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In-vitro solubility of three types of resin and conventional luting cements.

The solubility of resin luting cement remains unknown although the use of resin luting cement for routine cementation of restorations has increased. The purpose of this in-vitro study was to compare the solubilities of three resin cements currently in clinical use with three brands of conventional luting agents. The three resin luting cements, All-Bond C&B (AB, Bisco) Panavia 21 (P21, Kuraray), and Super-Bond C&B (SB, Sun-Medical), and the three conventional luting agents, Elite Cement 100 (EC, zinc phosphate cement, GC), HY-Bond Carbo-plus Cement (HCP, polycarboxylate cement, Shofu), and Fuji I (FI, glass-ionomer cement, GC) were used in this study. A modification of the ADA specification test was adopted to evaluate the solubilities of luting cements. The two types of media (distilled water and pH 4.0 lactic acid solution) in which specimens were stored for 30 days were prepared. The four luting cements, EC, FI, AB, and P21, were more soluble in lactic acid solution than in distilled water. Resin luting cements were markedly less soluble than conventional luting agents when placed in fresh lactic acid solution (0.001 mol/L) at pH 4.0 every 24 h over a 30-day period. The solubility rates of luting cements could be fitted to mathematical expressions which indicated that the solubilities increased linearly or logarithmically with immersion period. Fixed prosthodontic restorations cemented with resin luting cement may be capable of withstanding long-term clinical use compared with conventional luting agents.

American Dental Association↗

Silicoating: evaluation of a new method of bonding composite resin to metal.

Silicoating is a new type of pretreatment of the metal in the resin-bonded bridge technique. The size of bond strength between resin cement and silicoated metal was investigated. Different resin cements, types of metal, and grain sizes of sand used for roughening the metal surface were tested. Furthermore, the effect on the bond strength of contamination with saliva and of thermocycling was measured. There was no difference of importance between the two resin cements tested. Bond strengths obtained with Wirobond were the highest and insensible to changes in resin cement, grain size of sand, and to thermocycling. It was found that sand of the smallest grain size used brought about the highest bond strengths. Contamination with saliva did not significantly reduce the size of the bond strengths. Rinsing the metal surfaces with water or ethanol after contamination restored the bond strengths to their original magnitude. By silicoating, a greater resistance to thermocycling was obtained. Nevertheless, except for Wirobond, a fall in bond strength was measured after thermocycling. Bond strengths of the size of those between etched enamel and composite resin were measured, and the Silicoater method seems a reliable pretreatment of the metal.

Composite Resins↗

Evaluation of three silicoating methods for resin-bonded prostheses.

Three different methods of increasing the bond strength of resin to metal were tested: the original Silicoater technique, the Silicoater MD technique, and the Rocatec system. Metals used for the resin-bonded prostheses were gold, a cobalt-chromium (Co-Cr) alloy, and titanium. Silicoating increased the bond strength to sandblasted specimens. The original Silicoater technique produced the highest bond strengths, especially when used with the Co-Cr alloy and titanium. The Silicoater MD technique showed the lowest bond strengths for all of the test metals. Storage for 7 days with protective film on the silicoated surface did not affect the bond strength, as compared with specimens bonded immediately. The retention of the resin to the gold specimens (Rocatec system) decreased after thermocycling, but retention to the Co-Cr alloy and titanium was not affected. Various resin cements were tested and showed the same retention with the exception of Microfill Pontic, which gave a weaker bond. Scanning electron microscope (SEM) and energy-dispersive X-ray analysis (EDAX) of the specimens before and after the measurements gave no clear explanation of the differences in bond strengths between the test metals. However, it was concluded that silicoating of the metal surfaces contributed to the retention of the resin by chemical action, as no differences in adaptation of the resin to the metal were seen between specimens pretreated by sandblasting and those which were also silicoated.

Analysis of Variance↗

Two-year clinical evaluation of nonvital tooth whitening and resin composite restorations.

