Biomedical subjects

David H Pashley

Publications and source records attributed to David H Pashley.

At least 109 records · Page 6Linked to original sources

PubMed2003

Have dentin adhesives become too hydrophilic?

This review discusses current trends in the development of dentin adhesives and the possibility that some classes of currently available adhesives are too hydrophilic. Manufacturers have reformulated dentin adhesives to make them more compatible for bonding to intrinsically moist, acid-etched dentin by adding 2-hydroxyethyl methacrylate and other hydrophilic resin monomers. These 3-step adhesives work well but are more time consuming to use and more sensitive to technique than the newer, simplified adhesives. When primers are mixed with adhesives in 2-step single-bottle adhesives and self-etching primers, the adhesives are more permeable to water and hence absorb more water over time than previous generations of adhesives. The most recent single-step self-etching adhesives are even more hydrophilic and hence more permeable to water derived from the underlying bonded dentin. This permeability can lead to a wide variety of seemingly unrelated problems, including incompatibility of chemically or dual-cured composites with simplified adhesives and expedited degradation of resin-dentin bonds.

Acid Etching, Dental↗

PubMed2003

Sealing properties of a self-etching primer system to normal caries-affected and caries-infected dentin.

PURPOSE: To compare the ability of an experimental antibacterial self-etching primer adhesive system to seal exposure sites in normal, caries-affected and caries-infected human dentin. METHODS: 30 extracted human third molars were used within 1 month of extraction. 10 intact normal teeth comprised the normal group. 20 teeth with occlusal caries that radiographically extended halfway to the pulp were excavated using caries-detector solution (CDS) and a #4 round carbide bur in a slowspeed handpiece. Half of those teeth were fully excavated free of CDS-stained material without exposing the pulp, and were designated as the caries-affected dentin group. The remaining 10 teeth were excavated as close to the pulp as possible without obtaining an exposure, but whose dentin continued to stain red with CDS; this group was designated as the caries-infected dentin group. The remaining dentin thickness in all of the specimens in the other two groups was then reduced to the same extent as the caries-infected group. Direct exposures of the pulp chamber were made with a 1/4 round bur in the normal dentin or a 25 gauge needle in the other two groups. After measuring the fluid flow through the exposure, the sites were then sealed with an experimental antibacterial fluoride-containing self-etching primer adhesive systems (ABF). Fluid conductance was remeasured every week for 16 weeks. RESULTS: The fluid conductance through the exposure fell 99% in all groups following resin sealing. The seals of normal and caries-affected dentin remained relatively stable over the 16 weeks, while the seals of caries-infected dentin gradually deteriorated, reaching significance at 8 weeks. TEM examination revealed very thin (ca. 0.5 mm) hybrid layers in normal dentin, 3-4 microm thick hybrid layers in caries-affected dentin and 40 microm thick hybrid layers in caries-infected dentin. The tubules of caries-infected dentin were enlarged and filled with bacteria. Resin tags passed around these bacteria in the top 20-40 microm thereby encapsulating them in resin.

Acid Etching, Dental↗

PubMed2003

Tensile strength and ultrastructure of a compomer and a composite in aqueous and non-aqueous storage media.

PURPOSE: To compare the ultimate tensile strength (UTS) of a compomer (Dyract AP) and a composite (Spectrum TPH) that were stored in an aqueous or a non-aqueous medium for up to 180 days. METHODS: 156 hourglass-shaped specimens of each material with cylindrical cross-sectional areas along the test regions were prepared. For each material, 12 beams were stressed to failure using a microtensile testing method to obtain the baseline UTS data. The rest were divided into two groups. One group was stored in de-ionized water (W), and the other (control) in silicone fluid (O) at 37 degrees C. 12 beams were removed from the respective storage medium after 1, 7, 14, 30, 90, 180 days for evaluation of the NTS. Materials retrieved from the intact central cylindrical portion of the fractured 180-day specimens were prepared for transmission electron microscopy (TEM). RESULTS: Baseline UTS for Dyract AP (D) and Spectrum TPH (S) were 76 +/- 16 MPa and 92 +/- 13 MPa, respectively. One-way ANOVA on ranks and Dunn's multiple comparison tests showed that UTS of Groups D-O, S-O and S-W remained stable during 180 days and were not significantly different from the baseline results. There was a significant drop in UTS in Group D-W after 90 and 180 days when compared with the 1-day result (P < 0.05). A highly significant nonlinear correlation was also observed in Group D-W between the mean UTS after the first day and the storage time (P < 0.01). No difference could be seen between the filler-matrix interface in S-O and S-W. A very thin glass-ionomer phase (ca. 200 nm thick siliceous hydrogel layer) could be observed in D-W, but not in D-O.

