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PubMed1991

Compressive strength of some polyalkenoates with or without dental amalgam alloy incorporation.

The present study compares the compressive strength after one week of some conventional glass-ionomer restorative materials with that of glass ionomers reinforced by the addition of ceramic-coated silver or dental amalgam alloy particles to the aluminosilicate glass powder. Apart from the commercially available Ketac Silver and Miracle Mix, experimental mixtures of Fuji II glass-ionomer powder, the old as well as the new version, with various amounts of either a spherical or lathe-cut amalgam alloy were investigated. For the conventional glass ionomers, the mean compressive strength based on all measurements amounts to 159.9 +/- 4.5 MPa. Both formulations of Fuji II have a comparable strength after one-week maturation. The compressive strength of Ketac Silver does not differ significantly from that of Ketac Fill or from that of the conventional glass ionomers investigated. The effect of admixing amalgam alloy on the compressive strength is found to be determined by the shape and the amount of the alloy particles. Moreover, both parameters are interactive with the formulation of the Fuji glass ionomer used for preparation of the mixture. The results indicate that when dental amalgam alloy is added to the glass ionomer, lathe-cut particles are to be preferred but only in an amount up to 20% by weight.

Analysis of Variance↗
PubMed1994

Factors that influence the setting characteristics of encapsulated glass ionomer cements.

The slow rate of the setting reaction of glass ionomer cements (GICs) is one of the problems associated with their clinical use. The manufacturers of these materials suggest that increasing the mixing time will increase the rate of reaction and it was the purpose of this study to investigate the limits of this relationship. The method used to monitor the setting reaction with Differential Thermal Analysis (DTA). The results obtained using DTA were compared with those obtained using the ISO penetrometer method as defined in the ISO standard for water-based cements, ISO 9917:1991E. It was shown that increasing the mixing time of cements did not significantly reduce the setting time (P > 0.05). Under the conditions of the study it was only possible to measure a working time for the Chemfil II (and then only if it was mixed for less than 12 s). Storing the capsules at 4 degrees C did enable a working time to be measured using the DTA for all the materials, however these storage conditions also produced a significant increase in the setting time which would be undesirable to the clinician. The penetrometer method underestimated the duration of the setting reaction by up to 32% compared with the DTA method. However it was a quick and reproducible method of measuring setting time and as such may still be an appropriate method for use in the ISO standards.

Cermet Cements↗
PubMed2005

Damage mechanics and load failure of fiber-reinforced composite fixed partial dentures.

OBJECTIVES: Damage mechanics has been defined as the study of the initiation (initial failure) and accumulation of damage to and including rupture (final failure). This study was designed to evaluate the effect of increasing fiber-reinforced composite (FRC) substructure within a standardized fixed partial denture (FPD) model on the failure performance, in terms of damage mechanics. METHODS: The two FRC restorative systems, Targis/Vectris (TV) (Ivoclar Vivadent) and EverStick (ES) (Stick Tech with Gradia, GC Corp.), were used to restore the molar FPD model (1.5 mm axial and 2.0 mm occlusal reduction). Templates were used to standardize substructure designs with 0, 18, 43, and 66% cross-sectional FRC volume fraction (V(FRC)) of fiber substructure. Specimens (n = 5) were homogenized at 29 points and stored for 1 week at 37 degrees C in distilled water. Specimens were luted with calcium hydroxide, then statically loaded until failure. Initial failure (IF), final failure (FF) and the mode of failure were recorded. RESULTS: The lowest mean load to initial failure was 530 N (TV 18%) and the highest was 1208 N (ES 66%). Linear regression analysis calculated the Pearson's correlation coefficient (r) for the interactions between V(FRC) and IF (ES: r = 0.7879, TV: r = 0.6184), V(FRC) and FF (ES: r = 0.912, TV: r = 0.8152), and between IF and FF (ES: r = 0.892, TV: r = 0.7237). Unreinforced specimens universally fractured instantaneously. SIGNIFICANCE: The highest loads to initial and final failure were yielded by specimens with the highest cross-sectional V(FRC).

Calcium Hydroxide↗
PubMed1999

Effect of sandblasting and silicoating on bond strength of polymer-glass composite to cast titanium.

