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Morphologic evaluation of the radicular dentine irradiated with Nd:YAG laser under different parameters and angles of incidence.

OBJECTIVE: The aim of this research was to evaluate, under the scanning electron microscope, the role of different parameters and angles of incidence of the Nd:YAG laser on the morphology of the radicular dentine. BACKGROUND DATA: Irradiation of dentine with Nd:YAG laser removes smear layer and promotes its fusion and recrystallization, thus decreasing permeability. METHODS: Forty-eight human maxillary canines were randomly divided in four groups of 12 teeth each, according to the following parameters of irradiation: 1 Wand 10 Hz; 1 Wand 20 Hz; 3 Wand 10 Hz; 3 Wand 20 Hz. Two teeth of each group were split longitudinally and the laser was applied perpendicularly to the root canal. Specimens were observed under the SEM, and the morphological alterations in dentine were recorded. RESULTS: The increase of power and frequency of the laser produced more structures that characterize the irradiation of dentine by Nd:YAG laser, such as globular formations, melting and glazing, and ebullitions. Such structures were especially frequent when 3 Wand 20 pps were used as parameters. The removal of the smear layer produced root canals with more dentinal tubules visible under the SEM. CONCLUSIONS: The increase in power and frequency of the Nd:YAG laser irradiation produced more visible morphological alterations than the lower settings. The removal of the smear layer increased the number of visible dentinal tubule openings.

Dentin↗

Aggressiveness of self-etch adhesives on unground enamel.

Manufacturers of mild self-etch adhesives advocate the adjunctive use of phosphoric acid etching when bonding to unground enamel. This study tested the null hypothesis that there is no difference between the recently introduced, more aggressive self-etch adhesives and a total-etch adhesive in bonding to unground enamel. The ultrastructure and microtensile bond strengths (microTBS) of Xeno III (Dentsply) and Simplicity (Apex Dental Materials), bonded to unground enamel, were examined after thermocycling. Clearfil SE Bond (Kuraray), a mild self-etch adhesive, was used as the negative control, and One-Step (BISCO), a total-etch adhesive bonded to phosphoric acid-etched unground enamel, was used as the positive control. Differences in the thickness of enamel hybrid layers were observed and the aggressiveness of apatite dissolution in the four adhesives.

Analysis of Variance↗

Composite bond strength to enamel with self-etching primers.

This study compared the shear bond strength (SBS) to enamel of five self-etching primer/adhesive systems and one total-etch, one-bottle adhesive system. Sixty freshly extracted bovine incisors were mounted, polished to 600-grit and randomly assigned to six groups (n=10): Adper Prompt Self-Etch (AD), OptiBond Solo Plus Self-Etch (OP), AdheSE (AS), Tyrian (TY) and Clearfil SE Bond (SE) as self-etching systems; and Single Bond (SB) as a total-etch system (control). The respective hybrid composite was applied in a #5 gelatin capsule and light-cured. After 500 thermal cycles (5 degrees C-55 degrees C), the specimens were loaded in shear using an Instron at 5 mm/minute. Mean bond strengths were analyzed with one-way ANOVA, followed by a Duncan's post-hoc test (p 0.05). SBS (mean +/- SD) were: AD=13.0(+/- 2.5); OP=5.6(+/-2.3);AS=12.6(+/-3.7); TY=7.6(+/-2.6); SE=17.6(+/-4.5) and SB=17.9(+/-4.4). ANOVA showed a significant difference at p<0.0001. Duncan's post-hoc test ranked this difference in three homogeneous subsets. Only SE showed similar enamel SBS compared to the total-etch system tested (SB). AD and AS were ranked in the intermediary Duncan's subset, while TY and OP resulted in the lowest SBS. SBS to enamel with self-etching primers may depend on its specific composition.

Acrylic Resins↗

[The determination of mechanical properties of hard tissue surfaces in microareas by means of mechano-electrical methods].

The resistance of surfaces of hard tissue against chemical attacks e.g. acids can be measured with high spacial specifity by electro-mechanical registration of surface topograms. Apart from this property of hard substance, important in connection with the development of caries, the sample principle of measurement can be used in vitro on dental surfaces to obtain other important measurements. Examples are given to show how the hardness is determined by the summation of elastic and plastic properties. It is shown how far during the usual measurements for hardness of impressions the duration of the process and the time elapsed before measurement can influence the results.