Analysis of Variance↗

PubMed2003

Effect of drying methods on hybrid layer thickness.

PURPOSE: To evaluate the effect of drying methods used in scanning electron microscopy on the thickness of the hybrid layers created by several different adhesive systems. METHODS: A total etch dry bonding system, (Photobond), a three-step bonding adhesive system, (Scotchbond Multi-Purpose), a wet-bonding adhesive system (All-Bond 2) and a self-etching primer system (Mac Bond II) were used in this study. To permit measurement of the thickness of the hybrid layer, the resin-dentin interfaces were polished and etched briefly to remove polishing debris followed by immersion in 10% NaOCl for 4 hours. Half of the specimens in each group were subjected to fixation and critical-point drying followed by gold sputter-coating. The remaining specimens were allowed to air dry prior to gold sputter-coating. SEM observations were carried out to determine the structure and thickness of the hybrid layers. RESULTS: The thickness of hybrid layers were affected by the drying methods with the critical-point drying methods producing the thickest hybrid layers (P < 0.05). The thickest hybrid layers were created by Photobond, with Scotchbond Multi-Purpose and All-Bond 2 producing intermediate thickness hybrid layers, among the total etch systems. The thinnest hybrid layer among all of the adhesive systems was produced by the self-etching primer, Mac Bond II.

Acid Etching, Dental↗

PubMed2003

Bonding of mild self-etching primers/adhesives to dentin with thick smear layers.

PURPOSE: To compare the microtensile bond strength (microTBS) and the ultrastructure of resin-dentin interfaces of four self-etching systems that were applied to dentin with thick smear layers. METHODS: Human third molars were ground with 180-grit silicon carbide papers to expose deep coronal dentin. A 3-mm vertical slit was made along the diameter of each tooth to fit a glass cover slip, dividing each tooth into two bonding surfaces. Two 2-step, self-etching primers (ABF experimental system and Imperva Fluoro Bond) and two single-step, self-etching adhesives (One-Up Bond F and AQ Bond) were examined. Adhesives were applied to one side of the teeth passively, and to the other side with continuous agitation for the same self-etching period. Incremental composite buildups were performed and beams with cross-sectional areas of 0.81 mm2 were prepared for microTBS evaluation. Demineralized, bonded specimens were processed for TEM examination. RESULTS: Two-way ANOVA showed that both the adhesive type and the application mode significantly affected microTBS results. However, the interaction of these two factors was not statistically significant (P > 0.05). For each adhesive, agitation produced significantly higher microTBS than passive application. With passive application, all systems diffused through thick smear layers and formed thin hybrid layers in intact dentin. With continuous agitation, smear layers were completely dispersed or dissolved, and thicker hybrid layers with upstanding collagen fibrils were observed.

Analysis of Variance↗

PubMed2003

Factors contributing to the incompatibility between simplified-step adhesives and self-cured or dual-cured composites. Part II. Single-bottle, total-etch adhesive.

