detection-removal-tooth-colored-composite-resin-using-fluorescence

Detection and Removal of Tooth-Colored Composite Resin Using the Fluorescence-Aided Identification Technique

The detection and removal of tooth-colored filling materials is a major challenge for every dentist. The Fluorescence-aided Identification Technique (FIT) ...

Eberhard-Karls University

The aim of this study was to determine singular fluorescence qualities of different, commercially available resin composites shades. A total of 234 brand name colors including enamel, dentin and special shades were examined using a monochromator-based spectrophotometer. From the examined composites, Filtek Z250 (867±279) RFU and Supreme XT (dentin shades: (1,585±507) RFU; enamel shades: (4,473±330) RFU) are the only brands with a mean fluorescence maximum that resembles the fluorescence of natural samples. The shade types of the other brands showed a three to fifteen times higher mean maximum fluorescence (dentin shades: (10,331-47,774) RFU; enamel shades: (19,283-38,264) RFU; special shades: (35,934-60,001) RFU). The results of the present study supply for the first time individual fluorescence qualities of a vast sample of different composite shades, data needed not only for the development of new materials, but for diagnostic reasons in routine (re-)treatment, forensic and epidemiological endeavors.

Fluorescence of composite resins: A comparison among properties of commercial shades.

To determine the prevalence of oral pathologic findings in an ancient culture that inhabited the Atacama Desert.

Prevalence of oral pathologic findings in an ancient pre-Columbian archeological site in the Atacama Desert.

The objective was to assess the fluorescence properties of current commercial resin composites. Sixteen light-curing resin composites, representing a total number of 241 shades, were analyzed. Fluorescence measurements of all samples were taken using the monochromator-based fluorescence reader Synergy(TM )Mx (BioTek Instruments Inc. ). Additionally, samples of dentin and enamel were analyzed for comparison. The mean of the maximum excitation wavelength was (398±5) nm and the mean of the resulting emission wavelength was (452±9) nm for all composite shades. The maximum fluorescence varied widely between 50 and 70,808 RFU with a mean of (28,948±15,380) RFU. The maximum for dentin was (9,308±3,676) RFU and enamel (5,467±506) RFU. The results showed that the analyzed composites fluoresced at nearly the same excitation-emission wavelengths combination but with varying optical intensities. These results provide useful reference for optimal fluorescence induction and may help to develop better fluorescence diagnostic methods needed for treatment, forensic investigations and epidemiological research/analyses.

Fluorescence properties of commercial composite resin restorative materials in dentistry.

The aim of the study was to compare the diagnostic predictive values of a Fluorescence-aided Identification Technique (FIT) with those of the conventional diagnostic method regarding the identification of resin composite restorations.

Reliability of a Fluorescence-aided Identification Technique (FIT) for detecting tooth-colored restorations: an ex vivo comparative study.

Accurate removal of composite bonded titanium trauma splints (TTS) can be challenging. The aim of this study was to evaluate a Fluorescence-aided Identification Technique (FIT) compared with a conventional light source (CT) for removal of trauma splints regarding loss of tooth substance, residual composite, and time taken.

Evaluation of a Fluorescence-aided Identification Technique (FIT) for removal of composite bonded trauma splints.

To investigate the integrity of a fluorescing resin-based sealant placed around orthodontic brackets using the Fluorescence-aided Identification Technique (FIT).

Integrity testing of a smooth surface resin sealant around orthodontic brackets using a new Fluorescence-aided Identification Technique (FIT).

The purpose of this study was to investigate the ability of dentists to remove composite fillings from endodontic access cavities using illumination from a conventional light source (CLS) versus the fluorescence-aided identification technique (FIT) in terms of completeness, selectivity and treatment duration. Therefore, two independent operators removed composite resin from six sets of root-filled incisors in a maxillary model under simulated clinical conditions using the CLS or FIT method (twelve teeth per operator and technique). The duration of treatment was recorded and before-after micro-CT scans were superimposed for volumetric assessment of treatment completeness and selectivity. Statistical significance was determined by t-testing and two-way ANOVA for operator comparison. Overall, there was no significant difference between FIT and CLS in terms of volume, height and area of composite residues (p=0.98 / p=0.75 / p=0.64) and regarding hard tissue loss in terms of volume, depth and area (p= 0.93 / p= 0.70 / p= 0.14). However, there was a significant difference between the two groups regarding treatment time (FIT= 428s, CLS=523s; p=0.023). Significant differences between operators regardless of method were found for volume, height and area of composite residues (p<0.05) and also for defect area (p=0.01) and time (p<0.001). Significant differences between operators including the method was only found for height of composites (p=0.037). It can be concluded, that composite remnants and tooth structure losses may occur after reentry of root-filled teeth regardless of the illumination method (conventional vs. fluorescence-aided) and operator, but preparation was less time-consuming with FIT.

Reentry of endodontic access cavities: composite residue and loss of tooth substance.

Molar-Incisor Hypomineralisation (MIH) remains a widespread developmental disorder of the teeth with a still largely unknown etiology. Perinatal events were blamed in previous studies for the development of MIH. The aim of the present study was to evaluate the influence of perinatal hypoxia-determined by the pH value of the umbilical cord blood-and to investigate its correlation with severe MIH retrospectively. In addition, cesarean section was recorded as differentiation variable.

Perinatal hypoxia and the risk of severe Molar-Incisor Hypomineralisation (MIH): a retrospective analysis of the pH value of umbilical arterial blood after birth.

Article	Year
Fluorescence of composite resins: A comparison among properties of commercial shades. Dental materials journal\| PubMed ID: 26632224	2015
Prevalence of oral pathologic findings in an ancient pre-Columbian archeological site in the Atacama Desert. Oral diseases\| PubMed ID: 19388178	2009
Fluorescence properties of commercial composite resin restorative materials in dentistry. Dental materials journal\| PubMed ID: 23207195	2012
Reliability of a Fluorescence-aided Identification Technique (FIT) for detecting tooth-colored restorations: an ex vivo comparative study. Clinical oral investigations\| PubMed ID: 27005811	2017
Evaluation of a Fluorescence-aided Identification Technique (FIT) for removal of composite bonded trauma splints. Dental traumatology : official publication of International Association for Dental Traumatology\| PubMed ID: 29983006	2018
Integrity testing of a smooth surface resin sealant around orthodontic brackets using a new Fluorescence-aided Identification Technique (FIT). The Angle orthodontist\| PubMed ID: 30004785	2018
Reentry of endodontic access cavities: composite residue and loss of tooth substance. Swiss dental journal\| PubMed ID: 33512791	2021
Perinatal hypoxia and the risk of severe Molar-Incisor Hypomineralisation (MIH): a retrospective analysis of the pH value of umbilical arterial blood after birth. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry\| PubMed ID: 33844182	2022

Christian Meller

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