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Biomedical subjects

D H Pashley

Publications and source records attributed to D H Pashley.

At least 145 records · Page 8Linked to original sources
PubMed1994

Bonding to ground dentin by a phenyl-P self-etching primer.

Increasingly higher concentrations of Phenyl-P in 30% HEMA were used as dentin conditioners to improve the bonding of adhesive resins to smear layers. The maximum bond strength (10.4 MPa) was obtained at a concentration of 20% Phenyl-P. Transmission electron microscopy of fractured, lightly smeared, and compactly smeared dentin demonstrated that 20% Phenyl-P in 30% HEMA demineralized the dentin surface by partially dissolving mineral crystals from around collagen. When applied to smear layers, this resin system demineralized the smear layer and incorporated it into the applied resin which penetrated a short distance into the underlying dentin, thereby creating a hybrid layer that contained the original smear layer. This single-step conditioner/primer offers several advantages over previous bonding systems by permitting a single solution to serve as both a conditioner and a primer.

Animals↗
PubMed1993

The effects of outward forced convective flow on inward diffusion in human dentine in vitro.

In vitro experiments were conducted to evaluate the influence of outward forced convective flow on the inward diffusion of radioactive iodide. When the smear layer was present, application of 15 cmH2O (1.47 kPa) outward-directed filtration pressure reduced the inward flux of iodide by about 10-20% depending upon the hydraulic conductance of each specimen. When the smear layer was removed by acid etching, the same 1.47 kPa pressure lowered the inward iodide flux by as much as 60%, depending on the hydraulic conductance. The results demonstrate the importance of the balance between inward diffusion and outward bulk-fluid movement on the rate of permeation of exogenous solutes.

Acid Etching, Dental↗
PubMed1993

Air blast-induced evaporative water loss from human dentine, in vitro.

Short air blasts are commonly used to test for dentine sensitivity but their mechanism of action is poorly understood. In this study, evaporative water loss of teeth in vitro was measured under spontaneous conditions and during air blasts from three-way dental air syringes. Air blasts induced a 15-30-fold increase in evaporative water loss, which varied inversely with distance from the tooth and directly with air temperature. As water evaporation occurs readily across smear layers, which greatly impede bulk fluid movement, the use of air blasts may overestimate dentine sensitivity. Sustained air blasts may remove enough fluid from the pulp-dentine complex to cause disruption of odontoblasts and changes in pulpal blood flow.

Acid Etching, Dental↗
PubMed1993

Antibacterial effectiveness of dentin bonding systems.

This study examined the antibacterial activities of several commercially available glass ionomer cements, dentin bonding systems and luting agents by employing both agar plate diffusion (APD) and growth inhibition (GI) methods. Amalgam and resin composites were also tested as control materials. In both methods (APD and GI), cylindrical specimens were used. Four bacteria strains were tested: Streptococcus mutans, S. salivarius, S. mitis and S. sanguis. These studies were performed using standardized innoculums with selective media, and the assayed materials were directly applied on the assay cultures and plates. The results of agar plate assay were in accordance with the results of growth inhibition method. The glass ionomer cements showed marked antibacterial activity. On the contrary, amalgam, composites, luting agents and dentinal bonding systems did not affect bacterial growth. The sensitivity of the growth method showed that all the strains were inhibited in the same way by each inhibitory material. The data suggest that the use of glass ionomer cements as cavity liners/bases may reduce the consequences of microleakage due to its antibacterial properties.

Analysis of Variance↗
PubMed1993

Bond strengths to superficial, intermediate and deep dentin in vivo with four dentin bonding systems.

The shear bond strength of four dentin bonding systems which remove or modify the smear layer were measured in vivo in dog canine and molar teeth as a function of dentin depth. Dentin bond strengths were higher with cuspid teeth compared to molar teeth. Most bonding systems gave higher bonds to superficial dentin and progressively lower bond strengths deeper dentin. The highest bond strengths were obtained with Clearfil Liner Bond, followed by Superbond C&B, Scotchbond 2 and Tenure. The former two bonding systems achieved shear bond strengths to cuspids that were > 10 MPa regardless of dentin depth while the latter two systems produced bond strengths < 10 MPa. In molars, the same ranking of bonding systems was noted but the value that separated the high from the low bonds was 5 MPa.

Analysis of Variance↗
PubMed1993

An evaluation of the effect of methylene blue dye pH on apical leakage.

The effect of varying the pH of 2% methylene blue dye on apical leakage was evaluated. Eighty-four roots of extracted human teeth were used in this study. The roots were endodontically cleaned and shaped, obturated, apically resected, and amalgam or Temporary Endodontic Restorative Material retro-fillings were placed. The roots were immersed for 7 days in dye solutions of controlled pH of 1, 2, 3, 5 or 7, or in a 2% unbuffered deionized water solution of methylene blue. The results demonstrated significantly less leakage in the pH 1 and 2 amalgam groups. All other amalgam groups and the Temporary Endodontic Restorative Material groups showed no significant differences attributable to pH. Temporary Endodontic Restorative Material retrofilling groups demonstrated statistically significantly less apical leakage at each pH evaluated than the amalgam-retrofilled groups. Additionally, a significant buffering effect of the root structure on the dye solutions was measured.

