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Biomedical subjects

Cecilia Goracci

Publications and source records attributed to Cecilia Goracci.

At least 37 records · Page 2Linked to original sources

The adhesion between prefabricated FRC posts and composite resin cores: microtensile bond strength with and without post-silanization.

OBJECTIVES: Aim of the study was to measure the adhesion between two types of translucent prefabricated FRC posts (FRC Postec, Ivoclar-Vivadent, FRC; Light-Post, RTD, LP), and two types of flowable composites used as core materials (UnifilFlow, GC, UF; Tetric Flow, Ivoclar-Vivadent, TF), with or without the application of a silane (Monobond-S, Ivoclar-Vivadent, S) on the post surface. METHODS: The experimental groups were: 1.1 FRC+UF; 1.2 FRC+S+UF; 1.3 FRC+TF; 1.4 FRC+S+TF: 2.1 LP+UF; 2.2 LP+S+UF; 2.3 LP+TF; 1.4 LP+S+TF. The bond strength at the interface between post and core was measured with the microtensile non-trimming technique. Thirty to thirty-five beam-shaped specimens per group were obtained from cylinders of core material, which had been built up around the post by progressively adding small increments of composite resin. Each specimen was loaded in tension until failure at either one of the two post-core interfaces present in each stick. The differences in interfacial bond strength among the groups were tested for statistical significance with the two-way ANOVA. RESULTS: The measured bond strengths in MPa were: [table: see text]. The statistical analysis revealed that post-silanization had a significant effect on adhesion (p<0.05). With any combination of post and core materials tested, the application of a silane onto the post surface prior to building up the core significantly increased the post-core bond strength. SIGNIFICANCE: For improved adhesion at the interface between prefabricated FRC posts and composite resin cores, post-silanization is advisable.

Adhesiveness↗

The contribution of friction to the dislocation resistance of bonded fiber posts.

This study tested the null hypothesis that the use of dentin adhesives produces no improvement on the fixation of fiber posts with resin cements in endodontically treated teeth. Post spaces were prepared in 36 single-rooted root-filled teeth. Silanized glass fiber posts were cemented to the post spaces using a self-etch (ED primer/Panavia 21) and a total etch resin cement (Excite DSC/Variolink II), with or without the accompanying dentin adhesives. Fixation strengths and interfacial ultrastructure were evaluated using a "thin slice" push-out test and transmission electron microscopy. For both resin cements, the fixation strengths obtained from specimens luted with resin cement only did not differ significantly from those in which the intraradicular dentin was first bonded with a dentin adhesive. In the presence of incomplete smear layer removal and interfacial gaps, the dislocation resistance of bonded fiber posts was contributed largely by sliding friction.

Acid Etching, Dental↗

Interfacial strength of Resilon and gutta-percha to intraradicular dentin.

Strengthening of Resilon-filled roots via an adhesive interface should be reflected by improvement in the interfacial strength and dislocation resistance between the root fillings and intraradicular dentin. This study compared the interfacial strengths of Resilon/Epiphany and gutta-percha/AH Plus using a thin-slice push-out test design. Failure modes of root slices after push-out testing were examined with environmental scanning electron microscopy. The gutta-percha group exhibited significantly higher interfacial strength than the Resilon group, when premature failures that occurred in Resilon root slices were included in the statistical analysis. The gutta-percha root slices failed exclusively along the gutta-percha/sealer interface. The Resilon root slices failed predominantly along the sealer/dentin interface with recognizable, fractured resin tags. Detachment of the Resilon from the Epiphany sealer was also surprisingly observed in some specimens. The similarly low interfacial strengths achieved with both types of root filling challenges the concept of strengthening root-filled teeth with the new endodontic material.

Bismuth↗

Scanning electron microscopic evaluation of fiber post-resin core units built up with different resin composites.

