Search PubMed⌕ Search

Biomedical subjects

Adrian U J Yap

Publications and source records attributed to Adrian U J Yap.

At least 19 recordsLinked to original sources

Environmental degradation of glass-ionomer cements: a depth-sensing microindentation study.

This study investigated the effects of various environmental conditions on the hardness and elastic modulus of restorative glass-ionomer cements (GICs). Two resin-modified GICs (RMGICs) (Fuji II LC [FL]; Photac-Fil Quick [PQ]) and three highly viscous GICs (HVGICs) (Fuji IX Fast [FN]; KetacMolar [KM]; KetacMolar Quick [KQ]) were evaluated in this study. Specimens were fabricated according to the manufacturers' instructions and stored under a variety of conditions (n = 7): 100% humidity, distilled water, pH 5 demineralization solution, and pH 7 remineralization solution. The hardness and elastic modulus were measured using a depth-sensing microindentation test after 4 weeks. The results were analyzed using the independent samples T-test and ANOVA/Scheffe's post hoc test (p < 0.05). HVGICs showed significantly higher hardness and elastic modulus than RMGICs under all storage conditions. Storage in distilled water significantly increased the hardness and elastic modulus of FN, but decreased that of PQ. All HVGICs and RMGICs stored in remineralization solution had hardness values and elastic moduli comparable to those stored in water. Compared to remineralization solution, demineralization solution had no significant effects on the modified GICs with the exception of KQ. The results suggest that the mechanical properties of glass-ionomer restoratives are material-type and storage condition dependent. Therefore, the clinical selection of a glass-ionomer material should be based on the oral environment to which it will be subjected.

Biodegradation, Environmental↗

Influence of dietary simulating solvents on the hardness of provisional restorative materials.

OBJECTIVE: To evaluate the influence of dietary simulating solvents on surface hardness of chemical, light and dual-cure provisional restorative materials. METHODS: The provisional materials evaluated were Temporary Bridge Resin (TBR) (Dentsply), Protemp Garant (PG) (ESPE-3M), Luxatemp Automix (LA) (DMG), Unifast LC (UF) (GC), Luxatemp Solar Plus (LS) (DMG) and Provipoint DC (PP) (Vivadent). Materials were manipulated according to manufacturers' instructions and placed in customized molds. Immediately after setting/light-polymerization, the materials were stored in the following dietary simulating solvents at 37 degrees C for 1 week: (a) heptane, (b) 100% ethanol solution (ES), (c) 75% ES, (d) 50% ES, (e) 25% ES, and (f) distilled water. Specimens stored in air were used as control. After the one-week conditioning period, hardness testing (KHN; n = 6) was carried out with a digital microhardness tester (load=100 gf; dwell time=15 s). Hardness ratios were plotted against the solubility parameter of the solvents and the Environmental Index was subsequently computed. Data were subjected to ANOVA/Scheffe's test at significance level 0.05. RESULTS: For all materials, conditioning in the various ES resulted in significantly lower KHN values compared to conditioning in air and water. TBR, UF and PP were also significantly softened by conditioning in heptane. Ranking of Environmental Index was as follows: LS>LA>PG>TBR>UF>PP. SIGNIFICANCE: All provisional materials were significantly softened by aqueous ethanol solutions. Materials based on bis-acryl resins were generally more resistant to damage from dietary solvents.

Composite Resins↗

Non-destructive characterization of resin-based filling materials using Electronic Speckle Pattern Interferometry.

