Singh S, Pandey R K
Department of Pedodontics and Preventive dentistry, Mahatma Gandhi Post Graduate Institute, Puducherry, India.
J Indian Soc Pedod Prev Dent. 2011 Oct-Dec;29(4):294-9. doi: 10.4103/0970-4388.86370.
Dental caries affects populations of all ages in all the regions of the world, with the child patient being at the highest risk. Fifty percent of the permanent molars are decayed by the age of 12, due to lack of information about protection and occlusal morphology. Pit and fissure sealing undoubtedly plays a fundamental role in preventing occlusal caries. The most common approach to assess the sealing ability of pit and fissure sealants of tooth/restoration is the measurement of dye penetration along the interface.
The present study aims to evaluate the microleakage and penetration depth of three different types of dental materials, namely (A) Conventional pit and fissure sealant, (B) Flowable composite, (C) Flowable nanocomposite.
This in-vitro comparative study comprised of extracted human posterior teeth mounted as blocks.
In the present study, microleakage and penetration depths of conventional sealants/flowable composite and nanocomposite were measured with the help of a dye under stereomicroscope.
A student't' test and Analysis of variance (ANOVA) tests were performed to compare the mean microleakage and penetration depth.
Microleakage was found to be highest for the flowable composites, and least for the conventional sealant. The nanocomposite values were intermediate. Penetration depth was highest for nanocomposite and least for flowable composite.
According to the results, the nanocomposite was found to be an excellent dental material for penetration in deep pits and fissures, though it exhibits mild microleakage. Hence, it can be recommended for use in pediatric dental patients, as a pit and fissure sealing agent.
龋齿影响着世界所有地区各个年龄段的人群,儿童患者的风险最高。由于缺乏关于保护和咬合形态的信息,50%的恒牙在12岁时就会发生龋坏。窝沟封闭无疑在预防咬合面龋齿方面发挥着重要作用。评估牙齿/修复体窝沟封闭剂封闭能力最常用的方法是测量染料沿界面的渗透情况。
本研究旨在评估三种不同类型牙科材料的微渗漏和渗透深度,即(A)传统窝沟封闭剂、(B)流动树脂复合材料、(C)流动纳米复合材料。
这项体外对比研究包括将拔除的人类后牙制成块状。
在本研究中,借助染料在体视显微镜下测量传统封闭剂/流动树脂复合材料和纳米复合材料的微渗漏和渗透深度。
进行学生t检验和方差分析(ANOVA)以比较平均微渗漏和渗透深度。
发现流动树脂复合材料的微渗漏最高,传统封闭剂的微渗漏最低。纳米复合材料的值介于两者之间。纳米复合材料的渗透深度最高,流动树脂复合材料的渗透深度最低。
根据结果,发现纳米复合材料是一种用于深窝沟渗透的优良牙科材料,尽管它表现出轻微的微渗漏。因此,可推荐将其作为窝沟封闭剂用于儿童牙科患者。