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Flexible polyacrylamide substrata for the analysis of mechanical interactions at cell-substratum adhesions.

We have described a powerful tool for the study of mechanical interactions between cells and their physical environment. Although the approach has already been used in a variety of ways to measure traction forces and to characterize active and passive responses of cultured cells to mechanical stimulation, it can be extended easily and combined with other microscopic approaches, including fluorescent analog imaging (Beningo et al., 2001), photobleaching, calcium imaging, micromanipulation, and electrophysiology. This method will be particularly useful for studying the functions of various components at focal adhesions, and the effects of mechanical forces on focal adhesion-mediated signal transduction. In addition, the method can be extended to a 3D setting, e.g., by sandwiching cultured cells between two layers of polyacrylamide to create an environment mimicking that in the tissue of a multicellular organism. Whereas chemical interactions between cells and the environment have been investigated extensively, many important questions remain as to the role of physical forces in cellular functions and the interplay between chemical and physical mechanisms of communication. The present approach, as well as other approaches capable of probing physical interactions, should fill in this important gap in the near future.

Acrylic Resins↗

Critical analysis of the balanced force technique in endodontics.

The "balanced force" technique was introduced in 1985 and it was reported that the resistance of the dentin, as it circumferentially contacted the flutes of a file in a curved root canal, would be sufficient to override and mask any tendency of the file to straighten during rotational instrumentation. An alternative mechanism based on compressive force and file flexure is presented in this article. In a laboratory study, the apical force necessary to cause files of sizes #10 to #70 to bend and conform to an average canal curvature was determined. These measurements were then related to the apical forces applied to teeth when utilizing the Balanced Force technique in a simulated clinical setting. It was then proposed that the apically directed force necessary to prevent coronal movement of the file and to effect dentinal shearing during counterclockwise rotation placed the file in compression, flexing it to conform to the curvature of the canal. This explanation was consistent with the experimental data for the files used in this study up to size #60 for an average canal curvature and for average instrumentation forces.

Analysis of Variance↗

Torsional and stiffness properties of Canal Master U stainless steel and nitinol instruments.

The purpose of this study was to compare stiffness and resistance to fracture of stainless steel and nickel titanium Canal Master U instruments. Instruments sizes 20 through 50 were tested according to ANSI/ADA Specification No. 28. Resistance to fracture was determined by twisting and measuring the maximum torque and angular deflection (rotation) at the failure point. Stiffness was determined by measuring the moment required to bend the instrument 45 degrees. Stainless steel and nickel titanium Canal Master U instruments satisfied and far exceeded specification standards for stiffness. They also satisfied and far exceeded the standards for angular deflection at the failure point. Stainless steel Canal Master U met or exceeded the maximum torque at failure standards in all sizes except 50, whereas the nickel titanium instruments met the standards in all sizes except 45 and 50. The mechanical properties of nickel titanium, especially its low bending moment and high angular rotation at failure, encourage further evaluation with clinical studies.

Alloys↗

Properties of endodontic hand instruments used in rotary motion. Part 2. Instrumentation of curved canals.

The shaping abilities of nickel-titanium K-files, stainless steel reamers, K-files, and flexible stainless steel instruments with conventional cutting tips and with modified noncutting tips were investigated under standardized conditions using a computer-driven testing device simulating the clinical use of the instruments. Simulated root canals with a 42-degree curvature were sequentially enlarged from #15 to #35. Undesirable changes in the canal shape as a result of instrumentation occurred in all cases. None of the instruments were able to remove material on the whole length of the inner side of the curvature, whereas all instruments removed material on the whole length of the outer side of the curvature, resulting in slight to severe bulging. The extent of undesirable changes in the canal shape depended typically of the type of instrument used. Best instrumentation results were obtained with flexible instruments with noncutting tips.

Alloys↗

A comparison of canal preparation with nickel-titanium and stainless steel instruments.

Maintaining the original canal path during instrumentation is a challenge in narrow curved canals. This study compared the maintenance of the original canal path of curved root canals during instrumentation with nickel-titanium (Mac) hand files, nickel-titanium engine-driven files, and stainless steel (K-Flex) files. Canal path maintenance was determined by superimposing instrumentation radiographs over an initial file radiograph and examining for discrepancies. Nickel-titanium hand and engine-driven instruments maintained the original canal path in all cases. The incidence of deviation from the original canal path during instrumentation with stainless steel files increased with file size. The difference between nickel-titanium groups and stainless steel became statistically significant with instruments larger than size 30. In this study, nickel-titanium files were more effective in maintaining the original canal path of curved root canals when the apical preparation was enlarged beyond size 30.