OBJECTIVES: The aim of this study was to develop a non-destructive test for characterizing the modulus of resin-based filling materials. METHODS: Five different visible-light-cured composites (Filtek A110 [AO], Z100 [ZO], Filtek Z250 [ZT], F2000 [FT] and Filtek Flow [FF]; 3M-ESPE) were selected for this study. An ESPI (Electronic Speckle Pattern Interferometry) apparatus involving cantilever beam specimens (28 mm long, 8 mm wide and 2 mm thick) was developed for determining modulus. Out-of-plane displacement upon force application was measured using two focus region lengths (22 mm [EI1]; 11 mm [EI2]) and modulus (n = 7) was subsequently computed based on cantilever beam equations. Data was compared to those obtained from three-point-bend flexural testing (n = 7) based on ISO4049:2000 specifications [ISO]. Specimens were stored in distilled water at 37 degrees C for 1 week prior to evaluation for all tests. Results were analyzed using ANOVA/Scheffe's post-hoc tests (p < 0.05) and Pearson's correlation (p < 0.01). RESULTS: Modulus ranged from 5.53 to 13.99, 5.78 to 14.24 and 4.26 to 11.30 GPa for EI1, EI2 and ISO, respectively. For all three tests, the modulus of ZO and FT was significantly greater than ZT, which in turn was significantly greater than AO and FF. Correlation of EI1 and EI2 to ISO was significant, positive and very strong (r = 0.94 for EI1 and EI2). SIGNIFICANCE: ESPI may be a viable method of characterizing the modulus of resin-based filling materials. As it is a non-destructive test, time-dependent effects of composites can be determined using the same specimens leading to substantial time and material savings.

Analysis of Variance↗

Influence of curing modes on crosslink density in polymer structures.

OBJECTIVE: This study investigates the influence of curing modes on the crosslinking density of dental composites. METHODS: A light-cure unit (BISCO VIP) that allowed for independent command over time and intensity was selected. Four different light-curing modes with constant light energy density were investigated (control (C), pulse delay (PD), soft-start (SS) and pulse cure (PC)). The degree of crosslinking was assessed directly by measuring the glass transition temperature of 1 mm thick composite (Z100, 3M-ESPE) specimens using differential scanning calorimetry (DSC 2920). Polymer softening in ethanol was used as an indirect method for assessing the degree of crosslinking. After light-curing, specimens were stored in air at 37 degrees C for 24 h and subjected to hardness testing using a digital microhardness tester (n = 6, load=500 g; dwell time=15 s). The specimens were then placed in 75% ethanol-water solution at 37 degrees C for 24 h and post-conditioning hardness was determined. Mean hardness (KHN)/hardness deterioration (DeltaKHN) was computed and data was subjected to analysis using one-way ANOVA/Scheffe's test. RESULTS: Ranking of degree of crosslinking density by DSC was as follows: C>PC>SS>PD. For the indirect method of determining crosslinking density, DeltaKHN ranged from 10.8 to 12.9 and ranking was PC>SS>C>PD. CONCLUSIONS: Specimens polymerized with PD were significantly more susceptible to softening in ethanol than specimens cured with PC. Results of this study suggest that polymerization with PD resulted in a lower crosslink density and gave rise to polymers with an increased susceptibility to softening in ethanol.

Analysis of Variance↗

Depressive symptoms in Asian TMD patients and their association with non-specific physical symptoms reporting.

BACKGROUND: The expression of depression in Asian temporomandibular disorder (TMD) patients may differ from that of their Caucasian counterparts. This study examined the prevalence of depressive symptoms and their association with non-specific physical symptoms (NPSs) reporting in Asian patients. METHODS: Two hundred and fifty-five Asian TMD patients (68 males; 187 females) with a mean age of 33.0 years were selected for this study. Research diagnostic criteria (RDC)/TMD history questionnaire was input directly into computers by patients using the NUS TMDv.1.1 software. Symptom Checklist 90 (SCL-90) depression and NPS scales were generated online and automatically archived for statistical analysis. Data were subjected to ANOVA/Scheffe's test and Pearson's correlation at significance level 0.05 and 0.01, respectively. RESULTS: 43.1 and 50.6% of the patients scored moderate-to-severe on the depression and NPS scales, respectively. The percentage of patients with diffuse physical symptoms remained high (45.5%), even after pain items were excluded from the computation. NPS scores ranged from 0.34 to 1.64, while depression scores ranged from 0.27 to 1.21. A significant and positive correlation (r = 0.74) was observed between depression and NPS scores. CONCLUSIONS: The prevalence of depressive symptoms and NPSs was lower in Asian TMD patients. Psychological distress experienced by female Asian TMD patients was comparable to their male counterparts. Results also suggest that depressive symptomatology is associated with the reporting of multiple NPSs.

