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Studies on MMA-TBB resin II. The effect of dual use of TBB and other initiators on polymerization of PMMA/MMA resin.

The effects of dual use of tributylborane (TBB) and benzoyl peroxide/ N,N-dimethyl-p-toluidine (BPO/DMPT) or camphorquinone/N,N-dimethyaminoethyl methacrylate (CQ/DMAEMA), as well as BPO/DMPT and CQ/DMAEMA for comparison purposes, on postpolymerization of PMMA/MMA resin were examined from the view point of long term changes of residual MMA and molecular weight. Each resin was polymerized and analyzed by high performance liquid chromatography and size exclusion chromatography. The effect of dual use of TBB and BPO/DMPT or CQ/DMAEMA on polymerization of PMMA/MMA resin was additive in nature and each initiator system worked rather independently without little interaction between the two. TBB was effective especially during the period of postpolymerization. On the other hand, BPO/DMPT used in combination with CQ/DMAEMA had a limited effect only during the initial period and little effect during postpolymerization. It was suggested that TBB was most suitable as a chemically accelerated initiator component for a dual cure system.

Acrylic Resins↗

Tensile bond strength of two ceramic and three resin composite inlay materials placed using a resin luting agent.

The tensile bond strength of inlay materials to dentin was evaluated. Five materials, two direct resin composite inlay products, one hybrid resin composite, a preformed ceramic block, and a conventional porcelain material were bonded to bovine dentin and bonded together using a dual-polymerizing resin luting agent. Specimens were tested with and without thermocycling. Some bar-to-bar bonding groups fractured through the bar. Significantly higher (P < .05) bar-to-bar bonds were recorded than the bar-dentin bonds, irrespective of the inlay materials. VitaDur N showed the lowest bar-to-bar failure values (7.6 MPa) compared to the four other inlay materials (14.4 MPa to 22.2 MPa), but had the highest dentin bond strength (4.5 MPa). Unexpectedly, thermal loading increased the bond strength to bovine dentin, although this was only statistically significant for VitaDur N. The dentin bond strength of Charisma (1.4 MPa) was inferior (P < .02) to all other materials (2.6 MPa to 4.5 MPa) when thermocycled before testing.

Aluminum Oxide↗

Scanning electron microscopic evaluation of fiber post-resin core units built up with different resin composites.

PURPOSE: To microscopically evaluate the structural characteristics of post-and-core units made of a fiber post and of different types of resin-based composites used as core materials. METHODS: 55 endodontically treated human maxillary incisors were prepared for receiving a fiber post (AEsthetic Post Plus). One-Step and C&B resin cement were used for luting the post. Samples were randomly divided into 11 groups. Eleven different composite materials were selected to build-up the abutment. The materials on trial were: Group 1: Z100; Group 2: Light-Core; Group 3: Lumiglass; Group 4: Gradia Direct; Group 5: Build-It!; Group 6: Tetric Ceram; Group 7: Biscore self-curing; Group 8: Unifil Flow; Group 9: Definite Flow; Group 10: Tetric Flow; Group 11: AEliteFlo. All the post-and-core specimens were cut perpendicularly to their long axis and processed for SEM observations. The presence of voids/bubbles within the resin abutment and of defects at the interface between the post surface and the core material was scored. These aspects were quantified with reference to a predefined index. The differences among the scores were tested for statistical significance (P< 0.05). RESULTS: Cores built up with flowable composites showed the highest integrity and the best adaptation onto the post.

Analysis of Variance↗

Microleakage of glass ionomer cement composite resin and glass ionomer resin cement.

An in vitro dye leakage study was performed to compare the sealing ability of glass ionomer, composite resin and glass ionomer/resin cement when used as restorative materials for G.V. Black class V cavities. In this research, standard Class V cavities were prepared in sound premolar teeth extracted for orthodontic reasons. The cavities were randomly divided into 3 groups. After filling the cavities with glass ionomer cement, composite resin and light curing glass ionomer/resin cement, the specimens were immersed in silver nitrate solution. Marginal microleakage at the interface between the cavity wall and restoration was evaluated. The results were analyzed by using Kruskal-Wallis and Mann Whitney U tests. Result of this in vitro study indicate that composite resin and glass ionomer/resin cement provide a better seal than glass ionomer cement.

