PubMed · 15960473
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Bruce W Small. Occlusal splints.. https://pubmed.ncbi.nlm.nih.gov/15960473/
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Although a lower curing rate is often cited as the reason why a chemical cured (CC) dental composite produces lower polymerization contraction stress (PCS) than a light cured (LC) composite, the exact mechanism is still unclear. In addition, the comparison is often made by using different brands of composites. The comparison's fairness is questionable because the two composites have different compositions and preparation procedures. The goal of the present work was to determine if the curing mode alone can produce different PCS. We formulated a dual cured composite and prepared it the same way for both CC and LC modes. We measured PCS by a strain gauge method, shrinkage by a video-imagining technique, degree of conversion (DC) by infrared spectroscopy, and flexural modulus by the three-point bending test. The CC specimens showed lower PCS and lower flexural modulus than the LC specimens, although both possessed an identical chemical composition and physical texture before cure. This finding indicates that the curing mode alone can affect PCS. Because the CC and LC specimens produced a similar shrinkage and DC, the lower modulus is considered to be one of the reasons for the lower stress. Using a structural inhomogeneity model, we explained how a resin composite with an identical DC can have different physical properties such as the modulus.
The objective of this article was to review the articles on the interaction of salivary organic substances with resin-based dental materials and on the interaction of these organic substances with exogenous chemical agents, which results in discoloration. Original scientific articles or reviews on the saliva, acquired pellicle, and the interaction with pellicle and chemical agents related to dental resin-based materials were reviewed. Salivary esterases can increase or decrease the internal and external discoloration. The formation of acquired pellicle on the surface of a material varies by the properties of material, and the pellicle interacts with denaturation agents, such as tannin and chlorhexidine, to form stains and also adsorbs staining substances. Therefore, for the quality and longevity of restorations, protocols for the evaluation of the influence of organic substances on the extrinsic staining of restorative materials should be included in the evaluation of aesthetic restorative materials.
The gingival margins of class II composite restorations are particularly vulnerable to marginal leakage and secondary caries. In identifying the factors contributing to caries development, the molecular structure and differences in the structure at the proximal and gingival margins have been largely overlooked. The purpose of this study was to compare the molecular structure at the adhesive/dentin interface of the proximal and gingival walls of class II composite restorations. Class II preparations were cut in 12 unerupted third molars with a water-cooled high-speed dental handpiece. The prepared teeth were randomly selected for treatment with Single Bond (SB) + Z100 (3M). Teeth were restored, per manufacturer's directions, under humidity and temperature characteristic of the oral cavity. Restored teeth were kept in sterile Delbecco's phosphate saline for 48 h. The samples were sectioned occluso-gingivally and micro-Raman spectra were acquired at approximately 1.5-microm spatial resolution across the composite/adhesive/dentin interfaces. Samples were wet throughout spectral acquisition. Raman spectral characteristics at the proximal and gingival margins were distinctly different; the depth of demineralized dentin was 6-7 microm at proximal margin, 12-13 microm at gingival margin. SB adhesive penetrated the depth of demineralized dentin in a gradient at the proximal margin. The "single bottle" adhesive used in this study, gradually penetrated the depth of the demineralized dentin at the proximal margin but failed to infiltrate the depth at the gingival margin, leaving a thick exposed collagen layer.