Adolescent↗

Relationships between depression/somatization and self-reports of pain and disability.

AIMS: To examine the relationship between depression and somatization and pain during muscle and joint palpation as well as limitations related to mandibular functioning (LRMF) in patients with temporomandibular disorders. METHODS: The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) data for Axes I and II for 196 consecutive patients (56 men and 140 women) with a history of facial pain were obtained. The mean age of the predominantly Chinese patient population (83.2%) was 33.4 years (range 18 to 55 years). A computerized diagnostic system was used to collect the RDC/TMD history data. The Symptom Check List (SCL-90) depression and somatization scales were generated on-line and archived. The mean muscle pain (MP), joint pain (JP), and LRMF scores were computed with depression and somatization as main effects. Data were subjected to analysis of variance (Scheffé test) and Pearson's correlation at a significance level of .05. RESULTS: Depression scores ranged from 4.03 to 8.16 (MP), from 0.67 to 1.03 (JP), and from 0.30 to 0.38 (LRMF); somatization scores ranged from 2.64 to 7.75 (MP), from 0.58 to 1.00 (JP), and from 0.30 to 0.41 (LRMF). Interaction effects between depression and somatization were not significant. Patients with severe depression had significantly higher MP scores than normal patients or patients with moderate depression. Patients with moderate and severe somatization had significantly higher MP scores than normal patients. LRMF scores of patients with severe somatization were significantly greater than those who were normal or suffered from moderate somatization. No significant difference in JP scores was observed for depression and somatization scales. Correlations between depression/somatization and MP, JP, and LRMF scores were significant and positive but weak; coefficients ranged from 0.15 to 0.41. CONCLUSION: The results suggest that depression and somatization are related to the self-report of MP. In addition, severe somatization may be associated with an increase in jaw disability.

Adolescent↗

Polish retention of new aesthetic restorative materials over time.

New aesthetic restorative materials claiming superior polish retention have recently been introduced. This study compared polish retention of eight different types of aesthetic restorative materials including ormocer and nanofill composites over a 6-month ageing period in distilled water. Eight specimens of each material were fabricated and roughened with 320 grit grinding paper using a lapping device and finished/polished with a graded abrasive disk system. Mean roughness was then determined using a surface profilometer. The specimens were then stored in distilled water at 37 degrees C and roughness measurements were repeated after 3 and 6 months of ageing. Mean surface roughness values ranged from 0.15 to 0.68 microm for immediate readings and 0.17 to 1.02 microm after ageing for 6 months. With the exception of the highly viscous glass ionomer cement, the surface polish of most materials did not deteriorate much over time. At all time intervals, composite materials based on ormocer and nanomer technology were significantly smoother than all other materials evaluated.

Ceramics↗

Prevalence of temporomandibular disorder subtypes, psychologic distress, and psychosocial dysfunction in Asian patients.