Aluminum Silicates↗

Surface structural change of bioactive inorganic filler-resin composite cement in simulated body fluid: effect of resin.

Recently much attention has been paid to bioactive filler-resin composite cements because they can solidify in a few minutes to give high mechanical strengths and they can bond to living bone. In this study the dependence on resin of apatite-forming ability in simulated body fluid (SBF) was investigated for the composite cements of bioactive CaO-SiO2-P2O5-CaF2 glass with polymethyl methacrylate (PMMA) or bisphenol-a-glycidyl methacrylate/triethyleneglycol (Bis-GMA/TEGDMA) resin. The PMMA-containing composite cement did not show the apatite-forming ability in SBF because the reaction of the glass grains with SBF was inhibited due to the complete covering of the grains with PMMA. To the contrary, the Bis-GMA/TEGDMA-containing cement exhibited high apatite-forming ability in SBF; these monomers significantly dissolved from the composite surface into SBF, causing a direct exposure of the glass grains to SBF to convert into silica gel. It is assumed that thus formed silica gels, and the silicate ions that were dissolved and adsorbed onto the composite surface, induced the apatite nucleation between the spaces of the glass grains and on the composite surface, respectively. A continuous bone-like apatite layer was formed on the top surface of the glass-Bis-GMA/TEGDMA composite cement in a short period.

Apatites↗

Resin-bonded retainers. Part I: Resin bond to electrolytically etched nonprecious alloys.

Nonprecious Ni-Cr casting alloys can be electrolytically etched to yield a highly retentive surface for micromechanical bonding of dental resins. The acid, current density, and etching time to achieve the retentive features are specific for each alloy. Conditions for etching one beryllium-containing and one non-beryllium-containing alloy are described. The tensile strength of a resin system to these alloys has been determined to be over two times the accepted value of the resin bond to acid-etched enamel.

Acid Etching, Dental↗

Effects of resin formulation and nanofiller surface treatment on the properties of experimental hybrid resin composite.

This study evaluated the effects of nanofiller surface treatment and resin viscosity on the early and long-term properties of experimental hybrid composites. Three resin formulations (low, medium and high viscosity) were prepared by varying the ratio of TEGDMA:UDMA:bis-GMA (47:33:16 wt%; 30:33:33 wt%; 12:33:51 wt%). Composites contained 71.3 wt% silanated strontium glass (1-3 microm) and 12.6 wt% of either silanated or unsilanated silica (OX-50; 0.04 microm). Specimens (n=10) for flexural strength, flexural modulus, fracture toughness and Knoop hardness were tested after 24 h, 1 and 6 months exposure to water at 37 degrees C. Degree of conversion (DC) was determined 24 h after photoinitiation using FTIR. Resin viscosity only had a marginal influence on the mechanical response of composites but it can be adjusted to achieve a balance between DC and mechanical properties. Adding non-bonded nanofiller to hybrid composites had no systematic effect on DC. Non-bonded nanofillers had no significant effect on the long-term properties of hybrid composites.

Coated Materials, Biocompatible↗

Effect of resin hydrophilicity and temperature on water sorption of dental adhesive resins.

This study examined the effects of copolymer hydrophilicity and temperature on water sorption and solubility characteristics of five copolymer blends of increasing degree of hydrophilicity using gravimetric measurements. Six resin disks (15 mm in diameter x 1 mm in thickness) were prepared from each copolymer blend and were stored in deionised water at 23, 37 and 55 degrees C. Water sorption and solubility of the resin disks were measured before and after water immersion and desiccation. Multiple regression analysis of water sorption was performed on two independent variables, copolymer hydrophilicity and temperature. Maximum water sorption increased significantly with Hoy's total cohesive energy density (delta(t)), Hoy's solubility parameter for polar forces (delta(p)) and hydrogen bonding (delta(h)), but was not influenced by temperature. However, a significant positive relationship was observed between diffusion coefficients (obtained using Fick's law of diffusion) and temperature. The water absorption activation energy was 10 kJ/mol for the most hydrophilic copolymer blend R5 and 35-51 kJ/mol for copolymer blends R1-R4. The positive relationship between maximum water uptake and copolymer hydrophilicity suggests that water molecules diffuse through the polymer matrices by binding successively to the polar sites via hydrogen bonding. Such water sorption may determine the durability of resin-dentine bonds.

