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Biomedical subjects

G Vanherle

Publications and source records attributed to G Vanherle.

At least 91 records · Page 5Linked to original sources

Morphological aspects of the resin-dentin interdiffusion zone with different dentin adhesive systems.

Cross-sections of resin-dentin interfaces were etched with an argon-ion beam to make their substructure detectable by scanning electron microscopy. The dentin adhesive systems were categorized morphologically into three groups, and an attempt was made to clarify their adhesive mechanism. The first group of products removed the smear layer. The argon-ion bombardment clearly disclosed a hybrid or resin-impregnated dentin layer. It is hypothesized that conditioning with acidic or chelating agents demineralized the dentin surface-layer to a certain depth, leaving behind a collagen-rich mesh-work. Hydrophilic monomers are then believed to alter this collagen-fiber arrangement in a way that facilitates penetration of the adhesive resin, resulting in a mechanical, intermingled link between collagen and the adhesive resin. The second group preserved the smear layer. In this case, the dentinal tubules were obliterated with globular particles at their orifices and remained patent underneath these smear plugs. This type of adhesive system aims at the incorporation of the smear layer into the hydrophilic monomers, which have an affinity for the organic and/or inorganic components of the underlying dentin. Finally, a third, small group only partly dissolved the smear layer, creating a thin resin-impregnated dentin layer and a resin-impregnated smear plug. This study clearly showed that the application of recent adhesive systems induced structural changes in the dentin surface morphology, creating a retentive interface, called the inter-diffusion zone, between the deep, untouched dentin layers and the composite filling material. This resin-dentin interdiffusion zone offers bonding sites for copolymerization with the resin composite and, concurrently, might have protective potential for the pulp tissues.

Acid Etching, Dental↗

Factors affecting adhesion to mineralized tissues.

The objective of this paper is to review the literature concerning factors affecting adhesion to mineralized tissues. Factors related to the physicochemical structure of the adherents and to the inherent properties of composite restorative materials, along with the postulated bonding mechanisms of current adhesive systems, are discussed.

Acid Etching, Dental↗

Dentin- and enamel-bonding agents.

The introduction of bonding agents in restorative dentistry has made it possible to adhere restorative materials to tooth structure. Since bonded restorations were introduced by Buonocore in 1955, extensive research has been conducted to develop systems that bond equally effectively to enamel and dentin. Researchers have identified a micromechanical retention mechanism for the attachment of hydrophobic resin restorative materials to both enamel and dentin that works if appropriate conditioning or priming steps are applied. At the dentin site, the modes of action of current adhesive systems converge to create a resin-dentin interdiffusion zone between the deep dentin structures and the filling material. To incorporate or remove the smear layer in this interdiffusion zone, different adhesion strategies are followed to obtain a resin-dentin bond. In the clinical situation, these modern dentin-bonding systems are more technique sensitive; the thickness of the interface, its elastic capacity, the polymerization efficiency and initiation of the bonding agent, and, finally, the application technique used for the restorative material play an important role in the final result.

Acid Etching, Dental↗

An evaluation of different adhesive restorations in cervical lesions.

The restoration of 457 cervical lesions was completed with three different bonding agents. All restorations were divided into two categories. In group A the incisal enamel was neither bevelled nor etched. The lesion was cleaned, followed by the application of the bonding agent and the composite resin. The restorations were finished with a butt joint. In group B, after cleaning procedures, the incisal enamel of all lesions was bevelled and etched, followed by the application of the bonding agent and the composite resin. The restorations were finished to a feather edge. The results from this clinical investigation indicated a high failure rate when only dentinal bonding was involved. The group A restorations suffered from a high rate of loss after 6 months. Moreover, the rate of loss increased over subsequent months. The dentin bonding agents used in combination with micromechanical retention on the enamel border in the group B restorations, however, provided an acceptable clinical result. Not only was the percentage of lost restorations quite low after 6 months, but these bonding systems also offered a more reliable marginal adaptation compared with the enamel bond system. One may conclude that the use of a dentin bonding agent in combination with mechanical retention offers a better chance of clinical success in terms of marginal adaptation, retention, and esthetics.

Acid Etching, Dental↗

Radiopacity of composites compared with human enamel and dentine.

A 99.5 per cent pure aluminium step-wedge served as reference for evaluating the radiopacity of 55 anterior and posterior composites. The radiopacity of all materials evaluated was compared with the radiopacity of human enamel and human dentine of equivalent sample thickness. Seventeen composites exhibited a radiopacity significantly greater than that of enamel. Some composites intended for posterior use lack the radiopacity required for posterior composite restorations.