AIMS: To use the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) to investigate the physical diagnoses, psychologic distress, and psychosocial dysfunction in Asian TMD patients. The RDC/TMD Axis I and II findings were compared to those of Swedish and American TMD patients. METHODS: One hundred ninety-one patients (53 male and 138 female) referred to 2 institutionalized TMD clinics in Singapore were enrolled in the study. The mean age of the predominantly Chinese population (83.2%) was 33.6 +/- 9.3 years. Data from a RDC/TMD history questionnaire and clinical examination were fed directly by patients and clinicians into a computerized diagnostic system (NUS TMDv1.1). Axis I and II findings were generated on-line, based on RDC/TMD rule engines. Data were automatically exported to SPSS for statistical analysis. RESULTS: Group I (muscle) disorders were found in 31.4% of the patients; Group II (disc displacement) disorders were found in 15.1% and 15.7% of the patients in the left and right temporomandibular joints, respectively; and Group III (arthralgia, arthritis, and arthrosis) disorders were found in 12.6% and 13.0% of the patients in the left and right joints, respectively. Axis II assessment of psychologic status showed that 39.8% of patients experienced moderate to severe depression and 47.6% had moderate to severe nonspecific physical symptom scores. Psychosocial dysfunction was observed in only 4.2% of patients based on graded chronic pain scores. CONCLUSION: Axis I and II findings of Asian TMD patients were generally similar to their Swedish and American cohorts. In all 3 populations, women of child-bearing age represented the majority of patients. Muscle disorders were the most prevalent type of TMD. A substantial portion of TMD patients were depressed and experienced moderate to severe somatization.

Adolescent↗

Depression and somatization in patients with temporomandibular disorders.

STATEMENT OF PROBLEM: Psychological and behavioral traits may be important for the diagnosis and management of orofacial pain. PURPOSE: This study compared the levels of depression and somatization in patients in single and multiple research diagnostic criteria for temporomandibular disorders (RDC/TMD) diagnostic groups. MATERIAL AND METHODS: The RDC/TMD was established to allow standardization and replication of research into the most common forms of muscle- and joint-related research and is divided into 2 axes: axis I, clinical TMD, and axis II, pain-related disability and psychological status. One hundred seventeen patients (28 male and 89 female; mean age, 33.3 +/- 10.3 years) with RDC/TMD-defined clinical TMD were selected. The RDC/TMD history questionnaire and examination forms were input directly into computers with the use of a software program developed at the National University of Singapore (NUS TMDv1.1 software). Axis I and II variables were generated online and automatically archived for statistical analysis. Patients were subsequently classified into 7 groups based on the presence of the various RDC/TMD axis I diagnostic groups: group A, myofascial pain only (group I); group B, disk displacement only (group II); group C, other joint conditions such as arthralgia, osteoarthritis, and osteoarthrosis only (group III); group D, myofascial pain and disk displacement (groups I and II); group E, myofascial pain and other joint conditions (groups I and III); group F, disk displacement and other joint conditions (groups II and III); and group G, myofascial pain, disk displacement, and other joint conditions (groups I, II, and III). Differences in mean Symptom Checklist-90 scores between groups were compared by analysis of variance/Scheffé tests to contrast depression and somatization levels between the various axis I diagnostic groups (alpha=.05). RESULTS: The frequencies of the different groups were as follows: group A, 26.5%; group B, 29.9%; group C, 12.8%; group D, 6.0%; group E, 13.7%; group F, 4.3%; and group G, 6.8%. Approximately 39% of patients were clinically depressed, and 55% had moderate to severe somatization. Differences in mean depression and somatization with pain item scores were significant between groups (P<.05). CONCLUSION: Within the limitations of this study, patients diagnosed with myofascial pain and other joint conditions (group E) had significantly higher levels of depression (P=.03) and somatization (P=.03) than patients diagnosed with only disk displacements (group B).

Adult↗

Effect of early water exposure on the strength of glass ionomer restoratives.

