Feasibility of light-cured composite resin for adult crown restoration during orthodontic treatment

doi:10.3969/j.issn.2095-4344.2016.21.002

Abstract

Abstract:

BACKGROUND: Because of good performance, beautiful and permanent color, and certain compressive strength, light-cured composite resin has been widely used in dental restoration. But there are less reports about its usage in adult crown restoration during orthodontic treatment.

OBJECTIVE: To explore the feasibility of light-cured composite resin in the adult crown restoration during orthodontic treatment.

METHODS: 300 adult cases of crown defects scheduled for orthodontic treatment were enrolled, including 160 males and 140 females, aged from 16 to 41 years. All the crown defects were filled with light-cured composite resins. After 36-month follow-up, the gross appearances of repaired teeth, repairing effect and adverse reactions were statistically recorded and analyzed.

RESULTS AND CONCLUSION: After restoration, patients exhibited normal occlusion, and the filled crowns were fixed stably and firmly whose appearance was symmetric with that of the contralateral isonym tooth of the adjacent tooth. In addition, patients complained of no percussion pain, and no apical shade was shown by X-ray examination. At the end of the follow-up, crown restoration was successful in 268 of 300 cases, with a success rate of 89.33%, and the filled crowns fell out in the other 32 cases; 271 of 300 cases were satisfied with the repairing effect, and the satisfaction rate was 90.33%. Besides, there were no serious adverse reactions in all the patients. These results show that light-cured composite resin for adult crown restoration during orthodontic treatment obtains a higher repair success rate and satisfaction rate, with no serious adverse reactions.

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

Key words: Composite Resins, Light-Curing of Dental Adhesives, Crowns, Tissue Engineering

CLC Number:

R318

Cheng De-sheng. Feasibility of light-cured composite resin for adult crown restoration during orthodontic treatment[J]. Chinese Journal of Tissue Engineering Research, 2016, 20(21): 3051-3056.

Figures/Tables 1

References

[1] 于华,张晓东,王亦菁,等.光固化复合树脂材料修复牙冠缺损的疗效分析[J].中国组织工程研究, 2013,17(47): 8269-8274.

[2] 叶小雅,邓利琴,刘阗,等.学龄儿童前恒牙冠折断端复合树脂再接与修复牙冠缺损[J].中山大学学报(医学科学版), 2006,23(z1):196-197.

[3] Fleming GJ,Khan S,Afzal O,et al.Investigation of polymerisation shrinkage strain, associated cuspal movement and microleakage of MOD cavities restored incrementally with resin-based composite using an LED light curing unit.J Dent.2007;35(2):97-103.

[4] Moosavi H,Hariri I,Sadr A,et al.Effects of curing mode and moisture on nanoindentation mechanical properties and bonding of a self-adhesive resin cement to pulp chamber floor.Dent Mater.2013;29(6):708-717.

[5] 黄达翠.Connect超强纤维带+光固化复合树脂在前牙冠桥修复中的应用[J].临床口腔医学杂志,2007,23(7):426.

[6] 林晓华.自攻自断固位钉加光固化复合树脂加瓷贴面在前牙美容中的临床应用研究[J].现代医院, 2007,7(2): 25-27.

[7] 束为.光固化复合树脂修复磨牙牙冠缺损的临床应用[J].交通医学,2001,15(6):708-709.

[8] 周安兴,徐爱明.光固化复合树脂与牙用固位钉在修复前牙四类洞的应用[J].职业与健康,2001,17(12):168-168.

[9] 宁春生,成明江,韩秀杰,等.利用光固化复合树脂与固位钉修复磨牙牙冠大面积缺损临床疗效观察(附120例报告) [J].齐齐哈尔医学院学报,2001,22(6):639-640.

[10] 宋林林,朱琳虹.光固化复合树脂与金属固定钉修复后牙牙冠大面积缺损[J].宁夏医学杂志,2000,22(1):49-49.

[11] 邓梅,罗启德.光固化复合树脂表层技术用于上前牙缺损修复的探讨[J].哈尔滨医药,2010,30(5):33-34.

[12] 黄敬春,李肇元,孙广平,等.固位沟用于后牙牙冠大面积缺损修复的探讨[J].上海口腔医学,2002,11(4):380-382.

[13] 彩莲,王新梅.自体牙冠折断再接修复的临床应用[J].健康必读(中旬刊),2012,11(6):216-216.

[14] 谭宪秋,刘文书.光固化复合树脂修复楔状缺损的临床观察[J].吉林医学,2001,22(1):45.

[15] 张万一.光固化复合树脂桩冠修复残根残冠[J].中外医疗, 2009,28(14):34-34.

[16] 葛俊生.前牙冠折的光固化树脂修复临床分析[J].兰州医学院学报,2002,28(1):45-46.

[17] 苏伟,罗美界,兰秋奎,等.不同材料修复牙体楔状缺损的疗效比较[J].广西医学,2014,36(4):519-520,529.

[18] 何爱民.光固化复合树脂修复活髓前牙缺损的两种垫底材料比较[J].蚌埠医学院学报,2003,28(1):61-62.

[19] 肖丹,贺周.光固化复合树脂的美学特性及其相关的研究进展[J].中华老年口腔医学杂志,2007,5(1):48-50.

[20] 赵金华.光固化复合树脂与固位钉修复恒牙的临床体会[J].现代中西医结合杂志,2005,14(20):2714-2714.

