Effect of Caries Infiltrant on Margin Integrity of Composite Fillings Placed Adjacent to Demineralised Primary Enamel

Oral Health Prev Dent. 2021 Jan 7;19(1):603-608. doi: 10.3290/j.ohpd.b2259135.

Abstract

Purpose: To investigate the influence of pretreating demineralised enamel with an infiltrant on the margin integrity of Class V like composite restorations on primary teeth bonded with different adhesives.

Materials and methods: Forty specimens from primary molars were demineralised and circular class-V-like cavities were prepared. The cavities were treated with a universal adhesive (Scotchbond Universal Adhesive, 3M Oral Care), applied either in self-etch (SE) or etch-and-rinse mode (ER) mode. In groups SE-I and ER-I, the demineralised margins were pretreated with a caries infiltrant (Icon, DMG) prior to adhesive application. The cavities were restored with a nanofilled composite material and thermocycled. Marginal integrity was evaluated using SEM, and the percentage of continuous margin was statistically analysed.

Results: Specimens treated with the caries infiltrant followed by the adhesive showed similar marginal continuity as the adhesive alone.

Conclusions: Pretreatment of demineralised primary enamel with a caries infiltrant before applying a universal adhesive does not influence the marginal integrity of composite fillings.

Keywords: caries infiltrant; demineralised primary enamel; marginal integrity.

MeSH terms

  • Composite Resins
  • Dental Bonding*
  • Dental Caries Susceptibility
  • Dental Caries* / therapy
  • Dental Enamel
  • Dental Marginal Adaptation
  • Dental Restoration, Permanent
  • Dentin-Bonding Agents
  • Humans
  • Materials Testing

Substances

  • Composite Resins
  • Dentin-Bonding Agents