Öz
Background and Aim: The aim of this study was to evaluate
the differences in cavity dimension changes associated with
the removal of tooth-colored restorations using high-speed
handpieces with or without fiber-optic light.
Materials and Methods: Five recently graduated dentists
(6 months-1 year of professional experience) were assigned
to remove 40 Class I composite restorations. Half of the
restorations were removed using a high-speed handpiece with
fiber-optic light, and the other half with a handpiece without
light. Cavity dimensions changes were measured using a
periodontal probe and a digital micrometer at nine defined
regions of the tooth preparation. Measurements were recorded
at two stages: before restoration removal and after removal
(with/without fiber-optic light). Analyses were conducted to
assess changes in cavity dimensions and the unnecessary
removal of sound tissue. Statistical analysis was performed
using the Mann-Whitney U test to compare non-normally
distributed data between the two groups, with a significance
level set at p < 0.05.
Results: Restorations removed with high-speed handpieces
with fiber-optic light resulted in significantly less unnecessary
cavity dimension changes compared to those removed without
light (p<0.05). The use of high-speed handpiece with fiberoptic
light demonstrated a statistically significant advantage in
preserving the cavity integrity (p<0.05).
Conclusion: The use of high-speed handpieces with fiberoptic
light significantly reduced unnecessary cavity dimension
changes compared to those without light, demonstrating their
potential to enhance precision and support minimally invasive
dentistry.
Anahtar Kelimeler
Fiber-Optic Handpieces Minimally Invasive Dentistry Restoration Removal Tooth-Colored Restorations
Etik Beyan
Ethical approval was not required, as the research did not involve clinical studies or patient data.
Destekleyen Kurum
This research received no financial support.
Kaynakça
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- Reference2. Kiran R, Chapman J, Tennant M, Forrest A, Walsh LJ. Fluorescenceaided selective removal of resin-based composite restorative materials: an in vitro comparative study. J Esthet Dent 2020; 32: 310-316.
- Reference3. Dörter C, Erdemir U, Yildiz E. Effect of operators’ skills on increase in cavity volume of restorations. Quintessence Int 2003; 34: 27- 30.
- Reference4. Mackenzie L, Banerjee A. Minimally invasive direct restorations: a practical guide. Br Dent J 2017; 223: 163-171.
- Reference5. Szep S, Baum C, Alamouti C, Schmidt D, Gerhardt T, Heidemann D. Removal of amalgam, glass-ionomer cement and compomer restorations: changes in cavity dimensions and duration of the procedure. Oper Dent 2002; 27: 613-620.
- Reference6. da Costa TRF, Serrano AM, Atman APF, Loguercio AD, Reis A. Durability of composite repair using different surface treatments. J Dent 2012; 40: 513-521.
- Reference7. Gordan VV, Mondragon E, Shen C. Replacement of resin-based composite: evaluation of cavity design, cavity depth, and shade matching. Quintessence Int 2002; 33: 273-278
- Reference8. Pretty IA, Smith PW, Edgar WM, Higham SM. The use of quantitative light-induced fluorescence (QLF) to identify composite restorations in forensic examinations. J Forensic Sci 2002; 47: JFS15468J.
- Reference9. Hermanson AS, Bush MA, Miller RG, Bush PJ. Ultraviolet illumination as an adjunctive aid in dental inspection. J Forensic Sci 2008; 53: 408-411.
- Reference10. Bush MA, Hermanson AS, Yetto RJ, Wieczkowski G, Jr. The use of ultraviolet LED illumination for composite resin removal: an in vitro study. Gen Dent 2010; 58: 214-218.
- Reference11. Meller C, Klein C. Fluorescence properties of commercial composite resin restorative materials in dentistry. Dent Mater J 2012; 31: 916-923.
- Reference12. Meller C, Klein C. Fluorescence of composite resins: A comparison among properties of commercial shades. Dent Mater J 2015; 34: 754-765.
