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Spagopoulos D, Michou S, Gizani S, Pappa E, Rahiotis C. Fluorescence and Near-Infrared Light for Detection of Secondary Caries: A Systematic Review. Dent J (Basel) 2023; 11:271. [PMID: 38132409 PMCID: PMC10742255 DOI: 10.3390/dj11120271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Revised: 11/16/2023] [Accepted: 11/23/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND Early detection of secondary caries near dental restorations is essential to prevent further complications. This systematic review seeks to evaluate the sensitivity of fluorescence and near-infrared (NIR) imaging techniques for detecting secondary caries and to provide insight into their clinical utility. METHODS A comprehensive search strategy was used to select studies from seven databases, emphasizing diagnostic accuracy studies of secondary caries detection using fluorescence and NIR imaging techniques. The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) instrument assessed bias risk and practicality. Two evaluators performed data extraction, screening, and quality assessment independently. RESULTS From 3110 initial recordings, nine studies were selected for full-text analysis. Wide variations in sensitivity (SE) and specificity (SP) values were reported across the studies. These studies exhibited variable SE and SP values, and the findings highlighted the importance of method selection based on clinical context. This systematic review underlines the potential for fluorescence and NIR imaging to detect secondary caries. However, results from different studies vary, indicating the need to consider additional variables such as restoration materials. CONCLUSIONS Although these technologies exhibit potential for detecting caries, our research underscores the complex procedure of identifying secondary caries lesions. It is a continuous necessity for progress in dental diagnostics to promptly identify secondary caries lesions, particularly those in proximity to tooth-colored ones.
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Affiliation(s)
- Dimitrios Spagopoulos
- Department of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece; (D.S.); (E.P.)
| | - Stavroula Michou
- Department of Odontology, University of Copenhagen, DK-2200 Copenhagen, Denmark;
| | - Sotiria Gizani
- Department of Pediatric Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Eftychia Pappa
- Department of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece; (D.S.); (E.P.)
| | - Christos Rahiotis
- Department of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece; (D.S.); (E.P.)
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Peled Y, Stewart CA, Glogauer M, Finer Y. The Role of Bacterial, Dentinal, Salivary, and Neutrophil Degradative Activity in Caries Pathogenesis. Dent J (Basel) 2023; 11:217. [PMID: 37754337 PMCID: PMC10528424 DOI: 10.3390/dj11090217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 08/28/2023] [Accepted: 09/06/2023] [Indexed: 09/28/2023] Open
Abstract
Until recently, it was widely accepted that bacteria participate in caries pathogenesis mainly through carbohydrate fermentation and acid production, which promote the dissolution of tooth components. Neutrophils, on the other hand, were considered white blood cells with no role in caries pathogenesis. Nevertheless, current literature suggests that both bacteria and neutrophils, among other factors, possess direct degradative activity towards both dentinal collagen type-1 and/or methacrylate resin-based restoratives and adhesives, the most common dental restoratives. Neutrophils are abundant leukocytes in the gingival sulcus, where they can readily reach adjacent tooth roots or gingival and cervical restorations and execute their degradative activity. In this review, we present the latest literature evidence for bacterial, dentinal, salivary, and neutrophil degradative action that may induce primary caries, secondary caries, and restoration failure.
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Affiliation(s)
- Yuval Peled
- Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1G6, Canada; (Y.P.); (C.A.S.); (M.G.)
| | - Cameron A. Stewart
- Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1G6, Canada; (Y.P.); (C.A.S.); (M.G.)
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON M5S 3E2, Canada
| | - Michael Glogauer
- Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1G6, Canada; (Y.P.); (C.A.S.); (M.G.)
- Department of Dental Oncology, Maxillofacial and Ocular Prosthetics, Princess Margaret Cancer Centre, Toronto, ON M5G 2M9, Canada
| | - Yoav Finer
- Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1G6, Canada; (Y.P.); (C.A.S.); (M.G.)
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON M5S 3E2, Canada
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Prause E, Hey J, Schmidt F, Nicic R, Beuer F, Unkovskiy A. The Assessability of Approximal Secondary Caries of Non-Invasive 3D-Printed Veneers Depending on the Restoration Thickness-An In Vitro Study. Bioengineering (Basel) 2023; 10:992. [PMID: 37760094 PMCID: PMC10525397 DOI: 10.3390/bioengineering10090992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 08/12/2023] [Accepted: 08/20/2023] [Indexed: 09/29/2023] Open
Abstract
To date, no scientific data is available regarding the development and radiographic assessment of approximal caries development after the insertion of 3D-printed, non-invasive veneers of different restoration thicknesses. For the present study, non-invasive veneers were fabricated from two different materials for printing and milling (Vita Enamic and VarseoSmile Crown plus). Three different restoration thicknesses (0.5, 0.7, and 0.9 mm) were selected. After digital design, leaving the approximal space free, and manufacturing of the restorations, adhesive insertion followed. All specimens were placed in a demineralizing solution for 28 days. Subsequently, a radiological and fluorescent examination was performed. The present study showed statistically significant interactions for the day (p < 0.0001) and manufacturing method (p < 0.0001) but not for restoration thickness. Additive manufactured restorations showed less radiological caries progression compared to subtractive manufactured restorations after 21 and 28 days (0.7 and 0.9 mm restoration thickness) (p < 0.0001). DIAGNOdent proved that the restoration thickness affected the caries progression within the subtractive group (p < 0.0001). Radiographic and fluorescence examination showed equivalent results regarding approximal caries assessment. For additive manufacturing, less caries progression was shown without consideration of the restoration thickness.
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Affiliation(s)
- Elisabeth Prause
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany; (J.H.); (F.S.); (R.N.); (F.B.); (A.U.)
| | - Jeremias Hey
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany; (J.H.); (F.S.); (R.N.); (F.B.); (A.U.)
- Department of Prosthodontics, School of Dental Medicine, Martin-Luther-University, 06112 Halle, Germany
| | - Franziska Schmidt
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany; (J.H.); (F.S.); (R.N.); (F.B.); (A.U.)
| | - Robert Nicic
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany; (J.H.); (F.S.); (R.N.); (F.B.); (A.U.)
| | - Florian Beuer
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany; (J.H.); (F.S.); (R.N.); (F.B.); (A.U.)
| | - Alexey Unkovskiy
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany; (J.H.); (F.S.); (R.N.); (F.B.); (A.U.)
- Department of Dental Surgery, Sechenov First Moscow State Medical University, Bolshaya Pirogovskaya Street, 19c1, 119146 Moscow, Russia
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Abstract
Dental caries is mainly caused by oral biofilm acid, and the most common dental restoration treatment is composite dental restorations. The main cause of failure is secondary caries adjacent to the restoration. Long-term survival of dental materials is improved by the presence of antibacterial agents, which selectively inhibit bacterial growth or survival. Chemical, natural and biomaterials have been studied for their antimicrobial activities and antibacterial bonding agents have been improved. Their usage has been increased to inhibit the growth of invading and residual bacteria in the oral cavity, as biofilm accumulation increases the risk of treatment failure. In this article, the success and applications of antibacterial agents are discussed in dental bonding systems.
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Affiliation(s)
- Hamid Tebyaniyan
- Department of Science & Research, Islimic Azade University, Tehran, Iran
| | - Ahmed Hussain
- School of Dentistry, Edmonton Clinic Health Academy, University of Alberta, AB, T6G 1C9, Canada
| | - Mark Vivian
- College of Dentistry, University of Saskatchewan, Saskatoon, SK, S7N 5E4, Canada
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Conti G, Veneri F, Amadori F, Garzoni A, Majorana A, Bardellini E. Evaluation of Antibacterial Activity of a Bioactive Restorative Material Versus a Glass-Ionomer Cement on Streptococcus Mutans: In-Vitro Study. Dent J (Basel) 2023; 11:149. [PMID: 37366672 DOI: 10.3390/dj11060149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 05/29/2023] [Accepted: 06/06/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND Dental caries management consists of both preventive and restorative approaches. Pediatric dentists can rely on many techniques and materials to restore decayed teeth, but a high failure rate is still observed, mainly due to secondary caries. New restorative bioactive materials combine the mechanical and aesthetic characteristics of resinous materials with the capability to remineralize and the antimicrobial properties of glass ionomers, thus counteracting the occurrence of secondary caries. The aim of this study was to assess the antimicrobial activity against Streptococcus mutans of a bioactive restorative material (ACTIVA™ BioActive-Restorative™-Pulpdent©) and a glass ionomer cement with silver particles added (Ketac™ Silver-3M©), using agar diffusion assay. METHODS Each material was formed into disks of 4 mm in diameter, and four discs of each material were placed on nine agar plates. The analysis was repeated seven times. RESULTS Both materials showed statistically significant growth inhibition properties against S. mutans (p < 0.05). The difference in the effectiveness of the two materials was not statistically significant. CONCLUSION Both ACTIVA™ and Ketac™ Silver can be recommended since both are similarly effective against S. mutans. However ACTIVA™, given its bioactivity and better aesthetics and mechanical properties compared to GICs, may provide better clinical performance.
