Role of cavity varnishes and bases in the penetration of cement constituents through tooth structure.
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Biomedical subjects
Publications and source records attributed to M L Swartz.
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Thermal diffusion was measured in vitro and in vivo through amalgam and amalgam underlaid with bases of zinc phosphate, zinc oxide-eugenol, and calcium hydroxide cements. Although the magnitudes differed, there generally was good agreement between in vitro and in vivo data with respect to the relative rates of thermal diffusivity through amalgam restorations underlaid with bases of each of the three materials. In all tests, both in vitro and in vivo, the zinc oxide-eugenol base proved to be the best thermal insulator. Calcium hydroxide was the next best thermal barrier and was followed by zinc phosphate cement. In vitro tests indicated dentin to be a better thermal insulator than zinc phosphate cement but inferior to the zinc oxide-eugenol and calcium hydroxide base materials used here. Although a method has been presented here for the in vivo assessment of the efficacy of thermal insulating bases and a number of in vivo experiments were conducted, much research remains to be done in this area. Additional investigation is needed to better define the parameters of thermal change beneath various types of restoratives and also to establish more exactly the role of base thickness in providing thermal protection beneath clinical metallic restorations.
The data obtained in this in vitro study indicate that contact with pit and fissure sealants to which NaF has been added in amounts ranging from 2 to 5% substantially increases the fluoride content of the enamel and reduces its solubility in acid. The properties of the materials do not seem to be impaired by the addition of fluoride in these amounts. It thus appears that this approach to providing a backup anticariogenic mechanism may, indeed, be feasible. However, further investigation must be done to confirm the anticariogenic effect and to establish the most efficacious means of fluoride incorporation in the materials.
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