PURPOSE: To microscopically evaluate the structural characteristics of post-and-core units made of a fiber post and of different types of resin-based composites used as core materials. METHODS: 55 endodontically treated human maxillary incisors were prepared for receiving a fiber post (AEsthetic Post Plus). One-Step and C&B resin cement were used for luting the post. Samples were randomly divided into 11 groups. Eleven different composite materials were selected to build-up the abutment. The materials on trial were: Group 1: Z100; Group 2: Light-Core; Group 3: Lumiglass; Group 4: Gradia Direct; Group 5: Build-It!; Group 6: Tetric Ceram; Group 7: Biscore self-curing; Group 8: Unifil Flow; Group 9: Definite Flow; Group 10: Tetric Flow; Group 11: AEliteFlo. All the post-and-core specimens were cut perpendicularly to their long axis and processed for SEM observations. The presence of voids/bubbles within the resin abutment and of defects at the interface between the post surface and the core material was scored. These aspects were quantified with reference to a predefined index. The differences among the scores were tested for statistical significance (P< 0.05). RESULTS: Cores built up with flowable composites showed the highest integrity and the best adaptation onto the post.

Analysis of Variance↗

In vitro evaluation of wall-to-wall adaptation of a self-adhesive resin cement used for luting gold and ceramic inlays.

PURPOSE: This in vitro study evaluated the wall-to-wall adaptation of a new self-adhesive resin-based cement (RelyX Unicem) in comparison with that of other cements when luting gold and porcelain inlays in standardized Class II cavities in extracted teeth. MATERIALS AND METHODS: In each experimental group (n = 10), a different combination of inlay and luting material was tested. Group 1: Porcelain Empress II (Ell) and RelyX Unicem (U); group 2: Ell and resin-based cement Variolink II in combination with primer and bonding Excite DSC; group 3: gold inlays (G) and U; group 4: G and Harvard zinc-oxy-phosphate cement; group 4: G and glass-ionomer cement Fuji Cem. After storage and thermocycling, microleakage testing was carried out and dye penetration was examined at the occlusal and cervical margins of each inlay. The differences in microleakage score were tested for statistical significance first comparing all groups, then pooling the groups for inlay material (Kruskal-Wallis nonparametric ANOVA and Mann-Whitney U test, p < 0.05). SEM observations of the tooth/cement/restoration interfaces were also made in each group. RESULTS: Harvard cement had the highest microleakage. The sealing ability exhibited by RelyX Unicem was satisfactory with both gold and porcelain inlays, and comparable to that of Fuji Cem and Variolink II. CONCLUSION: RelyX Unicem achieved an adequate seal on both enamel and dentin when used to lute in vitro gold and porcelain inlays.

Dental Cavity Preparation↗

SEM evaluation of the cement layer thickness after luting two different posts.

PURPOSE: To verify with SEM the cement layer thickness and uniformity of resin-relined translucent fiber posts (anatomic posts) and standard translucent fiber posts. MATERIALS AND METHODS: On 20 extracted maxillary anterior teeth, the roots were endodontically treated and prepared for the insertion of a fiber post. Translucent fiber posts (DT) were luted with a dual-curing resin cement (Duo-Link) in 10 specimens (group 1) after the canal walls had been treated with the One-Step bonding system. In the other 10 specimens (group 2), experimental anatomic posts (Anatomic Post'n Core) were tested. To these posts, a layer of light-curing resin is added to allow for a pre-cementation relining of the post, aimed at improving its fit into the endodontic space. For luting, the same adhesive-resin cement combination of group 1 was used. All the roots were sectioned and prepared for SEM observations. At the 1-mm, 4.5-mm, and 8-mm level of each root, cement thickness was measured, and the presence of gaps or voids within the luting material or at its interfaces was evaluated. A statistical analysis was performed to test the significance of differences in the cement layer thickness around the two types of post and at different levels of the same type of post. RESULTS: In the presence of anatomic posts, the cement layer was significantly thinner and more uniform at the coronal and middle level of the root. In both groups, voids and bubbles were detected within the luting material, within the abutment material, and between fiber post and cement. Gaps were also visible between post and relining material. CONCLUSIONS: The resin cement thickness was significantly lower in the anatomic post group than in the control group (standardized posts), except at the apical third of the canal, where there was no statistically significant difference. A good adaptation of anatomic posts was evident in all of the specimens.

