The effect of etching on bacterial microleakage of an adhesive composite restoration

Objectives: The incidence of bacterial microleakage, pulp inflammation and necrosis associated with dentine etching treatments prior to restoration are not known. Consequently, to resolve some of the controversy surrounding the effects and importance of vital dentine etching, the authors investigate...

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Veröffentlicht in:Journal of dentistry 2002, Vol.30 (1), p.29-36
Hauptverfasser: Murray, Peter E, Smyth, Thomas W, About, Imad, Remusat, Remeille, Franquin, Jean-Claude, Smith, Anthony J
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container_end_page 36
container_issue 1
container_start_page 29
container_title Journal of dentistry
container_volume 30
creator Murray, Peter E
Smyth, Thomas W
About, Imad
Remusat, Remeille
Franquin, Jean-Claude
Smith, Anthony J
description Objectives: The incidence of bacterial microleakage, pulp inflammation and necrosis associated with dentine etching treatments prior to restoration are not known. Consequently, to resolve some of the controversy surrounding the effects and importance of vital dentine etching, the authors investigated these factors. Methods: 110 standardised class V cavities were cut into buccal dentine, without exposing the pulp of teeth scheduled for extraction for orthodontic reasons. Cavities were either left unetched, or etched with the non-equivalent treatments of phosphoric acid gel for 60 s or Ethylenediaminetetraacetic acid (EDTA) for 30 s, prior to placement of composite resin. Teeth were collected and pulp responses were evaluated according to ISO guidelines, using pathohistomorphometric analysis and ANOVA statistics. Results: Etching was found to be correlated to bacterial microleakage ( p=0.0001) and tertiary dentine formation ( p=0.0023). Bacterial microleakage was correlated to inflammatory activity ( p=0.0001). The frequency of bacterial microleakage was: no etching (65%), EDTA (51%) and phosphoric acid (PA) (20%). Significance: Vital dentine etching treatment is of extreme importance for the placement of RC to minimise bacterial microleakage. PA etching proved to be more effective at preventing bacterial microleakage than non-etching, and etching with EDTA.
doi_str_mv 10.1016/S0300-5712(01)00055-0
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Consequently, to resolve some of the controversy surrounding the effects and importance of vital dentine etching, the authors investigated these factors. Methods: 110 standardised class V cavities were cut into buccal dentine, without exposing the pulp of teeth scheduled for extraction for orthodontic reasons. Cavities were either left unetched, or etched with the non-equivalent treatments of phosphoric acid gel for 60 s or Ethylenediaminetetraacetic acid (EDTA) for 30 s, prior to placement of composite resin. Teeth were collected and pulp responses were evaluated according to ISO guidelines, using pathohistomorphometric analysis and ANOVA statistics. Results: Etching was found to be correlated to bacterial microleakage ( p=0.0001) and tertiary dentine formation ( p=0.0023). Bacterial microleakage was correlated to inflammatory activity ( p=0.0001). The frequency of bacterial microleakage was: no etching (65%), EDTA (51%) and phosphoric acid (PA) (20%). Significance: Vital dentine etching treatment is of extreme importance for the placement of RC to minimise bacterial microleakage. 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Consequently, to resolve some of the controversy surrounding the effects and importance of vital dentine etching, the authors investigated these factors. Methods: 110 standardised class V cavities were cut into buccal dentine, without exposing the pulp of teeth scheduled for extraction for orthodontic reasons. Cavities were either left unetched, or etched with the non-equivalent treatments of phosphoric acid gel for 60 s or Ethylenediaminetetraacetic acid (EDTA) for 30 s, prior to placement of composite resin. Teeth were collected and pulp responses were evaluated according to ISO guidelines, using pathohistomorphometric analysis and ANOVA statistics. Results: Etching was found to be correlated to bacterial microleakage ( p=0.0001) and tertiary dentine formation ( p=0.0023). Bacterial microleakage was correlated to inflammatory activity ( p=0.0001). The frequency of bacterial microleakage was: no etching (65%), EDTA (51%) and phosphoric acid (PA) (20%). 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identifier ISSN: 0300-5712
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subjects Acid Etching, Dental - methods
Adhesives
Adolescent
Adult
Analysis of Variance
Bisphenol A-Glycidyl Methacrylate
Child
Dental Leakage - complications
Dental Leakage - prevention & control
Dental Pulp Necrosis - etiology
Dental Restoration, Permanent
Dentin - drug effects
Dentin, Secondary - secretion
Dentin-Bonding Agents
Dentistry
Edetic Acid - pharmacology
Female
Humans
Inflammation
Life Sciences
Male
Microleakage
Odontoblasts - cytology
Phosphoric acid
Phosphoric Acids - pharmacology
Pulp
Pulpitis - etiology
Resin Cements
Smear Layer
title The effect of etching on bacterial microleakage of an adhesive composite restoration
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