Surface Substance Loss of Subsurface Bovine Enamel Lesions After Different Steps of the Resinous Infiltration Technique: a 3D Topography Analysis
Overview
Authors
Affiliations
Surface substance loss of subsurface enamel lesions before (baseline/demineralization) and after each step of the infiltration technique was evaluated by means of a three-dimensional focus variation. Eighty enamel specimens were prepared and partially varnished (control). Non-varnished areas were demineralized (pH 4.95; 28 days), and etched with phosphoric acid gel (20%; 5 s). Specimens were randomly assigned to eight groups (n = 10), and were infiltrated using four resinous materials. In subgroups 1, polymerization and finishing with abrasive polishing strips followed. In subgroups 2, excess material was removed before polymerization (E1/E2-Excite, Vivadent; F1/F2-Fortify, Bisco; G1/G2-Glaze & Bond, DMG; I1/I2-Icon, DMG). Topometrical evaluation revealed a negligible substance loss of demineralized enamel. After etching, mean (±SD) differences of height decreased uniformly (-6.6 ± 2.0 μm; p = 0.089; ANOVA). For infiltrated lesions, DH of subgroups 1 was comparable to the etched lesions, with a significant increase (compared to etched lesions) in subgroups 2 (1.1 ± 0.1 μm; p < 0.001; t test). Within the limitations of this study, it is concluded that etching of initial subsurface lesions will result in significant surface substance loss; removal of excess material before light-curing should simplify the infiltration procedure, and this will avoid any abrasion resulting from polishing procedures.
Kielbassa A, Leimer M, Hartmann J, Harm S, Pasztorek M, Ulrich I PLoS One. 2020; 15(1):e0228249.
PMID: 31990942 PMC: 6986723. DOI: 10.1371/journal.pone.0228249.
Mathias C, Gomes R, Dressano D, Braga R, Aguiar F, Marchi G Odontology. 2018; 107(2):202-208.
PMID: 30276579 DOI: 10.1007/s10266-018-0391-0.
Kielbassa A, Ulrich I, Schmidl R, Schuller C, Frank W, Werth V Int J Oral Sci. 2017; 9(2):117-124.
PMID: 28621326 PMC: 5518973. DOI: 10.1038/ijos.2017.15.
Skucha-Nowak M Open Med (Wars). 2017; 10(1):238-248.
PMID: 28352701 PMC: 5152982. DOI: 10.1515/med-2015-0036.
Surface Roughness of Initial Enamel Caries Lesions in Human Teeth After Resin Infiltration.
Arnold W, Meyer A, Naumova E Open Dent J. 2016; 10:505-515.
PMID: 27733877 PMC: 5040761. DOI: 10.2174/1874210601610010505.