Pediatric dentistry最新文献

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The Attack on Behavior Guidance: Canary in the Coalmine? 对行为指导的攻击:地雷中的金丝雀?
Pediatric dentistry Pub Date : 2024-07-15
S Thikkurissy, Paul S Casamassimo
{"title":"The Attack on Behavior Guidance: Canary in the Coalmine?","authors":"S Thikkurissy, Paul S Casamassimo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 4","pages":"238-240"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cariogenicity and Calories of Meals Served at a Pre-Kindergarten School-Based Meal Program. 学前班校本膳食计划所提供膳食的致病性和热量。
Pediatric dentistry Pub Date : 2024-07-15
Lillian Dashiell, Jean Star
{"title":"Cariogenicity and Calories of Meals Served at a Pre-Kindergarten School-Based Meal Program.","authors":"Lillian Dashiell, Jean Star","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To analyze the cariogenicity of meals served in a pre-kindergarten program and its potential influence on early childhood caries (ECC) risk in socioeconomically disadvantaged children. <b>Methods:</b> This study examined 123 school-provided meals over 43 days at the United Nation Childhood Development Center, part of the Oakland Unified School District pre-kindergarten program. Using cariogenicity indices developed by Evans et al., all items served were assessed for the cariogenic potential of both food and beverages. <b>Results:</b> The mean daily cariogenicity scores were 6.57±1.3 (standard deviation) for food and 2.89±0.78 for beverages. Breakfast foods were significantly more cariogenic than those served for lunch or supper (P<0.05). The mean daily calorie intake was 1,459±336, with lunch containing statistically higher calorie items compared to supper (P<0.05). While liquids may not significantly contribute to caries risk, breakfast foods emerged as a potential concern. <b>Conclusions:</b> This study's findings suggest that the food provided in school meals, particularly breakfast items, may impact early childhood caries risk among socioeconomically disadvantaged children. Given the prevalence of ECC and its societal burden, integrating assessments of food and beverage cariogenicity into school meal planning could be instrumental in mitigating ECC incidence. Collaboration between the United States Department of Agriculture and school districts in considering the cariogenic potential of foods may contribute to improved oral health outcomes in early childhood.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 4","pages":"263-268"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Bulk-Fill Composite and High-Intensity Curing When Light Tip Placement Is Compromised. 当灯头位置受到影响时,使用散装填充复合材料和高强度固化。
Pediatric dentistry Pub Date : 2024-07-15
David K Langford, Martha H Wells, C Volk Vinall, Daranee Tantbirojn, Antheunis Versluis
{"title":"Using Bulk-Fill Composite and High-Intensity Curing When Light Tip Placement Is Compromised.","authors":"David K Langford, Martha H Wells, C Volk Vinall, Daranee Tantbirojn, Antheunis Versluis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate whether reduced curing performance due to compromised light tip placement can be mitigated by bulk-fill composite and/or high-intensity curing light. <b>Methods:</b> Plastic discs with 2.5-mm deep cavities were filled with a conventional (Mosaic™) or bulk-fill (Tetric® PowerFill) composite and cured with a BluePhase® PowerCure curing light at normal and high-power settings, with light tip placement at distance and/or 45 degree angle. Curing time and irradiance were three, five, or 10 seconds at 1,200, 2,000, or 3,000 mW/cm2 (10 samples). After 24 hours, Vickers hardness on top and bottom surfaces was measured and analyzed using analysis of variance and pairwise comparisons (α<0.05). <b>Results:</b> All top surfaces had higher hardness than bottom surfaces. Cure (bottom-to-top hardness ratio) was significantly affected by material, distance/angle, and curing regimen (P<0.001), and generally decreased when tip distance and angle increased. Bottom-to-top hardness ratios of bulk-fill composite (0.42 to 0.66) were significantly higher than those of conventional composite (0.20 to 0.31). High-power curing significantly increased bulk-fill's curing performance as it was specifically formulated for this curing light. <b>Conclusions:</b> Increased light tip distance and angle compromised composite curing. Bulk-fill composite cured better at the bottom of the restoration than conventional composite regardless of light tip distance/angle. High-power light curing improved curing performance only in bulk-fill composite. Nevertheless, due to low bottom-to-top ratios (0.20 to 0.66) across all samples, even under ideal light tip placement, both composites should be cured in increments of less than 2.5 mm.