Analysis of Variance↗

Microtensile bond strength of current dentin adhesives measured immediately and 24 hours after application.

PURPOSE: To evaluate the immediate microtensile bond strengths achieved with representative adhesive systems from each of the four current bonding approaches. MATERIALS AND METHODS: Resin composite was bonded incrementally to flat, midcoronal dentin from 33 human molars, using the adhesives (Adper Scotchbond MP; Adper Scotchbond 1; Optibond Solo Plus; Clearfil SE Bond; AdheSE; Tyrian SPE + One Step Plus; Optibond Solo Plus self-etching; One-Up Bond F; iBond; Adper Prompt L-Pop; Xeno III) according to the respective manufacturer's instructions. The bonded specimens were immediately sectioned into sticks and underwent microtensile bond testing either immediately or after 24 h. Data were analyzed with two-way ANOVA and LSD tests. RESULTS: No significant differences were found between immediate and 24-h bond strengths (p > 0.05). However, significant differences were observed among adhesives (p = 0.001). The all-in-one adhesive iBond showed statistically lower values when compared to all the other adhesives. Adper Prompt L-Pop, Xeno III, Tyrian SPE + One Step Plus and One-Up Bond F, all self-etching adhesives, were significantly weaker than AdheSE, Optibond Solo Plus, Adper Scotchbond 1, Optibond Solo Plus self-etching, Clearfil SE Bond, and Adper Scotchbond MP, which did not differ statistically from each other. CONCLUSION: Microtensile bond strengths of representative adhesive systems from the four categories of bonding agents were not equivalent, with the lowest values recorded for the one-step self-etching adhesives. There were no differences in the bond strengths when measured immediately and after 24 h.

Acrylic Resins↗

Microtensile bond strength to ground enamel by glass-ionomers, resin-modified glass-ionomers, and resin composites used as pit and fissure sealants.

OBJECTIVES: To measure the microtensile bond strength to ground enamel of different types of materials used as pit and fissure sealants in combination with different substrate conditioners. METHODS: From 40 sound extracted molars, eight groups of five teeth were randomly formed. The experimental groups were: (1) (C) 37% phosphoric acid/ClinPro Sealant (3M ESPE); (2) (G) 37% phosphoric acid/Guardian Seal (Kerr); (3) (E/TF) 37% phosphoric acid/Excite/Tetric Flow (Ivoclar-Vivadent) (4) (OS/UF) 37% phosphoric acid/One Step (Bisco)/UniFil Flow (GC); (5) (OS/AE) 37% phosphoric acid/One Step/AEliteflo (Bisco); (6) (UB/UF) UniFil Bond/UniFil Flow (GC); (7) (CC/FVII) GC Cavity Conditioner/Fuji VII (GC); (8) (CC/FII) GC Cavity Conditioner/Fuji II LC Improved (GC). On the buccal of each tooth, a 5mm high build-up was created by incrementally adding layers of the sealing material on the conditioned enamel. By serially cutting the built-up tooth, multiple beam-shaped specimens about 1mm x 1mm in cross section were obtained, and loaded in tensile (0.5 mm/min) until failure occurred. RESULTS: The bond strengths measured in MPa were: (C) 20.41+/-11.79; (G) 16.02+/-7.99; (E/TF) 24.06+/-9.67; OS/UF 15.63+/-9.00; (OS/AE) 9.31+/-6.05; (UB/UF) 4.96+/-3.46; (CC/FVII) 1.70+/-2.19; (CC/FII) 2.19+/-1.44. CONCLUSIONS: The conventional and the resin-modified glass ionomers measured bond strengths significantly lower than those of any resin-based materials. Failure frequently occurred cohesively within the cement. Flowable composites in combination with phosphoric acid and a total-etch adhesive performed similarly to resin-based materials specifically conceived for sealings, such as ClinPro Sealant and Guardian Seal. The bond achieved by resin composite when treating enamel with the self-etching primer used in this study (UniFil Bond) was significantly lower than that developed when the substrate was etched with 37% phosphoric acid.

