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In vivo degradation of resin-dentin bonds in humans over 1 to 3 years.

The longevity of resin restorations is currently an area of great interest in adhesive dentistry. However, no work has been conducted to investigate the durability of resin-dentin bond structures using human substrate in vivo. The purpose of this study was to investigate the degradation of the resin-dentin bond structures aged in an oral environment for 1, 2, or 3 years. Cavities were prepared in primary molars, and an adhesive resin system (Scotchbond Multi-Purpose) was applied to the cavity. After 1 to 3 years, following the eruption of the succedaneous permanent teeth, the resin-restored teeth were extracted. Immediately after extraction, those teeth were sectioned perpendicular to the adhesive interface and trimmed to produce an hourglass-shaped specimen. Then, a micro-tensile test was performed at a crosshead speed of 1.0 mm/min. The mean bond strengths were statistically compared with one-way ANOVA and Fisher's PLSD test (p < 0.05). Further, all fractured surfaces were observed by SEM, and the area fraction of failure mode was calculated by means of a digital analyzer on SEM photomicrographs. There were significant differences in tensile-bond strength among all 3 groups (p < 0.05), with mean values ranging from 28.3 +/- 11.3 MPa (control), to 15.2 +/- 4.4 MPa (1 to 2 years), to 9.1 +/- 5.1 MPa (2 to 3 years). Moreover, under fractographic analysis, the proportion of demineralized dentin at the fractured surface in specimens aged in an oral environment was greater than that in control specimens. Furthermore, degradation of resin composite and the depletion of collagen fibrils was observed among the specimens aged in an oral environment. Analysis of the results of this study indicated that the degradation of resin-dentin bond structures occurs after aging in the oral cavity.

Adhesives↗

Comparative SEM and TEM examination of the ultrastructure of the resin-dentin interdiffusion zone.

The resin-dentin interdiffusion zone produced by a dentin-adhesive system that removes the smear layer and concurrently decalcifies superficial dentin was morphologically examined by both scanning and transmission electron microscopy. Cross-sectioned resin-bonded dentin discs were etched with an argon-ion beam to make the resin-dentin interface observable by SEM. For the TEM examination, the sections were partly decalcified by an aqueous EDTA solution to facilitate ultramicrotomy and to disclose the ultrastructure of the interdiffusion zone. Both SEM and TEM confirmed the presence of the resin-dentin interdiffusion zone as the junction between the deep unaltered dentin structure and the restorative resin. Within the interdiffusion zone, three sublayers with characteristic ultrastructure and staining were identified by TEM. An upper diffuse black layer contained few structural features. Underneath, partially-altered collagen fibrils were closely packed, mostly running parallel with the interface and perpendicular to the dentinal tubules. Their outline was electron-dense, forming tunnel-like structures. At the base of the upper layer, several stained projections were found to bulge out into the underlying collagen network and appeared to be confined by obstructive, parallel-running collagen fibrils. Finally, the third dense layer, containing hydroxyapatite crystals, demarcated the superficially demineralized dentin layer from the deeper unaltered dentin. Resin diffusion into the decalcified dentin surface layer was evident, but diminished with depth, presumably reducing deeper resin impregnation into the interfibrillar spaces. The citric acid dentin-pretreatment probably caused denaturation of the superficial collagen fibrils. Its decalcifying effect gradually weakened with depth, leaving behind hydroxyapatite crystals at the base of the interdiffusion zone.(ABSTRACT TRUNCATED AT 250 WORDS)

Acid Etching, Dental↗

Assessment by nano-indentation of the hardness and elasticity of the resin-dentin bonding area.

