{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:02:27Z","timestamp":1759017747960,"version":"3.44.0"},"reference-count":41,"publisher":"Operative Dentistry","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n        <jats:sec>\n          <jats:title>Objective<\/jats:title>\n          <jats:p>To compare the ability of two calcium-releasing restorative materials to inhibit root dentin demineralization in an artificial caries model.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Methods and Materials<\/jats:title>\n          <jats:p>Preparations were made at the cementum\u2013enamel junction of extracted human molars (40, n=10\/material) and restored with two calcium-releasing materials (Experimental composite, Pulpdent Corporation and Cention N, Ivoclar Vivadent), a resin composite (Filtek Supreme Ultra, 3M Oral Care), and a resin-modified glass ionomer (RMGI) (Fuji II LC, GC). All materials (other than the RMGI) were used with an adhesive (Scotchbond Universal Adhesive, 3M Oral Care) in the self-etch mode, which was light cured for 10 seconds. All restorative materials were light cured in 2-mm increments for 20 seconds and then finished with a polishing disc. Teeth were incubated (37\u00b0C) for 24 hours in water. An acid-resistant varnish was painted onto the teeth around the restoration, leaving a 2-mm border of uncovered tooth. A demineralization solution composed of 0.1 M lactic acid, 3 mM Ca<jats:sub>3<\/jats:sub>(PO<jats:sub>4<\/jats:sub>)<jats:sub>2<\/jats:sub>, 0.1% thymol, and NaOH (to adjust pH=4.5), and a remineralization solution composed of 1.5 mM Ca, 0.9 mM P, and 20 mM Tris(hydroxymethyl)\u2013aminomethane (pH=7.0) were prepared. Specimens were placed in the demineralization solution for 4 hours, followed by the remineralization solution for 20 hours and cycled daily for 30 days. The specimens were embedded, sectioned into 100-\u03bcm sections, and the interface between the restorative material and root dentin was viewed with polarized light microscopy. A line was drawn parallel with the zone of demineralization for each tooth. The area of \u201cinhibition\u201d (defined as the area external to the line) or \u201cwall lesion\u201d (defined as the area internal to the line) was measured with image evaluation software. Areas of inhibition were measured as positive values, and areas of wall lesions were measured as negative areas.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>A one-way analysis of variance (ANOVA) found significant differences between materials for \u201cinhibition\/wall lesion\u201d areas in root dentin (<jats:italic>p<\/jats:italic>&lt;0.001). Tukey post hoc analysis ranked materials (\u03bcm<jats:sup>2<\/jats:sup>, mean \u00b1SD): Fuji II LC (5412\u00b12754) &gt; Cention N (2768\u00b11576) and experimental composite (1484\u00b11585) &gt; Filtek Supreme Ultra (\u22121119\u00b11029).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusion<\/jats:title>\n          <jats:p>The experimental composite and Cention N materials (used with an adhesive) showed net areas of inhibition greater than a reference resin composite, albeit at a lower level than a reference RMGI material (used with no adhesive).<\/jats:p>\n        <\/jats:sec>","DOI":"10.2341\/20-074-l","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T16:02:01Z","timestamp":1651680121000},"page":"680-689","source":"Crossref","is-referenced-by-count":1,"title":["Demineralization Inhibition by Two Calcium-releasing Restorative Materials"],"prefix":"10.2341","volume":"46","author":[{"given":"CT","family":"Huang","sequence":"first","affiliation":[{"name":"Chan-Te Huang, DMD, MS, Clinical and Community Sciences, Division of Biomaterials, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama, and Department of Dentistry, Chang Gung Memorial Hospital at Keel-ung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JO","family":"Burgess","sequence":"additional","affiliation":[{"name":"John O Burgess, DDS, MS, Clinical and Community Sciences, Division of Biomaterials, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Robles","sequence":"additional","affiliation":[{"name":"Augusto Robles, DMD, MS, Restorative Dentistry, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NC","family":"Lawson","sequence":"additional","affiliation":[{"name":"*Nathaniel C Lawson, DMD, PhD, Clinical and Community Sciences, Division of Biomaterials, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1188","reference":[{"issue":"4","key":"i1559-2863-46-6-680-b1","series-title":"Stomatology Edu Journal","first-page":"202","article-title":"The value of consensus conferences: Peer review by 50 key opinion leaders","volume":"5","year":"2018","unstructured":"Price\n              RB\n             &\n\t\t\t\t\t\tRouletJF (\n\t\t\t\t\t2018)\n\t\t\t\t\tThe value of consensus conferences: Peer review by 50 key opinion leadersStomatology Edu Journal5(\n\t\t\t\t\t4)\n\t\t\t\t\t202\u2013\n\t\t\t\t\t204."