Acrylic Resins↗

Influence of substrate, shape, and thickness on microtensile specimens' structural integrity and their measured bond strengths.

OBJECTIVES: To verify whether substrate, shape, or thickness of microtensile specimens have a significant influence on their measured bond strength. METHODS: Sixty-four extracted molars provided microtensile specimens, which were prepared on enamel and dentin, in different shapes and thicknesses. The teeth were randomly divided into 16 groups (n = 4). Groups 1-8 included hourglass-shaped specimens. In Groups 1-4 specimens were prepared from enamel and in a thickness at the bonding interface of 0.5 mm x 0.5 mm, 1 mm x 1 mm, 1.5 mm x 1.5 mm, and 2 mm x 2 mm, respectively. In these same thicknesses, hourglasses were trimmed in Groups 5-8, but the specimens were prepared from dentin. Groups 9-16 included specimens obtained following the non-trimming technique. Groups 9-12 provided enamel sticks in the four evaluated thicknesses. In these same thicknesses and shape but from dentin were cut the specimens of Groups 13-16. Two specimens from each group were viewed using a scanning electron microscope. On the other ones, microtensile bond strength was measured and the values were statistically analyzed. RESULTS: Substrate, shape, and thickness of the specimens had a significant effect on their recorded bond strength (p < 0.05). Higher bond strength values were recorded by dentin versus enamel specimens and by sticks versus hourglasses. Also, bond strength decreased as specimen thickness increased. SEM analysis revealed that the trimmed specimens, especially if from enamel, often exhibited lines of fracture in the area of action of the bur. SIGNIFICANCE: It seems advisable to avoid the trimming action particularly on enamel specimens. If the hourglass shape is preferred, the cross-sectional area should not exceed 1 mm x 1 mm.

Analysis of Variance↗

Micromorphology of the fiber post-resin core unit: a scanning electron microscopy evaluation.

OBJECTIVES: [corrected] To microscopically evaluate the structural characteristics of post-and-core units made with a fiber post and different types of composite resins used as build-up materials. MATERIALS AND METHODS: Forty endodontically treated human maxillary incisors were prepared for receiving a fiber post (Aesthetic Post Plus, RTD). One-Step (Bisco) was used as a bonding material, and C&B resin cement (Bisco) for luting the post. The posted roots were randomly divided into eight groups. In each group a different material or technique was applied to build up the abutment. The materials on trial were Z100 (3M-ESPE), Lumiglass (RTD), Gradia (GC), Build-it! (Jeneric Pentron). On the specimens of Groups 5-8, the same materials were used for build-ups, with the addition of a preshaped plastic shell (Composipost, Core Form, RTD). All the post-and-core specimens were cut perpendicular to their long axis and processed for SEM observation. The objective was to detect the presence of voids/bubbles within the resin abutment, and of gaps at the interface between the post surface and the core material. These aspects were quantified with reference to indexes. The differences among the scores were tested for statistical significance (p<0.05). RESULTS: In the absence of any matrix, cores built up with Gradia showed the highest integrity, and those made with Z100 the best adaptation onto the post. In the presence of shells, Build-it! provided the most satisfactory result. Build-it! was the only material to perform better when used in combination with a shell. SIGNIFICANCE: When hybrid composites are used to build up a core onto a fiber post, a higher homogeneity of the abutment and a better post-core integration are achieved if the build up is done in the absence of any matrix.

Composite Resins↗

The adhesion between fiber posts and root canal walls: comparison between microtensile and push-out bond strength measurements.