PURPOSE: As adhesives containing hydrophilic/acidic resin components are vulnerable to water movement after polymerization, this study tested the hypothesis that coupling of a single-bottle adhesive (OptiBond Solo Plus) to self/dual-cured composites is compromised by adhesive permeability, even with the adjunctive use of chemical co-initiators. MATERIALS AND METHODS: Two versions of chemical co-initiators (activators) were investigated: the proprietary resin-containing OptiBond Solo Plus Activator (A), and a resin-free solution of 2% benzene sulphinic acid sodium salt in ethanol (B). For microtensile bond testing, hydrated (H) or dehydrated (D) bonded human dentin were coupled to a dual-cured composite (Bis-Core) under light- (L) or self-activation (C) mode. A delayed light-activation mode (DL) was also employed to simulate the slower rate of polymerization of self-cured composites but without the influence from adverse chemical interaction. Nine groups were tested: 1) L-H (control); 2) DL-H; 3) DL-D; 4) C-H; 5) C-D; 6) CA-H; 7) CA-D; 8) CB-H; and 9) CB-D. For transmission electron microscopy, a light-cured and an experimental self-cured composite of the same composition were used for the nine groups. RESULTS: Only the bond strength results of the experimental groups DL-D (Group 3) and CB-D (Group 9) were not significantly different from the control group L-H (p > 0.05). TEM revealed the presence of discrete silver-filled water blisters along the adhesive-composite interface in groups 2, 6, and 8, and within the composite in group 4. Adverse chemical interaction in groups 4 and 5 resulted in the observation of a line of silver deposits along the adhesive composite interface. CONCLUSION: The coupling of composites after prolonged contact with hydrated dentin bonded with OptiBond Solo Plus is affected by the intrinsic permeability of the adhesive. The adjunctive use of the Activator is only slightly effective in improving the coupling of this adhesive with self/dual-cured composites. Although the use of resin-free benzene sulphinic acid sodium salt solution completely eliminates the adverse chemical interaction, the inherent permeability of the polymerized adhesive precludes optimal coupling of self/dual-cured composites to bonded hydrated dentin.

Acid Etching, Dental↗

PubMed2003

Factors contributing to the incompatibility between simplified-step adhesives and chemically-cured or dual-cured composites. Part III. Effect of acidic resin monomers.

PURPOSE: This study examined the polymerization kinetics of acid-contaminated light- and chemically-cured resins with the use of differential scanning calorimetry. MATERIALS AND METHODS: Light-cured and chemically-cured versions of an experimental bis-GMA/TEG-DMA resin at the ratio (w:w) of 62:38 were prepared. Four acidic resin monomers with either carboxylic (DSDM and MAA) or phosphoric functional groups (MP and 2MP) were added at a 10 wt% concentration to these resins to simulate the intermixing of resin composites and unpolymerized acidic monomers along the adhesive-composite interface of simplified-step dentin adhesives. Different concentrations of the most acidic monomer 2MP (10 to 50 wt% for the light-cured resin, and 2 to 4 wt% for the chemically-cured resin) were also added to examine their contribution to reducing the extent and rate of polymerization of these resin mixtures. The effect of sodium benzene sulphinate on the polymerization of the chemically-cured resin that was contaminated with 10 wt% 2MP was also investigated. RESULTS: At 10 wt% concentration, all acidic monomers had a limited effect on the polymerization of the light-cured resin. The rate and extent of polymerization in the chemically-cured resin was substantially reduced by the carboxylic acid monomers DSDM and MAA, while polymerization was completely inhibited in the presence of the organophosphate monomers MP and 2MP. Substantial reductions in the rate and extent of polymerization of the light-cured resin occurred only in the presence of high concentrations (30 to 50 wt%) of 2MP. More acute polymerization inhibition was observed when the chemically-cured resin was contaminated with 2 to 3 wt% 2MP, with polymerization completely inhibited at 4 wt%. Addition of sodium benzene sulphinate to 2MP-contaminated chemically-cured resin revived the previously uncured resins, but their rate and extent of polymerization were still inferior to that of uncontaminated chemically-cured resin. CONCLUSION: When the influence of adhesive permeability was excluded with the use of neat, water-free resins, deactivation of the tertiary amine utilized in the chemically-cured resin by even very low concentrations of acidic resin monomers accounts for the reported incompatibility between simplified-step dentin adhesives and chemically-cured composites. The polymerization of light-cured resin is only affected by much higher concentrations of acidic resin monomers.

Acids↗

PubMed2002

Ultimate tensile strength of dentin: Evidence for a damage mechanics approach to dentin failure.

