Search PubMedSearch

Biomedical subjects

M Staninec

Publications and source records attributed to M Staninec.

At least 19 recordsLinked to original sources

Bonded amalgam sealants: two-year clinical results.

The authors used bonded amalgams as pit and fissure sealants without mechanical preparation. They compared the two-year retention of the bonded amalgams with that of resin-based pit and fissure sealants. Clinical examinations at six months, one year and two years revealed no difference between the retention of the two sealants. This technique opens up the possibility of using bonded amalgam in pits and fissures surrounding very conservative preparations in a preventive amalgam restoration.

Acid Etching, Dental

Effect of resin-modified glass ionomer cements on secondary caries.

PURPOSE: To evaluate the in vitro secondary caries inhibitory effect of two resin-modified glass ionomer cements (R-GICs). MATERIALS AND METHODS: Class V cavities were prepared at the cementoenamel junction on facial and lingual surfaces of 32 extracted upper premolars. The facial cavities were restored with a conventional glass ionomer cement (GIC) (Fuji II), while the lingual cavities were restored with either one of the R-GICs (Fuji II LC, Photac Fil, Vitremer), or a resin composite (Z-100). The margins of the restorations were subjected to a 20-day in vitro cariogenic challenge and the degree of demineralization was analyzed by microradiography. The amounts of fluoride released into distilled water from disc specimens of the materials tested were also measured for immersion time up to 161 days. RESULTS: The R-GICs and GIC's released similar cumulative amounts of fluoride over 161 days. Photac-Fil showed significantly higher amounts of fluoride release over the same period. The depth of the outer lesion and the thickness of the acid-resistant layer showed no significant difference among the R-GICs and GIC's. Moreover, the residual fluoride and calcium in the dentin adjacent to the R-GICs and GIC's were correlated with the thickness of acid-resistant layers in the dentin adjacent to the R-GICs and GIC's by electron probe microanalysis. However, the inhibitory effect of the R-GICs was not directly related to the fluoride concentrations eluted from them.

Bicuspid

Bond strengths of the adhesive resin-amalgam interface.

PURPOSE: To evaluate the tensile and shear bond strengths of eight adhesives and two amalgams (spherical and lathe cut). MATERIALS AND METHODS: Two high-copper amalgams (Tytin, spherical; and ANA-2000, dispersed phase) and seven adhesives (Panavia EX, C&B Metabond, Chameleon Metal Resin Cement, All-Bond 2, All-Bond C&B, Photo-Bond and Imperva Dual) were evaluated. An epoxy resin (Stycast 1266) was included as a control for comparison because it was an adhesive material of similar viscosity but different chemistry from the dental adhesives. The aluminum surfaces were sandblasted with 50 microns aluminum oxide just prior to coating with adhesive resins. The testing area was defined with a 4 mm circular adhesive Mylar mask. All adhesives were mixed and handled according to manufacturers' instructions. Freshly mixed amalgam was condensed into the test cavity and onto the surface immediately after coating with adhesive. After 24 hours storage, the bond strengths were determined in an Instron testing machine at a crosshead speed of 2 mm/minute. The debonded surfaces were examined in an optical microscope for site of failure. The few samples which showed failure at the aluminum-resin interface were not included in the study. Selected debonded surfaces were examined by SEM. A 2-way ANOVA (General Levin Models-GLM) was used to analyze the data from both the tensile and shear bond strength tests. GLM was used instead of standard ANOVA because of the unbalanced design. The lack of balance occurred because some of the bonding resin/amalgam groups had different sample numbers. RESULTS: A wide variation in bond strengths was obtained with adhesive resin cements and not all appeared suitable for adhesive amalgam restorations. Panavia EX, C&B Metabond, Chameleon Metal Resin Cement and All-Bond C&B showed the best potential for amalgam bonding, with shear and tensile bond strengths greater than 8 MPa. Viscous, filled versions of adhesives appeared to be more effective. Choice of amalgam appeared to be less important than choice of adhesive.

