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PubMed1991

Effect of bleaching time and temperature on the radicular penetration of hydrogen peroxide.

Extracted human premolars were treated endodontically and bleached intracoronally. The teeth were bleached with 30% hydrogen peroxide for periods of 5, 20, 40 and 60 min at temperatures of 24 degrees C, 37 degrees C and 47 degrees C. A correlation for both bleaching time and temperature and the radicular penetration of hydrogen peroxide was found. No penetration was found after 5 min bleaching at any of the temperatures tested. Prolonging the bleaching time after 5 min increased the hydrogen peroxide penetration at each of the temperatures tested. A rise in the bleaching temperature also increased the hydrogen peroxide penetration although not significantly for all tested periods. It is therefore suggested to minimize the bleaching time and temperature when hydrogen peroxide is used as the oxidizing agent. Bleaching should be limited to separate 5-min periods rather than being performed over a long continuous period.

Adult↗
PubMed2001

Study of dentinal tubule architecture of permanent upper premolars: evaluation by SEM.

Dentinal tubules are the means by which the pulp and mineralised tissues surrounding the dentine (enamel and cementum) communicate. Through these tubules external agents can damage the pulp and subsequently the periodontal ligament. Given the importance of dentinal tubules, the authors evaluated the numerical density, shape, and individual surface area of tubule openings and the percentage of dentine occupied by these. Eight permanent upper premolars were studied using scanning electron microscopy (SEM). In the crown, the external surface of the dentine was evaluated at the dentino-enamel junction and the internal surface at the pulp chamber wall. At the cervical, middle and apical thirds of the root, the external surface was evaluated at the cemento-dentinal junction and the internal surface at the root canal wall. The results showed that numerical density of tubule openings is significantly greater (p < 0.05) at the cervical third of the dentine, at its junction with the cementum and at the pulpal chamber wall, with respect to other areas evaluated. The individual surface area of each opening varied from 5.72 microns 2 in the dentine of the pulpal chamber wall to 0.97 micron 2 in the dentine of the apical third of the root canal wall. The percentage of area occupied by the dentinal tubules per mm2 of dentine was significantly higher (p < 0.01) at the internal dentinal surface as compared to the external. The shape of the tubule openings was found to be circular in the crown and became more irregular as the apical third of the root was approached.

Adolescent↗
PubMed1997

Inhibitive effect of a resin-modified glass ionomer cement on remote enamel artificial caries.

Glass ionomer cements (GICs) demonstrate the inhibition of caries lesions formed immediately adjacent to the restoration. This in vitro study was conducted to evaluate the distance at which a resin-modified GIC is able to exert its cariostatic effect on artificial enamel lesions ('remote effect'). Resin-modified GIC or bis-GMA resin was applied on the cervical third of the labial surface of 10 paired halves of bovine incisors. Specimens were separately immersed for 3 weeks in lactic acid gel which was changed every other day to reduce fluoride accumulation. Artificial lesions were examined by the cross-sectional microhardness (MHN) method. Volume percent mineral, mineral loss (delta Z value) and change in mineral content (delta M) were computed for each MHN profile, performed at distances of 0.2, 0.5, 1.0, 2.0, 4.0 and 7.0 mm from the edge of the materials. delta Z values of the resin-modified GIC group were significantly lower than those of the bis-GMA control group at all remote sites (t test, p < 0.05). The delta M caused by resin-modified GIC was more pronounced within 1.0 mm from the material which suggested that the demineralization inhibition can be divided into the near effect (< 1.0 mm). In this in vitro study, resin-modified GIC provided caries resistance in bovine enamel located at a considerable distance from the margin of the material.

Animals↗
PubMed1992

Effects of external bleaching on indentation and abrasion characteristics of human enamel in vitro.

The application of home-bleaching procedures as a means of lightening multiple teeth has become increasingly popular. Very few studies, however, have determined the effect of this treatment upon dental hard tissues. This in vitro study evaluated the effects of a 10% carbamide peroxide gel on the apparent fracture toughness, hardness, and abrasion characteristics of human enamel. The apparent fracture toughness of enamel was reduced by about 30% after bleaching for a period of 12 hours with no significant change in surface hardness. Enamel treated with the bleaching gels also exhibited a small but significant decrease in abrasion resistance. This behavior was most likely due to an alteration of the organic matrix of enamel under the chemical action of hydrogen peroxide. Further investigation of the clinical significance of this process is needed.

