Banner Portal
Can surface protection prevent damage in margins of composite resin restorations after simulated endogenous erosion?


Acid gastric.

How to Cite

Dias LM, Damasceno JE, Shibasaki PAN, Lima MJP, Araújo RPC de, Foxton RM, Cavalcanti AN. Can surface protection prevent damage in margins of composite resin restorations after simulated endogenous erosion?. Braz. J. Oral Sci. [Internet]. 2019 Sep. 10 [cited 2024 Feb. 29];18:e191462. Available from:


Aim: The study investigated the effect of using surface protection agents in the adaptation of external and internal margins of restorations subjected to simulated erosion. Methods: Cavities with margins in dentin were prepared in bovine incisors (n=120). Adhesive restorations were placed using a three-step etch&rinse adhesive system and nanofilled composite resin. The specimens were divided into four groups, according to the surface protection: negative control, topical application of fluoride (TAF), resin sealant and resin-modified glass ionomer varnish (RMGI varnish). Afterwards, they were divided into three sub-groups, according to the exposure to a simulated solution of gastric acid (DES) (5% HCl, pH=2,2) and subsequent remineralization (RE): negative control, 9 and 18 cycles of DES-RE. The evaluation of the tooth-restoration interface was performed on the internal and frontal images with the aid of a stereoscopic microscope (15x), and the percentage of continuous margins without adhesive failures was quantified. Results: In the external margins, only those groups with surface protection using sealants (resin and glass-ionomer) did not exhibit a significant decrease in the percentage of continuous margins after the erosive challenges. After 18 cycles of DES-RE, the use of resin-modified glass ionomer varnish resulted in the highest percentage of continuous margins. Conclusion: It was concluded that physically covering the surfaces with a sealing agent preserved the marginal adaptation of composite resin restorations exposed to endogenous erosive challenges.


Schwendicke F, Felstehausen G, Carey C, Dörfer C. Comparison of four methods to assess erosive substance loss of dentin. PLoS One. 2014 Sep 17;9(9):e108064. doi: 10.1371/journal.pone.0108064.

Caneppele TMF, Jeronymo RDI, Di Nicoló, R, Araújo MAMD, Soares LES. In Vitro assessment of dentin erosion after immersion in acidic beverages: surface profile analysis and energy-dispersive X-ray fluorescence spectrometry study. Braz Dent J. 2012;23(4):373-8.

Scaramucci T, Borges AB, Lippert F, Zero DT, Aoki IV, Hara AT. Anti-erosive properties of solutions containing fluoride and different film forming agents. J Dent. 2015 Apr;43(4):458-65. doi: 10.1016/j.jdent.2015.01.007.

Cramer NB, Stansbury JW, Bowman, CN. Recent Advances and developments in composite dental restorative materials. J Dent Res. 2011 Apr;90(4):402-16. doi: 10.1177/0022034510381263.

Bartlett D, Sundaram G, Moazzez R. Trial of protective effect of fissure sealants, in vivo, on the palatal surfaces of anterior teeth, in patients suffering from erosion. J Dent. 2011 Jan;39(1):26-9. doi: 10.1016/j.jdent.2010.09.007.

Yamazaki H, Litman A, Margolis HC. Effect of fluoride on artificial caries lesion progression and repair in human enamel: regulation of mineral deposition and dissolution under in vivo-like conditions. Arch Oral Biol. 2007 Feb;52(2):110-20.

Kina M, Lopes GC, Monteiro Junior S. [Influence of surface sealant on microleakage and staining of composite resin restorations]. RPG Rev pos-grad. 2011;18(3):148-53. Portuguese.

Oliveira GC, Boteon AP, Ionta FQ, Moretto MJ, Honório HM, Wang L, et al. In vitro effects of resin infiltration on enamel erosion inhibition oper dent. Oper Dent. 2015 Sep-Oct;40(5):492-502. doi: 10.2341/14-162-L.

Ranjitkar S, Kaidonis JA, Smales RJ. Gastroesophageal reflux disease and tooth erosion. Int J Dent. 2012;2012:479850. doi: 10.1155/2012/479850.

Prakki A, Ribeiro LWJ, Cilli R, Mondelli RFL. Assessing the tooth-restoration interface wear resistance of two cementation techniques: effect of a surface sealant. Oper Dent. 2005 Nov-Dec;30(6):739-46.

Sohn S, Yi K, Son HH, Chang J. Caries-preventive activity of fluoride-containing resin-based desensitizers. Oper Dent. 2012 May-Jun;37(3):306-15. doi: 10.2341/11-007-L.

Suge T, Ishikawa K, Kawasaki A, Suzuki K, Matsuo T, Noiri Y et al. Calcium phosphate precipitation method for the treatment of dentin hypersensitivity. Am J Dent. 2002 Aug;15(4):220-6.

Zhou SL, Zhou J, Watanabe S, Watanabe K, Wen LY, Xuan K. In vitro study of the effects of fluoride-releasing dental materials on remineralization in an enamel erosion model. J Dent. 2012 Mar;40(3):255-63. doi: 10.1016/j.jdent.2011.12.016.

Austin RS, Stenhagen KS, Hove LH, Dunne S, Moazzez R, Bartelett DW, et al. A qualitative and quantitative investigation into the effect of fluoride formulations on enamel erosion and erosion–abrasion in vitro. J Dent. 2011 Oct;39(10):648-55. doi: 10.1016/j.jdent.2011.07.006.

