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PubMed2006

Protective effect of the in situ pellicle on dentin erosion - an ex vivo pilot study.

AIM: The acquired pellicle is well known as an anti-erosive proteinaceous layer on enamel, but its protective properties on dentin have not been investigated in detail until now. The aim of the present ex vivo study was to evaluate the erosive effects on pellicle coated dentin. METHODS: Bovine dentin slabs were exposed to the oral cavity of one subject for 120 min for in situ pellicle formation. Subsequently, the slabs were incubated with HCl (pH 2.3) in vitro for 5 min and erosive calcium-release was measured photometrically. In addition, the acid treated specimens were evaluated by transmission electron microscopy (TEM). Pellicle free samples served as controls. RESULTS: Calcium erosion from the pellicle coated dentin slabs amounted to 23.5+/-2.9 microg Ca/min (pellicle free samples: 32.2+/-4.2 microg Ca/min). The difference was statistically significant (p < or = 0.05). In pellicle coated as well as in uncoated dentin samples, TEM-evaluation showed a demineralised dentinal surface layer which thickness ranged between 3 and 6 microm. The pellicle itself was partially dissolved but not removed by hydrochloric acid treatment. CONCLUSION: The protective properties of the acquired pellicle against an erosive challenge of the dentinal surface are limited. The dentinal pellicle functions like an ion permeable network rather than a barrier.

Adult↗
PubMed1997

In vitro interfacial relationship between human dentin and one-bottle dental adhesives.

OBJECTIVES: One-bottle dentin adhesives combine primer and adhesive resin into a single solution. This study was conducted to determine the bond strengths to dentin of four one-bottle bonding systems and to evaluate their SEM interfacial morphology. The hypothesis to be tested was that the water-based bonding system would produce lower bond strengths and less complete penetration into dentin than other bonding systems that are dissolved in organic solvents. METHODS: Forty extracted molars were ground to expose middle dentin and were randomly assigned to four groups (n = 10): Group 1--Experimental Single Bond (3M Dental Products Division); Group 2--Prime&Bond 2.1, pre-launch version (Dentsply DeTrey); Group 3--Syntac Single-Component (Vivadent); Group 4--Tenure Quik with Fluoride (Den-Mat Co.) The surfaces were treated according to manufacturers' instructions. After 24 h in water, the specimens were thermocycled, and the bond strengths were measured in shear. The data were analyzed with ANOVA and Duncan's test at a confidence level of 95%. Further, the adhesives were also applied to 600 microns thick dentin disks. After preparing polished cross sections, the bonded interfaces were demineralized, deproteinized, and observed under a FE-SEM. The morphological appearance of the resin-dentin interface surfaces was compared by screening the entire resin-dentin interface for each specimen. RESULTS: Two morphological characteristics were evaluated: 1) the depth of resin penetration into the tubules and 2) the thickness and density of the resin-dentin interdiffusion zone. Single Bond showed statistically higher mean shear bond strengths (p < 0.001) compared to the other three materials. Specimens prepared with Syntac Single-Component and Prime&Bond 2.1 were ranked in the intermediary Duncan's grouping. Specimens bonded with Tenure Quik with Fluoride exhibited the lowest mean shear bond strength. All materials penetrated and hybridized dentin. Single Bond formed a thick layer of adhesive resin on the top of the interdiffusion area without debonding, whereas some areas of debonding were observed on the top of the hybrid layers for Prime&Bond 2.1 and Syntac Single-Component. For the water-based adhesive Syntac Single-Component, the interdiffusion zone displayed a thick filigree pattern, containing scattered open spaces between the resin-enveloped collagen fibers. Tenure Quik with Fluoride did not thoroughly infiltrate the demineralized dentin zone, resulting in wide gaps in all specimens. Prime&Bond 2.1 formed the shortest resin tags, whereas Syntac Single-Component formed the longest resin tags. SIGNIFICANCE: Bonding to dentin remains unpredictable using one-bottle bonding systems. The chemistry of each individual material may be more important than the type of solvent.