The hardness and Young's modulus of the successive layers across a resin-dentin bonding area were determined by nano-indentation for four commercially-available dentin adhesive systems, of which two were also applied with a different conditioning agent. With a computer-controlled nano-indentation technique, minute triangular indentations were made within a small area of a few micrometers' diameter at a load of a few milli-Newtons. The load and displacement of the indenter were continuously monitored during the loading-unloading sequence, so hardness and Young's modulus could be computed as a function of the indenter geometry and the applied load. The hardness of the resin-dentin interdiffusion zone was significantly lower than that of unaltered dentin. A gradient of moduli of elasticity was observed from the rather stiff dentin over a more elastic resin-dentin interdiffusion zone and adhesive resin layer to the restorative composite. That gradient was more substantial in those systems that produced relatively thick adhesive resin layers or supplementally provided a filled low-viscosity resin as an intermediate layer between the adhesive resin and the bulk restorative composite. Such an elastic bonding area might have a strain capacity sufficient to relieve stresses between the shrinking composite restoration and the rigid dentin substrate, thereby improving the conservation of the dentin bond and, as a consequence, the marginal integrity and retention of the restoration.

Composite Resins↗

The relationship between cure depth and transmission coefficient of visible-light-activated resin composites.

The relationships between the transmission coefficient and the cure depth were evaluated on eight commercially available light-activated resin composites. The determination of transmission coefficient was carried out by the use of a radiometer for various shades of the resin composites. The transmission coefficient, ranging from 0.042 to 0.263, was dependent upon the shade of the resin. There was a good correlation between the transmission coefficient and the cure depth for different shades for each resin composite, except for one hybrid resin composite (P-50). The microfilled resin composite showed transmission coefficient and cure depth lower than those of the hybrid and small-particle-filled resin composites.

Analysis of Variance↗

SEM evaluation of the resin-dentin interface with proprietary bonding agents in human subjects.

Laboratory studies on dentin bonding do not replicate physiological reality. This study examined with SEM the attachment produced in vivo under clinical conditions. Forty-four cavities were prepared in buccal/lingual surfaces of 16 premolar teeth scheduled for extraction and assigned randomly for treatment with: All-Bond 2 (Bisco) (A) with and (B) without dentin etch, (C) Scotchbond 2 (3M), (D) Scotchbond Multi-Purpose (3M), and (E) controls, using Enamel Bond (Kulzer) with dentin etch. After atraumatic extraction, restorations were split transversely by freeze-fracture and acid-treated. SEM examination of A revealed significant areas of gap-free attachment, with evidence of an acid-resistant hybrid layer (5-8 microns), often with resin tags of various lengths. Resin-reinforced collagen fibers were seen. Gap formation was coincident with lack of bonding resin layer over primed dentin. Attachment with B was less effective; a hybrid layer was infrequently seen and few resin tags. Pooled bonding resin at internal line angles appeared to favor an effective bond. Treatment C resulted in large areas of detachment, leaving an adherent primed dentin layer with short resin tags. Treatment D revealed significant areas of gap-free attachment and evidence of a hybrid layer. Controls (E) showed total bond failure. Attachment with A and D was secure, restorations remaining in situ even after freeze-fracture. This study confirmed that brief acid pre-treatment of dentin, allowing diffusion of resin-dentin primers, appeared conductive to development of an effective bond in vivo, similar to that reported in vitro.

Acid Etching, Dental↗

Factors affecting the adherence energy of experimental resin cements bonded to a nickel-chromium alloy.

Reliable adherence of resin-based cements is of prime importance for the longevity of cemented restorations. The present study investigated whether a relationship exists between adherence energy to a metal substrate and the degree of cross-linking and wetting characteristics of resin-based luting agents. The adherence energies between a sand-blasted metal surface and a series of experimental resin cements were measured by means of the wedge test. The degree of cross-linking was calculated from the monomer composition of the resin cements. The measured wetting characteristics were work of adhesion and surface tension, and their dispersive and polar components. Adherence energy varied between 22 and 81 J/m2 and was influenced by the nature of the resin cements: Those with a low degree of cross-linking resulted in high adherence values. Furthermore, resin cements whose monomers were relatively polar gave rise to high adherence values. Although other metals may not behave in exactly the same way, these results may help in the formulation of new, more retentive resin cements.

