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Research Article
The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study
Esra Oz, Zuhal Kırzıoglu, Canan Kale
Restor Dent Endod 2023;48(2):e19.   Published online May 1, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e19
AbstractAbstract PDFPubReaderePub
Objectives

The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars.

Materials and Methods

This randomized clinical study observed 40 children (aged 5–6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis.

Results

Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful.

Conclusions

The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

Citations

Citations to this article as recorded by  
  • Success rate of Hall Technique for restoring carious primary molars - systematic review and meta-analysis
    Tamara Kerber Tedesco, Nicola Patricia Innes, Claudia Lopez Gallegos, Gabriela Seabra Silva, Thais Gimenez, Mariana Minatel Braga, Mariana Pinheiro Araujo, Jayakumar Jayaraman, Waraf Al-yaseen, Daniela Prócida Raggio
    Evidence-Based Dentistry.2025; 26(1): 65.     CrossRef
  • Effectiveness of Dental Restorative Materials in the Atraumatic Treatment of Carious Primary Teeth in Pediatric Dentistry: A Systematic Review
    Gianna Dipalma, Angelo Michele Inchingolo, Lucia Casamassima, Paola Nardelli, Danilo Ciccarese, Paolo De Sena, Francesco Inchingolo, Andrea Palermo, Marco Severino, Cinzia Maria Norma Maspero, Alessio Danilo Inchingolo
    Children.2025; 12(4): 511.     CrossRef
  • Clinical, radiographic, and microhardness evaluation of caries in primary molars managed with modified Hall technique
    Eman El Sayed El Bedewy, Nahed A.A. Abohamila, Shereen A. M. Ali, Shimaa M.M. Hadwa
    Tanta Dental Journal.2025; 22(1): 133.     CrossRef
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Basic Research
Influence of rebonding procedures on microleakage of composite resin restorations
Mi-Ae Lee, Duck-Kyu Seo, Ho-Hyun Son, Byeong-Hoon Cho
J Korean Acad Conserv Dent 2010;35(3):164-172.   Published online May 31, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.3.164
AbstractAbstract PDFPubReaderePub

During a composite resin restoration, an anticipating contraction gap is usually tried to seal with low-viscosity resin after successive polishing, etching, rinsing and drying steps, which as a whole is called rebonding procedure. However, the gap might already have been filled with water or debris before applying the sealing resin. We hypothesized that microleakage would decrease if the rebonding agent was applied before the polishing step, i.e., immediately after curing composite resin. On the buccal and lingual surfaces of 35 extracted human molar teeth, class V cavities were prepared withthe occlusal margin in enamel and the gingival margin in dentin. They were restored with a hybrid composite resin Z250 (3M ESPE, USA) using an adhesive AdperTM Single Bond 2 (3M ESPE). As rebonding agents, BisCover LV (Bisco, USA), ScotchBond Multi-Purpose adhesive (3M ESPE) and an experimental adhesive were applied on the restoration margins before polishing step or after successive polishing and etching steps. The infiltration depth of 2% methylene blue into the margin was measured using an optical stereomicroscope. The correlation between viscosity of rebonding agents and mciroleakage was also evaluated. There were no statistically significant differences in the microleakage within the rebonding procedures, within the rebonding agents, and within the margins. However, when the restorations were not rebonded, the microleakage at gingival margin was significantly higher than those groups rebonded with 3 agents (p < 0.05). The difference was not observed at the occlusal margin. No significant correlation was found between viscosity of rebonding agents and microleakage, except very weak correlation in case of rebonding after polishing and etching at gingival margin (r = -0.326, p = 0.041).

Citations

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  • Antibacterial effect of self-etching adhesive systems onStreptococcus mutans
    Seung-Ryong Kim, Dong-Hoon Shin
    Restorative Dentistry & Endodontics.2014; 39(1): 32.     CrossRef
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Original Articles
Comparison of marginal microleakage between low and high flowable resins in class V cavity
Sang-Bae Bae, Young-Gon Cho, Myeong-Seon Lee
J Korean Acad Conserv Dent 2009;34(6):477-483.   Published online November 30, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.6.477
AbstractAbstract PDFPubReaderePub

The purpose of this study was to compare the microleakage of low and high viscosity flowable resins in class V cavities applied with 1-step adhesives.

