Influence of the composite type and exposure time to x-rays on the production of radiographic artifacts in a class II restoration model
DOI:
https://doi.org/10.22456/2177-0018.123181Keywords:
Composite resins, Radiography, dental, digital, ArtifactsAbstract
Aim: To evaluate the effect of the exposure time and the type of composite in the production of radiographic artifact at the tooth / restorative interface. Materials and Methods: In 20 healthy bovine incisors, cavity preparations and class II restorations were made using composite resins Filtek Bulk Fill One (group 1) and Filtek Z350 (group 2). Then, the teeth were exposed to obtain digital radiographs, varying the exposure time by 0.07, 0.10, 0.14, 0.20 and 0.25s. The images were evaluated for investigation of the presence of artifact through the analysis of the modified number of pixels (QPXD) and the average gray value in class II (MGVR) restorations, using the Image J software (National Health Institute). Results: The presence of artifact was observed in all evaluated samples, regardless of the type of restorative material and the exposure time employed. There was no statistically significant difference in QPXD and MGVR between the resins used (ANOVA 2 factors, p p> 0.05). The MGVR analysis indicated that there were no statistically significant differences between resins or between exposure times (p> 0.05). There was a correlation between QPXD and MGVR (r = 0.29) for Filtek Bulk Fill One resin. Discussion: This study reveals the importance of attention to the region of the tooth-restoration interface by the Surgeon-Dentist, who must combine the radiographic findings diagnosed using digital tools to clinical signs in order to compose a unique therapeutic project with a real need for intervention, if there is such need. Conclusion: The presence of altered pixels on dentin in the region of the tooth-restoration interface was identified in all specimens. The variation in the exposure time as well as the type of the restorative composite did not influence the increase or decrease of QPXD and neither in MGVR. However, there was a correlation between QPXD and MGVR for Filtek Bulk Fill One resin.
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Hasija MK, Meena B, Wadhwa D, Aggarwal V. Effect of adding ribbond fibres on marginal adaptation in class II composite restorations in teeth with affected dentine. Journal of Oral Biology and Craniofacial Research. 2020 Apr;10(2):203–5.
Nedeljkovic I, De Munck J, Vanloy A, Declerck D, Lambrechts P, Peumans M, et al. Secondary caries: prevalence, characteristics, and approach. Clinical Oral Investigations. 2019 May;24(2):683–91.
Van Dijken JWV, Pallesen U. Durability of a low shrinkage TEGDMA/HEMA-free resin composite system in Class II restorations. A 6-year follow up. Dental Materials. 2017 Aug;33(8):944–53.
Kanzow P, Wiegand A. Retrospective analysis on the repair vs. replacement of composite restorations. Dental materials : official publication of the Academy of Dental Materials. 2019; S0109-5641(19)309017.
Nedeljkovic I, Teughels W, De Munck J, Van Meerbeek B, Van Landuyt KL. Is secondary caries with composites a material-based problem? Dental Materials. 2015 Nov;31(11):e247–77.
Clark JL, Wadhwani CP, Abramovitch K, Rice DD, Kattadiyil MT. Effect of image sharpening on radiographic image quality. The Journal of Prosthetic Dentistry. 2018 Dec;120(6):927–33.
Francio LA, Silva FE, Valerio CS, Cardoso CAA, Jansen WC, Manzi FR. Accuracy of various imaging methods for detecting misfit at the tooth-restoration interface in posterior teeth. Imaging Science in Dentistry. 2018;48(2):87.
Bellinaso MD, Soares FZM, Rocha RO. Do bulk‐fill resins decrease the restorative time in posterior teeth? A systematic review and meta‐analysis of in vitro studies. Journal of Investigative and Clinical Dentistry. 2019 Sep 27;10(4).
Arbildo-Vega HI, Lapinska B, Panda S, Lamas-Lara C, Khan AS, Lukomska-Szymanska M. Clinical effectiveness of bulk-fill and conventional resin composite restorations: systematic review and meta-analysis. Polymers. 2020 Aug 10;12(8):1786.
