Comparative Evaluation On Number Of Increments Of Composites Used For Restoring Mesio - Occlusal Cavities Of Maxillary And Mandibular Molars - A Retrospective Study
Keywords:
Class 2 Cavity, Class 2 Composites, Composite Restorations, Increments, Mesio- Occlusal Cavity.Abstract
Dental composites are generally composed of matrix monomers such as Bis-GMA and UDMA and silica is commonly used as filler. Modifying the composition and size of filler particles, have improved wear resistance of composites. With advances in adhesives and bonding strategies, the interface of tooth-restoration is improvised but still microleakage due to polymerization shrinkage stresses is a major drawback of composite resin restorations. Incremental layering technique of placing composite restorations greatly reduced the shrinkage stresses. This study was done to evaluate the number of increments of composite used for restoring mesio- occlusal cavities of maxillary and mandibular molars in the South Indian population. A total of 142 case sheets of patients who underwent class II mesio – occlusal composite restorations in maxillary and mandibular molars were reviewed, analyzed and comparatively evaluated. The statistical analysis was done using SPSS software (Version 23). In our study, the patients selected were in the age group of 18- 65 years. Class 2 composite restorations were mostly done in the age group of 31- 40 years followed by 18-30 years respectively. In the selected cases, 74 (52.1%) were male and 68 (47.8%) were female patients. Maxillary right first and second molars were the most commonly treated teeth. Out of 142 teeth, 39 teeth (27.4%) used 1 increment, 81 teeth (57%) used 2 increments and 22 teeth (15.4 %) used 3 increments of composite for restoration of class II cavities.Two increments of composites were used in most cases of mesio-occlusal cavities of all posterior teeth. The association between age, gender and number of composite increments did not have any statistically significant difference in maxillary and mandibular class II cavities (p > 0.05). From this study we observed that all the teeth were restored in a conservative approach.
References
Atai, M., Watts, D. and Atai, Z. (2005) ‘Shrinkage strain-rates of dental resin-monomer and composite systems’, Biomaterials, pp. 5015–5020. doi: 10.1016/j.biomaterials.2005.01.022.
Bicalho, A. A. et al. (2014) ‘Incremental Filling Technique and Composite Material—Part II: Shrinkage and Shrinkage Stresses’, Operative Dentistry, pp. e83–e92. doi: 10.2341/12-442-l.
Braga, R., Ballester, R. and Ferracane, J. (2005) ‘Factors involved in the development of polymerization shrinkage stress in resin-composites: A systematic review’, Dental Materials, pp. 962–970. doi: 10.1016/j.dental.2005.04.018.
Bugalia, A. et al. (2011) ‘Effect of Four Different Placement Techniques on Marginal Microleakage in Class II Composite Restorations: An in vitro Study’, World Journal of Dentistry, pp. 111–116. doi: 10.5005/jp-journals-10015-1066.
Deogade, S., Gupta, P. and Ariga, P. (2018) ‘Effect of monopoly-coating agent on the surface roughness of a tissue conditioner subjected to cleansing and disinfection: A Contact Profilometric In vitro study’, Contemporary Clinical Dentistry, p. 122. doi: 10.4103/ccd.ccd_112_18.
Drummond, J. L. (2008) ‘Degradation, Fatigue, and Failure of Resin Dental Composite Materials’, Journal of Dental Research, pp. 710–719. doi: 10.1177/154405910808700802.
Dua, K. et al. (2019) ‘The potential of siRNA based drug delivery in respiratory disorders: Recent advances and progress’, Drug development research, 80(6), pp. 714–730.
Duraisamy, R. et al. (2019) ‘Compatibility of Nonoriginal Abutments With Implants: Evaluation of Microgap at the Implant-Abutment Interface, With Original and Nonoriginal Abutments’, Implant dentistry, 28(3), pp. 289–295.
Ezhilarasan, D. (2018) ‘Oxidative stress is bane in chronic liver diseases: Clinical and experimental perspective’, Arab journal of gastroenterology: the official publication of the Pan-Arab Association of Gastroenterology, 19(2), pp. 56–64.
Ezhilarasan, D., Apoorva, V. S. and Ashok Vardhan, N. (2019) ‘Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells’, Journal of oral pathology & medicine: official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 48(2), pp. 115–121.
