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Water-dependent interfacial transition zone in resin-modified glass-ionomer cement/dentin interfaces.

The function of the interfacial transition zone (absorption layer) in resin-modified glass-ionomer cements bonded to deep dentin remains obscure. This study tested the hypotheses that the absorption layer is formed only in the presence of water derived from hydrated dentin and allows for better bonding of resin-modified glass-ionomer cements to dentin. Ten percent polyacrylic acid-conditioned, hydrated, and dehydrated deep dentin specimens were bonded with 2 resin-modified glass-ionomer cements and sealed with resins to prevent environmental water gain or loss. A non-particulate absorption layer was identified over hydrated dentin only, and was clearly discernible from the hybrid layer when bonded interfaces were examined with transmission electron microscopy. This layer was relatively more resistant to dehydration stresses, and remained intact over the dentin surface after tensile testing. The absorption layer mediates better bonding of resin-modified glass-ionomer cements to deep dentin, and functions as a stress-relieving layer to reduce stresses induced by desiccation and shrinkage.

Compomers↗

An ex vivo evaluation of resin-modified glass polyalkenoates and polyacid-modified composite resins as orthodontic band cements.

OBJECTIVES: The objective of this ex vivo study was to assess the use of resin-modified glass polyalkenoates and polyacid-modified composite resins, as orthodontic band cements. MATERIALS AND METHOD: Plain stainless steel bands were cemented to 350 human extracted third molar teeth using 1 of 7 different cements. Following complete cement cure, half of each sample group was exposed to mechanical stress in a ball mill. Stressed and unstressed samples were tested in tension and the stress at which initial cement failure recorded. The mode of failure was recorded using an adhesive remnant evaluation. RESULTS: The mean band retention stresses offered by the cements studied ranged from 0.96 to 1.56 MPa. Fuji Ortho provided the highest mean band retention stress in "stressed" (1.56 MPa) and "unstressed" (1.45 MPa) states. Exposure to mechanical stress did not appear to significantly influence band retention or mode of cement failure for most cements. Fuji Ortho cement recorded the highest Weibull modulus for all cements tested. Virtually all samples failed at either the cement/enamel or cement band interface. CONCLUSIONS: Significant differences in band displacement stress values and mode of failure were demonstrated between the cements studied. However, generic comparisons were difficult to make.

Acrylic Resins↗

A comparative evaluation of dental luting cements by fracture toughness tests and fractography.

In recent years there has been a shift from traditional methods of investigating dental materials to a fracture mechanics approach. Fracture toughness (KIC) is an intrinsic material property which can be considered to be a measure of a material's resistance to crack propagation. Glass-ionomer cements are biocompatible and bioactive dental restorative materials, but they suffer from poor fracture toughness and are extremely susceptible to dehydration. The main objective of this study was to evaluate the fracture toughness of three types of commercially available dental cements (polyacid-modified composite resin, resin-modified and conventional glass ionomer) using a short-rod chevron-notch test and to investigate and interpret the results by means of fractography using scanning electron microscopy. Ten specimens of each cement were fabricated according to manufacturers' instructions, coated in varnish, and stored at ambient laboratory humidity, 100 per cent relative humidity, or in water at 37 degrees C for 7 days prior to preparation for testing. Results indicated that significant differences existed between each group of materials and that the fracture toughness ranged from 0.27 to 0.72 MN/m3/2. It was concluded that the resin-modified glass-ionomer cement demonstrated the highest resistance to crack propagation. Fractographs clearly showed areas of stable and unstable crack growth along the fractured surfaces for the three materials examined.

Compomers↗

Strength of a 'no-bottle' adhesive system bonded to enamel and dentine.

Existing bonding systems permit effective bonding to enamel or dentine. Bonding to dentine is mainly achieved through the hybridization of dentine with resin. However, despite their success, the 'three-bottle' systems do have drawbacks--the large number of steps involved may be confusing and prone to errors of application, as well as being time consuming. Recently developed systems have significantly reduced the number of steps and the total treatment time, but deliver a reliable outcome.

