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[Photoluminescence spectra of trivalent neodymium doped TiBa glass microspheres].

In this work, TiBa glass microspheres doped with Nd3+ for morphology-dependent resonances of emission were designed and prepared. The emission spectra of TiBa glass plate and TiBa glass microspheres (45 and 13 microm in diameter) under 514 nm excitation were measured. The authors observed many regularly spaced, sharp peaks in the emission spectra of a Nd3+-doped glass microsphere. Based on the Mie scattering theory, the wavelength separation between the adjacent resonant peaks for the 45 microm sphere was calculated to be 3.0 for 810 nm. This value agrees well with the observed peak separation (3.1 nm), which indicates the contribution of the whispering gallery modes. The emission intensities of a Nd3+-doped TiBa glass microsphere (13 microm in diameter) in the 901.69 nm region were plotted against the excitation laser power. The emission intensities of the microsphere exhibit the linear dependence at the low excitation power (<2 mW). The 901.69 nm emission intensity of the microsphere steeply increases at the excitation power of 2 mW, which can be ascribed to the laser operation.

Glass↗

Antibacterial activity of glass-ionomer cement containing antibiotics on caries lesion microorganisms.

PURPOSE: To assess the total viable bacteria in infected dentin after sealing with glass-ionomer cement containing 1% metronidazole, 1% ciprofloxacin and 1% cefaclor. METHODS: 40 children were selected, with ages ranging from 4-10 years, with primary teeth with active carious lesions without any pulpal involvement. The patients were divided randomly into two groups in accordance to the glass-ionomer cement used to seal the carious lesions: Group 1 (control, n=20), sealing with conventional glass-ionomer cement; and Group 2 (test, n=20) sealing with glassionomer cement including antibiotics. The infected dentin was collected both before and 24 hours after the sealing of the cavities and, after inoculation in blood agar, all the plates were incubated in containers kept at 37 degrees C for 5 days in an atmosphere of 85% N2, 10% CO2 and 5% H2, for subsequent counting of total viable bacteria. RESULTS: The results were analyzed using the Wilcoxon and Mann-Whitney tests. The glass-ionomer cement with 1% of metronidazole, 1% of ciprofloxacin and 1% of cefaclor showed a significantly greater reduction in microbiota in the infected dentin in comparison to the reduction with the conventional ionomer cement (P< 0.01), with a mean reduction of 98.65% of all viable bacteria. The infected dentin after sealing with glass-ionomer cement with antibiotics showed, using scanning electron microscopy, the presence of bacterial aggregates, intertubular dentin with exposure of collagen fibers, and dentin tubules.

Anti-Bacterial Agents↗

The effect of early water contact on glass-ionomer cements.

The purpose of this study was to observe the effect of immersion in water at 3, 5, 7, and 10 minutes after mixing on the surface of three regular and one light-curing glass-ionomer cements by measuring penetration of a methylene blue solution. Early solubility of these cements was also measured and compared with that of a zinc phosphate and a polycarboxylate cement. A blue-stained zone was observed in all glass-ionomer cements, but an inner, opaque zone was observed in only two of the regular glass-ionomer cements. Extending the time between start of mixing and immersion in water decreased the width of both zones in all cements and markedly lowered the loss of substance from the surface of regular glass-ionomer cements. However, time after mixing had no or only a limited effect on the loss of substance from the light-curing glass-ionomer cement, the zinc phosphate cement, or the polycarboxylate cement.

Glass Ionomer Cements↗

Clinically relevant differences in prothrombin time and INR values related to blood sample collection in plastic vs glass tubes.

We compared prothrombin times (PTs) and international normalized ratios (INRs) for blood samples drawn into plastic vs glass collection tubes. We collected 60 venous blood samples into 4.5-mL glass and 2 plastic tubes (2.7 and 3.5 mL). An additional 153 samples, including 63 from warfarin-anticoagulated patients, were collected only in glass and 2.7-mL plastic tubes. The PTs and INRs were determined following routine laboratory procedures. A subset of 35 frozen aliquot samples was analyzed with a different instrument-reagent combination. The PTs and INRs for samples in plastic tubes were significantly lower than for samples in glass tubes. The mean INR differences increased with INR magnitude from approximately -0.1 (INR, 1.5) to -0.7 (INR, 4.5). Of the plastic tube INRs, 50% were more than 10% lower than INRs from samples collected in glass tubes. Therapeutic monitoring based on plastic-tube INRs could result in higher doses of warfarin.

