Search results for: molars

Authors: Sandu L., Topală F., Porojan S.

Abstract:

Cast metal inlays can be used on molars requiring a class II restoration instead amalgam and offer a durable alternative. Because it is known that class II inlays may increase the susceptibility to fracture, it is important to ensure optimal performance in selection of the adequate preparation design to reduce stresses in teeth structures and also in the restorations. The aim of the study was to investigate the influence of preparation design on stress distribution in molars with different class II preparations and in cast metal inlays. The first step of the study was to achieve 3D models in order to analyze teeth and cast metal class II inlays. The geometry of the intact tooth was obtained by 3D scanning using a manufactured device. With a NURBS modeling program the preparations and the appropriately inlays were designed. 3D models of first upper molars of the same shape and size were created. Inlay cavities designs were created using literature data. The geometrical model was exported and the mesh structure of the solid 3D model was created for structural simulations. Stresses were located around the occlusal contact areas. For the studied cases, the stress values were not significant influenced by the taper of the preparation. it was demonstrated stresses are higher in the cast metal restorations and therefore the strength of the teeth is not affected.

Keywords: cast metal inlays, class II restoration, molars, 3D models, structural simulations.

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Authors: Ghada Salem, Nihal Kabel

Abstract:

Objective: This in vitro study was carried out to assess the microleakage properties of nano-filled glass ionomer in comparison to resin-reinforced glass ionomers. Material and Methods: 40 deciduous molar teeth were included in this study. Class-II cavity was prepared in a standard form for all the specimens. The teeth were randomly distributed into two groups (20 per group) according to the restorative material used either nano-glass ionomer or Photac Fill glass ionomer restoration. All specimens were thermocycled for 1000 cycles between 5 and 55 °C. After that, the teeth were immersed in 2% methylene blue dye then sectioned and evaluated under a stereomicroscope. Microleakage was assessed using linear dye penetration and on a scale from zero to five. Results: Two way ANOVA test revealed a statistically significant lower degree of microleakage in both occlusal and gingival restorations (0.4±0.2), (0.9±0.1) for nano-filled glass ionomer group in comparison to resin modified glass ionomer (2.3±0.7), (2.4±0.5). No statistical difference was found between gingival and occlusal leakage regarding the effect of the measured site. Conclusion: Nano-filled glass ionomer shows superior sealing ability which enables this type of restoration to be used in minimum invasive treatment.

Keywords: Microleakage, nano-ionomer, resin-reinforced glass ionomer, proximal cavity preparation.

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Authors: N. L. S. Ahmad, Y. L. Thong, P. Nambiar

Abstract:

An in vitro study was carried out to evaluate the feasibility of small field of view (FOV) cone beam computed tomography (CBCT) in determining endodontic working length. The objectives were to determine the accuracy of CBCT in measuring the estimated preoperative working lengths (EPWL), endodontic working lengths (EWL) and file lengths. Access cavities were prepared in 27 molars. For each root canal, the baseline electronic working length was determined using an EAL (Raypex 5). The teeth were then divided into overextended, non-modified and underextended groups and the lengths were adjusted accordingly. Imaging and measurements were made using the respective software of the RVG (Kodak RVG 6100) and CBCT units (Kodak 9000 3D). Root apices were then shaved and the apical constrictions viewed under magnification to measure the control working lengths. The paired t-test showed a statistically significant difference between CBCT EPWL and control length but the difference was too small to be clinically significant. From the Bland Altman analysis, the CBCT method had the widest range of 95% limits of agreement, reflecting its greater potential of error. In measuring file lengths, RVG had a bigger window of 95% limits of agreement compared to CBCT. Conclusions: (1) The clinically insignificant underestimation of the preoperative working length using small FOV CBCT showed that it is acceptable for use in the estimation of preoperative working length. (2) Small FOV CBCT may be used in working length determination but it is not as accurate as the currently practiced method of using the EAL. (3) It is also more accurate than RVG in measuring file lengths.

Keywords: Accuracy, CBCT, endodontic, measurement.

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