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Fatigue of resin cement-base metal alloy bond strength.

PURPOSE: Strong durable bonds between resin cements and metal alloys are critical to the success of resin-bonded, resin-veneered, or resin-retained prostheses. However, few comprehensive, comparative evaluations of materials or the fatigue effects of thermal cycling have been reported. The rate of strength loss may be a more important predictor of long-term success than bond strength. The purpose of this study was to investigate the effects of artificial aging by thermal cycling and resin cement type on the bond strengths to a base metal alloy. MATERIAL AND METHODS: This study investigated the effect of the number of thermal cycles (0, 1, 10, 100, 1,000, and 10,000) on the bond strengths of nine fixed prosthodontic resin cements. Specimens were assigned randomly to thermal cycle number/cement type test groups. Cylinders of a base metal alloy were bonded in an end-to-end configuration. One end of each bonded specimen was insulated, and the specimen was thermal cycled. Then, the bonds were tested in shear and bond strengths calculated. RESULTS: Two-way ANOVA revealed that the effects of cement type, the number of thermal cycles, and their interaction all significantly affected bond strength (p < .0001). Multiple range analysis showed that some cements had significant trends to lose bond strength with thermal cycling (p < .05), while others did not (p > .05). CONCLUSIONS: Both the type of resin cement and the amount of thermal cycling influenced bond strength to a base metal alloy. Some materials displayed more rapid loss of bond strength than others.

Analysis of Variance↗

Effect of chemical disinfectants and repair materials on the transverse strength of repaired heat-polymerized acrylic resin.

PURPOSE: The purpose of this study was to evaluate both the effects of immersion in different chemical disinfectant solutions and the type of repair material on the transverse strength of repaired heat-polymerized acrylic resin. MATERIALS AND METHODS: A total of 110 rectangular specimens (65 x 10 x 3 mm) of heat-polymerized acrylic resin (Triplex) were fabricated. After polymerization, the specimens were polished, then stored in distilled water at 37 degrees C for 1 week. The specimens were divided into 11 groups (n = 10) coded A to K. Specimens of Group A remained intact (control). The specimens of Groups C to F and Groups H to K were immersed in the following chemical disinfectant solutions (1%, 2.5%, and 5.25% sodium hypochlorite and 2% glutaraldehyde, respectively) for 10 minutes. The specimens of all groups except those of Group A were sectioned in the middle to create 10 mm gaps and repaired with the same resin (Groups B to F) and autopolymerizing acrylic resin (Groups G to K). The specimens of Groups C to F and Groups H to K were again immersed in the disinfectant solutions in the same sequence. The transverse strength (N/mm(2)) was tested for failure in a universal testing machine, at a crosshead speed of 5 mm/min. Two-way analysis of variance (ANOVA) was performed to evaluate the effects of both the disinfectant solutions and repair materials on the transverse strength of repaired specimens. All data were statistically analyzed using one-way analysis of variance followed by Tukey's test at 95% confidence level. RESULTS: The repaired specimens treated with/without disinfectant solutions showed similar (p > 0.05) transverse strength values. No differences (p > 0.05) were detected among the repaired specimens either with heat-polymerized or autopolymerizing acrylic resins. The intact specimens showed transverse strength values (86.9 +/- 11.8) significantly higher (p < 0.05) than the values of the repaired specimens. CONCLUSIONS: Among the repaired specimens, transverse strength was not affected after immersion in the disinfectants for the immersion period tested (10 min). The repair material, either heat-polymerized or autopolymerizing acrylic resin, had no effect on the transverse strength of the repaired acrylic resin specimens.

Acrylic Resins↗

Allergenic potential of abietic acid, colophony and pine resin-HA. Clinical and experimental studies.