Blood Specimen Collection↗

The influence of Zn on the deposition of HA on sol-gel derived bioactive glass.

To evaluate the influence of Zn on the formation of hydroxyapatite (HA), zinc-containing glass 58S4Z was prepared by substitution of CaO with 4 wt% ZnO in 58S bioactive glass, and Zn-containing simulated body fluid (ZnSBF) was prepared as soaking fluid. During the soaking, all samples could induce the deposition of HA, but 58S4Z in SBF and 58S in ZnSBF showed lower formation rate of HA than 58S in SBF, which suggests that both the Zn in glass and the Zn2+ in soaking fluid retarded the deposition of HA. The ICP and EDS analysis results indicated that the main factor was the preferential reaction of Zn2+ with PO4(3-), which resulted in a decrease of the PO4(3-) concentration in soaking fluid and the nucleation of HA. Besides the inhibitory effect of Zn2+ in the soaking fluid, Zn in 58S4Z glass caused a lower release rate of Ca2+ in the initial soaking periods because of the lower CaO content as compared with 58S, and resulted in a lower nucleation rate of HA. The results suggested that small amount of Zn in bioactive glass retarded the nucleation of HA, but with the exhaustion of Zn2+ by PO4(3-), it did not affect the long-term deposition of HA in SBF.

Body Fluids↗

Cost of composite and glass ionomer class II molar restorations and theoretical analyses of cost per year of function at public dental services in Sweden.

The aim was to evaluate the cost of direct composite and glass ionomer class II molar restorations, and the theoretical cost per year of function, at Public Dental Services (PDS) in Sweden, years 2000 and 2005. Costs for patients, Social Insurance Offices (SI; Försäkringskassan), and total cost, were calculated based on fee schedules from all PDS in Sweden. Theoretical cost per year calculations were based on the median survival times (MST) of failed direct composite and glass ionomer class II molar restorations, derived from a set of clinical studies conducted in Nordic general practices. Due to lack of national statistics from SI, the number of direct restorations including more than one surface, made in adults, in general dentistry at PDS in the county of Halland were studied. From the year 2000 to year 2005, the total cost of composite class II molar restorations increased by 25%, whereas the total cost of glass ionomer restorations more than doubled. Theoretical calculations implied a higher cost per year of function for composite restorations in year 2000, whereas in year 2005, glass ionomer restorations had a higher cost per year of function. The cost of direct composite and glass ionomer class II molar restorations increased from year 2000 to 2005, at PDS in Sweden. In the context of planning public health care funding, theoretical models for cost prediction may prove useful.

Acrylic Resins↗

Factors influencing bond strengths between unetched glass ionomers and resins.

The use of glass-ionomer cements as a base beneath composite resins has become a popular restorative procedure often referred to as the "sandwich technique." Originally etching of the glass-ionomer surface was recommended to help create the necessary bond between glass-ionomer cement and composite resin. This study investigated the bond strength of various composite resins and their bond agents to unetched glass ionomer. The pH of the bond agents was measured and related as bond strength. The influence of time elapsed between mixing the glass-ionomer cement and placement of the bond agent was also studied. Bond strengths varied from 65.5 kg/cm2 for G-C Dentin Cement with Pyrofil Light Bond A to 3.2 kg/cm2 for G-C Dentin Cement with Bis-Fil-M. The pH range was from 2.28 for Pyrofil Light Bond to 7.62 for Durafill Bond. Low correlation coefficients between bond strength values and pH indicated only limited relationship between the two. The bond strength decreased as the time lapse between the end of the mix and application of the bond agent increased.

Composite Resins↗

Artificial recurrent caries in glass ionomer-lined amalgam restorations.

