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In vitro evaluation of two adhesive systems used with compomer filling materials.

AIM: To evaluate and compare the in-vitro shear bond strength, microleakage and dentine-restorative interface of a self-etching/self-priming dentine bonding agent with a three-component dentine-bonding agent. METHOD: For shear bond strength (SBS) testing 30 non-carious human molars were used of which 15 were tested with Non-Rinse Conditioner (NRC)/Prime&Bond NT (PBNT) and Dyract AP and 15 were tested with Scotchbond Multi-Purpose Plus (SBMP) and F2000. For the microleakage evaluation cavity preparations were made on the facial surfaces of 30 non-carious human premolars of which 15 were restored with NRC and PBNT with Dyract AP and 15 were restored with SBMP and F2000. The dentine-restorative interface was examined through a confocal scanning laser microscope (CSLM). RESULTS: The mean SBS of PBNT and SBMP were 12.8 and 18.1 MPa, respectively. The microleakage scores showed NRC/PBNT leaked on the dentine side in 13 of the 15 specimens examined. On the enamel side two of the 15 specimens showed microleakage. With SBMP no microleakage was observed on either enamel or dentine sides. The CSLM images show clear resin tag and hybrid layer formation for both the materials examined although SBMP showed better and deeper penetration into the dentine with longer resin tags. SBMP showed resin tags measuring about 150 mm while the hybrid layer measured about 5 mm. The length of the resin tags as well as the thickness of the hybrid layer for PBNT were 20 mm Pounds and 2 mm Pounds, respectively. CONCLUSIONS: The acid-etch technique of SBMP produced higher bond strength and no microleakage when compared with the self-etching/self-priming 'non-rinse technique' of NRC with PBNT. Thus it can only be speculated that SBMP should be the superior in the clinical situation.

Compomers↗

Effect of light-activation methods and water storage on the flexural strength of two composite resins and a compomer.

The present study evaluated the flexural strength of three composite resins recommended for direct esthetic restorations: a polyacid modified composite (Dyract AP), a unimodal composite resin (Filtek Z250) and a hybrid composite resin (Point 4). The variation factors, apart from the type of composite resin, were the light activation method and the water storage period. The composite resins were light-cured in continuous mode (40 s, 500 mW/cm2) or in ramp mode (0-800 mW/cm2 for 10 s followed by 30 s at 800 mW/cm2) and stored for 24 hours or 30 days in distilled water at 37 degrees C. The data were analyzed by ANOVA and Tukey test for multiple comparisons (alpha = 0.05). The composite resin Z250 presented the highest mean flexural strength (166.74 MPa) and Dyract AP presented the lowest one (129.76 MPa). The storage for 30 days decreased the flexural strength in ramp mode (24 h: 156.64 MPa; 30 days: 135.58 MPa). The light activation method alone did not lead to different flexural strength values.

Analysis of Variance↗

Microleakage of Class V restorations using two different compomer systems: an in vitro study.

This study compared the marginal microleakage of Class V cavities restored with Dyract-AP and F2000. Forty Class V cavity preparations were performed on extracted human teeth. As a negative control, twenty teeth were used without Class V preparations. The apical foramina of the teeth were sealed with a layer of varnish and amalgam restorations. Class V cavity preparations with occlusal margins in enamel, and gingival margins in cementum or dentin that measured approximately three millimeters in width (gingival-occlusal) and length (mesial-distal), were prepared on the buccal surface of the teeth. Samples were divided randomly into 2 groups of 15, and restored per manufacturer's instructions using experimental primer/conditioner (PCC, D/C) and Single Bond Adhesive (3M). All restorations were polished with an abrasive finishing kit. After storage in 37 degrees C water for 24 hours, all specimens were thermocycled between 5 degrees C and 55 degrees C for 500 cycles with a 30-second dwell time, followed by immersion in 0.2% basic fucsine for 24 hours. Teeth were then embedded in cold cure acrylic resin, sectioned longitudinally, and the dye penetration at the enamel and cementum margins were scored at 30x magnification. Evaluations were rated from 0 to 3 (0 = no leakage; 1 = dye penetration up to one-half of the preparation depth; 2 = dye penetration more than one-half preparation depth, but less than the axial wall; 3 = dye penetration along the axial wall). Both F-2000 and Dyract-AP indicated no leakage in the enamel margins. Dyract-AP showed no leakage at either the enamel or dentin margins. Fisher's Exact Test revealed that this difference in dentin margins was statistically significant (p < 0.05). Under the given conditions, Dyract-AP and F-2000 demonstrated resistance to microleakage in enamel, and showed Dyract-AP to be more resistant to microleakage in dentin than F-2000.

Compomers↗

The effect of double adhesive application on the shear bond strength to dentin of compomers using three one-bottle adhesive systems.

