Evidence map›Paper›PMID 42092893›Full record

ArticleBMC oral health2026

Microstructural characterization of enamel at different walls of Class II cavities.

Chaoyang Wang, Jianhao Xu, Ling Zhang, Xiaoling Chen, Mingxing Li

Abstract read
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chaoyang WangStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou, 310006, China.
Jianhao XuFuyang District Traditional Chinese Medicine Hospital, Hangzhou City, 311400, China.
Ling ZhangStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou, 310006, China.
Xiaoling ChenStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou, 310006, China. 651368348@qq.com.
Mingxing LiStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou, 310006, China. lmx903@163.com.

Funding

National Natural Science Foundation of China 82501223Natural Science Foundation of Zhejiang Province ZCLTGY24H1401R&D Project of The Affiliated Hospital of Stomatology of Zhejiang University School of Medicine, China RD2022JCEL21Scientific Research Fund of Zhejiang Education Department Y202353166
6 · The paper itself

Abstract

objectiveEnamel microstructure critically determines its biomechanical behavior and adhesive interface quality. This study aimed to characterize the site-specific microstructure of enamel at different walls of a Class II cavity and to elucidate its potential influence on bonding and marginal integrity.

methodsA standardized Class II cavity was prepared on the mesial surface of four human maxillary first premolars. Enamel from the gingival, buccal, lingual, and proximal walls (mesial) was sectioned, acid-etched, and examined using scanning electron microscopy (SEM).

resultsThe gingival wall exhibited a homogeneous structure of parallel-oriented prisms without Hunter-Schreger bands (HSBs). In contrast, the buccal, lingual, and proximal walls (mesial) showed a bilayered architecture: an outer layer of parallel prisms and an inner layer of decussating prisms forming distinct HSB patterns.

conclusionBased on the SEM observations, the gingival wall's uniformly parallel prismatic structure may contribute to its susceptibility to adhesive failure and marginal fracture, potentially explaining its clinical vulnerability to secondary caries. From a microstructural perspective, selective bevel preparation at the gingival wall may be hypothesized to improve bonding at this site, as it reorients the adhesion interface toward transversely cut prism ends, potentially enhancing mechanical retention and reducing enamel cohesive failure. Further studies are needed to test this hypothesis.

Indexed as

Dental Cavity PreparationDental EnamelAcid Etching, DentalBicuspidDental BondingHumansMicroscopy, Electron, ScanningSurface PropertiesClass II cavityEnamel prismMicrostructureOrientation

Identifiers

PMID42092893
PMCPMC13343638

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.