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The effects of maturity and dehydration shrinkage on resin-modified glass-ionomer restorations.

The dimensional change, including hygroscopic change, of adhesive dental materials is a clinically important topic, since excessive changes could cause debonding from tooth structure. The water balance of glass-ionomer cements arises mainly from their sensitivity to the environment; depending on the surroundings, they can gain or lose water, either of which can be potentially damaging. These effects become less noticeable as the cement ages. The effects of maturity of the newer resin-modified glass-ionomer materials and their responses to changes in moisture are unknown. Using confocal microscopy, we examined the effects of dehydration stress on the glass-ionomer/tooth interface in specimens of various degrees of maturity. Wedge-shaped cervical cavities in extracted teeth were restored with one of three resin-modified glass-ionomer restorative materials. The control specimens were restored with a conventional glass ionomer. The samples were left to mature, then sectioned and examined at 1 day, 1 wk, 1 mo, 3 mos, 6 mos, and 1 yr. After being sectioned, each specimen was examined immediately with a confocal microscope with water-immersion objectives so that the subsurface interfacial characteristics could be studied. The specimen was then allowed to dehydrate under the microscope, with further examinations at 15, 30, and 60 min. Generally, gap formation at the interface occurred within 15 min of dehydration. All materials showed a different pattern of gap change with maturity, probably due to the different setting mechanisms involved. All of them were susceptible to dehydration shrinkage up to 3 mos of maturity. At 6 mos and 1 yr, Fuji II and Fuji II LC showed insensitivity to dehydration. Vitremer and Photac-Fil showed less sensitivity to dehydration at 1 yr than at 6 mos. The results of this study of the maturing polymerized resin-modified cements have potential clinical implications in the handling of these materials; the addition of resin has not significantly reduced the glass ionomer's susceptibility to dehydration problems.

Analysis of Variance↗

Cathode ray tube glass recycling: an example of clean technology.

In this study the use of 'cleaned' end of life (EOL) cathode ray tube (CRT) glass as a raw material in ceramic glazes is described. At present, the recycling and industrial utilization of CRT, a glass material from TV and computer sets, is a subject of intense research with particular regard to the so-called open-loop recycling, namely cycles different from that of the origin. However, the use of CRT glass as a secondary raw material is strictly related to the demand of high-quality raw material. The good preliminary results reached by introducing clean TV and PC monitor panel and cone glass into ceramic glaze formulations pushed research toward the setting-up of a base glaze that is exploitable for the production of pigmented, silk-screened and flame-hardened glazes (products used industrially for coating floor tiles). The aesthetic and chemical characterization of the tiles glazed by this product showed an extremely similar behaviour to originals that did not contain CRT glass. The good technical results achieved have been supported by the life cycle assessment analysis, which has demonstrated a reduction of the environmental impact of the CRT glass-containing ceramic glaze with respect to the standard one.

Beta Particles↗

Conformational response of the glycocalyx to ionic strength and interaction with modified glass surfaces: study of live red cells by interferometry.

We have measured separation distances between live human red blood cells and simple or modified glass surfaces, using the finite aperture technique of microscope interferometry. In general, separation increases as the ionic strength falls, in isotonic solutions. Restriction on movement parallel to the glass in all except the most dilute salt solutions, coupled with the absence of Brownian motion, indicates direct molecular contact with the substratum. Thus increased separation must be due to swelling of the glycocalyx under electrostatic forces. However, at approximately less than to 2mM adherent cells show a separation greater than 100 nm, execute Brownian motion and the restriction on lateral motion is less evident. This suggests that secondary minimum adhesion by long-range forces with little or no direct molecular connection occurs at extreme dilution only. Treatment of cells with trypsin reduces separation by up to 40 nm, but the extent to which this reflects reduced double-layer repulsion due to loss of surface charge, as opposed to the reduced opportunity for swelling in a trimmed-down glycocalyx, is unclear. Adhesion at a separation approximately 100 nm in 1 mM buffer after trypsinization supports the view that adhesion can occur without very long glycoprotein connections, but does not prove it. Adhesion to unwettable methylated glass and completely wettable unmethylated glass, with an identical ionic strength dependence of the separation, shows that hydrophilicity is not an absolute requirement. Red cells interact closely at all ionic strengths with glass made polycationic with poly-L-lysine, owing to electrostatic attraction. The interference technique also shows that adherent cells can be spaced from the glass by an intervening layer of previously absorbed serum albumin.

Cell Adhesion↗

Clinical performance and caries inhibition of resin-modified glass ionomer cement and amalgam restorations.

