دورية أكاديمية
Evaluation of primary carious dentin after cavity sealing in deep lesions: a 10- to 13-month follow-up.
| العنوان: | Evaluation of primary carious dentin after cavity sealing in deep lesions: a 10- to 13-month follow-up. |
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| المؤلفون: | Chibinski AC; Pediatric Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, Paraná, Brazil. anachibinski@uepg.br, Reis A, Kreich EM, Tanaka JL, Wambier DS |
| المصدر: | Pediatric dentistry [Pediatr Dent] 2013 May-Jun; Vol. 35 (3), pp. E107-12. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy of Pediatric Dentistry Country of Publication: United States NLM ID: 7909102 Publication Model: Print Cited Medium: Internet ISSN: 1942-5473 (Electronic) Linking ISSN: 01641263 NLM ISO Abbreviation: Pediatr Dent Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Chicago, IL : American Academy of Pediatric Dentistry Original Publication: Chicago, American Academy of Pedodontics. |
| مواضيع طبية MeSH: | Dental Caries/*diagnostic imaging , Dental Cavity Preparation/*methods , Radiography, Dental, Digital/*methods , Tooth Remineralization/*methods, Analysis of Variance ; Child ; Child, Preschool ; Dental Caries/pathology ; Dental Caries/therapy ; Female ; Follow-Up Studies ; Humans ; Male ; Microscopy, Electron, Scanning ; Tooth, Deciduous/diagnostic imaging ; Tooth, Deciduous/pathology |
| مستخلص: | Purpose: This study's purpose was to describe the primary dentin reactions following restoration without complete removal of infected dentin. Methods: Fragments of carious dentin from 43 teeth with acute deep lesions were removed at baseline and compared to samples of carious dentin removed 60 days later, using scanning electron microscopy (SEM) photographs. At the follow-up periods (60 days; 10-13 months), restorations were evaluated using US Public Health Service criteria and standardized radiographs. A postprocessing routine of radiographs was used to identify changes in radiographic density between periods. Results: At baseline, SEM photographs showed disorganized tissue and bacterial invasion. After 60 days, the dentin exhibited a better organization and signs of remineralization. Differences in restoration characteristics were detected for cavosurface discoloration (P=.008), wear (P<.001), and surface texture (P<.001) after 10 to 13 months. Digital subtraction radiographs showed that mean gray levels of carious and sound dentin increased after 10 to 13 months (P<.001). Differences in mean gray levels were detected between carious and sound dentin only for the 60-day images (P=.03). Conclusions: Removal of infected dentin wasn't fundamental for caries arrestment. Carious dentin tended to reorganize in a short period when properly sealed, and the remineralization process continued for longer periods. Correct diagnosis of pulp vitality seems fundamental for the success of this protocol. |
| تواريخ الأحداث: | Date Created: 20130613 Date Completed: 20140227 Latest Revision: 20161125 |
| رمز التحديث: | 20231215 |
| PMID: | 23756304 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1942-5473 |
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