Maintenance of pulp vitality.
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Dental Cavity Lining↗
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A comparative pulpal study of two dental amalgam alloys.
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Animals↗
Sealing ability of materials used as retrograde root fillings in endodontic surgery.
The sealing ability of retrograde root fillings of amalgam plus cavity varnish, EBA cement, glass ionomer cement, light-cured composite resin, dentine bonding agent, and light-cured composite resin plus dentine bonding agent were compared with laterally condensed conventional root fillings. A dye penetration technique was used to assess microleakage and it was concluded that none of the materials produced a perfect seal but that glass ionomer cement, light-cured composite resin, light-cured composite resin plus dentine bonding agent and dentine bonding agent alone produced better seals than conventional laterally condensed gutta-percha, amalgam plus cavity varnish and EBA cement.
Composite Resins↗
Sealing ability of cermet ionomer cement as a retrograde filling material.
An in vitro dye leakage study was performed to compare the sealing ability of high copper amalgam with cavity varnish and cermet ionomer cement with and without varnish when used as retrofilling materials. The root canals of 54 maxillary anterior teeth were instrumented and obturated with gutta-percha and sealer. The apical 3 mm of the roots were resected and apical class I cavity preparations were made. The roots were then randomly divided into three groups and retrofilled with one of the experimental materials. After 72 h of immersion in India ink, the roots were cleared and evaluated for leakage with a stereomicroscope. Statistical analysis indicated that the cermet ionomer cement with varnish group had significantly less leakage than the amalgam group (P < 0.0014) and the cermet ionomer cement without varnish group (P < 0.001). There was no significant difference between the other two groups (P > 0.05).
Cermet Cements↗
A comparative sealability study of different retrofilling materials.
The purpose of this study was to compare the sealing ability of high-copper amalgam, glass ionomer cement, and silver glass ionomer cement as retrofilling materials when used with and without varnish. Seventy extracted human single-rooted anterior teeth were instrumented and the root canals obturated with laterally condensed gutta-percha and sealer. The apical 3 mm of each root was resected and a 2 mm-deep apical Class I preparation cut. The roots were then randomly allocated to six groups of 10 teeth and retrofilled with one of the experiment materials. Group I comprised high-copper amalgam; group 2, high-copper amalgam with cavity varnish; group 3, glass ionomer cement without varnish; group 4, glass ionomer cement with varnish; group 5, silver glass ionomer cement without varnish; and group 6, silver glass ionomer cement with varnish. Two groups of five roots each were used as positive and negative controls. The root surfaces were coated with nail polish and specimens immersed in 2% methylene blue solution for 14 days. After vertical sectioning, dye penetration was examined under a stereomicroscope. The results of the study were analysed statistically. The sealing ability of the conventional glass ionomer cement with varnish was significantly better while dye penetration was higher in silver glass ionomer cement without varnish group than the other groups (P < 0.01).
Acid Etching, Dental↗
Effect of bonded restorations on the fracture resistance of root filled teeth.
AIM: To evaluate the fracture resistance of root filled maxillary premolars restored with different techniques. METHODOLOGY: One hundred and twenty single-rooted maxillary premolar teeth were divided randomly into six groups of 20 teeth and subjected to the following procedures: group 1: intact teeth. Group 2: endodontic access cavities prepared. Group 3: MOD cavities were prepared, root canals were filled and no restoration was placed. Group 4: teeth were prepared as group 3 and restored conventionally with amalgam. Group 5: teeth were prepared as group 3 and restored with amalgam using a bonding material. Group 6: teeth were prepared as group 3 and restored with composite resin using the same bonding material. Teeth were embedded in acrylic resin and the loads for fracture strength were applied vertically with a constant speed of 1 mm min(-1). Data were evaluated statistically with anova and Tukey's tests. RESULTS: The mean force of fracture values were 1191.41, 599.86, 233.03, 494.72, 962.81 and 856.48 N for groups 1, 2, 3, 4, 5 and 6, respectively. The fracture resistance of group 5 was similar to group 1 (P > 0.05). The mean force at fracture of group 5 and group 6 was not significantly different. The fracture resistance of groups 5 and 6 was significantly higher than group 4 (P < 0.001). CONCLUSIONS: The group, restored with conventional amalgam, had the weakest resistance to fracture when compared with the bonded restorations. No statistically significant differences were found between the bonded amalgam and composite resin groups.