BACKGROUND: Adhesive systems, resin composites, and light curing systems underwent continuous improvement in the past decade. The number of patients asking for ultraconservative treatments is increasing; clinicians are starting to reevaluate the dogma of traditional restorative dentistry and look for alternative methods to build up severely destroyed teeth. PURPOSE: The purpose of this study was to evaluate the efficacy of nonvital tooth whitening and the clinical performance of direct composite restorations used to reconstruct extensive restorations on endodontically bleached teeth. MATERIALS AND METHODS: Twenty-one patients 18 years or older were included in this clinical trial, and 26 endodontically treated and bleached maxillary and mandibular teeth were restored using a microhybrid resin composite. Patients with severe internal (tetracycline stains) and external discoloration (fluorosis), smokers, and pregnant and nursing women were excluded from the study. Only patients with A3 or darker shades were included. Teeth having endodontic access opening only to be restored were excluded; conversely, teeth having a combination of endodontic access and Class III/IV cavities were included in the study. A Vita shade guide (Vita Zahnfabrik, Bad Säckingen, Germany) arranged by value order was used to record the shade for each patient. Temporary or existing restorations were removed, along with a 1 mm gutta-percha below the cementoenamel junction (CEJ), and a resin-modified glass ionomer barrier was placed at the CEJ. Bleaching treatment was performed using a combination of in-office (OpalescenceXtra, Ultradent Products, South Jordan, UT, USA) and at-home (Opalescence 10% PF, Ultradent Products) applications. Two weeks after completion of the bleaching, the teeth were restored using a combination of PQ1 adhesive system and Vit-l-escence microhybrid resin composite (Ultradent Products). Wedge-shaped increments were placed and cured using the VIP Light (Bisco, Inc Schaumburg, IL, USA) through a combination of pulse and progressive curing techniques. RESULTS: All but one restoration were evaluated by two independent evaluators every 6 months during a 2-year period using modified US Public Health Service criteria. No restoration failed and "alpha" scores were recorded for all parameters but color stability, which was scored "bravo." Analysis of variance showed a significant shade change between baseline (mean=14.4+/-1.9) versus 2 weeks (mean=1.6+/-0.7) and 2 years (mean=2.8+/-1.7) (p<.0001). Although a significant shade change was observed between 2 weeks and the 2-year follow-up (p=.008), no significant difference was reported between the baseline and 2 weeks (12.9+/-2) versus baseline and 2 years (11.9+/-2.3). CONCLUSIONS: Significant tooth lightening was reported after the completion of whitening therapy on devitalized teeth; shade rebound was reported in less than 50% of the treated teeth and was limited to a maximum of four shades. A microhybrid resin composite demonstrated excellent clinical performance in the restoration of all endodontically treated and bleached teeth after a 2-year evaluation period. CLINICAL SIGNIFICANCE: Nonvital tooth whitening is responsible for a significant change in color of endodontically stained teeth. Successful nonvital tooth-whitening therapy allows for conservative tooth preparation, preserving and reinforcing sound tooth structure. The proper use of modern adhesive systems along with resin composite restorations precludes the use of more extensive restorative treatment, delaying expensive crown and bridge procedures.

Carbamide Peroxide↗

The influence of oral bacteria on the surfaces of resin-based dental restorative materials--an in vitro study.

Three tooth-coloured, resin-based restorative materials (Charisma, Dyract, and Pertac) were exposed to typical oral bacteria (S. mutans, S. oralis and A. naeslundii) over a period of up to 35 days. The three strains of bacteria all colonised the resin-based materials within a few hours and formed thick bacterial films. Determination of the bacterial glucose consumption and lactate production during the incubation period showed no difference from the controls which contained no resin samples. Following the experimental exposure, the materials were examined by scanning electron microscopy (SEM) for possible surface damage and roughness was measured in a perthometer. Little damage to the resin-based composite material surfaces (Charisma, Pertac) could be observed, whereas the polyacid-modified composite material (Dyract) showed greater damage. There was a significant difference in the resin surface roughness after exposure to S. mutans and to A. naeslundii. The study clearly showed that the bacteria used strongly adhered to the resin-based restorative materials. As a consequence of bacterial colonisation and/or poor oral hygiene, damage to the restorative materials might develop. This suggests the need for dentists to evaluate personal oral hygiene, along with general indications and economic factors, in selecting materials for restorations, since the known anti-bacterial properties of amalgam are considerable.

