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[Bond strength of etched enamel to direct composite resins, to indirect composite resins and to etched and silanized porcelain].

The adhesion to enamel of composite resin inlays are not documented as much as porcelain inlays and direct composite resins. This study evaluates the adhesion of a light cured composite resin (P-50) used in an indirect technique and secondarily polymerized by heat. No significant differences were found between adhesion of P-50 used with an indirect technique and adhesion of porcelain (Mirage). P-50 used with the direct technique yield adhesion values significantly lower than the indirect techniques.

Acid Etching, Dental↗

Water sorption and water-induced molecular mobility in dental composite resins.

Water sorption in two resin composites, Kulzer's Solitaire (S) and SDI's Wave (W), and in a polyacid-modified composite resin, 3M's F2000 (compomer F), was investigated by means of equilibrium sorption isotherms (ESI) and of dynamic sorption (DS) measurements. Molecular mobility in these materials was studied by means of dielectric relaxation spectroscopy (DRS) and of thermally stimulated depolarization currents (TSDC) measurements. The results of ESI measurements show that at equilibrium, water is molecularly distributed in the materials and the effects of hydrophilic sites and clustering are negligible. Hysteresis effects in sorption-desorption cycles are larger in the resin composites than in the compomer. Equilibrium water uptakes in both ESI and DS conditions are rather low, in the range 1-2%. Diffusion coefficients of water are about 1x10(-8) cm(2)/s in the resin composites and by a factor of about 2 smaller in the compomer. Molecular mobility increases with hydration, as suggested by preliminary DRS and TSDC measurements. Detailed dielectric measurements may give important information for understanding, at the molecular level, water-induced degradation in dental materials.

Journal Article↗

Does single versus stepped curing of composite resins affect their shear bond strength?

BACKGROUND: Shrinkage occurs during polymerization of all resin composites, affecting not only the physical properties of the composites but also the marginal integrity of the restoration. Stepped photo-polymerization, in contrast to single-cure photo-polymerization, is said to minimize this shrinkage. The thickness of the increments of resin composite being cured may also be a factor in final shear bond strength. This study compared the shear bond strength resulting from these two curing methods with resin composites of various thicknesses. METHODS: Resin composite in increments of 1.5, 3 and 4.5 mm thickness, cured by stepped or single-cure photo-polymerization, was bonded to human third molar dentin with either the Scotchbond Multipurpose adhesive system or the Singlebond adhesive system. Each experimental group consisted of 12 specimens. After 7 days of storage in water, shear bond strength was tested to failure, and the mode of failure was recorded. RESULTS: The thickness of the resin composite and the method of curing had no significant effect on shear bond strength for bonds mediated by Scotchbond Multipurpose adhesive, but significantly lower shear bond strength was recorded for bonds mediated by Singlebond adhesive for resin composite 4.5 mm in thickness. With thicker resin composite, there was a tendency toward a greater proportion of adhesive cohesive bond failures. CLINICAL SIGNIFICANCE: The stepped photo-polymerization system of curing appears to offer no advantages over single-cure photo-polymerization, except that the former reportedly improves marginal adaptation and reduces marginal leakage. These results suggest that increments of resin composite to be cured by either method should be no thicker than 2 mm, particularly when the bond is mediated by a single-bottle adhesive.

Bisphenol A-Glycidyl Methacrylate↗

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↗

Resin composite monomers alter MTT and LDH activity of human gingival fibroblasts in vitro.

OBJECTIVES: Substances such as monomers may be released from composite resin systems and may induce adverse effects in biological tissues. The aim of this study is to investigate the cytotoxic concentrations of resin composite monomers on cultures of human gingival fibroblasts. METHODS: A range of dilutions of five resin composite monomers (HEMA, HPMA, DMAEMA, TEGDMA, and Bis-GMA) were added to the culture medium of human gingival fibroblasts for 24 h. Their cytotoxic effects were measured by using two colorimetric functional assays, mitochondrial dehydrogenase activity (MTT) and lactate dehydrogenase activity (LDH) assay. The logP values (water/octanol partition) of test monomers were also calculated computationally. RESULTS: Mitochondrial reducing activity assessed with the MTT test was inhibited by all monomers and all the monomers increased the LDH release in a reproducible dose dependent manner. A wide range of TC 50 values (concentrations altering MTT and LDH activity by 50%) (0.32-5.8 mM by MTT assay and 0.36-6.7 mM by LDH assay) was observed. Ranking of composite resin monomer cytotoxicities (TC 50) were similar for both the MTT and LDH assays, (Bis-GMA>TEGDMA>DMAEMA>HPMA >HEMA). However, the MTT assay was found to be more sensitive than the LDH assay, particularly when lower doses of the tested monomers were determined. The ranking of TC 50 concentrations correlated with the calculated logP values. SIGNIFICANCE: Monomers used in dental restorative materials show a variety of toxic effects on gingival fibroblasts. A combination approach using MTT and LDH assays provides valuable information about their toxic effects.