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 4","pages":"271-276"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends of Pediatric Dental Rehabilitation Using General Anesthesia by Service Location During the COVID-19 Public Health Emergency, 2019 to 2021. 2019 年至 2021 年 COVID-19 公共卫生紧急事件期间按服务地点分列的使用全身麻醉的儿童牙科康复趋势。
Pediatric dentistry Pub Date : 2024-07-15
Alex Sheen, Carla Shoff, Amr M Moursi, Natalia I Chalmers
{"title":"Trends of Pediatric Dental Rehabilitation Using General Anesthesia by Service Location During the COVID-19 Public Health Emergency, 2019 to 2021.","authors":"Alex Sheen, Carla Shoff, Amr M Moursi, Natalia I Chalmers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to investigate the trends of pediatric dental rehabilitation in hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) during the COVID-19 public health emergency (PHE) from 2019 to 2021 across states and demographic groups. <b>Methods:</b> This cross-sectional study utilized the 2019 to 2021 Transformed Medicaid Statistical Information System Analytical Files to examine trends in dental rehabilitation for children ages 12 years and younger enrolled in Medicaid or the Children's Health Insurance Program. The final analytic sample included 20,508,093 beneficiaries from 2019, 19,436,957 beneficiaries from 2020, and 20,416,440 beneficiaries from 2021. Chi-square tests were used to compare dental rehabilitation usage across groups (age, sex, race/ethnicity, and place of service). <b>Results:</b> Rehabilitation of Medicaid beneficiaries performed in HOPDs showed a decrease year over year (51 to 34 to 30; P<0.001), while the usage in ASCs increased (1,307 to 1,310 to 1,367; P<0.001). For all three years, the highest usage was seen in Non-Hispanic (NH) American Indian/Alaskan Native children (154, 66, 74; P<0.001), while the lowest usage was seen in NH Black children (21, 16, 17; P<0.001). Rehabilitation for Hispanic children had the greatest relative recovery over the three years (39 to 34 to 38; P<0.001). <b>Conclusions:</b> Dental rehabilitation usage in ambulatory surgery centers showed continued growth through the public health emergency. There was significant variation in rates across states and demographics.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 4","pages":"258-262"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estimated Carbon Emissions Associated With Dental Treatment For Early Childhood Caries. 儿童早期龋齿牙科治疗相关的碳排放量估算。
Pediatric dentistry Pub Date : 2024-07-15
Jennifer Luca, Hancong Tang, Kimberly J Hammersmith, Janice Townsend, Beau D Meyer
{"title":"Estimated Carbon Emissions Associated With Dental Treatment For Early Childhood Caries.","authors":"Jennifer Luca, Hancong Tang, Kimberly J Hammersmith, Janice Townsend, Beau D Meyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to evaluate the environmental impact of travel and anesthetic gas emissions associated with treating early childhood caries at a single institution. <b>Methods:</b> Outpatient preventive, treatment, and modeled general anesthesia (GA) cases in children 71 months old and younger were included in this retrospective chart review. The main outcomes were kilograms of carbon dioxide equivalents (kgCO₂e) for travel- and anesthetic gas-related emissions. Descriptive statistics and non-parametric tests were used. <b>Results:</b> Most subjects had a caries treatment visit (n equals 3,630 out of 5,767), and nine percent of treatment visits (n equals 353 out of 3,630) received nitrous oxide (N₂O), which added 29.4 kgCO₂eto the visit emissions. Children without caries treatment had lower travel-related emissions (median equals 7.5 kgCO₂e; interquartile range [IQR] equals 