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Durability of enamel bond strength of simplified bonding systems.

The purpose of this study was to investigate the influence of thermal cycling on enamel bond strength of 2-step bonding systems. The systems used were self-etching primer systems; Imperva Fluoro Bond, Clearfil Liner Bond II, and Mac Bond II; and self-priming adhesive systems; One Step, OptiBond Solo, Prime & Bond 2.0, and Single Bond. Bovine mandibular incisors were mounted in self-curing resin and the facial surfaces were wet ground with #600 SiC paper. Enamel surfaces were treated following each manufacturer's instructions. Adhesives were applied and composites were condensed into a Teflon mold (phi 4 x 2 mm) and light cured. Bonded specimens were divided into four groups; stored in 37 degrees C water for 24 hours, followed by thermal cycling between 5 degrees C and 60 degrees C for 3,000, 10,000, and 30,000 cycles. Ten samples per test group were tested in shear mode at a crosshead speed of 1.0 mm/min. One-way ANOVAs followed by Duncan's multiple range test (p < 0.05) were done. For self-etching primer systems, a significant decrease in bond strength was observed for the thermal cycling groups. For the self-priming adhesive systems, a small decrease in bond strength was observed but no significant differences were found for thermal cycling groups. The changes in bond strength after thermal cycling were different between the bonding systems.

Acid Etching, Dental↗

Nanoleakage of cervical restorations of four dentin bonding systems.

PURPOSE: The aim of this study was to evaluate the degree of nanoleakage of restorations placed in cervical preparations with dentin bonding systems. MATERIALS AND METHODS: The dentin bonding systems used were Single Bond, One Coat Bond, Prime & Bond NT/NRC, and PermaQuik. Ten saucer-shaped cervical preparations were bonded with one of the dentin bonding systems and restored with Silux Plus resin composite in each group. After 24 hours storage in 37 degrees C water, restorations were finished and the surrounding tooth surfaces were coated with nail varnish. The samples were immersed in 50% w/v solution of silver nitrate for 24 hours, and exposed to photodeveloping solution for 8 hours. The samples were cut longitudinally through the center, polished, carbon coated and observed in a Field Emission SEM using backscattered electron mode. The degree of silver penetration along the preparation wall was observed and calculated as a percentage of the total preparation wall length. Results were analyzed by one-way ANOVA and LSD tests. RESULTS: PermaQuik demonstrated the lowest leakage score and the least silver deposition within the hybrid layer, while Prime & Bond NT/NRC showed the greatest leakage scores and the most silver deposition within the hybrid layer. Different nanoleakage patterns were observed for the different adhesive systems. CONCLUSION: First, the composition of each adhesive system may play a role in the different leakage patterns. Second, the current dentin bonding systems used in this study did not achieve perfect sealing at the restoration-dentin interface. This may influence the durability of the bond to dentin.

Acid Etching, Dental↗

Histopathologic study on pulp response to single-bottle and self-etching adhesive systems.

This study compared the pulp response to seven adhesive resins (three single-bottle and four self-etching primers) and their companion resin composite systems with a commercial calcium hydroxide material when applied to exposed monkey pulps. The control group was capped with Dycal (DY), while the experimental groups were capped with one of the following adhesive resin systems: AQ Bond (AQ), Single Bond (SB), Imperva Fluorobond (IF), One Step (OS), Prime&Bond NT (PBNT), Perme Bond F (PBF) and One-up Bond F (OBF). Histopathologic evaluation of pulp tissue disorganization, inflammatory cell infiltration, reparative dentin formation and bacterial penetration at the 3rd, 30th and 90th post-operative days was done using light microscopy. Data were analyzed using the Kruskal-Wallis test followed by the Least Significant Difference Test to determine differences between the control group and the experimental groups at each observation period. The correlation of inflammatory cell infiltration and bacterial presence was investigated by the Kendall correlation analysis. All tests were performed at a 95% level of confidence. The pulpal responses of groups DY, SB, OS, PBF and OBF were generally characterized by none-to-mild pulp tissue disorganization and inflammatory cell infiltration. Also, initiation of reparative dentin formation was found earlier in Group DY, resulting in more complete dentin bridges at the 30- and 90-day observation periods. Groups AQ, IF and PBNT had significantly more inflammatory cell infiltration and a lower incidence of reparative dentin formation than Group DY. A significant correlation was detected between inflammatory cell infiltration and the presence of bacteria. It is concluded that the pulp response to SB, OS, PBF and OBF is not significantly different from the calcium hydroxide preparation. However, calcium hydroxide capping resulted in a higher incidence and faster rate of reparative dentin formation.