Analysis of Variance↗

Trends in the selection of dental filling materials.

In 1983 and 1988 a questionnaire was sent to a random sample of Belgian dentists to compare the selection of filling materials such as amalgam and gold with the tooth-coloured filling materials, composites and glass polyalkenoate (ionomer) cements, for the restoration of Class II lesions in premolar and permanent molar teeth. Despite the increasing demand for aesthetics to be considered, the use of composite resins in the posterior region only increased moderately over the assessment period, while amalgam maintained its leading position as the restorative material of choice in premolar and molar teeth. Only in situations where aesthetics played a primary role did composite resins gain over silver-based fillings. There was no change in the use of gold as an indirect restorative material. Finally, the selection rate of glass ionomers increased slightly.

Acid Etching, Dental↗

The surface roughness of enamel-to-enamel contact areas compared with the intrinsic roughness of dental resin composites.

The purpose of this study was to determine the surface roughness of enamel-to-enamel contact areas in order to provide a standard for comparison with surface characteristics of commercially available composite restorative materials. In addition, the inherent surface roughness of resin composites was evaluated profilometrically after a toothbrush abrasion procedure. A one-sided t-test analysis was performed to outline significant differences between the surface roughness value of enamel facets and that of the respective composite samples. A surface roughness of 0.64 +/- 0.25 micron (mean +/- S.D.) was found for the enamel-to-enamel contact areas.

Bicuspid↗

Aesthetic limits of light-cured composite resins in anterior teeth.

The aesthetic limits of light-cured composite resins in anterior teeth are determined mainly by the size and nature of the lesion and the respective preparation. Also the shortcomings of the restorative material itself are of primary importance. The oral environment and the ageing effects ultimately limit the aesthetic expectations.

Chemical Phenomena↗

[Dental adhesion: foundations and clinical results].

Adhesion is one of the most frequently used words nowadays in dentistry. Although our knowledge on adhesion continues to improve daily, the situation is, however, far from understood. There is still confusion over what adhesion really is, what it means, and how it should be evaluated. The first part of this article deals with the general principles of adhesion and the specific within the dental profession over the clinical efficiency of available adhesive dentinal restorative systems. The second part of this paper presents the 2-year in-vivo results of four commercially available dentinal adhesive systems. From this trial, it seems that the more recent approach in obtaining adhesion to dentine is the most promising in terms of retentive capacities.

Adhesiveness↗

Mechanical properties and filler fraction of dental composites.

Several mechanical properties of experimental composites and an unfilled resin were studied. The dynamic Young's modulus was measured with a non-destructive dynamic method. The Young's modulus and also the transverse strength were determined statically by means of three-point bending. The hardness was studied by means of Wallace indentation depth measurements, and in vitro wear resistance was assessed under stress-bearing conditions. An exponential regression of the results measured for each property as a function of the volumetric filler fraction was appraised. An excellent correlation was found with each property. This exponential mixture rule is proposed for the study of the mechanical properties of isotropic dental composites.

Composite Resins↗

Quantitative in vivo wear of human enamel.

In this study, the attrition wear, also called occlusal-contact-area wear, of human enamel was measured quantitatively with a computerized three-dimensional measuring technique over a period of four years. Tooth replicas from a clinical trial were used. A running-in wear period after restorative treatment, followed by steady-state wear, was suggested. The average steady-wear rate on occlusal contact areas was about 29 microns per year for molars and about 15 microns per year for premolars.

Adolescent↗

[Experience with composite filling materials for posterior teeth].

Currently the discussion about the use of composite materials for posterior teeth is controversial. Although practiced by many dentists, the method has not been universally accepted. The function of this filling material is impaired by its insufficient wear resistance and polymerisation shrinkage, and improvements of clinical application are the only means to prevent marginal gap formation and early secondary caries. In view of these shortcomings all dentists should use composite materials for posterior teeth only in carefully selected indications.

Composite Resins↗

Stiffness increase during the setting of dental composite resins.

Changes in the dynamic Young's modulus under flexure of self-cured and light-cured composite resins during setting were demonstrated to reflect accurately the condition of the curing composite resins. The rate of stiffness increase during setting varied considerably with the product, and the light-cured composite resins generally showed a faster rate of increase of stiffness. In the initial stage, the Young's moduli were very low, especially for the self-cured composite resins. This accounts for the damage (adhesion disruption and cross-linking interruption) that can be inflicted on a freshly placed composite resin filling that is not yet mechanically stabilized. Therefore, such fillings are vulnerable to aggressive distortion for at least 10 to 15 minutes after placement.

Composite Resins↗