Resin acids are considered to be the main allergens in colophony (rosin). Tall oils also contain resin acids and may then be potential sensitizers. A resin acid concentrate (pine resin-HA) together with Chinese colophony were included in our standard series and applied on 563 patients with contact dermatitis. Fourteen showed an isolated sensitivity to colophony and two to pine resin-HA. Six patients reacted to both test compounds. Guinea pig maximization tests (Magnusson & Kligman 1969) showed that pine resin-HA (2 series) was a grade I allergen, abietic acid a grade III allergen and colophony a grade IV allergen. The risk that the resin acids in tall oils would induce contact sensitivity to workers exposed to tall oil-containing products like cutting fluids and cleansing agents is considered to be minimal.

Allergens↗

Patch testing with a mixture of 2 phenol-formaldehyde resins.

1310 patients were routinely patch tested with a paratertiary-butylphenol-formaldehyde resin (PTBP-F-R), a resol resin based on phenol and formaldehyde (P-F-R-2), and a mixture of these 2 resins. Approximately 2.5 times more patients with contact allergy to phenol-formaldehyde resins were diagnosed when routinely patch tested with P-F-R-2 in addition to PTBP-F-R. Although patch testing with a mixture of both resins was not as good as patch testing with the 2 resins separately, it was better than testing only with PTBP-F-R, since 1.6 times more patients with contact allergy to phenol-formaldehyde resins were still diagnosed. P-F-R-2 is therefore recommended for routine patch testing, preferably as a separate patch test but otherwise as a mixture with PTBP-F-R.

Dermatitis, Contact↗

Restorative resins: abrasion vs. mechanical properties.

The purpose of the present work was to examine whether it is possible by simple and reliable laboratory tests to evaluate the abrasion by food of Class 1 restorative resins. The results point to the following main conclusions: for the smooth-surface resins, i.e. the micro-filled composite and the unfilled resins, the Wallace hardness test appears to be a valid parameter for abrasion; the greater the depth of penetration of the Vickers diamond of this apparatus, the more severe abrasion is to be expected. The mode of abrasion in this type of resin is scratching. Porosity in the resins strongly enhances the abrasion. For the rough-surface resins, i.e. the conventional composites, a dual effect of the filler particles was concluded. The filler particles on the one hand protect the matrix against abrasion, but cause, on the other hand, in time an increase of the surface roughness of the composite and thereby via increased friction an increase of the abrasion. Considerations on possible ways to improve the present-day restorative resins are presented. It is stressed that the results obtained refer only to abrasion of Class 1 fillings by food.

Chemical Phenomena↗

Resin composites in dentistry: the monomer systems.

The present review outlines the history of monomers used in resin composites, motivates further development, and highlights recent and ongoing research reported in the field of dental monomer systems. The monomer systems of most present-day resin composites are based on BisGMA, developed some 40 years ago, or derivatives of BisGMA. In the remaining resin composites, urethane monomers or oligomers are used as the basis of the monomer system. The main deficiencies of current resin composites are polymerization shrinkage and insufficient wear resistance under high masticatory forces. Both factors are highly influenced by the monomer system, and considerable efforts are being made around the world to reduce or eliminate these undesirable properties. The use of fluoride-releasing monomer systems, some of which are under investigation, has been suggested to mitigate the negative effects of marginal gaps formed in consequence of polymerization shrinkage. The very crux of the problem has also been approached with the synthesis of potentially low-shrinking/non-shrinking resin composites involving ring opening or cyclopolymerizable monomers. By the use of additives with a supposed chain transfer agent function, monomer systems have been formulated that improve the degree of conversion of methacrylate double bonds and mechanical properties. Many promising monomer systems have been devised, the implementation of which may be expected to improve the longevity of resin composite fillings and expand the indications for resin composites.

Bisphenol A-Glycidyl Methacrylate↗

Effect of endodontic irrigation on bonding of resin cement to radicular dentin.