Ezhilarasan, D., Sokal, E. and Najimi, M. (2018) ‘Hepatic fibrosis: It is time to go with hepatic stellate cell- specific therapeutic targets’, Hepatobiliary & pancreatic diseases international: HBPD INT, 17(3), pp. 192– 197.
Ferracane, J., Bertassoni, L. E. and Pfeifer, C. S. (2017) Dental Biomaterials, An Issue of Dental Clinics of North America, E-Book. Elsevier Health Sciences.
Gheena, S. and Ezhilarasan, D. (2019) ‘Syringic acid triggers reactive oxygen species-mediated cytotoxicity in HepG2 cells’, Human & experimental toxicology, 38(6), pp. 694–702.
Gomathi, A. C. et al. (2020) ‘Anticancer activity of silver nanoparticles synthesized using aqueous fruit shell extract of Tamarindus indica on MCF-7 human breast cancer cell line’, Journal of Drug Delivery Science and Technology, p. 101376. doi: 10.1016/j.jddst.2019.101376.
Ilie, N. et al. (2007) ‘Low-shrinkage Composite for Dental Application’, Dental Materials Journal, pp. 149–
doi: 10.4012/dmj.26.149.
Janani, K., Palanivelu, A. and Sandhya, R. (2020) ‘Diagnostic accuracy of dental pulse oximeter with customized sensor holder, thermal test and electric pulp test for the evaluation of pulp vitality - An in vivo study’, Brazilian Dental Science. doi: 10.14295/bds.2020.v23i1.1805.
Jeevanandan, G. and Govindaraju, L. (2018) ‘Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial’, European Archives of Paediatric Dentistry, pp. 273–278. doi: 10.1007/s40368-018-0356-6.
Jose, J., P., A. and Subbaiyan, H. (2020) ‘Different Treatment Modalities followed by Dental Practitioners for Ellis Class 2 Fracture – A Questionnaire-based Survey’, The Open Dentistry Journal, pp. 59–65. doi: 10.2174/1874210602014010059.
J, P. C. et al. (2018) ‘Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study’, Clinical implant dentistry and related research, 20(4), pp. 531–534.
Khier, S. and Hassan, K. (2011) ‘Efficacy of Composite Restorative Techniques in Marginal Sealing of Extended Class V Cavities’, ISRN Dentistry, pp. 1–5. doi: 10.5402/2011/180197.
Kumar, D. and Delphine Priscilla Antony, S. (2018) ‘Calcified Canal and Negotiation-A Review’, Research Journal of Pharmacy and Technology, p. 3727. doi: 10.5958/0974-360x.2018.00683.2.
Kumar, N. A. and Ashok kumar, N. (2017) ‘Overview and Recent Advancements in Composite Materials’, International Journal for Research in Applied Science and Engineering Technology, pp. 615–616. doi: 10.22214/ijraset.2017.2092.
Malli Sureshbabu, N. et al. (2019) ‘Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases’, Case reports in dentistry, 2019, p. 7046203.
Manohar, M. and Sharma, S. (2018) ‘A survey of the knowledge, attitude, and awareness about the principal choice of intracanal medicaments among the general dental practitioners and nonendodontic specialists’, Indian Journal of Dental Research, p. 716. doi: 10.4103/ijdr.ijdr_716_16.
Marovic, D. et al. (2013) ‘Degree of conversion and microhardness of dental composite resin materials’, Journal of Molecular Structure, pp. 299–302. doi: 10.1016/j.molstruc.2012.10.062.
Masouras, K., Silikas, N. and Watts, D. C. (2008) ‘Correlation of filler content and elastic properties of resin-composites’, Dental Materials, pp. 932–939. doi: 10.1016/j.dental.2007.11.007.
Mathew, M. G. et al. (2020) ‘Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary …’, Clinical oral investigations. Available at: https://link.springer.com/article/10.1007/s00784-020-03204-9.
Mehta, M. et al. (2019) ‘Oligonucleotide therapy: An emerging focus area for drug delivery in chronic inflammatory respiratory diseases’, Chemico-biological interactions, 308, pp. 206–215.
Menon, S. et al. (2018) ‘Selenium nanoparticles: A potent chemotherapeutic agent and an elucidation of its mechanism’, Colloids and Surfaces B: Biointerfaces, pp. 280–292. doi: 10.1016/j.colsurfb.2018.06.006.