This study examined the effect of early water exposure on the shear strength of a spectrum of glass ionomer restoratives. The materials evaluated included conventional auto-cured (Fuji II [FT], GC), resin-modified light-cured (Fuji II LC [FL]) and, recently introduced, high strength auto-cured (Fuji IX GP Fast [FN], GC; Ketac Molar Quick [KQ], 3M-ESPE; Ketac Molar [KM], 3M-ESPE) cements. Sixteen specimens (8.7-mm in diameter and 1-mm thick) of each material were prepared in metal washers and randomly divided into 2 groups. The specimens were allowed to set for 6 minutes between polyester strips, to ensure completion of the initial set. The strips were subsequently removed, and the surfaces of Group 1 specimens were coated on both sides with resin (Fuji Coat LC, GC) and light cured for 10 seconds. Group 2 specimens were left uncoated. All specimens were then conditioned in distilled water at 37 degrees C for 4 weeks. After conditioning, the specimens were restrained with a torque of 2.5 Nm and subjected to shear punch testing using a 2-mm diameter punch at a crosshead speed of 0.5-mm/minute. The mean shear strengths of the materials were computed and subjected to Independent Samples t-test and ANOVA/Scheffe's tests at significance level 0.05. Mean strength ranged from 78.34 to 99.36 MPa and 79.88 to 95.78 MPa for Groups 1 and 2, respectively. No significant difference in shear strength was observed between the 2 groups. For both groups, KM and KQ were significantly stronger than FT. Contrary to current teaching, early exposure to water did not weaken glass ionomer restoratives. A marginal increase in strength was actually observed for some materials.

Dental Bonding↗

Short-term fluoride release from various aesthetic restorative materials.

The short-term fluoride release of a giomer (Reactmer), a compomer (Dyract AP), a conventional glass ionomer cement (Fuji II Cap) and a resin-modified glass ionomer cement (Fuji II LC) was evaluated and compared. Specimen discs (6 +/-0.2 mm diameter and 1 +/- 0.2 mm thick) were prepared for each material using custom molds. Each disc was placed in 1 ml of deionized for 24 hours at 37 degrees C. After one day, the water was extracted and analyzed. The specimen discs were then re-immersed into another 1 ml of fresh deionized water. The procedure of removing and refilling the water was repeated for 28 days. Sample solutions taken during the first seven days and at days 14, 21 and 28 were introduced into a capillary electrophoresis system using field amplified sample injection (FASI) to determine fluoride release. Data was analyzed using factorial ANOVA/Scheffe's post-hoc test at significance level 0.05. An initial fluoride "burst" effect was observed with glass ionomers. Both compomer and giomer did not show an initial fluoride "burst" effect. With the exception of the compomer, fluoride release at day one was generally significantly greater than at the other time intervals. The glass ionomers released significantly more fluoride than the compomer and giomer at day one. Although fluoride release of the giomer was significantly greater than the other materials at day seven, it became significantly lower at day 28.

Analysis of Variance↗

Surface texture of resin-modified glass ionomer cements: effects of finishing/polishing systems.

This study investigated the surface texture of two resin-modified glass ionomer cements (RMGICs) in the vertical and horizontal axis after treatment with different finishing/polishing systems. Class V preparations were made on the buccal and lingual/palatal surfaces of freshly extracted teeth. The cavities on each tooth were restored with Fuji II LC (GC) and Photac-Fil Quick (ESPE) according to manufacturers' instructions. Immediately after light-polymerization, gross finishing was done with 8-flute tungsten carbide burs. The teeth were then randomly divided into four groups and finished/polished with (a) Robot Carbides (RC); (b) Super-Snap system (SS); (c) OneGloss (OG) and (d) CompoSite Points (CS). The sample size for each material-finishing/polishing system combination was eight. The mean surface roughness (microm) in vertical (RaV) and horizontal (RaH) axis was measured using a profilometer. Data was subjected to ANOVA/Scheffe's tests and Independent Samples t-test at significance level 0.05. Mean RaV ranged from 0.59-1.31 and 0.83-1.52, while mean RaH ranged from 0.80-1.43 and 0.85-1.58 for Fuji II LC and Photac-Fil, respectively. Results of statistical analysis were as follows: Fuji II LC: RaV-RC, SS<OG & SS<CS; RaH-SS, CS<RC, OG; Photac-Fil: RaV- SS, CS<OG; RaH-SS<RC, OG & CS<RC (where < indicates significantly greater Ra values). Significant differences in RaV and RaH values were observed when Fuji II LC was finished with RC. The use of carbides (RC) and one-step rubber abrasive system (OG) for finishing/polishing of RMGICs is not recommended. Graded abrasive disk (SS) or two-step rubber abrasive (CS) systems should be used instead.