Analysis of Variance↗

Resin composites in minimally invasive dentistry.

The concept of minimally invasive dentistry will provide favorable conditions for the use of composite resin. However, a number of factors must be considered when placing composite resins in conservatively prepared cavities, including: aspects on the adaptation of the composite resin to the cavity walls; the use of adhesives; and techniques for obtaining adequate proximal contacts. The clinician must also adopt an equally conservative approach when treating failed restorations. The quality of the composite resin restoration will not only be affected by the outline form of the preparation but also by the clinician's technique and understanding of the materials.

Composite Resins↗

Composite resin restoration and postoperative sensitivity: clinical follow-up in an undergraduate program.

OBJECTIVES: To analyze the relationship between the cavity depth and liners with postoperative sensitivity of resin composite restorations. METHODS: A clinical follow-up was conducted on 319 resin composite restorations made in the final year of an undergraduate program over a 3-year period. Along with the analyses of cavity type, cavity depth, type of pulpal protection and the materials used, the postoperative sensitivity was also examined on each restoration. RESULTS: Thirty-nine percent of the restorations had no protective layer (Group 1). As the depth of the prepared cavities increased, the restorations received one of the three pulpal protection methods; a calcium hydroxide base (Group 2), glass ionomer cement (Group 3), or protection with a calcium hydroxide base in combination with glass ionomer cement (Group 4). The incidence of postoperative sensitivity showed no significant difference among Groups 1, 2 and 3, but was significantly lower in Group 1 than in Group 4. The restorations made in shallow and medium depth cavities demonstrated significantly less-postoperative sensitivity than those made in deep cavities. The newer generation dentine-bonding agents showed a significantly lower incidence of postoperative sensitivity than the early generation group. CONCLUSIONS: Postoperative sensitivity in resin composite restorations was not related to the absence of protective layers but increased with the depth of cavities restored with the resin composite. The type of dentine-bonding agents could also be responsible for postoperative sensitivity.

Adolescent↗

Bond strength of a resin composite to a polyacid-modified resin composite under different conditions.

OBJECTIVE: The aim of this in vitro study was to evaluate the tensile bond strength values between polyacid-modified resin composite ("compomer") and resin composite materials under different conditions. METHOD AND MATERIALS: There were five experimental groups in the study. In group A, resin composite was placed directly on polyacid-modified resin composite surfaces. In group B, bonding agent was applied to polyacid-modified resin composite surfaces and then resin composite was placed on the compomer. In group C, compomer specimens were stored for 1 week and then resin composite was placed directly on these aged compomers. In group D, compomer specimens were again stored for 1 week, and then the bonding agent and resin composite were applied to the compomer surfaces. In group E, the surfaces of aged (1 week) compomers were roughened before the bonding agent was applied and the resin composite was placed on the prepared surfaces. A statistical analysis of the results was made with the Kruskal-Wallis test method. RESULTS: The mean tensile strength values of the groups were as follows: group A = 12.84 MPa; group B = 15.03 MPa; group C = 10.60 MPa; group D = 11.56 MPa; group E = 24.87 MPa. There were statistically significant differences between groups E and A; groups E and C; groups E and D; and groups C and B. CONCLUSION: Mechanical roughening of a polyacid-modified resin composite surface was found to be the most effective factor in increasing the tensile bond strength between an aged compomer and a resin composite.

Compomers↗

[Relation of surface texture of fine finishing diamond point for composite resin and polished surface of composite resin].