Adhesiveness↗

Selection of materials for post cementation.

Many types of cement are available for post cementation, each with advantages and disadvantages. For posts with adequate mechanical retention, zinc phosphate is a good choice for patients for whom fluoride release is not considered essential. Posts with compromised mechanical retention benefit from use of a resin-modified glass-ionomer cement, which also releases fluoride. Composite resin cements should be reserved for rare cases where mechanical retention is so compromised that use of a resin-modified glass-ionomer cement provides inadequate retention. Great care is required when using composite resin cements to ensure optimum performance and avoid the creation of difficult-to-remove excess cement. Clinicians should be aware that posts cemented with resin-modified glass ionomer or composite resin cements may be difficult or impossible to remove if access to the root canal system is subsequently required.

Cementation↗

Direct restorative materials. What goes where?

The many tooth-colored restorative materials available today present a confusing array of products. However, they are the best group of tooth-colored restorative materials available in dentistry to date. Dentists are advised to learn the characteristics of each category of tooth-colored materials and to base their judgment of which type to use on an in-depth consideration of the many products available.

Compomers↗

Comparative SEM evaluation of penetration of adhesive systems in human dentin with a non-rinse conditioner and a self-etching primer.

The purpose of this study was to compare the effect of a self-etching primer and a non-rinse conditioner with the effect of a conventional adhesive system on the penetration depth in dentin of human teeth, using scanning electronic microscopy (SEM). Fifteen human third molar teeth were sectioned into 2 pieces. All pieces were flattened with grade 600 to 1200 silicon carbide paper and divided into 6 groups: group 1 - Prime & Bond NT (NT), negative control; group 2 - 37% phosphoric acid + Prime & Bond NT (PANT), positive control; group 3 - Non-rinse Conditioner (NRC) + Prime & Bond NT (NRCNT); group 4 - NRC + Prime & Bond 2.1 (NRCPB); group 5 - NRC + Scotchbond MP (NRCSB); group 6 - Prompt L-Pop (PLP). All teeth were covered with Dyract AP. The tooth fragments were decalcified, and its resin replicas were evaluated by SEM by three previously standardized examiners. The penetration was scored from 0 (no penetration) to 3 (maximum penetration). The Kruskal-Wallis and Mann-Whitney U tests (p<0.05) showed three statistically homogeneous groups: (NT, NRCPB, NRCSB and PLP), (NRCNT) and [PANT]. The authors concluded that the self-etching primer and the non-rinse conditioner provide a lower penetration depth in human tooth dentin than the conventional adhesive system.

Acetone↗

Microhardness of resin-based materials polymerized with LED and halogen curing units.

The purpose of this study was to evaluate the microhardness of resin-based materials polymerized with a LED (light-emitting diode) light-curing unit (LCU) and a halogen LCU. Twenty cylindrical specimens (3.0 mm in diameter and 2.0 mm high) were prepared for each tested material (Z100, Definite and Dyract). Specimens were light-cured with two LCUs (Ultraled and Curing Light 2500) for either 40 or 60 s on their top surfaces. Hardness was measured on top and bottom surfaces of each specimen. Statistical analysis was done by ANOVA and Tukey's test (p<0.05). There was no significant difference in hardness between LED LCU and halogen LCU for Z100 and Dyract on top surface. Conversely, lower hardness was recorded when Definite was light-cured with the LED LCU than with the halogen lamp. On bottom surface, hardness was significantly lower for all materials light-cured with LED LCU. Z100 was harder than Dyract and Definite regardless of the light curing unit. There was no significant difference in hardness between the exposure times on top surface. Higher hardness was obtained when the materials were light-cured for 60 s on bottom surface. The tested LED was not able to produce the same microhardness of resin-based materials as the halogen LCU.