- Reference13. Dettwiler C, Meller C, Eggmann F, Saccardin F, Kühl S, Filippi A et al. Evaluation of a fluorescence-aided identification technique (FIT) for removal of composite bonded trauma splints. Dent Traumatol 2018; 34:353-359.
- Reference14. Eltahlah D, Lynch CD, Chadwick BL, Blum IR, Wilson NH. An update on the reasons for placement and replacement of direct restorations. J Dent 2018; 72: 1-7.
- Reference15. Lucarotti P, Holder R, Burke F. Analysis of an administrative database of half a million restorations over 11 years. J Dent 2005; 33: 791-803.
- Reference16. Hunter A, Treasure E, Hunter A. Increases in cavity volume associated with the removal of class 2 amalgam and composite restorations. Oper Dent 1995; 20: 2-6.
- Reference17. Krejci I, Lieber CM, Lutz F. Time required to remove totally bonded tooth-colored posterior restorations and related tooth substance loss. Dent Mater 1995; 11: 34-40.
- Reference18. Wolf TG, Dekert N, Campus G, Ernst C-P. White-opaque flowable composite liner as a depth marker in composite restorations prevents tooth substance loss in filling removal: a randomized double-blinded in vitro study. Clin Oral Investig 2022; 26; 2711- 2717.
- Reference19. Bittar DG, Murakami C, Hesse D, Imparato J, Mendes FM. Efficacy of two methods for restorative materials’ removal in primary teeth. J Contemp Dent Pract 2011; 12: 372-378.
- Reference20. Klein C, Babai A, von Ohle C, Herz M, Wolff D, Meller C. Minimally invasive removal of tooth-colored restorations: evaluation of a novel handpiece using the fluorescence-aided identification technique (FIT). Clin Oral Investig 2020; 24: 2735-2743.
- Reference21. Dettwiler C, Eggmann F, Matthisson L, Meller C, Weiger R, Connert T. Fluorescence-aided composite removal in directly restored permanent posterior teeth. Oper Dent 2020; 45: 62-70.
- Reference22. Leontiev W, Magni E, Dettwiler C, Meller C, Weiger R, Connert T. Accuracy of the fluorescence-aided identification technique (FIT) for detecting tooth-colored restorations utilizing different fluorescence-inducing devices: an ex vivo comparative study. Clin Oral Investig 2021; 25: 5189-5196.
- Reference23. Monagahn D, Wilson N, Darvell B. The performance of airturbine handpieces in general dental practice. Oper Dent 2005; 30: 16-25. 24. Mjör I, Reep R, Kubilis P, Mondragon B. Change in size of replaced amalgam restorations: a methodological study. Oper Dent 1998; 23: 272-277.
Öz
Kaynakça
- Reference1. Forgie A, Pine C, Pitts N. Restoration removal with and without the aid of magnification. J Oral Rehabil 2001; 28: 309-313.
- Reference2. Kiran R, Chapman J, Tennant M, Forrest A, Walsh LJ. Fluorescenceaided selective removal of resin-based composite restorative materials: an in vitro comparative study. J Esthet Dent 2020; 32: 310-316.
- Reference3. Dörter C, Erdemir U, Yildiz E. Effect of operators’ skills on increase in cavity volume of restorations. Quintessence Int 2003; 34: 27- 30.
- Reference4. Mackenzie L, Banerjee A. Minimally invasive direct restorations: a practical guide. Br Dent J 2017; 223: 163-171.
- Reference5. Szep S, Baum C, Alamouti C, Schmidt D, Gerhardt T, Heidemann D. Removal of amalgam, glass-ionomer cement and compomer restorations: changes in cavity dimensions and duration of the procedure. Oper Dent 2002; 27: 613-620.
- Reference6. da Costa TRF, Serrano AM, Atman APF, Loguercio AD, Reis A. Durability of composite repair using different surface treatments. J Dent 2012; 40: 513-521.
