Pesquisa Odontológica Brasileira
Print version ISSN 1517-7491
HARA, Anderson Takeo; MAGALHAES, Cláudia Silami de; RODRIGUES JR., Antonio Luiz and SERRA, Mônica Campos. Caries inhibition around adhesive restorations in roots: in vitro study. Pesqui. Odontol. Bras. [online]. 2000, vol.14, n.2, pp.113-118. ISSN 1517-7491. http://dx.doi.org/10.1590/S1517-74912000000200004.
Dental materials that release fluoride have been shown to be effective in caries inhibition around restorations. Adhesive materials would also be effective in caries inhibition by sealing and protecting cavity margins from acidic demineralization. This in vitro study tested the hypothesis that composite restorations with a dentin adhesive system have a caries preventive effect similar to that of an adhesive material with fluoride - glass-ionomer cement - on root surfaces. Twenty roots from extracted sound third molars were embedded in polystyrene resin and ground flat. Standardized cavities were prepared in leveled root surfaces and randomly restored with (a) Chelon-Fil (Espe) or (b) Z100/SingleBond (3M). Baseline indentations were measured at 100, 200 and 300 mm from the occlusal margins of each restoration and the surface microhardness values were obtained using a Knoop diamond indenter. A 2.0 mm wide margin around the restorations was submitted to a pH-cycling model, at 37ºC. After that, surface microhardness was measured again, as it was before. The differences between baseline and final surface microhardness were considered for statistical analysis. The median values of differences were (a): -3.8; -0.3; -1.0; and (b): 3.3; 2.5; 1.7, for the distances of 100, 200 and 300 mm, respectively. The Kruskal-Wallis test did not show statistically significant difference between 100, 200 and 300 mm distances in each tested group. There was no difference between the studied materials at the distances of 200 and 300 mm. Chelon-Fil was statistically different from Z100/SingleBond, at 100 mm (p<0.05). Under the studied conditions, the glass-ionomer cement had a higher caries preventive effect than the composite/dentin adhesive restorations.
Keywords : Root caries; Cariostatic agents; Dental materials.