Acetone↗
PubMed1995

Adhesion of composite to polished dentin retaining its smear layer.

OBJECTIVES: This study was designed to measure the adhesion of a composite to the smear layer. METHODS: An experimental aqueous bonding agent was supplied in the form of two liquids. One contained methacryloyl tyrosine amide (MTYA), glyceryl methacrylate (GM), dimethylaminoethylmethacrylate and benzene sulfinic acid sodium salt, and the other contained glutaraldehyde, succinic acid and 2-hydroxy-3-(3,4-dimethyl-9-oxo-9H-thioxanthen-2-yloxy)-N,N, N-trimethy-1-propanaminium chloride (QTX). QTX is a unique water-soluble photo polymerization initiator. The application times and irradiation times of the experimental aqueous bonding agent were varied. RESULTS: The highest mean bond tensile strength was obtained by irradiating the bonding agent for 1 min. A 3 min irradiation decreased the mean bond strength when the bonding agent was applied to the polished dentin surface for 1, 3 or 5 min. The mean values resulting from the application of experimental aqueous bonding agent were higher than those from a commercially available bonding agent which preserved or modified the smear layer. There was a significant decrease in the bond strength after 500 or 2000 thermocycles in specimens with a 5 min application of the bonding agent, but there was no significant decrease in the bond strength when the application time was for 1 or 3 min. SEM observation showed the formation of a hybrid layer with a thickness of approximately 1-1.5 micrometers. SIGNIFICANCE: The aqueous bonding agent tested in this investigation was capable of penetrating the smear layer and the bond strength exceeded the values obtained by bonding agents that remove the smear layer.

Analysis of Variance↗
PubMed1994

Evaluation of a new dentifrice for the treatment of sensitive teeth.

A dentifrice containing 5% potassium nitrate, 1.3% soluble pyrophosphate, 1.5% polyvinylmethyl ether and maleic acid (PVM/MA) copolymer and 0.243% sodium fluoride in a silica base (Sensitive/Tartar Control) has been developed to concomitantly control tartar, caries and dentinal hypersensitivity. In vitro and animal studies show that the fluoride in this product effectively inhibits formation of enamel and dentine caries. In vitro studies also demonstrate that this dentifrice effectively reduces hydraulic conductance by occluding dentine tubules with a mixed surface deposit of copolymer and silica. Using an in vitro model that simulates in vivo conditions, this dentifrice also allows a rapid penetration of potassium nitrate through the dentine matrix. These findings demonstrate a correlation under in vivo conditions between the occlusion of dentine and the ability to deliver topically applied agents to target sites within or below dentine. The results indicate that this new dentifrice should provide multiple clinical therapeutic benefits including controlling tooth decay and tartar formation, and reducing and preventing dentinal hypersensitivity.

Animals↗
PubMed1997

Review on fluoride, with special emphasis on calcium fluoride mechanisms in caries prevention.

Low concentrations of fluoride have a beneficial effect on enamel and dentin de- and remineralization. After fluoride treatments, such as topical applications, rinses or dentifrices, salivary fluoride concentrations decrease exponentially in a biphasic manner to very low concentrations within a few hours. For treatments to be effective over periods longer than the brushing and the following salivary clearance, fluoride needs to be deposited and slowly released. Calcium fluoride (or like) deposits act in such a way, owing to a surface covering of phosphate and/or proteins, which makes the CaF2 less soluble under in vivo conditions than in a pure form in inorganic solutions. Moreover, due to the phosphate groups on the surface of the calcium fluoride globules, fluoride is assumed to be released with decreasing pH when the phosphate groups are protonated in the dental plaque.

Calcium Fluoride↗
PubMed1998

A slow release calcium delivery system for the study of reparative dentine formation.