Aim of the study was to compare the trimming and non-trimming variants of the microtensile technique with the 'micro' push-out test in the ability to measure accurately the bond strength of fiber posts luted inside root canals. In 15 endodontically treated teeth (Group A), fiber posts were cemented with Excite DSC in combination with Variolink II (Ivoclar-Vivadent). In 15 roots RelyX Unicem (3M-ESPE) was used for fiber post luting (Group B). Within each group, the bond strength of cemented fiber posts was assessed with the trimming and non-trimming microtensile technique, as well as with the push-out test. The great number of premature failures (16.9% in Group A, 27.5% in Group B) and the finding of high standard deviation values make questionable the reliability of the trimming microtensile technique. With the non-trimming microtensile technique, only five sticks were obtained from a total of six roots. The remaining specimens failed prematurely during the cutting phase. With the push-out test no premature failure occurred, the variability of the data distribution was acceptable, and regional differences in bond strength among root levels could be assessed. Relatively low values of bond strength were, in general, recorded for luted fiber posts. In conclusion, when measuring the bond strength of luted fiber posts, the push-out test appears to be more dependable than the microtensile technique.

Dental Bonding↗

Bonding to worn or fractured incisal edges: shear bond strength of new adhesive systems.

OBJECTIVES: Resin composites can be proposed for the restoration of incisal edges. If a progressive wear or an old fracture is responsible for the loss of the incisal edge, the bonding substrate is likely to be sclerotic dentin, surrounded by enamel. The purpose of the study was to measure under laboratory conditions, the shear bond strength of three adhesive systems to the enamel and dentin exposed on the edge of incisors as a result of a long-time wear or an old fracture. METHOD AND MATERIALS: Thirty extracted human incisors were selected. The teeth had to exhibit some exposed dentin on their edges, a result of old fractures or wear. The 30 specimens were randomly divided into three groups. In each group, a different adhesive system was tested for the ability to efficiently bond a resin composite restoration to the dental substrate. A three-step system (Scotchbond Multipurpose Plus), a one-bottle adhesive (Scotchbond 1), and a self-etching adhesive (Prompt-L-Pop) were compared. The shear bond strength of the restored samples was measured under a loading machine. The pattern of failure that each sample underwent as a result of loading was assessed under a stereomicroscope. RESULTS: The highest values of bond strength were yielded by Scotchbond Multipurpose Plus (28.14 MPa), followed by Scotchbond 1 (16.15 MPa), and Prompt-L-Pop (9.26 MPa). These differences were statistically significant (P < .05). The most frequent pattern of failure was the combined adhesive-cohesive in resin fracture. CONCLUSION: Adhesive systems involving phosphoric acid etching of the substrate were more dependable than a self-etch adhesive when bonding a resin composite restoration to worn or fractured incisal edges.

Acid Etching, Dental↗

Microtensile bond strength of self-etching adhesives to enamel and dentin.

PURPOSE: To measure the microtensile bond strength to enamel and dentin of three self-etching adhesives in comparison with a total-etch two-step system as a control. MATERIALS AND METHODS: A total of 40 extracted human molars were stored in saline solution until use, then divided into 4 groups of 10 teeth (one group per adhesive system). Half of each of these groups underwent bond strength tests on enamel, and the other half was used for adhesion testing on dentin. The following experimental groups (n = 5) were then formed: E(1) Adper Prompt-L-Pop (AP, 3M ESPE) on enamel; E(2) Xeno CF II (X, Sanking Kogyo) on enamel; E(3) AdheSE (AS, Ivoclar-Vivadent) on enamel; E(4) Excite (EX, Ivoclar-Vivadent) on enamel; D(1) AP on dentin; D(2): X on dentin; D(3) AS on dentin; D(4) EX on dentin. Each tooth yielded 15 to 20 sticks about 0.9 x 0.9 mm in cross-sectional area for microtensile testing. Specimens were loaded in tension at a crosshead speed of 0.5 mm/minute, and bond strength at failure was calculated in MPa. A two-way ANOVA was applied to test for significance of the differences among the groups. RESULTS: The bond strength values of Excite (the control) were significantly higher than those of the test products on enamel (42.92+/-4.8 MPa) and on dentin (45.80+/-5.79 MPa). The self-etching adhesives AdheSE (28.48+/-4.71 MPa) and Xeno CF II (27.22+/-2.74 MPa) revealed significantly stronger adhesion than Adper Prompt-L-Pop (20.16+/-2.07 MPa) on dentin. On enamel, all self-etching test materials performed similarly. The substrate did not appear to have a significant influence on adhesion, as each material reached comparable levels of bond strength on enamel and dentin. CONCLUSION: On both substrates the self-etching adhesives tested performed significantly worse than did the total-etch system.