Analysis of Variance↗
PubMedDate not supplied

[Evaluation of pH variation and cervical dentin permeability in teeth submitted to bleaching treatment].

External cervical root resorption is one of the disadvantages of the bleaching procedure. There are several mechanisms that may be responsible for causing resorption, such as the chemical and physical action of the utilized materials and the morphology of the cementoenamel junction. The purpose of this study was to investigate the presence of a communication between the pulp chamber and the external root surface. The investigation was carried out by means of pH tests and measurement of dye infiltration into cervical dentin after the bleaching procedure. Thirty-four human permanent incisors were submitted to endodontic treatment. The teeth were assigned to three experimental groups, according to the level at which the filling was cut, and to the sealing of the root canal entrance with glass ionomer cement. Sodium perborate and 30% hydrogen peroxide were utilized for bleaching. pH readings were carried out after 30 minutes, 24 h, 48 h and 72 h from the beginning of the procedure. The teeth were immersed in 0.5% basic fuchsin for 24 h in order to determine possible differences in the permeability of cervical dentin. The results revealed that pH tended to change when the root filling was cut at the entrance of the canal, when 2 mm of the filling were removed, and when the canal entrance was sealed with glass ionomer. Dentinal permeability increased in the three experimental groups, in comparison with the control group. These slight differences may suggest a communication between the pulp chamber and the external root surface.

Dentin↗
PubMed1992

Root dentin morphology after different modes of citric acid and tetracycline hydrochloride conditioning.

The purpose of this study was to assess the effect of citric acid and tetracycline HCl application to dentin surfaces by a "passive dripping" or an "active burnishing" technique. Twenty dentin blocks were prepared from freshly extracted non-diseased human impacted third molars. The blocks were root planed and randomly assigned to two groups for treatment with either citric acid or tetracycline HCl. The duration of treatment was 30, 60, 120, or 240 seconds. Control blocks were treated with distilled water. After treatment the blocks were processed for observation and measurements in the scanning electron microscope (SEM). Application of either of the acid solutions resulted in removal of the smear layer. Measurements indicated a time dependent increase in the mean dentinal tubule orifice diameter ranging from 1.05 microns in control specimens to 3.18 microns after 4 minutes treatment (citric acid group). The increase in tubule diameter was significantly greater (P less than or equal to 0.01) for both citric acid treatment modalities than tetracycline HCl treatment. There was also a time dependent increase in the depth of penetration as measured by a trumpeting of the tubule profiles, and this penetration was significantly greater (P less than or equal to 0.01) after citric acid treatments. Passive or active application of the acids did not seem to have any major impact on the measurements or on the surface morphology. It was concluded that citric acid causes more extensive changes than tetracycline HCl and that the mode of application of the agent is probably not critical.

Acid Etching, Dental↗
PubMed1992

Pulpal vascular changes in inflammation.

Changes in pulpal vessels in experimentally induced acute and chronic pulpitis in dog tooth were investigated using corrosive resin casts and scanning electron microscopic examination. Following a cavity preparation without water spray, increased permeability of blood vessels occurred in the primary stage of acute pulpitis. This was evidenced by the extravasation of resin from the vessel. This phenomenon was found initially in the venular network as well as in the capillary network located under the dentin. The morphological change was minimal in the vascular network underneath the cavity. This is in contrast to an expanded and tortuous vascular network representing an ulceration which was found around an abscess in chronic pulpitis. Furthermore, formation of vascular loops and AVAlc close to the inflamed region may represent a protective change in the pulp against inflammation.

Acute Disease↗
PubMed2006

Effect of bleaching agents on enamel permeability.

PURPOSE: To evaluate enamel permeability after external bleaching procedures. METHODS: The coronal portion of 75 human canines were covered with an acid resistant varnish, except for a 7.1 mm2 circular area on the labial surface and, according to a randomized complete block design, specimens were allocated to bleaching treatments using carbamide peroxide-containing agents (CP): 10%, 16% or 37%; or a 35% hydrogen peroxide product (HP). The control group was exposed to artificial saliva. The bleaching agents were applied following the manufacturer's recommendations over 21 days. In between bleaching exposures, specimens were stored in artificial saliva. Samples were then prepared according to a histochemical coloring method based on copper sulfate and dithiooxamide solutions. Digital images captured in an optical microscope were used to measure the percentage of copper ion penetration over the total enamel thickness on three sections taken from the exposed area. RESULTS: Analysis of Deviance showed a significant difference for the permeability values among groups (P = 0.046). Likelihood ratio test revealed that the use of the CP10% and HP35% agents caused significantly greater enamel permeability than did the control treatment. No significant differences in percentage of copper ion penetration were found among CP10%, CP16%, CP37% and HP35%. This in vitro study demonstrated that depending on the external bleaching procedure, enamel permeability may be increased.