- Reference7. Gordan VV, Mondragon E, Shen C. Replacement of resin-based composite: evaluation of cavity design, cavity depth, and shade matching. Quintessence Int 2002; 33: 273-278
- Reference8. Pretty IA, Smith PW, Edgar WM, Higham SM. The use of quantitative light-induced fluorescence (QLF) to identify composite restorations in forensic examinations. J Forensic Sci 2002; 47: JFS15468J.
- Reference9. Hermanson AS, Bush MA, Miller RG, Bush PJ. Ultraviolet illumination as an adjunctive aid in dental inspection. J Forensic Sci 2008; 53: 408-411.
- Reference10. Bush MA, Hermanson AS, Yetto RJ, Wieczkowski G, Jr. The use of ultraviolet LED illumination for composite resin removal: an in vitro study. Gen Dent 2010; 58: 214-218.
- Reference11. Meller C, Klein C. Fluorescence properties of commercial composite resin restorative materials in dentistry. Dent Mater J 2012; 31: 916-923.
- Reference12. Meller C, Klein C. Fluorescence of composite resins: A comparison among properties of commercial shades. Dent Mater J 2015; 34: 754-765.
- Reference13. Dettwiler C, Meller C, Eggmann F, Saccardin F, Kühl S, Filippi A et al. Evaluation of a fluorescence-aided identification technique (FIT) for removal of composite bonded trauma splints. Dent Traumatol 2018; 34:353-359.
- Reference14. Eltahlah D, Lynch CD, Chadwick BL, Blum IR, Wilson NH. An update on the reasons for placement and replacement of direct restorations. J Dent 2018; 72: 1-7.
- Reference15. Lucarotti P, Holder R, Burke F. Analysis of an administrative database of half a million restorations over 11 years. J Dent 2005; 33: 791-803.
- Reference16. Hunter A, Treasure E, Hunter A. Increases in cavity volume associated with the removal of class 2 amalgam and composite restorations. Oper Dent 1995; 20: 2-6.
- Reference17. Krejci I, Lieber CM, Lutz F. Time required to remove totally bonded tooth-colored posterior restorations and related tooth substance loss. Dent Mater 1995; 11: 34-40.
- Reference18. Wolf TG, Dekert N, Campus G, Ernst C-P. White-opaque flowable composite liner as a depth marker in composite restorations prevents tooth substance loss in filling removal: a randomized double-blinded in vitro study. Clin Oral Investig 2022; 26; 2711- 2717.
- Reference19. Bittar DG, Murakami C, Hesse D, Imparato J, Mendes FM. Efficacy of two methods for restorative materials’ removal in primary teeth. J Contemp Dent Pract 2011; 12: 372-378.
- Reference20. Klein C, Babai A, von Ohle C, Herz M, Wolff D, Meller C. Minimally invasive removal of tooth-colored restorations: evaluation of a novel handpiece using the fluorescence-aided identification technique (FIT). Clin Oral Investig 2020; 24: 2735-2743.
- Reference21. Dettwiler C, Eggmann F, Matthisson L, Meller C, Weiger R, Connert T. Fluorescence-aided composite removal in directly restored permanent posterior teeth. Oper Dent 2020; 45: 62-70.
- Reference22. Leontiev W, Magni E, Dettwiler C, Meller C, Weiger R, Connert T. Accuracy of the fluorescence-aided identification technique (FIT) for detecting tooth-colored restorations utilizing different fluorescence-inducing devices: an ex vivo comparative study. Clin Oral Investig 2021; 25: 5189-5196.
- Reference23. Monagahn D, Wilson N, Darvell B. The performance of airturbine handpieces in general dental practice. Oper Dent 2005; 30: 16-25. 24. Mjör I, Reep R, Kubilis P, Mondragon B. Change in size of replaced amalgam restorations: a methodological study. Oper Dent 1998; 23: 272-277.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Restoratif Diş Tedavisi |
| Bölüm | Original Research |
| Yazarlar | |
| Yayımlanma Tarihi | 24 Nisan 2025 |
| Gönderilme Tarihi | 13 Aralık 2024 |
| Kabul Tarihi | 3 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 49 Sayı: 1 |