Dentin structure and properties are known to vary with orientation and location. The present study explored the variation in the ultimate tensile strength (UTS) of dentin with location in the tooth. Hourglass specimens were prepared from dentin located in the center, under cusps, and in the cervical regions of human molar teeth. These were tested in tension at various distances from the pulp. Median tensile strengths ranged from 44.4 MPa in the inner dentin near the pulp, to 97.8 MPa near the dentino-enamel junction (DEJ). This increase in the median UTS with distance from the pulp to the DEJ was statistically significant (P <.001). Of particular importance was the observation that the UTS measurements followed a Weibull probability distribution, with a Weibull modulus of about 4.5. The Weibull behavior of the UTS data strongly suggests that the large variances in fracture strength data result from a distribution of preexisting defects in the dentin. These findings justify a damage-mechanics approach to studies of dentin failure.

Biomechanical Phenomena↗

PubMed2002

The effects of dentin permeability on restorative dentistry.

The permeability properties of dentin determine its sensitivity and the degree of pulpal response to restorative procedure materials and microleakage. Most pulpal reactions are due to bacteria or bacterial products that permeate across dentin. These reactions can be prevented if dentin is sealed with resins as soon as it is exposed. In the future, restorative dentists may employ topical application of biologic growth factors to permeate across dentin to modify the formation of reactionary or reparative dentin, thereby lowering dentin permeability and protecting the pulp.

Dental Leakage↗

PubMed2002

Micro-tensile bond testing of resin cements to dentin and an indirect resin composite.

OBJECTIVES: Micro-tensile bond strength (microTBS) evaluation and fractographic analysis were used to compare four resin cement systems (AC: All-Bond 2/Choice; RX: Single Bond/RelyX ARC; SB: Super-Bond C & B; and PF: Panavia F) in indirect composite/dentin adhesive joints. METHODS: Flat dentin surfaces were created on extracted human third molars. The resin cements were used according to the manufacturers' instructions for bonding silanized composite overlays to deep coronal dentin. 0.9x0.9 composite-dentin beams prepared from the luted specimens were stressed to failure in tension. Dentin sides of all fractured specimens were examined by scanning electron microscopy (SEM) to examine the failure modes. In group PF, morphologic features that could not be resolved at the SEM level were further validated by transmission electron microscopy (TEM) examination of the SEM specimens. RESULTS: Statistical analyses revealed significant difference (p<0.05) among microTBS and failure modes in the resin cement groups. The two groups (AC and RX) with highest microTBS failed predominantly along the composite overlay/cement interface. Cohesive failure in resin cement was primarily observed in group SB that exhibited intermediate microTBS values. In group PF with the lowest microTBS, failure occurred mostly along the dentin surface. Globular resin agglomerates seen by SEM on PF-treated dentin were distinguished from silica fillers by TEM. SIGNIFICANCE: The bond between the processed composite and the luting resin cement was the weak link in indirect composite restorations cemented with AC or RX. Super-Bond C&B exhibited intermediate tensile strength and Panavia F is less reliable when used in conjunction with a self-etching primer for bonding indirect restorations to dentin.

Analysis of Variance↗

PubMed2002

Coronal microleakage of five materials used to create an intracoronal seal in endodontically treated teeth.

The purpose of this study was to quantitatively compare the sealing effectiveness of five restorative materials that were used to create an intracoronal double seal. Fifty-two extracted mandibular molars were randomly divided into five groups of 10 teeth, and one positive and one negative control tooth. The crowns were removed and the pulpal floor and canal orifices were sealed with 3 mm of one of the following materials: Amalgabond, C&B Metabond, One-Step Dentin Adhesive with AEliteflo composite, One-Step with Palfique composite, or intermediate restorative material (IRM). Each tooth was affixed to a fluid filtration device and the seal was evaluated at 0, 1, 7, 30, and 90 days. The results showed a significant (p = 0.0001) difference in leakage between the materials. At 7 days, IRM, AEliteflo, and Palfique leaked significantly more than Amalgabond or C&B Metabond. Amalgabond consistently produced the best seal of all the materials throughout the duration of the study.

Barium Compounds↗

PubMed2002

Intracoronal sealing ability of two dental cements.

