Citation Information :
Juntavee A, Juntavee N, Peerapattana J, Nualkaew N, Sutthisawat S. Comparison of Marginal Microleakage of Glass Ionomer Restorations in Primary Molars Prepared by Chemomechanical Caries Removal (CMCR), Erbium: Yttrium Aluminum-Garnet (Er:YAG) Laser and Atraumatic Restorative Technique (ART). Int J Clin Pediatr Dent 2013; 6 (2):75-79.
Background: It is important to emphasize that the aspects of pretreatment techniques, as well as the composition and mechanism of adhesion, may decisively influence the effectiveness of the restorative materials in sealing cavity margins and preventing marginal leakage.
Aims: This study assessed the in vitro influence of surface preparation techniques on the microleakage of glass ionomer restorations in primary teeth.
Materials and methods: The study groups were divided into three different techniques: (1) The chemomechanical caries removal (CMCR) method using the Apacaries gel, (2) the erbium:yttrium aluminum-garnet (Er:YAG) laser method and (3) the atraumatic restorative technique (ART). The teeth restored with a glass ionomer restorative material (Fuji IX GP capsule, GC Corporation, Tokyo, Japan). The dye penetration was measured in micrometers using a polarized light microscope and specific computer software.
Results: The results showed that the mean microleakage level after was lowest with the CMCR method using Apacaries gel and highest with the Er:YAG laser. There was a statistically significant difference regarding the mean microleakage level between the group with the CMCR method using Apacaries gel and the Er:YAG laser.
Conclusion: Marginal leakage was significantly higher with preparations made using the Er:YAG laser than with the CMCR method using Apacaries gel and spoon excavator (p < 0.05).
How to cite this article: Juntavee A, Juntavee N, Peerapattana J, Nualkaew N, Sutthisawat S. Comparison of Marginal Microleakage of Glass Ionomer Restorations in Primary Molars Prepared by Chemomechanical Caries Removal (CMCR), Erbium: Yttrium Aluminum-Garnet (Er:YAG) Laser and Atraumatic Restorative Technique (ART). Int J Clin Pediatr Dent 2013;6(2):75-79.
Pandit IK, Srivastava N, Gugnani N, Gupta M, Verma L. Various methods of caries removal in children: A comparative clinical study. J Indian Soc Pedod Prev Dent 2007 Apr-Jun;25(2):93-96.
Banerjee A, Watson TF, Kidd EA. Conservative dentistry: Dentine caries excavation: A review of current clinical techniques. Brit Dent J 2000 May 13;188(9):476-482.
Celiberti P, Francescut P, Lussi A. Performance of four dentine excavation methods in deciduous teeth. Caries Res 2006;40(2):117-123.
Kotlow LA. Lasers in pediatric dentistry. Dent Clin North Am 2004 Oct;48(4):889-922.
Cozean C, Arcoria CJ, Pelagalli J, Powell GL. Dentistry for the 21st century? Erbium: YAG laser for teeth. J Am Dent Assoc 1997 Aug;128(8):1080-1087.
Kato J, Moriya K, Jayawardena JA, Wijeyeweera RL. Clinical application of Er:YAG laser for cavity preparation in children. J Clin Laser Med Surg 2003 Jun;21(3):151-155.
Banerjee A, Kidd EA, Watson TF. In vitro evaluation of five alternative methods of carious dentine excavation. Caries Res 2000 Mar-Apr;34(2):144-150.
Maragakis GM, Hahn P, Hellwig E. Clinical evaluation of chemomechanical caries removal in primary molars and its acceptance by patients. Caries Res 2001 May-Jun;35(3):205-210.
Kidd EA. Microleakage: A review. J Dent 1976 Sep;4(5):199-206.
Borsatto MC, Corona SA, Chinelatti MA, Ramos RP, de Sá Rocha RA, Pecora JD, Palma-Dibb RG. Comparison of marginal microleakage of flowable composite restorations in primary molars prepared by high-speed carbide bur, Er:YAG laser, and air abrasion. J Dent Child (Chic) 2006 May-Aug;73(2):122-126.
Hatibovic-Kofman S, Wright GZ, Braverman I. Microleakage of sealants after conventional, bur, and air-abrasion preparation of pits and fissures. Pediatr Dent 1998 May-Jun;20(3):173-176.
Vivacqua-Gomes N, Ferraz CC, Gomes BP, Zaia AA, Teixeira FB, Souza-Filho FJ. Influence of irrigants on the coronal microleakage of laterally condensed gutta-percha root fillings. Int Endod J 2002 Sep;35(9):791-795.
Chinelatti MA, Ramos RP, Chimello DT, Borsatto MC, Pécora JD, Palma-Dibb RG. Influence of the use of Er:YAG laser for cavity preparation and surface treatment in microleakage of resin-modified glass ionomer restorations. Oper Dent 2004 Jul- Aug;29(4):430-436.
Delmé KI, Deman PJ, De Bruyne MA, De Moor RJ. Influence of different Er:YAG laser energies and frequencies on the surface morphology of dentin and enamel. J Oral Laser Appl 2006;6:43-52.
Delmé KI, De Moor RJ. Scanning electron microscopic evaluation of enamel and dentin surfaces after Er:YAG laser preparation and laser conditioning. Photomed Laser Surg 2007 Oct;25(5):393-401.
Ceballo L, Toledano M, Osorio R, Tay FR, Marshall GW. Bonding to Er-YAG-laser-treated dentin. J Dent Res 2002 Feb;81(2):119-122.
Ying D, Chuah GK, Hsu CY. Effect of Er:YAG laser and organic matrix on porosity changes in human enamel. J Dent 2004 Jan; 32(1):41-46.
Apel C, Meister J, Götz H, Duschner H, Gutknecht N. Structural changes in human dental enamel after subablative erbium laser irradiation and its potential use for caries prevention. Caries Res 2005 Jan-Feb;39(1):65-70.
Cecchini RC, Zezell DM, de Oliveira E, de Freitas PM, Eduardo Cde P. Effect of Er:YAG laser on enamel acid resistance: Morphological and atomic spectrometry analysis. Lasers Surg Med 2005 Dec;37(5):366-372.
Armengol V, Laboux O, Weiss P, Jean A, Hamel H. Effects of Er:YAG and Nd:YAP laser irradiation on the surface roughness and free surface energy of enamel and dentin: An in vitro study. Oper Dent 2003 Jan-Feb;28(1):67-74.
Delmé KI, Deman PJ, De Bruyne MA, Nammour S, De Moor RJ. Microleakage of glass ionomer formulations after erbium:yttrium-aluminium-garnet laser preparation. Lasers Med Sci 2010 Mar;25(2):171-180.