Forty class V cavities were prepared on the cervices of buccal and lingual surfaces of extracted molar teeth and divided into four groups (n=8). Cavities were restored with AQ Bond Plus/Metafil Flo α, G-Bond/UniFil LoFlo Plus (Low flow groups), AQ Bond Plus/Metafil Flo and G-Bond/UniFil Flow (High flow group), respectively.

Specimens were immersed in a 2% methylene blue solution for 24 hours, and bisected longitudinally. They were observed microleakages at the enamel and dentinal margins.

In conclusion, the low viscosity flowable resins showed lower marginal microleakage than do the high viscosity flowable resins in class V cavities.

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Effect of an intermediate bonding resin and flowable resin on the compatibility of two-step total etching adhesives with a self-curing composite resin
Sook-Kyung Choi, Ji-Wan Yum, Hyeon-Cheol Kim, Bock Hur, Jeong-Kil Park
J Korean Acad Conserv Dent 2009;34(5):397-405.   Published online September 30, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.5.397
AbstractAbstract PDFPubReaderePub

This study compared the effect of an activator, intermediate bonding resin and low-viscosity flowable resin on the microtensile bond strength of a self-curing composite resin used with two-step total etching adhesives. Twenty extracted permanent molars were used. The teeth were assigned randomly to nine groups (n=10) according to the adhesive system and application of additional methods (activator, intermediate adhesive, flowable resin). The bonding agents and additional applications of each group were applied to the dentin surfaces. Self-curing composite resin buildups were made for each tooth to form a core, 5mm in height. The restored teeth were then stored in distilled water at room temperature for 24h before sectioning. The microtensile bond strength of all specimens was examined. The data was analyzed statistically by one-way ANOVA and a Scheffe's test. The application of an intermediate bonding resin (Optibond FL adhesive) and low-viscosity flowable resin (Tetric N-flow) produced higher bond strength than that with the activator in all groups. Regardless of the method selected, Optibond solo plus produced the lowest µTBS to dentin. The failure modes of the tested dentin bonding agents were mostly adhesive failure but there were some cases showed cohesive failure in the resin.

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Slumping tendency and rheological property of flowable composites
In-Bog Lee, Sun-Hong Min, Sun-Young Kim, Byung-Hoon Cho, Seung-Ho Back
J Korean Acad Conserv Dent 2009;34(2):130-136.   Published online March 31, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.2.130
AbstractAbstract PDFPubReaderePub

The aim of this study was to develop a method for measuring the slumping resistance of flowable resin composites and to evaluate the efficacy using rheological methodology.

Five commercial flowable composites (Aelitefil flow:AF, Filtek flow:FF, DenFil flow:DF, Tetric flow:TF and Revolution:RV) were used. Same volume of composites in a syringe was extruded on a glass slide using a custom-made loading device. The resin composites were allowed to slump for 10 seconds at 25℃ and light cured. The aspect ratio (height/diameter) of cone or dome shaped specimen was measured for estimating the slumping tendency of composites. The complex viscosity of each composite was measured by a dynamic oscillatory shear test as a function of angular frequency using a rheometer. To compare the slumping tendency of composites, one way-ANOVA and Turkey's post hoc test was performed for the aspect ratio at 95% confidence level. Regression analysis was performed to investigate the relationship between the complex viscosity and the aspect ratio. The results were as follows.

1. Slumping tendency based on the aspect ratio varied among the five materials (AF < FF < DF < TF < RV).

2. Flowable composites exhibited pseudoplasticity in which the complex viscosity decreased with increasing frequency (shear rate). AF was the most significant, RV the least.

3. The slumping tendency was strongly related with the complex viscosity. Slumping resistance increased with increasing the complex viscosity.

The slumping tendency could be quantified by measuring the aspect ratio of slumped flowable composites. This method may be applicable to evaluate the clinical handling characteristics of flowable composites.