Acrylamides↗

Surface characteristics of resin-coated composite restorations.

Twenty-four maxillary anterior composite restorations from a clinical study of resin coating were examined at the time of baseline evaluation and at 23 months; electroplated positive replicas, impression negative replicas, and SEMs were used for evaluation. Coated restorations had smooth surfaces after 23 months, in comparison with rough surfaces of uncoated restorations. Defects in some of the resin coatings were found at the time of baseline evaluation; these included isolated areas of the composite or etched enamel that were not covered by the resin. Later examinations showed cracking of part of the edges of resin coating, development of bare areas, thinning of the coating edges, or generalized loss of the protective coating. The defects seen immediately after placement of the coatings were probably caused by errors in technique that include: application of the resin in a layer that was too thin; surface contaminants in the area of application; moisture on the surface of the composite or enamel; and areas of inadequate enamel etching were adjacent to the cavosurface margin of the composite. The appearance of bare spots or total loss or thinning of the resin coating edges during the later examinations is caused by wearing or abrading of the resin coatings from natural or mechanical causes. This seems to be a function of the initial coating thickness and its location on the tooth.

Acid Etching, Dental↗

Influence of pH of different adhesive systems on the polymerization of a chemically cured composite resin.

The purpose of this study was to investigate the effect of pH of different adhesive systems on the polymerization of a chemically cured composite resin (Adaptic--AD), by means of tensile bond strength testing. The adhesive systems tested were: ARM, Prime & Bond 2.1 (PB), Scotchbond Multi Purpose (SMP) and Single Bond (SB). Bond strength at the resin/adhesive system/resin interface was assessed. Five groups (n=5) were formed, according to following configuration: G1: AD/ARM/AD; G2: AD/PB/AD; G3: AD/SMP/AD; G4: AD/SB/AD; G5: AD/AD (no adhesive). A two-mold stainless steel matrix with a cone-shaped opening (1-mm-thick; 4 mm in diameter) was used to obtain resin discs. AD resin was inserted into the first mold, left-self curing and an adhesive layer was applied onto resin surface and light-cured. The second mold was assembled over the first and was filled with the resin. After 10 min, this setting was loaded in tension in a universal testing machine running at a crosshead speed of 0.5 mm/min. Data were submitted to one-way ANOVA and Tukey's test (p<0.05). Bond strength means (kgf) were: G1: 15.23 +/- 4.1; G2: 0.00 +/- 0.0; G3: 16.96 +/- 2.4; G4: 10.08 +/- 2.7; G5: 15.44 +/- 0.9. There were statistically significant differences (p<0.05) between G2-G1; G2-G3; G2-G4; G4-G1; G4-G3. The systems with the lowest pHs (PB and SB) yielded the lowest bond strength. The findings of this in vitro study demostrates that the pH of adhesive systems influences the polymerization and bond strength of chemically cured resin materials. The low pH simplified adhesive systems showed distinct degrees of incompatibility with the chemically cured resin, when compared to the conventional adhesive systems.

Acetone↗

Wear of resin-modified glass ionomers: an in vitro study.

The purpose of this study was to evaluate the wear resistance and clinical applicability of resin-modified glass ionomer cements as restorative or fissure-sealing materials. The in vitro wear of resin-modified glass ionomers was compared to conventional glass ionomers, a resin-based sealant, and a composite resin. A three-body wear test (enamel block--polymethylmethacrylate powder--experimental dental material) was performed by 20,000 cycles with a load of 4 kgf/cm2. The depth of wear of the experimental materials was measured and calculated using a computerized laser surface scanner. The glass ionomers generally showed more wear than the resin-based sealant and the composite resin, but there was no difference in wear between resin-modified and conventional glass ionomers. Type III ionomers (used for sealant) showed lower wear resistance than type II ionomers (used for restoration).

Bisphenol A-Glycidyl Methacrylate↗

Evaluation of water durability at adhesion interfaces by peeling test of resin film.