The influence of endodontic irrigation on shear bond strengths of resin cement to radicular dentin was investigated. Human radicular dentin blocks were divided into four groups and subjected to one of four endodontic irrigations: ethylenediaminetetraacetic acid (EDTA) group, 17% EDTA for 60 s; EDTA/sodium hypochlorite (NaOCl) group, 17% EDTA for 60 s followed by 10 ml of 5% NaOCl for 15 s; NaOCl group, 10 ml of 5% NaOCl for 15 s; and control group, no treatment. Morphological changes of dentin surface after endodontic irrigation were observed by scanning electron microscopy (SEM). A resin block was bonded to the radicular dentin after irrigation using resin cement with either wet-bonding (Uni-Etch/One-Step; Bisco) or self-etching (Tyrian SPE/One-Step Plus; Bisco) adhesives. Shear bond strengths were measured and the penetration of resin tags into dentinal tubules at resin-dentin interface was observed by SEM. With the wet-bonding system, the shear bond strengths for the EDTA/NaOCl group, in which dentinal tubules openings and uniform resin tag penetration into dentinal tubules were observed, were significantly higher than the EDTA and control groups. With the self-etching system, the shear bond strengths were significantly lower in the EDTA group compared with the NaOCl and control groups. The effects of endodontic irrigation on the bonding of resin cement to radicular dentin depended on the dentin bonding system used.

Acid Etching, Dental↗

In vivo fractures of endodontically treated posterior teeth restored with enamel-bonded resin.

The cumulative survival rate of 190 endodontically treated posterior teeth were assessed in a retrospective study; all teeth had an MO/DO or an MOD cavity restored with a composite resin without cuspal overlays after previous acid-etching of the enamel. In contrast to our previous study on endontically treated posterior teeth restored with amalgam, the survival rate of the MOD resin-restored teeth was equal to that of MO/DO teeth. Teeth restored with a light-activated resin had a much lower survival rate than teeth restored with a chemically-activated material, the cause presumably being that the light-activated resins were insufficiently irradiated. Nearly 25% of the teeth had been restored with a microfilled resin for anterior use and these teeth had a lower survival rate than had teeth restored with a macrofilled or hybrid resin. It was also found that a beveling technique did not decrease the fracture rate while the use of an intermediate layer of low-viscosity resin resulted in a significant improvement.

Bicuspid↗

The tensile strength of the union between various glass ionomer cements and various composite resins.

Increasing use is being made of the glass ionomer cements as a lining for composite resin restorations, particularly when restoring posterior teeth. It has been suggested that it is possible to obtain a mechanical union between the two materials by etching the surface of the cement. This paper discusses the result of testing a broad variety of combinations of different glass ionomer cements and composite resins that have been reported on previously, and suggests that a number of factors need to be taken into account if the optimum physical properties are to be achieved from the union. There would appear to be four main factors which dictate the final strength of the union. The tensile strength of the cement itself is of primary importance and it seems the wettability of the resin bonding agent is also significant. When using some of the less heavily filled composite resins, the stresses set up by the setting contraction of the resin may be too great and, finally, the more heavily filled composite resins for restoration of posterior teeth often prove difficult to adapt to the underlying cement. With careful clinical handling, the so-called 'sandwich' technique is very useful. However, not all combinations of glass ionomer cement and composite resin will unite with sufficient strength to be successful clinically.

Chemical Phenomena↗

Properties of opaque resin composite containing coated and silanized titanium dioxide.

Titanium dioxide (TiO2) is mainly used as a pigment in opaque resin composites for application to the surface of a metal framework. The hypothesis in this paper is that particles of silica/alumina (SiO2/Al2O3)-coated TiO2 treated with a silane coupling agent could bond effectively with resin monomers of opaque resin composites. Untreated TiO2 was used as the control filler. Compressive and flexural strength specimens were prepared by the heat-curing method, because these bulk specimens could not be made by the typical photo-curing method. The treated composite had significantly higher compressive and flexural strengths than the untreated composite after 6 months' immersion in water. Scanning electron microscopy of the fractured composite surfaces showed an interface failure between TiO2 and resin for the untreated composite and cohesive failure within the resin for the treated composite after 6 months' immersion. The light-activated opaque resin composite containing treated TiO2 exhibited significantly higher bond strength to a noble dental alloy after 5000 thermal cycles than that containing untreated TiO2. Thus, silanized SiO2/Al2O3-coated TiO2 appears to be clinically useful as a filler of opaque resin composites.