The purpose of this study was to compare the efficacy of sealing the coronal 2-mm of the root canals versus covering the entire pulpal floor with one of two dental-resin cements (Principle or C&B Metabond). Sixty-two molars with the occlusal half of the crowns and the apical half of the roots removed were used. Each canal was enlarged by using a #3 Gates Glidden bur and obturated with unsealed gutta-percha cones. The teeth were randomly assigned to four groups, each containing 15 teeth, plus a negative and a positive control. In group 1, 2 mm of Principle were placed over the entire pulpal floor. In group 2, Principle was placed 2 mm into each canal orifice. Groups 3 and 4 were the same as groups 1 and 2, except C&B Metabond cement was used. After the cement set, the gutta-percha was removed and the integrity of the seal was tested by fluid filtration at a pressure of 20 cm H2O at 1 h and at 1, 2, and 4 weeks. The data were analyzed by a three-way ANOVA and the Student-Newman-Keuls tests at alpha = 0.05. The controls behaved as expected. Results showed that there were no statistically significant differences among the materials used or the location (p > 0.05), but there was a significant difference with respect to time. Principle leaked significantly more than C&B Metabond at 1 h (p < 0.05), but the seal became tighter over time. C&B Metabond leaked less early (p < 0.05) but increased in leakage at 4 weeks. Both materials sealed well over the 4-week study. Principle was easier to use, and sealing the entire pulpal floor was easier than sealing only the canal orifice.

Analysis of Variance↗

PubMed2002

Sealing ability of mineral trioxide aggregate and super-EBA when used as furcation repair materials: a longitudinal study.

Immediate sealing of furcation perforations enhances the repair process. The purpose of this study was to longitudinally compare the ability of mineral trioxide aggregate (MTA) and Super-EBA to seal furcation perforations. Fifty-one extracted human maxillary molars were decoronated 3 mm above the CEJ, and the roots were amputated 3 mm below the furcation. A #2 high-speed round bur was used to perforate the center of the furcations. The canals were obturated with gutta-percha, and the root ends were sealed with C&B Metabond. Three experimental groups of 15 teeth each were restored with MTA, Super-EBA, or a combination of MTA in the perforation and a Super-EBA dome on the pulpal floor. Six teeth served as controls. Each tooth was affixed to a fluid filtration device and subjected to a pressure of 20 cm H2O. The integrity of the perforation seal was evaluated initially at 30 min for the Super-EBA and the combination groups and at 4 h for the MTA group. Additional measurements were then made at 24 h, 1 week, and 1 month. The controls behaved as expected. A two-way ANOVA revealed a significant difference (p = 0.01) between materials. Tukey's test isolated the difference to Super EBA as producing a superior seal but only at 24 h. There was no significant effect with time (p = 0.57) or the interaction of the materials with time (p = 0.66). All materials sealed the perforations very well. The maximum leakage of all materials was <0.007 microL min(-1) cm H2O(-1).

Aluminum Compounds↗

PubMed2002

Adhesion of endodontic sealers to dentin and gutta-percha.

Adhesion of endodontic sealers to dentin and gutta-percha offers clues into their interaction with the wall of the root canal and the filling material. In this in vitro study, four classes of endodontic sealers (Kerr, a ZOE-based sealer; Sealapex, a calcium hydroxide-based sealer; AH 26, an epoxy resin-based system; and Ketac-Endo, a glass-ionomer based sealer) were compared for their ability to bond to dentin or gutta-percha. Flat coronal dentin or gutta-percha surfaces were created by using a diamond-impregnated saw blade. Aluminum cylinders (ca. 5-mm diameter) were stabilized on the substrates with small amounts of wax and then filled with one of the sealers. After setting in 100% humidity for 24 h, their tensile bond strengths were measured. Controls were the unfilled cylinders stabilized with wax. The bond strengths and modes of failure were measured. The results were statistically analyzed by using a two-way ANOVA (materials versus substrates) and Student-Newman-Keuls test at alpha = 0.05. The results indicated that sealant bond strengths to dentin (from lowest to highest mean +/- SD, n = 10) were: Kerr 0.13 +/- 0.02; Sealapex 0.30 +/- 0.08; Ketac-Endo 0.80 +/- 0.24; AH 26 2.06 +/- 0.53 MPa. The latter two were significantly different (p < 0.05) from the first two sealers and from themselves. The sealant bond strength to gutta-percha (from lowest to highest mean +/- SD, n = 10) were: Ketac-Endo 0.19 +/- 0.01; Sealapex 0.22 +/- 0.01; Kerr 1.07 +/- 0.19; AH 26 2.93 +/- 0.29 MPa. AH 26 gave the significantly highest bonds to gutta-percha.