Queiroz MMV, Shibasaki PAN, Lima MJP, Araújo RPC, Foxton RM, Cavalcanti AN. Effect of erosion and methods for its control on the surface roughness of composite resin. Rev Odonto Cienc 2017;32(2):88-93.

Bortolotto T, Doudou W, Kunzelmann KH, Krejci I. The competition between enamel and dentin adhesion within a cavity: An in vitro evaluation of class V restorations. Clin Oral Investig. 2012 Aug;16(4):1125-35. doi: 10.1007/s00784-011-0623-y.

Soares LE, de Oliveira R, Nahórny S, Santo AM, Martin AA. Micro energy-dispersive X-ray fluoresence mapping of enamel and dental materials after chemical erosion. Microsc Microanal. 2012 Oct;18(5):1112-7. doi: 10.1017/S1431927612001535.

Yu H, Buchalla W, Cheng H, Wiegand A, Attin T. Topical fluoride application is able to reduce acid susceptibility of restorative material. Dent Mat J. 2012;31(3):433-42.

Lenzi TL, Raggio DP, Soares FZM, Rocha RO. Bonding performance of a multimode adhesive to artificially-induced caries-affected primary dentin. J Adhes Dent. 2015 Apr;17(2):125-31. doi: 10.3290/j.jad.a34058.

Muñoz MA, Luque I, Hass V, Reis A, Loguercio AD, Bombarda NHC. Immediate bonding properties of universal adhesives to dentine. J Dent. 2013 May;41(5):404-11. doi: 10.1016/j.jdent.2013.03.001.

Flury S, Koch T, Peutzfeldt A, Lussi A, Ganss C. The effect of a tin-containing fluoride mouth rinse on the bond between resin composite and erosively demineralised dentin. Clin Oral Investig. 2013 Jan;17(1):217-25. doi: 10.1007/s00784-012-0697-1.

Honório HM, Rios D, Francisconi LF, Magalhães AC, Machado MA, Buzalaf MA. Effect of prolonged erosive pH cycling on different restorative materials. J Oral Rehabil. 2008 Dec;35(12):947-53. doi: 10.1111/j.1365-2842.2008.01856.x.

Kaur S, Makkar S, Kumar R, Pasricha S, Gupta P. Comparative evaluation of surface properties of enamel and different esthetic restorative materials under erosive and abrasive challenges: An in vitro study. Indian J Dent. 2015 Oct-Dec;6(4):172-80. doi: 10.4103/0975-962X.165047.

Elkassas D, Arafa A. Remineralizing efficacy of different calcium-phosphate and fluoride based delivery vehicles on artificial caries like enamel lesions. J Dent. 2014 Apr;42(4):466-74. doi: 10.1016/j.jdent.2013.12.017.

Martins, VL; Ramos, RVC; Lima, MJP; de Araújo, RPC; Cavalcanti, AN. Effect of surface protection on the permeability of eroded dentin. J Conserv Dent. 2018 Jan-Feb;21(1):16-20. doi: 10.4103/JCD.JCD_281_16.

Algarni AA, Lippert F, Hara AT. Efficacy of stannous, fluoride and their their combination in dentin erosion prevention in vitro. Braz Oral Res. 2015;29. pii: S1806-83242015000100276. doi: 10.1590/1807-3107BOR-2015.vol29.0081.

Lussi A, Carvalho TS. The future of fluorides and other protective agents in erosion prevention. Caries Res. 2015;49 Suppl 1:18-29. doi: 10.1159/000380886.

Owens BM, Johnson WW. Effect of new generation surface sealants on the marginal permeability of class V resin composite restorations. Oper Dent. 2006 Jul-Aug;31(4):481-8.

Ganss C ,Klimek V,.Schürmann A. Effects of two fluoridation measures on erosion progression in human enamel and dentine in situ. Caries Res. 2004 Nov-Dec;38(6):561-6.

Ganss C, Klimek J, Schäffer U, Spall T. Effectiveness of two fluoridation measures on erosion progression in human enamel and dentine in vitro. Caries Res. 2001 Sep-Oct;35(5):325-30.

Takeuchi CY, Flores VO, Dibb RP, Panzeri H, Lara EH, Dinelli W. Assessing the surface roughness of a posterior resin composite: effect of surfasse sealing. Oper Dent. 2003 May-Jun;28(3):281-6.

Bertrand MF, Leforestier E, Muller M, Lupi-Pégurier L, Bolla M. Effect of surface penetrating sealant on sur- face texture and microhardness of composite resins. J Biomed Mater Res. 2000;53(6):658-63.

Orchardson R, Gillam D. Managing dentiny hypersensitivy. J Am Dent Assoc. 2006 Jul;137(7):990-8; quiz 1028-9.

Chiga S, Toro CV, Lepri TP, Turssi CP, Colucci V, Corona SA, et al. Combined effect of fluoride varnish to Er:YAG or Nd:YAG laser on permeability of eroded root dentine. Arch Oral Biol. 2016 Apr;64:24-7. doi: 10.1016/j.archoralbio.2015.12.006.

Zimmerli B, Munck J, Lussi A, Lambrechts P, Meerbeek BV. Long-term bonding to eroded dentin requires superficial bur preparation. Clin Oral Investig. 2012 Oct;16(5):1451-61. doi: 10.1007/s00784-011-0650-8.

The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.


Download data is not yet available.


Metrics Loading ...