Actinomyces↗

Surface failure of commercial and experimental restorative resins.

A single-pass test was used to study the surface failure of commercial and experimental restorative resins and composites. The surface failure observed for unfilled diacrylate resins was more severe than that seen for an unfilled acrylic resin. Addition of nonsilanated filler to the diacrylate resins increased the resistance to penetration but did not dramatically change the mode of surface failure. The surface failure of the commercial composite resins, which contain silanated filler, was ductile in mode and the resistance to penetration of the diamond slider was the highest of the materials studied. The wear of restorative resins and composites is determined, therefore, by resistance to penetration as well as mode of deformation during sliding.

Acrylic Resins↗

Preparation and characterization of cyclopolymerizable resin formulations.

An amine-catalyzed reaction between acrylates and formaldehyde has been used to convert mono-acrylates to difunctional monomers and di-acrylates to multifunctional oligomers by linking the acrylic double bonds together in 1,6-diene pairs. The resulting monomers and oligomers undergo efficient cyclopolymerization to high conversion with significantly less shrinkage than normally found for acrylates. In this study, a convenient single-step process was used with mixtures of mono- and di-acrylate starting materials to produce a series of resins with potential for effective cyclopolymerization. Incremental changes in the ethyl acrylate (EA) to ethoxylated bisphenol A diacrylate (EBPAD) ratio directly supplied cyclopolymerizable resins with a broad range of viscosities and product distributions. Those resins produced from reaction mixtures rich in EA have low viscosities because of high diluent monomer contents and limited oligomerization of EBPAD due to end-cap formation. Resin viscosity and average molecular weight of the oligomeric component of the resin were inversely related to the amount of EA used in the reaction. Through the choice of reactants and their ratio, this simple technique has the potential to provide cyclopolymerizable resins for use in a variety of dental polymer applications.

Acrylates↗

Evidence for bacterial causation of adverse pulpal responses in resin-based dental restorations.

The widespread use of resin and resin-monomers for bonding of dental restorations to dentin has occurred because of a fundamental shift in the view that injury to the pulp is induced by restorative procedures. While, for many years, the toxic effects of restorative materials were thought to be of crucial importance in the development of adverse pulpal responses, the key role of bacterial leakage at the restoration-tooth interface is now well-recognized. Consequently, if optimal conditions for the preservation of pulpal health are to be ensured, dental restorations should provide an impervious seal against the surrounding tooth structure. However, polymerization shrinkage and contraction stresses induced during setting, as well as a variety of technical difficulties encountered during the clinical operation, often produce less than perfect results. Therefore, modern restorative procedures involving resin and resin-bonded restoratives must still rely on the ability of the pulp to cope with the injurious elements to which it may be exposed during and after the procedure. This review examines factors that may govern the pulp's response to restorative procedures that involve adhesive technologies. An assessment is made of the risks involved as far as the continued vital function of the pulp is concerned. It is concluded that an intact, although thin, wall of primary dentin often enables the pulp to overcome both toxic material effects and the influences of bacterial leakage. In contrast, the pulp may not do equally well following capping of open exposures with resin composites. A dearth of controlled clinical studies in this area of dentistry calls for confirmation that pulpal health prevails over the long term following the use of total-etch and resin-bonding techniques.

Acid Etching, Dental↗

Influences of 4-meta/MMA-TBB adhesive resin on osteodentinogenesis of transplanted rabbit dental pulp in vivo: immunohistochemical and electronmicroscopic studies.