Baksi BG, Fidler A. Image resolution and exposure time of digital radiographs affects fractal dimension of periapical bone. Clinical Oral Investigations. 2011 Nov;16(5):1507–10.
Melo DD, Pontual AA, Haiter-Neto F, Alves M, Bóscolo F, Flores Campos P. Effect of different exposure times on caries detection and pixel value in a wireless digital system. Indian Journal of Dental Research. 2019;30(5):665.
Carneiro L, Nunes C, Silva M, Leles C, Mendonça E. In vivostudy of pixel grey-measurement in digital subtraction radiography for monitoring caries remineralization. Dentomaxillofacial Radiology. 2009 Feb;38(2):73–8.
Udupa H, Mah P, Dove SB, McDavid WD. Evaluation of image quality parameters of representative intraoral digital radiographic systems. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2013 Dec;116(6):774–83.
Cavalcanti AN, Mitsui FHO, Ambrosano GMB, Marchi GM. Influence of adhesive systems and flowable composite lining on bond strength of class II restorations submitted to thermal and mechanical stresses. Journal of Biomedical Materials Research Part B: Applied Biomaterials. 2006;80B(1):52–8.
Brettle D, Carmichael F. The impact of digital image processing artefacts mimicking pathological features associated with restorations. British Dental Journal. 2011 Aug;211(4):167–70.
Berkhout W, Beuger D, Sanderink G, van der Stelt P. The dynamic range of digital radiographic systems: dose reduction or risk of overexposure? Dentomaxillofacial Radiology. 2004 Jan;33(1):1–5.
Soares C, Rosatto C, Carvalho V, Bicalho A, Henriques J, Faria-e-Silva A. Radiopacity and porosity of bulk-fill and conventional composite posterior restorations : digital x-ray analysis. Operative Dentistry. 2017 Nov;42(6):616–25.
International Organization for Standardization. ISO 4049:2019: dentistry–polymer-based filling, restorative and luting materials; International Organization for Standardisation. Genebra: ISO; 2019. 29 p.
Melo DP, Cruz AD, Melo SL, Farias JF, Haiter-Neto F, Almeida SM. Effect of different tube potential settings on caries detection using PSP plate and conventional film. J Clin of Diagn Res. 2015;9(4):ZC58-ZC61.
Sakurai T, Kawamata R, Kozai Y, Kaku Y, Nakamura K, Saito M, et al. Relationship between radiation dose reduction and image quality change in photostimulable phosphor luminescence X-ray imaging systems. Dentomaxillofacial Radiology. 2010 Apr;39(4):207–15.
Dionysopoulos D, Tolidis K, Gerasimou P, Papadopoulos C. Effect of filler composition of dental composite restorative materials on radiopacity in digital radiographic images. Polymer Composites. 2017 Mar;39:E351–7.
Tarcin B, Gumru B, Peker S, Ovecoglu H. Evaluation of radiopacity of bulk-fill flowable composites using digital radiography. Operative Dentistry. 2016 Jul;41(4):424–31.
Peutzfeldt A, Mühlebach S, Lussi A, Flury S. Marginal gap formation in approximal “bulk fill” resin composite restorations after artificial ageing. Operative Dentistry. 2018 Mar;43(2):180–9.
Ribeiro MDF, Pazinatto FB. Critérios clínicos para decisão entre substituição ou reparo de restaurações em resina composta : revisão de literatura. Revista Brasileira de Odontologia. 2016 Sep;73(3):223–30.
Coelho-Silva F, Fontenele RC, de-Azevedo-Vaz SL, Freitas DQ. A comparative study on image quality of two digital intraoral sensors : methodological, ethical and statistical issues. Dentomaxillofacial Radiology. 2020 May;49(4):20200054.
Metsälä E, Henner A, Ekholm M. Quality assurance in digital dental imaging: a systematic review. Acta Odontologica Scandinavica. 2013 Sep;72(5):362–71.
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