An Evaluation of the Efficacy of Different Gingival Retraction Materials on the Gingival Tissue Displacement (A Comparative In Vivo Study)
Main Article Content
Abstract
Materials and method: Thirty-two patients requiring porcelain fused to metal fixed partial denture for replacement of a missing maxillary posterior tooth (either one of thepremolars or the first molar). The patients are randomly divided into four groups of eight patients each according to the type of gingival retraction material used as follows: Group I: Medicated retraction cord (racemic epinephrine hydrochloride 0.3 ± 0.2 mg per inch of cord, #00), Group II: Magic Foam Cord® (expanding polyvinyl siloxane), Group III: Racegel (25% aluminum chloride gel) and Group IV: Astringent Retraction Paste (15% aluminum chloride paste). Three depth orientation grooves were prepared in the buccal and palatal surfaces of a maxillary premolar parallel with the long axis of the tooth, extending from the middle third to the gingival third with the level of the free gingiva using a flat-ended diamond fissure bur. Impression of the gingival sulcus was then made using monophase polyether impression material (Impregum™ Penta™ Soft, 3M ESPE, Germany), before and after gingival retraction with either of the aforementioned gingival retraction materials. The sulcus width, before and after gingival retraction was measured on the master cast (in µm), after its sectioning longitudinally bucco-palatally at the middle of the prepared grooves using a rotary diamond disc. The measurement carried out by using digital microscope (Dino-Lite)at a magnification of 230X. The horizontal gingival displacement (the distance from the end of each prepared groove to the crest of the gingiva) measured by subtracting the gingival sulcus width after retraction from that before retraction.
Results: The findings of the present study showed that the highest mean of horizontal gingival displacement is recorded by Group IV (Astringent Retraction Paste) (250.7900 µm), whereas the lowest mean of horizontal gingival displacement is recorded by Group III (Racegel) (78.0988 µm). One-way ANOVA test showed statistically highly significant differences among groups (p< 0.01). Least Significant Difference test (LSD test) was also used to make multiple comparisons among groups and revealed a statistically highly significant difference between each two groups (p< 0.01).
Conclusion: The two new gingival retraction pastes (Astringent Retraction Paste and Magic Foam Cord®) could be used for gingival retraction as alternatives to medicated retraction cord. They offer advantages of simplified placement technique and shorter application time with greater gingival retraction. Meanwhile, the use of Racegel alone is not recommended for gingival retraction since it provides the least gingival displacement.
Downloads
Article Details
Licenses and Copyright
The following policy applies in The Journal of Baghdad College of Dentistry (JBCD):
# JBCD applies the Creative Commons Attribution (CC BY) license to articles and other works we publish. If you submit your paper for publication by JBCD, you agree to have the CC BY license applied to your work. Under this Open Access license, you as the author agree that anyone can reuse your article in whole or part for any purpose, for free, even for commercial purposes. Anyone may copy, distribute, or reuse the content as long as the author and original source are properly cited. This facilitates freedom in re-use and also ensures that JBCD content can be mined without barriers for the needs of research.
# If your manuscript contains content such as photos, images, figures, tables, audio files, videos, etc., that you or your co-authors do not own, we will require you to provide us with proof that the owner of that content (a) has given you written permission to use it, and (b) has approved of the CC BY license being applied to their content. We provide a form you can use to ask for and obtain permission from the owner. If you do not have owner permission, we will ask you to remove that content and/or replace it with other content that you own or have such permission to use.Don't assume that you can use any content you find on the Internet, or that the content is fair game just because it isn't clear who the owner is or what license applies.
# Many authors assume that if they previously published a paper through another publisher, they own the rights to that content and they can freely use that content in their paper, but that’s not necessarily the case, it depends on the license that covers the other paper. Some publishers allow free and unrestricted re-use of article content they own, such as under the CC BY license. Other publishers use licenses that allow re-use only if the same license is applied by the person or publisher re-using the content. If the paper was published under a CC BY license or another license that allows free and unrestricted use, you may use the content in your JBCD paper provided that you give proper attribution, as explained above.If the content was published under a more restrictive license, you must ascertain what rights you have under that license. At a minimum, review the license to make sure you can use the content. Contact that JBCD if you have any questions about the license. If the license does not permit you to use the content in a paper that will be covered by an unrestricted license, you must obtain written permission from the publisher to use the content in your JBCD paper. Please do not include any content in your JBCD paper which you do not have rights to use, and always give proper attribution.
# If any relevant accompanying data is submitted to repositories with stated licensing policies, the policies should not be more restrictive than CC BY.
# JBCD reserves the right to remove any photos, captures, images, figures, tables, illustrations, audio and video files, and the like, from any paper, whether before or after publication, if we have reason to believe that the content was included in your paper without permission from the owner of the content.