Microbiological and SEM assessment of atraumatic restorative treatment in adult dentition
Küçük Resim Yok
Tarih
2021
Yazarlar
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