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The use of a stent-resin-bonded splint combination to stabilize a free gingival autograft.

This article describes the use of a resin-bonded retainer in combination with an acrylic resin stent to stabilize a free gingival graft. This retainer also prevents migration of muscle attachment after surgery to deepen a section of the vestibule where the oral mucosa closely approached the gingival margin. The acrylic resin stent is attached to the resin-bonded retainer by means of an integrally cast metal framework. After surgery, the retainer is attached to the occlusal two thirds of the buccal surfaces of maxillary molar teeth by using the acid-etched resin bonding technique. The stent effectively retains the graft, is simple to fit, and does not cause any permanent damage to the enamel. It has none of the disadvantages of conventional removable acrylic resin stents.

Acid Etching, Dental↗

Static and cyclic loading of fiber-reinforced dental resin.

OBJECTIVE: The aim of this study was to evaluate the flexure strength of unidirectional fiber-reinforced resins under static and cyclic loading with and without thermal cycling. METHODS: The fiber-reinforced resin materials chosen for this project were commercially available endodontic posts and commercially procured bar samples. For all materials, controls for flexure strength were tested in air and in water using three-point loading. Specimens were thermal cycled between 7 and 63 degrees C for 6000 cycles. A staircase approach was used to determine the flexure fatigue limit and scanning microscopy was used to examine the microstructure. RESULTS: The carbon/graphite fiber-reinforced resin posts and the glass FiberKor posts were significantly stronger than the ceramic (zirconia) and the other glass-reinforced resin materials. Thermal cycling caused a significant lowering (11-24%) of the flexure strength for each resin based post system. The ceramic post system decreased only by 2%. Further, for standard size glass fiber-reinforced resin bars, no significant differences between testing in air and water was observed, but a significant difference between static and cyclic loading was noted. SIGNIFICANCE: The decreases in the strength property due to thermal cycling and the cyclic loading of these materials indicates that their utilization in the oral environment enhances their degradation, and potentially shortens their clinical life.

Air↗

Evaluation of gloss changes of two denture acrylic resin materials in four different beverages.

OBJECTIVES: The primary disadvantages of the materials which are used in construction of complete and removable partial dentures is that their esthetic, physical and mechanical properties change rapidly with time in the oral environment. For esthetics, color stability is one of the criteria that needs careful attention. Color may provide important information on the serviceability of these materials. Color change affects the gloss of these materials. The objective of the present study was to determine the gloss changes resulting from the testing process in four different beverages in one heat-polymerized denture base resin and one cold-polymerized denture base repair resin. METHODS: Thirty-six samples were fabricated for each material. Each sample had a smooth polished and a rough unpolished surface. The gloss measurements were made with a glossmeter before testing. Four different beverages (tea, coffee, cola and cherry juice) were used for testing. Two angles of illumination (20 and 60 degrees) were used for the gloss measurements. The samples were immersed in water, tea, coffee, cola and cherry juice solutions. The gloss of the samples was measured again with the glossmeter at the end of the 45th day and 135th day of testing. The arithmetic mean and standard deviation of each of the samples were calculated and compared with each other statistically by using the Wilcoxon test (within times) (p < or = 0.05 significant), the Kruskal-Wallis analysis of variance (p < or = 0.05 significant) and the Mann-Whitney U-test with Bonforoni correction (when the difference between the samples was significant) (p < or = 0.05 significant). RESULTS: The results of this study revealed that gloss changes occurred after testing in heat-polymerized denture base resin and cold-polymerized denture base repair resin. The significance of the gloss changes exhibited by each sample, kept for different lengths of time in the same solution, were compared using the Wilcoxon test. The results were statistically significant (p < or = 0.05). According to the Kruskal-Wallis analysis of variance, the difference between measurements for angles of illumination was statistically significant (p < or = 0.05). Also according to the Mann-Whitney U-test, the difference between two polished surfaces or two unpolished surfaces was statistically insignificant (p > 0.05), but the difference between smooth polished and rough unpolished surfaces was statistically significant (p < or = 0.05). SIGNIFICANCE: It was found that either the gloss of heat-polymerized denture base resin or the gloss of cold-polymerized denture base repair resin was affected by tested agents, and the four beverages demonstrated noticeable gloss changes. Cherry juice demonstrated the least change, while tea exhibited the greatest change.