Aluminum Oxide↗

Analysis of photo-initiators in visible-light-cured dental composite resins.

Seven commercial visible-light-cured (VL) dental composite resins were analytically studied for identification of the photo-initiator consisting of photo-sensitizer and reducing agent. Gas-liquid chromatography (GC) was used for the determination of the dilute components extracted from the composite resin. Mass spectroscopy (GC-MS) was used for confirmation of the qualitative data obtained by GC. The results showed that all composite resins examined included camphorquinone (CQ) as a photo-sensitizer. The concentration of CQ in the resin phase, however, ranged from 0.17 to 1.03% w/w. The composite resin with hybrid-sized filler tended to have a higher concentration of CQ than did the micro-filled composite resin. As for the reducing agent, two out of seven brands contained dimethylaminoethyl methacrylate (DMAEMA), and one included dimethyl-p-toluidine (DMPTI). The mixing ratio between CQ and the amine in these three composite resins also varied. Another four brands did not contain either DMAEMA or DMPTI, and would utilize different reducing agents.

Chromatography, Gas↗

The relationship between composition and properties of posterior resin composites.

The effects of filler concentration and resinous components on the properties of highly filled composites were determined for prediction of the durability of the restorative resins. Resinous components of seven proprietary light-cured posterior resin composites were extracted by chloroform solvent and examined by the Fourier Transform Infrared (FTIR) method. Filler concentration was determined by the thermogravimetric method. Diametral tensile strength, Knoop hardness, and Barcol hardness tests for the composite, as well as extracted resinous matrix, were performed by standard experimental procedures. Toothbrush abrasion test of the resin composites was evaluated by a toothbrushing machine giving the equivalent of five years' toothbrushing and examined with a roughness meter. The degree of conversion of resin composites ranged from 43.5 to 73.8%. The volume fraction of filler varied from 58.2% to 74.2%. The ranges of diametral tensile strength and Knoop and Barcol hardness numbers obtained were 39.8 MPa to 60.0 MPa, 41.8 to 81.9, and 76.3 to 89.2, respectively. Significant correlations (p less than 0.01) were obtained between filler fraction and diametral tensile strength (r = 0.89, S.E. = 3.66) and between filler fraction and Knoop hardness number (r = 0.89, S.E. = 8.39). The increase in strength with increased filler concentration might be related to filler/matrix bonding.

Bicuspid↗

Solubility parameters, fractional polarities, and bond strengths of some intermediary resins used in dentin bonding.

An effective bonding of resin composites to dentin is generally preceded by a conditioning of the surface of the dentin. Previous studies have indicated that the intermediary or adhesive resin should have specific wetting characteristics matching those of the conditioned dentin, in order that optimum bonding can be ensured. The wetting characteristics may be expressed in terms of solubility parameter (delta) and polarity (p) of the resin. The aims of the present study were to determine these variables for a number of compounds used in adhesive resins and to investigate the effects of delta and p on the shear bond strength to dentin. Solubility parameters were obtained according to the method of Small. Fractional polarities were calculated on the basis of measurements of refractive index and dielectric constant of the resins. In the measurements of bond strength, Scotchprep, EDTA + Gluma, or Al2Ox3/glycine were used as dentin conditioners in combination with intermediary resins having various delta and p. For each conditioner, the shear bond strength (BS) could be "explained" by an exponential expression of the form BS = e(a + bx), where x = (delta + cp + d)2, and where a-d are constants depending on the conditioned dentin. It may be concluded that solubility parameter and polarity of the intermediary resins are important variables in the process of bonding to dentin.

Acrylamides↗

The strengthening mechanism of resin cements on porcelain surfaces.