Alloys↗

Properties of hand-held spreaders after simulated use.

Root canal spreaders are available in a wide variety of diameters, lengths, and tapers. Proposed ANSI/ADA Specification no. 71 standardizes certain properties of these instruments; however, none of these testing procedures subjects the instruments to conditions of clinical usage. Diameters (D3 and D16) and taper of 40 D11T root canal spreaders from each of three companies [Endeco (EN), Hu-Friedy (HF), and Premier (PR)] were measured. Permanent angular deformation of the instrument tip was measured by a bend test apparatus for four conditions: (group A) as-supplied control, (group B) spreader sterilized in an autoclave for 10 cycles, (group C) spreader inserted 50 times at a rate of 200 mm/min into plastic blocks with a canal curvature of 30 degrees, and (group D) spreader sterilized for 10 cycles and then inserted in blocks as described. All instruments passed the bend test in proposed specifications under all conditions. The EN spreader was more susceptible to permanent deformation than HF or PR. There were no statistical differences among the control and the three simulated clinical conditions.

American Dental Association↗

Torsional properties of stainless steel and nickel-titanium endodontic files.

The torsional properties of stainless steel (SS) endodontic files (Flex-O-File; Maillefer/L. D. Caulk Co., Milford, DE) and recently developed nickel-titanium (NiTi) endodontic files (Quality Dental Products, Inc., Johnson City, TN) were compared. File sizes 15, 25, 35, 45, and 55 were subjected to torsional load in clockwise (CW) and counterclockwise (CCW) directions independently. Results showed that SS files had a significantly greater rotation to failure in the CW direction, whereas the NiTi files had a significantly greater rotation to failure in the CCW direction. Despite these differences in rotation to fracture, there was essentially no difference between the SS and NiTi instruments in the torque that it took to cause failure in both the CW and the CCW directions. Therefore, whereas the number of CW and CCW rotations to failure differed for the two instruments, the actual force that it took to cause that failure was the same.

Alloys↗

Effects of cleaning, chemical disinfection, and sterilization procedures on the mechanical properties of endodontic instruments.

The aim of this study was to test and compare the values of torsional moment, torsional angular deflection, bending moment, and permanent angular deflection of three designs of root canal files (Unifile, Flexofile, and H-File) before and after cross-infection treatment procedures, according to ANSI/ADA specification no. 28. An increase in value for all mechanical properties tested was observed after the treatment procedures, with the exception of Flexofile wherein a decrease in permanent angular deflection was evident. Unifile showed a decrease in torsional moment and bending moment. The changes in mechanical properties after treatment procedures ranged from 0.1 to 63% from the control groups. Generally, the changes in values observed were insignificant and still well within ANSI/ADA specification no. 28. Thus, they do not have any clinical significance.

Dental Instruments↗

Properties of endodontic hand instruments used in rotary motion. Part 3. Resistance to bending and fracture.

Bending and torsional properties of 24 different types of nickel-titanium K-files, titanium-aluminium K-files and reamers, conventional stainless steel K-files and reamers, and flexible stainless steel instruments were investigated corresponding to ISO 3630-1 by determination of the bending moment on the one hand and the torque and angular deflection on the other. Numbers 15, 25, and 35 instruments were tested with a sample size of 10 instruments for each type and size. In ascending order of bending moment the instruments ranked: nickel-titanium K-files, titanium-aluminium K-files and reamers, flexible stainless steel instruments, conventional stainless steel K-files, and reamers. Nickel-titanium, titanium aluminium, and flexible stainless steel instruments displayed lower torque values than conventional stainless steel K-files and reamers. The average angular deflection ranged from 380 degrees (#15 reamer) to 2370 degrees (#35 K-file). Overall, the fracture risk of the instruments tested in this study was comparably low.

Aluminum↗

Mechanical properties of nickel-titanium endodontic instruments and the effect of sodium hypochlorite treatment.