STATEMENT OF PROBLEM: There is little information regarding the mechanical and chemical retention of polymer-glass composite to cast titanium. PURPOSE: This study examined whether sandblasting in conjunction with silicoating improves the bond strength of the polymer-glass composite to cast titanium. MATERIALS AND METHODS: Disk patterns (10 mm in diameter, 2.5 mm thick) were cast with commercially pure titanium (CP Ti) and Type IV gold alloy. Three pretreatments were applied: 50 microm Al(2)O(3) sandblasting (50 SB), 250 microm Al(2)O(3) sandblasting (250 SB), and 600-grit SiC paper polishing (600 SiC). After surface preparation, the Siloc system (silicoating) was applied on the disks. The 50 SB specimens without Siloc system were also prepared as controls. Then sticky tape with a circular hole (4.76 mm diameter) was placed onto the disk to define the bonding area. Artglass (polymer-glass) opaque, dentin, and enamel composites were applied using Teflon matrices and then light-polymerized. Shear bond strength (n = 8) was determined at a crosshead speed of 5 mm/min. Results were analyzed statistically with 2-way ANOVA and the Tukey-Kramer test (alpha=.05). RESULTS: The Siloc system significantly (P <.05) improved the mean shear bond strength of Artglass to both metals in the 50 SB specimens. Statistical differences (P <.05) in shear bond strength were found among surface treatments for the silicoated CP Ti specimens, in which 250 SB specimens yielded the greatest bond strength. The Type IV specimens treated with Siloc system showed no significant differences in shear bond strength between the 50 SB and the 250 SB specimens. CONCLUSION: Sandblasting with coarser alumina particles in conjunction with silicoating significantly enhanced bond strength of polymer-glass composite to cast titanium.

Analysis of Variance↗
PubMed1990

Variation in powder/liquid ratio of a restorative glass-ionomer cement used in dental practice.

This study investigates the powder/liquid ratios of a glass-ionomer restorative (ChemFil II, Dentsply) mixed in clinical practice. Twenty-two dental surgery assistants (11 from general practice; 11 from a dental hospital) mixed this cement as they would for clinical use. Samples were taken of three mixes from each assistant and the powder/liquid ratios were derived from weight loss on dehydration. A wide range of ratios were obtained, but in no case was the manufacturer's recommended ratio of 6.8:1 achieved. The consistency measured in accordance with BS 6039 showed the cement at 6.8:1 to be less fluid than the requirements of the standard and other glass-ionomer restoratives. When tested at the mean ratio used in practice, 5.0:1, the consistency complied with BS 6039, but the compressive and diametral strengths did not, being about half the values found at 6.8:1. It was concluded that this restorative was often mixed in practice at much lower powder/liquid ratios than that recommended by the manufacturer and that this would impair the cement's mechanical properties.

Glass Ionomer Cements↗
PubMed2001

Curing depth of different shades of a photo-activated prosthetic composite material.

This study determined the depth of cure of different shades of a prosthetic composite material with the aim of evaluating the influence of shade variation on post-curing material properties. Four light shades having small tabs (A1, B1, C1 and D2) and four dark shades having higher tabs (A4, B4, C4 and D4) of a prosthetic composite (Artglass) for body paste based on the Vita Lumin Shade guide were selected. Specimens of each shade were exposed with the proprietary photo-curing unit (UniXS) for periods 20, 30, 60 and 90 s. The curing depth of the material for each shade was determined with a scraping technique described by the International Organization for Standardization (ISO 4049), and average values of groups of five specimens were compared using analysis of variance (ANOVA) and Scheffe's S intervals (P < 0.05). The L*a*b* colour parameters of five specimens after 90 s exposure were measured using a small-area dental colorimeter (ShadeEye) in order to determine the colorimetric differences. Three-factor ANOVA revealed that the depth of cure was influenced by shade letter (A, B, C or D) and shade tab (1 and 2, or 4) as well as by the exposure period (P=0.05). Curing depth of the light shades was consistently greater than that of the dark shades. Among the eight shades selected, B1 shade demonstrated the greatest curing depth, while A4 shade exhibited the lowest curing depth. For all shades, longer exposure increased the depth of cure. All of the light shades exhibited higher L* values than any of the four dark shades. Curing depth of the composite material was found to be related to the Vita shade variation and the exposure period.

Analysis of Variance↗
PubMed2001

Glass-fibre-reinforced-composite fixed partial dentures on dental implants.

UNLABELLED: The objective was to investigate the fracture strength and marginal fit of implant suprastructures made of fibre-reinforced composite which were fixed onto the implants using cementation or screws. A sample (n=8) of 4-unit bridges, made of the fibre-reinforced composite Vectris/Targis, were adhesively cemented onto titanium conical implant abutments. The second sample consisted of eight screwable Vectris/Targis bridges which were based on prototypes of titanium crown bases. After a 5 year simulation of thermal cycling and mechanical loading (TCML), all specimen were loaded to fracture. Marginal fit was investigated using a semiquantitative SEM analysis. The cemented 4-unit bridges showed a fracture strength of 1553 N (Q1=1498 N, Q3=1825 N) and the screw-fixed bridges had a median of 1457 N (Q1=1223 N, Q3= 1781 N). The analysis of the marginal adaptation showed similar results of cemented and screwed bridges. The bond between the Targis facing-material and the composite cement was significantly deteriorated after TCML. CONCLUSION: Suprastructures made of glass-fibre-reinforced composite could become an alternative to reconstructions with a metal-framework. Both, fixation onto the implants with screws or cementation, are possible.

