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  1. Article ; Online: The use of rubber dam in the survival of RMGIC restorations in primary molars: a 30-month randomized controlled clinical trial.

    Brum, Vanessa Dos Santos / Borges, Maria Luiza Vieira / Santos, Nicole Marchioro Dos / Kaufmann, Camila / Rodrigues, Jonas de Almeida

    Brazilian oral research

    2024  Volume 38, Page(s) e009

    Abstract: This study was a randomized controlled clinical trial with two parallel arms and the objective was to compare the survival of resin modified glass ionomer (RMGIC) restorations in primary teeth using rubber dam or cotton roll isolation after a 30-month ... ...

    Abstract This study was a randomized controlled clinical trial with two parallel arms and the objective was to compare the survival of resin modified glass ionomer (RMGIC) restorations in primary teeth using rubber dam or cotton roll isolation after a 30-month follow-up period. Ninety-two children (mean age 6.8 ± 1.37) and 200 primary molars with occlusal or occluso-proximal cavitated dentin caries lesions were randomly assigned into two groups: cotton rolls and rubber dam. All lesions were restored using RMGIC (RIVA Light Cure) after selective caries removal. Restorative failure and lesion arrestment were evaluated by two independent, trained, and calibrated examiners through clinical and radiographic examinations. The Kaplan-Meier test was used to assess the survival of restorations and Cox regression was used to assess the association of risk factors with restorative failure. There was no significant difference in survival rates between groups (p = 0.17). Older age (HR = 2.81 [95%CI: 1.47-5.44]) and higher rate of gingival bleeding (HR = 0.47 [95%CI: 0.23-0.99]) were associated with restorative failure. No patient had painful symptoms, pulp outcomes, or radiographic changes compatible with lesion progression. The use of rubber dam isolation did not increase the survival rate of occlusal and occluso-proximal restorations using RMGIC in primary molars after 30 months of follow-up. Since the survival is not influenced by the type of isolation, the professional can safely choose the appropriate technique for each case, considering his experience and preferences, as well as those of the patient.
    MeSH term(s) Child ; Humans ; Child, Preschool ; Rubber Dams ; Dental Care ; Dental Caries/therapy ; Molar ; Acrylic Resins ; Silicon Dioxide
    Chemical Substances glass ionomer ; Acrylic Resins ; Silicon Dioxide (7631-86-9)
    Language English
    Publishing date 2024-01-05
    Publishing country Brazil
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2179332-3
    ISSN 1807-3107 ; 1806-8324 ; 1517-7491
    ISSN (online) 1807-3107
    ISSN 1806-8324 ; 1517-7491
    DOI 10.1590/1807-3107bor-2024.vol38.0009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Enamel Subsurface Caries-Like Lesions Induced in Human Teeth By Different Solutions: A TMR Analysis.

    Gouvêa, Daiana Back / Santos, Nicole Marchioro Dos / Pessan, Juliano Pelim / Jardim, Juliana Jobim / Rodrigues, Jonas Almeida

    Brazilian dental journal

    2020  Volume 31, Issue 2, Page(s) 157–163

    Abstract: This study assessed the effectiveness of models for developing subsurface caries lesions in vitro and verified mineral changes by transverse microradiography (TMR). Enamel blocks from permanent (n=5) and deciduous teeth (n=5) were submitted to lesion ... ...

    Abstract This study assessed the effectiveness of models for developing subsurface caries lesions in vitro and verified mineral changes by transverse microradiography (TMR). Enamel blocks from permanent (n=5) and deciduous teeth (n=5) were submitted to lesion induction by immersion in demineralizing solutions during 96 h, followed by pH cycles of demineralization (de) and remineralization (re) for 10 days. Two de-/re solutions were tested. Demineralizing solution "A" was composed by 2.2 mM CaCl2, 2.2 mM KH2PO4, 0.05 M acetic acid, with pH 4.4 adjusted by 1 M KOH. Demineralizing solution "B" was composed by 2.2 mM CaCl2, 2.2 mM NaH2PO4, 0.05 M acetic acid and 0.25 ppmF, with pH 4.5 adjusted by 1M KOH. Solution "A" produced cavitated lesions in permanent teeth, whereas solution "B" led to subsurface lesions in deciduous teeth. Solution "B" was then tested in enamel blocks from permanent teeth (n=5) and subsurface lesions were obtained, so that solution "B" was employed for both substrates, and the blocks were treated with slurries of a fluoride dentifrice (1450 ppm F, as NaF, n=5) or a fluoride-free dentifrice (n=5). Solution "B" produced subsurface lesions in permanent and primary teeth of an average (±SD) depth of 88.4µm (±14.3) and 89.3µm (±15.8), respectively. TMR analysis demonstrated that lesions treated with fluoride-free dentifrice had significantly greater mineral loss. This study concluded that solution "B" developed subsurface lesions after pH cycling, and that mineral changes were successfully assessed by TMR.
    MeSH term(s) Cariostatic Agents ; Dental Caries ; Dental Enamel ; Dentifrices ; Fluorides ; Humans ; Hydrogen-Ion Concentration ; Tooth Demineralization ; Tooth Remineralization
    Chemical Substances Cariostatic Agents ; Dentifrices ; Fluorides (Q80VPU408O)
    Language English
    Publishing date 2020-06-18
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 1089484-6
    ISSN 1806-4760 ; 0103-6440
    ISSN (online) 1806-4760
    ISSN 0103-6440
    DOI 10.1590/0103-6440202003123
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Effect of erosive challenges on deciduous teeth undergoing restorative procedures with different adhesive protocols - an in vitro study.

