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VOLUME 15 , ISSUE 1 ( January-February, 2014 ) > List of Articles

RESEARCH ARTICLE

Obtaining Artificially Caries-affected Dentin for in vitro Studies

Adriana Bona Matos, Bruna Uglik Garbui, Cynthia Soares de Azevedo, Caroline Martins e Silva, Maria Regina Lorenzetti Simionato, Anderson Zanardi de Freitas

Citation Information : Matos AB, Garbui BU, de Azevedo CS, Silva CM, Simionato MR, de Freitas AZ. Obtaining Artificially Caries-affected Dentin for in vitro Studies. J Contemp Dent Pract 2014; 15 (1):12-19.

DOI: 10.5005/jp-journals-10024-1480

Published Online: 01-02-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

This study evaluated and improved a protocol for obtaining standard caries-affected dentin (CAD) by Streptococcus mutans biofilm demineralization process.

Materials and methods

Forty-eight human molars were divided in six experimental groups, according to: period of cariogenic challenge (7, 14 or 21 days) and type of dentin (erupted or unerupted teeth). After complete cariogenic challenge sound and CAD dentin were evaluated by: visual inspection (VI), digital radiography (DR), optical coherence tomography (OCT) and laser fluorescence (LF).

Results

Visual inspection confirmed the formation of CAD based on tissue yellowing and loss of surface gloss. Digital radiography detected the presence of radiolucent images, suggesting caries. Three calibrated examiners viewed all images obtained by VI and DR and were able to distinguish healthy from CAD. Fisher's exact statistical test (p < 0.05) confirmed no difference between groups by VI (G1/G4: p = 0.6; G2/G5: p = 1; G3/G6: p = 1) or DR (G1/G4: p = 1; G2/G5: p = 1; G3/G6: p = 1). Both LF values and demineralization depth, as determined by OCT, were subjected to ANOVA (p < 0.05). For LF, a statistically significant difference was observed for the type of substrate (p = 0.001). For OCT, no statistically significant differences in the type of substrate (p = 0.163), length of cariogenic challenge (p = 0.512) or interaction between factors (p = 0.148) were observed. Scanning electron micrographs confirmed the presence of CAD; a more uniform demineralization surface was observed in the dentin of unerupted teeth.

Conclusion

This protocol suggests that standard CAD can be obtained in 7 days of cariogenic challenge using unerupted teeth.

Clinical significance

With the new perspective on the clinical treatment of caries lesions, bonding is increasingly performed to demineralize CAD, which is susceptible to remineralization. A useful protocol to standardize the production of CAD, by microbiological cariogenic challenge, would be an important contribution to laboratorial test in the field of operative dentistry.

How to cite this article

Azevedo CS, Garbui BU, Silva CM, Simionato MRL, Freitas AZ, Matos AB. Obtaining Artificially Caries-affected Dentin for in vitro Studies. J Contemp Dent Pract 2014;15(1):12-19.


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