Browsing by Subject "secondary caries"

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    Effect of Gap Geometry on Secondary Caries in Vitro
    (2009) Nassar, Hani M.; Cabezas, Carlos Gonzales, 1966-; Chu, Tien-Min Gabriel; Fontana, Margherita Ruth, 1966-; Gregory, Richard; Matis, Bruce; Cochran, Michael
    Objective: To investigate the effect of the size of the space between the restoration and the dentinal wall of the tooth (i.e. the dentinal portion of the gap) on the development of secondary caries. Methods: Tooth-resin-matrix composite specimens were mounted on custom-made gap-model stages. Specimens were divided into four groups (n=10). Group 1 had a uniform gap size of 30μm throughout both enamel and dentin. Group 2 had a 30μm enamel gap size with a 530μm dentinal gap. Group 3 had 525μm gaps in both enamel and dentin. Group 4 had 525μm and 1025μm gaps in enamel and dentin, respectively. Specimens were attached to plastic Petri plates, gas-sterilized and then incubated in a microbial caries model with S. mutans TH16 in (1% sucrose tryptic soy broth for 1 h, 4 times/day, and with a buffer solution for the rest of the day). After 8 days of incubation, tooth specimens were sectioned and stained with a rhodamine B solution. Digital images were taken under a confocal microscope and analyzed for lesion size at the enamel outer lesion (EOL), enamel wall lesion (EWL), dentin wall lesion next to the DEJ (DWL-A) and dentin wall lesion at 750µm from the DEJ (DWL-B). Results: No difference in EOL size was found between the groups. DWL-A and -B were larger in group 3 than groups 1and 2. Larger DWL-B was found in group 3 than group 4. Group 4 had marginally significant larger EWL than groups 1 and 2 (p=0.0652 and p=0.0648, respectively). Also, group 4 had marginally significant (p=0.0607) larger DWL-B than group 1. Conclusions: Based on the results of this study, it can be concluded that the presence of additional space at the dentinal wall area did not affect secondary caries development as long as the enamel gap was small. However, with enamel gaps of ≈500 µm, the presence of the additional gap space at the dentinal wall led to the development of smaller dentinal wall lesions at the deeper parts of the simulated cavity. Also, in uniform gaps, the size of the interface was positively correlated with size of the dentinal wall lesions.
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    Secondary caries: what is it, and how it can be controlled, detected, and managed?
    (Springer, 2020-05) Askar, Haitham; Krois, Joachim; Göstemeyer, Gerd; Bottenberg, Peter; Zero, Domenick; Banerjee, Avijit; Schwendicke, Falk; Cariology, Operative Dentistry and Dental Public Health, School of Dentistry
    Objectives To assess how to control, detect, and treat secondary caries. This review serves to inform a joint ORCA/EFCD consensus process. Methods Systematic and non-systematic reviews were performed or consulted and narratively synthesized. Results Secondary (or recurrent) caries is defined as a lesion associated with restorations or sealants. While the restorative material itself has some influence on secondary caries, further factors like the presence and size of restoration gaps, patients’ caries risk, and the placing dentist’s experience seem more relevant. Current detection methods for secondary caries are only sparsely validated and likely prone for the risk of over-detection. In many patients, it might be prudent to prioritize specific detection methods to avoid invasive overtreatment. Detected secondary caries can be managed either by repair of the defective part of the restoration or its complete replacement. Conclusions There is sparse data towards the nature of secondary caries and how to control, detect, and treat it.