Distribution of diamond grain size of seven fine finishing diamond points was measured by a digital image analyzer. Also influence of diamond grain size of fine finishing diamond points on finished surface of two types of visible light cured composite resins (semihybrid type and submicron filler type) were investigated. Diamond grain size was almost from 10 to 100 microns 2 in area. Diamond grain size was closely related to the surface roughness of semihybrid type composite resin, although it was not related to that of submicron filler type composite resin. Surface roughness of a submicron filler type composite resin finished at a low speed was less than that at a high speed. Grain size of diamond point and revolution speed may play an important role in surface texture of composite resin.

Composite Resins↗

HPLC analysis of components released from dental composites with different resin compositions using different extraction media.

Components released from dental composite resins are essential factors in the assessment of biocompatibility of these materials. The effect of different extraction media on monomer release from composite resins based on different monomer types was evaluated. Three types of visible light cured composite resins were formulated based on the following monomers: triethylene glycol dimethacrylate (TEGDMA), bisphenol A glycerolate dimethacrylate (BisGMA), and urethane dimethacrylate (UDMA). Seventy-five composite resin discs were fabricated and light cured for 1 min in the absence of oxygen. Extraction media used were: distilled water, saline solution, artificial saliva, serum-free culture medium, and culture medium with 10% fetal calf serum. The analysis of extracts from the composite resins was carried out by High Performance Liquid Chromatography (HPLC). Quantifiable amounts of TEGDMA were released into the aqueous media. However, BisGMA and UDMA were not detectable in any of the extracts from the composite resins. Statistical analysis by one-way ANOVA followed by Tukey's test showed that there was a significant difference in TEGDMA release between culture media and other media (p < 0.05). From the results of this experiment it can be concluded that TEGDMA-based composite resins can release a high quantity of monomer into aqueous environments. The type of extraction medium may have a significant effect on monomer release from composite resins.

Biocompatible Materials↗

Contraction stress of composite resin build-up procedures for pulpless molars.

PURPOSE: The purpose of this study was to photoelastically evaluate contraction stresses associated with various resin composite build-up procedures for pulpless molars. MATERIALS AND METHODS: Photoelastic models of endodontically treated mandibular molars were fabricated to simulate a preparation for a full-cast crown. The model configuration included three lateral walls, but no post space. The buildups were made with dual-curing resin composite using the following procedures: 1) bulk dual cure, 2) bulk chemical cure, 3) horizontal two increments, dual cure, and 4) indirect. Five specimens were fabricated for each condition. The stresses developed in the models were recorded photographically in the field of a circular polariscope. RESULTS: The build-up procedures tested generated widely different stress distributions and intensities. The highest stresses were seen with the bulk dual-cure method. The slower polymerization chemical-cure group developed distributions similar to the bulk dual-cure group with a significantly lower fringe order. The two horizontal increments dual-cure techniques developed an individual group of fringes for each layer. Compared with the bulk dual-cure group, stresses around the occlusal margin were reduced by incrementalization, while fringes were more closely spaced at the line angles with a slightly lower fringe order. The indirect method demonstrated the lowest stress which extended over the smallest area. CONCLUSION: Contraction stress in resin composite buildups varied significantly depending upon the procedures of fabrication. The bulk dual-cure method developed the most severe contraction stresses, while the indirect technique resulted in significantly lower contraction stresses than the other techniques tested.

Analysis of Variance↗

Hardness and wear resistance of two resin composites cured with equivalent radiant exposure from a low irradiance LED and QTH light-curing units.