Composite Resins↗
PubMed2002

Resistance of core materials against torsional forces on differently conditioned titanium posts.

STATEMENT OF THE PROBLEM: The separation of core materials from titanium posts, which have a low modulus of elasticity, has been identified as a problem in restorative dentistry. PURPOSE: This study evaluated the resistance to torsional forces of various core materials adapted to differently conditioned titanium posts. MATERIAL AND METHODS: Seven hundred and twenty specimens were tested consisting of: 6 core materials and 5 surface conditioning techniques for 2 kinds of opaquers with 10 specimens in each group (6 x 5 x 2 x 10=600) plus 6 core materials and 2 opaquers were tested and considered as control groups on nonconditioned titanium posts, each group containing 10 specimens (6 x 2 x 10=120). The custom-made pure titanium posts were conditioned with the following products: Silicoater Classical, Silicoater MD, Rocatec, Kevloc, and Siloc surface-conditioning systems. Subsequently, 6 core materials with different compositions (Durafill, Adaptic, Coradent, Ti-Core, Hytac Aplitip, and Photac-Fil Aplitip) were applied to titanium posts that were previously coated with 2 types of light-polymerized opaquers, either Artglass or Dentacolor. Sixty air-abraded titanium posts (250 microm, 30 seconds) were used as controls for each core material. Following thermocycling (5 degrees -55 degrees C, 30 seconds, 5,000 cycles), maximum torsional forces were determined with an electronic torque movement key. Data were statistically analyzed by 1-way analysis of variance followed by 2-way analysis of variance (P<.05). RESULTS: Significantly higher mean torsional forces were observed with respect to Siloc (20.4 Newton decimeter [dNm]), Silicoater Classical (18.6 dNm), Silicoater MD (18.2 dNm), and Rocatec (17.0 dNm) systems compared with the mean for the untreated control group (14.6 dNm) (P<.001). The Kevloc system (10.4 dNm) demonstrated no significant difference compared with the control group (P>.001). The Kevloc system in combination with the Artglass opaquer and Photac-Fil Aplitip (0.00 dNm) core material showed no resistance against torsional forces. Significant differences were observed between hybrid core materials and microfilled composite, compomer, or resin-modified glass ionomer core materials (P<.001). CONCLUSION: Within the limitations of this study, the resistance to torsional forces for the core materials on titanium posts increased with the use of chemical surface-conditioning techniques and varied in accordance with the opaquer type. Type of core material also significantly influenced the resistance after thermocycling.

Acrylonitrile↗
PubMedDate not supplied

Creating esthetic composite restorations: Part II, Crown fabrication.

The purpose of the article is to describe a fabrication technique to assist dental technicians to create an esthetic, indirect, high strength composite crown with fiber reinforcement. After the teeth have been prepared and the models completed the technician can begin the fabrication process. A fiber coping is fabricated on a separate transfer die. Translucent dentin is selected to reduce opacity and enhance the blend with the remaining dentition. High chroma dentin modifiers can then be place into the fossa, cervical, and interproximal areas to replicate dentin seen in natural dentition. Different incisal materials can then be layered into the build-up to regulate the value of the restoration. Special effects such as hypocalcification are placed internally to mimic naturally occurring esthetics. Realistic anatomy is created using a small tipped instrument directly into the final layer of uncured translucent blue enamel material. Fissure characterization is placed in the restoration to match existing dentition. Fit and margins are verified on separate dies to minimize discrepancies. Path of insertion and proximal contacts are established on a solid model to minimize chairside adjustments.

Color↗
PubMed2000

Stage I surgical indexing: clinical and laboratory procedures.

This article will describe the clinical and laboratory procedures used to treat a patient with implant retained crowns including Stage I indexing, fabrication of fixed provisional crowns to be inserted at the time the implants were uncovered (Stage II surgery), and the insertion of the definitive cement-retained crowns after the soft tissues had healed. All of the components described in this article were made by Implant Innovations, Inc., Palm Beach Gardens, FL. The reader may consider this type of treatment using components made by various manufacturers.

Adolescent↗
PubMed2002

Fracture strength of all-ceramic lithium disilicate and porcelain-fused-to-metal bridges for molar replacement after dynamic loading.