BACKGROUND: The authors clinically examined two restorative materials to evaluate their effectiveness in Class II restorations in primary molars and their ability to inhibit recurrent caries. METHODS: Forty subjects, each in need of two Class II restorations in primary molars, took part in this study. Each patient received one Class II restoration of resin-modified glass ionomer cement and one of amalgam. The authors evaluated the restorations at six-month, one-year, two-year and three-year recall appointments. On exfoliation, teeth with experimental restorations were retrieved and microscopically examined for inhibition of demineralization at restoration margins. RESULTS: The results of the clinical evaluation demonstrated no significant differences between the resin-modified glass ionomer cement restorations and the amalgam restorations (P < .05). Polarized light microscopic examination of the returned teeth that were restored as a part of this study indicated that the resin-modified glass ionomer cement had significantly less enamel demineralization at restoration margins than did amalgam (P < .0001). CONCLUSIONS: The resin-modified glass ionomer cement functioned clinically as well as amalgam for Class II restorations in primary molars. However, the resin-modified glass ionomer exhibited significantly less enamel demineralization at restoration margins than did amalgam. CLINICAL IMPLICATIONS: Resin-modified glass ionomer cement restorative material functions well for Class II restorations in primary molars and exhibits less recurrent caries at restoration margins than does amalgam.

Cariostatic Agents↗

Bioactive glass efficacy in the periodontal healing of intrabony defects in monkeys.

The purpose of this study was the histomorphologic analysis of the efficacy of bioactive glass particles with a narrow size range (Biogran) in the periodontal healing of 2-wall intrabony defects in monkeys. The 2-wall defects were made in the mesial area of the left and right second premolars of four monkeys, filled with gutta-percha and, after 15 days, they were debrided and either naturally filled with coagulum (control) or implanted with bioactive glass (test). In the control sites, the junctional epithelium migrated up to the base of the defect. The presence of newly formed cementum was more significant in the test defects. Both control and test sites showed newly formed bone at the base of the defect. The test defects presented foci of newly formed bone around and within the glass particles localized in the middle third, distant from the defect walls. Histologic analysis showed that the 300- to 355-microm bioactive glass particles aided new periodontal insertion. In conclusion, the tested bioactive glass had better healing potential than debridement only. The graft material showed a promising inhibition of apical migration of the junctional epithelium and greater cementum deposition on the radicular surface of the intrabony defects. The replacement of bioactive glass particles by new bone occurred due not only to an osteoconductive property, but also to an osteostimulatory capacity. Future investigations should evaluate this potential comparatively or together with other grafting materials, regenerative techniques and biological modifiers, as well as assess the longitudinal stability of the new attachment.

Alveolar Bone Loss↗

Reactive oxygen metabolite production induced by asbestos and glass fibers: effect of fiber milling.

Particle stimulated chemiluminescence (CL) production by human polymorphonuclear leucocytes (PMN) has been utilized to evaluate the pathogenicity of mineral and glass fibers with the understanding that reactive oxygen metabolites (ROM) production as measured by CL is etiopathogenically related to fiber toxicity. In the present study to investigate the specific pathogenic role of fiber number and dimensions, CL production from PMN exposed to anthophyllite asbestos mineral and glass fiber samples milled for different time periods was measured. Almost all the fibrous particles in the glass fiber sample were destroyed after milling for 30 minutes. With anthophyllite, the total number of fibrous particles remained almost constant for up to 240 minutes of milling, although the size of fibrous particles was reduced. CL produced by the same mass of glass fiber was elevated after milling for 15 minutes, but then declined when the milling time was further increased. Similarly, with anthophyllite, the production of CL was elevated at the first period of milling for 30 minutes, but then declined at the longer milling times. The level of CL produced was not correlated to the total number of fibrous particles, for both the glass fiber and the anthophyllite samples. Likewise for the glass fiber and anthophyllite samples, no specific range of fiber dimension was correlated to the peak hight CL production. These findings indicate that neither the total number, nor the specific range of fiber dimension solely determines CL production. As a consequence, it may be concluded that other physiochemical factors, such as the surface reactive characteristics of milled fibers, may be more closely related to CL production by PMN.

Air Pollutants, Occupational↗

Bonding strength of glass ionomers to dense synthetic hydroxyapatite and fluoroapatite ceramics.

