Effect of Casein Phosphopeptide–Amorphous Calcium Phosphate on Fracture Resistance of Reattached Tooth Fragments Using Conventional and Self-Adhesive Bioactive Flowable Composite

Firouzmandi, Maryam; Afzali, Neda; Parsaie, Zahra; Mohammadi, Najmeh

doi:10.1055/s-0040-1710141

Cited by 3 publications

(4 citation statements)

References 25 publications

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“…In Activa BioActive and Vertise Flow self-adhesive flowable composites, no significant difference was found between the microleakage values regardless of CHX application. There are studies reporting that self-adhesive flowable composites have similar properties such as fracture strength when compared with each other (Firouzmandi et al, 2020). Only microleakage was evaluated in the present study and selective etching was performed for both composites and no significant difference was observed.…”

Section: Discussionmentioning

confidence: 81%

“…Activa has the ability to release and replenish calcium, phosphate and fluoride from saliva, thus stimulating the formation of apatite. This is effective against discoloration and microleakage, and improves mechanical properties (Gjorgievska et al, 2008;Firouzmandi et al, 2020). One of the most preferred methods for measuring microleakage is dye penetration with methylene blue due to ease of application and fair price.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Cavity Disinfectant on Microleakage of Self-adhesive Composite Restorations in Class V Cavities

DOĞU KAYA,

ACAR,

FARSHIDIAN

et al. 2023

ERD

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Objectives: This in vitro study was aimed to evaluate the effect of chlorhexidine digluconate (CHX) containing cavity disinfectant on microleakage of Class V self-adhesive resin-based composite restorations.Materials and Methods: Forty non-beveled Class V cavities (4 mm height x 2 mm width x 2mm depth) 1 mm above the cementoenamel junction were prepared on lingual and buccal surfaces of 20 molar teeth. Samples were randomly divided into 4 groups (n=10); and lingual cavities were disinfected with 2% CHX (Bisco). Cavities were restored using 2 different self-adhesive composites: Vertise Flow (Kerr); Activa BioACTIVE (Pulpdent) according to manufacturer's instructions. Following 20 s polymerization with Valo (Ultradent) LED curing light, finishing and polishing were performed using Finishing Discs (Bisco). Teeth were coated with a nail polish excluding the restoration area and aged in distilled water at 24°C for 6 months. After immersion of the samples in 2% methylene blue solution, they were sectioned longitudinally in buccolingual direction with a diamond saw (Isomet 1000, Buehler). Microleakage on occlusal/gingival margins were scored under x8 and x20 magnification using a stereomicroscope (Leica MZ7.5). For statistical evaluation, Chi-square test was used. The significance level was set at p <0.05. Results:No statistically significant difference was detected between the total microleakage scores at occlusal and gingival margins (p=0.735; 0.944). Likewise, there was no significant difference between the gingival/occlusal margins of the restorations (p=0.216). CHX application did not show any statistically significance between microleakage values in Class V cavities restored with Vertise Flow or Activa BioACTIVE. (p=0.942; 0.577).Conclusions: CHX cavity disinfectant did not prevent microleakage in Class V cavities restored with self-adhesive composites.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

The Effect of Cavity Disinfectant on Microleakage of Self-adhesive Composite Restorations in Class V Cavities

DOĞU KAYA,

ACAR,

FARSHIDIAN

et al. 2023

ERD

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“…[9,18] The use of remineralizing agents such as fluoride varnish and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste on the fractured fragments prior to reattachment has also been reported as measures to improve bond strength but with little evidence. [19] Considering the lack of well-defined recommendations for performing tooth fragment reattachments to restored fractured incisors, we propose a step-by-step algorithm (Fig. 5) to aid in decision-making in various clinical scenarios requiring tooth fragment reattachment based on the limited evidence available on the topic and our clinical experience with such cases.…”

Section: Discussionmentioning

confidence: 99%

Fragment Reattachment of Immature Permanent Incisors: Clinical Procedures and the Development of an Algorithm

Rathore¹

2022

J Pediatr Dent

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Reattachment of fractured fragments provides the easiest and most aesthetic rehabilitation of fractured teeth, wherever possible. In clinical practice, these cases may have a wide spectrum of presentations, which includes different dehydration times of the fractured fragments, various methods of storage of the fragments, and many reattachment techniques. However, no welldefined protocol exists to guide the reattachment of fractured teeth in such different clinical scenarios. An attempt to develop an algorithm to guide the reattachment of fractured teeth in varied clinical scenarios has been made, using the reports of such cases treated at our center and reviewing the various fragment reattachment techniques mentioned in the literature. This report also describes, in detail, two cases of fractured immature permanent incisors with different extraoral dry time periods (60 days and 18 h) that were successfully treated by reattachment of fractured fragments. Fragment reattachment was found to be a functional and aesthetically acceptable treatment option in restoring the integrity of fractured permanent incisors irrespective of the time elapsed, as the fracture provided the dehydrated fragments was rehydrated before reattachment.

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“…So, the application of CPP-ACP consequently increases the bond strength of the tooth surface. 15 Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) is further compounded with fluoride, and CPP-ACPF is formed. Minimum concentration of fluoride in CPP-ACPF [0.2% or 900 ppm of sodium fluoride (NaF)] makes free Ca phosphate and fluoride ion activities complex.…”

Section: Fractured Fragment Reattachmentmentioning

confidence: 99%

Evaluation of Effect of Duration of the Fragment in the Storage Media and Influence of Storage Media on Reattached Tooth Fragment: An In Vitro Study

Neena,

Korishettar,

Parameshwarappa

et al. 2023

CODS - Journal of Dentistry

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Background: Fragment reattachment is an excellent option for coronal fractures of permanent incisors when the fragment is available. The mode of storage of the fragment in different media and the reattachment time is a very important factor in the success of fragment reattachment. Aim: The aim of the study is to evaluate and compare the effects of time of the fragment in storage media and the influence of the storage media on the reattached tooth fragment. Methodology: Sixty sound incisors were taken, split into four groups of 15 specimens each. They were further subdivided into eight subgroups of seven specimens (A1, B1, C1, and D1) and eight specimens (A2, B2, C2, and D2), respectively. The teeth were sectioned, and the fragments were stored in Hanks' balanced salt solution (HBSS) (group A1 and B2), GC Tooth Mousse (group B1 and B2), GC Tooth Mousse Plus (group C1 and C2), and nano-hydroxyapatite (nHA)-nfused dentifrice (group D1 and D2) for 12 and 24 hours, respectively. Fragments were reattached using the simple reattachment technique with flowable composite resin. The compressive strength was measured using a universal strength-testing machine. Result: Significant difference was found among group A vs B, group A vs C, and group A vs D at 24 hours. Insignificant differences were noted in the 12 hours group. Conclusion: Highest fracture resistance was seen in group D2, followed by B2,

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Effect of Casein Phosphopeptide–Amorphous Calcium Phosphate on Fracture Resistance of Reattached Tooth Fragments Using Conventional and Self-Adhesive Bioactive Flowable Composite

Cited by 3 publications

References 25 publications

The Effect of Cavity Disinfectant on Microleakage of Self-adhesive Composite Restorations in Class V Cavities

The Effect of Cavity Disinfectant on Microleakage of Self-adhesive Composite Restorations in Class V Cavities

Fragment Reattachment of Immature Permanent Incisors: Clinical Procedures and the Development of an Algorithm

Evaluation of Effect of Duration of the Fragment in the Storage Media and Influence of Storage Media on Reattached Tooth Fragment: An In Vitro Study

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