The purpose of this study was to investigate the influence of 4-META/MMA-TBB adhesive resin (4-META resin) on osteodentinogenesis of transplanted pulp in vivo. Dental pulp was obtained from the incisors of adult rabbits. 4-META resin was applied to the pulp tissue, and the pulp tissue with 4-META resin was autotransplanted beneath the renal capsule with the pulp side touching the kidney. Pulp tissue alone was also transplanted as a control. The animals were sacrificed at 3, 7, and 14 days after the experiment, and the specimens were examined morphologically. At 3 days, proliferation of mesenchymal cells was observed, and alkaline phosphatase activity (ALP) and osteocalcin were detected throughout the entire transplanted pulp area. In the experimental case, a thin, highly electron dense zone and a granular layer were observed. Under this layer, only a cell-membrane-like structure, a cell with an unclear nucleus, a nucleus alone, and an organelle-like structure could be seen. Furthermore, an exudative layer with many neutrophils was observed, and apoptotic-body-like structures were also found in some areas. On days 7 and 14 in the control group, osteoblast-like cells had proliferated, and osteodentin formation was initiated throughout the entire transplanted pulp area. In the experimental cases at 7 and 14 days, the entire transplanted area had become osteodentin except for a thin fibrous layer under the 4-META resin. These results suggested that the components of 4-META resin such as MMA and 4-MET (A), which guide the polymerization, might cause degeneration of, but not disturb, the wound healing of the pulp tissue.

Acrylic Resins↗

EDX fluorescence analysis and SEM observations of resin composites.

The purpose of this study was to evaluate the filler compositions of recently available light-cured resins. The composition of each resin paste was evaluated using an energy dispersive X-ray fluorescence spectrometer. Scanning electron microscopic observation of the polymerized resin pastes was also conducted. The main component of each resin composite was Si, while the other elements detected were Al, Ba, Sr, Zr, and K. These elementary compositions differed among the resin pastes used. Three different types of filler morphology were observed; splintered, prepolymerized and splintered, and spherical. The results of this study have thus characterized recently developed resin composites based on their filler elements and morphology.

Acrylic Resins↗

Porosity of resin veneer materials.

The present investigation has studied the effects of different types of resins and different processing and curing methods on the number and size of pores occurring in resin facing materials. The mean number of pores per square millimeter varied between 0.5 and 4. The highest numbers occurred in unfilled heat-polymerized acrylic resin and in light-activated resin, whereas the lowest numbers were found in heat-polymerized micro-filled resin. Specimens processed in accordance with the free technique and cured under pressure consistently obtained lower numbers of pores than the corresponding specimens processed in a flask. Most of the pores were less than 50 micron diameter in all test groups. From a clinical point of view, a dense resin with a limited content of pores may give the most favorable results in terms of mechanical, esthetic, and hygienic properties of the veneer.

Acrylic Resins↗

Interaction of nitrosylruthenium with glycine and alanine in seawater--studies on nitrosylruthenium complex-formations with glycine and alanine by a chelating resin.

RuNO-Chelex 100 resin, [R.RuNO(OH)(OH2)] was prepared by the reaction of RuNO-chloro complex with Chelex 100 resin, and it is expected that aqua and hydroxo groups contained in RuNO-Chelex 100 resin act as adsorption sites for glycinate or alaninate anion by ligand-exchange reaction. The equilibrium constants, Keq, of 1:1 complex formation reactions of RuNO-Chelex 100 resin with glycine and alanine were found to be 96.3 +/- 5.76 and 82.6 +/- 2.69, respectively. The inhibitive effect of glycine and alanine on adsorption of [RuO2(NO2)-(NO3)(H2O)NO]- to anion exchange resin increased in the order of glycine greater than alanine. It was observed that the inhibitive effect was dominated by Keq of RuNO-Chelex 100 resin with glycine and alanine.