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Affiliation(s)
- Giulio Conti
- Department of Medicine and Surgery, School of Dentistry, University of Insubria, Via Ravasi 2, 21100 Varese, Italy
| | - Federica Veneri
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, Unit of Dentistry & Oral-Maxillo-Facial Surgery, University of Modena and Reggio Emilia, Via del Pozzo, 41124 Modena, Italy
| | - Francesca Amadori
- Department of Medical and Surgical Sciences and Public Health, School of Pediatric Dentistry, University of Brescia, Pl. Spedali Civili 1, 25123 Brescia, Italy
| | - Alba Garzoni
- Department of Medical and Surgical Sciences and Public Health, School of Pediatric Dentistry, University of Brescia, Pl. Spedali Civili 1, 25123 Brescia, Italy
| | - Alessandra Majorana
- Department of Medical and Surgical Sciences and Public Health, School of Pediatric Dentistry, University of Brescia, Pl. Spedali Civili 1, 25123 Brescia, Italy
| | - Elena Bardellini
- Department of Medical and Surgical Sciences and Public Health, School of Pediatric Dentistry, University of Brescia, Pl. Spedali Civili 1, 25123 Brescia, Italy
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Bin-Jardan LI, Almadani DI, Almutairi LS, Almoabid HA, Alessa MA, Almulhim KS, AlSheikh RN, Al-Dulaijan YA, Ibrahim MS, Al-Zain AO, Balhaddad AA. Inorganic Compounds as Remineralizing Fillers in Dental Restorative Materials: Narrative Review. Int J Mol Sci 2023; 24:ijms24098295. [PMID: 37176004 PMCID: PMC10179470 DOI: 10.3390/ijms24098295] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 05/02/2023] [Accepted: 05/03/2023] [Indexed: 05/15/2023] Open
Abstract
Secondary caries is one of the leading causes of resin-based dental restoration failure. It is initiated at the interface of an existing restoration and the restored tooth surface. It is mainly caused by an imbalance between two processes of mineral loss (demineralization) and mineral gain (remineralization). A plethora of evidence has explored incorporating several bioactive compounds into resin-based materials to prevent bacterial biofilm attachment and the onset of the disease. In this review, the most recent advances in the design of remineralizing compounds and their functionalization to different resin-based materials' formulations were overviewed. Inorganic compounds, such as nano-sized amorphous calcium phosphate (NACP), calcium fluoride (CaF2), bioactive glass (BAG), hydroxyapatite (HA), fluorapatite (FA), and boron nitride (BN), displayed promising results concerning remineralization, and direct and indirect impact on biofilm growth. The effects of these compounds varied based on these compounds' structure, the incorporated amount or percentage, and the intended clinical application. The remineralizing effects were presented as direct effects, such as an increase in the mineral content of the dental tissue, or indirect effects, such as an increase in the pH around the material. In some of the reported investigations, inorganic remineralizing compounds were combined with other bioactive agents, such as quaternary ammonium compounds (QACs), to maximize the remineralization outcomes and the antibacterial action against the cariogenic biofilms. The reviewed literature was mainly based on laboratory studies, highlighting the need to shift more toward testing the performance of these remineralizing compounds in clinical settings.
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Affiliation(s)
- Leena Ibraheem Bin-Jardan
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Dalal Ibrahim Almadani
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Leen Saleh Almutairi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Hadi A Almoabid
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Mohammed A Alessa
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Khalid S Almulhim
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Rasha N AlSheikh
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Yousif A Al-Dulaijan
- Department of Substitute Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Maria S Ibrahim
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Afnan O Al-Zain
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University Jeddah, P.O. Box 80209, Jeddah 21589, Saudi Arabia
| | - Abdulrahman A Balhaddad
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
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Alenezi A, Alkhudhayri O, Altowaijri F, Aloufi L, Alharbi F, Alrasheed M, Almutairi H, Alanazi A, Yehya M, Al Asmari D. Secondary caries in fixed dental prostheses: Long-term clinical evaluation. Clin Exp Dent Res 2023; 9:249-257. [PMID: 36433888 PMCID: PMC9932257 DOI: 10.1002/cre2.696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 11/15/2022] [Accepted: 11/18/2022] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES Even with excellent fixed dental prostheses (FDPs), there will be a substantial risk of biological complications, such as caries, if proper oral hygiene is not maintained. This study aimed to evaluate the risks of developing secondary caries with FDPs in relation to the patient oral hygiene status. MATERIAL AND METHODS Clinical and radiographic examinations were performed for patients to collect data related to their FDP complications and oral hygiene status. The main clinical parameter analyzed was secondary caries. Complications such as a fracture, debonding, or the need for endodontic therapy were also analyzed. The interval survival rate and the cumulative survival rate of FDPs from the time of treatment to the time of follow-up were analyzed. RESULTS A total of 423 patients (with a total of 1116 FDPs) were examined in this study, with a mean age of 43.7 years and a mean follow-up time of 7 years. Regarding complications, secondary caries was detected in 94 FDPs (8.4%), fracture (or chipping) in 85 (7.6%) cases, need for endodontic treatment in 42 cases (3.7%), and debonding in four (0.3%) cases. Secondary caries was found in nine out of 219 FDPs (4%) in patients with good oral hygiene, 35 out of 634 FDPs (5.5%) in patients with fair oral hygiene, and 50 out of 272 FDPs (18.4%) in patients with poor oral hygiene (p ≤ .001). CONCLUSIONS Good oral hygiene has a great influence on reducing the risk of secondary caries in patients with FDPs. The occurrence of secondary caries is a common complication in patients with poor oral hygiene.
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Affiliation(s)
- Ali Alenezi
- Department of Prosthodontics, College of DentistryQassim UniversityBuraydahSaudi Arabia
| | - Omar Alkhudhayri
- Interns' Clinics, College of DentistryQassim UniversityBuraydahSaudi Arabia
| | - Fahad Altowaijri
- Interns' Clinics, College of DentistryQassim UniversityBuraydahSaudi Arabia
| | - Lina Aloufi
- Interns' Clinics, College of DentistryQassim UniversityBuraydahSaudi Arabia
| | - Fatimah Alharbi
- Interns' Clinics, College of DentistryQassim UniversityBuraydahSaudi Arabia
| | - Maha Alrasheed
- Interns' Clinics, College of DentistryQassim UniversityBuraydahSaudi Arabia
| | - Hind Almutairi
- Interns' Clinics, College of DentistryQassim UniversityBuraydahSaudi Arabia
| | - Abdulltif Alanazi
- Department of Restorative DentistryPrince Sultan Military Medical CityRiyadhSaudi Arabia
| | - Mohammed Yehya
- Department of Prosthodontics, College of DentistryQassim UniversityBuraydahSaudi Arabia
| | - Dhafer Al Asmari
- Department of Periodontology, College of DentistryQassim UniversityBuraydahSaudi Arabia
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Zhao Y, Zhang H, Hong L, Zou X, Song J, Han R, Chen J, Yu Y, Liu X, Zhao H, Zhang Z. A Multifunctional Dental Resin Composite with Sr-N-Doped TiO 2 and n-HA Fillers for Antibacterial and Mineralization Effects. Int J Mol Sci 2023; 24:ijms24021274. [PMID: 36674788 PMCID: PMC9861335 DOI: 10.3390/ijms24021274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 12/28/2022] [Accepted: 01/02/2023] [Indexed: 01/11/2023] Open
Abstract
Dental caries, particularly secondary caries, which is the main contributor to dental repair failure, has been the subject of extensive research due to its biofilm-mediated, sugar-driven, multifactorial, and dynamic characteristics. The clinical utility of restorations is improved by cleaning bacteria nearby and remineralizing marginal crevices. In this study, a novel multifunctional dental resin composite (DRC) composed of Sr-N-co-doped titanium dioxide (Sr-N-TiO2) nanoparticles and nano-hydroxyapatite (n-HA) reinforcing fillers with improved antibacterial and mineralization properties is proposed. The experimental results showed that the anatase-phase Sr-N-TiO2 nanoparticles were synthesized successfully. After this, the curing depth (CD) of the DRC was measured from 4.36 ± 0.18 mm to 5.10 ± 0.19 mm, which met the clinical treatment needs. The maximum antibacterial rate against Streptococcus mutans (S. mutans) was 98.96%, showing significant inhibition effects (p < 0.0001), which was experimentally verified to be derived from reactive oxygen species (ROS). Meanwhile, the resin exhibited excellent self-remineralization behavior in an SBF solution, and the molar ratio of Ca/P was close to that of HA. Moreover, the relative growth rate (RGR) of mouse fibroblast L929 indicated a high biocompatibility, with the cytotoxicity level being 0 or I. Therefore, our research provides a suitable approach for improving the antibacterial and mineralization properties of DRCs.