Composite Resins↗
PubMed1993

Structural and functional changes in root dentin following exposure to KTP/532 laser.

The use of a new, modified Nd:YAG laser called the KTP/532 laser was evaluated within root canals to determine whether it would modify dentin permeability or alter the scanning electron microscopic appearance of canal dentin. Energies and exposure times were chosen which did not permit periodontal temperatures to increase above 5 degrees C (1 W x 1 s-5 W x 0.5 s). Half of the root canals were covered with smear layer and half were treated with EDTA/NaOCI to remove the smear layer. The results showed that this laser did not change the permeability of the smear layer-covered dentin, although scanning electron microscopic examination revealed modifications to the surface of smear layer. Lasing of etched dentin produced modest increases in root permeability which were associated with enlargement and cracking of tubule orifices.

Dental Pulp Cavity↗
PubMed1993

Effects of calcium phosphate solutions on dentin permeability.

Calcium phosphate solutions at various concentrations and pH levels were used to obstruct the dentinal tubules. The effects were evaluated by measurements of permeability through dentin discs and by scanning electron microscopy. Precipitation kinetics were followed by pH changes in the solutions and products were determined by X-ray powder diffraction. The solutions were applied in two ways: (a) calcium and phosphate solutions were mixed before application and (b) one solution (calcium or phosphate) was applied first followed by the other solution. Three kinds of human dentin discs were used; one with smear layer and the other two with tubules exposed by sonication or etched by acid. The high concentration calcium phosphate solutions at pH = 9.5 rapidly precipitated amorphous calcium phosphates that obstructed the dentinal tubules and decreased dentin permeability by 85% or more. At pH = 5.6, the calcium phosphate solutions precipitated large crystals of dicalcium phosphate dihydrate. In this case, the effectiveness in obstructing dentinal tubules was found to be procedure sensitive.

Acid Etching, Dental↗
PubMed1993

Effect of periodontal root planing on dentin permeability.

The purpose of this study was to quantitate the effects of root planing on the permeability of human root dentin in vitro. Unerupted 3rd molars were used. The crowns were removed and longitudinal slices made of the root. The hydraulic conductance of the root dentin was measured before and after root planing, acid etching and potassium oxalate application using a fluid filtration method. The results showed that root planing creates a smear layer that reduces the permeability of the underlying dentin. However, this smear layer is acid labile. Thus, root planing may ultimately cause increased dentin permeability and the associated sequelae of sensitive dentin, bacterial invasion of tubules, reduced periodontal reattachment and pulpal irritation.

Acid Etching, Dental↗
PubMed1993

An in vitro study of dentinal tubule occlusion by ferric oxalate.

This study examined ferric oxalate's ability to occlude dentinal tubules both in the presence of a smear layer and after its removal. Radicular dentinal chips were prepared with a smear layer created from a high speed carbide bur. The dentinal chips were then grouped as follows: 1) those with the smear layer remaining intact; 2) those sonicated for 7 minutes; 3) those treated with 10% tetracycline HCl; 4) those treated with 0.5M EDTA; 5) those treated with 20% citric acid; or 6) those treated with saturated citric acid. Six percent ferric oxalate was applied for 1 minute to the dentinal chips under blinded conditions. The chips were examined under SEM and the number of small and large crystals formed were counted. The results indicate that a decrease in the number of small crystals occurs following pretreatment of the smear layer by chemical means. An increased variability in size and shape of the crystals is also observed when no chemical pretreatment is used. Thus, relative to the number of crystals that form, no chemical pretreatment of radicular dentin is indicated prior to application of ferric oxalate in the treatment of root sensitivity.

Analysis of Variance↗
PubMed1993

Sterilization of human teeth: its effect on permeability and bond strength.

Extracted human teeth were randomly divided into three groups. Group 1 teeth were untreated and served as controls. Group 2 teeth were sterilized in a steam autoclave. Group 3 teeth were sterilized by exposure to ethylene oxide gas. Crown segments were then prepared from these teeth by resection of the roots at the CEJ and the occlusal enamel to expose a flat occlusal plane of dentin. The permeability of the dentin was determined to be similar in all three groups. The shear bond strength of Prisma Universal Bond 3 and C&B Metabond was also similar in all groups indicating that sterilization of teeth does not alter dentin permeability or bond strength.

Boron Compounds↗
PubMed1993

Effects of oxalate on dentin bonding.

The purpose of this study was to determine how much topical treatment of dentin with potassium oxalate would interfere with subsequently placed dentin bonding resins. The results indicated that oxalate lowered the bond strengths of Superbond, All Bond and Scotchbond 2, but that normal bond strengths could be obtained for Superbond and All Bond after pumicing the oxalate-treated dentin.