Compomers↗

Visual evaluation of in vitro cariostatic effect of restorative materials associated with dentifrices.

This study evaluated in vitro the cariostatic effect of 6 restorative materials with and without fluoride release (Fuji II LC, F-2000, Degufil Mineral, Sure Fil and Z-250) associated with a fluoridated and a non-fluoridated dentifrice (Sensodyne Original Formula and Sensodyne Sodium Bicarbonate), on human enamel. Class V-like cavities were prepared on 240 enamel slabs, assigned to 12 groups (6 materials and 2 dentifrices). After cavity restoration, the slabs were submitted to a thermocycling regimen of 1000 thermal cycles and demineralization/remineralization cycles. During pH cycles, slurries of fluoridated and non-fluoridated dentifrices were applied for 5 min. Formation of artificial caries-like lesions was scored independently and blindly by 5 calibrated examiners according to an ordinal scale ranked 0 to 3 by visual examination. The results were analyzed statistically by the Kruskal-Wallis test and pair-wise comparisons (alpha=0.05). There were no significant differences (p>0.05) among the restorative materials associated with the fluoridated dentifrice. When used in association with the non-fluoridated dentifrice, Ketac-Fil showed the highest cariostatic effect followed by Fuji II LC and the other materials. Ketac-Fil was the only material that did not differ statistically when combined with either the fluoridated or the non-fluoridated dentifrice. In conclusion, under the tested experimental conditions, the association of restorative materials and fluoridated dentifrice yielded higher cariostatic effect, except for the conventional glass ionomer cement, whose cariostatic effect was not influenced by the type of dentifrice.

Bisphenol A-Glycidyl Methacrylate↗

[Microleakage in class V cavities restored with esthetic materials, using different restorative techniques].

The purpose of this study was to compare the microleakage of class V cavities restored with composite resin (CR), resin-modified glass ionomer cement (RMGIC) and polyacid-modified resin composite (PAMRC), using different clinical procedures. Thirty-six noncarious human molars were used in this study. A class V cavity, measuring approximately 3 mm x 4 mm x 2 mm, was prepared in each tooth in both buccal and lingual aspects, with a diamond bur (number 1,093) at high speed, with coolant water spray. The occlusal margin was located on enamel and the gingival margin was located on dentin. The teeth were divided into 9 groups with 8 specimens each. The cavities were restored according to different techniques. The specimens from groups 1, 2, 4 and 5 did not receive acid etching. The samples were stored in water at 37 degrees C for 24 hours, subjected to occlusal load, thermocycled and immersed in rhodamine B. The restorations were then washed and sectioned in buccolingual direction. The depth of dye penetration was scored from zero (no leakage) to 3 (maximum leakage). The Kruskal-Wallis test revealed statistically significant differences between the materials (p < 0.05). PAMRC used without acid etching showed the greatest score of leakage in both margins. In the gingival margin, CR showed scores of leakage lower than those of PAMRC and RMGIC. Additional retentions and acid etching were able to decrease microleakage in PAMRC restorations in both gingival and occlusal margins.

Compomers↗

Short term human primary pulpal response after direct pulp capping with fourth-generation dentin adhesives.

The purpose of this study was to evaluate the effects of the total-etch and direct pulp capping techniques on the short-term response of mechanically exposed human primary tooth pulps using three commercially available adhesive resin systems. Class V cavities were prepared on the buccal surface of intact mandibular primary molars and exposed with a carbide bur on the cavity floor. The entire cavity except the exposure site received 36% phosphoric acid gel conditioning. Exposed pulps were capped with one of the three adhesive resins, followed by restoration of the cavities with the respective restorative materials. The teeth were extracted after 60 days and prepared according to normal histological techniques. Serial sections were stained with H/B for histological evaluations. The histopathological evaluation showed that a few of the samples in the Scotchbond Multi Purpose (SMP) and Prime & Bond 2.1 (PB) groups exhibited "attempted bridge formation", while no bridge formation was evident in the other samples. Syntac Single Component (Syntac) exhibited the most severe histological response, while the mildest reactions were observed in the SMIP group. Based on the conditions of the present study, direct pulp capping with dentin bonding agents following the total-etch technique in primary teeth can not be recommended.