Acrylic Resins↗

Sealing ability of packable resin composites in class II restorations.

PURPOSE: To evaluate in Class II restorations the marginal adaptation of ten packable composite resins in combination with the proprietary adhesive system. MATERIALS AND METHODS: Standard Class II cavities were prepared in 100 extracted molars. The sample was randomly divided into ten groups. In each group, one specific packable composite was tested in association with its own adhesive: Groups: 1) Scotchbond1/FiltekP60; 2) Etch & Prime3.0/Definit; 3) Prime & Bond 2.1/SureFil; 4) Excite/Tetric Condensable; 5) Gluma/Solitaire; 6) Kerr Bonding/Prodigy Condensable; 7) One-step/Pyramid; 8) Tenure/Virtuoso; 9) Syntac/Cavex Packable; 10) Excite/Tetric flow/Tetric Ceram. The restored teeth were sectioned at three levels in the mesiodistal direction and processed for the microleakage test. On each section, the degree of dye penetration along the margins of the restoration was assessed, and the differences in the leakage given by the ten materials at either the occlusal or the cervical margin were evaluated for statistical significance. A statistical analysis was also conducted to assess the significance of the differences between the scores recorded at the occlusal margin and those measured at the cervical margin of the restoration. RESULTS: In general, the scores recorded at the cervical margin were significantly higher than those measured at the occlusal margin (p < 0.05). When all of the groups were compared for microleakage at the occlusal margin, the only significant difference revealed by the statistical analysis was that the specimens treated with Etch&Prime 3.0 and Definit (group 2) exhibited a marginal adaptation significantly worse than that seen in groups 1, 3, 4, 6, 8, 10. CONCLUSION: The application of a thin layer of a flowable composite at the cervical margin as a liner underneath the packable composite enhanced the marginal adaptation of the restoration. The use of a self-etching primer to condition the dental substrate resulted at the occlusal margin in greater microleakage than when phosphoric acid was applied.

Analysis of Variance↗

Microtensile bond strength tests: scanning electron microscopy evaluation of sample integrity before testing.

The failure of a certain number of microtensile specimens during their preparation and before loading is a common and undesirable occurrence. This study was aimed at observing, under a scanning electron microscope, enamel and dentin microtensile specimens, in order to find structural faults that might be responsible for their premature failure. In a sample of 80 sticks, none of the specimens was found to be free of defects. These may consist of microcracks in enamel, most often at the periphery of the stick, or in dentin at the level of hybrid layer. Gaps were often seen at the interfaces between the substrates. Voids were sometimes visible within the resin composite thickness. Enamel specimens tended to exhibit more defects than dentin specimens. It is fair to suspect that, because of the brittleness of the tissue, enamel microtensile specimens are intrinsically more prone to failure, thus yielding bond strengths which are not significantly higher than those measured on dentin specimens. This leads one to question the reliability of the microtensile method for testing adhesion on enamel. It seems sensible to develop a method for a quantitative assessment of specimens integrity before loading as a possible predictor for their performance under load.

Adhesiveness↗

Influence of a microbrush on bonding fiber post into root canals under clinical conditions.