Acid Etching, Dental↗
The effect of an intermediate layer of flowable composite resin on microleakage in packable composite restorations.
OBJECTIVES: The aim of the present study was to evaluate the effect of a thin layer of flowable composite on microleakage in Class II direct packable composite resin restorations on young permanent teeth in vitro. METHODS: Twenty sound human premolars and molars extracted for orthodontic reasons were selected for this study. The teeth were randomly assigned into two groups of 10 teeth each (groups A and B). Class II cavities were prepared as uniformly as possible in the mesial and distal aspects of each tooth. The gingival margin extended apically approximately 0.5 mm beyond the cemento-enamel junction, in the dentin. Cavities in group A were restored with packable composite and Alert/Flow-it flowable composite, while groups B cavities were restored with Pyramid/Aeliteflo. The control cavities in groups A1 and B1 were restored with only packable composite. The teeth were immersed in 2% methylene blue solution for 24 h to allow dye penetration into possible existing gaps between the tooth substance and the restorative material. All teeth were subjected to thermocycling. RESULTS: The dye penetration ranged between 6.6 and 7.2 mm. No significant difference was found between the control and the experimental groups. CONCLUSION: The use of flowable composite resin as intermediate material does not reduce microleakage.
Adolescent↗
Mechanical and adhesive properties of a newly developed group of pulp capping and base materials.
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Acrylic Resins↗
Stresses generated by luting resins during cementation of composite and ceramic inlays.
The present study used the finite element method to model the stresses generated by a composite luting cement around a class I composite restoration and a ceramic inlay. In many cases maximum tensile stresses of greater than 20 MPa were found, and failure of the restoration-dentine and restoration-glass ionomer interfaces was predicted.
Cementation↗
Adaptation to the cavity floor of the light-cured glass ionomer cement base under a composite restoration.
The study attempted to assess methods of prevention of the formation of a contraction gap in a cylindrical enamel and dentine cavity. The influence has been investigated of the tensile bond strength of cement/dentine and cement/composite resin and the direct tensile strength during setting of light-cured glass-ionomer cements. The interface between composite resin/cement and cement/dentine were viewed and photographed by replica techniques under an SEM (Scanning Electron Microscope). The most noticeable finding was that an enamel and dentine cavity applicated with light- and auto-cured glass-ionomer cement generally presented with a small construction gap at the tooth restoration interface. However, the light-cured glass-ionomer base (Vitrabond) exhibited significantly better tensile bond strength to dentine and resin performance than the conventional glass-ionomer tested. This study revealed that there was no clear relationship between the adhesion to dentine and the adaptation to the dentine cavity floor.
Bicuspid↗
Radiopacity of glass ionomer materials.
To facilitate the detection of overhangs and defects adjacent to a filling, restorative materials should have a radiographic density higher than or at least similar to that of enamel. In the present study the density of 21 glass ionomer materials was measured and compared with the density of enamel, dentine, amalgam and aluminium. Most materials were more radiopaque than enamel, thereby satisfying the requirements as proposed by several investigators. The materials with lower density were mainly types intended for use in anterior teeth where the entire filling can more easily be examined clinically. They should not be used as a base under approximal fillings in order to avoid a false positive diagnosis of recurrent caries.
Aluminum↗
Effect of APF gel on micromorphology of resin modified glass-ionomer cements and flowable compomers.
The purpose of this study was to evaluate the surface micromorphology of resin modified glass-ionomer cements and flowable compomers. In the study two resin modified glass-ionomers and two flowable compomers were used to prepare standardized 20 cylinderic samples. Samples were divided into four groups. Surface treatments with APF gel for experimental groups (group B,C,D) or distilled water as a control (group A) were performed four times. In group B, only APF gel was applied. In group C, after the APF gel application, the samples were immersed into the demineralizing and remineralizing solutions. In group D, before the APF gel application, the buffer solution was applied. The examinations of the surface micromorphology of the materials were made by using scanning electron microscope (SEM). Results showed that in group B all of the materials except Compoglass Flow, and in group C all of the materials showed erratic behaviours. In group D, severe erratic effect (score 2) was obtained on the surfaces of Vivaglassliner and Dyract Flow, and for the others score 1 signals were found. The moderate degradation was obtained by applying of only APF gel on the surfaces of both material groups. The addition of pH circulation caused increasing of micromorphologic changes on the surfaces of all materials. The effect of application of buffer solution on the surfaces before APF gel changed according to the materials. If acidulated fluoride gel is preferred for prophylactic therapy in patients' mouth, for the success, either buffer or neutral fluoride have to be applied on the restored teeth by resin based materials before acidulated fluoride application.
