Effect of storage media on material properties in extracted human teeth – A systematic review
Objectives: To study the effects of storage media on the results of materials being tested in an invitro studies on extracted teeth. Methods: An electronic search was in four databases PubMed , CINAHL Plus, Dent & Oral Science and Cochrane databases along with manual searching. The PICO was kept as following; Population- Extracted Human Teeth, Intervention: Different Storage media, Comparison: Comparison of storage media amongst themselves , Outcome(s): Material property testing , Setting : In-vitro experimental studies. Results: A total of 131 articles were found out of which 39 duplicates were removed. 95 articles were then screened from which 19 articles were shortlisted based on title .A total of 13 articles were then shortlisted based on title from which 12 articles were included in the systematic review process. Quinn tool was utilised to assess the risk of bias of invidual invitro studies , which revealed 2 studies out of 12 to be of low risk whereas remaining were of unclear risk Conclusions: So far relatively fewer high quality studies are done which focus on the effect that storage media has on dental material properties. This review indicated that no material has yet found to be superior in terms of maintaining or improving the properties of tested materials.However, dry storage , formalin and cryopreservation were found out to be least affecting the properties of dental materials. Properly designed and controlled studies of higher quality are recommended to be conducted.
Bond strength values decreased with increased storage duration Mineral Oil and distilled water showed favourable bond strengths as compared to NaOCl
0.75
4
Mobarak et al 2010
Use of human extracted teeth that are stored for up to 2 years, refrigerated in chloramine-T or stored dry and rehydrated prior to testing, does not affect the micro-tensile bond strength to dentin
>.05
5
De Souza et al 2008
Long term storage significantly increased the presence of marginal gaps, which appeared in non-beveled restorations only
<0.05
6
Branstorm et al 1992
Teeth stored in chloramine solution resulted in more microleakage than those in freezed medium
0.0004
7
Tosun et al 2007
Thymol showed lowest SBS values as compared to distilled water and formalin, distilled water showed highest SBS values
>0.05
8
Toledano et al 2007
Water showed a decrease in MTBS as compared to Dry and mineral oil storage
< 0.0001
9
Camps et al 1996
Prolonged cryopreservation did not affect microleakage whereas prolonged freezing did
0.001
10
Retief et al 1989
Duration had no effect but ethanol and thymol lowered bond strength