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A comparative profilometric in vitro study of the susceptibility of polished and natural human enamel and dentine surfaces to erosive demineralization.

This study sought to compare the depths of erosive lesions in samples from different tooth sides as well as from enamel, dentine and root surfaces, and to examine the effect of preparation and polishing of specimens on erosive demineralization. From 30 impacted human third molars, two enamel samples from the mesial, distal, buccal and oral aspects, and similar samples from the radicular dentine, were prepared. One of each pair of samples was polished whereas the other was left untreated. Four samples were also prepared from the coronal dentine. For erosive demineralization, all samples were immersed in 0.05 M citric acid for 3 h and the erosion depth was calculated profilometrically. In general, natural surfaces showed significantly smaller erosion depths than polished surfaces (p< or =0.001) and enamel samples showed greater depths than coronal dentine (not significant) and root dentine (p< or =0.001). The erosion depths of the four tooth sides correlated significantly for polished enamel and coronal dentine samples but not for natural enamel specimens. There was no correlation between erosion depths for enamel and coronal dentine, and only a weak correlation between enamel and root dentine.

Citric Acid↗

A mastication device designed for the evaluation of chewing gums.

A mechanical device designed to simulate the human mastication of chewing gum was used to evaluate the enamel polish, dentin abrasion, and reduction in enamel solubility produced by several commercial gums, as well as experimental gums incorporated with various additives. The results demonstrated that this mastication device was suitable for evaluating in vitro the physical and chemical effects of chewing gums on teeth.

Chewing Gum↗

Effect of corticosteroids on human osteoclast formation and activity.

Chronic corticosteroid treatment is known to induce bone loss and osteoporosis. Osteoclasts are specialised bone-resorbing cells that are formed from mononuclear phagocyte precursors that circulate in the monocyte fraction. In this study we have examined the effect of the synthetic glucocorticoid, dexamethasone, on human osteoclast formation and bone-resorbing activity. Human monocytes were cultured for up to 21 days on glass coverslips and dentine slices, with soluble receptor activator for nuclear factor kappaB ligand (RANKL; 30 ng/ml) and human macrophage-colony stimulating factor (M-CSF; 25 ng/ml) in the presence and absence of dexamethasone (10(-8) M). The addition of dexamethasone over a period of 7 and 14 days of culture of monocytes (during which cell proliferation and differentiation predominantly occurred) resulted in a marked increase in the formation of tartrate-resistant acid phosphatase-positive multinucleated cells and an increase in lacunar resorption. The addition of dexamethasone to monocyte cultures after 14 days (when resorptive activity of osteoclasts had commenced) reduced the extent of lacunar resorption compared with cultures to which no dexamethasone had been added. The addition of dexamethasone to osteoclasts isolated from giant cell tumours of bone significantly inhibited resorption pit formation. Our findings indicate that dexamethasone has a direct effect on osteoclast formation and activity, stimulating the proliferation and differentiation of human osteoclast precursors and inhibiting the bone-resorbing activity of mature osteoclasts.

Acid Phosphatase↗

Bonding mechanism and ultrastructural interfacial analysis of a single-step adhesive to dentin.

OBJECTIVES: to characterize the interaction of 4-acryloxyethyltrimellitic acid (4-AET), a key ingredient in a commercial all-in-one adhesive (Reactmer Bond) with dentin apatite, to measure the solubility of 4-AET calcium (4-AETCa), and to examine the ultrastructure of the resin-dentin interface bonded by this adhesive. METHODS: solubility of synthesized 4-AETCa in several solutions was measured. Flattened bovine dentin blocks were treated with 0.1wt% NaOCl for 10 min, or 5.0wt% NaOCl for 10 min, or 30 min. Fourier transform infrared analysis using attenuated total reflection (FT-IR/ATR) was performed on these four substrates before and after treatment with a 4-AET mixture (4-AET/HEMA: 40/60wt%). Undemineralized, unstained sections of human sound dentin that were bonded with the same comonomers were examined by transmission electron microscopy (TEM). RESULTS: the respective solubilities of the 4-AETCa in water, 2-hydroxyethyl methacrylate (HEMA; 100wt%) and HEMA/water (70/30wt%) were 0.023, 0.003 and 0.014 mol/l after 2 min. The IR analysis indicated that Ca-carboxylate (new bands: nuCz.dbnd6;O:1580 and 1413 cm(-1)) was formed on all dentin specimens following application of 4-AET, with or without NaOCl pretreatment. TEM showed a 1 micro m thick hybrid layer with some remnant apatite crystallites that were encapsulated by a layer of less electron-dense material. SIGNIFICANCE: the results suggest that ionized carboxyl groups in 4-AET may interact with Ca(2+) from apatite crystallites within the partially demineralized hybrid layer to form an insoluble calcium salt (4-AETCa) that may aid in bonding this resin system to dentin.