Acids↗

Interfacial characteristics of resin-modified glass-ionomer materials: a study on fluid permeability using confocal fluorescence microscopy.

The tooth interface with resin-modified glass-ionomer cements (RM GICs) is poorly understood. This study examined the interface, especially with dentin. Cervical cavities in extracted teeth were restored with Fuji II LC, Vitremer, Photac-Fil, or a conventional GIC, Fuji Cap II. Fluorescent dye was placed in the pulp chambers for 3 hrs before the specimens were sectioned. Examination of the tooth/material interface with a confocal microscope showed that dye uptake by the restoration varied among materials. A "structureless", non-particulate, highly-stained layer of GIC was observed next to dentin in Fuji II LC. This layer varied in width, was prominent where the dentin tubules were cut "end-on" and in areas closer to the pulp, and was not seen adjacent to enamel. Vitremer showed minimal dye uptake, and the "structureless" layer was barely discernible. Photac-Fil showed more uniform uptake and absence of this layer. Cracking of enamel was also noted with these materials. The conventional GIC did not show any dye uptake, presence of a "structureless" layer, or enamel cracking. We elucidated the potential mechanisms involved in the formation of a "structureless" interfacial layer in Fuji II LC by studying the variables of cavity design, surface pre-treatment, water content of the tooth, time for it to develop, early finishing, and coating of the restoration. This layer, the "absorption layer", is probably related to water flux within the maturing cement, depending on environmental moisture changes and communication with the pulp in a wet tooth. The "micropermeability model" was useful in this study of the interfacial characteristics of RM GICs.

Absorption↗

The in vitro morphological effects of some current pre-treatments on dentin surface: a SEM evaluation.

This in vitro study morphologically evaluated the effect of some current surface pre-treatments on dentin, using scanning electron microscopy, and related these morphological alterations to clinical implications. The labial surfaces of 30 bovine lower incisors were ground to obtain a flat dentin surface and were finished with 600-grit SiC paper to produce standardized smear layers. The teeth were randomly divided into six groups of five each. Group 1 was the control group, smear layer covered dentin; Group 2 was etched with 37% phosphoric acid (PA) for 15 seconds; Group 3, 37% PA for 15 seconds, followed by 10% NaOCl for 60 seconds; Group 4, 10% NaOCl for 60 seconds; Group 5, a self-etching primer (Clearfil SE Bond, CSEB-primer) was applied for 20 seconds; Group 6, CSEB-primer for 20 seconds, followed by NaOCl for 60 seconds. The specimens were fixed, dehydrated, dried and analyzed by SEM. Treatment with 37% PA removed the smear layer, funneled the tubules and resulted in a collagen-rich surface which appeared to have collapsed in its outermost part, producing a dense surface layer covered with silica particles. When 37% PA treatment was followed by 10% NaOCl, the collagen network was removed to reveal an eroded, rough mineral surface with numerous lateral branches and larger than normal tubular orifices. The action of 10% NaOCl on the smear layer-covered dentin showed no significant alteration in surface morphology. The treatment with CSEB-primer dissolved the smear layer but only partially dissolved the smear plugs. The tubules did not present the typical funnel shape seen following PA treatment. These morphological aspects on dentin surface must influence bonding results. The dentin surface alterations produced by PA appeared to be a very severe demineralization pattern, quite irregular and less permeable to monomer infiltration, while the surface provided by the self-etching primer appeared to be a more uniform, less porous surface, and the association with simultaneous monomer infiltration may reduce the occurrence of mistakes in clinical bonding procedures.

Acid Etching, Dental↗

Effect of load cycling and in vitro degradation on resin-dentin bonds using a self-etching primer.

