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Resin infiltration of deproteinised natural occlusal subsurface lesions improves initial quality of fissure sealing

International Journal of Oral Science 2017年第2期9卷 117-124页

作者： Andrej M Kielbassa Ina Ulrich rita schmidl Christoph Schuller Wilhelm Frank Vanessa D Werth Centre for Operative Dentistry Periodontology and Endodontology University of Dental Medicine and Oral Health Danube Private University (DPU) Krems Austria Department of Applied Genetics and Cell Biology UFT-Campus Tulln University of Natural Resources and Life Sciences (BOKU) Vienna Austria Centre for Preclinical Education Department of Biostatistics University of Dental Medicine and Oral Health Danube Private University (DPU) Krems Austria

The aim of this ex vivo study was to evaluate the infiltration capability and rate of microleakage of a low-viscous resin infiltrant combined with a flowable composite resin(RI/CR) when used with deproteinised and etched occlusal subsurface lesions(International Caries Detection and Assessment System code 2). This combined treatment procedure was compared with the exclusive use of flowable composite resin(CR) for fissure sealing. Twenty premolars and 20 molars revealing non-cavitated occlusal carious lesions were randomly divided into two groups and were meticulously cleaned and deproteinised using Na OCl(2%). After etching with HCl(15%), 10 premolar and 10 molar lesions were infiltrated(Icon/DMG; rhodamine B isothiocyanate(RITC)-labelled) followed by fissure sealing(G-?nial Flo/GC; experimental group, RI/CR). In the control group(CR), the carious fissures were only sealed. Specimens were cut perpendicular to the occlusal surface and through the area of the highest demineralisation(DIAGNOdent pen, Ka Vo). Using confocal laser-scanning microscopy, the specimens were assessed with regard to the percentage of caries infiltration, marginal adaption and internal integrity. Within the CR group, the carious lesions were not infiltrated. Both premolar(57.9% ± 23.1%) and molar lesions(35.3% ± 22.1%) of the RI/CR group were uniformly infiltrated to a substantial extent, albeit with significant differences(P = 0.034). Moreover, microleakage(n = 1) and the occurrence of voids(n = 2) were reduced in the RI/CR group compared with the CR group(5 and 17 specimens,respectively). The RI/CR approach increases the initial quality of fissure sealing and is recommended for the clinical control of occlusal caries.

关键词： aprismatic enamel fissure sealing occlusal caries resin infiltration sodium hypochlorite

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