modified glass ionomer), Group C(preparation method Er-YAG laser/restorative material: conventional glass ionomer), and Group D(preparation method Er-YAG laser/ restorative material: resin-modified glass ionomer). Class V cavities with the same dimensions (in a way that occlusal margin was in enamel and gingival margin in cementum) were prepared on buccal surface of 14 teeth by bur and other 14 teeth by laser Er-YAG. Glass ionomer self-cure and resin modified glass ionomer was used for the restoration of the cavities. After thermocycling of the teeth, they were immersed for 24 h in Fushin 2%; thereafter, the samples were sectioned buccolingually at the center of each restoration and evaluated by stereomicroscope. To analyze the data, the Fisher-exact test, Kruskal-Wallis and Mann-Whitney tests were used.

    Results

    The groups did not significantly differ in the gingival margin. There was a statistically significant difference between group B (preparation method bur/restorative material: resin-modified glass ionomer) and other groups. According to the Mann-Whitney test, there was a significant difference between occlusal and gingival margin only in group B.

    Conclusion

    Due to the statistically significant difference between group B and other groups in occlusal microleakage and the lower mean rank microleakage in group B, compared to that in other groups, it can be concluded that the laser method and conventional glass ionomer had higher microleakage than the conventional method and resin-modified glass ionomer.

    Keywords: Er-YAG laser, Glass Ionomer, Microleakage}
  • Halah Abdulkareem A Alkhawaja, Aseel Haidar M.J Al Haidar
    Introduction

    In the field of pediatric dentistry, an urge to adopt a more comfortable, minimally invasive, and stressless technique for caries removal became a must. Coronavirus disease-2019 outbreak necessitates a paradigm change in the global health care protocols, requiring alternative, nonaerosol generating approaches. This study aimed to measure and compare the influence of two methods of caries removal, namely, Brix3000 and CeraBur, on the microleakage of glass hybrid restorative material.

    Materials and Methods

    Thirty human primary molar teeth with accessible occluso-gingival carious cavitation were randomly allocated into CeraBur and Brix3000 groups. After selective caries excavation, samples were restored with Equia Forte HT, thermocycled, dipped in thiazine dye, washed, and sectioned through the restoration center. Then microleakage was measured using a stereomicroscope (30× magnification) at both occlusal and gingival margins.

    Results

    No statistically significant difference was found between the two methods of caries removal (CeraBur and Brix3000) at both occlusal (P = 1.000) and gingival margins (P = 0.612).

    Conclusions

    Brix3000 caries removing gel did not negatively affect the microleakage of Equia Forte HT compared to the CeraBur and hence can be used alternatively to the conventional drilling methods.

    Keywords: Brix3000, CeraBur, ceramic bur, chemomechanical caries removal, microleakage, papain gel}
  • عبدالرحیم داوری*، محمدعلی مقدم، هاله داودی
    مقدمه

    با توجه به اهمیت ریزنشت ترمیم های کامپوزیت خلفی در عود پوسیدگی، حساسیت دندان، بعد از ترمیم و آسیب پالپ دندان این مطالعه با هدف ارزیابی میزان ریزنشت ترمیم های کامپوزیت CL II با استفاده از دو روش Open Sandwich و Snowplow انجام شد.

    مواد و روش ها

    در این مطالعه، 64 دندان پرمولر با حفره کلاس II با مارجین 1 میلی متر پایین تر از محل اتصال مینا و سمان تهیه گردید و به دو گروه تقسیم شد. در گروه اول یک لایه گلاس آیونومر رزین مادیفاید با ضخامت 1 میلیمتر در کف جینجیوال گذاشته و کیور شد. سپس حفره با ژل اسید فسفریک، اچ گردید و بعد از شستشو، باندینگ اعمال شد. سپس حفرات با رزین کامپوزیت Z250 3M ESPE  به صورت لایه لایه ترمیم شدند. در گروه دوم، بعد از تراش و آمادگی حفره در کف جینجیوال به ضخامت 1 میلیمتر کامپوزیت قابل سیلان (Filtek Z350 3M) بدون کیور کردن قرار داده و بعد از پک کردن 1 میلیمتر رزین کامپوزیت هیبرید، با هم کیور گردید. جهت ارزیابی ریزنشت دندان ها، پس از3000 مرتبه ترموسایکلینگ به مدت 72 ساعت در متیلن بلو قرار گرفتند و در ادامه، به صورت مزیودیستالی از وسط برش داده شدند. نمونه ها زیر استریو میکروسکوپ بررسی شدند. میانگین ریزنشت میان دو گروه با استفاده از آزمون من-ویتنی مقایسه گردید.