Acidulated Phosphate Fluoride↗
Antibacterial activity of three dental liners.
PURPOSE: The purpose of the present study was to assess the antibacterial activity of the following three dental liners: Vitrebond (3M, St Paul, MN), Dycal (LD Caulk, Dentsply International, Milford, DE), and Life (Kerr, Romulus, MI). MATERIALS AND METHODS: The test was based on a modification of the agar diffusion test in which samples were placed on agar plates previously inoculated with Streptococcus mutans and were removed after predetermined time periods. The material's effect on bacterial growth was evaluated. RESULTS: Results show that Vitrebond has a strong antibacterial effect that was evident after 1 minute of direct contact with the inoculated bacteria. It was significantly more effective (P<.0001) than Dycal or Life. CONCLUSIONS: This method allows for the evaluation of the antibacterial effect of dental materials.
Analysis of Variance↗
Histopathologic evaluation of the effects of four calcium hydroxide liners on monkey pulps.
Pulpal response of four calcium hydroxide liners, MPC 10, MPC 12, Dycal and Pulpdent were tested on primary and permanent teeth with zinc oxide and eugenol (ZOE) and silicate as controls. Responses of the pulps were evaluatedi in Rhesus monkeys, utilizing Class V cavity preparations at 3 days, 5 and 8 weeks. An equivalent number of anterior and posterior teeth were studied for all compounds. The Ca(OH)2 liners, zinc oxide and eugenol (ZOE) and silicate controls were placed in 80 primary and 80 permanent teeth. Following perfusions the teeth were prepared utilizing routine histological procedures. The 3 day response of the calcium hydroxides was moderate with some disruption in the odontoblasts, vacuolization and mild inflammation underlying the cavity except Pulpdent which was more severe. At 5 weeks a decrease in inflammatory response and the formation of reparative dentin was similar for all calcium hydroxides tested at this time period. At 8 weeks more reparative dentin was noted with slight to moderate pulpal responses. At all time periods ZOE produced the least pulpal response while silicate produced the most severe response at 5 and 8 weeks. This study reports the biological responses of four calcium hydroxide compounds used as cavity liners in non-exposures in a series of primary and permanent teeth of monkeys using ZOE and silicate as controls. Responses to the four Ca(OH)2 compounds were moderate for all the experimental compounds except Pulpdent which was more severe at the early time period tested. ZOE produced a milder and silicate a severe response at all periods. All of these compounds were placed by random selection in anterior and posterior teeth of both arches and five teeth were evaluated in both primary and permanent teeth at 3 days, 5 and 8 weeks.
Animals↗
Pulpal response to a bis-acryl-plastic (Protemp) temporary crown and bridge material.
The pulpal response to Protemp (ESPE Gmbh) was compared to zinc oxide-eugenol, Super Syntrex (de Trey) and Protemp plus zinc oxide-eugenol liner in 144 vervet monkey (Cercopithecus pygerythus) incisor teeth, according to ADA Specification No. 41. Cellular displacement into dentinal tubules, superficial and deep inflammation were present only in the 3-day specimens in all materials. Mean scores for the test material were lower than both negative and positive controls. In the 30-day specimens the prevalence of reparative dentine under the test material was similar to the negative control, while at 90 days it was less than the negative control, although the severity in affected specimens was more than the positive control. Use of a zinc oxide-eugenol liner reduced the severity of reparative dentine formation.
Acrylates↗
Fluoride release from varnish-coated silicates and from cavity liners and fissure sealants.
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Dental Cavity Lining↗
Sealing properties of intermediary bases and effect on rat molar pulp.
Five "cream-like" intermediary bases (Hypocal¿, Dycal¿, Reocap¿, Cavitec¿ and Dropsin¿) were studied using ZnO-eugenol (ZOE) and phosphate cement for comparison. The in vitro experiments, which were designed to reveal the penetration of a dye and an etching liquid, showed that Dropsin and Hyypocal were permeable to dye and that Dropsin was permeable to acid as well. The in vivo experiments revealed no definite differences between the different cream-like base materials, nor were there differences between those and the conventional cements. The overall mildness of the dentin-pulp reactions and the suitability of the rat molar for this kind of research are discussed.
Animals↗