Acid Etching, Dental↗
PubMed1993

Permeability of dentin to adhesive agents.

The permeability of dentin to adhesive agents is of crucial importance in obtaining good dentinal bonding. In those systems that remove the smear layer, the opportunity exists for resin to infiltrate both tubules and intertubular dentin. Resin penetration into tubules can effectively seal the tubules and can contribute to bond strength if the resin bonds to the tubule wall. Resin infiltration into intertubular dentin can only occur if the mineral phase of dentin is removed by acidic conditioners or chelators. This is more easily accomplished in fractured dentin than in smear layer-covered dentin because of the residual collagen debris that remains on the surface following acid etching of smear layers. The channels for resin infiltration are the perifibrillar spaces created around the collagen fibers of dentin following removal of apatite mineral by acids. The diffusion of adhesive resins through these narrow, tortuous, long channels in 1 to 2 minutes offers a number of challenges that require further research.

Acid Etching, Dental↗
PubMed1992

Effects of dentin surface treatments on the shear bond strength of Vitrabond.

The influences of nine dentin surface treatments were evaluated on the shear bond strength of a new light-cured glass-ionomer cement (GIC) and on the SEM morphology of the treated dentin surfaces. The following treatments were performed: saline solution (control), NaOCl, acidic glycine, EDTA, malic acid, malic acid plus glycine, polyacrylic acid, tannic acid, and neutral+acidic oxalate solutions. Buccal dentin surfaces were polished with #320-grit abrasive paper, treated with one of the chemicals, washed, and air-dried. Cylindrical GIC samples were then applied to the dentin surface, stored in 100% humidity, and tested after 24 h. SEM observations demonstrated no effect of saline or NaOCl treatment on the smear layer but its complete removal with exposure of collagen fibrils after malic or malic acid plus glycine treatment. Partial removal of the smear layer occurred following glycine treatment and with tannic or polyacrylic acids. Complete removal of the smear layer was seen after EDTA or pyruvic acid treatment. Oxalate treatment produced a layer of crystals, which completely covered the dentin surface. Shear bond strength of GIC was significantly increased only by treatment with the oxalate solutions.

Dental Bonding↗
PubMed1992

Relationship between bond strength and microleakage measured in the same Class I restorations.

Microleakage measurements were made by use of a pressurized fluid method in Class I restorations prepared in extracted human teeth just prior to measuring the tensile bond strengths of the same restorations. The restorative materials included dentin bonding systems that are applied to smear layers as well as those which remove the smear layer. A light-cured glass-ionomer cement was also included. The results demonstrated that there was an inverse relationship between dentin bond strength and microleakage in some materials and that the bond strengths made to three-dimensional Class I cavities were much lower than those made to flat dentin surfaces. Measurement of microleakage by fluid filtration had no apparent effect on bond strength.

Adhesives↗
PubMed1992

In vitro permeability of furcation dentin in permanent teeth.

Extracted unerupted permanent third molars with the occlusal half of the crown and apical half of the roots removed were cemented to Plexiglas blocks. Using a positive pressure system in which the movement of fluid across the dental tubules could be measured, the permeability of furcation dentin was measured before and after alteration of the furcation thickness. Subsequently, measurements of reduction in thickness of cementum and dentin were performed. Furcation dentin permeability was found to increase as the cementum and dentin thickness was reduced and the smear layer removed. The permeability values obtained for the furcation dentin were similar to those found in radicular dentin in general, indicating that root dentin has a low permeability and that it has good barrier properties. The data would suggest that any bone resorption seen under the furcation region of permanent molars is more likely to be due to the presence of accessory canals than due to permeation directly through furcation hard tissues.

Adolescent↗
PubMed1992

Effects of CO2 laser energy on dentin permeability.

The effect of a CO2 laser on the structure and permeability of smear layer-covered human dentin was evaluated in vitro. Three different energy levels were used (11, 113, and 566 J/cm2). The lowest exposure to the laser energy increased dentin permeability, measured as a hydraulic conductance, due to partial measured as a hydraulic conductance, due to partial loss of the superficial smear layer and smear plugs. The intermediate energy level also increased dentin permeability by crater formation, making the dentin thinner. The lack of uniform glazing of the surface of the crater, leaving its surface porous and in communication with the underlying dentinal tubules also contributed to the increase in dentin permeability seen with the intermediate laser energy. The highest laser energy produced complete glazing of the crater surfaces and sealed the dentinal tubules beneath the crater. However, it also completely removed the smear layer in a halo zone about 100-microns wide around each crater which increased the permeability of the pericrater dentin at the same time it decreased the permeability of the dentin within the crater. The combined use of scanning electron microscopy and permeability measurements provides important complementary information that is essential in evaluating the effects of lasers on dentin.

Adolescent↗