Animals↗

Inhibition of bacterial growth by tetracycline-impregnated enamel and dentin.

Tetracyclines can react with enamel and dentin to form relatively insoluble fluorescent compounds. The purpose of this study was to evaluate the possible antimicrobial effect of these reaction products on various microorganisms associated with human dental plaque and periodontal disease. Slabs of native dentin and enamel as well as demineralized dentin were immersed in aqueous solutions of tetracycline HCl, oxytetracycline HCl and doxycycline HCl for periods of 1 h or 24 h. Unimpregnated enamel and dentin slabs sterilized by gamma irradiation and specimens impregnated with phenoxymethylpenicillin calcium were used as controls. Test and control specimens were placed on agar plates seeded with B. cereus, C. ochraceus, S. sanguis, F. nucleatum, B. melaninogenicus or A. viscosus and were subsequently incubated aerobically or anaerobically at 37 degrees C. With the exception of enamel impregnated for 1 h in a 0.01 mg/ml tetracycline solution, all test specimens caused growth inhibition zones, varying in size according to concentration of the drug, immersion period and bacterial species. The results indicate that tetracyclines react with enamel and dentin to form slightly soluble compounds with a pronounced antibacterial effect. In comparison, the antimicrobial effect of dentin treated with penicillin was small.

Bacteria↗

Bonding of resin to dentin. Interactions between materials, substrate and operators.

OBJECTIVES: The general aim of this thesis was to identify and study factors that affect bonding between resin and dentin, including operator variability. MATERIALS AND METHODS: Bonding sites were generated in vivo and in vitro and compared using SEM. The effects of experimental water- or acetone-based primers on shear bond strength to dentin were studied in vitro. Fourier transform infrared spectroscopy was used to establish any detrimental effects from water on polymerization by determining the degree of conversion of thin films of resin. The interaction between phosphoric acid and dentin was analyzed by measuring calcium leaching by use of atomic absorption spectroscopy. Bond strength of composite resin was measured to dentin with various degrees of demineralization. Gap formation adjacent to composite restorations in standardized dentin cavities was studied in vitro by confocal microscopy. RESULTS: A similar morphological appearance was found for bonding sites generated in vitro vs. in vivo. An acetone-based primer was more dependent on a moist bonding technique than was a water-based system. However, water might influence bonding by interfering with the polymerization of the resin. Calcium leaching from dentin can be predicted by use of a solubility phase diagram. No correlation could be established between calcium leaching and bond strength. Gap formation was more dependent on the operator than the choice of material. A simplified all-in-one adhesive showed less operator variability compared to more complex bonding systems. CONCLUSIONS: In vitro bond testing may well indicate the outcome of in vivo trials. The solvents used in bonding agents will influence the performance and, presumably, technique sensitivity. Water rinse time after etching might be a more important consideration than etch time. In spite of the relative importance of the results presented above, the outcome of the multi-operator trial could not be predicted.

Acetone↗

Effect of water-soluble photoinitiator on the adhesion between composite and tooth substrate.