OBJECTIVE: The objective of this clinical report was to evaluate the effectiveness of a microbrush as a carrier of priming-adhesive solution in formation of resin tags, adhesive lateral branches, and resin-dentin interdiffusion zone (RDIZ) when the brush was used to bond fiber posts under clinical conditions. STUDY DESIGN: Twenty endodontically treated teeth, already scheduled for extraction for endodontic or periodontal reasons, were selected for this study. The patients were informed, and their written consent was obtained. The samples were randomly divided into 2 groups of 10 samples each. In group 1, One-Step (Bisco, Schaumburg, Ill) was applied with a brush with Duo-Link resin cement (Bisco). In group 2, One-Step was applied with a microbrush with Duo-Link resin cement (Bisco). Use of the adhesive systems and resin cements was strictly according to manufacturers' instructions. The priming-adhesive solution was light-cured before the dual resin cement and the post were placed. Twenty Aestheti-Plus posts (white quartz fiber posts; RTD, St. Egreve, France) were used. A week after application, the root samples were extracted and processed for SEM observations. RESULTS: Both adhesive systems showed RDIZ and resin tag and adhesive lateral branch formation. In Group 2 samples, RDIZ morphology was easily detectable and uniform along root canals. Also, resin tag formation was well represented in all thirds. In group 1 samples, resin tag formation at the apical third and RDIZ formation was less evident. Statistically significant differences were found among the two groups at the apical third. CONCLUSION: The microbrush permitted a more uniform RDIZ and resin tag formation along the entire length of the canal than did the standard brush. The microbrush can be routinely used for bonding fiber posts into root canal preparations.

Adhesives↗

Adhesion testing with the microtensile method: effects of dental substrate and adhesive system on bond strength measurements.

PURPOSE: To evaluate the bond strength of a self-etching primer (SE, Clearfil SE Bond) and a one-bottle adhesive system (EX, Excite) on enamel and dentin. MATERIALS AND METHODS: Twenty-eight sound human molars were used. The teeth were randomly divided into four groups (n = 7): SE applied to enamel (SE-E); SE applied to dentin (SE-D); EX applied to enamel (EX-E); EX applied to dentin (EX-D). A resin (Tetric Ceram) block of approximately 5 x 5 x 5 mm was built up on the tooth and cured for 40 s. After 24 h, samples were obtained by cutting along the x and y axis of the tooth. Stick-shaped samples of approximately 0.8 mm2 cross-sectional area were obtained. The sticks underwent microtensile testing. RESULTS: The tensile bond strength (MPa) values of the test groups were: SE-E, 38.9 (+/- 4.8); SE-D, 44.5 (+/- 7.7); EX-E, 45.8 (+/- 4.7); EX-D, 42.9 (+/- 7.1). These values were not statistically significantly different. CONCLUSION: The null hypothesis was accepted that there is no difference between the self-etching primer and the one-bottle adhesive tested here. In addition, the bonding conditions provided by either bonding material on enamel were not significantly more favorable than on dentin. The majority of the specimens failed adhesively under load.

Adhesiveness↗

Clinical behavior of translucent-fiber posts: a 2-year prospective study.

PURPOSE: This study prospectively evaluated the clinical performance of three types of translucent posts over a follow-up period of between 2 and 3 years. MATERIALS AND METHODS: Selected were 225 patients with one premolar in need of endodontic treatment, followed by restoration with a fiber post and porcelain crown. The sample was randomly divided into three groups of 75 patients each. The same type of post was used in all patients within a group: group 1 = Aesthetic Plus; group 2 = DT; and group 3 = FRC Postec. For bonding the post, a light-curing adhesive (One-Step) and a dual-curing resin cement (Duo-Link) were applied in group 1 and 2 roots, whereas self-curing materials (Excite DSC as adhesive and MultiLink as resin cement) were used in group 3. After 6, 12, and 24 months, patients were recalled, and a clinical and radiographic examination was performed. For some patients, 30-month follow-up data were also collected. RESULTS: Debonding of the post occurrred in eight cases (3.5%); in another six cases, a recurrence of the periapical lesion was reported. CONCLUSION: The statistical analysis did not reveal any significant difference in the survival rate of the tested posts, suggesting that all are equally and sufficiently reliable for clinical use.

Adolescent↗