Adhesives↗

Acrylic resin denture repair with adhesive resin and metal wires: effects on strength parameters.

The fracture of acrylic resin dentures is an unresolved problem in prosthodontics. In this study one brand of denture base acrylic resin was used to make specimens in the form of strips and maxillary denture bases. The specimens were cut and repaired with one type of an autopolymerizing adhesive resin and metal wires. The mechanical properties of the repaired specimens were measured, and the efficiency of each method was evaluated. The statistical results of this study revealed that geometric characteristics of a maxillary denture combined with the shape and pretreatment of reinforcement were the controlling factors for the overall mechanical behavior. Furthermore this study revealed that data with clinical significance can only be obtained by testing specimens similar to the original items used in dental practice.

Acrylic Resins↗

Resin-modified glass ionomer cement and self-cured resin composite luted ceramic inlays. A 5-year clinical evaluation.

OBJECTIVE: This study evaluated IPS Empress ceramic inlays luted with two chemical-cured luting agents, a resin-modified glass ionomer cement (Fuji Plus (F)) and a resin composite (RC) (Panavia 21 (P)). METHODS: Seventy-nine ceramic inlays were placed in Class II cavities in 29 patients. At least two inlays were placed in each patient to compare the luting techniques intra-individually. In each patient half of the inlays were luted with F and the other half with P. The inlays were evaluated clinically, according to modified USPHS criteria (van Dijken, 1986), at baseline, after 6 months, and yearly during 5 years. RESULTS: At 5 years, 71 inlays were evaluated. Two small partial fractures were observed at 3 years (1P, 1F). One inlay showed recurrent root caries at 4 years (P). Four inlays, two in each group showed non-acceptable color match (2P, 2F). Small defects were observed in 4 inlays (2P, 2F). A slight ditching of the cement margins was observed in both luting groups but did not seem to increase during the second half of the evaluation. No significant difference in durability was observed between the two luting agents. SIGNIFICANCE: IPS Empress inlays luted with the chemical-cured RC and the resin-modified glass ionomer cement functioned satisfactory during the 5 years follow-up.

Adult↗

Interactions between resin monomers and commercial composite resins with human saliva derived esterases.

Cholesterol esterase (CE) and pseudocholinesterase (PCE) have been reported to degrade commercial and model composite resins containing bisphenylglycidyl dimethacrylate (BisGMA), triethylene glycol dimethacrylate (TEGDMA) or the latter in combination with urethane modified BisGMA monomer systems. In addition, human saliva has been shown to contain esterase like activities similar to CE and PCE. Hence, it was the aim of the current study to determine to what extent human saliva could degrade two common commercial composite resins (Z250 from 3M Inc. and Spectrum TPH from L.D. Caulk) which contain the above monomer systems. Saliva samples from different volunteers were collected, processed, pooled, and freeze-dried. TEGDMA and BisGMA monomers were incubated with human saliva derived esterase activity (HSDEA) and their respective hydrolysis was monitored using high performance liquid chromatography (HPLC). Both monomers were completely hydrolyzed within 25 h by HSDEA. Photopolymerized composites were incubated with buffer or human saliva (pH 7.0 and 37 C) for 2, 8 and 16 days. The incubation solutions were analyzed using HPLC and mass spectrometry. Surface morphology characterization was carried out using scanning electron microscopy. Upon biodegradation, the Z250 composite yielded higher amounts of BisGMA and TEGDMA related products relative to the TPH composite. However, there were higher amounts of ethoxylated bis-phenol A released from the TPH material. In terms of total mass of products released, human saliva demonstrated a greater ability to degrade Z250. In summary, HSDEA has been shown to contain esterase activities that can readily catalyze the biodegradation of current commercial composite resins.

Biocompatible Materials↗

The effect of composite resin application and radiation techniques on dye penetration in Class II direct composite resin restorations.