7.6) than children with caries treatment (median without N₂O equals 8.7 kgCO₂e; IQR equals 18.2; median with N₂O equals 8.4 kgCO₂e; IQR equals 10.3). Modeled GA travel emissions were estimated at 16.4 kgCO₂e (IQR equals 21.9) with between 3.8-12.9 kgCO₂e in anesthetic gas emissions. Total emissions were greatest for N₂O treatment visits (median equals 43.3 kgCO₂e; IQR equals 22.8). <b>Conclusions:</b> Travel-related emissions were greatest for children requiring caries treatment. Minimizing patient travel may reduce environmental impact. Nitrous oxide contributes a significant amount to a dental visit???s environmental impact. Community-focused models of care and applying systematic and practical case selection to reduce excess N₂O emissions could reduce dental care-related carbon emissions.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 4","pages":"248-252"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal Follow-up Comparing Future Care of Primary Teeth Treated with Silver Diammine Fluoride: A Private Dental Claims Review. 纵向随访比较使用二氨化银氟化物治疗的初级牙齿的未来护理:私人牙科索赔回顾。
Pediatric dentistry Pub Date : 2024-05-15
John C Schlotz, Allison C Scully, Juan F Yepes, Brian J Sanders, George J Eckert, Timothy Downey, Gerardo Maupomé
{"title":"Longitudinal Follow-up Comparing Future Care of Primary Teeth Treated with Silver Diammine Fluoride: A Private Dental Claims Review.","authors":"John C Schlotz, Allison C Scully, Juan F Yepes, Brian J Sanders, George J Eckert, Timothy Downey, Gerardo Maupomé","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to longitudinally evaluate follow-up treatment on primary teeth initially treated with silver diammine fluoride (SDF). <b>Methods:</b> This retrospective cohort evaluated private insurance (not Medicaid) claims data from 2018 to 2019 for children no older than 12 years with at least one primary tooth initially treated with SDF. Additional treatment per tooth was recorded over a follow-up of at least 24 months. <b>Results:</b> The mean and standard deviation (±SD) age of 46,884 patients was 5.7±2.3 and for SDF-treated teeth per patient was 2.6±2.1. Forty percent (95 percent confidence interval [95% CI] equals 39 to 40.7 percent) of teeth initially treated with SDF received additional treatment. The odds of SDF-treated teeth receiving future treatment significantly decreased with patient age by 22 percent per year (odds ratio equals 0.78; 95% CI equals 0.077 to 0.79; P<0.001). Pediatric dentists had only slightly lower odds than general dentists for providing additional treatment (0.91, P<0.001). Posterior teeth and teeth expected to exfoliate in two or more years had significantly higher odds of receiving additional treatment (2.47 and 1.27, respectively, P<0.001). <b>Conclusions:</b> Beginning at age four, patient age at placement of silver diammine fluoride was inversely proportional to future treatment provided. Posterior teeth and teeth expected to exfoliate in two or more years were more likely to receive additional treatment.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"186-191"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Child Temperament and Early Childhood Caries: A Systematic Review and Meta-Analysis. 儿童气质与幼儿龋齿:系统回顾与元分析》。
Pediatric dentistry Pub Date : 2024-05-15
Swetha Sriram, Subhashree Sahoo, M S Muthu, M Kirthiga, Ankita Saikia, Lalitha Jairam, Umesh Wadgave, Robert Anthonappa
{"title":"Child Temperament and Early Childhood Caries: A Systematic Review and Meta-Analysis.","authors":"Swetha Sriram, Subhashree Sahoo, M S Muthu, M Kirthiga, Ankita Saikia, Lalitha Jairam, Umesh Wadgave, Robert Anthonappa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to perform a systematic review to assess current evidence for the association between child temperament and early childhood caries (ECC). <b>Methods:</b> A systematic search was conducted using MEDLINE® through PubMed®, EMBASE®, Scopus®, LILACS, Web of Science™, and EBSCO up to January 2023. Studies measuring ECC and child temperament for children younger than or equal to six years of age using questionnaires, interviews, and surveys through case-control studies, cohort studies, and cross-sectional studies were included. Literature reviews were excluded. Medical