The purpose of this study was to examine artificial recurrent caries when a conventional glass ionomer liner was placed under amalgam restorations. An additional aim was to evaluate the effect of using an unfilled resin with or without etching on the margins of the amalgam restoration. Class V preparations in extracted third molars were used with gingival margins on root surfaces. Ten restorations were used for each of the following groups: 1) Amalgam alone; 2) Two layers of copal varnish and amalgam; 3) Glass ionomer, amalgam; 4) Glass ionomer, amalgam, unfilled resin; 5) Glass ionomer, amalgam, acid-etching, unfilled resin. The teeth were thermocycled and artificial caries were created using a liquid system acidified to pH 4.10 and saturated with HAP but without fluoride. The teeth were sectioned, polished and photographed using polarized light. Areas of recurrent caries were measured using a sonic digitizing pad. The data were analyzed using ANOVA and Duncan's Multiple Range Test. Areas for enamel lesions for the different groups were: 1) 1.29 +/- 0.41; 2) 1.61 +/- 0.49; 3) 0.92 +/- 0.26; 4) 0.87 +/- 0.31; 5) 0.99 +/- 0.39. Root lesions areas were: 1) 2.17 +/- 0.35; 2) 1.90 +/- 0.40; 3) 1.40 +/- 0.27; 4) 0.82 +/- 0.25; 5) 1.34 +/- 0.31. Duncan's groups for root lesions were A = B/ C = D/ and E separately. This study indicates that artificial recurrent caries under amalgam can be reduced with a conventional glass ionomer. An additional benefit was observed when unfilled resin was placed on the cavosurface margins but not when it was acid-etched first.

Dental Amalgam↗

Posterior composite and glass ionomer/composite laminate restorations: 2-year clinical results.

The purpose of this investigation was to evaluate and compare the clinical performance of two posterior composite materials, and two placement techniques, unlaminated and laminated to glass ionomer base. Forty Class II carious lesions were randomly assigned for restoration with one of two composites: Status or Ful-Fil; and using one of two techniques: with and without a glass ionomer base. In the 20 restorations using the laminate technique, the glass ionomer base covered the dentin and extended to the cavosurface in the gingival third of the proximal box. The restorations were evaluated clinically at 24 hours, 6 months, 12 months and 24 months. The clinical parameters used for the examination were: anatomic form, marginal adaptation, color, secondary caries, marginal discoloration and contact. Bitewing radiographs were taken at 24 hours and at 24 months to evaluate gingival margin discrepancy. Impressions of the restorations were made for fabrication of stone dies. Of the 40 restorations, 38 (95%) were available for evaluation at 24 months. For both materials there was a deterioration in anatomic form, in marginal adaptation, and in marginal discoloration. Anatomic form was significantly worse with Status (P less than 0.05). Of the 20 restorations placed using the laminate technique, two had observable loss of the glass ionomer material. Radiographic radiolucencies were observed for both materials and with both techniques. For the laminate technique, all radiolucencies were between the glass ionomer and the composite. The radiographic observations did not change after the initial evaluation. All the restorations were functioning well at 24 months, but longer observation will be required to determine whether there is a clinically significant difference between the two placement techniques.

Composite Resins↗

Class II glass ionomer/silver cermet restorations and their effect on interproximal growth of mutans streptococci.

The release of fluoride from glass ionomer materials is one of the most important features of this newly implemented material, and the remineralization effects of this phenomenon have been documented (Hicks and Silverstone 1986). This paper examines the effects of glass ionomer/silver cermet restorations on the plaque levels of interproximal mutans streptococci. Fifteen patients with Class II lesions in primary molars were selected for study. Interproximal plaque samples were obtained from each of the lesion sites and from one caries-free site approximal to a primary molar. One lesion was restored with composite resin to serve as a treated control to the glass ionomer/silver cermet (Ketac Silver, ESPE/Premier Sales Corp., Norristown, Pennsylvania) test site. A sound (unaltered) interproximal site served as the untreated control site. Plaque samples were collected before and at one week, one month, and three months post-treatment. Samples were serially diluted to enable colony counts of mutans streptococci. One week post-treatment counts showed that the glass ionomer/silver cermet restorations significantly reduced (P less than 0.05) the approximal plaque levels of mutans streptococci. Conversely, the untreated and treated control sites did not exhibit reductions in approximal plaque levels of mutans streptococci. These results indicate that glass ionomer restorations may be inhibitory to the growth of mutans streptococci in dental plaque approximal to this restorative material in the primary dentition.

Cermet Cements↗

Microleakage of Gluma Bond, Scotchbond 2 and a glass ionomer/composite sandwich technique.