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Affiliation(s)
- Yuanhang Zhao
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun 130021, China
| | - Hong Zhang
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
| | - Lihua Hong
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
| | - Xinying Zou
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun 130021, China
| | - Jiazhuo Song
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun 130021, China
| | - Rong Han
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun 130021, China
| | - Jiawen Chen
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun 130021, China
| | - Yiyan Yu
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun 130021, China
| | - Xin Liu
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun 130021, China
| | - Hong Zhao
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun 130021, China
| | - Zhimin Zhang
- Department of Endodontics, School of Dentistry, Jilin University, Changchun 130021, China
- Correspondence:
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Tanweer T, Rana NF, Saleem I, Shafique I, Alshahrani SM, Almukhlifi HA, Alotaibi AS, Alshareef SA, Menaa F. Dental Composites with Magnesium Doped Zinc Oxide Nanoparticles Prevent Secondary Caries in the Alloxan-Induced Diabetic Model. Int J Mol Sci 2022; 23:ijms232415926. [PMID: 36555575 PMCID: PMC9785886 DOI: 10.3390/ijms232415926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Revised: 11/11/2022] [Accepted: 11/16/2022] [Indexed: 12/23/2022] Open
Abstract
Antibacterial restorative materials against caries-causing bacteria are highly preferred among high-risk patients, such as the elderly, and patients with metabolic diseases such as diabetes. This study aimed to enhance the antibacterial potential of resin composite with Magnesium-doped Zinc oxide (Mg-doped ZnO) nanoparticles (NPs) and to look for their effectiveness in the alloxan-induced diabetic model. Hexagonal Mg-doped ZnO NPs (22.3 nm diameter) were synthesized by co-precipitation method and characterized through ultraviolet-visible (UV-Vis), Fourier transform infrared (FTIR) spectroscopy, X-ray diffraction (XRD), scanning electron microscopy (SEM), and energy dispersive spectroscopy (EDS) analysis. The Mg-doped ZnO NPs (1, 2.5 and 5% w/w) were then evaluated for antibacterial activity using a closed system in vitro biofilm model. Significant enhancement in the antibacterial properties was observed in composites with 1% Mg-doped ZnO compared to composites with bare ZnO reinforced NPs (Streptococcus mutans, p = 0.0005; Enterococcus faecalis, p = 0.0074, Saliva microcosm, p < 0.0001; Diabetic Saliva microcosm, p < 0.0001). At 1−2.5% Mg-doped ZnO NPs concentration, compressive strength and biocompatibility of composites were not affected. The pH buffering effect was also achieved at these concentrations, hence not allowing optimal conditions for the anaerobic bacteria to grow. Furthermore, composites with Mg-doped ZnO prevented secondary caries formation in the secondary caries model of alloxan-induced diabetes. Therefore, Mg-doped ZnO NPs are highly recommended as an antibacterial agent for resin composites to avoid biofilm and subsequent secondary caries formation in high-risk patients.
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Affiliation(s)
- Tahreem Tanweer
- Department of Biomedical Engineering and Sciences, School of Mechanical & Manufacturing Engineering, National University of Science & Technology (NUST), Islamabad 44000, Pakistan
| | - Nosheen Fatima Rana
- Department of Biomedical Engineering and Sciences, School of Mechanical & Manufacturing Engineering, National University of Science & Technology (NUST), Islamabad 44000, Pakistan
- Correspondence: (N.F.R.); (F.M.); Tel.: +92-5190856074 (N.F.R.); Fax: +92-5190856002 (N.F.R.)
| | - Iqra Saleem
- Department of Biomedical Engineering and Sciences, School of Mechanical & Manufacturing Engineering, National University of Science & Technology (NUST), Islamabad 44000, Pakistan
| | - Iqra Shafique
- Department of Biomedical Engineering and Sciences, School of Mechanical & Manufacturing Engineering, National University of Science & Technology (NUST), Islamabad 44000, Pakistan
| | - Sultan M. Alshahrani
- Clinical Pharmacy Department, College of Pharmacy, King Khalid University, Abha 61441, Saudi Arabia
| | - Hanadi A. Almukhlifi
- Department of Chemistry, Faculty of Science, University of Tabuk, Tabuk 71491, Saudi Arabia
| | - Amenah S. Alotaibi
- Genomic and Biotechnology Unit, Department of Biology, Faculty of Science, University of Tabuk, Tabuk 71491, Saudi Arabia
| | | | - Farid Menaa
- Departments of Internal Medicine and Nanomedicine, California Innovations Corporation, San Diego, CA 92037, USA
- Correspondence: (N.F.R.); (F.M.); Tel.: +92-5190856074 (N.F.R.); Fax: +92-5190856002 (N.F.R.)
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10
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Ionescu AC, Hahnel S, Chiari MDS, König A, Delvecchio P, Braga RR, Zambelli V, Brambilla E. TEGDMA-Functionalized Dicalcium Phosphate Dihydrate Resin-Based Composites Prevent Secondary Caries in an In Vitro Biofilm Model. J Funct Biomater 2022; 13:jfb13040232. [PMID: 36412873 PMCID: PMC9680503 DOI: 10.3390/jfb13040232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 11/03/2022] [Accepted: 11/04/2022] [Indexed: 11/11/2022] Open
Abstract
This study evaluated the efficacy of experimental TEGDMA-functionalized dicalcium phosphate dihydrate (T-DCPD) filler-based resin-based composites (RBC) in preventing caries lesions around the restoration margins (secondary caries, SC). Standardized Class-II cavities were made in sound molars with the cervical margin in dentin. Cavities were filled with a commercial resin-modified glass-ionomer cement (RMGIC) or experimental RBCs containing a bisGMA-TEGDMA resin blend and one of the following inorganic fractions: 60 wt.% Ba glass (RBC-0); 40 wt.% Ba glass and 20 wt.% T-DCPD (RBC-20); or 20 wt.% Ba glass and 40 wt.% T-DCPD (RBC-40). An open-system bioreactor produced Streptococcus mutans biofilm-driven SC. Specimens were scanned using micro-CT to evaluate demineralization depths. Scanning electron microscopy and energy-dispersive X-ray spectroscopy characterized the specimen surfaces, and antimicrobial activity, buffering effect, and ion uptake by the biofilms were also evaluated. ANOVA and Tukey’s tests were applied at p < 0.05. RBC-0 and RBC-20 showed SC development in dentin, while RBC-40 and RMGIC significantly reduced the lesion depth at the restoration margin (p < 0.0001). Initial enamel demineralization could be observed only around the RBC-0 and RBC-20 restorations. Direct antibiofilm activity can explain SC reduction by RMGIC, whereas a buffering effect on the acidogenicity of biofilm can explain the behavior of RBC-40. Experimental RBC with CaP-releasing functionalized T-DCPD filler could prevent SC with the same efficacy as F-releasing materials.
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Affiliation(s)
- Andrei Cristian Ionescu
- Oral Microbiology and Biomaterials Laboratory, Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Pascal, 36, 20133 Milan, Italy
- Correspondence:
| | - Sebastian Hahnel
- Clinic of Prosthodontics and Dental Materials Science, University of Leipzig, Liebigstraße 12, Haus 1, 04103 Leipzig, Germany
- Department of Prosthetic Dentistry, Regensburg University Medical Center, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93042 Regensburg, Germany
| | - Marina D. S. Chiari
- Department of Biomaterials and Oral Biology, University of Sao Paulo, Av. Prof. Lineu Prestes, 2227, Cidade Universitária, São Paulo 05508-900, SP, Brazil
| | - Andreas König
- Clinic of Prosthodontics and Dental Materials Science, University of Leipzig, Liebigstraße 12, Haus 1, 04103 Leipzig, Germany
| | - Paolo Delvecchio
- School of Medicine and Surgery, University of Milan-Bicocca, Via Cadore, 48, 20900 Monza, Italy
| | - Roberto Ruggiero Braga
- Department of Biomaterials and Oral Biology, University of Sao Paulo, Av. Prof. Lineu Prestes, 2227, Cidade Universitária, São Paulo 05508-900, SP, Brazil
| | - Vanessa Zambelli
- School of Medicine and Surgery, University of Milan-Bicocca, Via Cadore, 48, 20900 Monza, Italy
| | - Eugenio Brambilla
- Oral Microbiology and Biomaterials Laboratory, Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Pascal, 36, 20133 Milan, Italy
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11
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Saleem I, Rana NF, Tanweer T, Arif W, Shafique I, Alotaibi AS, Almukhlifi HA, Alshareef SA, Menaa F. Effectiveness of Se/ZnO NPs in Enhancing the Antibacterial Activity of Resin-Based Dental Composites. Materials (Basel) 2022; 15:7827. [PMID: 36363419 PMCID: PMC9658905 DOI: 10.3390/ma15217827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/20/2022] [Revised: 10/22/2022] [Accepted: 11/02/2022] [Indexed: 06/16/2023]
Abstract
Biofilm formation in the resin-composite interface is a major challenge for resin-based dental composites. Using doped z nanoparticles (NPs) to enhance the antibacterial properties of resin composites can be an effective approach to prevent this. The present study focused on the effectiveness of Selenium-doped ZnO (Se/ZnO) NPs as an antibacterial nanofiller in resin composites and their impact on their mechanical properties. Pristine and Se/ZnO NPs were synthesized by the mechanochemical method and confirmed through UV-Vis Spectroscopy, FTIR (Fourier Transform Infrared) analysis, X-ray Diffraction (XRD) crystallography, Scanning Electron Microscopy (SEM), Energy Dispersive Spectroscopy (EDS), and Zeta analysis. The resin composites were then modified by varying concentrations of pristine and Se/ZnO NPs. A single species (S. mutans and E. faecalis) and a saliva microcosm model were utilized for antibacterial analysis. Hemolytic assay and compressive strength tests were also performed to test the modified composite resin's cytotoxicity and mechanical strength. When incorporated into composite resin, 1% Se/ZnO NPs showed higher antibacterial activity, biocompatibility, and higher mechanical strength when compared to composites with 1% ZnO NPs. The Se/ZnO NPs has been explored for the first time as an efficient antibacterial nanofiller for resin composites and showed effectiveness at lower concentrations, and hence can be an effective candidate in preventing secondary caries by limiting biofilm formation.