},{"issue":"2","key":"i1559-2863-46-6-680-b2","series-title":"International Journal of Oral 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Dentistry","first-page":"505","article-title":"In vitro secondary caries inhibition around fluoride releasing materials","volume":"26","year":"1998","unstructured":"Pereira\n              PN,\n            \n            \n              Inokoshi\n              S,\n             &\n\t\t\t\t\t\tTagamiJ (\n\t\t\t\t\t1998)\n\t\t\t\t\tIn vitro secondary caries inhibition around fluoride releasing materialsJournal of Dentistry26(\n\t\t\t\t\t5\u20136)\n\t\t\t\t\t505\u2013\n\t\t\t\t\t510. https:\/\/dx.doi.org\/10.1016\/s0300-5712(98)00008-6"},{"issue":"10","key":"i1559-2863-46-6-680-b29","series-title":"Journal of the American Dental Association","first-page":"1459","article-title":"Clinical performance and caries inhibition of resin-modified glass ionomer cement and amalgam restorations","volume":"130","year":"1999","unstructured":"Donly\n              KJ,\n            \n            \n              Segura\n              A,\n            \n            \n              Kanellis\n              M,\n   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Materials","first-page":"1757","article-title":"Characterization of the bioactivity of two commercial composites","volume":"35","year":"2019","unstructured":"Tiskaya\n              M,\n            \n            \n              Al-Eesa\n              NA,\n            \n            \n              Wong\n              FSL,\n             &\n\t\t\t\t\t\tHillRG (\n\t\t\t\t\t2019)\n\t\t\t\t\tCharacterization of the bioactivity of two commercial compositesDental Materials35(\n\t\t\t\t\t12)\n\t\t\t\t\t1757\u2013\n\t\t\t\t\t1768. https:\/\/dx.doi.org\/10.1016\/j.dental.2019.10.004."},{"key":"i1559-2863-46-6-680-b36","series-title":"Journal of Dentistry","first-page":"103474","article-title":"Evaluation of F, Ca, and P release and microhardness of eleven ion-leaching restorative materials and the recharge efficacy using a new Ca\/P containing fluoride varnish","volume":"102","year":"2018","unstructured":"Ruengrungsom\n              C,\n            \n            \n              Burrow\n            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(\n\t\t\t\t\t2020)\n\t\t\t\t\tMonomer conversion, dimensional stability, biaxial flexural strength, and fluoride release of resin-based restorative material containing alkaline fillersDental Materials Journal39(\n\t\t\t\t\t4)\n\t\t\t\t\t608\u2013\n\t\t\t\t\t615. https:\/\/dx.doi.org\/10.4012\/dmj.2019-020"},{"issue":"2","key":"i1559-2863-46-6-680-b40","series-title":"Dental Materials","first-page":"335","article-title":"A randomized controlled evaluation of posterior resin restorations of an altered resin modified glass-ionomer cement with claimed bioactivity","volume":"35","year":"2019","unstructured":"van Dijken\n              JWV,\n            \n            \n              Pallesen\n              U,\n             &\n\t\t\t\t\t\tBenettiA (\n\t\t\t\t\t2019)\n\t\t\t\t\tA randomized controlled evaluation of posterior resin restorations of an altered resin modified glass-ionomer cement with claimed bioactivityDental Materials35(\n\t\t\t\t\t2)\n\t\t\t\t\t335\u2013\n\t\t\t\t\t343. https:\/\/dx.doi.org\/10.1016\/j.dental.2018.11.027"},{"issue":"Special Issue A","key":"i1559-2863-46-6-680-b41","series-title":"Journal of Dental Research","article-title":"Clinical evaluation of an amalgam replacement restorative material: 24-month recall","volume":"98","year":"2019","unstructured":"Robles\n              A,\n            \n            \n              Fu\n              C,\n            \n            \n              Lawson\n              NC,\n             &\n\t\t\t\t\t\tBurgessJ (\n\t\t\t\t\t2019)\n\t\t\t\t\tClinical evaluation of an amalgam replacement restorative material: 24-month recallJournal of Dental Research98(\n\t\t\t\t\tSpecial Issue A)\n\t\t\t\t\tAbstract #0736."}],"container-title":["Operative 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