    یافته ها

    در گروه اول با روش Open Sandwich میانگین میزان ریزنشت بر اساس میزان نفوذ رنگ برابر 66/10% نمونه ها و درگروه دوم با روشSnowplow برابر 25/5% بود . همچنین در روشOpen Sandwich 4/34% نمونه ها درجه صفر، 5/12% درجه یک،4/34 % درجه دو و 8/18% درجه سه نفوذ رنگ را نشان دادند. در روش SnowPlow در 9/46% دندانها درجه صفر، 25% درجه یک، 25% درجه دو و1/3% درجه سه نفوذ رنگ مشاهده شد.

    نتیجه گیری

    استفاده از روش Snowplow و Open Sandwich نمی تواند ریزنشت ترمیم های کامپوزیت خلفی را به طور کامل حذف کند. میزان ریزنشت بین ماده ترمیمی و ساختار دندان در ترمیم های کلاس II با استفاده از روش Open Sandwich به طور معناداری بیش از روش Snowplow می باشد.

    کلید واژگان: ریزنشت, ساندویچ باز, اسنو پلو, کامپوزیت رزین}
    Abdolrahim Davari *, Mohamadali Moghadam, Haleh Davoudi
    Introduction

    Considering the importance of microleakage in posterior composite restorations for recurrent caries and pulpitis in formerly repaired teeth, this study aimed to evaluate and compare the microleakage rate of class II composite restorations in two methods Open sandwich and Snowplow.

    Materials and Methods

    In this study, a total of 64 premolar teeth with a class II cavity whose margins were extended 1 mm below dentin and cement joint were prepared and divided into two groups. In the first group, a layer of 1 mm thick resin-modified glass ionomer (RMGI Fuji II LC) was placed on the gingival floor and cured. The cavity was then etched with phosphoric acid gel, washed, and a bonding agent was applied. Then resin composite (Z250 3M ESPE) was incrementally applied in the cavities. In the second group, the cavity preparation was performed in the same way as that in group A. Afterward, 1 mm thick flowable composite (Filtek Z350 3M) was placed on the gingival floor, without curing. A layer of 1 mm thick resin composite was then added and packed. Both layers were then cured at once. The prepared teeth underwent 3000 times thermocycling and were placed in methylene blue for 72 h for evaluation of microleakage rate. The teeth were then cut mesiodistally. The samples of both groups were examined under a stereomicroscope, and the mean microleakage in both groups was compared using the Mann-Whitney test.

    Results

    In the first group, based on the degree of dye penetration, the average amount of microleakage was observed in 10.66% of the samples. In the second group, the average amount of microleakage was 5.25%, using the Snowplow technique. Moreover, in the Open sandwich technique, dye penetration level in 34.4%, 12.5%, 34.4%, and 18.8% of samples was zero, one, two, and three, respectively. Moreover, in the Snowplow group, dye penetration level in 46.9%, 25%, 25%, and 3.1% of samples was zero, one, two, and three, respectively. The level of significance was set at 0.05.

    Conclusion

    Based on the obtained results, Snowplow and Open sandwich techniques are not effective for complete elimination of the microleakage of posterior composite restorations. The rate of microleakage in tooth restoration interface in class II restorations using the Snow-plow technique was more compared to the Open sandwich technique.

    Keywords: Microleakage, Open Sandwich, resin composite, Snowplow}
  • Marzieh Keshavarz, Jamshid Eslami, Razzagh Abedi-Firouzjah, Seyed Alireza Mortazavi, Samaneh Abbasi, Ghazal Mortazavi *
    Background

    Approximately 50% of dental amalgam is elemental mercury by weight. Accumulating body of evidence now shows that not only static magnetic fields (SMF) but both ionizing and non-ionizing electromagnetic radiations can increase the rate of mercury release from dental amalgam fillings. Iranian scientists firstly addressed this issue in 2008 but more than 10 years later, it became viral worldwide.