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Affiliation(s)
- Iqra Saleem
- Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, Islamabad 44000, Pakistan
| | - Nosheen Fatima Rana
- Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, Islamabad 44000, Pakistan
| | - Tahreem Tanweer
- Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, Islamabad 44000, Pakistan
| | - Wafa Arif
- Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, Islamabad 44000, Pakistan
| | - Iqra Shafique
- Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, Islamabad 44000, Pakistan
| | - Amenah S. Alotaibi
- Genomic and Biotechnology Unit, Department of Biology, Faculty of Science, University of Tabuk, Tabuk 71491, Saudi Arabia
| | - Hanadi A. Almukhlifi
- Department of Chemistry, Faculty of Science, University of Tabuk, Tabuk 71491, Saudi Arabia
| | | | - Farid Menaa
- Departments of Internal Medicine and Nanomedicine, California Innovations Corporation, San Diego, CA 92037, USA
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12
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Shi Y, Liang J, Zhou X, Ren B, Wang H, Han Q, Li H, Cheng L. Effects of a Novel, Intelligent, pH-Responsive Resin Adhesive on Cariogenic Biofilms In Vitro. Pathogens 2022; 11:pathogens11091014. [PMID: 36145446 PMCID: PMC9502692 DOI: 10.3390/pathogens11091014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Revised: 08/31/2022] [Accepted: 09/02/2022] [Indexed: 11/29/2022] Open
Abstract
Background: Secondary caries often result in a high failure rate of resin composite restoration. Herein, we studied the dodecylmethylaminoethyl methacrylate−modified resin adhesive (DMAEM@RA) to investigate its pH-responsive antimicrobial effect on Streptococcus mutans and Candida albicans dual-species biofilms and on secondary caries. Methods: Firstly, the pH-responsive antimicrobial experiments including colony-forming units, scanning electron microscopy and exopoly-saccharide staining were measured. Secondly, lactic acid measurement and transverse microradiography analysis were performed to determine the preventive effect of DMAEM@RA on secondary caries. Lastly, quantitative real-time PCR was applied to investigate the antimicrobial effect of DMAEM@RA on cariogenic virulence genes. Results: DMAEM@RA significantly inhibited the growth, EPS, and acid production of Streptococcus mutans and Candida albicans dual-species biofilms under acidic environments (p < 0.05). Moreover, at pH 5 and 5.5, DMAEM@RA remarkably decreased the mineral loss and lesion depth of tooth hard tissue (p < 0.05) and down-regulated the expression of cariogenic genes, virulence-associated genes, and pH-regulated genes of dual-species biofilms (p < 0.05). Conclusions: DMAEM@RA played an antibiofilm role on Streptococcus mutans and Candida albicans dual-species biofilms, prevented the demineralization process, and attenuated cariogenic virulence in a pH-dependent manner.
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Affiliation(s)
- Yangyang Shi
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610041, China
- Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu 610041, China
| | - Jingou Liang
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610041, China
- Department of Pediatric Dentistry, West China School of Stomatology, Sichuan University, Chengdu 610041, China
| | - Xuedong Zhou
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610041, China
- Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu 610041, China
| | - Biao Ren
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610041, China
| | - Haohao Wang
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610041, China
- Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu 610041, China
| | - Qi Han
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610041, China
- Department of Oral Pathology, West China School of Stomatology, Sichuan University, Chengdu 610041, China
| | - Hao Li
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610041, China
- Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu 610041, China
- Correspondence: (H.L.); (L.C.)
| | - Lei Cheng
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610041, China
- Department of Operative Dentistry and Endodontics, West China School of Stomatology, Sichuan University, Chengdu 610041, China
- Correspondence: (H.L.); (L.C.)
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13
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Albeshir EG, Alsahafi R, Albluwi R, Balhaddad AA, Mitwalli H, Oates TW, Hack GD, Sun J, Weir MD, Xu HHK. Low-Shrinkage Resin Matrices in Restorative Dentistry-Narrative Review. Materials (Basel) 2022; 15:ma15082951. [PMID: 35454643 PMCID: PMC9029384 DOI: 10.3390/ma15082951] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 04/14/2022] [Accepted: 04/15/2022] [Indexed: 02/06/2023]
Abstract
Dimethacrylate-based resin composites restorations have become widely-used intraoral materials in daily dental practice. The increasing use of composites has greatly enhanced modern preventive and conservative dentistry. They have many superior features, especially esthetic properties, bondability, and elimination of mercury and galvanic currents. However, polymeric materials are highly susceptible to polymerization shrinkage and stresses that lead to microleakage, biofilm formation, secondary caries, and restoration loss. Several techniques have been investigated to minimize the side effects of these shrinkage stresses. The primary approach is through fabrications and modification of the resin matrices. Therefore, this review article focuses on the methods for testing the shrinkage, as well as formulations of resinous matrices available to reduce polymerization shrinkage and its associated stress. Furthermore, this article reviews recent cutting-edge developments on bioactive low-shrinkage-stress nanocomposites to effectively inhibit the growth and activities of cariogenic pathogens and enhance the remineralization process.
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Affiliation(s)
- Ebtehal G. Albeshir
- Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; (E.G.A.); (R.A.)
- Department of Restorative Dentistry, King Abdul-Aziz Medical City, Ministiry of National Guard—Health Affairs, Riyadh 11426, Saudi Arabia;
- King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Center, Ministiry of National Guard—Health Affairs, Riyadh 11426, Saudi Arabia
| | - Rashed Alsahafi
- Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; (E.G.A.); (R.A.)
- Department of Restorative Dental Sciences, College of Dentistry, Umm Al-Qura University, Makkah 24381, Saudi Arabia
| | - Reem Albluwi
- Department of Restorative Dentistry, King Abdul-Aziz Medical City, Ministiry of National Guard—Health Affairs, Riyadh 11426, Saudi Arabia;
- King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Center, Ministiry of National Guard—Health Affairs, Riyadh 11426, Saudi Arabia
| | - Abdulrahman A. Balhaddad
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam 31441, Saudi Arabia;
| | - Heba Mitwalli
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11451, Saudi Arabia;
| | - Thomas W. Oates
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; (T.W.O.); (G.D.H.)
| | - Gary D. Hack
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; (T.W.O.); (G.D.H.)
| | - Jirun Sun
- The Forsyth Institute, A Harvard School of Dental Medicine Affiliate, 245 First Street, Cambridge, MA 02142, USA
- Correspondence: (J.S.); (M.D.W.); (H.H.K.X.)
| | - Michael D. Weir
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; (T.W.O.); (G.D.H.)
- Correspondence: (J.S.); (M.D.W.); (H.H.K.X.)
| | - Hockin H. K. Xu
- Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; (T.W.O.); (G.D.H.)
- Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
- Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD 21201, USA
- Correspondence: (J.S.); (M.D.W.); (H.H.K.X.)
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14
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Özdemir Ş, Taran PK, Mammadlı N, Altınova İS, Gazioğlu I. Remineralization potential of P11-4 and fluoride on secondary carious primary enamel: A quantitative evaluation using microcomputed tomography. Microsc Res Tech 2022; 85:807-812. [PMID: 34981866 DOI: 10.1002/jemt.24052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 12/16/2021] [Accepted: 12/26/2021] [Indexed: 11/09/2022]
Abstract
The aim of this study was to assess the ability of self-assembling peptide (P11-4) diffusion, assembly, and remineralization to effect artificial secondary caries-like lesions in human primary teeth in vitro. Enamel-dentin blocks obtained from extracted human primary molars were embedded into epoxy resin blocks. Cavities (approximately 1 × 1 × 2 mm) were prepared on the surface using a high-speed diamond bur under constant water cooling and filled with composite restorative material (Filtek Z250; 3 M ESPE). The samples were immersed in demineralizing solution (20 ml) for 96 h to produce secondary caries lesions and divided into two groups according to the testing materials: fluoride varnish (Duraphat; Colgate, UK) and P11-4 (Curodont Repair; Credentis, Switzerland). Except for the control areas, all samples were remineralized for 3-5 min using the remineralizing agents, and then all the sections were placed in a pH-cycling system for 5 days at 35°C. The pH cycling procedure was followed by micro-CT analysis for the qualitative evaluation of surface changes. The Mann-Whitney U test was used to compare two independent groups. In the comparison of more than two dependent groups, Bonferroni smoothed pairwise analyses were used to determine the source of the Kruskal-Wallis H test difference. The results of the study revealed that the remineralization depths of the peptide group were higher than those of the fluoride group (p < .01). There was a statistically significant difference in remineralization effects between the fluoride and peptide groups. P11-4 can be considered as an effective remineralizing agent for secondary caries lesions.
