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Marginal leakage along Concise in relation to filling procedure
Summary
Bacteria were found under Concise restorations in all tested cavities. Acid etching combined with resin and Concise significantly reduced bacterial presence in dentinal tubules beneath restorations.
Area of Science:
- Dentistry
- Microbiology
- Dental Materials Science
Background:
- Class V Concise restorations are used for permanent molars.
- Assessing bacterial presence beneath restorations is crucial for clinical success.
Purpose of the Study:
- To evaluate bacterial presence under Class V Concise restorations in permanent molars.
- To compare the efficacy of acid etching and resin application in preventing bacterial ingress.
Main Methods:
- Bacteria beneath 58 Class V Concise restorations were registered in vivo.
- Cavities were filled with Concise only, or resin and Concise, with or without prior acid etching.
- Bacterial presence was assessed after 1-4 months.
Main Results:
- Bacteria were found in all cavities with Concise only (13/13).
- Bacteria were found in 14/15 cavities with resin and Concise, 12/15 with acid-etched Concise only, and 8/15 with acid-etched resin and Concise.
- Bacterial occurrence in dentinal tubules was greatest following acid etching.
Conclusions:
- Acid etching combined with resin and Concise significantly reduced bacterial presence compared to Concise alone.
- The findings suggest that acid etching and resin application improve the seal of Concise restorations, reducing bacterial ingress.