Analysis of Variance↗

Multiple pains and psychosocial functioning/psychologic distress in TMD patients.

PURPOSE: This study assessed multiple pain conditions and their association with psychosocial functioning, psychologic distress, and somatization in patients with temporomandibular disorders (TMD) based on RDC/TMD Axis II findings. Nonspecific pain items examined included headaches, heart/chest pain, lower back pain, nausea/abdominal pain, and muscle pain. MATERIALS AND METHODS: In this study, 202 TMD patients (58 men and 144 women) referred to two TMD clinics participated. The mean age of the predominantly Chinese patient population (82%) was 32.6 years (range 13 to 65). The RDC/TMD history questionnaire was input directly into computers by patients. Graded chronic pain and SCL-90 scales were generated online and automatically archived for statistical analysis. Data were subjected to Spearman's rank-order correlation and Kruskal-Wallis and Mann-Whitney tests at a significance level of .05. RESULTS: Of the patients, 43% were moderately to extremely distressed by headaches. The percentage of patients who were distressed by heart/chest pain (7%), lower back pain (26%), nausea/abdominal pain (17%) and soreness of muscles (22%) was lower. Of the TMD patients, 16% experienced more than three pain items. Significant and positive correlations were observed between number of pain items experienced and graded chronic pain severity, depression, and somatization. Correlation coefficients ranged from .27 to .65 for graded chronic pain scales and somatization (without pain items) scores, respectively. CONCLUSION: Results suggest that the number of nonspecific pain conditions reported may be a predictor of psychosocial dysfunction, depression, and somatization.

Adolescent↗

Effects of professionally applied topical fluorides on surface hardness of composite-based restoratives.

This study investigated the effects of professionally applied topical fluorides on the surface hardness of a composite (Spectrum TPH), a compomer (DyractAP) and a giomer (Reactmer). Thirty specimens of each material were fabricated and stored in distilled water at 37 degrees C for one week. These specimens were then randomly divided into five groups of six and treated for 36 hours at 37 degrees C with one of the following: distilled water (control), 1.23% acidulated phosphate fluoride (APF) foam, 0.9% neutral foam, 1.23% APF gel and 0.4% stannous fluoride gel. The treated specimens were subsequently subjected to microhardness testing (load = 500 gf; dwell time = 15 seconds). Results were analyzed using ANOVA/Scheffe's test (p<0.05). The effects of topical fluoride application on surface hardness was material dependent. For all materials, treatment with APF gel and foam significantly reduced surface hardness when compared to the control. KHN values after exposure to APF gel were consistently the lowest and ranged from 4.53 to 15.97. Control KHN values were higher, ranging from 32.88 to 47.47. The surface hardness of the compomer was also significantly reduced after exposure to neutral foam. Therefore, the use of professionally applied topical fluorides, especially APF gel and foam, may be detrimental to the long-term durability of composite-based restoratives.

Acidulated Phosphate Fluoride↗

Effects of in-office bleaching products on surface finish of tooth-colored restorations.

A number of "high power" in-office bleaching products have recently been re-introduced into the market. The use of such strong oxidizing agents has raised questions as to possible adverse effects on tooth structure and restorative materials. This study evaluated the effects of 35% carbamide peroxide (Opalescence Quick) and 35% hydrogen peroxide (Opalescence Xtra) on the surface finish of four tooth-colored restorative materials (Spectrum TPH, Dyract AP, Reactmer and Fuji II LC). Twenty-seven matrix-finished specimens of each material were fabricated, stored in distilled water at 37 degrees C for seven days and randomly divided into three groups. Specimens in Group 1 were stored in distilled water at 37 degrees C (control). Specimens in Groups 2 and 3 were treated with 35% carbamide peroxide and 35% hydrogen peroxide, respectively. A total of three 30-minute bleaching sessions were conducted at one-week intervals. Storage medium during the hiatus period was distilled water at 37 degrees C. Surface roughness measurements were carried out using profilometry after each bleaching session. Data was analyzed using ANOVA/Scheffe's test at a 0.05 significance level. No significant difference in surface roughness was observed between the bleached and the control groups for all materials. In-office bleaching products are not detrimental to the surface finish of composites, compomers, giomers and resin-modified glass ionomer cements.

