[Surface roughness and staining stability of infiltrant resin for enamel white spot lesion].

OBJECTIVE: To investigate the influence factors on the surface roughness and staining susceptibility of infiltrant resin. METHODS: In the study, 30 human third molars were used, and each sample had three open enamel windows. The samples were randomly divided into three groups according to their different demineralized time. Each sample had at least one intact spot (A), one infiltrant resin spot (B) and one artificial white spot lesion (C). The surface roughness was tested before color staining for all the three spots of each specimen. The specimens were stored in a staining solution (coffee) for a period of 21 days, before and after which the color Commission Internationaled' Eclairage (CIE)L*a*b* was recorded for A, B and C spots. RESULTS: The B spot's surface roughness of each group was(0.15 ± 0.02)µm,(0.31 ± 0.03)µm and(0.40 ± 0.02)µm, respectively. And the C spot's surface roughness each was (1.08 ± 0.10)µm,(2.89 ± 0.13)µm and(3.41 ± 0.14)µm. The surface roughness of B and C of the three groups increased with demineralization time longer, and had significant difference for both B and C (P < 0.01). The ΔE of the three groups between A and B before staining had significant difference (P < 0.01). And the ΔE of group1 was less than 3.7, but the other two groups' more than 3.7. After staining, the ΔE of groups 1 and 2 was less than 3.7 but that of group 3 was more than 3.7. There were significant differences between groups 1 and 3, and also between groups 2 and 3(P < 0.01). CONCLUSION: The degree of the lesion's demineralization has effect on the surface roughness and color susceptibility of infiltrant resin. The increased surface roughness of infiltrant resin has positive effect on masking enamel white spots.

Radiographic healing after a root canal treatment performed in single-rooted teeth with and without ultrasonic activation of the irrigant: a randomized controlled trial.

INTRODUCTION: The aim of this study was to compare the outcome of a root canal treatment with and without additional ultrasonic activation of the irrigant. METHODS: Single-rooted teeth with radiographic evidence of periapical bone loss were randomly assigned to 2 treatment groups. In both groups syringe irrigation was performed, and in one group the irrigant was also activated by ultrasound. Ten to 19 months after treatment, the teeth were examined by using periapical radiography (PA) and cone-beam computed tomography (CBCT). Area and volume of the periapical lesions were measured, and the outcome was presented in 4 categories: absence, reduction or enlargement of the radiolucency, or uncertain. Lesions were classified as reduced or enlarged when the change in size of the radiolucency was 20% or more. RESULTS: The recall rate was 82%, and 84 teeth were analyzed. CBCT detected significantly more post-treatment lesions than PA (P = .038), but the percentages of absence and reduction of the radiolucency together revealed by CBCT and PA were similar (P = .383). The CBCT results showed that absence of the radiolucency was observed in 16 of 84 teeth (19%) and reduction of the radiolucency in 61 of 84 teeth (72.6%), but there was no significant difference between the results of the 2 groups (P = .470). Absence and reduction of the radiolucency together were observed in the ultrasonic group in 39 of 41 teeth (95.1%) and in the syringe group in 38 of 43 teeth (88.4%). CONCLUSIONS: Root canal treatments with and without additional ultrasonic activation of the irrigant contributed equally to periapical healing.

Plaque minerals in the prediction of caries activity.

BACKGROUND/AIMS: Attempts to identify subjects who will develop caries lesions in future years have been only moderately successful, suggesting that one or more important risk factors are being overlooked. The aim of this study was to validate the use of plaque calcium, phosphate and fluoride concentrations as significant risk factors in caries. METHODS: DMFS and DMFT rates were measured three times over 2 years in a group of rural Chinese schoolchildren initially aged 12 years and not living in a high-fluoride area. At the baseline and year 1 examinations, dental plaque was accumulated for 3 days and, after collection, was analysed for Ca, P and F. Plaque scores, dental health behaviour and parents' occupation data were also recorded. RESULTS: The mean DMFS increment over 2 years was 1.14 with a range of -2 to +9. Regression analysis taking all factors into account identified only plaque Ca concentration, baseline DMFS score and toothbrushing frequency as significant factors in identifying high-risk individuals. Plaque Ca also showed predictive ability on its own. For example, when high caries was defined as 3+ new DMFS and a Ca cut-off value of 200 nmol/mg dry wt was selected, sensitivity was 0.84 and specificity 0.38. However, with this cut-off value the percentage predicted to have high caries risk was unrealistically high at 66%. As in several other studies, baseline caries score was a useful predictor of future caries. CONCLUSION: Low plaque Ca concentration showed a modest ability to predict future caries, and since it is implicated directly in the chain of events leading to caries, its use in caries prediction should be considered further. Plaque P and F showed no predictive ability in this study.