The water durability at adhesion interfaces was investigated by measurement of the peeled area of thin resin films bonded with 4-META resin on metal surfaces after imposing thermal stress using liquid nitrogen. Thermal stress at the adhesion interface was calculated by a computer-aided finite element method. On 18-8 stainless-steel specimens which bond strongly with 4-META resin, total interface failure occurs on specimens with resin thicker than 0.55 mm in dry condition. A resin layer of 0.25 mm was chosen to study degradation of the adhesion interface by water. The shearing stress was calculated as 16 MPa for a 0.25 mm thick resin layer. On mild-steel adherent interface with 4-META resin which degrades rapidly by water molecule, the relationship between water immersion time and degradation at the adhesion interface was discussed together with the amount of water penetrated at the interface. The method proposed in the present study is effective as a quick evaluation method for water durability at the adhesion interface.

Acrylic Resins↗

Single-crystalline ceramic whisker-reinforced carboxylic acid-resin composites with fluoride release.

Currently available glass-ionomer, resin-modified glass-ionomer, and compomer materials have relatively low strength and toughness and, therefore, are inadequate for use in large stress-bearing posterior restorations. In the present study, ceramic single-crystalline whiskers were mixed with fluorosilicate glass particles and used as fillers to reinforce experimental carboxylic acid-resin composites. The carboxylic acid was a monofunctional methacryloxyethyl phthalate (MEP). Five mass fractions of whisker/(whisker + fluorosilicate glass), and corresponding resin (resin + MEP), were evaluated. Four control materials were also tested for comparison: a glass ionomer, a resin-modified glass ionomer, a compomer, and a hybrid composite resin. Flexural specimens were fabricated to measure the flexural strength, elastic modulus, and work-of-fracture (an indication of toughness). Fluoride release was measured by using a fluoride ion selective electrode. The properties of whisker composites depended on the whisker/(whisker + fluorosilicate glass) mass fraction. At a mass fraction of 0.8, the whisker composite had a flexural strength in MPa (mean +/- sd; n = 6) of 150 +/- 16, significantly higher than that of a glass ionomer (15 +/- 7) or a compomer control (89 +/- 18) (Tukey's multiple comparison test; family confidence coefficient = 0.95). Depending on the ratio of whisker:fluorosilicate glass, the whisker composites had a cumulative fluoride release up to 60% of that of a traditional glass ionomer. To conclude, combining ceramic whiskers and fluorosilicate glass in a carboxylic acid-resin matrix can result in fluoride-releasing composites with significantly improved mechanical properties.

Analysis of Variance↗

Influence of different acid conditioners on the tensile bond strength of 4-META/MMA-TBB resin to Er:YAG laser-irradiated bovine dentin.

PURPOSE: This study evaluated the effect of acid conditioners on resin bonding to dentin following irradiation with an Er:YAG laser and investigated the characteristics of resin bonding to the laser-treated dentin. MATERIALS AND METHODS: Extracted bovine teeth were cervically sectioned to expose a dentin surface. After polishing, the dentin was irradiated with an Er:YAG laser. Aqueous solutions of 10% citric acid (10-0) or 10% citric acid/3% ferric chloride (10-3) were then applied to the laser-treated surface as acid conditioners. After the acid treatment, a PMMA rod was bonded to the irradiated dentin using 4-META/MMA-TBB resin, and miniaturized dumbbell-shaped bonded specimens were prepared. These specimens were subjected to tensile testing, and fractured surfaces were observed with field-emission scanning electron microscopy (FE-SEM) to determine the mode of fracture. Additionally, the resin-dentin interfaces were observed under FE-SEM. RESULTS: The tensile bond strength of acid-conditioned bonded specimens was lower than that of specimens not subjected to acid treatment (11.1 MPa) in the laser-irradiated group. No significant difference was observed between 10-0 and 10-3 treatments. 10-3 treatment yielded the highest bond strength (24.6 MPa) in the nonirradiated group, as opposed to only 7.7 MPa in the laser-treated group. Cohesive failure in the dentin was observed in almost all specimens in the irradiated group. Furthermore, a 10- to 30-micron-thick resin-penetrated layer was observed at the interface between the dentin and resin. CONCLUSION: These results suggest that the effect of acid conditioners on resin bonding to dentin differs according to whether the dentin has been laser irradiated or not.