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The Effect of Temporary Filling Materials on The Adhesion between Dentin Adhesive-coated Surface and Resin Inlay
Tae-Gun Kim, Kwang-Won Lee, Mi-Kyung Yu
J Korean Acad Conserv Dent 2008;33(6):553-559.   Published online November 30, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.6.553
AbstractAbstract PDFPubReaderePub

The purpose of this research was to compare the microtensile bond strength of resin coated surface and resin inlay according temporary filling materials prior to applying self-adhesive resin cement. Caviton(GC, Japan), Provifil(Promedica, Neumunster, Germany), Provifil(Promedica, Neumunster, Germany) & petrolatum, and Eugenol-based cement, Tembond(Kerr, Orange CA, USA) were used as temporary filling materials. After fabrication of Tescera(Bisco, Schamburg IL, USA), it was bonded with a self-adhesive resin cement, Rely X unicem(3M, St. Paul. Minn, USA). After this procedure, the microtensile bond strength was measured and it was analyzed through one-way ANOVA and Duncan test(p<0.05).

Caviton(GC, Tokyo, Japan) showed statistical difference except for the control(group I) and the saliva(group II)(p<0.05). Provifil(group IV), Provifil & petroneum(group V), Tembond(group VI) had lower microtensile bond strength.

Citations

Citations to this article as recorded by  
  • Shear bond strength of a self-adhesive resin cement to resin-coated dentin
    Jee-Youn Hong, Cheol-Woo Park, Jeong-Uk Heo, Min-Ki Bang, Jae-Jun Ryu
    The Journal of Korean Academy of Prosthodontics.2013; 51(1): 27.     CrossRef
  • Microtensile bond strength of resin inlay bonded to dentin treated with various temporary filling materials
    Tae-Woo Kim, Bin-Na Lee, Young-Jung Choi, So-Young Yang, Hoon-Sang Chang, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
    Journal of Korean Academy of Conservative Dentistry.2011; 36(5): 419.     CrossRef
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Effect of a new resin monomer on the microleakage of composite resin restorations
JH Bae, YK Kim, PY Yoon, MA Lee, BH Cho
J Korean Acad Conserv Dent 2007;32(5):469-475.   Published online September 30, 2007
DOI: https://doi.org/10.5395/JKACD.2007.32.5.469
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the effect of a new resin monomer on the microleakage of composite resin restorations. By adding new methoxylated Bis-GMA (Bis-M-GMA, 2,2-bis[4-(2-methoxy-3-methacryloyloxy propoxy) phenyl] propane) having low viscosity, the content of TEGDMA which has adverse effects on polymerization shrinkage might be decreased. As a result, microleakage might be improved.

2 mm × 2 mm × 2 mm cavities with occlusal margins in enamel and gingival margins in dentin were prepared on buccal and lingual surfaces of 40 extracted human premolars. Prepared teeth were randomly divided into four groups and restored with Clearfil SE bond (Kuraray, Japan) and one of experimental composite resins; EX1, Experimental composite resin1 (Bis-M-GMA/TEGDMA = 95/5 wt%, 40 nm nanofillers); EX2, Experimental composite resin2 (Bis-M-GMA/TEGDMA = 95/5 wt%, 20 nm nanofillers); EX3, Experimental composite resin3 (Bis-GMA/TEGDMA = 70/30 wt%, 40 nm nanofillers); and Filtek Z250 (3M ESPE, USA) was filled as a control group. The restored teeth were thermocycled, and immersed in 2% methylene blue solution for 24 hours. The teeth were sectioned buccolingually with a low speed diamond saw and evaluated for microleakage under stereomicroscope. The data were statistically analyzed by Pearson Chi-Square test and Fisher Exact test (p = 0.05).

The microleakage scores seen at the enamel margin were significantly lower than those of dentin margin (p = 0.007). There were no significant differences among the composite resins in the microleakage scores within each margin (p > 0.05). Bis-M-GMA, a new resin monomer having low viscosity, might in part replace high viscous Bis-GMA and might improve the quality of composite resin.

Citations

Citations to this article as recorded by  
  • Sealing Ability of Three Different Materials Used as Retrograde Filling
    Ji-Hoon Park, Seung-Bok Kang, Yong-Hoon Choi, Ji-Hyun Bae
    Journal of Korean Dental Science.2012; 5(2): 60.     CrossRef
  • Surface roughness of experimental composite resins using confocal laser scanning microscope
    JH Bae, MA Lee, BH Cho
    Journal of Korean Academy of Conservative Dentistry.2008; 33(1): 1.     CrossRef
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RHEOLOGICAL PROPERTIES OF RESIN COMPOSITES ACCORDING TO THE CHANGE OF MONOMER AND FILLER COMPOSITIONS
In-Bog Lee, Jong-Hyuck Lee, Byung-Hoon Cho, Sang-Tag Lee, Chung-Moon Um
J Korean Acad Conserv Dent 2004;29(6):520-531.   Published online January 14, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.6.520
AbstractAbstract PDFPubReaderePub
ABSTRACT Objectives.

