Bacterial counts in carious dentine under restorations: 2-year in vivo effects.

Abstract:

:Little is known about the long-term effects of fluoride-releasing materials on carious dentine in vivo. The aim was to investigate the 2-year influence of a resin-modified glass ionomer cement (RM-GIC) and amalgam on the bacteriological counts of carious dentine that remained under class I restorations. To enable a split-mouth design, 33 molar pairs in 33 patients (mean age 15.1 years, SD 1.4) were selected, based on clinically and radiographically diagnosed occlusal dentine caries. The enamel of the carious molars was removed, and the carious dentine was sampled under aseptic conditions just beneath the dentinoenamel junction. The molars were alternately restored with RM-GIC or amalgam without further removal of carious dentine. The samples were processed for microbiological determination of total viable counts (TVC), mutans streptococci (MS), and lactobacilli (LB). The molar pairs of 25 patients were reevaluated after 2 years using the same clinical techniques and were permanently restored after complete caries removal. Both materials showed a substantial decrease in numbers of TVC and LB of the carious dentine after the 2-year period. Compared to amalgam, the decrease in the numbers of LB was significantly more pronounced for RM-GIC. No microorganisms were detected in only 11 molars (6 RM-GIC and 5 amalgam) after the 2-year period. Based on this study, we suggest that complete removal of carious dentine is still the best conservative treatment, irrespective of the restorative material used.

journal_name

Caries Res

journal_title

Caries research

authors

Weerheijm KL,Kreulen CM,de Soet JJ,Groen HJ,van Amerongen WE

doi

10.1159/000016506

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

130-4

issue

2

eissn

0008-6568

issn

1421-976X

pii

16506

journal_volume

33

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 杂志文章,多中心研究,随机对照试验

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