Acid Etching, Dental↗

[Synthesis and application of novel acrylic resin as enteric coating].

The pH sensitive two- and three-component acrylic resins were synthesized by radical solution copolymerization of methyl methacrylate (MMA), methacrylic acid (MAA) and/or butyl acrylate (BA) and their acid values were measured by acid-base titration. The dissolution of naproxen pellets coated with the synthesized resins in dissolution medium of different pH value was studied. The results show that the acrylic resin with different acid value can be prepared by adjusting the monomer ratios (MMA:MAA or MMA:MAA:BA). The smaller the acid value of the resin is, the higher pH sensitive value it has. The release of naproxen from pellets coated with these resins is greatly influenced by the pH value of the dissolution medium and the pH sensitive value of the coating resin. The three-component resins are plastic and can be used as coating material without adding plastisizers.

Acrylic Resins↗

Fluoride release and caries inhibition associated with a resin-modified glass-ionomer cement at varying fluoride loading doses.

PURPOSE: To measure, over time, the release of fluoride from a resin-modified glass-ionomer cement, loaded with different levels of fluoride, then to evaluate the adjacent dentin demineralization inhibition relative to these fluoride levels. MATERIALS AND METHODS: (Phase I) 25 standardized discs were fabricated from a non-fluoridated resin-based composite (control), resin-modified glass-ionomer cement and resin-modified glass-ionomer cement loaded with sodium fluoride at 1%, 2% and 3% by weight fluoride. Fluoride release was evaluated over 30 days. (Phase II) 50 restorations, from the materials listed in Phase I, were placed as Class V restorations in teeth, the teeth were acid-challenged, then dentin margins adjacent to restoration margins were evaluated for demineralization. RESULTS: As sodium fluoride additions increased, fluoride release increased. Evaluation of demineralization indicated the resin-modified glass-ionomer cement inhibited adjacent demineralization in a direct relationship with sodium fluoride concentration where 3% fluoride exhibited significantly less adjacent demineralization than all other groups; 2% and 1% fluoride exhibited significantly less adjacent demineralization than the non-loaded resin-modified glass-ionomer cement and non-fluoridated resin-based composite control (P< 0.05).

Acid Etching, Dental↗

The effect of a "resin coating" on the interfacial adaptation of composite inlays.

The relatively low bond strengths of resin cements to dentin may result in poor interfacial adaptation of composite inlays. This study determined whether the interfacial adaptation of composite inlays could be improved by applying an adhesive system and a low viscosity microfilled resin to the prepared cavity walls before making an impression. Ten MOD cavities were prepared on extracted human premolars with gingival margins located above and below the cemento-enamel junction. A "resin coat" consisting of a self-etching primer system (Clearfil SE Bond) and a low viscosity microfilled resin (Protect Liner F) was applied to the cavities of half of the prepared teeth, while the remaining teeth served as non-coated control specimens. All the teeth were restored with composite inlays (Estenia) fabricated by the indirect method and cemented with a dual-cured resin cement (Panavia F). After finishing the margins with superfine burs, the bonded inlays were thermocycled between 4 degrees C and 55 degrees C for 400 cycles. Specimens were sectioned with a diamond saw and the tooth-restoration interfaces were observed with a confocal laser scanning microscope. The data were analyzed with two-way ANOVA and Fisher's PLSD test (p < 0.05). The percentage length of gap formation at the dentin-restoration interface of the "resin coated" teeth (7.1 +/- 3.5) was significantly less than that of the non-coated teeth (85.7 +/- 6.7) (p < 0.05). The concept of coating the prepared cavity with an adhesive system and a low viscosity microfilled resin resulted in observing fewer gaps at the internal dentin-restoration interface compared with the non-coated specimens.