The effectiveness of a water-soluble photoinitiator in a dentin primer was examined by measuring the tensile bond strength between the composite and tooth substrate treated with the primer. The water-soluble photoinitiator, 2-hydroxy-3-(3,4 dimethyl-9-oxo-9H-thioxanthen-2-yloxy)-N,N,N-trimethyl-1- propanaminium chloride (QTX) was dissolved into an aqueous solution of methoxy-nonaethyleneglycol monomethacrylate (M9G) or poly-N-vinylpyrrolidone (PNVP), and these aqueous solutions were used as primers. The combination of 0.5 M EDTA pretreatment and 1% QTX -35% PNVP aqueous solution priming produced the highest bond strength. A mixture of dentin fractures and interfacial failure between the dentin and the resin was observed in the test specimen. This dentin priming combination was also effective in improving the bond strength to enamel pretreated with EDTA.

Analysis of Variance↗

Ultrastructural properties of laser-irradiated and heat-treated dentin.

Previous studies using scanning electron microscopy and infrared absorption spectroscopy reported that laser irradiation causes compositional changes in enamel. The purpose of this study was to evaluate the ultrastructural and compositional changes in dentin caused by irradiation with a short-pulse laser (Q-switched Nd:YAG). The irradiated and non-irradiated areas of the lased dentin samples were investigated by scanning (SEM) and transmission electron microscopy (TEM), micro-micro electron diffraction, and electron microprobe analysis of dispersive energy (EDX). Heat-treated dentin was similarly investigated. This study demonstrated that laser irradiation resulted in the recrystallization of dentin apatite and in the formation of additional calcium phosphate phases consisting of magnesium-substituted beta-tricalcium phosphate, beta-TCMP, beta-(Ca,Mg)3(PO4)2, and tetracalcium phosphate, TetCP, Ca4(PO4)O. TEM analyses of the modified and unmodified zones of the irradiated areas showed two types of crystal populations: much larger crystals from the modified zone and crystals with size and morphology similar to those of dentin apatite in the unmodified zone. The morphology of crystals in the modified zones in the irradiated dentin resembled those of dentin sintered at 800 or 950 degrees C. In the irradiated areas (modified and unmodified zones), the Ca/P ratio was lower compared with that in the non-irradiated dentin. The Mg/Ca ratio in the modified zones was higher than that in the unmodified zones and in the non-irradiated dentin. In sintered dentin, the Mg/Ca ratio increased as a function of sintering temperature. The ultrastructural and compositional changes observed in laser-irradiated dentin may be attributed to high temperature and high pressure induced by microplasma during laser irradiation. These changes may alter the solubility of the irradiated dentin, making it less susceptible to acid dissolution or to the caries process.

Calcium↗

Pathogenesis and modifying factors of dental erosion.

Dental erosion is caused by acidic solutions which come into contact with the teeth. Because the critical pH of dental enamel is approximately 5.5, any solution with a lower pH value may cause erosion, particularly if the attack is of long duration, and repeated over time. Saliva and salivary pellicle counteract the acid attacks but if the challenge is severe, a total destruction of tooth tissue follows. Ultrastructural studies have shown that erosive lesions are seen in prismatic enamel as characteristic demineralization patterns where either the prism cores or interprismatic areas dissolve, leading to a honeycomb structure. In aprismatic enamel the pattern of dissolution is more irregular and areas with various degrees of mineral loss are seen side by side. In dentin the first area to be affected is the peritubular dentin. With progressing lesions, the dentinal tubules become enlarged but finally disruption is seen also in the intertubular areas. If the erosion process is rapid, increased sensitivity of the teeth is the presenting symptom. However, in cases with slower progression, the patient may remain without symptoms even though the whole dentition may become severely damaged. Regarding the role of causative agents, present data does not allow the ranking of different acids with regard to their potential of causing erosion. Neither is there consensus as to how effective fluorides are in preventing the progression of erosive lesions, or how the chemical and structural factors of tooth tissue in general might modify this pathological process.

Acids↗

Noncollagenous proteins of a rat dentin matrix possessing bone morphogenetic activity.