This study examined the effect of the application of resin composite and radiation techniques on dye penetration in class II direct composite resin restorations. For the restorative procedure, the light-cone and the incremental layering techniques were used. The null hypothesis of this experiment was, that both techniques have the same influence on dye penetration. Evaluation of dye penetration in the restoration/tooth interface was performed in 20 extracted premolars and molars. On each tooth, two class II cavities were prepared. The cervical margin of the proximal boxes were located in dentin or in enamel. When the gingival margin of the cavity was located in enamel, a significant lower level of dye penetration of the the test group was found (Wilcoxon rank test, P = 0.0102). This study showed that the application of a transparent cone seems to be more effective than the three increments technique in the mechanical separation of the first composite increment. Transmitting the curing light into the proximal box, seems to have no positive effect on dye penetration in class II direct composite resin restorations.

Bicuspid↗

A comparison of fluoride release by resin-modified GIC and polyacid-modified composite resin.

The objective of this study was to compare the fluoride release of 2 fluoride-containing orthodontic adhesives from bracketed teeth and adhesive disks, a resin-modified glass ionomer cement (Fuji Ortho LC, encapsulated; GC America Corp, Aslip, Ill) and a polyacid-modified composite resin (Assure; Reliance Orthodontic Products, Itasca, Ill). A composite resin without fluoride (Transbond XT; 3M Unitek, Monrovia, Calif) was used as a reference control. Metal brackets were bonded to the buccal surfaces of 120 human premolars (40 teeth per adhesive), and disks were made from each adhesive. The deionized storage water was changed, and fluoride release was measured at specified intervals up to 28 days for the bracketed teeth and up to 150 days for the disks. Fuji Ortho LC released 75% more accumulated fluoride than Assure (6.61 microg/bracket vs 3.77 microg/bracket) from bracketed teeth over the 28-day observation period. Assure released more fluoride per day than did Fuji Ortho LC from the disks during the first 3 months. For the rest of the 150-day period, Fuji Ortho LC released more fluoride per day than did Assure. The amount of fluoride released by these materials varied dramatically with different water-changing protocols. The large discrepancy between fluoride released from disks compared with that released from bracketed teeth suggests that caution must be used in extrapolating fluoride-release levels of adhesive disks to in vivo treatment conditions.

Acrylic Resins↗

Basic studies of radiopaque resin monomer (III). Physical properties of trial composite resins.

A series of studies has been conducted on the synthesis of radiopaque monomers and the development of a composite resin having these monomers. Using octachlorocyclotetraphosphazene, P4N4Cl8 (4PNC), three kinds of radiopaque cyclophosphazene monomers, 4PN(Br3Ph)1-3-(EMA)7-5, were synthesized by reacting 1-3 mols of tribromophenol (Br3Ph) and 7-5 mols of 2-hydroxyethyl methacrylate (HEMA). As the monomer for an organic composite filler, 70% (wt) synthesized monomer was used with silica (OX-50) treated with silane mixed at 30% and ground after heat-polymerization and then run through a 325-mesh sieve after polymerization. As a base monomer, 25% urethane monomer (U-2TH) was mixed in 25% synthesized monomer and photosensitizer was added. The composite resin was prepared by mixing 50% organic composite filler with 50% base monomer, and polymerized with a Dentacolor XS (Kulzer) visible light-curing apparatus by irradiation for 90 s on each side, 180 s in total. Mechanical properties did not vary with the increase in the number of tribromophenol replacements. Compressive yield strength was more than 120 MPa in all cases. Transverse strength was 60-75 MPa and hardness was HK 26-30. However, the aluminum equivalent increased with the increase in the number of tribromophenol replacements. In the case of 4PN-(Br3Ph)3, the value was 8.8 mm, whereas in the case of commercial composite resin, it was 0.4-10.4 mm.

Composite Resins↗

Shear bond strength of repaired composite resins using a hybrid composite resin.

The shear bond strength of different types of composite resins repaired with a hybrid composite was evaluated. The hybrid composite resin was repaired with itself as a control. The results of this study showed that the shear bond strength of the repair with most types of composite resins was minimally adequate.