Analysis of Variance

Bond strength, interfacial characterization, and fracture surface analysis for a new stress-breaking bonding agent.

Three commercial dentin bonding systems were analyzed by tensile bond testing, area analysis of fractured surfaces, and SEM analysis of the tooth-resin interfaces. Tensile bond strengths in megapascals(SD) were Tenure-Marathon V ([T-M]; 8.86[3.02]), new system with low-viscosity resin ([K-LVR-P]; 6.50[2.01]), and new system without low-viscosity resin ([K-P] = 7.28[1.75]), which were significantly greater than Scotch-bond 2-P50 ([SB-P50]; 3.96[1.02]). Gaps that ranged up to 5.6 microns (mean for the group) were observed around most of the restorations at dentin surfaces and less so at enamel surfaces, where some of the restorations remained free of gaps. The gaps near the dentin margin were significantly smaller for K-LVR-P than for SB-P50. The tensile test revealed mixed failure modes in all systems, and in the cross sections of class V restorations, the gaps were confined to the dentin-resin junction.

Analysis of Variance

Mechanical retention versus bonding of amalgam and gallium alloy restorations.

The retention of amalgam and gallium alloy restorations in proximal box forms was measured in vitro, and three different adhesives to conventional undercuts were compared. For control, restorations were placed without undercuts or adhesives. No significant difference was found between amalgam and gallium alloys with each of the five methods of retention used. Alloys placed without retention or adhesives were significantly less retentive than all other groups. When Tytin alloy was used, no difference was found in retention among the restorations retained with Panavia or All-Bond adhesive or an occlusal dovetail and retention grooves, but Amalgambond adhesive was less retentive than all three of these methods. When gallium alloy was used, both Panavia and All-Bond adhesive were more retentive than undercuts, but the effect of Amalgambond adhesive was more retentive than undercuts, but the effect of Amalgambond adhesive was comparable to that of undercuts. The results of this study indicate that adhesives could be used in place of traditional undercuts to retain amalgam and gallium alloys, thus saving a considerable amount of tooth structure.

Acid Etching, Dental

Shear bond strength of amalgam adhesives to dentin.

This study compared the bond strength of resinous adhesives used to bond amalgam to dentin. The adhesives were: All-Bond 2 (AB), Liner-F (LF), SuperBond C&B (SB), Amalgambond (AM), Photo Bond (PB), and Panavia (PA). Occlusal surfaces of non-carious molars were ground wet to 600 grit finish, exposing dentin. The dentin surfaces were conditioned and the adhesives were applied according to manufacturers' instructions. Dispersalloy amalgam (D) was condensed onto the adhesive immediately. For comparison, resin composite, Photo Posterior (PO) and Bis-Fil (BIS) were used. After 24 hours of storage in 100% humidity at room temperature, shear bond strengths were determined with a shear testing jig in an Instron testing machine at a crosshead speed of 0.5 mm/minute. The data were compared using ANOVA, P < 0.01. AB, LF, D had significantly higher bond strengths than other amalgam adhesives. There was no significant difference between SB, D and PB, PO. Bond strength of PB, PA, D was significantly higher than PA, D. Thus, there were significant differences among adhesives for bonding amalgams. Amalgam to dentin and composite to dentin bond strength were comparable except for the All-Bond groups. Fracture patterns at the dentin/restoration interfaces were examined by scanning electron microscopy (SEM).

Analysis of Variance

Adhesion and microleakage tests of a new dentin bonding system.