The bonding strength of two glass ionomers, a resin-modified and a conventional one, to dense synthetic hydroxyapatite (HA) and fluoroapatite (FA) ceramics was compared by measuring the shear strength between the ionomers and the apatites. Before the glass ionomers were applied on the apatites, the surfaces of HA and FA plates were either fine-polished or acid-etched after fine polishing. Commercially pure titanium (CP Ti) plates were used as a control. The effects of polyacrylic acid (PAA) surface preconditioning on bonding strength were also studied. The results show that the ionomers bind to HA significantly more strongly than to FA in all cases. The resin-modified material showed a significantly higher shear strength to apatites than the conventional one. Acid etching increased the shear strength significantly for the conventional glass ionomer to both HA and FA, and 25% PAA preconditioning increased the shear strength significantly for the resin-modified glass ionomer to both HA and FA. It was concluded that glass ionomers seemed to bind to apatite chemically, and the bonding strength was influenced by the cohesive strength of the ionomers and the surface roughness of the apatites. The dense synthetic apatites seemed to be good test materials for bonding evaluations of glass ionomers to mineral tissue.

Acid Etching, Dental↗

Mechanical properties of woven glass fiber-reinforced composites.

The aim of this investigation was to measure the flexural and compressive strengths and the corresponding moduli of cylindrical composite specimens reinforced with woven glass fiber. Test specimens were made by light-curing urethane dimethacrylate oligomer with woven glass fiber of 0.18-mm standard thickness. Tests were conducted using four reinforcement methods and two specimen diameters. Flexural strength and modulus of woven glass fiber-reinforced specimens were significantly greater than those without woven glass fiber (p < 0.01). Likewise, compressive strength of reinforced specimens was significantly greater than those without woven glass fiber (p < 0.01), except for specimens reinforced with woven glass fiber oriented at a tilt direction in the texture (p > 0.05). In terms of comparison between the two specimen diameters, no statistically significant differences in flexural strength and compressive strength (p > 0.05) were observed.

Analysis of Variance↗

A study of glass-ionomer cement and its interface with enamel and dentin using a low-temperature, high-resolution scanning electron microscopic technique.

This report describes a method of immobilizing the water contained in glass-ionomer cement and dental hard tissues and stabilizing the delicate organic component of dentin. With this method, the intact interface between glass-ionomer and dental hard tissues can be observed under scanning electron microscope with few of the artifacts that are caused by the desiccation associated with conventional scanning electron microscopic studies. There was a distinct zone of interaction between the glass-ionomer cement and enamel and dentin. Under severe thermal stress, glass-ionomer cement failed cohesively, leaving an intact interface with enamel and dentin. Machine-mixed glass-ionomer cements displayed a high level of porosity. Some glass particles were separated from the matrix, and there was evidence that some are dislodged from the matrix during specimen preparation.

Dental Enamel↗

Water storage effect on the marginal seal of resin-modified glass-ionomer restorations.

The effect of storage in water on the marginal adaptation of glass-ionomer restorations placed in extracted human premolars and Teflon molds was studied. When the cavity preparations were filled with a glass ionomer and polished immediately after setting, a marginal gap of approximately 15 microns was formed. In contrast, when polishing following storage in water the marginal gap was 0 to 2 microns for the resin-modified and the conventional glass ionomers respectively. The bond strength of the glass ionomer to enamel and to dentin and the flexural strength of the glass ionomer increased after storage in water. Therefore the marginal seal of glass-ionomer restorations may not only be improved due to hygroscopic expansion during storage in water but also may exhibit greater bond strength.

Dental Marginal Adaptation↗

Morphology and formation mechanism of hydroxyapatite coating by hydrothermal method on CaO-SiO2-B2O3-Na2O glass.

Hydrothermal method was used to prepare the hydroxyapatite (HA) coating on CaO-SiO2-B2O3-Na2O glass. The phase composition, morphology and microstructure of HA coated glass composites were analyzed using XRD, EPMA, FT-IR and SEM techniques. It revealed that HA coating possessed a porous gradient construction; HA coating was tightly bonded with the glass substrate by the interface layer. During the formation of HA coating, the hydrated silica produced by the corrosion of glass substrate in the hydrothermal solution provided favorable sites for apatite nucleation. With the dissolving of HA powder and the growth of apatite small crystallites, Ca+, PO(4 (3-)) ions would precipitate on the surface of glass to form the HA coating. Silicon element released from glass reacted with calcium produced by the dissolution of HA to form the tight reaction layer. HA coating is formed by the mechanism of dissolving-ions immigrating-precipitating pattern.

Calcium↗

Resin-modified glass-ionomer restorations and in vitro secondary caries formation in coronal enamel.