    Objective

    This review was aimed at evaluating available data on the magnitude of the effects of different physical stressors (excluding chewing and brushing) on the release of toxic mercury from dental amalgam fillings and microleakage.

    Material and Methods

    The papers reviewed in this study were searched from PubMed, Google Scholar, and Scopus (up to 1 December 2019). The keywords were identified from our initial research matching them with those existing on the database of Medical Subject Headings (MeSH). The non-English papers and other types of articles were not included in this review.

    Results

    Our review shows that exposure to static magnetic fields (SMF) such as those generated by MRI, electromagnetic fields (EMF) such as those produced by mobile phones; ionizing electromagnetic radiations such as X-rays and non- Ionizing electromagnetic radiation such as lasers and light cure devices can significantly increase the release of mercury from dental amalgam restorations and/or cause microleakage.

    Conclusion

    The results of this review show that a wide variety of physical stressors ranging from non-ionizing electromagnetic fields to ionizing radiations can significantly accelerate the release of mercury from amalgam and cause microleakage.

    Keywords: Amalgam, Mercury, Magnetic Resonance Imaging, Microleakage, Radiation, Electromagnetic, Radiofrequency}
  • Shiva Jafarnia, Hani Donyavi, MohammadErfan Ardestani, MohammadMoein Azizi, Sima Shahabi *
    Introduction

    The aim of this study was to evaluate and compare the microleakage of three adhesives in class V composite restorations.

    Methods

    30 extracted third molars were divided into three groups based on the adhesive types. Two class V cavities were prepared on each tooth. An individual adhesive was used for bonding in each group and cavities were restored with resin composites. The specimens in each group were aged by thermal cycling and submerged in silver nitrate solution. Microleakage was assessed with a stereo microscope. Statistical analysis was performed to compare the extent of microleakage between the groups.

    Results

    The microleakage of the universal adhesive G-Premio Bond was significantly lower than that of the other two bonding agents. No significant difference was found between G-Premio Bond and Iperbond Ultra (p> 0.99), although the 6th-generation adhesive Quickbond had the highest microleakage compared to the other two.

    Conclusion

    Microleakage was influenced by the type of adhesive. Lower levels of microleakage in the universal adhesives led to longevity and durability of the restoration.

    Keywords: Microleakage, Adhesive, composite restoration, thermal cycling}
  • Fatemeh Koohpeima, MohammadJavad Mokhtari*, Marzieh Salari
    Background & Objective

    Although dental composites have undergone a high level of development in recent years, there are still difficulties including microleakage. The incorporation of nanoparticles (NPs) in dental materials can produce antibacterial effects, but the effect of TiO2 NPs on microleakage has not yet been investigated. The present study aimed to determine the effect of TiO2 NPs incorporation in the universal single bond and pretreatment with them on microleakage of clV cavities using both total-etch and self-etch approaches.

    Materials & Methods

    Standard clV cavities were prepared on the buccal surfaces of the sixty non-carious human molar teeth. The restoration of samples was carried out with 6 different methods and randomly divided into six groups of ten subjects. Microleakage in both gingival and occlusal margins was determined after placement in 2% basic fuschin solution for 24h. Biocompatibility of a universal single bond was evaluated by MTT assay.

    Results

    In both occlusal and gingival margins in all groups, the application of TiO2 NPs was better than no application. We observed the relatively low cytotoxic effect of TiO2 NPs incorporated in the universal adhesive on NIH-3T3 cell viability.

    Conclusion

    Regarding the limitations of the present investigation, using TiO2 NPs with both total-etch and self-etch approaches to universal single bond may lead to a decrease in the microleakage of resin composite restorations.

    Keywords: TiO2 NPs, Microleakage, Universal Bond, NIH-3T3}
  • غزاله دریاکناری، طیبه دلشاد*
    سابقه و هدف

    پالپ کپ غیرمستقیم (IPC)، درمانی است که از حیات پالپ دندان محافظت می کند. هدف این مطالعه بررسی میزان موفقیت درمان پالپ کپ غیرمستقیم به عنوان درمانی محافظه کارانه در دندان های دارای پوسیدگی عمیق می باشد.