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Affiliation(s)
- Şerife Özdemir
- Department of Pediatric Dentistry, Bezmialem Vakif University Faculty of Dentistry, Istanbul, Turkey
| | - Pınar Kınay Taran
- Department of Pediatric Dentistry, Bezmialem Vakif University Faculty of Dentistry, Istanbul, Turkey
| | - Narmin Mammadlı
- Department of Pediatric Dentistry, Bezmialem Vakif University Faculty of Dentistry, Istanbul, Turkey
| | - İlay Sena Altınova
- Department of Pediatric Dentistry, Bezmialem Vakif University Faculty of Dentistry, Istanbul, Turkey
| | - Işıl Gazioğlu
- Department of Basic Pharmaceutical Sciences, Bezmialem Vakif University Faculty of Pharmacy, Istanbul, Turkey
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15
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Chang NYN, Dillas T, Fried D. Assessing lesion activity of secondary lesions on extracted teeth by thermal dehydration measurement and optical coherence tomography. Proc SPIE Int Soc Opt Eng 2022; 11942:1194204. [PMID: 35450401 PMCID: PMC9020384 DOI: 10.1117/12.2608291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Secondary caries occurs when leakage in the interfaces between restorative materials and tooth structure allow fluid and bacterial acid infiltration. Thermal imaging coupled with dehydration can be used to measure this increase in fluid permeability for secondary lesions in teeth. Thermal imaging exploits the temperature change due to water evaporation during dehydration to measure the rate of water diffusion from porous lesion areas. Previous in vitro and in vivo thermal imaging studies on enamel and root surfaces have been promising for assessing natural lesion activity. In this study, the rates of dehydration for secondary lesions on extracted teeth were measured. The secondary lesions were also assessed by optical coherence tomography (OCT) and correlated with dehydration rates to determine lesion activity. Future studies with μCT will be used to further confirm lesion severity and structure.
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Affiliation(s)
- Nai-Yuan N Chang
- University of California, San Francisco, San Francisco, CA 94143-0758, U.S.A
| | - Tina Dillas
- University of California, San Francisco, San Francisco, CA 94143-0758, U.S.A
| | - Daniel Fried
- University of California, San Francisco, San Francisco, CA 94143-0758, U.S.A
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16
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Gauthier R, Aboulleil H, Chenal JM, Chevalier J, Colon P, Grosgogeat B. Consideration of Dental Tissues and Composite Mechanical Properties in Secondary Caries Development: A Critical Review. J Adhes Dent 2021; 23:297-308. [PMID: 34269540 DOI: 10.3290/j.jad.b1649941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Different kinds of interactions between the restorative material and mineralized dental tissues result in secondary caries around dental composites. Of these, the mechanical interactions have to be carefully investigated. Due to the elastic mismatch between dental tissues and the composite restoration, complex stresses and strains develop at their interface. This complex mechanical environment disturbs the demineralization-remineralization equilibrium of dental hard tissues. The fluid flow both over and within enamel and dentin, associated with their complex ultrastructure and mechanical behavior, is a key factor. It is known that external mechanical loading can indirectly promote the dissolution of enamel and dentin through a pumping action of cariogenic fluids in and out of microgaps at the interface between mineralized tissues and composite. Mechanical loading can also directly influence the physicochemical behavior of dental hard tissues by inducing complex strain and stress fields on the crystal scale. It is important to consider both the direct and indirect paths by which mechanical loading can influence the apatite dissolution kinetics. Therefore, a systematic approach should be used to investigate the mechanism of secondary caries formation considering the tooth-composite interface as a unique complex in which each element has an influence on the other.
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17
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Balhaddad AA, Garcia IM, Mokeem L, Ibrahim MS, Collares FM, Weir MD, Xu HHK, Melo MAS. Bifunctional Composites for Biofilms Modulation on Cervical Restorations. J Dent Res 2021; 100:1063-1071. [PMID: 34167373 DOI: 10.1177/00220345211018189] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Cervical composites treating root carious and noncarious cervical lesions usually extend subgingivally. The subgingival margins of composites present poor plaque control, enhanced biofilm accumulation, and cause gingival irritation. A potential material to restore such lesions should combine agents that interfere with bacterial biofilm development and respond to acidic conditions. Here, we explore the use of new bioresponsive bifunctional dental composites against mature microcosm biofilms derived from subgingival plaque samples. The designed formulations contain 2 bioactive agents: dimethylaminohexadecyl methacrylate (DMAHDM) at 3 to 5 wt.% and 20 wt.% nanosized amorphous calcium phosphate (NACP) in a base resin. Composites with no DMAHDM and NACP were used as controls. The newly formulated 5% DMAHDM-20% NACP composite was analyzed by micro-Raman spectroscopy and transmission electron microscopy. The wettability and surface-free energy were also assessed. The inhibitory effect on the in vitro biofilm growth and the 16S rRNA gene sequencing of survival bacterial colonies derived from the composites were analyzed. Whole-biofilm metabolic activity, polysaccharide production, and live/dead images of the biofilm grown over the composites complement the microbiological assays. Overall, the designed formulations had higher contact angles with water and lower surface-free energy compared to the commercial control. The DMAHDM-NACP composites significantly inhibited the growth of total microorganisms, Porphyromonas gingivalis, Prevotella intermedia/nigrescens, Aggregatibacter actinomycetemcomitans, and Fusobacterium nucleatum by 3 to 5-log (P < 0.001). For the colony isolates from control composites, the composition was typically dominated by the genera Veillonella, Fusobacterium, Streptococcus, Eikenella, and Leptotrichia, while Fusobacterium and Veillonella dominated the 5% DMAHDM-20% NACP composites. The DMAHDM-NACP composites contributed to over 80% of reduction in metabolic and polysaccharide activity. The suppression effect on plaque biofilms suggested that DMAHDM-NACP composites might be used as a bioactive material for cervical restorations. These results may propose an exciting path to prevent biofilm growth and improve dental composite restorations' life span.
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Affiliation(s)
- A A Balhaddad
- Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD, USA.,Department of Restorative Dental Sciences, Imam Abdulrahman Bin Faisal University, College of Dentistry, Dammam, Saudi Arabia
| | - I M Garcia
- Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD, USA.,Department of Dental Materials, School of Dentistry, Federal University of Rio Grande do Sul, Rio Branco, Porto Alegre, RS, Brazil
| | - L Mokeem
- Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - M S Ibrahim
- Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD, USA.,Department of Preventive Dental Sciences, Imam Abdulrahman Bin Faisal University, College of Dentistry, Dammam, Saudi Arabia
| | - F M Collares
- Department of Dental Materials, School of Dentistry, Federal University of Rio Grande do Sul, Rio Branco, Porto Alegre, RS, Brazil
| | - M D Weir
- Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD, USA.,Biomaterials & Tissue Engineering Division, Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - H H K Xu
- Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD, USA.,Biomaterials & Tissue Engineering Division, Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - M A S Melo
- Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD, USA.,Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD, USA
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18
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Ferracane JL, Lawson NC. Probing the hierarchy of evidence to identify the best strategy for placing class II dental composite restorations using current materials. J ESTHET RESTOR DENT 2020; 33:39-50. [PMID: 33206440 DOI: 10.1111/jerd.12686] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 11/02/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The objective of this review is to present a synopsis of the existing clinical and in vitro evidence regarding placement of direct class II restorations with dental composites of varying viscosities, focusing on the marginal integrity achievable. OVERVIEW The literature on class II composites placed with various techniques was searched through PubMed, Scopus, and the citations of identified articles, focusing on aspects related to adaptation and clinical performance. Studies comparing layering of conventional composite to layering with a flowable liner, including the "snow plow technique," use of warmed composite, flowable bulk-fill liners with a conventional composite capping layer, and bulk-fill restorative in a single or incremental fill (including placement with sonic energy and dual-curing) CONCLUSIONS: In vitro and clinical evidence does not support any one specific method or material type for achieving optimal performance when restoring class II cavity preparations with current dental composites. CLINICAL SIGNIFICANCE Although there are many available placement methods and types of composite materials on the market for use in class II restorations, the reasonable success presented in the clinical and laboratory literature for the various approaches suggests that the most important factor for achieving success is likely careful and proper placement and light-curing technique, independent of the approach.
