An in vitro comparison of fluorescence-aided caries excavation and conventional excavation by microhardness testing.

Abstract:

OBJECTIVE:The aim of this in vitro study was to compare fluorescence-aided caries excavation with conventional excavation based on the Martens and Vickers hardness of dentin at the cavity floor after caries removal. MATERIALS AND METHODS:In total, 20 extracted human teeth with dentin caries were bisected through the lesion center into two halves, which were assigned to either the fluorescence-aided caries excavation group or the conventional excavation group. After the treatment, embedding, mounting, and polishing, a line of indentations from the dental pulp across the sound dentin to the cavity floor was made on each sample. The data were compared with Student's t and Mann-Whitney U tests. RESULTS:The calculated Vickers hardness of the sound dentin was 57 ± 10 kg/mm(2) in the fluorescence-aided caries excavation group and 59 ± 8 kg/mm(2) in the conventional excavation group, which is consistent with the previous studies. The absolute and relative Martens hardness measurements of the cavity floor were 224 ± 93 N/mm(2) and 46 ± 17%, respectively, in the fluorescence-aided caries excavation group and 412 ± 75 N/mm(2) and 81 ± 14%, respectively, in the conventional excavation group. Based on either the Martens or Vickers hardness, both the absolute and relative microhardness measurements of the cavity floor after fluorescence-aided caries excavation were significantly lower than the values obtained by conventional excavation. CONCLUSION:Fluorescence-aided caries excavation showed the tissue-preserving property and was more conservative than the conventional excavation in this in vitro study.

journal_name

Clin Oral Investig

authors

Lai G,Zhu L,Xu X,Kunzelmann KH

doi

10.1007/s00784-013-0999-y

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

599-605

issue

2

eissn

1432-6981

issn

1436-3771

journal_volume

18

pub_type

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