subject heading (MeSH) terms like \"temperament\" and \"dental caries\" were used by two authors who independently extracted the data, and a third author resolved disagreements. Risk of bias assessment was done using the Newcastle-Ottawa assessment scale for case-control and cohort studies and the Appraisal tool for Cross-Sectional Studies (AXIS). The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations approach (GRADE approach). A chi-square test and I-square index were used to evaluate heterogeneity. <b>Results:</b> A total of 5,072 records were screened, resulting in 15 included studies that yielded data for 6,667 participants; sevenstudies were high, and eight were of moderate quality. Seven studies qualified for meta-analysis, which revealed that persistence did not affectthe presence or absence of ECC. However, there was a strong association between difficult temperament and ECC (odds ratio equals 2.63). <b>Conclusion:</b> A positive association between a child's temperament and early childhood caries exists that is supported by quantitative findings, indicating a connection with very low certainty.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"169-178"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Different Isolation Methods on Bioaerosol Distribution: An In Vitro Study. 不同隔离方法对生物气溶胶分布的影响:体外研究
Pediatric dentistry Pub Date : 2024-05-15
Mitchell E Westberg, Richard L Gregory, James E Jones, Juan F Yepes, George J Eckert, Allison C Scully
{"title":"Effect of Different Isolation Methods on Bioaerosol Distribution: An In Vitro Study.","authors":"Mitchell E Westberg, Richard L Gregory, James E Jones, Juan F Yepes, George J Eckert, Allison C Scully","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purposes of this in vitro study were to evaluate the effect of three isolation methods to mitigate bioaerosols during stainless steel crown (SSC) preparations and assess the distribution of Streptococcus mutans by aerosolization in closed-room operatories. <b>Methods:</b> Melamine teeth coated in laboratory-grown S. mutans biofilm were prepared for SSCs using three different isolation methods. Agar plates were placed in five locations throughout the operatory and opened during each preparation as well as for 10 minutes immediately following to collect aerosolized S. mutans. Bacterial colonies were counted after incubating plates for 48 hours. Data were analyzed for differences between the isolation method and plate locations. <b>Results:</b> Bacterial colony counts for teeth prepared using high-volume evacuation suction (HVE) with dental dam (DD) isolation were statistically significantly higher than for those prepared using HVE with a DryShield®(DS) and HVE with no isolation at the assistant (A) (P<0.001), operator face shield (FS) (P<0.001), and patient (Pt) (P=0.002) locations. No significant differences were found among isolation methods for parent (Pa) or rear delivery (RD) locations. The location that produced the most bacterial colony counts using HVE with DD isolation was FS (P<0.001), followed by A (P=0.04), Pt (P<0.001), and RD and Pa (P<0.001). Counts produced from teeth prepared with DS isolation were significantly higher at the Pt location than the A (P<0.001), FS (P=0.002), RD (P<0.001), and Pa (P=0.008) locations. <b>Conclusion:</b> The use of dental dam with high-volume evacuation suction during stainless steel crown preparations increased bioaerosols near the procedure, while dental evacuation systems (DryShield®) may effectively limit their spread.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing Shear Bond Strength Between Pink Opaquer and Other Tooth-Colored Restorative Materials on Demineralized Dentin Treated with Silver Diammine Fluoride. 比较粉色不透明涂料和其他牙色修复材料在经二胺氟化银处理的脱矿牙本质上的剪切粘接强度
Pediatric dentistry Pub Date : 2024-05-15
Kaveh Ghods, Jung-Wei Chen, Roberto Savignano, Juimin Su