Several liquid, semi-solid and solid delivery systems were formulated and tested to devise a method of reproducibly administering accurate micro-doses of calcium into a 700 microns diameter cavity in a rat maxillary incisor tooth, in the absence of hydroxyl ions. Development of this delivery system was necessary to facilitate studies of the mechanisms of pulpal repair and odontoblast differentiation. The principal requirements for the delivery system were that it should be easily administered into a small pulp exposure in the rat incisor and that a greater than 1000-fold range in calcium ion concentrations could be incorporated and delivered for a period of 2-3 days, preferably in an acidic environment to minimize the effect of non-specific nucleation under alkaline conditions. Poly- (ethylene) glycol microspheres were found to be an ideal vehicle. Under the in vitro dissolution conditions used, complete release of all calcium salts occurred within 12-15 hours, except for the very water-insoluble calcium stearate. It was anticipated that the release of calcium ions would be significantly more prolonged in vivo because of the physical constraints of the prepared cavity as well as the restricted access to fluid flow.

Animals↗
PubMed2001

Microtensile bond strength of two single-step adhesive systems to bur-prepared dentin.

PURPOSE: To compare the microtensile bond strength (MTBS) of two single-step adhesive systems to two types of bur-prepared dentin. MATERIALS AND METHODS: Using either of two adhesives, the experimental MZ-2000 (MZ) and the commercial One-Up Bond F (OUB), resin composite was bonded to flat buccal and root dentin surfaces of eight extracted human premolars. These surfaces were produced by grinding with either regular-grit or superfine-grit diamond burs in a high-speed handpiece. After storage overnight in 37 degrees C water, the bonded specimens were sectioned into ten slices approximately 0.7 mm thick, perpendicular to the bonded surface. They were then subjected to microtensile testing. The surfaces of the fractured specimens were observed both visually and microscopically to determine the failure mode. In addition, to observe the effect of conditioning, the two types of bur-ground dentin surfaces were conditioned with the adhesives, rinsed with acetone, and observed under SEM. RESULTS: When MZ was bonded to dentin prepared with a regular-grit diamond bur, MTBS was the lowest and failures occurred adhesively at the interface, whereas other groups revealed primarily mixed failures. MZ-conditioned dentin surfaces ground with a regular-grit diamond bur were covered with a residual smear layer. However, the smear layers on the surface of MZ-conditioned dentin ground with a superfine-grit diamond bur and on OUB-conditioned dentin prepared either with a regular-grit or superfine-grit diamond bur were mostly or partially dissolved. CONCLUSION: Some of the single-step adhesive systems may produce low bond strengths to smear layers created by regular-grit diamond burs.

Acetone↗
PubMed1988

Aging and cross-linking of skin collagen.

This report represents a clear demonstration of a cross-link in collagen whose abundance is related to chronological aging of an organism. Recently its structure was identified as histidinohydroxylysinonorleucine. Quantification of the cross-link in various aged samples of bovine and human skin indicate that it rapidly increases from birth through maturation. Subsequently, a steady increase occurs with aging, approaching 1 mole/mole of collagen. This compound seems to be related to the relative proportions of soluble to insoluble collagen from skin in neutral salt, dilute acid, and denaturing aqueous solvents (higher concentration in the insoluble portion). It is absent from other major collagenous tissues such as dentin, bone and tendon.

Adult↗
PubMed2001

Solvent-induced dimensional changes in EDTA-demineralized dentin matrix.