Analysis of Variance↗
PubMedDate not supplied

The clinical significance and management of microleakage. Part two.

This research reviews relevant articles related to microleakage from 1966 to the present. The review discusses what the sensation of microleakage is clinically; how dentin permeability is related to microleakage; how the quality of dentin affects permeability and microleakage; what the effects of bacterial infiltration from microleakage can be, as well as the body's defenses against bacterial infiltration within the tooth complex; how caries and microleakage are related; and how various materials and procedures can be used to limit microleakage. Part Two reviews the use of materials, technique, and procedures to limit microleakage, and specifically how the use of various dentin and enamel bonding materials can be used to limit microleakage.

Composite Resins↗
PubMed1996

Role of cementoenamel junction on the radicular penetration of 30% hydrogen peroxide during intracoronal bleaching in vitro.

Intracoronal bleaching of nonvital, teeth with 30% hydrogen peroxide is occasionally associated with external cervical root resorption. The exact mechanism by which bleaching induced root resorption occurs is not yet fully understood. The relationship of cementum to the enamel at the cementoenamel junction may have clinical significance. Seventeen single rooted human mandibular premolars extracted atraumatically for orthodontic reasons were used. The radicular hydrogen peroxide penetration in each tooth was measured in vitro by an indirect colorimetric method. Thereafter, the teeth were examined with a scanning electron microscope to determine the type of the cementoenamel junction. It was found that the radicular penetration of 30% hydrogen peroxide was related to the type of cementoenamel junction.

Adult↗
PubMed1985

Vascular permeability to lanthanum in the rat incisor pulp. Comparison with endoneurial vessels in the inferior alveolar nerve.

Experiments were performed to compare the permeability of capillaries supplying the endoneurial environment, which is invested by perineurium, with vascular permeability in the pulp where perineurium is absent. Anaesthetised rats were perfused through the aorta with physiological solutions containing lanthanum nitrate at 37 degrees C. Pieces of inferior alveolar nerve and segments of mandibular incisors were immersion-fixed and transverse sections were examined electron microscopically for the distribution of lanthanum. In the pulp the nerve fibres pass between lanthanum-impermeable arterioles and venules en route to the incisal end. In the peripheral pulp a few capillaries were permeable but the most permeable capillaries lay between the odontoblasts. Pulpal capillary permeability was attributed to the fenestrated endothelium and contrasted with the unfenestrated endoneurial capillaries which were impermeable to lanthanum. Whereas the tight junctions of endoneurial capillaries are known to prevent certain blood-borne substances from entering the endoneurium, it was not clear whether the permeability of the pulpal capillaries, which are distant from the nerve fibres, could affect the nerve fibre environment. No extravasated lanthanum reached the pulpal nerve fibres suggesting that they are not affected. Technically it was not possible to examine the incisal third of the tooth where the situation could be different because the volume of the pulp decreases and capillaries lie closer to the nerve fibres.

Animals↗
PubMed2002

Effect of perfusion with water on demineralization of human dentin in vitro.

Dentinal fluid rarely features in caries studies of dentin. The mutual effects of in vitro perfusion and dentin demineralization were investigated. The correlation between the remaining dentin thickness and demineralization was also analyzed. Buccal cervical dentin windows in human tooth segments were demineralized either with or without perfusion with water at 3.14 kPa. Transverse microradiography revealed that dentin perfusion reduced the amount of mineral loss from the lesions by 22 vol%; the reduction in lesion depth was 8%. Perfusion rate, which was measured throughout the demineralization process by means of a fluid transport model, did not change significantly. Lesions formed closer to the pulp exhibited increased mineral loss and lesion depth. In conclusion, dentinal fluid flow offers some protection against demineralization. For a better approximation of clinical reality, therefore, in vitro studies on dentinal caries should consider the effect of dentinal fluid flow.

Analysis of Variance↗
PubMed2001

Ultrastructural changes in postcapillary-sized venule morphology in aged mouse periodontal ligament.