OBJECTIVE: The purpose of this laboratory study was to compare the effects of a resin-modified glass ionomer and a resin composite restorative material on secondary caries formation in coronal enamel. METHOD AND MATERIALS: Twelve caries-free molars were sectioned into tooth quarters. Coronal cavities were prepared and then restored with either a resin-modified glass-ionomer material (mesiobuccal and mesiolingual tooth quarters), or a resin composite (distobuccal and distolingual tooth quarters). Caries like lesions were created, and secondary caries was examined by polarized light microscopy following lesion initiation and progression periods. RESULTS: The resin-modified glass-ionomer specimens had significantly shallower primary surface lesions at both the lesion initiation (35% shallower) and progression (45% shallower) periods than did the resin composite specimens. There were significantly fewer wall lesions (3-fold and 2-fold fewer following lesion initiation and progression, respectively) in the resin-modified glass-ionomer group than in the resin composite group. CONCLUSION: Resin-modified glass-ionomer restorations reduce the susceptibility of unrestored adjacent enamel surfaces and cavosurfaces to a constant cariogenic challenge. The caries resistance imparted to the surface enamel and cavosurface is most likely due to the fluoride release from the resin-modified glass-ionomer material.

Composite Resins↗

Dental implants placed in extraction sites implanted with bioactive glass: human histology and clinical outcome.

PURPOSE: To evaluate the clinical outcome of implants placed into sites grafted with bioactive glass. MATERIALS AND METHODS: Seventeen consecutively treated patients were referred to a private specialist surgical practice for the repair of dentoalveolar defects, and/or ridge maintenance at the site of extraction sockets, prior to implantation. Bioactive glass available in 1 of 2 forms was utilized as an alloplastic grafting material. Bone cores were trephined out at the time of implantation and processed and examined to evaluate the tissue response under the light microscope. Implant mobility, marginal bone levels, and soft tissue health were all evaluated over a 2- to 3-year follow-up period to determine treatment success. RESULTS: A total of 40 Astra Tech dental implants were placed. The overall success rate at the end of the study was 88.6% for implants that were in function for a mean period of 29.2 months (22 to 24 months). One patient with 5 successful implants died at 18 months after functional loading. At that time the cumulative success rate was 90%. Another patient who was diagnosed with cancer of the large bowel lost 3 implants. If this patient were excluded from the data, the cumulative success rate increases to 96.8%. Mean marginal bone loss measured 0.5 mm mesially and 0.4 mm distally over a maximum follow-up of 36 months. Human histology demonstrated that connective tissue was seen to exist without any inflammatory response, for up to 6 months. Increasing evidence of bone formation was seen in direct relation to the bioactive glass material beyond this time frame. DISCUSSION: The need to repair and augment dentoalveolar defects necessitates the use of autogenous bone or a substitute that may be seen to avoid the additional morbidity of a donor site procedure and without risk of cross infection. The use of bioactive glass has been proposed as a viable bone substitute. The current study draws attention to the long healing time required to achieve even a small amount of new bone incorporation into the graft, as seen histologically. However, the high rate of osseointegration and continued medium-term function of implants placed into these grafted sites would indicate that the use of bioactive glass does not prohibit osseointegration. However, it is likely that the initial integration will have derived from those areas in contact with native bone. CONCLUSION: Implants will survive for up to 3 years in sites grafted with bioactive glass, even when such grafts appear to only slowly conduct new bone growth.

Adult↗

[Study on infiltration glass for machinable-infiltrated-ceramic and on its colorants].

In order to develop tinted infiltration glass and its colorants, which can make the ceramic have good spectrum transmittance, color space, color stability and be suitable for clinical use, we selected the best prescription and confirm the ingredient and content of the colorants. Molten glass was prepared in Al2O3 crucible by heating the components to 1420 degrees C for 2 hours. The refractive index and thermal stability of the glass were investigated. The refractive index of the MIC infiltration glass was 1.5969(587.6 nm, nd). It was close to the index of aluminous matrix 1.759(546.07 nm, ne), which increased the spectrum transmittance of MIC. The thermal expansion coefficient of the glass was 7.565 microns/m/degree C, which was compatible with the thermal expansion coefficient of aluminous matrix(8.214 microns/m/degree C). This study proved that the tinted infiltration glass has good color stability, spectrum transmittance, and thermal expansion properties.

Aluminum Silicates↗

[Injuries caused by automobile safety glass].