    Assunção, Cristiane Meira / Goulart, Marcelo / Essvein, Tattiana Enrich / Santos, Nicole Marchioro Dos / Erhardt, Maria Carolina Guilherme / Lussi, Adrian / Rodrigues, Jonas de Almeida

    Journal of applied oral science : revista FOB

    2018  Volume 26, Page(s) e20170053

    Abstract: To evaluate the effect of erosive challenges on the tooth- restoration interface of deciduous teeth treated with different adhesive protocols. Deciduous molars were cut mesiodistally, then embedded, abraded and polished (n=80). Samples were randomly ... ...

    Abstract To evaluate the effect of erosive challenges on the tooth- restoration interface of deciduous teeth treated with different adhesive protocols. Deciduous molars were cut mesiodistally, then embedded, abraded and polished (n=80). Samples were randomly divided according to the adhesive system used into: G1 (Adper Single Bond2®, etch-and-rinse), G2 (Universal Single Bond®, self-etching), G3 (OptibondFL®, etch-and-rinse with Fluoride) and G4 (BondForce®, self-etching with Fluoride). After standardized cavity preparation (2 mm diameter x 2 mm depth), adhesive systems were applied and samples were restored (composite resin Z350®). Half of the samples were exposed to erosive/abrasive cycles (n = 10, each adhesive group), and the other half (control group; n = 10) remained immersed in artificial saliva. For microleakage analysis, samples were submersed in methylene blue and analyzed at 40x magnifications. Cross-sectional microhardness (CSMH) was carried out (50 g/5 s) at 25 μm, 50 μm, and 100 μm from the eroded surface and at 25 μm, 75 μm, and 125 μm from the enamel bond interface. Regarding microleakage, 7.5% of the samples showed no dye infiltration, 30% showed dye infiltration only at the enamel interface, and 62.5% showed dye infiltration through the dentin-enamel junction, with no difference between groups (p≥0.05). No significant difference was observed in CSMH at different depths (two-way ANOVA, p≥0.05). We did not observe significant changes in microleakage or CSMH after erosive/abrasive challenges in deciduous teeth treated with different adhesive protocols (etch-and-rinse and self-etching adhesives, with and without fluoride).
    MeSH term(s) Analysis of Variance ; Bisphenol A-Glycidyl Methacrylate/chemistry ; Composite Resins/chemistry ; Dental Cements/chemistry ; Dental Enamel/chemistry ; Dental Enamel/drug effects ; Dental Leakage/etiology ; Dentin/chemistry ; Dentin/drug effects ; Fluorides/chemistry ; Hardness Tests ; Humans ; Materials Testing ; Random Allocation ; Reference Values ; Reproducibility of Results ; Resin Cements/chemistry ; Saliva, Artificial/chemistry ; Statistics, Nonparametric ; Surface Properties ; Tooth Erosion/etiology ; Tooth, Deciduous/chemistry ; Tooth, Deciduous/drug effects
    Chemical Substances Adper single bond 2 ; Bond Force dental cement ; Composite Resins ; Dental Cements ; OptiBond FL ; Resin Cements ; Saliva, Artificial ; filtek Z350 ; single bond ; Bisphenol A-Glycidyl Methacrylate (454I75YXY0) ; Fluorides (Q80VPU408O)
    Language English
    Publishing date 2018-01-18
    Publishing country Brazil
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 2152066-5
    ISSN 1678-7765 ; 1678-7757
    ISSN (online) 1678-7765
    ISSN 1678-7757
    DOI 10.1590/1678-7757-2017-0053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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