The objective of this study was to evaluate the effect of in vitro degradation and mechanical loading on microtensile bond strength (MTBS) and microleakage (ML) of a resin composite to dentin using a self-etching primer adhesive [Clearfil SE Bond (SEB)] under two hydration statuses. Twenty-four flat dentin surfaces were divided in groups: 1) blot-dried, 2) air-dried. SEB was applied and resin buildups were performed with Tetric Ceram. Specimens were divided in four subgroups: a) sectioned into beams, b) load cycled, c) beams were immersed in NaOCl for 5 h, d) load cycled and immersed in NaOCl. Beams were tested in tension. For ML testing, 80 Class V cavities were prepared and molars divided in subgroups as described above (in group c and d, specimens were kept in distilled water for 1 year, instead of the 5-h NaOCl immersion). ML was assessed by dye penetration. Analysis of variance and multiple comparisons tests were used for MTBS. For ML, Mann-Whitney U and Wilcoxon matched pairs signed ranked were used (p<0.05). SEB applied to completely dehydrated dentin produced the highest MTBS, at 24-h evaluation. In vitro degradation always decreased MTBS, and fatigue loading only diminished MTBS on dehydrated dentin. Load cycling increased dye penetration on dentin margins. Degradation always increased ML in both enamel and dentin margins.

Dental Caries↗

An investigation of pulp capillaries and tight junctions between odontoblasts in cats.

The relative roles of capillaries and odontoblasts in the process of dentinogenesis and in pulp reactions to trauma and pathology are not clear. Contributing to the problem is the paucity of information on odontoblast--capillary relationships and tight junctions between odontoblasts. Using light microscopy the capillaries have now been examined in semithin transverse sections of perfusion fixed teeth at different positions in the long axis from the apical foramina to the pulp horns. Odontoblastic capillaries were prominent in the coronal and middle regions of canines and present at the same levels of incisors. In the pulp horns and just coronal to the pulp horns capillaries were all subodontoblastic but near the apex there were also a few odontoblastic capillary profiles. Transmission electron microscopy on ultrathin sections revealed that a high proportion of middle and coronal odontoblastic capillary profiles were fenestrated but subodontoblastic profiles coronal to the pulp horns were the most fenestrated. In a search for tight junctions in ultrathin sections some typical strands were observed between odontoblasts. The difficult of obtaining the latter evidence was explained by the cellular arrangement of the odontoblasts which differed markedly from an ideal parallel, apically coplanar arrangement. The results question the possibility that there is a direct exchange of materials between pulp capillaries and dentine in teeth of limited growth and provide a baseline for future experiments to test the permeability of the odontoblast layer.

Animals↗

Factors contributing to the incompatibility between simplified-step adhesives and chemically-cured or dual-cured composites. Part I. Single-step self-etching adhesive.

PURPOSE: To determine if adverse chemical interaction and adhesive permeability are both responsible for the incompatibility between a single-step, self-etching adhesive and chemically-cured or dual-cured composites. MATERIALS AND METHODS: Bonding was performed with Xeno CF Bond (Dentsply-Sankin), on either hydrated (H) or dehydrated (DH) human dentin. For microtensile bond strength evaluation, a dual-cured hybrid composite (Bis-Core) was activated using: (1) the light-cured (L) mode (base syringe only), (2) delayed light activation (DL) (base syringe left on top of cured adhesive in the dark for 20 min before activation), and (3) the chemically-cured (C) mode (base and catalyst syringes in the dark). A chemical co-initiator (B; BondLink) was also applied to the cured adhesive before coupling with the composite in chemically-cured mode. This resulted in seven experimental groups: (1) L-H (control); (2) DL-H; (3) DL-DH; (4) C-H; (5) C-DH; (6) C-B-H; and (7) C-B-DH. For transmission electron microscopy, the dual-cured composite in the seven groups was replaced with a light-cured microfilled composite (Metafil CX) and an experimental chemically-cured microfilled composite of the same composition. Specimens were immersed in ammoniacal silver nitrate for 24 h. After reduction of the diamine silver ions to silver, undemineralized and unstained sections were examined for nanoleakage within the resin-dentin interfaces of the seven groups. RESULTS: For the light-cured modes, bond strengths fell substantially in DL-H but not in DL-DH. For the chemically-cured modes, bond strengths were lowest in C-H and only increased slightly in C-DH. The use of a chemical co-initiator with the adhesive further improved the bond strength in C-B-H. Only C-B-DH was not significantly different from the control light-cured mode L-H. Two abnormal modes of silver deposition were observed in resin-dentin interfaces. A continuous layer of silver was observed when the chemically-cured composite was applied to the cured adhesive in the absence of the chemical co-initiator (C-H; C-DH). Silver-impregnated water blisters were identified when the chemically-cured composite was coupled to bonded hydrated dentin (C-H; C-B-H). Similar water blisters were seen in DL-H in which adverse chemical interaction should not occur. CONCLUSION: Adverse chemical interaction between catalytic components of chemically-cured composite and the tested single-step, self-etching adhesive was the major cause of reductions in bond strength, while adhesive permeability was a minor cause of bond strength reduction. The combination of these two factors accounts for the substantial reduction in bond strength when chemically-cured or dual-cured composites were coupled to bonded hydrated dentin.