Acid Etching, Dental↗

Systemic uptake of 5-aminosalicylic acid from olsalazine and eudragit L coated mesalazine in patients with ulcerative colitis in remission.

UNLABELLED: Aminosalicylates are used to maintain remission in patients with ulcerative colitis. Since there are potential systemic side effects of 5-aminosalicylic acid (5-ASA) and long term treatment is necessary for maintenance therapy preparations with low rates of absorption in the small intestine would be optimal for this indication. In this trial olsalazine (Dipentum), a 5-ASA dimer, and an eudragit L coated mesalazine preparation (Salofalk) were compared. PATIENTS AND METHODS: Fifteen patients with ulcerative colitis in clinical and endoscopical remission were randomized in a cross over design. They either received a 2 x 2 capsules of olsalazine 250 mg or 3 x 2 tablets mesalazine 250 mg, these being the doses recommended for maintenance therapy. After a five days equilibration period morning pre-dose serum samples and 24 hour urine were collected on two consecutive days and analyzed for 5-ASA and acetylated 5-ASA. Subsequently, patients were crossed over to receive the alternative preparation and were evaluated after five days correspondingly. RESULTS: Uptake of 5-ASA from mesalazine was significantly higher than from olsalazine (p < 0.0001). Plasma concentrations of 5-ASA were 3.4 times and of acetyl-5-ASA 3.2 times higher after mesalazine administration than after olsalazine. The same applies to the 24 hour 5-ASA and acetyl-5-ASA urinary excretion (median: 3.2 versus 1.0 mmol/24 hr) as well as to the percentage of administered dose (32.4 versus 17.7%). All patients finished the trial and no major systemic side effects occured with either preparation. CONCLUSION: Systemic uptake of 5-ASA from olsalazine was significantly lower than from eudragit L coated mesalazine. Therefore, olsalazine is less likely to produce side effects and seems to be especially suited for maintenance therapy in ulcerative colitis.

Adult↗

Controlled drug dissolution by radiation-induced polymerization in the presence of dimethylaminoethyl methacrylate-methyl methacrylate copolymer or methacrylic acid-methyl acrylate copolymer.

Polymer-containing tablet preparation was studied using radiation-induced polymerization of glass-forming monomers at low temperatures in the presence of dimethylaminoethyl methacrylate-methyl methacrylate copolymer or methyl acrylate-methacrylic acid copolymer. Drug dissolution from tablets was in the pH 3.0-8.0 range. A copolymer contained in the tablets dissolved in the dissolution medium at a specific pH. Drug dissolution from tablets took place rapidly at pH greater than 6.0 in the presence of methyl acrylate-methacrylic acid copolymer and at pH less than 5.0 in the presence of dimethylaminoethyl methacrylate-methyl methacrylate copolymer. The polymers had fibrous or capillary pore structures in contrast to the spherical pore structures formed in the presence of polyethylene glycol 600.

Acrylic Resins↗

Performance of a conventional sealant and a flowable composite on minimally invasive prepared fissures.

Three different fissure preparation procedures were tested and compared to the non-invasive approach using a conventional unfilled sealant and a flowable composite. Eighty permanent molars were selected and divided into 4 groups of 20 teeth each. All the teeth were split into 2 halves, and the exposed fissures were photographed under a microscope (35x) before and after being prepared using the following methods: (I) Er:YAG laser (KEY Laser, KaVo) 600 mJ pulse energy, 6 Hz; (II) diamond bur; (III) Er: YAG laser (KEY Laser, KaVo) 200 mJ pulse energy, 4 Hz; (IV) Control group: Powder jet cleaner (Prophyflex, KaVo, Germany). The pre-and postimages were superimposed in order to evaluate the amount of hard tissue removed. Ten teeth in each group were then acid etched and sealed with an unfilled sealant (Delton opaque, Dentsply), while the remaining 10 teeth were acid etched, primed and bonded (Prime & Bond NT, Dentsply) and sealed with a flowable composite (X-flow, DeTrey, Dentsply). Material penetration and microleakage were evaluated after thermocycling (5000 cycles) and staining with methylene blue 5%. ANOVA and Mann-Whitney tests were applied for statistical analysis. The laser 600 mJ and bur eliminated the greatest amount of hard tissue. The control teeth presented the least microleakage when sealed with Delton or X-flow. A correlation between material penetration and microleakage could not be statistically confirmed. Mechanical preparation prior to fissure sealing did not enhance the final performance of the sealant.