    مواد و روش ها

    در این مطالعه مقطعی، از بین بیمارانی که در سال 1394 درمان IPC برای آن ها انجام شده بود، 100 بیمار به صورت تصادفی ساده انتخاب شدند. تست های حیاتی پالپ (گرما، سرما و EPT) و تست های پری اپیکال (دق، لمس و جویدن) برای دندان موردنظر و دندان های کنترل انجام شد. همچنین دندان از نظر رادیوگرافیک نیز موردبررسی قرار گرفت و نشانه های موفقیت و یا شکست درمان بررسی شد.

    نتایج

    از بین 100 بیماری که درمان IPC دریافت کرده بودند، 91 دندان بعد از گذشت 4 سال نشانه های موفقیت درمان را داشت و تنها در 9 دندان درمان با شکست مواجه شده بود. به عبارتی دیگر میزان موفقیت درمان 91 درصد و میزان شکست درمان 9 درصد می باشد.

    نتیجه گیری

    با توجه به نتایج این پژوهش، IPC درمان مناسبی برای دندان های دارای پوسیدگی عمیق در هر دو جنس و تمامی سنین می باشد که نوع ماده استفاده شده جهت پوشاندن غیرمستقیم پالپ و نوع ماده ترمیمی استفاده شده جهت ترمیم دندان در میزان موفقیت تاثیری نداشته، بلکه عوامل دیگری ازجمله دقت حین انجام درمان، حذف تمامی پوسیدگی های دیواره آگزیال، ترمیمی باسیل مناسب و محدودکردن باکتری ها در موفقیت بالای درمان موثر می باشد.

    کلید واژگان: پالپ کپ غیرمستقیم, کلسیم هیدروکساید, ریزنشت, ترمیم, کامپوزیت, آمالگام, تست حیات پالپ}
    Ghazaleh Daryakenari, Tayebeh Delsahd*
    Background

    Indirect Pulp Cap (IPC) is a treatment that preserves pulp vitality. This study aimed to investigate the success rate of indirect pulp cap therapy as a conservative treatment for deep carious lesions in permanent teeth.

    Materials and Methods

    In this cross-sectional study, among the patients for whom IPC treatment was performed in 2015, 100 patients were randomly selected. Vital pulp tests (thermal, cold and electrical test) and pre-apical tests (percussion, tactility and chewing) were performed for the target tooth and control teeth. The tooth was examined radiographically and the signs of success or failure of treatment were examined, also.

    Results

    Of the 100 patients who received IPC, 91 had signs of a successful treatment after 4 years, and only 9 had failed. In other words, the success rate of the treatment was 91% and the failure rate of treatment was 9%.

    Conclusion

    According to the results of this study, IPC is an appropriate treatment for teeth with deep caries in both sexes and all ages, the type of the material used to seal the pulp and the restorative material used for dental restoration does not affect the success rate. But the most important factors are to apply the indirect pulp treatment carefully, avoiding bacterial contamination, and to seal the teeth with a hermetic restoration.

    Keywords: Indirect pulp cap, Calcium hydroxide, Microleakage, Dental restorative, Resin composite, Amalgam, Pulp vitality tests}
  • Hamid Razavian, Kimia Hanjani *, Kiana Hanjani, Hesam Mirmohammadi, Alireza Shabanian Boroujeni
    Background and aims

    AH26, Master-Dent, and Endoseal mineral trioxide aggregate (MTA) are three different types of sealers. The purpose of this study was to assess and compare THE apical seal of the root canal-treated teeth with the above-mentioned sealers in the presence and absence of moisture using the fluid filtration method.

    Methods

    To this end, 54 freshly extracted single root canal human canines were selected for this study. The canals were prepared using rotary instruments, and then sodium hypochlorite was applied as an irrigation solution in this protocol. The specimens were randomly divided into three groups of 18. One group was obturated with the gutta-percha by the cold lateral compaction technique. Half of one of the aforementioned sealers belonged to the group of moistened teeth and the other half to the group of the dried teeth. Microleakage in all groups was assessed 3 months after the obturation of canals by the fluid filtration method. The data were analyzed using ANOVA and Tukey’s post hoc tests, and the level of significance was set at P<0.05.

