Fluoride-releasing restorative materials and secondary caries.

John Hicks, Franklin Garcia-Godoy, Kevin Donly, Catherine Flaitz

Research output: Contribution to journalReview article

53 Citations (Scopus)

Abstract

Secondary caries is responsible for 60 percent of all replacement restorations in the typical dental practice. Risk factors for secondary caries are similar to those for primary caries development. Unfortunately, it is not possible to accurately predict which patients are at risk for restoration failure. During the past several decades, fluoride-releasing dental materials have become a part of the dentist's armamentarium. Considerable fluoride is released during the setting reaction and for periods up to eight years following restoration placement. This released fluoride is readily taken up by the cavosurface tooth structure, as well as the enamel and root surfaces adjacent to the restoration. Resistance against caries along the cavosurface and the adjacent smooth surface has been shown in both in vitro and in vivo studies. Fluoride-releasing dental materials provide for improved resistance against primary and secondary caries in coronal and root surfaces. Plaque and salivary fluoride levels are elevated to a level that facilitates remineralization. In addition, the fluoride released to dental plaque adversely affects the growth of lactobacilli and mutans streptococci by interference with bacterial enzyme systems. Fluoride recharging of these dental materials is readily achieved with fluoridated toothpastes, fluoride mouthrinses, and other sources of topical fluoride. This allows fluoride-releasing dental materials to act as intraoral fluoride reservoirs. The improvement in the properties of dental materials with the ability to release fluoride has improved dramatically in the past decade, and it is anticipated that in the near future the vast majority of restorative procedures will employ fluoride-releasing dental materials as bonding agents, cavity liners, luting agents, adhesives for orthodontic brackets, and definitive restoratives.

Original languageEnglish (US)
Pages (from-to)229-245
Number of pages17
JournalJournal of the California Dental Association
Volume31
Issue number3
StatePublished - Jan 1 2003
Externally publishedYes

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Fluorides
Dental Materials
Tooth
Antibiosis
Orthodontic Brackets
Topical Fluorides
Dental Cements
Toothpastes
Dental Plaque
Streptococcus mutans
Lactobacillus
Dental Enamel
Dentists
Adhesives

Cite this

Fluoride-releasing restorative materials and secondary caries. / Hicks, John; Garcia-Godoy, Franklin; Donly, Kevin; Flaitz, Catherine.

In: Journal of the California Dental Association, Vol. 31, No. 3, 01.01.2003, p. 229-245.

Research output: Contribution to journalReview article

Hicks, John ; Garcia-Godoy, Franklin ; Donly, Kevin ; Flaitz, Catherine. / Fluoride-releasing restorative materials and secondary caries. In: Journal of the California Dental Association. 2003 ; Vol. 31, No. 3. pp. 229-245.
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