Acid Etching, Dental↗

Culture of mouse embryonic stem cells on photoimmobilized polymers.

Mouse embryonic stem (ES) cells were cultured on four types of polymer with different surface properties. The polymers were poly(acrylic acid), polyallylamine, gelatin, and poly(2-methacryloyloxyethyl phosphorylcholine-co-methacrylic acid) (PMAc50), and were coupled with azidophenyl groups and photoimmobilized on conventional polystyrene cell-culture dishes. Mouse ES cells were cultured on the immobilized polymer surfaces, and cell morphology, cell growth, staining for alkaline phosphatase, activation of the transcription factor stat3, and expression of the octamer-binding protein 3/4 (Oct3/4) transcription factor and the zinc finger-containing transcription factor (GATA4) were observed. Morphology and growth rate were significantly affected by the polymer surface properties. The ES cells attached to gelatin or polyallylamine surfaces; however, colonies formed on the former but not the latter. In addition, significant enhancement of growth was observed on the gelatin surface. In contrast, ES cells aggregated to form an embryoid body on the photoimmobilized poly(acrylic acid) surface and the PMAc50 surface, although cell growth was reduced. Significant enhancement of aggregation of ES cells on the PMAc50 surface was observed in morphology and gene expression analyses.

Animals↗

Effect of a nonrinse conditioner on the durability of a polyacid-modified resin composite fissure sealant.

PURPOSE: The aim of this study was to evaluate the effect of the simplified conditioning on durability of polyacid-modified resin composite (PMRC; Dyract Seal) fissure sealants. The effectiveness of a nonrinsing conditioner (NRC) on retention of PMRC sealants (92) was studied in a split-mouth design. METHODS: The enamel of 1 molar was pretreated with NRC and coated with Prime & Bond NT (Dentsply DeTrey, Konstanz, Germany)/PMRC. The contralateral molar was conditioned with 36% phosphoric acid and sealed with Delton. The sealant retention was evaluated during 2 years. In addition 49 pairs were sealed with Prime & Bond NT/PMRC after conditioning with 36% phosphoric acid and evaluated after 1 year. RESULTS: Significantly higher loss rates at 1 and 2 years were observed for the NRC/Prime & Bond NT/PMRC sealants. At 2 years, partial and total loss rates for Delton were 23% and 11%, and for NRC/Prime & Bond NT/PMRC sealants were 44% and 40%, respectively. At 1 year, phosphoric acid-conditioned Prime & Bond NT/PMRC sealants showed significantly better retention than the NRC-conditioned PMRC sealants and the phosphoric acid-conditioned Delton sealants. CONCLUSIONS: Conditioning with NRC prior to sealant application cannot be recommended.

Adolescent↗

The effect of tooth preparation on microleakage behavior.

Many factors contribute to the microleakage of a restoration. One of the more important is the method of cavity preparation. This study compared the microleakage behavior of composite restorations placed in cavities prepared by different techniques. It also compared and correlated the microleakage data produced by an electrochemical vs a staining technique. Class V cavities were prepared in 48 premolars by four techniques: (1) tungsten carbide bur in a high-speed handpiece followed by acid etching; (2) air abrasion (27 microns Al2O3) followed by acid etching; (3) air abrasion (50 microns Al2O3) and (4) air abrasion (27 microns Al2O3), with n = 12 in each group. All teeth were restored with Prime and Bond 2.1 and Tetric Flow, then thermocycled between 5 degrees and 55 degrees C for 5000 cycles with a one minute dwell at each temperature. After thermocycling, a PVC-covered Cu wire was inserted apically into the pulp chamber of each tooth and sealed into position. Leakage was continuously followed by a conductimetric method for 75 days. The teeth then were immersed in 50% AgNO3 for two hours, rinsed in distilled water for 60 seconds, then placed in a rapid photographic developer solution for two hours, followed by rinsing and sectioning for microscopic examination. Electrochemical data were examined by ANOVA and Newman-Keuls multiple comparison tests, while Kruskal-Wallis and Rank Sum Difference tests were used on the staining evaluations. Spearman's rho test was used to correlate the two test techniques. Electrochemical data for cavities prepared with a bur or air abrasion followed by acid etching prior to restoration showed significantly less (p < or = 0.05) microleakage (mean leakage currents of 1.89 & 1.57 microA, respectively) than teeth prepared with air abrasion alone (mean leakage currents of 3.60 & 3.40 microA, respectively). Rank sum AgNO3 staining data (196 & 242 vs 371 & 368) supported these findings. The correlation between the electrochemical and staining data was significant (p < or = 0.05) for all four groups of test specimens.