Analysis of Variance↗

Comparison of bond strengths between adhesive and conventional acrylic resins to cobalt chromium denture base alloy.

In removable partial dentures there is normally no chemical bonding between the cast alloy and the poly(methylemethacrylate). Mechanical retention of the resin to the casting is required and presents a significant challenge during the design of partial dentures. Recently developed adhesive denture base resins which contain the monomer 4-methacryloxyethyl trimellitate anhydride can create a chemical bond to partial denture alloys. This study investigated the bond strength of adhesive denture base resin (Metafast) and conventional acrylic resin (Croform x 10) to partial denture alloy (CoCr) under three different storage conditions (dry, water, water with thermocycling). The results showed that the bond strength of the conventional acrylic resin (Croform x 10) was less than the bond strength of the adhesive denture base resin (Metafast) and the storage environment had a significant effect upon the bond strength of both resins.

Acrylic Resins↗

Monkey pulpal response to an MMA-based resin cement as adhesive luting for indirect restorations.

PURPOSE: The objective of this study was to evaluate the pulpal response to a newly-developed MMA resin cement (MultiBond, Tokuyama) when used for adhesively luting composite resin inlays. MATERIALS AND METHODS: Cervical cavities were prepared in monkey teeth. The teeth were randomly divided into 3 groups. In the experimental group, a self-etching primer and a resin cement were applied to the cavities, and then hybrid composite inlays (Estenia, Kuraray) were inserted using freshly mixed resin cement. In the other groups, a zinc oxide/eugenol cement (Eugedain, Showa Yakuhin Kakou) or a glass-ionomer cement (Fuji II, GC) was used to fill the cavity. The teeth were then extracted after 3, 30, and 90 days, fixed in 10% buffered formalin solution, and prepared using routine histological techniques. Five-mum-thick sections were stained with hematoxylin and eosin, or Brown & Brenn gram stain for bacterial observation. Histopathological reactions in the pulp tissue and bacterial penetration along the cavity walls were assessed using a standardized score. RESULTS: No serious inflammatory reactions in the pulp, such as necrosis or abscess formation, were observed in any of the experimental periods, except for 1 case after 30 days, in which a pulpal exposure was suspected. Disarrangement of the odontoblast layer and deposition of reparative dentin were the major reactions observed in this specimen. No bacterial penetration along the cavity walls was detected. The monkey pulpal response and in vivo sealing ability of the MMA resin cement in combination with the self-etching primer was considered as good as that of the glass-ionomer cement. CONCLUSION: The new MMA resin cement showed acceptable biological compatibility to the monkey pulp when used to adhesively lute composite resin inlays.

Acrylic Resins↗

Influence of light activation on the volumetric change of core foundation resins.

A core foundation system is frequently used in endodontically treated teeth that suffer excessive loss of the coronal portion of their structure. The volumetric shrinkage of core foundation resins may create marginal gaps that influence the bonding ability and longevity of a restored tooth. Little is known about how activation conditions of resin core foundation resin pastes affect their volumetric shrinkage. This study evaluated the influence of light intensity and light activation duration on volumetric shrinkage of direct core foundation resins. Two dual- and one light-activated core foundation resin pastes were employed. The material was placed in a Teflon mold 4 mm in diameter and 2 mm in height and extruded into a water filled dilatometer. The specimens were then light activated and the change in height of the meniscus of water was recorded using a charged-coupled device camera. The average volumetric shrinkage of the core foundation resins after 180 seconds ranged from 1.53% to 2.63%. For all materials tested, there was a tendency for increased volumetric shrinkage with increased light activation time and intensity. The results of this study indicate that the volumetric change of core foundation resins is influenced by the time and intensity of light activation.

Analysis of Variance↗