The purpose of this study was to assess the mechanical properties--torsional moment, maximum angular deflection, maximum bending moment, and permanent angular deflection--of four brands of nickel-titanium (NiTi) endodontic file, and compare them with a conventional stainless-steel instrument, both in the presence and absence of sodium hypochlorite (NaOCl). NiTi instruments from four manufacturers were randomly selected and subjected to NaOCl treatment for 12 or 48 h, or not at all. The mechanical properties under test were then measured automatically by a digital torque memocouple. Torsional moment and maximum angular deflection indicate the resistance to torsional fracture of an instrument, maximum bending moment the stiffness of the instrument, and permanent angular deflection the strength of the base alloy. All instruments evaluated complied with or exceeded ADA/ANSI Specification No. 28, with the sole exception of the Maillefer ISO size 40 for torsional moment. JS Dental and McSpadden NiTi files were the most resistant to torsional fracture, but all NiTi files were inferior when compared with stainless-steel files from a previous study. However, NiTi files were superior in flexibility, and Maillefer and Brasseler instruments were the best of the instruments tested. NiTi files also had negligible permanent deformation angles. Furthermore, for all properties tested, NaOCl had no statistically significant effect.

Corrosion↗

Comparison of cutting efficiency and instrumentation of curved canals with nickel-titanium and stainless-steel instruments.

The cutting efficiency and the effects of instrumentation on curved canal shape of both stainless-steel and nickel-titanium nonstandardized ProFile Series 29 hand instruments and stainless-steel Flexoreamer were investigated under standardized conditions. Concerning cutting efficiency in rotary motion, the Flexoreamer had significantly (p < 0.01) greater cutting efficiency than stainless-steel ProFiles and nickel-titanium ProFiles. Changes in the canal shape differed significantly between the different instruments at all measuring points (p < 0.001). After instrumentation with Flexoreamers with inclusion of two half-sizes (#17 and #22), there were fewer undesirable changes in canal shape compared with both stainless-steel and nickel-titanium ProFile Series 29 instruments. In this study, it seemed that flexible stainless-steel instruments with noncutting tips were superior to the nonstandardized ProFile Series 29 instruments with regard to cutting efficiency and instrumentation of curved canals.

Analysis of Variance↗

Experimental design of FPD made of all-ceramics and fibre-reinforced composite.

OBJECTIVES: This study was carried out to combine flexural properties of FRC materials with aesthetic values of ceramics. METHODS: The bonding strength of fibre-reinforced composite to ceramic was determined. Afterwards, 8 three unit and 8 four unit FPDs (fixed partial dentures) were manufactured based on the experimental design and were then adhesively luted onto human molars. After thermal cycling and mechanical loading in an artificial environment, the fracture strength and marginal adaptation was determined. FPDs made of FRC (fibre-reinforced composite) materials were used as a control. RESULTS: The most reliable bonding strength of ceramic to FRC material was achieved using acid etching in combination with adhesive luting techniques. Median fracture strength values of 575 N for three unit FPD and 876 N for four unit FPD were established. More than 85% of the experimental FPDs showed a perfect margin while less than 15% revealed a marginal gap, even after thermal cycling and mechanical loading (TCML). The strongest influence of TCML on the marginal adaptation of the experimental design FPD was determined within the four unit system showing approximately a 10% change in marginal gap and perfect margin. SIGNIFICANCE: Assuming an improvement in adhesive bonding between the ceramic and the FRC material and, in addition, an enhancement of the contact surface between pontic and abutment, the hybrid technique could represent an interesting procedure for further investigations and, eventually, clinical implication.

Acid Etching, Dental↗

Influence of relative layer height and testing method on the failure mode and origin in a bilayered dental ceramic composite.

OBJECTIVES: The purpose of this study was to examine the influence of testing method (uniaxial and biaxial) and relative layer heights on the failure origin and failure mode of bilayered ceramic composite beams and disks composed of In-Ceram and Vitadur Alpha porcelain. METHODS: Beams and disks were fabricated, with relative layer heights of 1:2, 1:1, and 2:1, respectively, for In-Ceram and Vitadur Alpha porcelain. Ninety specimens each (thirty 1:2, thirty 1:1, and thirty 2:1) were tested in 3-point, 4-point-1/4-point, and biaxial ring-on-ring testing apparatuses. Fractography was used to categorize failure origins as either surface or interfacial, and failure modes as delamination or nondelamination. RESULTS: Surface and interfacial failure origins were observed in 3-point and biaxial disk test specimens, but not 4-point-1/4-point specimens where only surface failures occurred. None of the "clinically similar" specimens (1:2) failed at the interface. All testing methods resulted in delamination of Vitadur Alpha from the In-Ceram, while only 3-point and biaxial disk testing methods resulted in crack propagation through the composite interface without delamination. SIGNIFICANCE: Varying relative layer heights or varying testing method in laminate composite tensile specimens can affect failure mode and failure origin.