The replacement of missing posterior teeth using all-ceramic bridges remains a challenge. This study compares the fracture resistance of all-ceramic 3-unit bridges for the replacement of first molars to conventional porcelain-fused-to-metal bridges. Human premolars and molars were used to create two test groups and one control group of 16 specimens each. To simulate clinical parameters, the specimens were exposed to cyclic fatigue loading in an artificial mouth with simultaneous thermocycling. All samples were thereafter exposed to fracture strength testing. Porcelain-fused-to-metal bridges showed significantly higher fracture strengths than all-ceramic bridges. However, the fracture strength of the all-ceramic bridges was higher than peak physiological chewing forces.

Aluminum Silicates↗
PubMedDate not supplied

Spectroscopic analysis of polymer-ceramic dental composites after accelerated aging.

PURPOSE: The aim of the study was to determine the color and surface chemistry changes of two fiber-reinforced composites and one "advanced composite" as a function of an accelerated aging process by light exposure and water spray. MATERIALS AND METHODS: Three composites (Artglass, Targis, and Conquest Sculpture) were assessed for color evaluation in three different shades and with XPS analysis. Four specimens of each shade were analyzed with the UV/VIS/NIR Spectrophotometer in reflectance to determine the baseline color for the CIE L*a*b* system. XPS spectra were obtained from three specimens for each material group. All sample disks were artificially aged in a weathering machine and exposed to water spray and a controlled irradiance xenon arc of 0.55 W/m2/nm measured at 340 nm for a total exposure time of 122 hours. L*a*b* and XPS analyses were repeated after the aging process for all specimens. RESULTS: Artglass had "just perceptible," changes, with deltaE* between 1.8 and 2.7, while Conquest Sculpture showed, in all shades, "visually perceptible" changes from deltaE* 5 to 9. Targis had just perceptible as well as visually perceptible changes after aging. All materials showed decreased Ba and Si on the aged samples, while carbon increased. CONCLUSION: All materials tested underwent a surface change after the aging process. Artglass and Targis changed minimally into whitish/reddish and yellowish appearances, respectively. An organic-rich surface was produced by a combination of washout of filler particles and rearrangement of polymer molecules through diffusion.

Barium↗
PubMedDate not supplied

A prospective clinical study of ceromer inlays: results up to 53 months.

PURPOSE: The aim of this study was to evaluate the clinical performance of a ceromer (Targis) in indirect inlay restorations. MATERIALS AND METHODS: Ninty-nine Targis inlays (37 premolars, 62 molars) were placed in 51 patients (mean age 27 years). Twenty-nine percent of the restorations were placed in patients with parafunctional habits such as bruxism or clenching. All restorations were in occlusion and were placed using Variolink (43 Variolink Ultra, 56 Variolink II high viscosity) in combination with the Syntac Classic adhesive system under rubber dam isolation. The restorations were evaluated according to modified USPHS criteria at baseline and for a recall period of 6 to 53 months after insertion. RESULTS: There were two clinically unacceptable failures in total. Fracture was registered in one molar at 38 months, and one molar needed endodontic treatment 7 months after insertion. Based on Kaplan-Meier statistical analysis, the estimated survival rate of the inlays was 97.9% (97.7% for Variolink Ultra, 98.2% for Variolink II high viscosity). It was apparent that deterioration occurred in the surface texture of the inlays, since a slightly pitted surface was observed in 29% of the inlays at recall examinations. CONCLUSION: In this in vivo study, Targis inlays luted with both resin luting agents functioned satisfactorily, with a relatively low fracture rate over a mean evaluation period of 28 months.

Adult↗
PubMedDate not supplied

In vitro assessment of cytotoxicity of resin-based dental restorative materials on WEHI 13 var fibroblasts.

PURPOSE: The aim of this study was to assess the cytotoxicity of 4 resin composites' eluates on WEHI 13 Var fibroblasts as they aged in a biologic medium. MATERIALS AND METHODS: Cytotoxicity was determined by counting the number of viable cells by trypan blue exclusion. Morphologic changes attributable to cytotoxicity were observed by May-Grunwald-Giemsa cytologic staining and microscopic examination. DNA gel electrophoresis was performed to detect possible genotoxicity and DNA damage. RESULTS: All resin composite eluates, except that for Targis, caused a pronounced cytotoxicity during the first 72 hours that gradually decreased after 2 weeks of aging. Severe morphologic alterations and pronounced DNA damage were also observed. CONCLUSION: These findings indicate that resin-based dental restorative materials release agents cytotoxic and genotoxic to fibroblasts. Cytotoxicity is gradually decreased as the composite resins age in a biologic-relevant medium.

Animals↗