Adhesiveness↗

PubMed2002

The effects of varying degrees of allograft decalcification on cultured porcine osteoclast cells.

BACKGROUND: Demineralized freeze-dried bone allograft (DFDBA) is widely used in periodontal therapy as a scaffold for new bone formation in periodontal defects. It is demineralized, theoretically, to expose osteoinductive or osteoconductive bone matrix proteins that should facilitate osteogenesis. The degree of DFDBA demineralization varies between tissue banks and may affect clinical regeneration. A 2% residual calcium level in DFDBA has been shown to result in the highest alkaline phosphatase activity levels in cultured human periosteal cells and is optimally osteoinductive or osteoconductive for new bone formation. The purpose of this study was to evaluate the effect of 4 different residual calcium levels in commercially available DFDBA samples on porcine osteoclast activity as measured by resorption on calcium phosphate-coated disks. METHODS: Bone marrow was harvested from the femurs of 3-week-old farm pigs and cultured for 3 weeks. Hematopoietic stem cells were allowed to differentiate into mature active polykaryons displaying genuine osteoclast characteristics. The osteoclast cells displayed a dense actin band inside the margins of the cytoplasm under light microscopy. Culture media was decanted and collagenase added to free the attached cells. Equal cell samples were pipetted onto calcium phosphate-coated disks in 24-well plates. DFDBA samples with 1.44%, 2.41%, and 5.29% residual calcium; FDBA (30% residual calcium); and control cultures without allograft samples were prepared and all samples incubated for 1 week. Cells were fixed and stained for tartrate-resistant acid phosphatase (TRAP), Oregon Green 488-phalloidin, a stain for cytoskeletal proteins, and counterstained with propidium iodide. Specimens were examined by light and fluorescence microscopy using epi-illumination. Calcium phosphate disks were then rinsed in 5% sodium hypochlorite to remove adherent osteoclasts, and substrate surface changes were measured by white light interferometry and image analysis. RESULTS: A higher yield of TRAP-positive cells was produced without DFDBA; however, resorptive activity appears to be significantly increased in the presence of 2.41% residual calcium as compared to all other experimental groups (P<0.0065). CONCLUSION: In this in vitro model, porcine osteoclasts show significantly more resorptive activity as measured on calcium phosphate-coated disks in the presence of 2.41% residual calcium in DFDBA than in other DFDBA residual calcium levels.

Acid Phosphatase↗

PubMed2002

The influence of hygroscopic expansion of resin-based restorative materials on artificial gap reduction.

PURPOSE: This study compared the effect of water sorption on the extent of marginal gap reduction in two resin-modified glass-ionomer cements (RMGICs), two giomers, two compomers, and two resin composites over a twelve-week storage period. MATERIALS AND METHODS: Artificial gaps were created in 160 borosilicate glass cylinders. One-half of the internal surface of each cylinder was blocked out with wax and the other half was sandblasted. The bonding surface was further treated with 4% hydrofluoric acid, rinsed, and then coated with silane. After removal of the wax, one coat of dentin adhesive was applied to the silane-treated surface of the cylinder, briefly air dried and light cured. Eight light-cured restorative materials were placed incrementally: Vitremer (V), Fuji II LC (FJ), Beautifil (B), Reactmer Paste (R), Compoglass F (C), F2000 (F), Filtek Z250 (Z), and Tetric-Ceram (T). For each material, ten specimens were stored in deionized water (W), and ten (control) in nonaqueous silicone fluid (O) at 37 degrees C. The dimension of the same maximum gap created in each specimen was repeatedly measured at 0, 1, 2, 4, 6, 8, 10, and 12 weeks. RESULTS: R-W exhibited extensive hygroscopic expansion that resulted in cracking of 40% of glass cylinders after the 2nd week and 70% after the 4th week. One-way ANOVA of the other seven water groups showed significant differences (p < 0.001) among gap widths measured at different time intervals in V-W, FJ-W, C-W, F-W. Both RMGICs had the most significant gap reduction during the first week (p < 0.001). Both compomers exhibited delayed water-sorption characteristics, with more significant gap reduction observed in C-W. B-W was similar to the two resin composites Z-W and T-W and exhibited the least gap reduction. After the first week, there were no significant differences in the percentage reduction in marginal gaps for any of the groups (p > 0.05). CONCLUSION: Marginal gap reduction that results from water sorption is more extensive and rapid in RMG-ICs, followed by compomers, whereas composites are relatively stable. Reactmer Paste exhibits rapid and extensive expansion and should probably be avoided in tooth preparations that involve thin unsupported enamel.

