Epigallocatechin-3-gallate prior to composite resin in abfraction lesions: a split-mouth randomized clinical trial

Alves Luísa Valente Gotardo Lara; Fracasso Lisiane Martins; Cortez Thiago Vinicius; Souza-Gabriel Aline Evangelista; Corona Silmara Aparecida Milori

doi:10.5395/rde.2023.48.e13

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자료유형: 학술저널

저자정보: Alves Luísa Valente Gotardo Lara (Department of Restorative Dentistry Ribeirão Preto School of Dentistry University of São Paulo Ribeirão Preto SP Brazil.) Fracasso Lisiane Martins (Department of Restorative Dentistry Ribeirão Preto School of Dentistry University of São Paulo Ribeirão Preto SP Brazil.) Cortez Thiago Vinicius (Department of Restorative Dentistry Ribeirão Preto School of Dentistry University of São Paulo Ribeirão Preto SP Brazil.) Souza-Gabriel Aline Evangelista (Department of Restorative Dentistry Ribeirão Preto School of Dentistry University of São Paulo Ribeirão Preto SP Brazil.) Corona Silmara Aparecida Milori (Department of Restorative Dentistry Ribeirão Preto School of Dentistry University of São Paulo Ribeirão Preto SP Brazil.)

저널정보: 대한치과보존학회 Restorative Dentistry and Endodontics Restorative Dentistry and Endodontics 제48권 제2호

발행연도: 2023.5

수록면: 1 - 11 (11page)

DOI: 10.5395/rde.2023.48.e13

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Objectives Natural extracts have been investigated as a biomimetic strategy to mechanically strengthen the collagen network and control the biodegradation of extracellular matrix. This study evaluated the effect of epigallocatechin-3-gallate (EGCG) on abfraction lesions prior to the composite resin. Materials and Methods The sample consisted of 30 patients (aged between 28 and 60 years) with abfraction lesions located in 2 homologous premolars. The teeth were randomly assigned according to dentin treatment: 0.02% EGCG solution or distilled water (control). After enamel acid etching, the solutions were applied immediately for 1 minute. The teeth were restored with Universal Adhesive (3M) and Filtek Z350 XT (3M). Analyzes were done by 2 independent examiners using modified USPHS (retention, secondary caries, marginal adaptation, and postoperative sensitivity) and photographic (color, marginal pigmentation, and anatomical form) criteria at baseline (7 days) and final (18 months). The data analysis used Friedman and Wilcoxon signed-rank tests (α = 0.05). Results At baseline, all restorations were evaluated as alpha for all criteria. After 18 months, restorations were evaluated as alpha for secondary caries, color, and marginal pigmentation. There was significant difference between baseline and 18 months (p = 0.009) for marginal adaptation and postoperative sensitivity (p = 0.029), but no significant difference were verified between treatments (p = 0.433). The EGCG group had a restoration retention rate of 93.3%, while the control group had 96.7%. Conclusions The application of EGCG solution on abfraction lesions did not significantly influence the survival of the restorations based on clinical and photographic criteria.

#Composite resin #Dentin #Tooth wear #Solution

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