Analysis of Variance↗

Effects of finishing/polishing techniques on microleakage of resin-modified glass ilonomer cement restorations.

This study investigated the effect of finishing/polishing techniques on the microleakage of resin-modified glass ionomer restorations. Class V preparations were made on the buccal and lingual/palatal surfaces of freshly extracted teeth. The cavities on each tooth were restored with Fuji II LC (FT [GC]) and Photac-Fil Quick (PF [3M-ESPE]) according to manufacturers' instructions. Immediately after light-polymerization, gross finishing was done with eight-fluted tungsten carbide burs. The teeth were then randomly divided into four groups and finishing/polishing was done with one of the following systems: (a) Robot Carbides (RC); (b) Super-Snap system (SS); (c) OneGloss (OG) and (d) CompoSite Polishers (CS). The sample size for each material-finishing/polishing system combination was eight. After finishing/polishing, the teeth were stored in distilled water at 37 degrees C for one week. The root apices were then sealed with acrylic and two coats of varnish was applied 1 mm beyond the restoration margins. The teeth were subsequently subjected to dye penetration testing (0.5% basic fuchsin), sectioned and scored. Data was analyzed using Kruskal-Wallis and Mann-Whitney U tests at a significance level of 0.05. Results of statistical analysis were as follows: Enamel margins: PF-OG<SS; FT-OG<RC; Dentin margins: PF-no significant difference; FT-OG & CS<RC. Regardless of the finishing/polishing technique, leakage at dentin margins was significantly greater than at enamel margins for FT. For PF, no significant difference in leakage scores was observed between dentin and enamel with the exception of finishing/polishing with OG. FT restorations had significantly less enamel and dentin leakage than PF restorations when treated with OG. The effect of finishing/polishing techniques on microleakage was both tissue and material dependent.

Acrylic Resins↗

Effects of instrumentation time on microleakage of resin-modified glass ionomer cements.

This study investigated the effect of instrumentation time on the microleakage of resin-modified glass ionomer cements (RMGICs). Class V cavities were prepared on buccal and lingual/ palatal surfaces of 64 freshly extracted non-carious premolars. The cavities on each tooth were restored with Fuji II LC (FT [GC]) and Photac-Fil Quick (PF [3M-ESPE]). The restored teeth were randomly divided into two groups of 32 teeth. Finishing/polishing was done immediately after light-polymerization in one group and was delayed for one week in the other group. The following finishing/polishing systems were evaluated: (a) Robot Carbides (RC); (b) SuperSnap (SS); (c) OneGloss (OG) and (d) CompoSite Polishers (CS). The sample size for each instrumentation time, material and finishing/polishing system combination was 8. Storage medium for both immediate and delayed instrumentation groups was distilled water at 37 degrees C during the hiatus period. The teeth were subsequently subjected to dye penetration testing (0.5% basic fushcin), sectioned and scored. Data were analyzed using Kruskal-Wallis and Mann-Whitney U tests at significance level 0.05. For PF, significant difference in enamel leakage was observed between immediate and delayed instrumentation with SS and CS. Significant differences in dentin leakage were also observed between the two instrumentation times for SS. For FT, significant differences in leakage between instrumentation times were observed only in dentin and with RC. Where significant differences in dye penetration scores existed, delayed finishing/polishing resulted in less microleakage.

Dental Bonding↗