[Method of dental cavity lining with condensable plastic granules].
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The aim of this study was to determine which dental cavity lining material exhibited least microleakage when used under amalgam. Extracted premolar teeth, prepared with Class II cavities, had one of three lining materials (cavity varnish, zinc oxide-eugenol or light-cured glass-ionomer) placed. Following restoration the teeth were immersed in eosin and sectioned. Sections were subjected to image analysis measuring the linear leakage and area of spread into coronal dentine. Percentages in relation to restoration length and the area of crown dentine were calculated. Light-cured glass-ionomer cement liner significantly (P < 0.05) reduced all aspects of the microleakage parameters studied.
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The growing demand of patients for esthetic or metal-free restorations, together with the ongoing interest of the dental profession for tissue-preserving materials have led to the actual development of posterior adhesive restorations. It is now clearly established that a new biomimetic approach to restorative dentistry is possible through the structured use of "tooth-like" restorative materials (composite resins and porcelain) and the generation of a hard tissue bond (enamel and dentin bonding). Scientific studies and clinical experience have validated use of bonded tooth-colored restorations, and we may have entered the so-called "postamalgam era". These significant changes have already impacted daily general practice, including pediatric dentists in California, but it is now critical to assure that the corresponding evidence-based process is integrated to the predoctoral programs statewide and nationwide. This paper reviews the foundations of this evolution, based on maximum tissue preservation and sound biomechanics, the so-called "biomimetic principle". Using scientific evidence and clinical experience, a model for the adequate use of current restorative systems is presented. This work, illustrated with cases with up to 10 and 14 years' follow-up, sets the ground rules for the clinical performance of the posterior esthetic restoration. Important considerations about tooth preparation, matrix techniques, layering methods, immediate dentin sealing and base lining are presented.
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BACKGROUND: Polymerisation shrinkage and the associated stress on composite resins and surrounding structures have been regarded as a major cause of leakage and clinical failures in modern polymer restorations. The purpose of this study was to investigate the effect of an additional flowable compomer layer on the microleakage of Class V dental cavities, which were further filled with a compomer. METHOD: Cavities (32) were prepared in human premolars, conditioned with a non-rinsing agent (Prime & Bond NRC) and treated with the bonding agent (Prime & Bond NT). Sixteen of these cavities were then lined with a layer of flowable compomer (Dyract Flow, approximately 0.5 mm) and further filled with Dyract AP. The other 16 cavities were filled without the flowable compomer. The specimens were thermo-cycled in a 0.5% basic fuchsin solution, sectioned and evaluated for dye penetration using a scoring system of 0 to 4. RESULTS: Lower microleakage values were found at the enamel as well as at the dentine sides when a layer of Dyract Flow was used as a liner. Furthermore, significantly (p < 0.05) lower microleakage was found in enamel than in dentine for both layered and unlayered restorations. CONCLUSION: It can be concluded that a layer of flowable compomer (i.e. Dyract Flow) in a cavity under a compomer may be recommended to improve the marginal seal of a restoration.
Cermet ionomer cements are sintered metal/glass powders, which can be made to react with poly(acids). These new cements are significantly more resistant to abrasion than regular glass ionomer cements and are widely accepted as core build-up materials and lining cements. They can strengthen teeth and provide the clinician with an opportunity to treat early dental caries.
There has been a swing toward using chemicals other than air and water for some areas of cavity preparation and cavity toilet. There also have been some new thoughts in the area of linings and bases. This is a discussion in clinical terms of the current concepts in the area between cutting of the cavity and insertion of the restoration.