An insoluble preparation of rat dentin matrix was shown to possess bone morphogenetic protein (BMP) activity, i.e. the capacity to induce the formation of catilage and bone when implanted intramuscularly. Since BMP activity was previously attributed to noncollagenous proteins (NCP) of bone and dentin, the nature of NCP of the rat dentin was examined. After treatment of the matrix with purified bacterial collagenase, three NCP were solubilized concomitantly with digestion of the dentin collagen to smaller peptides. The three proteins were separated by anion-exchange chromatography on DEAE-cellulose. Two of the NCP were rich in asparate, glutamate, glycine, serine, and alanine, and thus displayed compositions similar to acidic proteins of other connective tissues. The third NCP was shown by amino acid composition to be the aspartate, serine-rich phosphoprotein, which occurs mostly in a soluble form in rat dentin. This observation supports the view that a portion of dentin phosphotprotein is firmly bound.

Amino Acids↗

Transverse resistance of composite resin restorations on dentin.

The transverse resistance of a dentin-bonded composite resin restoration was tested. Dentin and enamel surfaces of human molars were pre-treated differently. The specimens were stored for various periods. The presence of enamel led to a transverse resistance significantly higher than when only dentin was present. When enamel was present, additional etching of dentin gave a lower resistance. This was possibly caused by the formation of a soluble monite precipitate. Etching of dentin without the presence of enamel gave a value significantly higher than the bond strength to unetched dentin.

Composite Resins↗

[Molecular biological studies on teeth inquests].

This paper deals with the following three areas: 1. Age estimation of tooth based on the racemization of component amino acids On the age estimation of a subject's tooth, the whole dentin prepared from the central vertical section showed a correlation coefficient of more than 0.99. The soluble peptide extracted from the dentin provided the highest correlation compared with the total content of amino acids or insoluble collagens, suggesting its usefulness as a component for estimating the age. The racemization rate was the highest for Asp, followed by Glu and Ala in order. As to the site from which a test dentin is sampled, the ratio of Asp from the lingual section was higher than its counterpart from the labial section. It is also noteworthy that the dentin from deciduous teeth was as useful as the permanent teeth for estimating the age of juvenile. 2. DNA typing analysis using tooth as specimen The pulp in a dried tooth is removed, from which DNA in extracted for DNA fingerprinting with the Y-specific probe. The sex determination was possible using a tooth that had been extracted up to 21 months before. Furthermore, a 30-cycle repetition of PCR enabled to accurately determine the sex from the DNA specimen that was considerably degraded as well as from freshly sampled DNA. 3. Inspection by dentists The dental and roentgenographic records provided by the families allowed rapid personal identification in major disasters, traffic accidents, fires etc.(ABSTRACT TRUNCATED AT 250 WORDS)

Age Determination by Teeth↗

Influence of dentinal polyelectrolytes on wet demineralized dentin, a bonding substrate.

The objective of this study was to show the influence of dissolved dentinal polyelectrolytes on the characteristics of dentin (bonding substrate) demineralized by citric acid in the absence or presence of ferric chloride. The demineralizing agent was an aqueous mixture of 0, 1, 3, or 10% ferric chloride in 10% citric acid (10-0, 10-1, 10-3, 10-10, respectively). The hypothesis was that the concentration of dissolved dentinal noncollagenous substances, mainly polyelectrolytes soluble in water, must be decreased by their aggregation with ferric ions, which changes the characteristics of demineralized dentin, the rates of demineralization, and dehydration. Cervical bovine dentin was prepared in 3 x 2 x 2-mm blocks, each weighing 20.0 +/- 0.5 mg. The rate of demineralization was investigated by measuring the weight loss resulting from demineralization by immersion in 10 mL of conditioner at 2-h intervals. The dehydration rate of wet demineralized dentin was determined using two methods: (1) weight loss in a desiccator under 263 Pa pressure and (2) differential scanning calorimetry (DSC). Twenty, 12, 8, and 4 h were required to complete demineralization of the blocks with the 10-0, 10-1, 10-3, and 10-10 solutions, respectively. The 10-10 wet demineralized dentin showed the highest rate of dehydration, followed in descending order by the 10-3, 10-1, and 10-0 specimens. Ferric chloride in dentin conditioners provided both a higher rate of dentin demineralization and a higher dehydration rate of wet demineralized dentin. These results suggest that in the presence of ferric chloride, a decreasing amount of dissolved polyelectrolytes aggregated with ferric ions in the substrates may increase the permeability of dentin to water and citric acid. Improvement of monomer permeability is essential to the preparation of good hybridized dentin, providing a more stable and reliable bonding and also protecting the dentin and pulp from infection. A further study of bonding substrates is required in order to understand the role of hybridized dentin in improved dental treatment.

