Microbiological and SEM assessment of atraumatic restorative treatment in adult dentition

Küçük Resim Yok

Tarih

2021

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Springer Heidelberg

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Objectives To investigate the practicability of atraumatic restorative treatment (ART) in adults in terms of marginal adaptation of restorations and microbiological changes in residual carious dentin. Materials and methods The occlusal dentin caries of 25 permanent molar teeth were removed with hand instruments. The total counts of bacteria (TCB) and the facultative anaerobic bacteria (FAB), mutans streptococci (MS), and Lactobacillus spp. (LB) counts in the affected dentin were evaluated quantitatively. The weights of the samples were measured with an electronic balance (Shimadzu, Type AX200, Japan). The cavities were restored with glass ionomer cement (Ketac(TM) Molar Easymix, ESPE Dental AG, Seefeld, Germany). Twenty replicas of randomly selected ART restorations were prepared and marginal adaptation was evaluated by scanning electron microscopy (SEM). After 6 months, the same protocols were repeated. Data were analyzed with paired sample t-tests, Wilcoxon t-tests, Pearson and Spearman correlations, and chi-square tests (p<0.05). Results In the sixth month, restoration loss and pulpitis were not observed. The mean weight of samples removed from the cavity floor was less than the baseline (0.014 +/- 0.009 and 0.023 +/- 0.013 g, respectively) (p<0.01), and the counts of total bacteria, FAB, MS, and LB significantly decreased compared to baseline (p<0.01). The frequency of marginal gaps was increased (p< 0.01). Conclusions ART showed that the counts of microorganisms decreased after 6 months although the marginal gap rates of restorations increased.

Açıklama

Anahtar Kelimeler

Atraumatic Restorative Treatment, Dentin Caries, Glass Ionomer Cement, Microbiology, Marginal Adaptation, Glass-Ionomer Cements, Deep Carious Lesions, Antibacterial Activity, Physical-Properties, In-Vivo, Marginal Microleakage, Mutans Streptococci, Art Restorations, Caries Lesions, Primary Molars

Kaynak

Clinical Oral Investigations

WoS Q Değeri

Q2

Scopus Q Değeri

Q1

Cilt

25

Sayı

12

Künye