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Biomedical subjects

G J Mount

Publications and source records attributed to G J Mount.

At least 55 records · Page 3Linked to original sources

Clinical requirements for a successful 'sandwich'--dentine to glass ionomer cement to composite resin.

The composite resins are now being used extensively in restorative dentistry although there are still some problems remaining. Long-term prevention of microleakage continues to be an area of controversy particularly in relation to the margins between dentine and composite resin. Chemical adhesion between glass ionomer cement and dentine is accepted as being a long-term union and it has recently been shown that a mechanical union is possible between composite resin and glass ionomer cement. This has led to the development of the so-called 'sandwich technique' where glass ionomer cement is used as a lining under composite resin restorations particularly where the cavo-surface margin is in dentine. This paper discusses the various levels of adhesion in the 'sandwich' and suggests the best methods of obtaining optimum results from the clinical application of the technique. Particular attention is drawn to the wide variation in the strength of the union depending on the materials used and the methods of handling.

Chemical Phenomena↗

The wettability of bonding resins used in the composite resin/glass ionomer 'sandwich technique'.

There is some controversy about the significance of the wettability of the unfilled resin bonding agent that is generally recommended for prior application when placing a composite resin restoration. It has been suggested that the degree of viscosity does not matter. However, when investigating the union which is developed between composite resin and glass ionomer cement in the 'sandwich technique', it was noted that when using certain composite resins and their prescribed bonding resins the failure under tensile stress was adhesive at the union rather than cohesive in the cement. Further investigation showed that the bonding resins involved in these failures were more viscous than those bonding resins used in the more successful unions. In this investigation the contact angle of the bonding resin on the surface of glass ionomer cement was used as the measure of viscosity. It is suggested that the degree of viscosity of the bonding resin is significant in the success or otherwise of the 'sandwich technique'.

Acid Etching, Dental↗

The tensile strength of the union between various glass ionomer cements and various composite resins.

Increasing use is being made of the glass ionomer cements as a lining for composite resin restorations, particularly when restoring posterior teeth. It has been suggested that it is possible to obtain a mechanical union between the two materials by etching the surface of the cement. This paper discusses the result of testing a broad variety of combinations of different glass ionomer cements and composite resins that have been reported on previously, and suggests that a number of factors need to be taken into account if the optimum physical properties are to be achieved from the union. There would appear to be four main factors which dictate the final strength of the union. The tensile strength of the cement itself is of primary importance and it seems the wettability of the resin bonding agent is also significant. When using some of the less heavily filled composite resins, the stresses set up by the setting contraction of the resin may be too great and, finally, the more heavily filled composite resins for restoration of posterior teeth often prove difficult to adapt to the underlying cement. With careful clinical handling, the so-called 'sandwich' technique is very useful. However, not all combinations of glass ionomer cement and composite resin will unite with sufficient strength to be successful clinically.

Chemical Phenomena↗

The effect of varnishes and other surface treatments on water movement across the glass ionomer cement surface. II.

The aesthetic restorative glass ionomer cements undergo a rather prolonged setting reaction during which time they are susceptible to water uptake and water loss. If they can be maintained in isolation long enough in the oral cavity then the clinical result will be superior. A further series of surface treatments has been tested and it has been shown that immediate covering of the immature glass ionomer cement surface with light-activated bonding resin is the most effective method of limiting water movement across the surface. This restriction of water movement is not effective for all light-activated bonding resins suggesting that there may be a physico-chemical interaction occurring on the glass ionomer cement surface with certain of the resins.

Composite Resins↗

In vitro studies on the potential for pulpal cytotoxicity of glass-ionomer cements.

Elution samples of glass-ionomer cement were prepared in sterile tissue culture medium either by direct contact between the fluid and standard cement samples or through a layer of human dentin, and then tested for toxicity to cultured mouse fibroblasts (L929). The directly-prepared eluates of the cements were highly cytotoxic, but those prepared through dentin were of either limited or no cytotoxicity. The degree of toxicity of some directly-prepared eluates was reduced by adjustment of the pH to neutrality. It was apparent that dentin reduced the potential for cytotoxicity of glass-ionomer cements to a large degree. Proposed mechanisms for the reduction were limited availability of water at the dentin-cement interface and thus limited dissolution of components, buffering of acid components of the cements by dentin, or other chemical interactions with dentin.

Adolescent↗