PURPOSE: To measure and compare three-body wear and Vickers hardness at depths of 0 mm and 2 mm in two composite resin materials cured with either a low irradiance light emitting diode (LED) or a quartz tungsten halogen (QTH) light-curing unit (LCU) in which exposure duration with the LED was increased to deliver equivalent radiant exposure in the 450-490 nm wavelength range. METHODS: The VIP QTH and Freelight LED LCU's were obtained and the emission spectrum of each was determined using a Spectra Pro 750 spectrograph. Irradiance in the 450-490 nm range for each LCU was determined by calculating the area under the spectral curve. Curing of two composite resins (Z100 and Esthet-X) with equivalent radiant exposure within this prescribed wavelength range was achieved by increasing the irradiation time of the LED 33% from 30-40 seconds to compensate for its lower irradiance (Table 1). The resulting radiant exposure of 8.40 J/cm2 was roughly equivalent to the radiant exposure produced in 30 seconds by the QTH LCU (8.67 J/cm2). The cured specimens were polished with progressively fine wet silicon carbide papers to 600 grit and stored in distilled water at 37 degrees C for 24 hours prior to evaluating hardness and wear. Indentations for Vickers hardness testing were produced by applying a 0.5 kg load with a 15-second dwell time. Equivalent degree of cure was established indirectly through Vickers hardness numbers for the top and bottom surface of 2 mm thick disks of each material cured with each light (N = 3/group). Hardness ratios were computed by dividing mean bottom hardness by mean top hardness within each group. Three-body wear testing (N = 10/group) was performed on similarly fabricated specimens with a mechanical wear device using 44 microm unpolymerized PMMA beads as a simulated food bolus. The composite resin samples opposed spherical, stainless steel styli. A 75 N contact force was applied at 1.2 Hz for 100,000 cycles. Profilometry was used to quantify localized wear of the resin. Multivariate ANOVA and the Tukey-Kramer post hoc test (alpha = 0.05) were used to assess differences in hardness and wear of the materials. RESULTS: With respect to hardness, no difference was noted between top and bottom specimen sides based on material or curing method. Specimens cured using the LED exhibited hardness ratios approaching unity. No significant difference in hardness was found for the main effect of light used, but the main effect of material was highly significant. This was primarily because Z100 cured with the LED demonstrated statistically higher hardness than the other three groups, which were statistically similar. No significant difference in wear was found based on the light used, with the lowest mean wear seen in Z100 cured with the LED. Overall, Z100 exhibited significantly greater surface hardness (P < 0.001) and significantly less wear (P < 0.01) compared to Esthet-X

Carbon Compounds, Inorganic↗

Effect of drying time of 3-methacryloxypropyltrimethoxysilane on the shear bond strength of a composite resin to silica-coated base/noble alloys.

OBJECTIVES: In this in vitro study, the effect of various drying (surface reaction) times of a commercial silane, other than that recommended by the manufacturer (at least 5 min), on the bond strength between the resin composite and silica coated base and noble alloys was evaluated. METHODS: A total of 112 disc specimens (9 mm diameter and 0.5 mm thickness) were cast out of two types of alloy designed for ceramic firing, one of which was a noble (Degunorm) (gold-silver-platinum) and the other a base alloy (Wiron 99) (nickel-chromium-molybdenum). The specimens were assigned to two main groups according to each alloy type. These two main groups were further divided into seven subgroups, having eight specimens each. The specimens of both alloy types were air-abraded with 30 microm silica (SiO2) coated alumina (Al2O3) (CoJet-Sand, ESPE, Seefeld, Germany). The conditioned surfaces were coated with 3-methacryloxypropyltrimethoxysilane (MPS) and were allowed to react and dry for 1, 2, 3, 4, 5, 6, and 7 min, respectively, before the opaquer was applied. Immediately after the waiting periods for the silane to dry, first opaquer and then resin composite were applied. After storage in water for 30 days at 37 degrees C and thermocycling (5000 cycles, 5-55 degrees C), shear tests were performed using the universal testing machine at a crosshead speed of 0.5 mm/min. RESULTS: Analysis of data showed no significant difference in bond strength for any silane drying and reaction period for both base and noble alloys between 1 and 7 min (ANOVA, P = 0.05) (Degunorm: 5.8 - 7.4 MPa and Wiron 99: 7.2 - 10.2 MPa, respectively). Bond strengths of resin composite to base alloys were significantly higher than those to noble alloys at 2, 3 and 5 min (P = 0.0045, P = 0.05, P = 0.002, respectively). SIGNIFICANCE: In order to optimize the flow of laboratory work, the silane solution drying time might be reduced to 1 min for both base and noble alloys.

Analysis of Variance↗

Adhesion between the resin shell and composite resin.

Adhesiveness between the resin shell and composite resin was examined. As the resin shell, SR-PE-ISOCETTE, made from thermosetting crown and bridge resin, was used. The shear bond strengths between the resin shell and photocurable composite resin bonded by various methods were measured after 1-day of immersion in water at 37 degrees C. Super-bond C & B treatment to the resin shell effectively improved the adhesiveness, giving a bond strength of about 14 MPa. Clearfil new bond, Clearfil porcelain bond, Unifast and MMA/TBBO treatment gave almost the same bond strengths of about 7-9 MPa. Silane coupling agents were not effective for improving the bond strength. It was revealed that 4-META was necessary for obtaining good adhesion between SR-PE-ISOCETTE and composite resin.

Boron Compounds↗