Adhesiveness↗

Mechanical property evaluation of pressable restorative ceramics.

OBJECTIVE: The aim of this study was to evaluate the flexure strength under static and cyclic loading and the fracture toughness under static loading of six restorative ceramic materials. Specifically the intent was to compare four leucite (K2O.Al2O(3).4SiO2) strengthened feldspathic (pressable) porcelains (OA, OI, E, and FP) to a low fusing feldspathic porcelain (F) and an experimental (EC) lithium disilicate containing ceramic. METHODS: All materials were tested as a control in air and distilled water (without aging) and after three months aging in air or distilled water to determine flexure strength and fracture toughness. A staircase approach was used to determine the cyclic flexure strength. EDS and SEM analysis were conducted on the polished and fracture surfaces. RESULTS: The mean flexure strength for the controls in air and water (without aging or cyclic loading) ranged from 67 to 99 MPa, except the experimental ceramic that was twice as strong with a mean flexure strength of 191-205 MPa. For the mean fracture toughness, the range was 1.1-1.9 MPa/m0.5 with the experimental ceramic being 2.7 MPa/m0.5. The effect of testing in water and aging for three months caused a moderate reduction in the mean flexure strength (6-17%), and a moderate to severe reduction in the mean fracture toughness (5-39%). The largest decrease (15-60%) in mean flexure strength was observed when the samples were subjected to cyclic loading. SIGNIFICANCE: The lithium disilicate containing ceramic had a significantly higher flexure strength and fracture toughness when compared to the four pressable leucite strengthened ceramics and the low fusing conventional porcelain. All of the leucite containing pressable ceramics did provide an increase in mean flexure strength (17-19%) and mean fracture toughness (3-64%) over the conventional feldspathic porcelain. Further, the influence of testing environment and loading conditions implies that these ceramic materials in the oral cavity might be susceptible to cyclic fatigue, resulting in a significant decrease in the survival time of all-ceramic restorations.

Air↗

Effect of furnace type and ceramming heat treatment conditions on the biaxial flexural strength of a canasite glass-ceramic.

OBJECTIVE: To assess the effect of different heat treatment conditions when using two different furnace types on the biaxial flexural strength (BFS) of a fluorcanasite castable glass-ceramic. METHODS: Two furnace types, one a programmable furnace (PF), the other a dental laboratory burnout furnace (DLF), were used with various ceramming times to determine their effect on the BFS of a fluorcanasite castable glass-ceramic. The glass-ceramic material was cast to produce discs of 12 mm diameter and 2 mm thickness using the lost wax casting process (n = 80). After casting, both furnace types were used to ceram the discs. Half the discs were not de-vested from the casting ring before ceramming but cerammed in situ (DLF) and half were de-vested before ceramming (PF). All the discs were given a nucleation heat treatment at 520 degrees C for 1 h and then cerammed at 860 degrees C using four heat soak times (0.5, 1, 2 and 3 h). The DLF furnace had a rate of climb of 13 degrees C/min and the PF furnace had a rate of climb of 5 degrees C/min to 520 degrees C and 3 degrees C/min to 860 degrees C. After ceramming the discs were de-vested and the BFS determined using a Lloyd 2000R tester. RESULTS: The maximum BFS values seen for both furnace types were almost identical (280 MPa), but were achieved at different heat soak times (1 h DLF, and 2 h PF). The only significant differences in BFS values for the two furnaces were between the 0.5 and 2 h heat soak times (p < or = 0.05). Individual differences were seen between results obtained from each furnace type/heat soak times evaluated (p < or = 0.05). SIGNIFICANCE: Already available dental laboratory burnout furnaces can be used to ceram fluorcanasite glass-ceramic castings to the same BFS values as more expensive and slower specialist programmable furnaces.

Analysis of Variance↗

Characterization of resin composites polymerized with plasma arc curing units.

