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      Comparison of Marginal Microleakage of Glass Ionomer Restorations in Primary Molars Prepared by Chemo-mechanical Caries Removal (CMCR), Erbium: Yttrium Aluminum-Garnet (Er:YAG) Laser and Atraumatic Restorative Technique (ART)

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          ABSTRACT

          Background: It is important to emphasize that the aspects of pretreatment techniques, as well as the composition and mechanism of adhesion, may decisively influence the effectiveness of the restorative materials in sealing cavity margins and preventing marginal leakage.

          Aims: This study assessed the in vitro influence of surface preparation techniques on the microleakage of glass ionomer restorations in primary teeth.

          Materials and methods: The study groups were divided into three different techniques: (1) The chemomechanical caries removal (CMCR) method using the Apacaries gel, (2) the erbium:yttrium aluminum-garnet (Er:YAG) laser method and (3) the atraumatic restorative technique (ART). The teeth restored with a glass ionomer restorative material (Fuji IX GP capsule, GC Corporation, Tokyo, Japan). The dye penetration was measured in micrometers using a polarized light microscope and specific computer software .

          Results: The results showed that the mean microleakage level after was lowest with the CMCR method using Apacaries gel and highest with the Er:YAG laser. There was a statistically significant difference regarding the mean microleakage level between the group with the CMCR method using Apacaries gel and the Er:YAG laser.

          Conclusion: Marginal leakage was significantly higher with preparations made using the Er:YAG laser than with the CMCR method using Apacaries gel and spoon excavator (p < 0.05).

          How to cite this article: Juntavee A, Juntavee N, Peerapattana J, Nualkaew N, Sutthisawat S. Comparison of Marginal Microleakage of Glass Ionomer Restorations in Primary Molars Prepared by Chemomechanical Caries Removal (CMCR), Erbium: Yttrium Aluminum-Garnet (Er:YAG) Laser and Atraumatic Restorative Technique (ART). Int J Clin Pediatr Dent 2013;6(2):75-79.

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          Most cited references23

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          Microleakage: a review.

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            Dentine caries excavation: a review of current clinical techniques.

            Since the invention and application of rotary instruments, the operative treatment of carious lesions has often resulted in considerable removal of tooth structure. More recently, newer techniques for removal of carious dentine have been developed in an attempt to minimise this excessive tissue loss. The following article reviews and discusses some of the techniques available to excavate demineralised dentine clinically. These methods can be classified as mechanical and non-mechanical, rotary and non-rotary and include: dental handpieces/burs, manual excavators, air-abrasion, air-polishing, ultrasonication, sono-abrasion, chemo-mechanical methods, lasers and enzymes. The advantages and disadvantages of each technique are discussed.
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              Influence of irrigants on the coronal microleakage of laterally condensed gutta-percha root fillings.

              To assess in vitro coronal microleakage in extracted human teeth after root-canal treatment, using different endodontic irrigants. Fifty teeth with single root canals were prepared and filled using the lateral condensation of gutta-percha and Endométhasone sealer. Canal preparation consisted of initial shaping of the coronal two-thirds with Gates-Glidden burs size 2 and 3, followed by preparation of the apical stop and step-back flaring with manual files. Each group (n = 10) was irrigated with the following solutions: I--1% NaOCl, II--1% NaOCl + 17% EDTA, III--2% chlorhexidine gel, IV--2% chlorhexidine gel + 1% NaOCl, and V--distilled water. After root-canal filling, the teeth were incubated at 37 degrees C for 10 days followed by 10 days immersion in human saliva and an additional 10 days in India ink. The teeth were cleared and maximum dye penetration was determined digitally in millimetres. Statistical analysis was carried out using the Kruskal-Wallis test. Least leakage occurred with 1% NaOCl + 17% EDTA (2.62 mm) and 2% chlorhexidine gel (2.78 mm) (P > 0.05). NaOCl (3.51 mm), distilled water (6.10 mm) and 2% chlorhexidine gel + 1% NaOCl (9.36 mm) gave increased leakage with a significant difference compared to NaOCl + 17% EDTA and 2% chlorhexidine gel, and compared to one another (P < 0.05). Under the condition of this study, irrigation method during root-canal treatment influenced coronal microleakage. NaOCl + EDTA and chlorhexidine gel allowed better sealing following root filling.
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                Author and article information

                Contributors
                Journal
                Int J Clin Pediatr Dent
                Int J Clin Pediatr Dent
                IJCPD
                International Journal of Clinical Pediatric Dentistry
                Jaypee Brothers Medical Publishers
                0974-7052
                0975-1904
                May-Aug 2013
                26 August 2013
                : 6
                : 2
                : 75-79
                Affiliations
                Associate Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Khon Kaen University, Thailand, e-mail: apa.edu@hotmail.com
                Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Khon Kaen University, Thailand
                Associate Professor, Department of Pharmaceutical Technology Faculty of Pharmaceutical Sciences, Khon Kaen University, Thailand
                Lecturer, Department of Pharmacognosy and Toxicology, Faculty of Pharmaceutical Sciences, Khon Kaen University, Thailand
                Dental Student, Department of Pediatric Dentistry, Faculty of Dentistry, Khon Kaen University, Thailand
                Author notes
                Associate Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Khon Kaen University, Thailand, e-mail: apa.edu@hotmail.com
                Article
                10.5005/jp-journals-10005-1193
                4086587
                25206196
                17d0e116-6b52-41d4-9491-00511675a4a4
                Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.

                This work is licensed under a Creative Commons Attribution 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/

                History
                : 28 January 2013
                : 25 June 2013
                Categories
                Research Article

                marginal microleakage,glass ionomer restorations,chemomechanical caries removal,erbium:yttrium aluminum-garnet (er:yag) laser,atraumatic restorative technique

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