DISCUSSION
Caries is aninfective disease that presents high incidence from the earliest ages and causes tooth structure loss, damaging the individual’s oral and general health. Typically, when the dentin is taken chance and it is difficult to control biofilm formation on the lesion, it is essential to remove the tissue involved to control the development of the disease (Correa et al., 2007).
During the invasive treatment of caries using high speed instruments, the dental surgeon is forced to destroy the sound tooth structure. The concept of minimally invasive dentistry is based on removing caries with method that minimize the loss of sound enamel and dentin (Allen et al., 2005). Carious dentin is composed of an outer infected layer that
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However, it is a time-consuming methodology with unclear aspects, such as the partial volumetric effect (Jan, 2006). Occurring when a single pixel or voxel includes both the structure of interest and the background, this effects results in differences in relation to successive longitudinal scans of the same specimen. As a result of this, in carious teeth specimens with larger cavities will face further suffering from partial volumetric effect in comparison to teeth with smaller cavities (Jorgensen et al., 2008). What is more, owing to the fact that the device is very expensive and limited in terms of availability due to the use of such synchrotron sources, it is not used on a widespread basis (Sidky et al., …show more content…
Knoop and Vicker’s microhardness is suitable for determining the hardness of very brittle materials, such as dental hard tissue (Hosoya et al., 2000; Hossain et al., 2003; Correa et al., 2007).
In tooth hardness studies the Vicker indenter is more practical than the Knoop’s in that a square shape has to be forever preserved; and close to the outer surface and the dentinoenamel junction a small tension of the diagonals of the indentations, that cause errors in hardness measurements, is easily determined (Gutierrez-Salazar and Reyes-Gasga, 2003). Therefore in this study, the use of a microhardness tester with a Vicker indenter allowed measuring the hardness of the remaining dentin, as an indicator of treatment effectiveness.
The mean Vicker’s hardness values of the sound dentin (VHN=55,33 in the conventional group and VHN=54,81 in the hand excavation group) in our experiment was close to the traditional Vicker’s hardness values of sound dentin (50-60 VHN) as reported by Fuentes et al. (2003). Statistical analysis did not show significant differences between the two groups for dentin
Chronic periodontitis Chronic Periodontitis is an inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms or groups of specific microorganisms, leading to progressive destruction of the attachment apparatus of the teeth including periodontal ligament, cementum and alveolar bone with periodontal pocket formation, and recession of the gingival tissue(1) . The clinical feature that characterizes periodontitis from gingivitis is the presence of clinically apparent attachment loss. This loss mainly is associated with changes in the density and height of subjacent alveolar bone (1). Severe generalized periodontitis affects 5–15% of any population worldwide and is a major cause of teeth loss after dental caries (2). Chronic Periodontitis also known as adult periodontitis or chronic adult
Because all 3 preps had enough normal dentin thickness over the pulp tissue, the need for a liner or a base was not necessary in any of the restorations. The final and maybe most important part of the entire process includes checking the occlusion of each restoration using articulating paper. A high restoration could lead to fracture/failure or the restoration and/or pain on mastication. Once confirmed to be normal, the patient is given proper home instructions which include not eating anything for the next 2 hours.
Dental assistants’ contribution to the doctor is to allow for efficient dental treatment by preparing the patient for the procedure, sterilizing instruments, passing instruments during the procedure, holding suction devices, exposing dental radiographs, taking impressions, and fabricating provisional crowns. Along with crowns, Rt1 Dental offers veneers which are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your smile. Many people are skeptical about other procedures like cavities and root canals. During these procedures, pain is thought to be the leading dynamic because of the injections. The assistants and Dr. Trakhtman know of various techniques to help lessen the pain
Dent Repair Ideas You Should Try Dents devalues the things it is on. Everyone knows that. Perhaps, you are not an exemption. The fact that you are reading this, you really need to know what to do to solve it. Or less it will continue to degrade where it is on.
Periodontal disease destructs the tissues the form around the teeth, including the gums, periodontal ligaments, and tooth sockets. A patient may notice bleeding, tender, and/or swollen gums, mouth sores, shiny appearance to the gums, or in some cases, hypertrophic gingivitis. If gingivitis isn’t taken care of in its early stages, it can result in an infection of the gums or jaw bones or in some cases, trench mouth. Trench mouth is a form of gingivitis that results when there are copious amounts of normal bacteria in the mouth. The gums become infected and form painful ulcers and gingivalgia.
The aim of the experiment was to test different types of soft drink on calcium carbonate marble chips, which were used in place of human teeth, and record what percentage of the marble chips dissolved when it was left in the soft drink overnight. These results will show which of the five soft drinks tested was the most harmful, and the ingredients will be examined to explain why the particular soft drink was the most detrimental to human teeth. Human teeth are covered in a hard substance called tooth enamel, which is made of hydroxyapatite. Enamel is the hardest tissue in the body and is vital in protecting teeth from decay (Callison, 2018). Enamel erosion occurs when acids wear away at the teeth and can result in painful temperature sensitivity, discolouration, cracks and chips, and indentations appearing on the teeth, and will result in cavities (Smith, 2013).