Alanine↗

Effect of eugenol and non-eugenol containing temporary cement on permanent cement retention and microhardness of cured composite resin.

This present study had three aims: 1) to evaluate the bond strengths of carboxylate and resin cements in cementing cast Co-Cr crowns to pretreatment of composite resin cores with eugenol and non-eugenol containing temporary cements, 2) to determine the microhardness of composite resin treated with temporary cement, 3) to view the surface differences of composite resin with SEM. The composite cores were divided into three experimental groups for the following pretreatments: Group 1, No treatment was provided, Group 2, The external walls of the composite cores were covered with eugenol-containing temporary cement, Group 3, The external walls of the composite cores were covered with non-eugenol containing temporary cement. Analysis of variance results showed that there was a significant difference between all three groups. Temporary cement with eugenol was significantly reduced the bond strength of full crown casting with resin cement compared with non-eugenol. The resin specimens treated with the eugenol-containing temporary cement showed the lowest microhardness values, the non-eugenol-containing temporary cement was not significantly different from those of the control groups.

Analysis of Variance↗

Antibacterial activities and bonding of MMSA/TBB resin containing amphiphilic lipids.

The purpose of this study was to investigate the antibacterial activity of MMA/TBB resin containing newly developed amphiphilic lipids. The amphiphilic lipids, C10-L-Ala/pts and C12-L-Ala/pts, synthesized from the reaction of n-alkyl alcohol and L-alanine were dissolved in MMA at concentrations of 0.5, 1.0, 1.5, and 2.0 mol%. Resin mixtures of PMMA powder and each MMA liquid containing lipid and TBB were prepared for all tests. Both lipids gave antibacterial effect to MMA/ TBB resin. The addition of C12-L-Ala/pts to MMA resulted in a significantly higher antibacterial activity than the addition of C10-L-Ala/pts. In terms of bond strength, the bond strength of MMA/TBB resin to bovine dentin was significantly decreased by the addition of amphiphilic lipids. But for enamel, the bond strength of MMA/TBB resin with amphiphilic lipids was clinically acceptable for orthodontic brackets. In conclusion, amphiphilic lipids will be useful as a component of adhesive resin to give the latter an antibacterial effect.

Acrylic Resins↗

Bond strength to primed Ti-6Al-7Nb alloy of two acrylic resin adhesives.

This study aimed to evaluate the bonding behavior of two acrylic resin adhesives joined to titanium-aluminum-niobium (Ti-6Al-7Nb) alloy primed with two metal conditioners. Cast Ti-6Al-7Nb alloy disks were air-abraded with alumina and bonded with six combinations of two resin adhesives (Super-Bond C&B and Multi Bond) and three surface conditions (Alloy Primer, M.L. Primer, and unprimed control). Shear bond strengths were determined both before and after 20,000 thermal cycles. The tri-n-butylborane initiated Super-Bond C and B resin exhibited greater bond strength than the BPO-amine initiated Multi-Bond resin. Both the Alloy Primer with a hydrophobic phosphate and the M.L. Primer with a phosphonoacetate effectively improved the 24-hour bond strength of Multi-Bond resin as well as the post-thermocycling bond strength of Super-Bond C and B resin.

Acid Etching, Dental↗

Influence of self-etching primer on the resin adhesion to enamel and dentin.

