Formalin penetration of extracted teeth.
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The objectives of this investigation were (1) to develop a sensitive laboratory system that simulates the physiological and clinical conditions of a prepared human tooth in order to facilitate the determination of the bonding and sealing efficacies of restorative dental materials and (2) to conduct experiments with two dentin bonding agents, two posterior composite resin restorative materials (hybrid and microfilled), and a glass-ionomer type II filling material. The system functioned well and provided data to indicate that, after margination, the two posterior composite resin restorative materials performed equally and both performed better than the glass-ionomer filling material; none of the materials provided a perfect seal immediately after insertion, although some restorations demonstrated perfect seals from 16 hours to 28 days after placement; the seal of the glass-ionomer material improved after 28 days of storage in buffer solution; each successive step in the respective composite resin procedures improved the seal except in one case for the microfilled resin.
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This study examined the water-vapour permeability of thin polymerized resin films fabricated from five co-monomer blends of increasing degrees of hydrophilicity, as measured by their Hoy's solubility parameters. Neat resin films were prepared from five experimental light-curable resins (n = 10). Each film was mounted in a Fisher permeability cup with 8 g of water placed inside the cup. The experiments were conducted in a modified twin-outlet desiccator connected to a vacuum pump in one outlet to permit a continuous airflow to encourage water evaporation. Weight losses by water evaporation were measured at 3, 6, 9, 24, 30, and 48 h by using an analytical balance. Additional resin films were examined by using transmission electron microscopy (TEM) after immersion in ammoniacal silver nitrate. A significant correlation was observed between the cumulative water loss at 48 h and the Hoy's total cohesive energy density (delta(t)). Transmission electron microscopy revealed silver-filled channels along film peripheries and silver grains of decreasing dimensions toward the film centres in co-monomer blends 3, 4, and 5 of increasing hydrophilicity. Hydrophilic dentin adhesives polymerized in thin films are prone to water loss by evaporation. This probably accounts for the water droplets seen on the surface of vital-bonded dentin after the application of simplified dentin adhesives.
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The aim of this study was to evaluate the surface tension values of established and potential endodontic irrigants to which a surface active agent had not been added. Additionally, Cetredixine, a surfactant-containing 0.2% chlorhexidine gluconate solution, was included in the measurements. Surface tension measurements were performed using the ring method on a DuNouy tensiometer at a standard room temperature. Ringer's solution, saline solution, and distilled water had the highest surface tension values, whereas those of NaOCl (2.5% and 5%) and 17% EDTA were relatively low. Two anesthetic solutions, Ultracaine and Citanest, demonstrated values similar to NaOCl and EDTA, although a statistically significant difference was found between all solutions tested. Cetredixin displayed the lowest surface tension. A low surface tension agent should penetrate tubules better.
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Two Class II boxes of standardized dimensions were prepared in each of 10 extracted third molar teeth. The dentinal adhesives Syntac, Gluma 2000, Scotchbond MP, and All-bond 2 were applied to five boxes each. All the boxes were restored with the same photopolymerizing resin composite. The microleakage of each restoration was measured in the permeability cell. The physiologic solution able to seep between the walls of the cavity and resin composite was measured and the flux of the liquid over time was calculated. All-Bond 2 was the only adhesive found, in some specimens, to make the dentin completely impermeable and to form an extremely precise seal between the resin complete material and the underlying dentinal surface. The flux values for all four adhesives were significantly different; Syntac allowed the greatest amount of microleakage. However, these in vitro results should not be considered absolute values.
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The structure of the dentin, consists of the following elements: the odontoblastic processes, dentinal tubules and their periodontoblastic spaces. The odontoblasts are aligned in a single layer in the periphery of the dental pulp and secrete the organic components of dentin. The vitality of dentin is mediated too by the nerve fibres. The ultrastructure of the trigeminal sensory nerves in dentin, especially in relation to odontoblasts remains to be clarified. We studied the third molars and young premolars. The specimens were fixed in glutaraldehyde immediately after extraction. Our investigations give evidence to prove that the distribution of the dentinary tubules is homogeneous, containing a principal odontoblastic prolongation in the regions of the inner dentine, and only in special cases more than one. The area of the dentinary tubules and the odontoblastic prolongations' area were studied. The nervous fibres appeared accompanying 30-70% of the odontoblastic prolongations and their synapsis-like relation with the odontotoblastic processes was demonstrated. The existence of very few periodontoblastic spaces, and intradentinal sensory axons, as well as the intercellular connections will allow us to discover more about the mechanisms of the dentinary permeability, and its significance in maintenance and repair of the human pulpodentinal complex.
