Analysis of the interface zone between the glass ionomer and enamel and dentin of primary molars

Abstract

Restoring carious teeth is one of the major dental treatment needs of young children. Conventional glassionomer materials are frequently used as filling materials in contemporary pediatric dentistry. The objective of this study was to evaluate the restorative and prophylactic efficacy of the newly marketed glass ionomer, Fuji Triage (GC, Tokyo, Japan), through morphological analysis of the interface zone between the material and the enamel and the dentin of primary molars and to determine the extent of the ion exchange at the interface zone. The sample consisted of 5 extracted intact first primary molars in which glassionomer had been used as filling material after standard class I cavity preparation. The material was placed according to the manufacturer's instructions and teeth were placed into dionised water prior to experiment. Six sections of each tooth had been examined using scanning electron microscopic and electron dispersive spectroscopic techniques (SEM/EDS). The parameters for evaluation included: morphological characteristics of the interface zone and the extent of the ion exchange between the material and the tooth structures Results were statistically analyzed using descriptive statistical methods. SEM/EDS analysis revealed the presence of the chemical bonding between the glass ionomer and the enamel and dentin, 5 and 15 μm in width, respectively. Ion exchange has not been detected in the enamel at the EDS sensitivity level. Strontium and fluor penetration has been detected in dentin. The ion exchange and chemical bonding formation justify the usage of the conventional glass ionomer materials for restorative procedures in primary molars.

Cilj studije bio je da se praćeni restorativna i profilaktička efikasnost glasjonomera, Fuji Triage, morfološkom, analizom međuspoja i jonske razmene između materijala i gledi i dentina. Na 5 ekstrahovanih prvih mlečnih molara postavljen je glasjonomerni materijal i 6 preseka analizirano je pomoću skening elektronskog mikroskopa opremljenog energetskim disperzionim spektrometrom, SEM/EDS. Procenjivani parametri: morfološke karakteristike i kvantitet razmene jona između materijala i gleđi i dentina. SEM/EDS analizom je pokazana zona kemijske veze glasjonomera i gleđi i dentina, dimenzija 5 i 15 μm, respektivno. Jonska razmena na ovom nivou osetljivosti nije detektovana u gledi. Penetracija jona fluora i stroncijuma pokazana je u dentinu. Razmena jona i formiranje kemijske veze opravdavaju upotrebu glasjonomernih materijala u dečjoj stomatologiji.