Miletic, V. (2017) Dental Composite Materials for Direct Restorations. Springer.
Misilli, U. and Yılmaz, F. (2018) ‘Evaluation of marginal microleakage in composite restorations with different placement techniques’, International Dental Research, pp. 70–77. doi: 10.5577/intdentres.2018.vol8.no2.4.
Nasim, I. et al. (2018) ‘Clinical performance of resin-modified glass ionomer cement, flowable composite, and polyacid-modified resin composite in noncarious cervical lesions: One-year follow-up’, Journal of Conservative Dentistry, p. 510. doi: 10.4103/jcd.jcd_51_18.
Nasim, I. and Nandakumar, M. (2018) ‘Comparative evaluation of grape seed and cranberry extracts in preventing enamel erosion: An optical emission spectrometric analysis’, Journal of Conservative Dentistry,
p. 516. doi: 10.4103/jcd.jcd_110_18.
Noor, S. S. S. E., S Syed Shihaab and Pradeep (2016) ‘Chlorhexidine: Its properties and effects’, Research Journal of Pharmacy and Technology, p. 1755. doi: 10.5958/0974-360x.2016.00353.x.
Panchal, V., Jeevanandan, G. and Subramanian, E. M. G. (2019) ‘Comparison of post-operative pain after root canal instrumentation with hand K-files, H-files and rotary Kedo-S files in primary teeth: a randomised clinical trial’, European archives of paediatric dentistry: official journal of the European Academy of Paediatric Dentistry, 20(5), pp. 467–472.
Papadogiannis, D. et al. (2011) ‘Viscoelastic properties of low-shrinking composite resins compared to packable composite resins’, Dental Materials Journal, pp. 350–357. doi: 10.4012/dmj.2010-181.
Pc, J., Marimuthu, T. and Devadoss, P. (2018) ‘Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study’, Clinical implant dentistry and related research. Available at: https://europepmc.org/article/med/29624863.
Prabakar, J. et al. (2018) ‘Comparative Evaluation of Retention, Cariostatic Effect and Discoloration of Conventional and Hydrophilic Sealants - A Single Blinded Randomized Split Mouth Clinical Trial’, Contemporary clinical dentistry, 9(Suppl 2), pp. S233–S239.
Rajendran, R. et al. (2019) ‘Comparative Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study’, Pesquisa Brasileira em Odontopediatria e Clínica Integrada, pp. 1–10. doi: 10.4034/pboci.2019.191.61.
Rajeshkumar, S. et al. (2018) ‘Biosynthesis of zinc oxide nanoparticles usingMangifera indica leaves and evaluation of their antioxidant and cytotoxic properties in lung cancer (A549) cells’, Enzyme and microbial technology, 117, pp. 91–95.
Rajeshkumar, S. et al. (2019) ‘Antibacterial and antioxidant potential of biosynthesized copper nanoparticles mediated through Cissus arnotiana plant extract’, Journal of photochemistry and photobiology. B, Biology, 197, p. 111531.
Ramadurai, N. et al. (2019) ‘Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial’, Clinical oral investigations, 23(9), pp. 3543–3550.
Ramakrishnan, M., Dhanalakshmi, R. and Subramanian, E. M. G. (2019) ‘Survival rate of different fixed posterior space maintainers used in Paediatric Dentistry - A systematic review’, The Saudi dental journal, 31(2), pp. 165–172.
Ramamoorthi, S., Nivedhitha, M. S. and Divyanand, M. J. (2015) ‘Comparative evaluation of postoperative pain after using endodontic needle and EndoActivator during root canal irrigation: A randomised controlled trial’, Australian Endodontic Journal, pp. 78–87. doi: 10.1111/aej.12076.
Ramanathan, S. and Solete, P. (2015) ‘Cone-beam Computed Tomography Evaluation of Root Canal Preparation using Various Rotary Instruments: An in vitro Study’, The Journal of Contemporary Dental Practice, pp. 869–872. doi: 10.5005/jp-journals-10024-1773.
Ramesh, A. et al. (2018) ‘Comparative estimation of sulfiredoxin levels between chronic periodontitis and healthy patients - A case-control study’, Journal of periodontology, 89(10), pp. 1241–1248.
