PMID- 28433536 OWN - NLM STAT- MEDLINE DCOM- 20180507 LR - 20220311 IS - 1879-176X (Electronic) IS - 0300-5712 (Linking) VI - 61 DP - 2017 Jun TI - Assessment of enamel cracks at adhesive cavosurface margin using three-dimensional swept-source optical coherence tomography. PG - 28-32 LID - S0300-5712(17)30089-1 [pii] LID - 10.1016/j.jdent.2017.04.005 [doi] AB - OBJECTIVES: Swept-source optical coherence tomography (SS-OCT) can construct cross-sectional images of internal biological structures. The aim of this study was to evaluate enamel cracks at the cavosurface margin of composite restorations using SS-OCT. METHODS: Bowl-shaped cavities were prepared at two locations (mid-coronal and cervical regions) on the enamel surface of 60 bovine teeth. Half of the cavities (30) were treated with phosphoric acid gel. A two-step self-etch adhesive (Clearfil SE Bond) was applied to all cavities and a flowable composite was placed in bulk. After 7days in water at 37 degrees C, three-dimensional (3D) images of the specimens were obtained using SS-OCT, and cross-sectional views of the cavosurface margin were examined. Presence and extent of enamel cracks along the cavosurface margin circumference were evaluated using a 5-point scale. The results were statistically compared with Wilcoxon rank sum test with Bonferroni correction. RESULTS: 3D SS-OCT could detect enamel cracks at the cavosurface margin of composite restorations. Cervical regions caused more enamel cracking than mid-coronal regions. Phosphoric acid etching increased the incidence of enamel cracks compared with the preparations without etching. CONCLUSION: SS-OCT can be used to detect enamel cracks at the margins of composite restorations noninvasively. Presence and extent of enamel cracks depended on the enamel region and bonding protocol. CLINICAL SIGNIFICANCE: SS-OCT can be used to detect enamel cracks at the margins of composite restorations noninvasively. Selective phosphoric acid etching of the enamel significantly increased the incidence of marginal cracks, especially in cervical preparation. CI - Copyright (c) 2017 Elsevier Ltd. All rights reserved. FAU - Tabata, Tomoko AU - Tabata T AD - Cariology and Operative Dentistry, Oral Restitution Department, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan. FAU - Shimada, Yasushi AU - Shimada Y AD - Cariology and Operative Dentistry, Oral Restitution Department, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan; Department of Operative Dentistry, Graduate School of Medicine and Dentistry, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8525, Japan. Electronic address: shimada.ope@okayama-u.ac.jp. FAU - Sadr, Alireza AU - Sadr A AD - Biomimetics Biomaterials Biophotonics & Technology Laboratory, Department of Restorative Dentistry, University of Washington School of Dentistry, 1959 NE Pacific St. Box 357456, Seatle, WA, 98195-7456, USA. FAU - Tagami, Junji AU - Tagami J AD - Cariology and Operative Dentistry, Oral Restitution Department, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan. FAU - Sumi, Yasunori AU - Sumi Y AD - National Center for Geriatrics and Gerontology, Department for Advanced Dental Research, Center of Advanced Medicine for Dental and Oral Diseases, 36-3, Gengo, Morioka, Obu, Aichi, 474-8511, Japan. LA - eng PT - Journal Article DEP - 20170419 PL - England TA - J Dent JT - Journal of dentistry JID - 0354422 RN - 0 (Clearfil SE Bond) RN - 0 (Composite Resins) RN - 0 (Dentin-Bonding Agents) RN - 0 (Phosphoric Acids) RN - 0 (Resin Cements) RN - 0 (flowable hybrid composite) RN - E4GA8884NN (phosphoric acid) SB - IM MH - Acid Etching, Dental MH - Animals MH - Cattle MH - Composite Resins/chemistry/therapeutic use MH - Dental Caries/chemically induced/*diagnostic imaging/therapy MH - Dental Cavity Preparation MH - Dental Enamel/*diagnostic imaging/*drug effects/*injuries MH - Dental Marginal Adaptation MH - Dental Restoration, Permanent/*adverse effects/methods MH - Dentin-Bonding Agents MH - Microscopy, Confocal MH - Phosphoric Acids/*adverse effects MH - Resin Cements MH - Surface Properties MH - Tomography, Optical Coherence/*methods OTO - NOTNLM OT - 3D image OT - Cavosurface margin OT - Composite restorations OT - Enamel cracks OT - SS-OCT EDAT- 2017/04/24 06:00 MHDA- 2018/05/08 06:00 CRDT- 2017/04/24 06:00 PHST- 2017/01/31 00:00 [received] PHST- 2017/04/03 00:00 [revised] PHST- 2017/04/15 00:00 [accepted] PHST- 2017/04/24 06:00 [pubmed] PHST- 2018/05/08 06:00 [medline] PHST- 2017/04/24 06:00 [entrez] AID - S0300-5712(17)30089-1 [pii] AID - 10.1016/j.jdent.2017.04.005 [doi] PST - ppublish SO - J Dent. 2017 Jun;61:28-32. doi: 10.1016/j.jdent.2017.04.005. Epub 2017 Apr 19.