Acid Etching, Dental↗

Microleakage of tetric ceram/excite and Ariston pHc/Ariston liner.

PURPOSE: To investigate the microleakage associated with a hybrid resin-based composite, Tetric Ceram, bonded with the single component dentin bonding agent Excite and Ariston pHc bonded with Ariston Liner. Ariston pHc bonded with Excite and Tetric Ceram bonded with Prime and Bond NT were used as controls. MATERIALS AND METHODS: Twenty-four extracted human premolars and molars were randomly assigned to four groups. Group 1: cavities were bonded with Excite and filled with Tetric Ceram. Group 2: cavities were bonded with Ariston Liner and filled with Ariston pHc. Group 3, control: cavities were bonded with Prime & Bond NT and filled with Tetric Ceram. Group 4, control: cavities were bonded Excite and filled with Ariston pHc. Cavities were cut in both the buccal and lingual surfaces. Half of each preparation was in enamel and the other was in cementum/dentin. The teeth were thermocycled at 15 degrees C for 2 s, 35 degrees C for 28 s and 45 degrees C for 2 s for 5,000 cycles after which the restorations were examined microscopically for leakage using procion brilliant red as a marker. SEM microphotographs were prepared from dye-labeled and non dye-labeled areas to illustrate the micromorphology of the systems. RESULTS: None of the groups showed microleakage at the enamel margins. All groups showed microleakage at the gingival margins. At the gingival margin there was a significant difference between the groups (Kruskal-Wallis ANOVA, P= 0.1111.). Ariston pHc/Ariston Liner showed significantly lower microleakage scores than the other groups (Dunn's Multiple Comparison test). SEM showed that in non-dye labeled areas, Ariston pHc/Ariston Liner was in close apposition to the deeper dental tissues. The "total etch" technique resulted in a zone of demineralization. Debonding occurred at or near the top of the hybrid layer in >95% of specimens.

Acid Etching, Dental↗

Loading and mobility of spin-labeled insulin in physiologically responsive complexation hydrogels intended for oral administration.

Poly(methacrylic acid-g-ethylene glycol) copolymers are pH-responsive complexation hydrogels that have shown promise in in vitro and in vivo results as oral insulin delivery carriers. With the aim of gaining more detailed insight into their performance to further improve the carriers, we spin-labeled insulin and used electron spin resonance (ESR) spectroscopy to follow the loading of the spin-labeled insulin into the copolymer microparticles. A flow through system was developed to monitor continuously and non-invasively the dynamics of the spin-labeled insulin and its surrounding microviscosity during release. Using these methods, the loading efficiency of insulin was determined and was found to match previous HPLC measurements. Additionally, the protein-friendly nature of the hydrogels was demonstrated. The monitoring of the dynamics during flow through provided a rationalization for the unwanted initial burst release in an acidic environment. These studies will aid in the optimization of the system, and will be a basis for subsequent in vivo ESR investigations.

Administration, Oral↗

A simple and reliable method for purifying glycol methacrylate for histopathological studies.

Pure glycol methacrylate (GMA) is an excellent embedding medium which allows High Performance Optical Microscopic studies. However presence of methacrylic acid (MA) small amounts (usually 1 to 3%) leads to intense background staining of the section. A simple and reliable chemical purification procedure is exposed which leads to an extra-pure GMA free of MA and hydroquinone.

Acrylates↗

Evaluation of solid dispersion particles prepared with SEDS.