Bonding to dentin with long-term success has been a quest of dentistry for some time. Microleakage is a major problem that can lead to staining and discolorization of the restoration and postoperative sensitivity. Some of the newer dentin bonding systems include Gluma Bond and Scotchbond 2. A glass ionomer/composite "sandwich" technique has also been advocated for dentin bonding. Here a glass ionomer is first bonded to the dentin, bonding agent is applied to the glass ionomer and a composite restoration is then placed into the cavity preparation. The purpose of this study was to compare the microleakage of Gluma Bond, Scotchbond 2, the glass ionomer/composite sandwich technique along with a positive and negative control. This was accomplished, in vitro, using extracted human teeth and a Ca45 radioisotope technique. The teeth were examined for microleakage at periods of 1 week, 6 months and 12 months. The results of this study indicate that, in vitro, the glass ionomer sandwich technique does not stop microleakage. The results also indicate that, in vitro, Gluma Bond and especially Scotchbond 2 restorations can resist microleakage for short periods of time. However, at the end of the 12 months, all Gluma Bond and Scotchbond 2 specimens exhibited gross microleakage.

Adhesives↗

[A staged restoration system for the uncooperative children utilizing glass ionomer cements].

The purpose of this study was to investigate a treatment system intended to promote improvement in the cooperation of patients. The subjects of the investigation were 45 uncooperative patients who had difficulty in accepting regular dental treatment. This treatment system consists of A) caries inhibition stage by Ag(NH3)2F, B) first temporary restoration stage with low viscosity glass ionomer cement, C) second temporary restoration stage with restorative glass ionomer cement and D) final restoration with regular restorative material. One treatment stage in the system was carried out according to the grade of the cooperation of the patients, then the advanced treatment stage superseded the former when the cooperation was improved. The period of time required for the improvement of cooperation, and the durability of the glass ionomer cements were examined. The following results were obtained. 1. The durability of the low viscosity glass ionomer cement was 11 months for the anterior teeth, and 12 months for the posterior teeth. 2. The durability of the regular glass ionomer cement was revealed to be 18 months for the anterior teeth and 17 months for the posterior teeth. 3. 7 months were required for the improvement in the cooperation of the patients from stage B to stage C and 14 months for improvement from stage C to stage D. 4. Improvement in cooperation appeared in a shorter time when this treatment system is begun to be applied to the patients at lower age. The staged restoration system is an effective method for the behavior management of uncooperative patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Child↗

Microleakage of glass ionomer/composite laminate Class V restorations.

The aim of this investigation was to evaluate the effects on microleakage of pretreating dentin with polyacrylic acid (PAA), prior to placing a glass ionomer base/composite laminate restoration. Class V erosion-type lesions with the incisal margin on enamel and the cervical margin below the cemento-enamel junction (CEJ), were prepared in 50 sound extracted teeth. These teeth were divided into five dentin treatment groups: A) 10% PAA; B) 20% PAA; C) and D) 40% PAA; E) no dentin preconditioning. In groups A, B, C and E, a glass ionomer base was placed within 1 mm of the margins. In group D the glass ionomer base extended to the cervical margin. The glass ionomer base and the incisal enamel were etched with 37% phosphoric acid prior to placing a bonding agent and restoring with a composite. The restorations were finished and polished and the teeth were stored in distilled water at 37 degrees C for 7 days. They were thermocycled in 0.5% fuchsin dye for 500 cycles (5 degrees C to 60 degrees C), embedded in epoxy resin, and sectioned at 250 mu intervals through the restorations. The section of each tooth exhibiting the most severe dye penetration along the tooth/restoration interface was evaluated and scored both incisally and cervically: 0 = no leakage; 1 = leakage up to the glass ionomer base; 2 = leakage up to 1/2 the wall length; 3 = leakage exceeding 1/2 the wall length. Cervically, the median leakage for all groups was 3.0. Incisally, the median leakage for all the groups was 0.0.(ABSTRACT TRUNCATED AT 250 WORDS)

Acrylic Resins↗

Antibacterial effects of glass ionomers.