The report initially discuss the properties and application of tempered glass (TG) and laminated glass (LG) in motor vehicles. Although the trunk and extremities are injured these injuries are seldom life threatening. In contrast, head or neck injuries present a greater threat to life. Especially serious are TG injuries resulting in blindness. The resultant vehicle damage can appear not only as isolated glass cracking, which occurs regularly accompanying injuries without loss of consciousness, but as deformation of the vehicle interior adjacent to the windscreen. In the cases where more solid structures are impacted fatal injuries are possible. This report presents detail both of some real accident investigations and of 9 simulated oblique collisions using 9 post mortem human subjects (PMHS's). In these 9 simulations the head impacted during the primary impact phase against side windows constructed from TG. A modified tempered glass construction (two plates sandwiching a 3 mm air layer) was also tested. Impact angles were 35 to 45 degrees. The severity of facial laceration was dependent on collision severity, type of glass and glass damage resulting from head impact. Minor or severe cutting injuries of the face were caused. Only through the investigation of real accidents and accident simulations can occupant safety be improved.

Acceleration↗

[Mechanical properties of preimpregnated glass fiber reinforced composite resins].

OBJECTIVE: To study the mechanical properties of two kinds of composite resins reinforced by preimpregnated glass fibers. METHODS: Sinfony and belleGlass composite resins were used to make standard samples (25 mm x 2 mm x 2 mm) with and without glass fibers. After all specimens were stored for 24 hours in distilled water at (37 +/- 1) degrees C, the flexural strength and flexural modulus were measured on a universal test machine. RESULTS: Both flexural strength and flexural modulus of Sinfony composite reinforced by the glass fibers became significantly increased, which were (555.76 +/- 67.31) MPa and (12.59 +/- 3.06) GPa respectively, and 4.5 and 2.5 times much more than those of the specimens without glass fibers (P = 0); the flexural modulus of belleGlass composite became significantly increased, which was (14.10 +/- 2.88) GPa, and 0.9 time much more than the specimens without glass fibers (P = 0), but the improvement of flexural strength was not significant. CONCLUSION: Glass fibers can improve the mechanical properties of composite resins, but the reinforcement effect is different between different resins.

Composite Resins↗

Marginal microleakage around class V cavities restored with glass ceramic inserts of different coefficients of thermal expansion.

OBJECTIVE: Evaluate microleakage around Class V resin restorations restored with glass ceramic inserts of different coefficients of thermal expansion. METHODOLOGY: Sixty non-carious extracted human premolars (patient age range 12-20 years) were randomly assigned to three groups. Standard Class V preparations were cut in the buccal surface using customized Cerana burs, size 3. Glass ceramic inserts from two manufacturers (Cerana and Beta-Quartz) were used to restore the cavities, and were luted with a hybrid, high-viscous composite (Tetric Ceram) and a bonding agent (Excite). A control group, without inserts, was bulk-filled with a hybrid, high-viscous composite (Tetric Ceram). In accordance with American Dental Association (ADA) guidelines, half the preparation was in enamel and half in dentine/cementum, and had a mesio-distal width of 3 mm, an occluso-gingival height of 3 mm, and a depth of 2 mm. All margins had butt joints. The teeth were thermocycled 4000 times between water baths held at 5 degrees C and 55 degrees C, and the specimens prepared and examined for microleakage using 2.0% Procion Red dye, buffered at pH 7 as a marker. RESULTS: Microleakage was significantly less around cavities restored with Cerana glass ceramic inserts than around cavities restored with Beta Quartz glass ceramic inserts or the control cavities at both the occlusal and gingival margins, p = 0.003 and p = 0.014, respectively. Comparisons of both occlusal and gingival margins within both test groups and the control group showed there was significantly less microleakage at the enamel-resin interface than at the dentine-resin interface (p < 0.05 in all cases). CONCLUSION: The results strongly suggest that restorations restored with Cerana glass ceramic inserts, which have a coefficient of therml expansion approximating that of enamel, result in a decrease in marginal microleakage compared to Beta Quartz glass ceramic inserts and Tetric Ceram resin-based composite material.

Acrylic Resins↗

[Unusual fatalities caused by glass splinter injury].

In the case of a thorax stab wound and an intrapulmonal position of the glass fragment (fall from a ladder into a glass door) an extrathoracic cardiac massage had been carried out. The result of which, an extremely unusual "reanimationtrauma" and the problems connected with it are discussed. In another case of a stab wound of the right iliacal vessels and the position of the glass fragment in the minor pelvis (jump through a thermopane glass of a door, followed by a fight) investigations were first conducted because of the suspicion of manslaughter. The autopsy, however, completely excluded death through fault of another. Further an unusual figured glass cut wound on the left side of the head (fall into a glass brick wall) led to death through gradual bleeding. The question arose whether death was caused by failure to give assistance.

Accidents, Home↗