Ramesh, S., Teja, K. and Priya, V. (2018) ‘Regulation of matrix metalloproteinase-3 gene expression in inflammation: A molecular study’, Journal of Conservative Dentistry, p. 592. doi: 10.4103/jcd.jcd_154_18.
Ravinthar, K. and Jayalakshmi (2018) ‘Recent Advancements in Laminates and Veneers in Dentistry’, Research Journal of Pharmacy and Technology, p. 785. doi: 10.5958/0974-360x.2018.00148.8.
R, R., Rajakeerthi, R. and Ms, N. (2019) ‘Natural Product as the Storage medium for an avulsed tooth – A Systematic Review’, Cumhuriyet Dental Journal, pp. 249–256. doi: 10.7126/cumudj.525182.
Rudrapati, L. et al. (2017) ‘Incremental techniques in direct composite restoration’, Journal of Conservative Dentistry, p. 386. doi: 10.4103/jcd.jcd_157_16.
Samuel, S. R., Acharya, S. and Rao, J. C. (2020) ‘School Interventions-based Prevention of Early- Childhood Caries among 3-5-year-old children from very low socioeconomic status: Two-year randomized trial’, Journal of public health dentistry, 80(1), pp. 51–60.
Santhosh, L., Bashetty, K. and Nadig, G. (2008) ‘The influence of different composite placement techniques on microleakage in preparations with high C- factor: Anin vitrostudy’, Journal of Conservative Dentistry, p. 112. doi: 10.4103/0972-0707.45249.
Sarfi, S., Bali, D. and Grewal, M. (2017) ‘Effect of different layering techniques on microleakage of nanofilled composite in class i restorations: An In Vitro study’, Journal of the International Clinical Dental Research Organization, p. 8. doi: 10.4103/2231-0754.194289.
Schneider, L. F. and Moraes, R. R. (2018) ‘Polymerization Shrinkage Stress’, Dental Composite Materials for Direct Restorations, pp. 219–233. doi: 10.1007/978-3-319-60961-4_14.
Sharma, P. et al. (2019) ‘Emerging trends in the novel drug delivery approaches for the treatment of lung cancer’, Chemico-biological interactions, 309, p. 108720.
Shenoy, A. (2008) ‘Is it the end of the road for dental amalgam? A critical review’, Journal of Conservative Dentistry, p. 99. doi: 10.4103/0972-0707.45247.
Siddique, R. et al. (2019) ‘Qualitative and quantitative analysis of precipitate formation following interaction of chlorhexidine with sodium hypochlorite, neem, and tulsi’, Journal of conservative dentistry: JCD, 22(1), pp. 40–47.
Sridharan, G. et al. (2019) ‘Evaluation of salivary metabolomics in oral leukoplakia and oral squamous cell carcinoma’, Journal of oral pathology & medicine: official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 48(4), pp. 299–306.
Teja, K. V. and Ramesh, S. (2019) ‘Shape optimal and clean more’, Saudi Endodontic Journal, 9(3), p. 235.
Varghese, S. S., Ramesh, A. and Veeraiyan, D. N. (2019) ‘Blended Module-Based Teaching in Biostatistics and Research Methodology: A Retrospective Study with Postgraduate Dental Students’, Journal of dental education, 83(4), pp. 445–450.
Vijayashree Priyadharsini, J. (2019) ‘In silico validation of the non-antibiotic drugs acetaminophen and ibuprofen as antibacterial agents against red complex pathogens’, Journal of periodontology, 90(12), pp. 1441–1448.
Vishnu Prasad, S. et al. (2018) ‘Report on oral health status and treatment needs of 5-15 years old children with sensory deficits in Chennai, India’, Special care in dentistry: official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 38(1), pp. 58–59.
Wahab, P. U. A. et al. (2018) ‘Scalpel Versus Diathermy in Wound Healing After Mucosal Incisions: A Split-Mouth Study’, Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 76(6), pp. 1160–1164.
Weinmann, W., Thalacker, C. and Guggenberger, R. (2005) ‘Siloranes in dental composites’, Dental Materials, pp. 68–74. doi: 10.1016/j.dental.2004.10.007.
Yoshida, Y. et al. (2008) ‘Dental adhesives and adhesive performance’, Dental biomaterials. doi: 10.1201/9781439832684.ch4.
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