The development of one-bottle dentin adhesive systems resulted in much optimism about providing simplified predictable esthetic dentistry. However, laboratory testing of these systems continues to provide significant variations between facilities. A potential effect of the number of applications was noted in this author's laboratory. This study evaluated the effect of doubling the manufacturer's recommended number of applications on shear bond strength to dentin. Ninety human molars were divided into groups of 15. The occlusal surfaces were finished to 600 grit SiC to provide a flat dentin bonding surface. Prime & Bond NT-Dyract, Optibond Solo-Elan and One Step-Dyract were evaluated. Each material was tested using: (1) the recommended number of adhesive applications and (2) twice the number of applications recommended. All adhesive applications were accomplished before light curing the adhesive. The specimens were thermocycled after one week of storage and tested in shear after two weeks. Specimens were also fabricated after adding Rhodamine D to the adhesive to allow for visualization using confocal microscopy. These teeth were sectioned and viewed 24 hours after fabrication. A t-test was used to compare differences within product groups. The results showed a significant effect (p < 0.001) when a double application of Prime & Bond NT was used. No difference was seen with Optibond Solo or One Step. All specimens appeared to have a uniform, glossy appearance of adhesive during fabrication. Therefore, the appearance of the adhesive after application may not be a reliable predictor of acceptable bonding. Confocal microscopy showed that single application Prime & Bond NT specimens did not exhibit a uniform thickness of adhesive across the entire interface. Tubule penetration and hybridization was apparent for all specimens.

Bisphenol A-Glycidyl Methacrylate↗

Clinical performance of a resin-modified glass-ionomer and a compomer in restoring non-carious cervical lesions. 5-year results.

PURPOSE: To evaluate the 5-yr clinical performance of a resin-modified glass-ionomer cement and a polyacid-modified resin composite in restoring non-carious cervical lesions. MATERIALS AND METHODS: Non-carious cervical lesions in 46 incisors, canines, and premolars were restored either with Fuji II LC (n=18) or with Dyract (n=28) in 16 healthy patients. The lesions were restored without cavity preparation strictly according to the manufacturer's instructions. The restorations were clinically evaluated single blind after 5 yrs using modified USPHS criteria. RESULTS: The percentage of Alfa ratings were as follows (Dyract/Fuji II LC): color match 81.3%/28.6%, surface texture 93.8%/21.4%, anatomic form 75.0%/28.6%, marginal integrity (enamel) 62.5%/42.9%, marginal integrity (dentin) 68.8%/28.6%, marginal discoloration (enamel) 56.3%/42.9%, marginal discoloration (dentin) 68.8%/21.5%. Five-yr data revealed a significant difference between the clinical ratings of Dyract and Fuji II LC for all criteria except marginal integrity and marginal discoloration in enamel. A total of five Dyract restorations and four Fuji II LC restorations failed within the study period. CLINICAL SIGNIFICANCE: A considerably high and almost similar overall failure rate was found for both restorative materials in restoring non-carious cervical lesions. However, retained Dyract restorations presented superior clinical performance compared to Fuji II LC restorations.

Acrylic Resins↗

A 3-year clinical evaluation of a compomer, a composite and a compomer/composite (sandwich) in class II restorations.

PURPOSE: To compare the clinical performance of Dyract, Spectrum-TPH and Dyract layered with Spectrum-TPH (sandwich) in Class II restorations of permanent dentitions. MATERIALS AND METHODS: 23 adult patients aged 25-62 were selected at random in a general dental practice. Each patient had 3 bicuspid teeth restored with Dyract, Spectrum-TPH and a "sandwiched" combination where Dyract was covered by the composite resin TPH. During the entire study, three patients were lost. Restorations were clinically evaluated using a modified Ryge/USPHS system. RESULTS: Over 36 months all three types of restorations performed well clinically. No post-operative sensitivity was reported by any patient indicating proper bonding and sealing. Only one Dyract/TPH sandwich restoration had to be replaced after 2.5 years due to root caries. The Dyract restorations exhibited significantly higher (P = 0.0039) occlusal wear than the TPH and the Dyract/TPH sandwiched restorations. The marginal integrity was also found to be significantly better (P = 0.001) for the TPH and Dyract/TPH restorations compared to Dyract alone, while no significant difference (P > 0.05) could be demonstrated between TPH and Dyract/TPH restorations. The low rate of failure in the three different restorative systems suggests that they are reliable restorative materials in permanent bicuspids over a 3-year period.

Acetone↗

Bond strengths of Dyract AP compomer material to dentin of permanent and primary molars: phosphoric acid versus non-rinse conditioner.