Formation of solid solution particles in the Solution Enhanced Dispersion by Supercritical fluids (SEDS) process from a model drug and two different types of carriers, mannitol and Eudragit E100 was evaluated. The crystal properties of samples and molecular interactions were investigated with DSC and FTIR, respectively. The effect of co-crystallisation of drug and mannitol on dissolution rate was studied. Even if a true one-phase solid dispersion was not obtained, the crystal structure of both drug and mannitol was mutually affected by the presence of the other. The drug was not in highly crystalline form in the co-precipitates. The interactions between the drug and mannitol could also be identified as hydrogen bonding between the amine or hydroxyl groups of the drug and the hydroxyl groups of mannitol. These interactions and changes in the crystal structure are probably directly related to the increase in the dissolution rate observed. A true solid solution was obtained when the drug was co-processed with Eudragit E100. A clear interaction between the acid hydroxyl group of the drug and the basic carbonyl group on the Eudragit E100 was observed. SEDS was shown to be an effective process for forming intimate blends and solid solutions for the drug and two different types of carriers.

Drug Carriers↗

Self-etching primer and resin-based restorative material: two-year clinical evaluation.

PURPOSE: This study was undertaken to evaluate the performance of posterior restorations placed using a self-etching primer (Fluorobond, Shofu Inc., Kyoto, Japan) and a universal resin-based restorative material (Beautifil, Shofu Inc., Kyoto, Japan). MATERIALS AND METHODS: The 61 restorations evaluated were 26 Class I and 35 Class II that were placed by two clinicians in 31 patients. Two other calibrated clinicians evaluated the restorations using United States Public Health Service (USPHS)/Ryge criteria observing the following characteristics: color match, marginal adaptation, anatomy, roughness, marginal staining, interfacial staining, contact, secondary caries, and luster. Restorations were placed under rubber dam isolation. Chi-squared and Fisher's exact tests were used for statistical analysis (p = .05). RESULTS: All the restorations were assessed at baseline and alfa scores predominated for all criteria. At the 12-month recall examination, one patient dropped out of the study and two restorations were replaced by a clinician not involved in the project. At 24-month recall, 58 restorations were examined (23 Class I and 35 Class II). From baseline to 24 months, 19 of the 44 restorations changed from alfa to bravo and 13 from bravo to alfa for a variety of reasons. No significant differences were found for any of the clinical criteria (p > .05). The 2-year recall substantiated the 1-year results. CONCLUSION: Beautifil and the self-etching primer Fluorobond provided satisfactory restorations after a 2-year observation period. CLINICAL SIGNIFICANCE: Beautifil restorative material and Fluorobond bonding system provided satisfactory results when placed in Class I and Class II preparations for a period of 2 years.

Acid Etching, Dental↗

The mechanism of interaction between chlorhexidine digluconate and poly(2-hydroxyethyl methacrylate).

The extent of the interaction between chlorhexidine digluconate and poly(2-hydroxyethyl methacrylate), (PHEMA), is independent of temperature between 22-50 degrees C which is consistent with an ion-ion interaction mechanism. Different contact lens materials exhibit different affinities for chlorhexidine digluconate, the extent of uptake correlating in rank order with the number of free carboxylic acid sites in the polymers. Esterification of the carboxyl groups with diazomethane, resulted in a reduction in the affinity of the treated polymers for chlorhexidine to a near basal level. The uptake of chlorhexidine in soaking solution experiments involving lenses made from PHEMA and the more ionic material, poly(2-hydroxyethyl methacrylate-co-isobutyl methacrylate-co-methacrylic acid), was consistent with their carboxylate content. However, the fraction of bound disinfectant released was lower from the terpolymer, suggesting there are differences in bonding strengths between chlorhexidine and different contact lens hydrogels.

Adsorption↗

A comparative study of microleakage below cemento-enamel junction using light cure and chemically cured glass ionomer cement liners.

Posterior composite resins have gained considerable importance over last few years. However, improper placement techniques continue to be a prime cause of failure of these restorations. This study was done to compare the microleakage at the tooth restoration interface extending below cementoenamel junction when posterior composite restorations were placed directly in the cavity or when placed over a glass ionomer cement liner, both chemically cured and light cured. The results have shown that light cured glass ionomer when used as a liner under a composite restoration used below gingival cementum/dentin margin has the best sealing capability.

