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Prevalence and Depth of Artificial Caries-like Lesions Adjacent to Cavities Prepared in Roots and Restored with a Glass Ionomer or a Dentin-bonded Composite Material

Department of Restorative Dentistry, University of Wales College of Medicine, Heath Park, Cardiff, Wales CF4 4XY, United Kingdom

D.H. Edmunds

Department of Restorative Dentistry, University of Wales College of Medicine, Heath Park, Cardiff, Wales CF4 4XY, United Kingdom

R.G. Newcombe

Department of Medical Computing & Statistics, University of Wales College of Medicine, Heath Park, Cardiff, Wales CF4 4XY, United Kingdom

One potential advantage of glass-ionomer materials for the treatment of root caries is their ability to release fluoride and so resist cariogenic attack. A commercially available composite material has also been reported to release fluoride which reduced caries lesions in the tooth tissue adjacent to it. The aim of this study was to assess the effectiveness of a conventional glass-ionomer restoration compared with a dentin-bonded, fluoride-releasing, composite restoration when exposed to a microbial artificial caries system. Artificial caries-like lesions produced in relation to the restorations were examined and classified either as outer (surface) lesions or as wall lesions. A split-unit experimental design allowed for within-tooth comparisons of the 2 experimental restorations at different sites on the root surface. These were either totally within the root surface or positioned at the amelo-cemental junction. Outer lesion depths were significantly (p < 0.001) shallower at all sites adjacent to the glass ionomer when compared with the composite restorations. Wall lesions were significantly (p < 0.01) more prevalent adjacent to the composite material. In addition, the cavity margin position significantly (p < 0.05) affected the incidence of wall lesions, particularly in the composite group. In conclusion, glass ionomer was successful in reducing the caries-like lesion production in the adjacent root surface. This resulted from improved marginal integrity and fluoride release from this material when compared with the composite bonding system used.

Key Words: Artificial caries • dental restorations • human dentin • microleakage • Streptococcus mutans

Journal of Dental Research, Vol. 76, No. 12, 1854-1861 (1997)
DOI: 10.1177/00220345970760120801


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