The purpose of this study was to test the null hypothesis that the re-expansion of dried matrix and the shrinkage of moist, demineralized dentin is not influenced by polar solvents. Dentin disks were prepared from midcoronal dentin of extracted human third molars. After complete demineralization in 0.5M of EDTA (pH 7), the specimens were placed in the well of a device that measures changes in matrix height in real time. Dry, collapsed matrices were created by blowing dry N(2) on the specimens until they shrank to a stable plateau. Polar solvents [water, methanol, ethanol, n-propanol, n-butanol, formamide, ethylene glycol, hydroxyethyl methacrylate (HEMA), or mixtures of water-HEMA] as model primers then were added and the degree of re-expansion measured. These same solvents also were applied to moist, expanded matrices and the solvent-induced shrinkages measured. Regression analysis was used to test the correlations between matrix height and Hansen's dispersive, polar, hydrogen bonding, and total solubility parameters (delta(d), delta(p), delta(h), delta(t)). The results indicate that water-free polar solvents of low hydrogen bonding (H-bond) ability (e.g., neat HEMA) do not re-expand dried matrices and that they shrink moist matrices. When HEMA was mixed with progressively higher water concentrations, the model water-HEMA primers expanded the dried matrix in proportion to their water concentrations and they produced less shrinkage of moist matrices. Solvents with higher H-bonding capacities (methanol, ethanol, ethylene glycol, formamide, and water) re-expanded the dried matrix in proportion to their solubility parameters for H-bonding (delta(h)). They also induced small transient shrinkages of moist matrices, which slowly re-expanded. The results require rejection of the null hypothesis.

Biocompatible Materials↗
PubMed2003

Constant composition dissolution of mixed phases. II. Selective dissolution of calcium phosphates.

Characterization of the dissolution kinetics of individual synthetic and biological calcium phosphates is of considerable importance since these phases often coexist in biological minerals. The constant composition method has been used to study the dissolution kinetics of a series of synthetic calcium phosphates, brushite (DCPD), beta-tricalcium phosphate (TCP), octacalcium phosphate (OCP), hydroxyapatite (HAP), and carbonated apatite (CAP) in the presence and absence of citric acid, as a function of pH and thermodynamic driving force. While citric acid markedly accelerates the dissolution of TCP, HAP dissolution is significantly inhibited. Moreover, this additive has almost no influence on the dissolution of DCPD, OCP, and CAP. Dual constant composition dissolution studies of mixed calcium phosphates in the presence of citric acid have also been made. Another factor, pH, also plays an important role in the dissolution of these calcium phosphates. In suspensions of calcium phosphate mixtures, specific phases can be selectively dissolved by changing experimental parameters such as pH and the presence of rate modifiers. This result has important applications for the dissolution control of dental hard tissues such as dentin, enamel, and calculus.

Calcium Phosphates↗
PubMed1992

Smear layer: overview of structure and function.

Smear layers are created on hard tissues whenever they are cut with hand or rotary instruments. This thin (1-2 microns) layer of denatured cutting debris is very tenacious and, in fact, is often the surface to which restorative materials are luted. The solubility characteristics, chemical reactivity and the structure-function relationships of this layer have not yet been well-defined. During creation of the smear layer, cutting debris is forced variable distances into dentinal tubules. These so-called smear plugs, together with the smear layer decrease dentin permeability, dentin sensitivity and surface wetness. Bonding adhesive resins to smear layers appears to limit the theoretical bond strength unless the smear layers are loosened or partially removed. Future research in this area will include the use of surface analytical techniques such as Auger electron spectroscopy and ESCA. These techniques are required because of the thinness of the smear layer. It is clear that the nature of this critical interface between dental materials and cut hard tissues remains largely unknown. This field will provide fertile ground for future research.

Animals↗
PubMed2005

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↗
PubMed2004

Mineralization of dentin induced by treatment with bioactive glass S53P4 in vitro.