The aim of this study was to compare the postcapillary-sized venule (PCV) morphology of four young ALCA mice (35 days) and four colony-related aged mice (365 days) using the transmission electron microscope (TEM). Right and left mandibular first molar mesial roots with associated periodontal ligament (PDL) and bony socket, were used for TEM assessment. Five PCV profiles were selected at each 160 microm interval, from the alveolar crest to the tooth apex. PCV profile dimensions were measured on standardised micrographs magnified x2900. Age affects were tested using multiple regression analysis. The number of PCV profiles in the tooth third of the PDL was higher in aged mice (p < 0.01) and comprised predominantly apericytic vessels (p < 0.001). The number of PCV profiles increased significantly (p < 0.001) in aged mice in the PDL middle circumferential third halfway down the molar root. Age had no significant affect on PCV diameter. Aged PDL permeability studies are needed to investigate whether the changes in aged PCV profile number are associated with functional modification of the PDL microvasculature.

Aging↗
PubMed1980

Altered vascular permeability in the dental pulp of traumatised rat teeth.

A study was made of the vascular permeability changes occurring in the dental pulp of rat teeth subjected to trauma of the occlusal surface with a special steel burr. The vascular response was measured by leakage of 131I-labelled human serum albumin and of colloidal carbon. The effect of a variety of inhibitors of increased vascular permeability was observed. The results obtained support the hypothesis that in the model studied the vascular response of the dental pulp is mediated by the sequential release of histamine and 5-HT, kinins and prostaglandins.

Animals↗
PubMed1981

Quantitative measurements of the diffusion in vitro of some aldehydes in root canals of human teeth.

Quantitative measurements with Schiff reagent of the diffusion of aldehydes from endodontically prepared teeth were performed as a function of time, quantity, and concentration of the inserted drug, repeated sealing of the drug in the root canal, the age of the tooth, and the site of the diffusion. The measurements are based on the reaction of aldehydes with Schiff reagent. All teeth were permeable to formaldehyde-containing drugs. Diffusion of the formaldehyde could be detected within 1 minute. The bulk of the inserted formaldehyde diffused through the apical third, but in young teeth (less than 20 years) the whole root surface was permeable. A 2 percent solution of glutaraldehyde, unlike 10 and 25 percent studies, tended to permeate through the dentin and cementum.

Adolescent↗
PubMed1997

In vitro study of intradentinal calcium diffusion induced by two endodontic biomaterials.

The aim of this in vitro study was to assess intratubular calcium penetration induced by two root canal restoration materials, one calcium oxide based, and the other calcium hydroxide based. Pig teeth were restored with no preliminary root canal preparation. The filing materials were left in place for 8, 15, or 21 days. The samples were then examined using various microanalytical techniques and, in parallel, by backscattered electron image (BEI) scanning electron microscopy. The Ca/P ratios obtained by microanalysis were higher for samples restored with calcium oxide. In addition, the distances over which the ratios increased were also greater than those obtained using calcium hydroxide. BEI photographs confirm these results and show corresponding retrodiffusion fringes.

Animals↗
PubMed2001

The influence of resin composite and bonded amalgam restorations on dentine permeability in Class II cavities in vitro.

OBJECTIVES: This study was conducted to measure and compare dentine permeability reduction in Class II preparations, after restoration with resin composite or bonded amalgam, using either a multi-step or one-bottle dental adhesive system. METHODS: An in vitro fluid transport model was used to measure initial dentine permeability in Class II cavities with an intact smear layer in crown segments from extracted human premolars. One week and 3 months after restoration with resin composite or bonded amalgam, using either multi-step or one-bottle dental adhesive system, the measurements were repeated and the reduction in permeability was calculated as a percentage of the initial values. The data were analyzed statistically using a one-way ANOVA and Least Significant Difference tests. RESULTS: After 1 week the resin composite with one-bottle dental adhesive system provided the highest reduction in dentine permeability, whereas after 3 months the bonded amalgam caused the highest reduction. At both time intervals the resin composite with multi-step adhesive system provided the lowest reduction. (P=0.036 at 1 week, P=0.016 at 3 months). After 3-months storage in water a significant increase in dentine permeability reduction was found in the bonded amalgam group only (P=0.017). The reduction in dentine permeability provided by resin composite with one-bottle dental adhesive system and bonded amalgam in Class II cavities was similar at both time intervals. (P=0.182 at 1 week, P=0.750 at 3 months). SIGNIFICANCE: The results of this study indicated that on the basis of reducing dentine permeability in vitro, resin composite restorations with the investigated one-bottle adhesive system was superior to its multi-step equivalent and bonded amalgam can also be preferred in Class II restorations.

Adolescent↗