PURPOSE: To evaluate the shear bond strength of resin-based composite to dentin and enamel using three adhesive systems, two of them containing self-etchant primers. Wettability (contact angle measurements) of the primers of these three adhesive systems was also evaluated on superficial and deep dentin. MATERIAL AND METHODS: Contact angle measurements were performed on 30 caries-free extracted human third molars; specimens were sectioned parallel to the occlusal surface to expose superficial and deep dentin. Dentin was ground flat (600-grit SiC) under water to provide uniform surfaces. Contact angle measurements were performed to assess wettability using the Axisymmetric Drop Shape Analysis technique. In order to test the enamel bond strength, 30 extracted bovine incisors were embedded in acrylic resin and ground flat to 800-grit. The adhesives and composite resins were applied following the manufacturers' instructions. All the specimens were stored in water for 24 hrs at 37 degrees C and thermocycled (500x). Shear bond strengths were determined using a universal testing machine and the Watanabe device. For dentin bond strength testing, superficial and deep dentin was exposed in 60 third molars, by sectioning the occlusal surface immediately under the enamel-dentin junction or close to the pulp chamber. After grinding (500 grit SiC), the dentin surfaces were assigned to three groups: (1) Clearfil SE Bond (CSEB)/Clearfil AP-X resin composite. (2) Etch & Prime (E&P)/Degufill mineral resin composite. (3) Scotchbond Multi-Purpose Plus (SBMP)/Z100 resin composite. RESULTS: One-way ANOVA and Student-Newman-Keuls multiple comparisons tests showed that no differences were found between contact angles on superficial and deep dentin. CSEB and E&P, without significant differences between them, had greater mean contact angle than SBMP. On enamel, Etch & Prime resulted in the lowest bond strength, but no significant differences existed with Scotchbond Multi-Purpose were found. On dentin, Clearfil SE Bond resulted in the significantly highest bond strength; no significant differences exist between Etch & Prime and Scotchbond Multi-Purpose.

Acid Etching, Dental↗

Fractographical analysis of resin-dentin bonds.

PURPOSE: To characterize resin-dentin bond structures of three adhesive resin systems using fractographic analysis to measure the area of failure at the fractured surface. MATERIALS AND METHODS: Flat dentin surfaces were ground perpendicular to the long axis of the tooth. The prepared dentin surfaces were treated by one of three adhesive resin systems (Mac Bond II, One-Step, and Single Bond). The samples were sectioned perpendicular to the adhesive interface to produce a square bar-shaped specimen (adhesive area: 0.9 mm2) using a diamond saw. A micro-tensile test was then conducted at a crosshead speed of 1.0 mm/min. The mean tensile bond strengths were statistically compared using one-way ANOVA and Fisher's PLSD test (P< 0.05). The fractured surfaces of all specimens were examined using SEM and the area of failure was measured using an image analyzer on SEM microphotographs. RESULTS: No significant differences in tensile bond strength were observed between Single Bond (62.1+/-18.2 MPa) and One-Step (53.8+/-13.1 MPa) (P > 0.05). However, the bond strength of Mac Bond II (36.5+/-13.7 MPa) was significantly lower than that of One-Step or Single Bond (P< 0.05). At the fractured surface, except for the cohesive failure of the bonding resin and resin-based composite, different failure patterns were observed for each resin system as follows: the failure of the hybrid layer and demineralized dentin was observed in the two wet bonding systems (One-Step and Single Bond) and of the hybrid layer but not the demineralized dentin in the self-etching primer system (Mac Bond II). The results demonstrated that the integrity of the hybrid layer depends on the adhesive system.

Analysis of Variance↗

The mechanism for the exclusion of sugars from the water in a model of the liveing cell: the ion-exchange resin: pore size or water structure?

The equilibrium distribution coefficients (p-value) of D-arabinose between the water in sulfonate ion-exchange resin and the external aqueous solution vary with the nature of the five alkali metal counterions studied. The strongest exclusion (lowest p-value) is found in the Li+ resin and the least exclusion (highest p-value) in the Cs+ resin. The p-value decreases with the increasing atomic weights for the alkali-metal ions: pCs+ greater than or equal to pRb+ greater than or equal to pRb+ greater than or equal to pK+ greater than pNa+ greater than pLi+. The water contents of these resins, on the other hand, vary in the opposite direction, being highest for the Li+ resin and lowest for the Cs+ resin. These data disprove the pore size theory but fully substantiate the predictions of the association-induction hypothesis.

Arabinose↗