For various reasons, including deep cavities, too many dental procedures in one area, tooth injuries or cracks, the pulp becomes exposed to the elements. When this happens, food and drink work their way into the delicate pulp and cause an infection. Essentially, the pulp becomes diseased. This leads to extreme pain and swelling, with the possibility that the infection can spread to the rest of the
It is thought that the most prevalent source of such microorganisms is from the mother, although the exact mechanism of transmission is not well understood. Once acquired, a source of carbohydrates such as sucrose or fructose feeds the bacteria, which reduce the pH in the mouth as they proliferate, leading to demineralization of the enamel and dentin. The disease typically manifests in areas that are not commonly associated with later onset caries, most notably the smooth surfaces of the maxillary incisors. As the condition progresses, it spreads to the canines and molars, propagating to the mandibular teeth, with the mandibular incisors typically the last and least affected, due to their proximity to the primary salivary glands and protection from the substrate provided by the nipple of the bottle or the spout of the sippy
Radiographs aren 't effective in diagnosing early caries Enamel/dentin caries prevention Laser fluoride therapy Both laser and fluoride decrease ph >> thus enamel dissolute under very low ph Removal of caries By YAG laser with its antibacterial effect, decontamination of the affected layer will retain its remeneralizing potential. No smear layer>> more retention Laser on enamel before etching>> better marginal seal for composite. Advantage of caries removal by laser(2) Quite>> acceptance by patient Less need for anesthesia Selective absorption by laser for carious surface>>minimal invasive Smear layer free cavity Less thermal increase>> better for pulp chamber Macroroughned surface>> more retention composite Acid etch use can be avoided>> less leakage Disadvantages(2) Expensive High training Need for conventional handpiece to complete work Pit and fissure sealant(1) Pit and fissure sealant must prevent micro leakage so caries will not occur.
Just as, seemingly, every child interprets visiting the dentist as a daunting event. The section where Schwass spoke to the invasiveness of current filling methods, in terms of the drilling and destruction, triggered some anxiety as I reminisced about all the fillings I have experienced. The idea of the use of nanoparticles being used to treat dental caries in an essentially less invasive manner, intrigued me as I know I would opt for any less invasive treatment. Having a more effective treatment means less trips to the dentists, and less drilling and filling for me, which is always a
This technology allows certified dental technicians to provide restorations on a computer screen, which makes the job easier. The fabricated material can be done in a single appointment and there is no need for temporaries afterwards. Some studies have also demonstrated that CAD/CAM restorations are stronger and less likely to fracture than the milled ones from traditional techniques (Kotrzewski). This type of dental technology is available to produce crowns, veneers, and bridges, which helps to improve oral appearance. The use of the digital impressions disregards some laboratory steps, which leads to a faster and more effective product.
It can vary in thickness and hardness on each tooth, from tooth to tooth and from person to person. It can also vary in color (typically from yellowish to grayish white) depending on variations in the thickness, quality of its mineral structure and surface stains. Enamel has no blood or nerve supply within it. It is enamel’s hardness that enables teeth to withstand blunt, heavy masticatory forces. Enamel is so hard because it is composed primarily of inorganic materials: Roughly 95% to 98% of it is calcium and phosphate ions that make up stronghydroxyapatite crystals.
Analysis of Mammal Tooth Mass Loss in Laboratory Phosphoric Acid Results from the experiment of soaking tooth in phosphoric acid (Table 6 and Graph 1) show a very weak positive correlation between the concentration of phosphoric acid and percentage mass loss in each tooth. Initially from 0.1M to 0.3M, there is a sharp increase in percentage mass loss of tooth soaked within these solutions, however, as seen from the graph, the percentage mass loss of tooth within 0.4M and 0.5M starts to decrease steadily. The data points combined together almost show a parabolic relationship between the two variables. The R2 value is less than 0.5, suggesting a non-linear relationship between the two variables. Below will be an explanation of each reasons
Traditional restorative dentistry propagated early operative intervention to remove diseased tissue and bacteria. Modern dentistry, however, emphasises on arresting the caries progression and restoring the tooth with minimum tissue destruction. Minimal invasive dentistry is based on this axiom. A drawback in restorative dentistry is the occurrence of secondary caries[18,19] that has compelled us to practice a more extensive form in the past.
BIOCOMPATIBILITY TESTS: Various preclinical biocompatibility test system have been introduced,aiming at an evaluation of the potential risk of dental materials.(ISO 7405 and 10993-5). Thesetests are categorized on the basis of their applicability levels.1. Initial tests includes cell culture tests,hemolytic tests ,systemic toxicity tests and test estimating teratogenic and carcinogenic effects and potential.