Acid Etching, Dental↗

Barcoll hardness of dental materials treated with an APF foam.

The hardness of a dental material is generally related to its mechanical properties. The purpose of this study was to evaluate the hardness of several resins and cements exposed to an APF Foam (Minute Foam, Oral-B). Four molds 6 x 2 mm were prepared for each experimental condition with each of the following materials: Filtek P 60 (3 M); Silux Plus (3 M); Ariston pHc (Vivadent); F 2000 (3 M); Vitremer Restorative (3 M) and lonofil Molar (Voco). Immediately after prepared, the samples were stored in water or in the APF foam. To evaluate the Barcoll hardness, measurements were made on both sides of the specimens (top--T and bottom--B), immediately, and after 1 min, 24 h and 7 d. The results, expressed as percentages of the loss of hardness of each sample from the baseline readings, were analyzed with an ANOVA and Tukey's test. ANOVA revealed the significant influence of material, time and treatment. The surface analyzed (T or B) had no significance. Among the glass-ionomers tested the loss of hardness was significantly higher (+30%) than for resin-based composites (+/- 15%). Treatment with the APF foam for 7 days produced the greatest loss of hardness (42%) and at 24 h the least (less than 5%). There were no other significant findings. It can be concluded that the effect of the APF foam is material dependent, but is significantly more pronounced with the glass-ionomers than the resins tested. The application time of the foam is the main factor for the loss of hardness.

Acidulated Phosphate Fluoride↗

Six-year clinical evaluation of polyacid-modified composite resin used as fissure sealant.

The aim of this study was to evaluate retention and efficacy of polyacid-modified composite resin used as fissure sealant (Variglass V.L.C.) after six years. Three-hundred and seventy permanent first molars were sealed. After six years, 42.0% of the original group was re-examined and the sealant was found to be totally present in 3.4%, partially present in 16.2% and absent in 70.4% of the previously sealed occlusal surfaces. During the 6 years period, 9.5% of the sealed surfaces became carious, 25.0% were filled and 65.5% remained sound. Although the retention rate of the material has been very low, it appears to have prevented dental caries in 2/3 of the teeth evaluated after six years of placement.

Acrylic Resins↗

In vitro occlusal wear of restorative materials on primary teeth.

Since primary tooth enamel wears more rapidly than permanent tooth enamel, it is important to study the mechanical wear patterns of restorative materials used in the primary dentition. It is important that an in vitro evaluation of wear resistance of different restorative materials is done in order to establish a valid in vitro test protocol for use in pediatric dentistry.

Compomers↗

Resin composite sealant vs. polyacid-modified resin composite applied to post eruptive mature and immature molars: two year clinical study.

The aim of this study was to evaluate the effect of the post eruptive enamel maturation on the durability of polyacid-modified resin composite (PMRC; Dyract Seal) and resin composite (Fissurit F) sealant and understanding the effect of posteruptive enamel maturation on the sealant retention. To determine the possible effect of the enamel maturation to the sealant retention, the success of the sealants applied to the newly erupted mandibular first molars of the 6 to 7 years old children, who were in the fourth or fifth eruption stage according to Dennison's classification were compared with the sealants applied to first mandibular molars which were in the mouth at least for two years of the 9 years old children. The molars of the younger children were accepted as immature and the elders were posteruptively mature. The sealant retention was evaluated for two years. At the end of two years the retention rates of Dyract Seal were significantly lower. Maturation has no effect on the sealant retention. Dyract Seal application after NRC conditioning is not recommended.

Adhesiveness↗