OBJECTIVES: Newly developed curing units (plasma arc curing units) operate at relatively high intensity and are claimed to result in optimum properties of resin composites in a short cure time. This study was conducted to determine a number of characteristics of resin composites polymerized by plasma arc curing units. METHODS: The investigated polymerization characteristics were quantity of remaining double bonds, depth of polymerization, flexural strength and modulus, and wall-to-wall polymerization contraction. The investigated plasma arc curing units were Apollo 95E and 1000 PAC. The conventional curing unit XL 3000 was used as baseline. RESULTS: Irradiation with Apollo 95E resulted in a higher quantity of remaining double bonds than did XL 3000, whereas the results obtained with 1000 PAC depended on the resin composite. The depth of cure with the plasma arc units was equal to or less than that obtained with the conventional unit, depending on the resin composite. The flexural strength did not depend on the curing unit. The flexural modulus resulting from curing with Apollo 95E was less than that resulting from curing with XL 3000 in 3 out of 4 comparisons. The wall-to-wall polymerization contraction was equal to or less with the plasma arc units than with the conventional unit. SIGNIFICANCE: Plasma arc curing units make it possible to polymerize resin composite in much shorter times than conventional curing units. However, the polymerization characteristics associated with the units may be less than optimal.

Composite Resins↗

Dental resin composites containing ceramic whiskers and precured glass ionomer particles.

OBJECTIVES: Glass ionomer, resin-modified glass ionomer, and compomer materials are susceptible to brittle fracture and are inadequate for use in large stress-bearing posterior restorations. The aim of this study was to use ceramic single crystal whiskers to reinforce composites formulated with precured glass ionomer, and to examine the effects of whisker-to-precured glass ionomer mass ratio on mechanical properties, fluoride release, and polishability of the composites. METHODS: Silica particles were fused onto silicon nitride whiskers to facilitate silanization and to improve whisker retention in the matrix. Hardened glass ionomer was ground into a fine powder, mixed with whiskers, and used as fillers for a dental resin. Four control materials were also tested: a glass ionomer, a resin-modified glass ionomer, a compomer, and a hybrid composite. A three-point flexural test was used to measure flexural strength, modulus, and work-of-fracture. A fluoride ion-selective electrode was used to measure fluoride release. Composite surfaces polished simulating clinical procedures were examined by SEM and profilometry. RESULTS: At whisker/(whisker + precured glass ionomer) mass fractions of 1.0 and 0.91, the whisker composite had a flexural strength in MPa (mean (SD); n = 6) of (196 (10)) and (150 (16)), respectively, compared to (15 (7)) for glass ionomer, (39 (8)) for resin-modified glass ionomer, (89 (18)) for compomer, and (120 (16)) for hybrid composite. The whisker composite had a cumulative fluoride release of nearly 20% of that of the glass ionomer after 90 days. The whisker composites had surface roughness comparable to the hybrid resin composite. SIGNIFICANCE: Composites filled with precured glass ionomer particles and whiskers exhibit moderate fluoride release with improved mechanical properties; the whisker-to-glass ionomer ratio is a key microstructural parameter that controls fluoride release and mechanical properties.

Acrylic Resins↗

The influence of surface roughness on porcelain strength.

OBJECTIVES: In order to adjust occlusion, the functional surfaces of porcelain restorations are often ground and mechanical machining is even an essential part of the CAD-CAM process for these restorations. The aim of this study was to investigate the influence of the finishing procedures on the biaxial flexure strength of four commercial porcelains. METHODS: Four commercial porcelains of which two are used for metal-ceramic restorations (Flexo Ceram Dentine and Vita VM K68) and two for veneers and inlays (Duceram LFC Dentine and Cerinate BODY) are used in this study. For each porcelain, sixty discs (Ø = 22 mm, h = +/- 2.0 mm) were produced using twelve different finishing procedures. Twenty discs were left untreated, twenty discs were milled, using a high-speed diamond disc, and twenty discs were machined in a high-speed grinding/polishing device. Half of the samples were glazed. In each of these six groups, half of the samples were stored for 16 h at 80 degrees C in a 4% acetic acid solution. The biaxial flexure strength was determined using the ball-on-ring method. In each group the roughness of the surface was determined and examined via SEM. RESULTS: With the exception of Flexo Ceram Dentine, a significant correlation was found between the roughness of the surface and the biaxial strength: the smoother the surface, the stronger the sample. The differences in biaxial strength may be attributed to the stress concentration of an applied load due to the roughness of the surface caused by mechanical finishing or chemical action. The fact that the strength of Flexo Ceram Dentine was not affected by the different surface treatments is probably due to the size of the leucite particles, which apparently induce more stress concentration than the surface flaws and the roughness of the surface. SIGNIFICANCE: It was concluded that surface roughness determines the strength of a porcelain material, except where the inner structure of the material causes greater stress concentration than that caused by the combination of surface roughness and surface flaws.

Ceramics↗