Purpose: This study aimed to evaluate the effects of 17% ethylenediaminetetraacetic acid (EDTA), 7% maleic acid (MA), and 10% citric acid (CA) on the push-out bond strength of ProRooT MTA and Endosequence Root Repair Material (ERRM) putty. Materials and methods: Eighty single-rooted extracted human teeth were instrumented to obtain a standardized immature teeth model. Based on the chelating agents tested, the specimens were randomly divided into three experimental groups: Group 1 (17% EDTA), Group 2 (7% MA), Group 3 (10% CA), and Group 4 (Positive Control) (n=20 for each group). Each group was further classified into two subgroups: Group A (ProRoot MTA) and Group B (Endosequence Root Repair Material (ERRM) putty) (n=10 for each subgroup). After irrigation and placement of cements, teeth were stored at 37°C and in 100% humidity for a week. A total of 240 dentine discs (three discs per teeth) were obtained and subjected to push-out assay. Data was analyzed using two-way analysis of variance and Tukey’s post hoc t-test. Results: Both types of chelating agent and calcium silicate-based cement were significantly associated with the push-out bond strength values. The push-out bond strength was significantly less for CA as compared to EDTA or MA. ERRM had higher bond strength values than ProRoot MTA (p<0.05). Conclusion: The use of chelating agents increased the push-out bond strength of CSC. Regardless of tested chelating agents, ERRM had higher bond strength values than ProRoot MTA.

Objective: This study aimed to compare the clinical efficacy and survival rates of the hall technique (HT), and conventional restoration (CR) for the management of occlusoproximal carious lesions in primary molars. Materials and Methods: This clinical study observed 35 children (aged 4–8 years). Exclusion criteria included symptoms of pulpal or periradicular pathology or systemic conditions requiring special dental considerations. For each child, at least one tooth was treated with HT and one with CR. The primary outcome measures were minor and major clinical failure rates. Plaque and gingival scores of the teeth were also evaluated. Friedman test and Wilcoxon signed ranks test were used to compare the plaque and gingival index scores for each arm. Chi-square tests were used for comparisons of clinical outcomes, plaque-gingival index, and distribution of ICDAS categories among treatment arms (P < 0.05). Results: Thirty-three of 35 (94.2%) participants returned for 1-year follow-up. HT showed statistically significantly higher treatment survival rate and fewer minor failures than CR (P = 0.040). The rate of major failures was minimal (2 of 84 teeth) and did not differ between treatments (P = 0.092). In both treatment groups, the gingival score and plaque score were significantly decreased at the 1-year follow-up (P < 0.05). Conclusion: HT was a more successful method for managing caries in primary molars than CR, both for symptoms of pulpal disease and longevity of the restorations. HT is a simplified method of managing carious primary molars using SSCs cemented with no local anesthesia, caries removal, or tooth preparation.

Purpose To evaluate the temperature changes in primary teeth pulp chambers of different dentin thicknesses during polymerization of four glass ionomer-based restorative materials. Materials and Methods Eighty extracted, caries-free, primary molars were prepared as standardized Class I occlusal cavities with dentin thicknesses of 1 mm and 2 mm. Four glass ionomerbased restorative materials, Dyract XP, Photac Fil Quick Aplicap, Fuji II LC, and GCP Glass Fill, were placed in the cavities and cured with two light-curing units. Temperature increases (initial temperature, 37°C) in the pulp chamber during polymerization were recorded by a J-type thermocouple in a pulpal microcirculation setup. The data were analyzed with Variance analyses and Tukey tests. Results The temperatures recorded in samples with dentin thicknesses of 1 mm and 2 mm exhibited statistically significant differences (p<0.05). The GCP Glass Fill group exhibited the highest temperature increases for both dentin thicknesses (p<0.05). The other groups were not statistically different but the Dyract XP group exhibited the least temperature change. Conclusion The highest temperature changes were observed for 1 mm dentin thickness. All temperature increases during polymerizations and setting reactions were lower than the corresponding critical values 5.5°C.

Background This study aimed to analyze the effect of the Fluorescence Aided Caries Excavation (FACE) and the remaining dentin thickness on the temperature changes of the pulp chamber. Material and Methods Freshly extracted deciduous molars and a pulpal microcirculation model were used in the study. The sample size was calculated according to power analyses (power at 90%) based on previous studies. Thus, 40 samples were needed. Standard cavities (3x3 mm) were designed to obtain a 2 mm distance through to the pulp chamber, and in each tooth (n=10), these cavities were modified to obtain 1.5 mm, 1mm, and 0.5 mm final distance through to the pulp. Coronal parts of the teeth were placed on an acrylic plate with three gaps for feeding and extraction needles and the thermocouple. The temperature changes were recorded from the initial time to 15 s and 30 s,1 min, 1.5 min, 2 min, 2.5 min, 3 min intervals. Results The results showed that hence the thickness between cavity floor and pulp chamber was decreased, and application time of FACE was increased, an increase in temperature changes was detected. However, the recorded values were not mean to cause irreversible damages to the pulp chamber. Conclusions The recent study showed that Face is an appropriate caries detecting system that does not affect the pulp chamber’s health, and it can be safely used in the primary teeth. Key words: Caries assessment, dental caries, dental pulp, pediatric dentistry.

Fissure Sealants are materials that are applied to the pits and fissures in tooth in preventing tooth cavities. The success of the fissure sealants depends on degree of binding with tooth surface and isolating capacity the pit and fissures from the mouth environment. The purpose of this review is to investigate the reasons for applying fissure sealants, application technique and types of fissure sealants.