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Effect of Mouth Rinse on Composite Filling

Introduction

Mouth rinses are used to:• treat and prevent gingivitis • eliminate bad breath• whiten teeth

• Many healthy problems have been recorded for wide spread of using one or more of these products.

Objective• To determine the effects of mouth rinses containing Ethanol

on the physical properties of Composite filling

• Focus on the Hardness, Roughness, and Stress

Materials

Methods• 24 Specimen of Nano Hybrid Composite , NEXOCOMP ,

hardened with Led white Light

Groups Exposure time Mouth wash components

1 12 hours Floucaril alcohol 23,7 %

2 24 hours Floucaril alcohol 23,7 %

3 36 hours Floucaril alcohol 23,7 %

4 48 hours Sterilized Water

Devices

Hardness

Roughness

Stress

Hardness DeviceShore D durometer ATS FAAR Vignete

• Consist of metal cone head penetration carried on a spring and a measurement to read the hardness after applying force of 44.64 N

Head Penetration is cone shape

Roughness Device Suftest Analyzer – Mitutoyo

• It changes the mechanic movement of the sensitive head to electric stress

• Average Roughness :Ra

• Measurement on 2.4 mm of surface of sample

Stress Device

• Device M 350- 5 KN made by Testometric

• Two jaws, fixed and movable

• Speed : 1 mm /min

Results Time GroupStress Roughness Hardness

N12 hours ,

Flucaril First

N 24 hours, Flucaril Second

N36 hours,

Flucaril Third

ResultsHardness

water 12 h 24h 36h80

82

84

86

88

90

92

94

96

98

100

water12 h24h36h

*

***

Time (h)

Shor

e D

ResultsRoughness

water 12 h 24h 36h0.0

0.5

1.0

1.5

2.0

2.5

3.0

water12 h24h36h

*

***

***

Time (h)

Rou

ghne

ss R

A

Stress

Compresstion

water 12 h 24h 36h1000

1500

2000

2500

3000

water12 h24h

36h

Time (hour )

Fo

rce(

N)

Stress

water 12 h 24h 36h0

100

200

300water12 h24h36h

Time (h)

(Mpa

) str

ess

Discussion

Hardness • indicates difficulty of penetration. It is used as

an indicator of material resistance to erosion and scratches resulting from toothbrushes and eating food.

• Reduction of hardness causes crashes in dental filling.

Discussion

Roughness• Porous microstructures are good environment

for bacteria .• It is difficult to clean the surface mechanically.• Dying of composite filling.

Discussion

Stress

Stress is responsible of filling’s cracks in case of unwanted lateral pressers

Discussion • Mouthwashes that contain ethanol cause reduction in hardness and

increase in roughness in composite filling.

Future directions • More studies are required to compare the effect on

composite fillings of mouthwashes that contain ethanol with the ones that do not contain ethanol.

• These studies should simulate the natural environment in mouth by exposing the filling to mouthwashes one minute daily for one year, as an example.

Refferences • Bolanowski ، S. J. ، G. A. Gescheider ، et al. (1995). "Relationship between oral pain and ethanol

concentration in mouthrinses." J Periodontal Res 30(3): 192-7.

• Bollen ، C. M. ، P. Lambrechts ، et al. (1997). "Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature." Dent Mater 13(4): 258-69.

• Diab M; Zaazou M.H. ، Mubarak 1 1 2 E.H and 3Olaa M.I. Fahmy ، 2007 ، Effect of Five Commercial Mouthrinses on the Microhardness and Color Stability of Two Resin Composite Restorative Materials ،Australian Journal of Basic and Applied Sciences ، 1(4): 667-674

• Gagari ، E. and S. Kabani (1995). "Adverse effects of mouthwash use. A review." Oral Surg Oral Med Oral Pathol Oral Radiol Endod 80(4): 432-9.

• Haq ، M. W. ، M. Batool ، et al. (2009). ""Alcohol use in mouthwash and possible oral health concerns"." J Pak Med Assoc 59(3): 186-90.

• • McCullough, Michael; C. S. Farah (December 2008). "The role of alcohol in oral carcinogenesis with

particular reference to alcohol-containing mouthwashes". Australian Dental Journal 53 (4): 302–305. Retrieved on 2009-01-12

• Shulman ، J. D. and L. M. Wells (1997). "Acute ethanol toxicity from ingesting mouthwash in children younger than 6-years of age." Pediatr Dent 196): 404-8.

Thanks

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