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Affiliation(s)
- Jack L Ferracane
- Department of Restorative Dentistry, Oregon Health and Science University, School of Dentistry, Portland, Oregon, USA
| | - Nathaniel C Lawson
- Division of Biomaterials, University of Alabama at Birmingham, School of Dentistry, Birmingham, Alabama, USA
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19
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Zhou W, Peng X, Zhou X, Bonavente A, Weir MD, Melo MAS, Imazato S, Oates TW, Cheng L, Xu HHK. Novel Nanocomposite Inhibiting Caries at the Enamel Restoration Margins in an In Vitro Saliva-Derived Biofilm Secondary Caries Model. Int J Mol Sci 2020; 21:ijms21176369. [PMID: 32887330 PMCID: PMC7503730 DOI: 10.3390/ijms21176369] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 08/29/2020] [Accepted: 08/30/2020] [Indexed: 12/14/2022] Open
Abstract
Secondary caries often occurs at the tooth-composite margins. This study developed a novel bioactive composite containing DMAHDM (dimethylaminohexadecyl methacrylate) and NACP (nanoparticles of amorphous calcium phosphate), inhibiting caries at the enamel restoration margins in an in vitro saliva-derived biofilm secondary caries model for the first time. Four composites were tested: (1) Heliomolar nanocomposite, (2) 0% DMAHDM + 0% NACP, (3) 3% DMAHDM + 0% NACP, (D) 3% DMAHDM + 30% NACP. Saliva-derived biofilms were tested for antibacterial effects of the composites. Bovine enamel restorations were cultured with biofilms, Ca and P ion release of nanocomposite and enamel hardness at the enamel restoration margins was measured. Incorporation of DMAHDM and NACP into composite did not affect the mechanical properties (p > 0.05). The biofilms’ CFU (colony-forming units) were reduced by 2 logs via DMAHDM (p < 0.05). Ca and P ion release of the nanocomposite was increased at cariogenic low pH. Enamel hardness at the margins for DMAHDM group was 25% higher than control (p < 0.05). With DMAHDM + NACP, the enamel hardness was the greatest and about 50% higher than control (p < 0.05). Therefore, the novel composite containing DMAHDM and NACP was strongly antibacterial and inhibited enamel demineralization, resulting in enamel hardness at the margins under biofilms that approached the hardness of healthy enamel.
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Affiliation(s)
- Wen Zhou
- State Key Laboratory of Oral Diseases, Department of Operative Dentistry and Endodontics, West China School of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University, Chengdu 610041, China; (W.Z.); (X.P.); (X.Z.)
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School, Baltimore, MD 21201, USA; (A.B.); (M.D.W.); (M.A.S.M.); (T.W.O.)
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Lab of Fujian College and University, School of Stomatology, Fujian Medical University, Fuzhou 350002, China
| | - Xinyu Peng
- State Key Laboratory of Oral Diseases, Department of Operative Dentistry and Endodontics, West China School of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University, Chengdu 610041, China; (W.Z.); (X.P.); (X.Z.)
| | - Xuedong Zhou
- State Key Laboratory of Oral Diseases, Department of Operative Dentistry and Endodontics, West China School of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University, Chengdu 610041, China; (W.Z.); (X.P.); (X.Z.)
| | - Andrea Bonavente
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School, Baltimore, MD 21201, USA; (A.B.); (M.D.W.); (M.A.S.M.); (T.W.O.)
| | - Michael D. Weir
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School, Baltimore, MD 21201, USA; (A.B.); (M.D.W.); (M.A.S.M.); (T.W.O.)
| | - Mary Anne S. Melo
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School, Baltimore, MD 21201, USA; (A.B.); (M.D.W.); (M.A.S.M.); (T.W.O.)
| | - Satoshi Imazato
- Department of Biomaterials Science, Osaka University Graduate School of Dentistry, Osaka 565-0871, Japan;
| | - Thomas W. Oates
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School, Baltimore, MD 21201, USA; (A.B.); (M.D.W.); (M.A.S.M.); (T.W.O.)
| | - Lei Cheng
- State Key Laboratory of Oral Diseases, Department of Operative Dentistry and Endodontics, West China School of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University, Chengdu 610041, China; (W.Z.); (X.P.); (X.Z.)
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School, Baltimore, MD 21201, USA; (A.B.); (M.D.W.); (M.A.S.M.); (T.W.O.)
- Correspondence: (L.C.); (H.H.K.X.)
| | - Hockin H. K. Xu
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School, Baltimore, MD 21201, USA; (A.B.); (M.D.W.); (M.A.S.M.); (T.W.O.)
- Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
- Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD 21201, USA
- Correspondence: (L.C.); (H.H.K.X.)
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Nanda KJ, Naik S. An In-Vitro Comparative Evaluation of Pre-treatment With Nano-Silver Fluoride on Inhibiting Secondary Caries at Tooth Restoration Interface. Cureus 2020; 12:e7934. [PMID: 32494540 PMCID: PMC7265756 DOI: 10.7759/cureus.7934] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Introduction and aim Dental caries is the global burden worldwide and has a negative effect on the quality of life. Restorative materials in pediatric dentistry have shown satisfactory properties; however, the highest failures are still reported due to the occurrence of secondary caries. The article aims to assess the effectiveness of pre-treatment with nano-silver fluoride (NSF) in inhibiting secondary caries at the tooth restoration interface. Materials and methods Forty tooth specimens were prepared from 20 newly extracted human premolar teeth by sectioning the tooth mesiodistally. Class V cavities were prepared on each specimen at enamel dentin junction. Specimens were randomly distributed into four groups (n=10): 1) glass ionomer cement (GIC) restoration, 2) composite restoration 3) NSF pre-treatment + GIC restoration, 4) NSF pre-treatment + composite restoration. After sterilization, specimens were subjected to artificial caries formation by pH cycling method for 14 days. Specimens were sectioned and mounted to evaluate the demineralization by using the Vickers microhardness test. Outer lesion depth was measured at the tooth restoration interface on digital radiographs. Data was analyzed using Student unpaired t-test, one-way ANOVA, and Tukey honestly significant difference (HSD) post hoc test. Results The mean microhardness value of pre-treated GIC and composite group with NSF was more than the non-treated NSF group, with a significant difference at the enamel, indicating lesser demineralization. Outer lesion depth was lesser in the pre-treated group showing better tooth restoration integrity with a statistically significant difference between the groups. Conclusion Pre-treatment with NSF is beneficial in increasing the resistance of GIC and composite resin restoration to secondary caries formation.
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Affiliation(s)
- Konica J Nanda
- Department of Pedodontics and Preventive Dentistry, D.Y. Patil University School of Dentistry, Mumbai, IND
| | - Shilpa Naik
- Department of Pedodontics and Preventive Dentistry, D.Y. Patil University School of Dentistry, Mumbai, IND
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Abstract
Aim: To describe the distribution of enamel-, dentin-, root- and secondary caries within an elderly population in Northern-Norway.Material and methods: A study population (n = 1 173) was divided into age groups: 65-69 (seniors), 70-74 (young elderly), 75-79 (elderly) and 80-94 (old elderly). Seven examiners registered presence, location and severity of caries lesions on x-rays and intra-oral photos. Severity of approximal, occlusal, secondary and root caries was graded (D1-2: into enamel; D3-5: into dentin, root caries), and decayed missing filled surfaces/teeth (DMFS/DMFT) were calculated. T-test, ANOVA and a Bonferroni correction were used.Results: The seniors had more primary caries (DS1-5) compared to the oldest age groups, while the old elderly had significantly more secondary caries than the other groups (p < .05). Of those ≥65 years 13.8% were affected with root caries, 21% among the oldest. About 48% of the old elderly had one or more surfaces with untreated caries lesions into dentin, while for the other groups the number was 35% (p < 0.05).Conclusion: Individuals seem to maintain good oral health up to at least 80 years of age. Those older than 80 years have more root caries needing more intensified caries-controlling measures and a higher prevalence of untreated dentin lesions often in need of operative treatment.