[21] 赵作勤,李德峰,张中华,等.光固化复合树脂桩冠修复前牙冠折的临床观察[J].中国煤炭工业医学杂志, 2000,3(6):667.

[22] 胡延开.光固化复合树脂桩冠修复残根残冠[J].现代保健•医学创新研究,2007,4(32):51-51.

[23] 李婕.光固化复合树脂修复前牙缺损临床常见问题探讨[J].口腔颌面修复学杂志,2001,2(3):174-175.

[24] 王红梅,赵清,苗芙蓉,等.自攻自断螺纹钉与光固化复合树脂修复前牙切角切端缺损疗效观察[J].中原医刊, 2003, 30(4):29-30.

[25] 苏朝辉.光固化复合树脂在牙体修复中的应用[J].广西中医学院学报,1999,16(2):48-49.

[26] Elaut J,Wehrbein H.The effects of argon laser curing of a resin adhesive on bracket retention and enamel decalcification: a prospective clinical trial.Eur J Orthod. 2004;26(5):553-560.

[27] Yoshino F,Yoshida A,Okada E,et al.Dental resin curing blue light induced oxidative stress with reactive oxygen species production.J Photochem Photobiol B. 2012; 114: 73-78.

[28] 唐瑞平,姚红梅.光固化复合树脂的临床应用[J].荆门职业技术学院学报,2002,17(6):90-92.

[29] Hashimoto M,Nakamura K,Feilzer AJ,et al. Polymerization contraction stress in resin-tooth bonds under hydrated and dehydrated conditions.Dent Mater. 2009;25(7):863-867.

[30] Aguiar FH,Georgetto MH,Soares GP,et al.Effect of different light-curing modes on degree of conversion, staining susceptibility and stain's retention using different beverages in a nanofilled composite resin.J Esthet Restor Dent.2011;23(2):115-115.

[31] 徐闽,邹小贤.3M光固化复合树脂用于牙颈部缺损的美容修复[J].中国美容医学,2006,15(4):435-437.

[32] 李丽华,陈穗保,吴洋等.多色光固化复合树脂关闭上前牙间隙的美学效果评价[J].中国美容医学, 2012,21(1): 123-124.

[33] El-Shamy H,Saber MH,Dorfer CE,et al.Influence of volumetric shrinkage and curing light intensity on proximal contact tightness of class II resin composite restorations: in vitro study.Oper Dent. 2012;37(2): 205-210.

[34] 孙晓东.光固化复合树脂在前牙修复中的应用[J].中国中医药咨讯,2011,3(10):302.

[35] 朱仲礼.应用光固化复合树脂修复后牙冠折裂[J].浙江预防医学,2003,15(6):65-66.

[36] 马淑媛,詹欣文.桩钉结合光固化复合树脂修复后牙残冠的临床研究[J].实用医学杂志,2004,20(7):748-749.

[37] 宋秋英,张丽娟,黄楠楠,等.根管螺纹钉固位与光固化复合树脂修复磨牙牙冠严重缺损的临床治疗体会[J].中外医疗,2010,29(15):119.

[38] Arrais CA,Chagas CL,Munhoz A.Effect of simulated tooth temperature on the degree of conversion of self-adhesive resin cements exposed to different curing conditions.Oper Dent.2014;39(2):204-212.

[39] 李莉.光固化复合树脂在前牙修复中的应用[J].菏泽医学专科学校学报,2005,17(3):16-17.

[40] 张衍军,侯康林.Durfill光固化复合树脂材料修复磨牙牙体的大面积缺损[J].中国组织工程研究与临床康复, 2010, 14(38):7181-7184.

[41] Shadman N,Farzin Ebrahimi S,Mollaie N.Sealing of adhesive systems in ferric sulfate-contaminated dentinal margins in class V composite resin restorations.J Dent Res Dent Clin Dent Prospects. 2016;10(1):17-22.

[42] Sobouti F,Dadgar S,Sanikhaatam Z,et al.Effects of two erbium-doped yttrium aluminum garnet lasers and conventional treatments as composite surface abrasives on the shear bond strength of metal brackets bonded to composite resins.J Orthod Sci. 2016;5(1): 18-24.

[43] Lins FC,Ferreira RC,Silveira RR,et al.Surface Roughness, Microhardness, and Microleakage of a Silorane-Based Composite Resin after Immediate or Delayed Finishing/Polishing.Int J Dent.2016;2016: 8346782.

[44] Fugolin AP,Correr-Sobrinho L,Correr AB,et al.Influence of irradiance on Knoop hardness, degree of conversion, and polymerization shrinkage of nanofilled and microhybrid composite resins.Gen Dent. 2016;64(2): 26-31.

[45] Vaid DS,Shah NC,Bilgi PS.One year comparative clinical evaluation of EQUIA with resin-modified glass ionomer and a nanohybrid composite in noncarious cervical lesions.J Conserv Dent. 2015;18(6):449-452.

[46] Wada K,Miyashin M.New techniques for producing aesthetic, direct full-crown composite resin restorations for primary molars: a 24-month follow-up study of eight cases.Eur J Paediatr Dent. 2015;16(3): 205-209.

[47] Gupta S,Parolia A,Jain A,et al.A comparative effect of various surface chemical treatments on the resin composite-composite repair bond strength.J Indian Soc Pedod Prev Dent. 2015;33(3):245-249.