{"title":"Comparing Shear Bond Strength Between Pink Opaquer and Other Tooth-Colored Restorative Materials on Demineralized Dentin Treated with Silver Diammine Fluoride.","authors":"Kaveh Ghods, Jung-Wei Chen, Roberto Savignano, Juimin Su","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purposes of this study were to evaluate the effect of silver diammine fluoride (SDF) on the shear bond strength (SBS) of pink opaquer (PO) compared to resin-modified glass ionomer (RMGI) and conventional composite (COMP) on demineralized dentin, and also to investigate the mode of failure (MOF). <b>Methods:</b> Sixty extracted third molars were prepared, demineralized for 14 days, and divided into four groups: (1) COMP; (2) SDF+PO; (3) SDF+RMGI; and (4) SDF+COMP (restoration size: two by two mm). SBS, MOF, modified adhesive remnant index (MARI), and remnant adhesive volume (RAV) were evaluated using an Instron® machine, light microscopy, 3D digital scanner ( 3Shape©), and GeoMagic Wrap© software. <b>Results:</b> There was no significant difference in SBS (MPa) among the COMP mean??standard deviation (2.5±1.59), SDF+COMP (2.28±1.05), SDF+PO (3.31±2.63), and SDF+RMGI groups (3.74±2.34). There was no significant difference in MOF and MARI among the four groups (P>0.05). There was no significant difference in RAV (mm3) among the COMP (0.5±0.33), SDF+COMP (0.39±0.44), SDF+PO (0.42±0.38), and SDF+RMGI groups (0.42±0.38; P>0.05). A significant correlation existed between MOF and RAV (R equals 0.721; P<0.001). MOF, MARI, and RAV did not show any correlations with SBS (P>0.05). <b>Conclusions:</b> Silver diammine fluoride does not affect shear bond strength between carious dentinal surface and tooth color restorative materials. The amount of material left on the interface is not related to the amount of shear force needed to break the restoration.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"192-198"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Microleakage of Silver-Modified Atraumatic Restorative Technique (SMART) Restorations Using Silver Diammine Fluoride and High-Viscosity Glass Ionomer. 使用二胺氟化银和高粘度玻璃离子聚合物的银改性无创修复技术(SMART)修复体的微渗漏。
Pediatric dentistry Pub Date : 2024-05-15
Jordan Dunn Powell, Corey Acosta, Martha H Wells, Brian R Morrow, Craig V Vinall, Franklin Garcia-Godoy
{"title":"Microleakage of Silver-Modified Atraumatic Restorative Technique (SMART) Restorations Using Silver Diammine Fluoride and High-Viscosity Glass Ionomer.","authors":"Jordan Dunn Powell, Corey Acosta, Martha H Wells, Brian R Morrow, Craig V Vinall, Franklin Garcia-Godoy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to investigate the microleakage of atraumatic glass ionomer restorations with and without silver diammine fluoride (SDF) application. Restorations with SDF are termed silver-modified atraumatic restorations (SMART). <b>Methods:</b> Sixty carious extracted permanent teeth were randomly allocated to two SMART groups and two control groups (n equals 15 per group) for a total of four groups. After selective caries removal, test specimens were treated with 38 percent SDF and polyacrylic acid conditioner was applied and rinsed; teeth were restored with Fuji IX GP® glass ionomer (n equals 15) or with SMART Advantage™ glass ionomer (SAGI; n equals 15). For control groups, specimens were restored with their respective GI material after selective caries removal, both without SDF. Restored teeth were placed in Dulbecco's Phosphate-Buffered Saline solution at 37 degrees Celsius for 24 hours. Teeth were thermocycled between five and 55 degrees Celsius for 1,000 cycles, stained with two percent basic fuchsin, sectioned, and visually inspected for microleakage utilizing stereomicroscopy on a four-point scale. Data were statistically analyzed using Kruskal-Wallis one-way analysis of variance on ranks using Dunn's method (P<0.05). <b>Results:</b> Microleakage between the two SMART restoration groups was insignificant. SAGI alone demonstrated significantly more microleakage than all other groups. There was no statistical significance between the Fuji IX GP® control group and the two SMART restoration groups. <b>Conclusions:</b> This in vitro study indicated that silver diammine fluoride placed before glass ionomer restoration does not increase microleakage. Polyacrylic acid may be used after SDF placement without increasing microleakage.</p>","PeriodicalId":101357,"journal":{"name":"Pediatric dentistry","volume":"46 3","pages":"204-208"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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