The aim of this study was to investigate the effect of monomer and filler compositions on the rheological properties related to the handling characteristics of resin composites.

Methods.

Resin matrices that Bis-GMA as base monomer was blended with TEGDMA as diluent at various ratio were mixed with the Barium glass (0.7 um and 1.0 um), 0.04 um fumed silica and 0.5 um round silica. All used fillers were silane treated. In order to vary the viscosity of experimental composites, the type and content of incorporated fillers were changed.

Using a rheometer, a steady shear test and a dynamic oscillatory shear test were used to evaluate the viscosity (η) of resin matrix, and the storage shear modulus (G′), the loss shear modulus (G″), the loss tangent (tanδ) and the complex viscosity (η *) of the composites as a function of frequency ω = 0.1-100 rad/s. To investigate the effect of temperature on the viscosity of composites, a temperature sweep test was also undertaken.

Results.

Resin matrices were Newtonian fluid regardless of diluent concentration and all experimental composites exhibited pseudoplastic behavior with increasing shear rate. The viscosity of composites was exponentially increased with increasing filler volume%. In the same filler volume, the smaller the fillers were used, the higher the viscosities were. The effect of filler size on the viscosity was increased with increasing filler content. Increasing filler content reduced tanδby increasing the G′further than the G″ . The viscosity of composites was decreased exponentially with increasing temperature.

Citations

Citations to this article as recorded by  
  • The 3D Printing Behavior of Photocurable Ceramic/Polymer Composite Slurries Prepared with Different Particle Sizes
    Kukhyeon Ryu, Jinho Kim, Junghoon Choi, Ungsoo Kim
    Nanomaterials.2022; 12(15): 2631.     CrossRef
  • Surface roughness of experimental composite resins using confocal laser scanning microscope
    JH Bae, MA Lee, BH Cho
    Journal of Korean Academy of Conservative Dentistry.2008; 33(1): 1.     CrossRef
  • Effect of a new resin monomer on the microleakage of composite resin restorations
    JH Bae, YK Kim, PY Yoon, MA Lee, BH Cho
    Journal of Korean Academy of Conservative Dentistry.2007; 32(5): 469.     CrossRef
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Self-adhesion of low-viscosity composites to dentin surface
Tae-Hee Cho, Kyoung-Kyu Choi, Sang-Hyuk Park, Sang-Jin Park
J Korean Acad Conserv Dent 2003;28(3):209-221.   Published online May 31, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.3.209
AbstractAbstract PDFPubReaderePub

The objectiveness of this study was to evaluate whether low-viscosity composite can bond effectively to dentin surface without bonding resin. The low-viscosity composites being 50wt% filler content were made by the inclusion of bonding resin of two self-etching systems(Clearfil SE Bond, Unifil Bond) varied with contents as 0, 10, 20, 30, 40, 50wt%.

Exposed dentin surfaces of extracted 3rd molars are used. Dentin bond strengths were measured. The tests were carried out with a micro-shear device placed testing machine at a CHS of 1mm/min after a low-viscosity composite was filled into an iris cut from micro tygon tubing with internal diameter approximately 0.8mm and height of 1.0mm.

Flexural strength and modulus was increased with the addition of bonding resin.

Micro-shear bond strength to dentin was improved according to content of bonding resin irrespective of applying or not bonding resin in bonding procedure, and that of Clearfil SE Bond groups was higher than Unifil Bond.

There were no significant difference whether use of each bonding resin in bonding procedure for S-40, S-50, U-50(p>0.05).

In SEM examination, resin was well infiltrated into dentin after primed with self-etching primer only for S-50 and U-50 in spite of the formation of thinner hybrid layer.

Low viscosity composite including some functional monomer may be used as dentin bonding resin without an intermediary bonding agent. It makes a simplified bonding procedure and foresees the possibility of self-adhesive restorative material.

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