    Results

    The results showed that the minimum and maximum micro-leakage belonged to Masterdent dry (mean leakage = 1.7778 μL/ min/CmH20) and Endoseal-MTA dry (mean leakage = 3.5000 μL/min/CmH20), respectively. All three groups of sealers exhibited a significant difference in apical micro-leakage between dry and moist conditions (PMasterdent <0.001, PAH26=0.002, and PEndoseaL-MTA =0.007).

    Conclusion

    The findings of this experimental study demonstrated that Masterdent provided the least apical micro-leakage under dry conditions while Endoseal-MTA had the highest micro-leakage under these conditions. There was a significant difference between dry and moist conditions in all groups.

    Keywords: Microleakage, Fluid filtration, Root canal obturation, Moisture, Sealer}
  • Serdar Akarsu *, Samet Atasoy
    Introduction
    The aim of this study was to compare microleakage in Class V restorations using different composite resins and application techniques.
    Methods
    In this study, 60 cavities were prepared on the buccal and lingual surfaces of samples, 3 mm length (mesio-distal), 3 mm height (cervico-occlusal) and 2 mm depth. Samples were randomly divided into 6 groups. In Group 1, Grandio (Voco GmbH, Cuxhaven, Germany) was used with bulk technique, in Group 2 by horizontal incremental technique and in Group 3 by oblique incremental technique. SonicFill (Kerr, CA, USA) in Group 4, Filtek Bulk Fill Posterior Restorative (3M ESPE, st. Paul, USA) in Group 5, and Estelite Bulk Fill flow (Tokuyama, Japan) in Group 6  were used with bulk technique. After thermal cycle, samples were incubated in 0.2% methylene blue solution for 24 hours. They were sectioned longitudinally from the middle of cavity (buccolingually). Microleakage was evaluated by stereomicroscope (Nikon SMZ25, Tokyo, Japan). Kruskal-Wallis and Mann-Whitney U tests were used for statistical analysis.
    Results
    Microleakage at the cervical margin was higher than the occlusal margin. There was no statistically significant difference between groups at the occlusal margin, but there was a significant difference between groups at the cervical margin (P₌0.02). In Groups using incremental techniques, less microleakage was observed. There was no statistically significant difference between groups using bulk technique.
    Conclusion
    The use of incremental techniques in the restoration of cervical lesions may reduce microleakage.
    Keywords: Microleakage, Bulk Fill composites, Class V restorations}
  • Zahra Khamverdi*, Loghman Rezaei Soufi, Hamidreza Haseli Paik, Puya Jabari, Mohammad Ahmadian
    Background

    The application of laser in dentistry for medical purposes such as caries removal, preparation of restorative cavities, and dental surface treatment for more effective bonding of restorative materials to the tooth has been significant. The present experimental study aimed to evaluate the effect of cavity preparation on microleakage by using erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) lasers, and to compare it with the effect of bur on microleakage in class V composite restorations.

    Methods

    In this experimental study, 20 intact human premolar teeth were randomly divided into 2 equal groups according to the cavity preparation technique: G1: laser cavity preparation (LCP) using a Er,Cr:YSGG laser (Bio Lase, USA), and G2: bur cavity preparation (BCP). Standard class V cavity was prepared on both lingual and buccal surfaces in two groups. The samples underwent thermocycling for 3000 times (5-55ºC) and were immersed in a methylene blue 2% solution for 24 hours. After buccolingual sectioning from the middle of the restoration, a stereomicroscope with 20 x magnification was used to measure the penetration rate of the dye and to determine the score for microleakage. Data were analyzed using SPSS (version 16) software and Mann-Whitney U test (α=5%).

    Results

    According to the study results, the minimum and maximum microleakage values were observed in the occlusal and gingival margins, respectively, which were identically for both groups. Comparing two groups (BCP and LCP) revealed that there was no significant difference between them in terms of microleakage values at the occlusal and gingival margins (P>0.05).

    Conclusions

    It was concluded that cavity preparation using Er,cr:YSGG laser had microleakage values similar to those found with conventional cavity preparation (bur) method in class V composite restorations

    Keywords: Microleakage, Er, Cr:YSGG laser, Bur, Class V composite restoration}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
درخواست پشتیبانی - گزارش اشکال