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Contemporary restorative ion-releasing materials: current status, interfacial properties and operative approaches

British Dental Journal volume 229, pages 450–458 (2020)Cite this article

Abstract

Minimally invasive (MI) concepts in restorative dentistry in the year 2020 request from the practitioner not only a scientifically supported rationale for carious tissue removal/excavation and defect-oriented, biological cavity preparation, but also a deep understanding of how to ensure a biomechanically stable and durable restoration in different clinical situations by applying different restorative options. Bio-interactive materials play an increasingly relevant role, as they not only replace diseased or lost tissue, but also optimise tissue mineral recovery (among other properties) when used in restorative and preventive dentistry. Indeed, this is of certain interest in MI restorative dentistry, especially in those cases where gap formation jeopardises the integrity of the margins along resin composite restorations, causing penetration of bacteria and eventually promoting the formation of secondary caries. Recently, the interest in whether ion-releasing materials may reduce such biofilm penetration into margin gaps and reduce such a risk for development and propagation of secondary caries is growing significantly among clinicians and scientists. The aim of this article was to explore mechanisms involved in the process that allow mineral deposition at the interface between such materials and dentine, and to describe how conventional 'bioactive' restorative materials currently available on the market may benefit treatments in MI dentistry.

Key points

  • Explores the mechanisms involved in the process that allows mineral deposition at the interface between such materials and dentine, and describes how conventional 'bioactive' restorative materials currently available on the market may be beneficial for treatments in minimally invasive (MI) dentistry.

  • Different carious tissue removal methods are currently available. However, chemo-mechanical methods reach a compromise between MI tissue removal to protect the pulp and an 'adhesion-friendly' substrate to enable successful restoration placement and interfacial longevity.

  • Contemporary 'therapeutic' bio-interactive materials should now be used for tissue replacement, as they may be able to reduce the susceptibility of tooth mineral to dissolution and/or to recover its mechanical properties via remineralisation.

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Acknowledgements

Dr Paula Maciel Pires was undertaking a PhD exchange programme at Cardenal Herrera University during the writing up of this manuscript and that was supported by a CAPES grant from Brazil (grant numbers 88882.424807/2018-01 and 88881.188518/2018-01). Unpublished data presented in this manuscript is part of a FAPERJ project granted to Dr Aline de Almeida Neves (E-26/203.185/2016) and micro-CT images of SDF-treated teeth were kindly provided by Dr Andréa Fonseca-Gonçalves and Gabriella Fernandes Rodrigues from the Federal University of Rio de Janeiro. Part of this work was also supported by 'Programa de Consolidación de Indicadores: Fomento Plan Estatal CEU-UCH 2018-2020' granted to Dr Salvatore Sauro.

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Authors and Affiliations

  1. Department of Paediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; Dental Biomaterials, Preventive & Minimally Invasive Dentistry, Departamento de Odontologia, CEU Cardenal Herrera University, Alfara del Patriarca, Valencia, Spain

    Paula Maciel Pires

  2. Department of Paediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; Conservative & MI Dentistry, Faculty of Dental, Oral & Craniofacial Sciences, King’s College London, UK

    Aline de Almeida Neves

  3. Department of Therapeutic Dentistry, Sechenov University of Moscow, 119435 Moscow, Russia

    Irina Mikhailovna Makeeva

  4. Department of Oral Diagnostics, Digital Health and Health Services Research Founding Chair, Berlin Institute for AI and Health Policy (BAIP) Specialist in Restorative and Preventive Dentistry Charité – Universitätsmedizin Berlin Aßmannshauser Str. 4-6 14197, Berlin, Germany

    Falk Schwendicke

  5. Department of Stomatology, Medicine and Dental School, University of Valencia, 46010 Valencia, Spain

    Vicente Faus-Matoses

  6. National Institute of Advanced Industrial Science and Technology (AIST), Health Research Institute, 2217-14 Hayashi-cho, Takamatsu 761-0395, Japan; Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Pathology & Experimental Medicine, Japan

    Kumiko Yoshihara

  7. Conservative & MI Dentistry, Faculty of Dental, Oral & Craniofacial Sciences, King’s College London, UK

    Avijit Banerjee

  8. Department of Therapeutic Dentistry, Sechenov University of Moscow, 119435 Moscow, Russia; Dental Biomaterials, Preventive & Minimally Invasive Dentistry, Departamento de Odontologia, CEU Cardenal Herrera University, Alfara del Patriarca, Valencia, Spain

    Salvatore Sauro

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Pires, P., Neves, A., Makeeva, I. et al. Contemporary restorative ion-releasing materials: current status, interfacial properties and operative approaches. Br Dent J 229, 450–458 (2020). https://doi.org/10.1038/s41415-020-2169-3

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