Animals↗

Evaluation of the enamel etching capacity of six contemporary self-etching adhesives.

OBJECTIVES: The purpose of this study was to evaluate the capacity of six contemporary self-etch primers/adhesives to demineralize ground enamel by means of ultrastructural analysis of the etching surface under SEM and by spectroscopic measurement of the percentage of calcium and phosphate ions dissolved. METHODS: Seventy non-carious extracted human third molars were sub-divided into 2 groups of 35 teeth each. The teeth of the first group were ground to expose flat, polished enamel surfaces 3-4mm thick. The samples thus obtained were treated with six self-etch bonding systems and a phosphoric acid gel (control group). The self-etch priming agent was then eliminated and the etched enamel surface observed by SEM. From the teeth of the second group, disc-shaped specimens were made from ground enamel and subjected to application of each of the six self-etchants. Once the etching product had been rinsed off, the rinse solution was analyzed by atomic flame spectroscopy to evaluate the percentage of calcium and phosphate ions dissolved. RESULTS: SEM images show that AdheSE, Adper Prompt L-Pop and Xeno III, despite having a less intensive etching efficacy than phosphoric acid, gave a regular pattern over a considerable surface area and depth. iBond and One-Up Bond F gave less regular demineralization. For Clearfil SE Bond, the demineralization was ineffective. Results of the percentage of mineral loss show that Adper Prompt L-Pop and Xeno III were the most efficient self-etch products. AdheSE, iBond and One-Up Bond F, respectively exhibited decreasing demineralizing capacity. Clearfil SE Bond, however, gave low proportions of calcium and phosphate ions loss and was considered unsatisfactory. CONCLUSION: The action on enamel was not the same for all self-etch systems tested. The etching potential of the self-etch adhesives was lower than that of phosphoric acid but some self-etch systems, particularly those with monomers containing phosphate derivatives, gave results close to those obtained with phosphoric acid.

Acid Etching, Dental↗

Micro-shear bond strength of resin-bonding systems to cervical enamel.

PURPOSE: To evaluate the micro-shear bond strength of current adhesive systems to cervical and mid-coronal enamel. MATERIALS AND METHODS: Two commercially available resin adhesives were investigated; a self-etching primer system (Clearfil SE Bond) and a one-bottle adhesive system (Single Bond) intended for use with the total-etch wet-bonding technique were employed. Two regions of enamel, cervical and mid-coronal regions, were chosen from the buccal surface of extracted molars and were then bonded with each adhesive system and submitted to the micro-shear bond test. In addition, the conditioned enamel surfaces without any bond and the enamel-resin adhesive interfaces were studied morphologically using scanning electron microscopy (SEM). RESULTS: No significant differences were found between the adhesive systems used (P > 0.05). However, for both bonding systems, cervical enamel showed significantly lower bonding than mid-coronal enamel (P < 0.05). The relatively lower bond strengths obtained from cervical enamel probably resulted from its aprismatic structure, which appears to be more resistant to dissolving in acids than prismatic mid-coronal enamel.

Analysis of Variance↗

Anticaries efficacy of a new dentifrice for hypersensitivity.

PURPOSE: To evaluate the expected anticaries efficacy of a new dentifrice containing stannous fluoride as the anticaries agent and potassium nitrate as the antihypersensitivity agent using a series of laboratory and animal studies. METHODS: Four surrogate studies were performed in this assessment including fluoride uptake in sound enamel, enamel solubility reduction, fluoride bioavailability and animal caries. RESULTS: Each of these studies indicated the new dentifrice for hypersensitivity (Colgate Sensitive Maximum Strength) was effective in inhibiting the caries process. The data demonstrate that this new dentifrice is predicted to be highly effective against caries and equivalent to a positive control dentifrice.

Acid Etching, Dental↗