Acid Etching, Dental↗

PubMed2002

Solvation of dried dentin matrix by water and other polar solvents.

PURPOSE: To develop a simple method for measuring the degree of solvation of dried, demineralized dentin matrix by water and other polar solvents. The null hypothesis was that there are no differences in expansion forces produced by different polar solvents. MATERIALS AND METHODS: Midcoronal dentin discs were prepared from extracted, unerupted human third molars. The discs were cut into square specimens with surface areas of 2 x 2, 3 x 3 and 4 x 4 mm and thicknesses of 0.5, 1.0 and 1.5 mm. After demineralization in 0.5 M EDTA (pH 7), the dimensions of the specimens were measured both wet and dry. Dry specimens were held between two parallel steel plates connected to a 50 N load cell which measured the solvation force when water or other polar solvents were added. After measuring the expansion force induced by water, the specimens were fixed in glutaraldehyde and the trials repeated. On additional specimens, repeated measures of expansion forces were obtained using water, methanol, ethanol, n-propanol, n-butanol, ethylene glycol, formamide, hydroxyethylmethacrylate, N,N-dimethyl formamide and acetone in unfixed specimens. RESULTS: Water produced hydration forces as high as 204 g before, and 428 g after glutaraldehyde treatment. The hydration force correlated better with specimen thickness than with surface area. Water solvated the matrix faster than methanol > ethanol > formamide > ethylene glycol. Hydroxyethylmethacrylate, N,N-dimethyl formamide and acetone were unable to solvate the dried matrix. Regression analysis of solvation force vs. Hansen's solubility parameters for dispersive, polar and hydrogen bonding forces demonstrated that solvation force correlations were highest with hydrogen bonding solubility parameters. Measurements of solvation forces provides a simple method for determining solvent-collagen matrix interactions.

1-Butanol↗

PubMed2002

Dental adhesives of the future.

The current trend in the development of dentin adhesives attempts to simplify bonding steps and make them more user-friendly. However, optimizing speed and efficiency should be accomplished without major tradeoffs in the quality or durability of resin bonds. Although dentin adhesives have improved tremendously over the past decade, postoperative sensitivity, incomplete marginal seal, premature bond degradation, biocompatibility, and compromised bonding to abnormal substrates are still considered potential problems associated with their use. Advances in different scientific disciplines will enrich the pool from which ideas may be drawn in designing future dentin adhesives. It is probably on the molecular level that we will see the greatest expansion of horizons. With the advances in biomimetics, future dentin adhesive monomers may contain domains derived from protein-based, underwater bioadhesives secreted by aquatic animals such as mussels and barnacles, making them less dependent on the surface energy of the bonding substrates as well as less susceptible to hydrolytic degradation. As adhesive joints produced by contemporary adhesives are brittle in nature, future adhesive design may incorporate biomimetic intermediate-strength domains that can undergo stepwise reversible unfolding in response to varying functional stress levels before ultimate catastrophic failure of the adhesive joint occurs. These domains may also re-establish folded configurations on stress relaxation, making the adhesive both strong and tough. Using the concept of controlled release, future adhesives may contain fluorescent biosensors that can detect pH changes around leaking restorations. They may even have the capacity to heal autonomously, in response to microcracks formed by functional stresses within the adhesive joint. The ability to self-diagnose and self-repair will increase the life expectancy of adhesive restorations. Future dentin adhesives may also assume a more instrumental role in therapeutics apart from caries prevention. These features may include the controlled release of noncollagenous proteins to promote remineralization of collagen matrices in sound and caries affected dentin, and growth factors to induce controlled formation of reparative dentin.

Adhesives↗