Document Detail

Immediate dentin sealing in indirect restorations of dental fractures in paediatric dentistry.
MedLine Citation:
PMID:  23758466     Owner:  NLM     Status:  In-Data-Review    
AIM At present, two different clinical procedures to ensure the adherence of indirect tooth restorations to the dental tissues are available: a traditional method based on a delayed dentin sealing (DDS) and an innovative approach that contemplates an immediate dentin sealing (IDS). In this study the authors highlight the advantages of the latter method (IDS), decribing the operating phases of this procedure used in paediatric dentistry to perform indirect restorations of dental fractures. MATERIALS AND METHODS The operating phases of indirect composite restorations of dental fractures in paediatric patients are described, introducing an innovative procedure that recommends the immediate application of the dental adhesive (IDS) on the exposed dentin before the subsequent operating phases of tooth preparation, dental impression and adhesive cementation of the restoration. RESULTS The immediate application of the dental adhesive (IDS) on the freshly cut exposed dentin, before taking the dental impression, protects the dental pulp from bacterial contamination and prevents post-operative sensitivity. At the same time, this procedure provides an ideal substrate for formation of a hybrid layer with excellent adhesion properties. CONCLUSION Both methods (DDS and IDS) allow the formation of an adequate hybrid layer to seal the dentin in the interdiffusion area, although SEM images of samples treated with the two methods reveal clear ultrastructural differences between the different interfaces.
C Perugia; E Ferraro; R Docimo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of paediatric dentistry : official journal of European Academy of Paediatric Dentistry     Volume:  14     ISSN:  1591-996X     ISO Abbreviation:  Eur J Paediatr Dent     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-06-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121881     Medline TA:  Eur J Paediatr Dent     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  146-9     Citation Subset:  D; IM    
University of Rome 'Tor Vergata', Rome, Italy Department of Paediatric Dentistry.
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