Acid Etching, Dental↗

Quantitative comparison of the water permeable zone among four types of dental adhesives used with a dual-cured composite.

This study compared silver penetration in the adhesive interface among four versions of adhesives from the same manufacturer: OptiBond FL, OptiBond Solo Plus, OptiBond Solo Plus Dual Cure, and OptiBond Solo Plus Self-Etch, when coupled with dual-cured composite, CoreRestore 2 (Kerr). Twenty flat dentin surfaces were prepared using one of the adhesives and bonded with the composite, following the manufacturer's instructions. The surfaces were sectioned into 2-mm slabs and immersed in ammoniacal silver nitrate for 24 hours. Each specimen was exposed to a photodeveloping solution for eight hours and examined with a scanning electron microscope (SEM). The water permeable area occupied by the silver nitrate tracer was determined, and the relative weight of silver was analyzed by wavelength dispersive spectrometry (WDS). The OptiBond FL group had a significantly lower silver content than the other groups (p < 0.0001). Each group demonstrated different patterns of silver deposition within the adhesive layer and within various features of artifactual fracture from dehydration stress of the SEM. This may be indicative of weak links in the bonded interfaces. Simplified-step adhesives showed increased permeability, which can lead to disruption of coupling with composites.

Adhesives↗

Permeability and microleakage of Class II resin composite restorations.

The aim of this study was to evaluate the variations in microleakage of large Class II (MOD) restorations over time. Three different combinations of dentine bonding agents and posterior resin composites which had previously shown promise were used: Vitrebond/Scotchbond 2 plus P50, Tripton plus Occlusin and Clearfil Photo Bond plus Clearfil Photo Posterior. Conventional Class II cavities were prepared in freshly extracted third molars. All gingival margins were terminated at the cemento-enamel junction. A fluid-under-pressure apparatus connected with the pulp chamber of each tooth was used to evaluate the permeability and marginal leakage of the restorations at 0.069 MPa. Microleakage was tested after insertion of restorations at 2, 15, 45, 150 min, after 1, 2, 7, 14 days, after 1, 2, 3 months, after thermal cycling and 10 months later, after occlusal loading. Finally, all specimens were exposed to silver nitrate solution to measure microleakage as dye penetration. Immediately after insertion of the restorations, all the materials showed a higher microleakage than after 1-2 days. After 4-8 weeks, all the restorations exhibited an increased permeability suggesting that hygroscopic expansion was not sufficient to keep pace with hydrolytic degradation of the restorations. Neither thermocycling or occlusal stresses increased the microleakage of the restorations.

Composite Resins↗

Quantitative measurements of the diffusion in vitro of some aldehydes in root canals of human teeth.

Quantitative measurements with Schiff reagent of the diffusion of aldehydes from endodontically prepared teeth were performed as a function of time, quantity, and concentration of the inserted drug, repeated sealing of the drug in the root canal, the age of the tooth, and the site of the diffusion. The measurements are based on the reaction of aldehydes with Schiff reagent. All teeth were permeable to formaldehyde-containing drugs. Diffusion of the formaldehyde could be detected within 1 minute. The bulk of the inserted formaldehyde diffused through the apical third, but in young teeth (less than 20 years) the whole root surface was permeable. A 2 percent solution of glutaraldehyde, unlike 10 and 25 percent studies, tended to permeate through the dentin and cementum.

Adolescent↗