All-ceramic crowns bonded with resin cements have increased performance, and two theories have been proposed. Marquis (1992) suggested that the resin modified defects by crack healing, while Nathanson (1993) proposed that resin polymerization shrinkage strengthened porcelains. Both theories imply a sensitivity of strengthening to defect size. The hypothesis tested was that resin strength enhancement is independent of defect severity. We ground 200 porcelain discs to remove imperfections and indented 120 to create a large defect. Discs were tested dry, wet, and after being coated with 75-100 microm of resin cement in bi-axial flexure. Disc strength with and without indentations was increased significantly when coated with 2 resin cements. Both cements significantly increased the strength independent of defect population, and the hypothesis was accepted. It is proposed that the combination of surface pre-treatment and cement moved the fracture origin from the porcelain/cement interface to the cement surface, consistent with resin strength enhancement independent of defect severity.

Acid Etching, Dental↗

Molecular state of chlorpheniramine in resinates.

Chlorpheniramine (CPM) maleate was prepared as a series of resinates by the batch method. The several resinates were investigated by differential scanning calorimetry (DSC), X-ray powder diffraction (XRPD) and infrared (IR) spectrometry. The results from DSC and XRPD showed that the molecular state of the entrapped drug changed from the crystalline to amorphous state. IR spectra indicated that only CPM species was entrapped in the resinates. Moreover, it also showed that the positively charged amine group of the drug interacted with the sulfonate groups of the resin by ionic association. The dissolution of the drug and resinates was also studied where it was found that the dissolution of the resinates was retarded by their crosslinked structure and markedly affected by the quantity of resin.

Calorimetry, Differential Scanning↗

Retention of oral microorganisms on conventional and resin-modified glass-ionomer cements.

Secondary caries are a worldwide public and socioeconomic problem. The placement of restorations can lead to the development of environmental conditions favorable to microbial colonization, especially on the tooth/restoration interface, which is a predisposing factor for secondary caries. The aim of this study was to evaluate microbial retention on conventional (Chelon-Fil and Vidrion R) and resin-modified (Vitremer and Fuji II LC) glass-ionomer cements, in situ, using a hybrid composite resin (Z100) as a control. Twelve volunteers wore Hawley appliances with specimens made of all tested filling materials for 7 days. The specimens were then removed from the appliances and transferred to tubes containing 2.0 ml of Ringer-PRAS. Microorganisms from the samples were inoculated onto blood agar and Mitis Salivarius Bacitracin agar and incubated under anaerobiosis (90% N2, 10% CO2), at 37 degrees C, for 10 and 2 days, respectively. The resin-modified glass-ionomer cements and the composite resin retained the same levels of microorganisms on their surfaces. The resin-modified glass-ionomers retained less mutans streptococci than the composite resin and conventional glass-ionomer cements. The conventional glass-ionomer cements retained less mutans streptococci than the composite resin, but that difference was not statistically significant.

Adult↗

Factors affecting the color stability of restorative resins.

The color change resulting from storage in water was measured on a number of experimental and proprietary complex resins. The experimental resins contained varying amounts of amine (DEPT or DEBA), benzoyl-peroxide (BPO) and inhibitor (MHQ). The proprietary resins had earlier been analyzed as regards the composition of the monomer and the content of amine and peroxide. The color change of DEPT-containing resins was positively correlated with the DEPT/BPO ratio, and negatively correlated with the monomer content of BISGMA. DEBA-containing resins were more color stable than resins containing equimolar concentrations of DEPT. The color change was independent of MHQ up to a certain concentration; above this the color change increased with the amount of MHQ. In general, the light activated materials were more color stable than the chemically activated materials. The color change was not affected by pH, but decreased when the oxygen had been removed from the storage water. The test for color stability using UV-light irradiation gave results for proprietary resins that were not correlated with the results obtained by water storage.

Chemical Phenomena↗

Resin sealant: a new method of methyl methacrylate cranioplasty. Technical note.

A new method of cranioplasty is described. The skull defect is exposed and multiple angled holes are drilled in the outer cortical bone around the defect. A resin plate is conventionally molded to fit the defect. After the resin plate is positioned in the skull defect, newly prepared viscous resin putty is injected into the holes around the defect. The viscous resin comes into contact with the margin of resin plate and, when it hardens, a monoblock casting of resin is formed. The resin plate is sealed to the bone. This technique has the main advantage of strength and good cosmetic appearance.

Bone Cements↗