Acid Etching, Dental↗

Dependence of copolymer composition, swelling history, and drug concentration on the loading of diltiazem hydrochloride (DIL.HCl) into poly[(N-isopropylacrylamide)-co-(methacrylic acid)] hydrogels and its release behaviour from hydrogel slabs.

The loading of an antihypertensive cationic drug, diltiazem hydrochloride (DIL.HCl), into poly(N-isopropylacrylamide) [P(N-iPAAm)], poly(methacrylic acid) [P(MAA)], and their poly[(N-isopropylacrylamide)-co-(methacrylic acid)] P[(N-iPAAm)-co-(MAA)] hydrogels as well as their release behaviour have been investigated. For this purpose, two series of hydrogels have been tested, one previously soaked under acidic pH (treated hydrogels) and the other from the synthesis and washed in deionized water (untreated hydrogels). For the drug loading, these two series of hydrogels have been soaked in drug solutions with different concentrations. DIL.HCl amounts loaded by the gels as well as swelling degrees as a function of both hydrogel composition and DL.HCl concentration in the loading solution have been analyzed. Due to the interactions among DIL.HCl and the MAA group, "untreated" enriched MAA copolymer hydrogels present the highest drug load and loading efficiency. A DIL.HCl concentration of 320 microm/mL has been employed to load copolymers for release experiments, because for this concentration, hydrogels reach relative high drug load with a still high efficiency of loading. Release has been tested in three media, namely, fresh water (Milli-Q grade, pH 7.0), 0.1 N hydrogen chloride (pH 1.2), and a phosphate buffer (pH 7.0). In general, release is lower in fresh water and acidic media than in phosphate buffer. To explain these results, the effect of temperature, medium, and composition on the pH and thermo sensitivity of the hydrogels as well as the diltiazem-polymer interactions have been taken into account.

Acrylamides↗

Temperature-responsive liquid chromatography. 2. Effects of hydrophobic groups in N-isopropylacrylamide copolymer-modified silica.

We recently reported the new concept of temperature-responsive liquid chromatography using temperature-responsive poly(N-isopropylacrylamide)-modified surfaces as high-performance liquid chromatography media with aqueous mobile phases. Incorporation of hydrophobic sites is an important factor to improve the efficacy (selectivity and retention) of temperature-responsive chromatography. Toward this goal, we have synthesized semitelechelic copolymers of N-isopropylacrylamide (IPAAm) and butyl methacrylate (BMA) having reactive terminal functional groups using telomerization. The lower critical solution temperatures of the copolymers shift to lower temperatures with increasing hydrophobic BMA content in the poly(IPAAm-co-BMA) relative to that of the IPAAm homopolymer. This temperature-responsive semitelechelic copolymer was grafted to the surface of (aminopropyl)silica through the reaction of activated ester-amine coupling. The polymer-modified silica was used as a column packing material. Separation of a mixture of five steroids having various hydrophobicities was investigated. Retention of steroids on poly(IPAAm-co-BMA)-modified columns is increased with an increase in column temperature. The capacity factors for steroids on the copolymer-modified silica beads was much larger than that on homopolymer PIPAAm-modified columns. The capacity factor for testosterone at 50 degrees C was 33.8 for poly(IPAAm-co-BMA) containing 5 mol% BMA, while that for the PIPAAm homopolymer was 15.0 at the same temperature. The influence of column temperature on steroid retention behavior on copolymer-modified stationary phases was significant compared with the case of homopolymer-modified columns. Furthermore, retention times for steroids increased remarkably with increasing BMA composition. The temperature-responsive elution behavior for the steroids was strongly affected by the hydrophobicity of the grafted polymer chains on silica surfaces. Possible protein separation in temperature-responsive liquid chromatography was explored using insulin chains A and B, and beta-endorphin fragment 1-27. On IBc-3.2-modified silica column, these three peptides were successfully separated at 30 degrees C with 0.5 M NaCl aqueous solution (pH 2.1) as mobile phase. The retention times of these peptides were related to the number of hydrophobic amino acid residues in the peptides. In the proposed chromatography system, elution of target substances is controlled only by a small change in column temperature without any further modification of the aqueous mobile phase.

Acrylamides↗