Analysis of Variance↗

A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries in xerostomic head and neck radiation patients.

Controversy exists as to whether there is less secondary caries at the margins of glass ionomer restorations compared with other materials that do not release fluoride. This study examined the incidence of secondary caries for three types of restorative materials in Class V restorations in xerostomic patients. The study group consisted of 45 high caries-risk adult patients who had undergone head and neck irradiation for the treatment of cancer. All were substantially xerostomic and in need of at least three restorations in the same arch. Every patient received a restoration with each of the test materials, a conventional glass ionomer (GI), a resin modified glass ionomer (RMGI) and a resin composite (C). Patients were instructed in the daily use of a neutral pH sodium fluoride gel in custom trays. Recall appointments were made at 6, 12, 18 and 24 months, and the restorations were examined for material loss, marginal integrity and recurrent caries at the restoration margin. Fluoride compliance was determined at each recall period and recorded as the percentage of recommended use during that interval. Patients were categorized at the end of the study as fluoride non-users if their average compliance was 50% or less. Those with greater than 50% compliance were categorized as fluoride users. In the latter group, no recurrent caries was found for any of the restorations, whereas a material-dependent incidence of recurrent caries was found in the fluoride non-user group. None of the GI, one RMGI and eight C restorations failed due to recurrent caries. For the fluoride non-user patients, Fishers exact test (p=0.05) showed no statistical difference between GI and RMGI but statistical differences were found among those materials and resin composite at each recall period. Recurrent caries reductions for GI and RMGI relative to C were greater than 80% in xerostomic patients not using topical fluoride supplementation.

Adult↗

Bonding indirect resin composites to metal: Part 1. Comparison of shear bond strengths between different metal-resin bonding systems and a metal-ceramic system.

PURPOSE: This laboratory study compared the shear bond strength between three indirect resin composites and a noble alloy using their respective bonding systems. MATERIALS AND METHODS: One hundred twenty disks cast in a medium-gold, high-noble metal-ceramic alloy (V-Deltaloy) were divided equally into four groups and received different treatments for veneering: Conventional feldspathic porcelain (Omega) was applied on one set of specimens to be used as a control, and three indirect resin composites (Artglass, Sculpture, Targis) with their respective bonding systems were used for the other groups. The specimens were tested in a parallel shear test, half of them after 24-hour dry storage at room temperature and the rest after 10-day storage in normal saline solution at 37 degrees C and thermocycling. The fractured specimens were evaluated to determine the nature of the failure. RESULTS: The mean shear bond strength values (in MPa), before and after wet storage and thermocycling, were 30 and 23 for the metal-ceramic group, 29 and 23 for the Artglass group, 20 and 19 for the Sculpture group, and 17 and 14 for the Targis group, respectively. The metal-ceramic and Artglass groups exhibited significantly higher bond strengths than the other two groups. All specimens, with the exception of the Sculpture group, showed a significant decrease in bond strength after wet storage and thermocycling. CONCLUSION: No group exceeded the shear bond strength of the metal-ceramic group, but the Artglass group with its respective metal-resin bonding system exhibited similar bond strengths. The Sculpture group showed a stable bond after water storage and thermocycling.

Aluminum Silicates↗

Surface hardness properties of resin-modified glass ionomer cements and polyacid-modified composite resins.

In this study the top and bottom surface hardness of two polyacid-modified composite resins (PMCRs), one resin-modified glass ionomer cement (RMGIC), and one composite resin were evaluated. The affect of water storage on their hardness was also investigated. The study was conducted using four different groups, each having five specimens obtained from fiberglass die molds with a diameter of 5 mm and a height of 2 mm. Measurements were made on the top and bottom surface of each specimen and recorded after 24 hours and again at 60 days. All tested materials showed different hardness values, and the values of top surfaces of the specimens were found to be higher than the bottom surface in all test groups. There was no statistical difference in the Vickers hardness (HV) values when the test specimens were kept in water storage. In conclusion Hytac displayed microhardness values higher than Vitremer and Dyract. We found the order of HV values to be Surfil > Hytac > Dyract > Vitremer, respectively. Vitremer presented the lowest microhardness level and Surfil the highest.

Analysis of Variance↗