Journal of Dental Medicine

Background and Aims: Microleakage is a criterion proposed for assessing the success of any restorative material. Complete seal is difficult especially for dentin margins compared to enamel margins. The aim of this study was to assess the microleakage at the enamel and dentin margins of class V cavities restored by two GIs and two self-etch adhesive systems.

Materials and Methods: This study was done on forty third molars. Class V cavities (3×2×2mm) were prepared on the buccal and lingual surfaces of teeth using high speed handpiece with 0.8 mm diamond fissure burr. The occlusal margins of the cavities in the enamel and gingival margins were placed 1 mm below the CEJ. The teeth were divided into 4 groups and the bondings were cured for 20 sec and the teeth were restored. The specimens were kept in distilled water at the temperature of 37°C for 24 hrs. The teeth were thermo cycled and cut in buccolingual direction using diamond disc under water. The dye penetration was evaluated using a stereomicroscope and the leakage was scored. The scores were compared using Kruskal-Wallis test while the paired comparisons were done using Bonferroni correction. P≤0.05 was regarded as significant results.

Results: Microleakage scores were similar at the occlusal and gingival walls of all test groups. At the gingival walls, the least microleakage scores were observed. “Fuji IX + SE bond” group showed significant differences with the “Fuji IX + G bond” and “Nanoglass + G bond” groups (P≤0.05). At the occlusal walls, the least scores were observed in the “Fuji IX+SE bond” specimens which were significantly different from the other groups (P≤0.05).

Conclusion: Self-Cure glass ionomers yielded less microleakage scores compared to the different types of light-cures due to the less polymerization shrinkage.

Background and Aims: The aim of this study was to evaluate the effects of two fluoride containing mouth rinses on the color stability of two different resin composites.
Materials and Methods: 27 specimens (2×4×5 mm) were prepared from each of the following materials: a micro filled composite (Gradia, GC) and nanohybrid (Grandio). The specimens were polished by Soflex fine and superfine disks and then incubated in artificial saliva at 37°C for 24 h. The baseline color values (L, a, b) of each specimen were measured using an Easyshade spectrophotometer according to the CIELab color scale. The specimens were immersed in 20 mL of each mouth rinse and stored in an incubator at 37°C for 12 h. After incubation, the color values of all specimens were measured again, and the color change value (ΔE) was calculated. Data were analyzed by a 2-way analysis of variance at a significance level of 0.05.
Results: None of the mouth rinses created clinical significant color changes in the samples. There was no statistically significant difference among color susceptibility between resin composites (P=0.330). The interaction between the effect of mouth rinses and type of restorative materials was not statistically significant (P>0.05).
Conclusion: Accordance to the results of this study, the fluoride containing mouth rinses does not create color change in resin composites.

Background and Aims: Color is the most important and complicated part of aesthetic dentistry. The tooth color matching of restorations is considered as one of the most difficult tasks in the restorative dentistry. The aim of this study to evaluate the effect of two training methods on the dental students’ ability in determining tooth color matching.
Materials and Methods: In this study, 40 dentistry students participated which randomly allocated into two groups. The first group consisted of students who learned teeth color matching methods practically. In the second group, training booklet was used for learning. Using Vita Classic shade guide series, 4 color samples were chosen and the students of each group were asked to determine samples’ color, before, after and one month after the training.
Results: Booklet learning group was more successful in determining fourth color sample. However, in no studied group and no used samples, the results of one month after learning were not better than that of before learning. Also generally, no significant relationship was found between the color matching accuracy, using glasses, and sex of participants.
Conclusion: The use of booklet learning was more effective than practical learning in color matching accuracy for dental students. Also, using glasses and sex were not effective on their color matching accuracy.

Background and Aims: Methicillin-resistant Staphylococcus Aureus (MRSA) is an important infection source in dentistry for different disinfectants to be used to prevent its transmission. Furthermore, a variety of chemical disinfectants are developed to remove bacterial infections from the dental care workers' hands and claims are made regarding their superiority in infection control, although all requires scientific investigations. The aim of present study was to compare the effects of chemical hand-disinfectants Micro Zed HD, Aseptoman and Decosept on MRSA (methicillin resistant staphylococcus aureus) in different periods of time.
Materials and Methods: In this experimental study, the antibacterial efficacy of three hand-disinfectants on standard strain of MRSA (USA300: ATCC® BAA-1717™) was evaluated according to European standard of evaluating antiseptics (EN 1040:2005 CSN EN). First we prepared a 0.5 Mc Farland (108 CFU/ml) suspension of MRSA, and exposed to three disinfectants for 15, 30, 60 and 90 seconds. Then, they were transferred to separate plates of Mueller-Hinton medium and incubated in 37^◦C for 24 hours. The plates were compared then with control plate to evaluate the efficacy of materials on bacteria by calculating the CFU/ml of plates.
Results: Three hand-disinfectants evaluated in this study had the maximum anticabterial effect on MRSA in the minimum time of exposure (15 seconds), and we found no trace of growth in any plates.
Conclusion: The three hand-disinfectans (MicroZed HD, Aseptoman and Decosept) in the concentration suggested by their companies, showed no difference in efficacy to remove MRSA from hands.

Background and Aims: Enoxolon is a natural licorice and its formula is similar to cortisone. The aim of this double blind randomized match control clinical trial, was to analyze the effect of Arthrodont toothpaste containing 1% Enoxolone on dental plaque, gingival inflammation, and bleeding indices.
Materials and Methods: 40 patients who had gingivitis were selected. They were instructed to brush their teeth twice daily for three minutes then massage the gums with pastes for one minute and then wash their mouths. The patients were divided into two groups: The Arthrodont toothpaste containing Enoxolon, was given to the study group and the Crest toothpaste free of Enoxolon, was given to the control group. At the beginning of the study and after 21 days, plaque, gingival, and bleeding indices were measured. The statistical analyses were done by Paird T test, T test and nonparametrical analysis of Wilcoxon and Mann-Whitney.
Results: In both groups, the three indices decreased significantly. Comparing between the two groups, the gingival and bleeding indices had significantly decreased in the study group (Arthrodont toothpaste) compared to the control group (Crest toothpaste). However, no significance difference in the plaque index between the two groups was found (P=0.143).
Conclusion: The results of this clinical study showed that Enoxolon had anti-inflammatory effect on gingivitis.

Conclusion: The high prevalence of TMD and related factors, such as a history of jaw dislocation, posterior edentulousness, earache, and clenching, requires attention to be identified and treat these problems.