Adhesion to dentin and microleakage of a new dentin bonding system was studied. The new system includes a low viscosity lightly filled Bis-GMA based resin liner which is placed between the phosphate ester-containing adhesive layer and the composite. This system was compared to dentin bonding agents based on: 1) HEMA and Bis-GMA and 2) PMDM and NTG-GMA. The phosphate ester system was used with and without the low viscosity resin. Each system was used with its corresponding posterior composite. All groups were tested by shear and tensile bond testing immediately and up to 6 mon after bonding. Microleakage of the three systems was tested in Class V restorations by dye penetration. The results of the shear and tensile tests indicated that significant changes within groups occurred with time, and significant differences appeared between groups at various times. The use of low viscosity resin with the phosphate ester system resulted in decreased leakage. The amount of leakage observed was related to early shear bond strength. This study suggests that the properties of the layer immediately adjacent to the adhesive may affect the performance of the system.

Adhesiveness

Effect of bonded amalgam on the fracture resistance of teeth.

The purpose of this study was to determine whether amalgam bonded to tooth structure with an adhesive resin cement can increase the fracture resistance of restored teeth. Extracted paired upper premolars were prepared for G.V. Black type mesioocclusodistal amalgam restorations. In one tooth of each pair (the experimental group), the enamel walls were etched with phosphoric acid and were painted with an adhesive resin (Panavia), and amalgam was condensed and carved. For the other tooth in each pair (the control group), amalgam was placed in the same manner but was not etched and lined with resin. The teeth were thermocycled and mounted for testing and then were loaded until fracture. A significant difference (p less than 0.05, the paired Student's t-test) was found in the force needed to fracture the bonded amalgam group (70.5 +/- 21.6 kg) compared with that needed to fracture the conventional amalgam group (60.3 +/- 16.8 kg). SEM examination of fractures at the interface occurred predominantly within the resin.

Acid Etching, Dental

Tensile adhesion evaluation in a new universal test.

A tensile testing jig was designed to test adhesion between various materials and tooth surfaces, and between materials of various consistencies, modes of setting and properties. This study examined the adhesion of both flowable and condensable, light cured and chemically cured, direct and indirect restorative materials to dentin. All materials were mixed and placed according to manufacturer's directions. The bonds were tested in tension after 24 hours. The substrate was dentin, except in group 1. Results in MPa +/- SD: 1. Photobond & Photoposterior to enamel 15.84 +/- 3.93; 2. Superbond C&B and metal inlay 6.20 +/- 3.00; 3. SuperBond C&B and amalgam 5.76 +/- 1.89; 4. All-Bond and metal inlay 4.46 +/- 1.16; 5. Mirage Bond and Newbond and amalgam 2.97 +/- 0.85; 6. Vitrebond 2.06 +/- 0.95; 7. Newbond and amalgam 1.70 +/- 0.61; 8. Ketac-Bond 0.73 +/- 0.40. The groups (2,3,4), (4,5), (5,6,7) and (6,7,8) were not significantly different at the 95% confidence level, calculated by the Student-Newman-Keuls test. The testing method was useful for all materials studied.

Adhesives

Effect of bonded gold inlays on fracture resistance of teeth.

The purpose of this study was to determine if bonding gold inlays to tooth structure with an adhesive resin cement would increase the fracture resistance of restored teeth. Extracted paired maxillary premolars were prepared for mesio-occlusodistal inlays, and the inlays were cast in type II gold. In one tooth of each pair, the inlay was sandblasted with aluminium oxide, tin plated, and cemented with an adhesive resin into the etched preparation. For the other (control) tooth in each pair, the inlay was sandblasted and then cemented into the preparation with zinc phosphate cement. The teeth were thermocycled and loaded until fracture. The teeth in the bonded group had a statistically significantly higher fracture resistance than did the teeth in the control group. Scanning electron microscopic examination revealed that failure in the bonded group occurred predominantly within the resin.

Bicuspid

Comparative evaluation of the sensitometric properties of screen-film systems and conventional dental receptors for intraoral radiography.

