Original scientific paper
https://doi.org/10.15644/asc54/4/5
Comparison of Resin Infiltration Technique with Conventional Preventive Applications on Occlusal Fissures: EDS and SEM Analyses
Sidika Aynur Horuztepe
orcid.org/0000-0003-2079-7494
; Private practice in Ankara, Turkey
Esra Ergin
; Hacettepe University, School of Dentistry, Department of Restorative Dentistry, Ankara, Turkey
Alev Onen
; Hacettepe University, School of Dentistry, Department of Restorative Dentistry, Ankara, Turkey
Sevil Gürgan
; Hacettepe University, School of Dentistry, Department of Restorative Dentistry, Ankara, Turkey
Abstract
Objective: To compare the subsurface mineral loss preventing capability of resin infiltration technique with topical fluoride and fissure sealant applications to demineralized occlusal fissures under simulated oral conditions. Materials and Methods: Occlusal surfaces of 64 extracted intact human third molars were demineralized. Next, the teeth were classified into four groups according to preventive applications (n = 16): G1, Specimens used as the control group with no preventive treatment; G2, Topical fluoride application (APF Gel/ DEEPAK); G3, Fissure sealant application (ClinproT-MSealant/ 3M ESPE); and G4, Resin infiltration technique (Icon/ DMG). Chemical compositions before pH cycling were evaluated for eight specimens from each group. The remaining eight teeth from each group were subjected to pH cycling for 15 days to simulate the oral conditions. Subsequently, the specimens were fractured after immersion in liquid nitrogen and the subsurface fluoride (F), calcium (Ca), phosphorus (P) levels, and Ca/P ratio of each specimen were measured using energy dispersive x-ray spectrometer (EDS). The data were subjected to statistical analysis (p = 0.05). The effects of preventive applications to surface topography of specimens were evaluated using scanning electron microscope (SEM). Results: There were no significant differences among the groups in subsurface F, Ca, and P levels and Ca/P ratios before or after pH cycling (p > 0.05). All three preventive applications were effective during pH cycling according to SEM observations. Conclusions: The subsurface mineral loss preventing capability of resin infiltration technique applied to occlusal fissures was comparable to topical fluoride and fissure sealant applications. Clinical significance: The resin infiltration technique could represent a valid alternative to traditionally used both preventive and restorative treatments for treating initial carious lesions on occlusal fissures, offering the advantages of better resin penetration and retention.
Keywords
ToothDemineralization; Pit and Fissure Sealants; Topical Fluorides; Dental Resins; Hydrogen-Ion Concentration
Hrčak ID:
247665
URI
Publication date:
14.12.2020.
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