Abstract:
INTRODUCTION:Limited access to interdental spaces complicates removal of excess material when placing class II composite resin restorations. Evidence-based recommendations on interproximal finishing are rare. We present novel microscalpels for this indication. The aim of the study was to test their fracture strength and cutting ability and to compare microscalpels with the use of a scaler, oscillating devices (G5-ProShape, G5-Proxocare), finishing strips and scalpels of sizes 12, 15, and 21 in a standardized in vitro model. METHODS AND MATERIALS:Fracture strength (LOAD) and cutting forces (CUT) of microscalpels were evaluated at different angles (15, 30, 60, and 75 degrees; n=30 each) in a universal testing machine. Devices were compared in vitro using standardized composite overhangs. Marginal quality (QUAL; n=30) and quantity of excess/deficit (QUAN; n=30) were evaluated using scanning electron microscopy (SEM) for each device (explorative data analysis, Student t-test or analysis of variance; post hoc Scheffé). RESULTS:Microscalpels showed the highest LOAD (95.8 [5.0] N) (mean [standard deviation]) and easiest cutting (CUT) (7.6 [1.5]) at 15 degrees. At all angles, LOAD was significantly higher than CUT (p<0.001). Perfect margins were seen most often with scalpel size 12 (QUAL: 37% relative frequency), while most excess (73.4%) was observed with finishing strips. QUAN was lowest with microscalpels (19.3 [4.4] μm) and highest with finishing strips (116.0 [18.8]). Use of scalers led to fractures and crack formation. CONCLUSION:Microscalpels are able to cut composite at a lower force than necessary to fracture the blades at all angles. Small and/or curved scalpels yield the best-quality margins.
journal_name
Oper Dentjournal_title
Operative dentistryauthors
Wolff D,Schick S,Staehle HJ,Frese Cdoi
10.2341/16-012-Lsubject
Has Abstractpub_date
2017-05-01 00:00:00pages
297-307issue
3eissn
0361-7734issn
1559-2863journal_volume
42pub_type
杂志文章abstract::The purpose of this study was to determine if the actual concentration of bleaching agents available in four different countries were the same as the label indicated and within the recommendations of the International Standard on Tooth Whitening. The method recommended for assaying peroxide by the United States Pharma...
journal_title:Operative dentistry
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abstract::This study assessed the in vitro influence of surface sealing on the surface roughness of a posterior resin composite before and after toothbrushing. Thirty specimens (13 mm diameter x 1 mm high) were fabricated from Filtek-P60 resin composite and randomly assigned to three groups (n = 10): a non-sealed control and tw...
journal_title:Operative dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:
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journal_title:Operative dentistry
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doi:
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pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
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journal_title:Operative dentistry
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pub_type: 杂志文章,随机对照试验
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journal_title:Operative dentistry
pub_type: 杂志文章
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journal_title:Operative dentistry
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journal_title:Operative dentistry
pub_type: 杂志文章
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journal_title:Operative dentistry
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doi:
更新日期:2001-09-01 00:00:00
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journal_title:Operative dentistry
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doi:
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journal_title:Operative dentistry
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doi:
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pub_type: 临床试验,杂志文章,随机对照试验
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