Depth of acid penetration and enamel surface roughness associated with different methods of interproximal enamel reduction

Danesh, Gholamreza and Podstawa, Pascal Kai Konstantin and Schwartz, Cate-Emilia and Kirschneck, Christian and Bizhang, Mozhgan and Arnold, Wolfgang H. (2020) Depth of acid penetration and enamel surface roughness associated with different methods of interproximal enamel reduction. PLOS ONE, 15 (3): e0229595. ISSN 1932-6203,

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Abstract

Objectives To assess and compare the enamel surface quality after interproximal enamel reduction (IPR) was performed with different systems and to study the relation between acid penetration depth and enamel surface quality as well as the importance of remineralization. Methods Sixty-five extracted teeth were randomly allocated to five experimental groups: untreated control, manual with New Metal Strips, mechanical with oscillating segment (OS) discs, Safe-Tipped Bur Kit, and the Ortho-Strip, followed by 30 s of polishing with the Softflex system and the Compo-system after treating the tooth with OS discs. Mesial surfaces were demineralized for 24 h and distal surfaces were subjected to interchanging demineralization and remineralization cycles of 24 h each for 18 days. The analysis was carried out by profilometry, scanning electron microscopy, and polarization microscopy. Results After IPR and polishing, enamel roughness was reduced for all systems tested except for the Essix Safe-Tipped Bur Kit. Subsequent demineralization increased enamel roughness in all groups except controls beyond the original level prior to IPR except for IPR with New Metal Strips or Ortho-Strips and subsequent polishing. Cyclic demineralization and remineralization for 18 days yielded a reduction in acid penetration depth and an increase in surface smoothness, which correlated with each other only for controls and treatment with New Metal Strips or Ortho-Strips. Conclusions Manual IPR, using New Metal Strips and, even more, the oscillating IPR system Ortho-Strips, yielded smoother interproximal enamel surfaces and less acid penetration depth than the IPR systems with OS discs and the Safe-Tipped Bur Kit after polishing and 18 days of cyclic demineralization and remineralization. Irrespective of the IPR procedure, proper remineralization of IPR-treated surfaces is advisable to reduce caries susceptibility.

Item Type: Article
Uncontrolled Keywords: DEMINERALIZATION;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Kieferorthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 29 Mar 2021 09:31
Last Modified: 29 Mar 2021 09:31
URI: https://pred.uni-regensburg.de/id/eprint/44966

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