This investigation determined the sensitometric properties of 27 rare-earth screen-film combinations and compared them to E- and D-speed films and xeroradiography, the current standards for intraoral radiography. A series of exposures from base plus fog to film saturation were made to determine the Hurter and Driffield curve of each image receptor. The base plus fog, film saturation, speed, gamma, average gradient, and resolution were determined. When dental receptors and screen-film systems are compared on the basis of radiographic quality (contrast and resolution), many screen-film systems have similar resolution (greater than 10 line pairs/mm), significantly greater contrast (greater than 2.0), and a substantial speed advantage (greater than 10). Thus selected screen-film systems may be an alternative to conventional dental receptors for intraoral radiography.

Evaluation Studies as Topic

Effect of developer temperature changes on the sensitometric properties of direct exposure and screen-film imaging systems.

A heat exchanger was developed and incorporated into the recirculation system of a dental processor to maintain strict temperature control. Without the heat exchanger, developer temperature rose steadily over 8 h to a maximum of 35.7 degrees C: with the heat exchanger it was maintained, regardless of ambient conditions, at the desired temperature with virtually no fluctuation. Sensitometric properties of base and fog, speed, and average gradient were measured for D and E speed films and Lanex Regular/T-Mat G and Lanex Fast/T-Mat Hscreen-film systems at developer temperatures of 21.1, 23.8, 26.7, 29.4 and 32.2 degrees C. Small changes in these properties were found for D and E speed films: on the other hand, Lanex Regular/T-Mat G showed a 65% increase in base and fog and Lanex Fast/T-Mat H a 43% increase in average gradient over the temperature range studied. Although these changes may not be clinically significant for intra-oral and dental radiography, the variations in image quality may compromise controlled imaging experiments and clinically compromise radiographic quality when using screen-film systems.

Radiography, Dental

Rare earth filters for intraoral radiography: exposure reduction as a function of kV(p) with comparisons of image quality.

Radiographs of phantoms were produced using E-speed film and various rare earth X-ray beam filters. The rare earth filters considerably reduced the amount of radiation needed to produce diagnostic quality images and, in many cases, improved image quality. These filters can be implemented easily and inexpensively in a clinical setting, resulting in radiation exposure reductions of up to 71%.

Filtration

Comparison of backscattered scanning electron microscopy and microradiography of secondary caries.

Carious lesions are usually studied using light microscopy and/or microradiography which require preparation of thin sections. Backscattered scanning electron microscopy (BSEM) has received little attention although it provides information similar to that obtained with microradiographs, with the potential for higher resolution. Recently, microscopes have been introduced that can be used to study wet or nonconducting specimens, offering techniques for studying specimens without desiccation or preparation of thin sections. This investigation sought to determine if secondary carious lesions have the same characteristics when studied by microradiography as when using the "wet" BSEM mode. Microradiographs were made of thin sections from restored teeth with secondary caries induced in an artificial caries system. The thin sections were also studied by BSEM with a partial pressure in the specimen chamber to prevent specimen charging. Comparisons of the lesion size and shape were made using the two methods. Lesion depth measurements in enamel were the same; lesions that penetrated into dentin appeared to be of similar size and shape, but lesion depths measured by BSEM were slightly greater (paired t-test, p less than .05). This was a result of cracks at the carious enamel-dentin interface that probably developed during storage of the samples. Variations in the surface enamel rod structure and the development of subsurface lesions were apparent. Several zones were also apparent in the carious dentin, demonstrating loss of dentinal tubule detail in the depth of the lesion, collapse of tubules, and hypermineralized regions near the advancing front of the lesion. Several additional samples of natural carious teeth were examined. They demonstrated the characteristic structural features of the carious process.(ABSTRACT TRUNCATED AT 250 WORDS)

Dental Caries

Inhibition in vitro of caries around amalgam restorations by bonding amalgam to tooth structure.

Class 5 preparations in human molars were restored with amalgam. In half of the restorations, an experimental resin liner capable of bonding amalgam to tooth structure was used. The restored teeth were incubated in a bacterial medium containing sucrose and a culture of Streptococcus mutans. Artificial carious lesions were produced around all restorations. The experimental liner inhibited penetration of the lesions along the cavity wall. This inhibition was more effective at the occlusal side.

Dental Amalgam