J Dent Rehabil Appl Sci.  2023 Dec;39(4):222-228. 10.14368/jdras.2023.39.4.222.

A case of direct restore using 4-META/MMA-TBB resin containing organic filler in patients with severe occlusal surface wear and enamel fracture

• Kim DS
• Lee GJ

• KMID: 2550431
• DOI: http://doi.org/10.14368/jdras.2023.39.4.222

Abstract

Attrition is the loss of tooth hard tissue due to contact between teeth, and in severe cases, dentin is exposed, accompanied by selective corrosion and excessive wear of teeth, which is called cupping. If these lesions are left untreated, the size of the lesion gradually increases, breaking the unsupported enamel, resulting in a decrease in aesthetics and chewing function. In this case report, patients with cupping and enamel fracture due to severe attrition were directly restored using a resin with soft properties containing organic fillers. In the follow-up observation six years later, most of the filling of the occlusal surface was eliminated, but the filling on the buccal surfaces remained relatively intact, and it was confirmed that this type of resin was suitable for the area where the occlusal force was relatively weak rather than the area where the occlusal force was greatly applied.

Keyword

tooth attrition; tooth erosion; occlusal wear; acrylic resin

Figure

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  Fig. 1 Intraoral photographs before the treatment. Due to severe attrition, the cuppings of the occlusal surface and the fractures of the enamel of the buccal (labial) surface are observed.

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  Fig. 2 Resin was built up on the destructed labial surface. (A) Bondfill kit, (B) Primer was applicated on the exposed dentin surface for 20 seconds, (C) Resin was built up by brush-on technique.

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  Fig. 3 Intraoral photographs before and after the treatment. The destructed tooth surfaces were reconstructed successfully. RB: Right side before the treatment, LB: Left side before the treatment, RA: Left side before the treatment, LA: Left side before the treatment.

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  Fig. 4 Intraoral photographs of 6 years follow-up. Even though the patient re-visited the clinic after 6 years, the resin remained, and the exposed dentin on the labial surface was still protected. RF: Right side of 6 years follow- up, LF: Left side of 6 years follow-up.

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  Fig. 5 Intraoral photographs of mandibular dentition of after the treatment (A) and 6 years follow-up (B). While the resin on the labial and buccal side remained relatively sound, the resin on the occlusal surface was worn and only a part remained.

Reference

References

1. Chen SC, Chueh LH, Hsiao CK, Wu HP, Chiang CP. 2008; First untoward events and reasons for tooth extraction after nonsurgical endodontic treatment in Taiwan. J Endod. 34:671–4. DOI: 10.1016/j.joen.2008.03.016. PMID: 18498886.

2. 2017; The Glossary of Prosthodontic Terms: Ninth Edition. J Prosthet Dent. 117(5S):e1–e105. DOI: 10.1016/j.prosdent.2016.12.001. PMID: 28418832.

3. Mair LH. 1992; Wear in dentistry - current terminology. J Dent. 20:140–4. DOI: 10.1016/0300-5712(92)90125-V. PMID: 1624617.

4. Turner KA, Missirilian DM. 1984; Restoration of the extremely worn dentition. J Prosthet Dent. 52:467–74. DOI: 10.1016/0022-3913(84)90326-3. PMID: 6389829.

5. Pintado MR, Delong R, Ko CC, Sakaguchi RL, Douglas WH. 2000; Correlation of noncarious cervical lesion size and occlusal wear in a single adult over a 14-year time span. J Prosthet Dent. 84:436–43. DOI: 10.1067/mpr.2000.109477. PMID: 11044852.

6. Kishen A. 2006; Mechanisms and risk factors for fracture predilection in endodontically treated teeth. Endod Topics. 13:57–83. DOI: 10.1111/j.1601-1546.2006.00201.x.

7. Chun K, Choi H, Lee J. 2014; Comparison of mechanical property and role between enamel and dentin in the human teeth. J Dent Biomech. 5:1758736014520809. DOI: 10.1177/1758736014520809. PMID: 24550998. PMCID: PMC3924884.

8. Dejak B, Mlotkowski A, Romanowicz M. 2005; Finite element analysis of mechanism of cervical lesion formation in simulated molars during mastication and parafunction. J Prosthet Dent. 94:520–9. DOI: 10.1016/j.prosdent.2005.10.001. PMID: 16316798.

9. Rosenstiel SF, Land MF, Walter R. 2022. Contemporary fixed prosthodontics. e-book. Elsevier Health Sciences;New York: p. 84.

10. Edelhoff D, Sorenssen JA. 2002; Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 87:503–9. DOI: 10.1067/mpr.2002.124094. PMID: 12070513.

11. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. 2012; Current concepts on the management of tooth wear: part 3. Active restorative care 2: the management of generalised tooth wear. Br Dent J. 212:121–7. DOI: 10.1038/sj.bdj.2012.97. PMID: 22322760.

12. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. 2012; Current concepts on the management of tooth wear: part 4. An overview of the restorative techniques and dental materials commonly applied for the management of tooth wear. Br Dent J. 212:169–77. DOI: 10.1038/sj.bdj.2012.137. PMID: 22361546.

13. Kilpatrick N, Mahoney EK. 2004; Dental erosion: part 2. The management of dental erosion. N Z Dent J. 100:42–7. PMID: 15346872.

14. Rodrigues DS, Buciumeanu M, Martinelli AE, Nascimento RM, Henriques B, Silva FS, Souza JC. 2015; Mechanical Strength and Wear of Dental Glass-Ionomer and Resin Composites Affected by Porosity and Chemical Composition. J Bio Tribo Corros. 1:24. DOI: 10.1007/s40735-015-0025-9.

15. Milosevic M. 2016; Polymerization mechanics of dental composites - advantages and disadvantages. Procedia Eng. 149:313–20. DOI: 10.1016/j.proeng.2016.06.672.

16. Brunthaler A, König F, Lucas T, Sperr W, Schedle A. 2003; Longevity of direct resin composite restorations in posterior teeth. Clin Oral Investig. 7:63–70. DOI: 10.1007/s00784-003-0206-7. PMID: 12768463.

17. Zhang C, Yang B. 2019; Long-term marginal adaptation and nanoleakage of class V cavity restored with organic filler filled 4-META/MMA-TBB resin. J Biomed Mater Res B Appl Biomater. 107:2050–6. DOI: 10.1002/jbm.b.34297. PMID: 30576060.

18. Saeki K, Chin AF, Nonomura GT, Hilton JF, Chien YC, Marshall SJ, Marshall GW. 2015; In vitro evaluation of adhesive characteristics of 4-META/MMA-TBB resin with organic filler. Dent Mater. 31:1567–78. DOI: 10.1016/j.dental.2015.10.004. PMID: 26590030.

19. Aoki K, Kitasako Y, Ichinose S, Burrow MF, Ariyoshi M, Nikaido T, Tagami J. 2011; Ten-year observation of dentin bonding durability of 4-META/MMA-TBB resin cement - a SEM and TEM study. Dent Mater J. 30:438–47. DOI: 10.4012/dmj.2011-003. PMID: 21778603.

20. Anatavara S, Sitthiseripratip K, Senawongse P. 2016; Stress relieving behaviour of flowable composite liners: A finite element analysis. Dent Mater J. 35:369–78. DOI: 10.4012/dmj.2015-204. PMID: 27251991.