title: Reinforcement of weakened cusps by adhesive restorative materials: an in-vitro study.
abstract: Pairs of extracted premolar teeth were prepared with MOD cavities reducing the lingual cusp at its base to one of five widths: 1.25-2.25 mm. One of each pair was then restored with one of five adhesive restorative techniques and the weakened cusp of both teeth fractured by a force applied to the cusp at an angle of 30 degrees to the long axis of the tooth. At all cusp widths a layered restorative technique in which the cavities were filled to the enamel-dentine junction with glass-ionomer cement and the enamel replaced by composite, reinforced the weakened cusp more than the other restorative materials tested. This combination of materials to reinforce weakened cusps is worth considering as a cost effective alternative to removing the cusp entirely and making a crown or protecting the cusp with a cuspal coverage gold inlay.
authors.affiliation: Department of Conservative Dental Surgery, UMDS, Guy's Hospital, London.
authors.forename: L C
authors.initials: LC
authors.lastname: Macpherson
authors.forename: B G
authors.initials: BG
authors.lastname: Smith
mesh_terms: D000269:Adhesives; D000704:Analysis of Variance; D001641:Bicuspid; D017438:Bisphenol A-Glycidyl Methacrylate; D016722:Cermet Cements; D003188:Composite Resins; D001840:Dental Bonding / Q000379:methods*; D003737:Dental Cavity Preparation / Q000009:adverse effects*; D003793:Dental Restoration, Permanent / Q000191:economics / Q000379:methods*; D003799:Dental Stress Analysis; D017220:Dentin-Bonding Agents; D005899:Glass Ionomer Cements; D006801:Humans; D008298:Maleates; D011140:Polyurethanes; D019279:Resin Cements; D014082:Tooth Fractures / Q000209:etiology / Q000517:prevention & control*
chemical_list: D000269:Adhesives; D016722:Cermet Cements; D003188:Composite Resins; D017220:Dentin-Bonding Agents; D005899:Glass Ionomer Cements; D008298:Maleates; D011140:Polyurethanes; D019279:Resin Cements; D017438:Bisphenol A-Glycidyl Methacrylate; C040964:Ketac-Fil; C041330:Scotchbond; C046503:formula F 70