PURPOSE: The purpose of this in vitro study was to determine the shear bond strengths (SBS) of Non-Rinse Conditioner (NRC, Dentsply) combined with Prime & Bond NT (PBNT, Dentsply), a 1-bottle adhesive. The null hypothesis tested was that the use of NRC with PBNT would not result in SBS different from those obtained with conventional phosphoric acid (PA) etching and bonding application to permanent and primary dentin. METHODS: Extracted human third molars and primary molars were mounted length-wise in acrylic resin. The occlusal surfaces were ground to expose a flat dentin surface, and then polished to 600 grit silicon carbide paper to create smear layers similar to those created with high-speed burs. The teeth were randomly assigned to 4 groups (N = 10) according to the etchant/conditioner (PA vs NRC) and dentin (permanent vs primary) used: (Group I: permanent dentin, PA, PBNT; Group II: primary dentin, PA, PBNT; Group III: permanent dentin, NRC, PBNT; Group IV: primary dentin, NRC, PBNT). Specimens were then secured in a split mold, having a 5 mm diameter opening and a polyacid-modified resin composite (Dyract AP, Dentsply) were inserted and light cured incrementally onto the treated dentin surfaces. All specimens were stored in water for 24 hours prior to shear strength testing using a Franell testing machine at a crosshead speed of 0.8 mm/minute. RESULTS: The mean dentin SBS values (MPa) for the groups were: Group I (13.32 +/- 6.6); Group II (15.21 +/- 5.25); Group III (8.87 +/- 3.12); and Group IV (7.42 +/- 2.98). Analysis of variance and Duncan's multiple range tests indicated significant differences among groups at P < 0.05. CONCLUSIONS: In general, the SBS were remarkably greater in the 2 groups etched with PA in comparison with the 2 groups conditioned with NRC. However, the type of dentin tissue did not influence SBS.

Acid Etching, Dental↗

One-year clinical evaluation of two polyacid-modified resin composites (compomers) in posterior permanent teeth.

PURPOSE: The aim of this study was to evaluate the clinical performance of two polyacid-modified resin composites (Dyract AP and F2000) in posterior teeth after 1 year of clinical service. MATERIALS AND METHODS: Seventy-two Class I restorations were performed in 33 patients (average age 25 years) by one operator. Eighty-two per cent of the restorations were located in molars. Before the proceedings, patients were informed about the aim of the study and they gave written consent to participate. At least one restoration of each material was placed in each individual. The materials were applied according manufacturer's instructions. Following finishing and polishing, one examiner performed the clinical baseline examination using the adapted USPHS system. To be included in the clinical trial, a restoration had to be rated "Alpha". After one year, 25 patients were recalled and 56 restorations were evaluated using the adapted USPHS system. RESULTS: All restorations were classified as clinically satisfactory (Alpha or Bravo). However, there was a decrease in restoration quality compared to baseline. Statistical analysis (chi2 and Fisher's exact test) demonstrated differences only in relation to superficial roughness, with exhibiting F2000 more surface roughness than Dyract AP (p < 0.01). CONCLUSION: Based on the methodology employed, all restorations were satisfactory after one year and the two materials performed similarly, except for the surface roughness criteria.

Acid Etching, Dental↗

Compomer as a pit and fissure sealant: effectiveness and retention after 24 months.

PURPOSE: The aim of this study was to evaluate the effectiveness and retention of occlusal sealing using FluroShield or Compoglass. METHODS: The sample consisted of 57 children aged 7 to 9 years who had 4 sound, fully erupted, first permanent molars (total=228 teeth). Both materials were applied on contralateral teeth in a split-mouth design in 2 groups: (1) FluroShield--left upper molar and right lower molar; (2) Compoglass--right upper molar and left lower molar. The materials were applied under cotton roll isolation by the same operator according to the manufacturers' instructions. The evaluations were carried out at 6, 12, and 24 months. The data were subjected to the G2 (likelihood ratio chi-square test; P<.05). RESULTS: At the 6-month evaluation, Compoglass showed 60% total retention, 23% partial retention, and 17% total loss. FluroShield showed 53% total retention, 31% partial retention, and 16% total loss. At the 12-month recall, Compoglass and FluroShield, respectively, showed 39% and 43% total retention, 38% and 33% partial retention, and 24% and 25% total loss. At the 24-month evaluation, there was a reduction of 56% of the initial sample numbers (32/57), with 22% and 20% having total retention, 52% and 48% partial retention, and 26% and 32% total loss, respectively, for Compoglass and FluroShield. There was no significant statistical difference between the retention of both materials studied. There was no new caries formation during the evaluation period. CONCLUSION: It could be concluded that both materials effectively prevented caries in occlusal surfaces during the follow-up period, although both showed a low retention rates.

Bisphenol A-Glycidyl Methacrylate↗

Clinical evaluation of glass ionomers and compomers in Class V carious lesions.

PURPOSE: To evaluate the 2-year clinical performance of two polyacid-modified resin composites and two resin-modified glass ionomers in Class V carious cavities. MATERIALS AND METHODS: A total of 120 Class V cavities were selected and 30 cavities were restored with one of two resin-modified glass ionomer materials (Fuji II LC Improved and Vitremer) and two polyacid-modified resin composites (Dyract and Compoglass) in Class V carious cavities after 2 years. The restorations were clinically evaluated after 1 and 2 years using the USPHS criteria. RESULTS: One-year findings revealed a significant difference in color match between Vitremer and other materials (P < 0.05) and no significant difference was found for the other criteria. Two-year results indicated a significant difference between resin-modified glass ionomers and polyacid-modified resin composite materials. The difference between Compoglass and Dyract was not statistically significant whereas the difference between Vitremer and Fuji II LC was statistically significant. Caries was not recorded at any evaluation period.

Adult↗