Odontoblasts are known to be involved in the process of dentinogenesis but it is not clear whether substances may also be deposited in predentine and dentine by passing between these cells. Although tight junctions have been described, it is not clear if they are macular or "leaky" as opposed to continuous or "tight". In this study use has been made of the permeability of fenestrated capillaries amongst the odontoblasts to deposit the penetrative tracer lanthanum in the interodontoblastic space. This was done by perfusion of anaesthetized rats with physiological solutions containing lanthanum nitrate at 37 degrees C. Immersion fixation of transverse segments of mandibular incisors and examination with an electron microscope showed that lanthanum could permeate 40-50 microns between the odontoblasts to reach the peripheral pulp. Towards the predentine, often less than 10 microns from the capillaries, its progress was abruptly and completely halted by the junctions at the apical ends of the odontoblast cell bodies. Lanthanum was not found in the predentine. The mature secretory odontoblasts in the rat incisor have therefore been shown to be joined by continuous tight junctions. In the process of dentinogenesis this means that all substances deposited in predentine and dentine must arrive by passing through the odontoblasts.
Phase transfer reactions such as dissolution, precipitation, sorption, and desorption are important in a wide range of processes on dental hard tissue surfaces. An overview is provided of several new complementary electrochemical techniques which are capable of probing the dynamics of such processes at solid/liquid interfaces from millimeter- to nanometer-length scales, with a variable time resolution down to the sub-millisecond level. Techniques considered include channel flow methods with electrochemical detection, which allow reactions at solid/liquid interfaces to be studied under well-defined and calculable mass transport regimes. Scanning electrochemical microscopy allows the chemical activity of interfaces to be mapped at higher spatial and temporal resolutions. This technique, which utilizes a scanning ultramicroelectrode, has been used extensively for the study of dissolution processes of ionic crystals, as well as in imaging the action of fluid-flow-blocking agents on dentin surfaces, which act via precipitation. So that interfaces at the nanometer level can be probed, an integrated electrochemical-atomic force microscope has been developed which enables the local solution conditions to be controlled electrochemically while topographical changes are mapped simultaneously.
PURPOSE: To test the hypothesis that water channels are present along the adhesive-dentin interface that can be detected using transmission electron microscopy examination of tracer penetration. MATERIALS AND METHODS: Different total-etch adhesives (Single Bond, Excite, and PQ1) and self-etch adhesives (Prompt L-Pop, Reactmer Bond, and an experimental self-etch adhesive) were bonded to dentin and enamel. Bonded resin-tooth slabs were immersed in 50 wt% conventional silver nitrate or 50 wt% basic, ammoniacal silver nitrate for 24 hours, exposed to a photodeveloping solution, and prepared for transmission electron microscopy. RESULTS: With both types of silver nitrate, all adhesives exhibited nanoleakage within hybrid layers. In addition, water trees in the form of interconnecting, dendritic silver deposits were seen along the surface of the hybrid layers that extended perpendicularly into the adhesive layers. With ammoniacal silver nitrate, additional isolated, unconnected silver grains were observed within the adhesives.
In 96 months-old dogs with light fluorosis the effect of 10% HCl solution and the mixture of 36% HCl solution with concentrated HCl (1:2) on 45Ca incorporation into the superficial and deep enamel layers, and its penetration into the dental hard tissues. The increase in HCl concentration was directly related to enamel 45Ca incorporation and the depth of its penetration in fluorosis-afflicted teeth. Under effect of 12% HCl solution 45Ca penetrated across the whole enamel reaching the dentin. Further increases in HCl concentration is nonexpedient in bleaching the fluorosis-afflicted enamel.
The initial vascular reactions during inflammation are vasodilation and increased vessel permeability. Both these basic reactions cause increased pulpal fluid volume. In the dental pulp the inflammatory vascular reactions take place in a rigid enclosed dentin chamber, which to some extent makes the pulp vulnerable. Due to this lack of distensibility any gain in pulpal volume will necessarily increase the pulpal tissue pressure. If the tissue pressure rises to the same level as the blood pressure it will compress the pulpal vessels, thus counteracting a beneficial blood flow increase during inflammation. Using the micropuncture technique and laser Doppler flowmetry we have performed simultaneous measurements of tissue pressure and blood flow in the cat dental pulp during neurogenic inflammation. Sensory nerve stimulation caused a rise both in blood flow and tissue pressure. Our findings thus strongly suggest that the increased pulpal tissue pressure promote fluid absorption back into the blood. If, in theory, plasma proteins and other macromolecules had leaked out during sensory nerve stimulation they must have been successfully removed by lymphatics, unless the tissue pressure would have risen to the same level as the capillary blood pressure causing a fall in PBF. This was not found. On the contrary, increased blood flow was measured, even in experiments lasting for more than 8 hours. It is therefore concluded that the pulp may have a beneficial blood flow increase during inflammation in spite of simultaneously increased tissue pressure.
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