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Affiliation(s)
- Aida Mulic
- Nordic Institute of Dental Materials, NIOM, Oslo, Norway
| | - Anne B. Tveit
- Public Dental Service Competence Centre of Northern Norway, TkNN, Tromsø, Norway
| | | | - Nils Oscarson
- Public Dental Service Competence Centre of Northern Norway, TkNN, Tromsø, Norway
| | - Frode Staxrud
- Nordic Institute of Dental Materials, NIOM, Oslo, Norway
| | - Birgitta Jönsson
- Public Dental Service Competence Centre of Northern Norway, TkNN, Tromsø, Norway
- Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
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Kreth J, Ferracane J, Pfeifer C, Khajotia S, Merritt J. At the Interface of Materials and Microbiology: A Call for the Development of Standardized Approaches to Assay Biomaterial-Biofilm Interactions. J Dent Res 2019; 98:850-852. [PMID: 31173560 PMCID: PMC6616120 DOI: 10.1177/0022034519854685] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Affiliation(s)
- J. Kreth
- Department of Restorative Dentistry, School of Dentistry, Oregon Health and Science University, Portland, OR, USA
- Department of Molecular Microbiology and Immunology, Oregon Health and Science University, Portland, OR, USA
| | - J.L. Ferracane
- Department of Restorative Dentistry, School of Dentistry, Oregon Health and Science University, Portland, OR, USA
| | - C.S. Pfeifer
- Department of Restorative Dentistry, School of Dentistry, Oregon Health and Science University, Portland, OR, USA
| | - S. Khajotia
- Department of Restorative Sciences, College of Dentistry, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - J. Merritt
- Department of Restorative Dentistry, School of Dentistry, Oregon Health and Science University, Portland, OR, USA
- Department of Molecular Microbiology and Immunology, Oregon Health and Science University, Portland, OR, USA
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Abbatepaulo GL, Gangana TMMC, Martinez EF, Turssi CP, França FMG, Amaral FLB, Basting RT. TiF4 Incorporated into a Self-etching Primer in Different Concentrations: Antimicrobial Properties and Effects on Demineralisation Inhibition Around the Restoration/Enamel-Dentin Interface. Oral Health Prev Dent 2019; 17:57-67. [PMID: 30793123 DOI: 10.3290/j.ohpd.a41978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
PURPOSE To apply titanium tetrafluoride (TiF4) in an aqueous solution or incorporated into the primer of a self-etching adhesive (Clearfil SE Bond) as dentin pre-treatment and evaluate its antimicrobial effect, determine the minimum bactericidal concentraion (MBC) against Streptococcus mutans and Lactobacillus casei and analyse its potential to inhibit the development of carious lesions at the restoration interface. MATERIALS AND METHODS For MBC, an aqueous solution or primer with different concentrations (in %) of TiF4 were used (from 0.0 to 4.0). Also, 50 cavities were prepared at the enamel/dentin junction of third molars and received the following dentin pre-treatments (n = 10): Clearfil SE Bond (CL); aqueous solution of 2.5% TiF4 + CL (T2.5%); aqueous solution of 4% TiF4 + CL (T4%); 2.5% TiF4 incorporated into the primer (P2.5%); 4% TiF4 incorporated into the primer (P4%). Cavities were restored and submitted to pH cycling to create artificial caries lesions. Microhardness tests were performed after sectioning the restorations to assess the demineralisation at margins. RESULTS ANOVA and Tukey's tests showed that TiF4 in aqueous solution presented MBC against S. mutans and L. casei of over 2.0%. TiF4 in the primer of a self-etching adhesive presented MBC of over 1% for L. casei. For enamel, CL showed no significant differences in microhardness between the depths. CONCLUSIONS The aqueous solution had an antimicrobial effect against Streptococcus mutans and Lactobacillus casei of over 2.0%. Pretreatment with the aqueous solution or primer did not inhibit demineralisation at enamel or dentin restoration interfaces.
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Kuper NK, Hollanders ACC, Dekkers EAM, Maske TT, Huysmans MCDNJM, Cenci MS. Aging Reduces the Anticaries Effect of Antibacterial Adhesive - An In Vitro Biofilm Study. J Adhes Dent 2019; 21:365-372. [PMID: 31432051 DOI: 10.3290/j.jad.a42999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
PURPOSE This in vitro study investigated whether aging different restorative materials influences secondary caries development using a short-term in vitro biofilm model, hypothesizing that the antibacterial adhesive employed may lose its effect over time. MATERIALS AND METHODS Sixty enamel-dentin blocks were divided into 6 groups with n = 10 per group. The groups were restored with three different restorative materials, of which each sample contained an artificial gap: composite with conventional adhesive (CCA; negative control), composite with an antibacterial adhesive (CAA), and amalgam (A; positive control). Half of the groups were prepared fresh and half of the groups were submitted to an aging protocol consisting of water storage, thermocycling, storage in human saliva, and storage in 0.9% saline solution. All specimens were subjected to an intermittent 1% sucrose biofilm model for 20 days to create artificial caries lesions. Lesion progression in the enamel and dentin next to the different materials was measured as lesion depth (LD) and mineral loss (ML), using transverse wavelength independent microradiography (T-WIM). Regression analysis was used to evaluate the effect of aging on LD and ML per restorative material, corrected for gap size. RESULTS In the amalgam group, aging led to shallower lesions and less mineral loss. Fresh amalgam samples showed an average lesion depth of 156.65 ± 39.18 µm at wall dentin locations. Aged amalgam samples had an average lesion depth of 73.42 ± 73.50 µm. Fresh CAA samples showed lower average surface mineral loss values (9104 ± 2631 µm•vol%) than did fresh CCA samples (13166 ± 4769 µm•vol%). After aging, this effect was absent, and the average mineral loss in the CAA group was 13382 ± 5586 µm•vol%, while in the CCA group it was 15518 ± 9283 µm•vol%. CONCLUSION Aging can influence secondary caries development either positively or negatively depending on the kind of restorative material. Antibacterial adhesives may lose their effectiveness over time.
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Abstract
BACKGROUND The occurrence of secondary caries is the most common reason for the restorations failures. AIM The aim of the study was to evaluate and compare the anticaries effect of copper ions on the teeth restored with glass ionomer cement (GIC) and composite restorations in the cavity prepared by galvanic and sintered burs. MATERIALS AND METHODS A total of 40 premolars were divided into two halves buccolingually. Class V cavity was prepared with sintered diamond burs and galvanic diamond bur. Cavities were restored with either GIC or composite resin. The monospecies artificial microbial caries model was selected for induction of secondary caries. The lesions were measured at junction of restoration by confocal laser scanning microscope. RESULTS The results were statistically significant (P < 0.001) and suggested that the width of lesion was lowest in cavity prepared by sintered bur and restored with composite resin. CONCLUSION The use of different burs in combination with various restorative materials influence the occurrence and width of caries lesion.
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Affiliation(s)
- Nilesh V. Rathi
- Department of Pedodontics and Preventive Dentistry, Sharad Pawar Dental College, DMIMS, Wardha, Maharashtra, India
| | - Manoj G. Chandak
- Department of Conservative and Endodontics, Sharad Pawar Dental College, DMIMS, Wardha, Maharashtra, India
| | - Gargi A. Mude
- Department of Microbiology, Jawaharlal Nehru Medical College, DMIMS, Wardha, Maharashtra, India
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26
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Hegde NN, Attavar SH, Hegde MN, Priya G. Antibacterial activity of dental restorative material: An in vitro study. J Conserv Dent 2018; 21:42-46. [PMID: 29628646 PMCID: PMC5852934 DOI: 10.4103/jcd.jcd_2_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Revised: 11/22/2017] [Accepted: 12/03/2017] [Indexed: 11/04/2022] Open
Abstract
AIM The study evaluated the antibacterial effects of dental restorations such as nano-hybrid composite (Empress), a glass ionomer cement (GIC Gold label Type 9) and silver amalgam against Streptococcus mutans. MATERIALS AND METHODS A modified bacterial suspension within the material assay was used to study the antibacterial effects. A volume of 20 μl of bacterial suspensions were placed in a narrow conical cavity within the materials. They were incubated for 0, 3, 6, 12, 24, and 48 h at 37°C. After the incubation period, the number of viable cells in the suspension was evaluated. In liquid culture assay, growth inhibition was measured at A600 nm up to 6 h in bacterial suspensions treated with the eluates of the restorative materials. STATISTICAL ANALYSIS Kruskal-Wallis test and Mann-Whitney's test were performed to determine the significant differences between the control and restorative materials for given incubation periods at 5% level of significance (P < 0.05). RESULTS AND CONCLUSION After 6 h of incubation, all restorative materials showed an inhibitory effect when compared to the controls. Silver amalgam showed the highest inhibition, followed by GIC Type 9 and composite. Silver amalgam showed marked inhibition after 2 h in comparison to the other material groups. These techniques employed to study the antibacterial effects showed that the silver amalgam had the pronounced inhibitory effect followed by GIC and composite. Further research on these aspects is necessary to determine whether the material can prevent secondary caries formation.
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Affiliation(s)
- Nishmitha N. Hegde
- Department of Conservative Dentistry and Endodontics, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangaluru, Karnataka, India
| | - Shruthi H. Attavar
- Department of Conservative Dentistry and Endodontics, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangaluru, Karnataka, India
| | - Mithra N. Hegde
- Department of Conservative Dentistry and Endodontics, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangaluru, Karnataka, India
| | - G. Priya
- Department of Conservative Dentistry and Endodontics, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangaluru, Karnataka, India
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27
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Zhao IS, Mei ML, Burrow MF, Lo ECM, Chu CH. Effect of Silver Diamine Fluoride and Potassium Iodide Treatment on Secondary Caries Prevention and Tooth Discolouration in Cervical Glass Ionomer Cement Restoration. Int J Mol Sci 2017; 18:E340. [PMID: 28178188 PMCID: PMC5343875 DOI: 10.3390/ijms18020340] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Revised: 01/29/2017] [Accepted: 01/31/2017] [Indexed: 11/17/2022] Open
Abstract
This study investigated the effect of silver diamine fluoride (SDF) and potassium iodide (KI) treatment on secondary caries prevention and tooth discolouration in glass ionomer cement (GIC) restoration. Cervical GIC restorations were done on 30 premolars with: Group 1, SDF + KI; Group 2, SDF (positive control); Group 3, no treatment (negative control). After cariogenic biofilm challenge, the demineralisation of dentine adjacent to the restoration was evaluated using micro-computed tomography (micro-CT) and Fourier transform infrared (FTIR) spectroscopy. The colour of dentine adjacent to the restoration was assessed using CIELAB system at different time points. Total colour change (∆E) was calculated and was visible if ∆E > 3.7. Micro-CT showed the outer lesion depths for Groups 1, 2 and 3 were 91 ± 7 µm, 80 ± 7 µm and 119 ± 8 µm, respectively (p < 0.001; Group 2 < Group 1 < Group 3). FTIR found that there was a significant difference in amide I-to-hydrogen phosphate ratio among the three groups (p < 0.001; Group 2 < Group 1 < Group 3). ∆E of Groups 1, 2 and 3 after biofilm challenge were 22.5 ± 4.9, 70.2 ± 8.3 and 2.9 ± 0.9, respectively (p < 0.001; Group 3 < Group 1 < Group 2). SDF + KI treatment reduced secondary caries formation on GIC restoration, but it was not as effective as SDF treatment alone. Moreover, a perceptible staining on the restoration margin was observed, but the intensity of discolouration was less than that with solely SDF treatment.