Dentin hypersensitivity can be managed to occlude dentin tubules, but none of the agents used are components of natural dentin. Using a calcium phosphate precipitation (CPP) method, dentin tubules can be occluded with a calcium phosphate (CaP) layer similar to the major inorganic component of dentin. The CPP method utilizes acidic pH conditions, such as etching of dentin, over the course of several dental treatments. A gentler method can be used to produce a CaP layer on the surface of dentin. By treating with bioactive glass S53P4 (BAG), or regular commercial glass (CG), mineralization occurs in physiologically neutral solutions such as simulated body fluid (SBF) and remineralization solution (RMS). After a short period of immersion, silica is dissolved from both types of glass, but the amount of silica released is much greater from BAG than from CG. The dissolved silica is adsorbed on the surface of dentin during the pretreatment procedure and enhances the mineralization of dentin in SBF. After 14 days' mineralization the dentin is fully covered by the CaP layer, but after 14 days' immersion in RMS decalcification of the dentin occurs. Pretreatment with BAG decreases the degree of decalcification of dentin during the mineralization process. These findings suggest that bioactive glass S53P4 can be used as a therapeutic material for mineralization of dentin and its tubules in a physiological environment.

Adsorption↗
PubMed1994

Aluminium release from glass ionomer cements during early water exposure in vitro.

Aluminium is a major constituent of glass ionomer cements. During mixing and setting aluminium is released from the glass into the polyalkeonic acid solution. Part of this aluminium may not combine with the polyalkeonic acid, but may be released from the cement. The aluminium release from auto-cured and light-cured glass ionomer cements during early water exposure was studied. The former cements released more aluminium than the latter. Scanning electron microscopy (SEM) showed extensive loss of polymer matrix for the cements with the highest aluminium release. Insufficient curing of light-cured cements also resulted in loss of matrix. It is suggested that the considerable release of aluminium from glass ionomer cements during early water exposure may explain the reported lack of mineralization of predentin in the pulp beneath glass ionomer cements. This would correspond to the inhibiting effect of aluminium on bone mineralization.

Aluminum↗
PubMed2004

Morphometric analysis of the effectiveness of different concentrations of sodium hypochlorite associated with rotary instrumentation for root canal cleaning.

This study evaluated the cleaning capacity of Profile.04 instruments with different concentrations of NaOCl solutions on flattened root canals. Twenty central mandibular incisors were divided into 4 groups: Group I: 0.5% NaOCl; Group II: 1% NaOCl; Group III: 5% NaOCl; Group IV: distilled and deionized water. After chemomechanical preparation, the teeth were submitted to histological preparation and morphometric analysis. Morphometric analysis showed that the 5% NaOCl was significantly more efficient in cleaning the root canal than 0.5% NaOCl and distilled water, which had the lowest levels of cleaning of the root canals (p<0.01).

Dental Alloys↗
PubMed1993

Clinical studies on MFP/calcium containing abrasive.

Monofluorophosphate (MFP) is unique in that its calcium salt is relatively soluble. Because of this property MFP can be combined with a dicalcium dihydrate (dical) abrasive in a dentifrice formulation without loss of efficacy. It has been reported that fluoride uptake by artificial lesions in enamel and dentine is significantly greater from an MFP formulation containing dical than from an equivalent calcium-free formulation. Additionally, it has been shown in an in situ remineralisation study that brushing with MFP dical significantly increases the levels of fluoride and calcium in plaque, and produces a concomitant increase in remineralisation of artificial caries lesions, as compared to brushing with MFP silica. All of the foregoing suggests that dical may enhance the benefit of MFP in a dentifrice formulation. MFP dentifrices have been tested more exhaustively in human clinical trials than any other form of fluoride dentifrice. In some trials the test formulation contained dical while in others a non-calcium abrasive system was employed. Collectively, studies of F/dical formulations have not produced more impressive results than studies of calcium-free MFP agents. However, there has never been a direct comparison of the conventional 0.76 per cent sodium monofluorophosphate dentifrice in a dicalcium phosphate abrasive system with a dentifrice containing a similar level of MFP combined with a non-calcium containing abrasive. In the closest approximation to such a study, an MFP/NaF dentifrice with a dical abrasive was compared to an MFP/NaF dentifrice with a silica abrasive system.(ABSTRACT TRUNCATED AT 250 WORDS)

Calcium Phosphates↗