Glass ionomer cements have been shown to possess antimicrobial activity. Proposed mechanisms of action include acidity and fluoride. It was the purpose of this study to determine the antimicrobial effect of 11 glass ionomer cements, their individual powder and liquid components and one resin-bonded liner containing high fluoride ionomer glass against Streptococcus mutans #6715. The role of fluoride and pH in the antibacterial activity was also studied. Using agar diffusion assay methodology, the following results were obtained. All of the glass ionomer cements were inhibitory against S. mutans. The antibacterial cements and slurries that were tested for fluoride, released the ion in excess of reported minimum inhibitory values. The antimicrobial activity of the liquid components, that were tested for the effects of pH changes, was totally lost when the pH was adjusted to 5. The resin bonded liner was inactive against S. mutans and did not release inhibitory concentrations of fluoride. These results indicate that freshly-mixed glass ionomer cements are antimicrobial against S. mutans and that the mechanism of action is probably a function of both fluoride and pH although additional factors may be involved.

Dental Cements↗

Quality of glass and polycarbonate bifocal dress lenses.

A survey of the quality of bifocal glass and polycarbonate dress lenses was conducted to determine how well these lenses conform to the ANSI (American National Standards Institute) Z80.1 standard and to identify processing operations that need improvement. Eight different prescriptions were filled with polycarbonate and glass dress lenses by different laboratories. Conformance to the ANSI Z80.1 standard was determined for seven characteristics of individual lenses and one characteristic (vertical prism imbalance) of the pairs of lenses in prescriptions. The results show that 78% of the glass lenses and 43% of the polycarbonate lenses conformed to ANSI Z80.1 for the seven characteristics of individual lenses. For pairs of lenses, 88% of the glass pairs and 71% of the polycarbonate pairs have acceptable vertical prism imbalance. Glass lenses that did not conform failed for a variety of reasons, none of which dominated. Incorrect add power and excessive prism were the major causes of polycarbonate lenses not conforming.

Dental Cements↗

Sorption of Streptococcus faecium to glass.

A method has been developed by which to study the sorption of Streptococcus faecium to soda-lime cover glasses. Conditions were chosen to minimize the influence on sorption of bacterial polymer production, passive sorption being studied rather than attachment mediated by metabolic activities. Sorption of S. faecium increased with increasing temperature (to 50 degrees C), time, and cell concentration, but equilibrium apparently was not reached even after incubation for 8 hours or at a cell concentration of 3 X 10(10) per ml. Sorption increased with solute molarity up to 0.1 M concentration of NaCl and KCl, indicating an effect of the electrical double layers on the apposition of cells to the glass surface. Desorption of bacteria could be obtained after multiple washings of the glasses in buffer or by the action of Tween 80, but not if sorbed bacteria were left in distilled water, various salt solutions, urea, or in suspensions of unlabelled bacteria. It was concluded that sorption occurred as a result of chemical interactions between the glass and the cell surface. Tween 80 at a concentration of 1 per cent inhibited sorption to 26 per cent of buffer controls, 2 M urea was less effective, and 1 M NaCl was without effect. It is suggested that hydrophobic interactions may be of importance in the binding of S. faecium to glass.

Carbonates↗

Non-thrombogenicity of clean glass revealed by native whole blood assay in bead columns.

The previously described native whole blood assay for materials in solution or suspension has been adapted to materials in a bead column configuration. These experiments showed that the glass itself accounts for little or none of the high blood-reactivity observed with conventional glass bead columns. Columns composed solely of soft glass that was "cleaned" by heat treatment (500-595 degrees C 18 hr, electric oven) were benign toward flowing native whole blood for all variables measured (platelet count and platelet-free plasma [C14]-serotonin content, platelet factor 3 and factor XII activities, and recalcification time) with the standard contact protocol. In addition, the effluent successfully maintained perfusion of the isolated kidney, a measure of the ability of platelets to support vascular integrity. Prolonged (30 min) normothermic contact with citrated whole blood increased the subsequent reactivity of initially clean glass toward whole blood albeit to a level much less than that of conventional glass bead columns.

Animals↗

[Fibroblast adhesion to glass and the dynamics of pH change in the medium in the pericellular space].

A study was made of dynamics of pH changes in the pericellular space of the Chinese hamster fibroblasts after the completion of cell sedimentation in three media. With the first medium, the cells were spread over the glass, with the second one they were attached to the glass without spreading and with the third medium the cells were not attached to the glass at all. The pH value of the medium surrounding the cells decreased, mainly, within the first 6 hours after sedimentation was completed, this depended on the cell population density on the glass surface. The outlook of this dependence was different for the three media. Based on the analysis of the results obtained it is concluded that the attachment of cells to glass may lead to the increased efflux of acid metabolic products from the cell.

Animals↗