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Affiliation(s)
- Irene Shuping Zhao
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China.
| | - May Lei Mei
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China.
| | - Michael F Burrow
- Melbourne Dental School, University of Melbourne, Melbourne 3010, Australia.
| | - Edward Chin-Man Lo
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China.
| | - Chun-Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China.
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Kirsch J, Tchorz J, Hellwig E, Tauböck T, Attin T, Hannig C. Decision criteria for replacement of fillings: a retrospective study. Clin Exp Dent Res 2016; 2:121-128. [PMID: 29744158 PMCID: PMC5839197 DOI: 10.1002/cre2.30] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Revised: 03/09/2016] [Accepted: 03/14/2016] [Indexed: 12/04/2022] Open
Abstract
The exchange of restorations goes along with the loss of healthy tooth structure. Therefore, it is important to investigate helpful decision criteria for the replacement of fillings. Five hundred forty-four filling replacements were evaluated retrospectively. Thereby, different clinical parameters were correlated with the clinical finding of caries directly after removal of the existing filling. The parameters checked for correlations were amalgam and composite, age, and size of the filling, morphology, condition of the filling, type of caries, oral hygiene, anamnesis of the respective tooth, and the decisive factor to replace the restoration. Statistical evaluation was performed by chi-squared-test (P < 0,05) and by regression analysis (Power: 80%). A percentage of 69.8% of all cavities showed softened dentin if exploring with the probe after the removal of the restoration, 7.6% were stainable with caries detector, and 22.6% of the cavities were caries free. Significant indicators for a carious lesion were high age of restoration, imperfections at the margin of the filling, a positive pain sensation in correlation with composite fillings, and multi-surface amalgam fillings. On suspicion of caries, the following decision criteria should encourage the dentist to remove a filling: High age of the filling, imperfections at the margin of the filling, especially fillings with marginal cracks, visible secondary caries, a positive pain sensation in composite filled teeth, and multi-surface amalgam fillings. Filling removals only performed due to the patient's desire for removal should be critically regarded, as most of these fillings are caries free.
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Affiliation(s)
- J. Kirsch
- Clinic of Operative Dentistry, Medical Faculty Carl Gustav CarusDresden University of TechnologyD‐01307DresdenGermany
| | - J. Tchorz
- Department of Operative Dentistry and PeriodontologyUniversity of FreiburgD‐79106FreiburgGermany
- Centre for Operative Dentistry and Periodontology, University of Dental Medicine and Oral HealthDanube Private University (DPU)AT‐3500Krems an der DonauAustria
| | - E. Hellwig
- Department of Operative Dentistry and PeriodontologyUniversity of FreiburgD‐79106FreiburgGermany
| | - T.T. Tauböck
- Clinic of Preventive Dentistry, Periodontology and CariologyUniversity of ZürichCH‐8028ZürichSwitzerland
| | - T. Attin
- Clinic of Preventive Dentistry, Periodontology and CariologyUniversity of ZürichCH‐8028ZürichSwitzerland
| | - C. Hannig
- Clinic of Operative Dentistry, Medical Faculty Carl Gustav CarusDresden University of TechnologyD‐01307DresdenGermany
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Kuper NK, Opdam NJM, Ruben JL, de Soet JJ, Cenci MS, Bronkhorst EM, Huysmans MCDNJM. Gap size and wall lesion development next to composite. J Dent Res 2014; 93:108S-113S. [PMID: 24801597 DOI: 10.1177/0022034514534262] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This in situ study investigated whether there is a relationship between gap size and wall lesion development in dentin next to 2 composite materials, and whether a clinically relevant threshold for the gap size could be established. For 21 days, 14 volunteers wore a modified occlusal splint containing human dentin samples with 5 different interfaces: 4 gaps of 50 µm, 100 µm, 200 µm, or 400 µm and 1 non-bonded interface without a gap. Eight times a day, the splint with samples was dipped in a 20% sucrose solution for 10 minutes. Before and after caries development, specimens were imaged with transversal wavelength-independent microradiography (T-WIM), and lesion depth (LD) and mineral loss (ML) were calculated at the 5 different interfaces. After correction for the confounder location (more mesial or distal), a paired t test clustered within volunteers was performed for comparison of gap widths. Results showed no trend for a relationship between the corrected lesion depth and the gap size. None of the differences in lesion depth for the different gap sizes was statistically significant. Also, the composite material (AP-X or Filtek Supreme) gave no statistically significant differences in lesion depth and mineral loss. A minimum gap size could not be established, although, in a non-bonded interface without a measurable gap, wall lesion development was never observed.
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Affiliation(s)
- N K Kuper
- College of Dental Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, the Netherlands
| | - N J M Opdam
- College of Dental Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, the Netherlands
| | - J L Ruben
- College of Dental Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, the Netherlands
| | - J J de Soet
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, the Netherlands
| | - M S Cenci
- Federal University of Pelotas, School of Dentistry, Gonçalves Chaves, 457, 5th floor, Pelotas, 96015560, Brazil
| | - E M Bronkhorst
- College of Dental Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, the Netherlands
| | - M C D N J M Huysmans
- College of Dental Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, the Netherlands
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Feng X. [Cause of secondary caries and prevention]. Hua Xi Kou Qiang Yi Xue Za Zhi 2014; 32:107-110. [PMID: 24881200 PMCID: PMC7030805 DOI: 10.7518/hxkq.2014.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/08/2013] [Revised: 01/15/2014] [Indexed: 06/03/2023]
Abstract
Secondary caries is a disease that occurs on the tooth after the filling has been used for a period of time. Secondary caries is also the main reason for the replacement of dental restorations. Regardless of the material used for fillings, secondary caries cannot be completely avoided. The proportion of secondary caries is very high after filling in permanent teeth or primary teeth. Secondary caries mainly occurs because of the formation of micro cracks after filling. When the micro crack width exceeds 50 microm, saliva will enter the micro cracks between the filling and tooth tissue. The cariogenic bacteria in the saliva will grow when the environment of micro cracks is appropriate, thereby producing secondary caries. The prevention of secondary caries includes micro crack control, fluoride use, teeth cleaning, tooth decay and gum disease treatment, and regular checkups.
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Muliyar S, Shameem KA, Thankachan RP, Francis PG, Jayapalan CS, Hafiz KAA. Microleakage in endodontics. J Int Oral Health 2014; 6:99-104. [PMID: 25628496 PMCID: PMC4295468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2014] [Accepted: 08/15/2014] [Indexed: 11/20/2022] Open
Abstract
A three-dimensional obturation and complete coronal and apical seal is one the important aims of root canal treatment. Since microorganisms may remain in the root canal system after instrumentation, a tight apical seal is desired to prevent bacteria and their by-products from invading the apex. A perfect apical seal is also desired to prevent apical percolation. One of the major objectives of tooth restoration is the protection of exposed dentine against bacteria and their toxins. The interface between the restoration and dental hard tissue is an area of clinical concern as insufficient sealing can result in marginal discoloration, secondary caries, and pulpitis. For that reason, adequate sealing is essential for the optimal clinical performance Prevention of microleakage in endodontically treated teeth is most important for patients who rely on the combined expertise and quality care of dentist/endodontist colleagues. Microleakage is arguably the single most important risk factor for apical periodontitis.
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Affiliation(s)
- Sabir Muliyar
- Professor & Head, Department of Conservative Dentistry, MES Dental College, Perinthalmanna, Palachode, Malappuram, Kerala, India,Correspondence: Dr. Muliyar S. MES Dental College, Perinthalmanna, Palachode, Malappuram - 679 338, Kerala, India.
| | - K Abdul Shameem
- Professor, Department of Conservative Dentistry, MES Dental College, Perinthalmanna, Palachode, Malappuram, Kerala, India
| | - Rekha P Thankachan
- Professor, Department of Conservative Dentistry, MES Dental College, Perinthalmanna, Palachode, Malappuram, Kerala, India
| | - P G Francis
- Professor & Head, Department of Orthodontics, MES Dental College, Perinthalmanna, Palachode, Malappuram, Kerala, India
| | - C S Jayapalan
- Professor & Head, Department of Oral Pathology, MES Dental College, Perinthalmanna, Palachode, Malappuram, Kerala, India
| | - K A Abdul Hafiz
- Professor & Head, Department of Pedodontics, MES Dental College, Perinthalmanna, Palachode, Malappuram, Kerala, India
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