Acrylic Resins↗

Factors influencing metal-resin tensile bond strength to filled composites.

This study evaluated the effect of metal surface conditioning, application of a silicon layer, water storage, and resin filling on tensile bond strength of a metal-resin system using three experimental composites (un-, micro-, and macrofilled) having the same self-curing resin composed of Bis-GMA and TEGDMA (2:1 wt%). Test specimens were prepared by bonding the resin between pairs of Ni-Cr-Be alloy cast disks (diameter, 8 mm) previously subjected to heat treatments simulating porcelain firing procedures. A specially constructed apparatus facilitated the absolutely parallel alignment and orientation of the disk faces to each other, maintaining a constant resin thickness of 100 microns. Before being bonded, the sand-blasted metal surfaces were either electrolytically etched and/or silicoated. Prior to being tested, assemblies were stored in water at 37 degrees C for one and 30 days. Thereafter, the specimens were processed in a universal testing machine at a cross-head speed of 2 mm/min until failure. Bond strengths ranged from 4.2 to 20.5 MPa. Data were analyzed by ANOVA with a factorial design (conf. level = 99%). The results showed that: (i) bond strength was increased when the metal was silicoated, (ii) the combination of sandblasting/silicoating produced the best values, and (iii) the 30-day water storage combined with silicoating enhanced the strength of the bond. The resin filling had no significant effect, indicating that neither its presence nor type affects bonding strengths to metal.

Analysis of Variance↗

Effects of cross-sectional area on resin-enamel tensile bond strength.

OBJECTIVE: It was hypothesized that there is an inverse relationship between resin-enamel bond strength and bonded cross-sectional area, and that there are regional differences in resin-enamel bond strength. METHODS: The facial and lingual surfaces of extracted human third molars were ground down 0.3 mm using 240 grit abrasive paper and were then bonded with either Clearfil Liner Bond 2 or Scotchbond Multi-Purpose Plus adhesive systems using the manufacturer's instructions. The bonded surfaces then received a resin composite build-up. After 24 h of storage in water, the bonded teeth were vertically serially sectioned into 1.0 mm thick slabs using a diamond saw, and the bonded surface area at the resin-enamel interface was varied from 0.5 to 3.0 mm2 using a diamond saw under microscopic observation. The trimmed region was varied from the occlusal third of the facial or lingual enamel to the middle third, to the cervical third. The trimmed specimens were then glued to a Bencor Multi-T device, placed in an Instron testing machine and stressed to failure at 1 mm/min. A three-factor ANOVA was used to compare bond strengths (buccal vs. lingual, occlusal vs. middle vs. cervical-third, vs. materials). Regression analysis was used to examine the relationship between bond strength and bonded cross-sectional area for each material on occlusal enamel. RESULTS: For both bonding systems, there was a highly significant (p < 0.001) inverse exponential relationship between tensile bond strength (y axis) and bonded cross-sectional area (x axis) with y intercepts of 51 and 59 MPa for Clearfill Liner Bond 2 and Multi-Purpose Plus, respectively. Using both materials, the highest bond strengths were measured in the occlusal third, which were significantly higher (p < 0.05) than those made to cervical enamel. SIGNIFICANCE: Like resin-dentin bonds, resin-enamel bonds exhibit an inverse relationship with cross-sectional area. This relationship becomes more apparent at bonded surface areas below 2 mm2 and is probably due to reductions in the number of interfacial stress-raisers as samples are made smaller.

Analysis of Variance↗

Effects of fluoride release from bis-GMA/TEGDMA resin regulated by gamma-methacryloxypropyltrimethoxysilane on demineralization of bovine enamel.

We previously demonstrated that fluoride release from resins could be regulated by the polysiloxane coating of the fluoride additives. The present study investigated the effects of regulated fluoride release from resin on enamel demineralization in vitro. Bovine enamel cavities were restored with bis-GMA/TEGDMA resins containing 50 wt% NaF powders treated with or without gamma-methacryloxypropyltrimethoxysilane. Specimens were immersed in distilled water that was changed daily to measure the amount of fluoride released over 40 days, and thereafter subjected to pH-cycling. Microradiographic observations were performed to determine total mineral loss (AZ) and lesion depth (Ld) on the enamel. In addition, fluorine distribution was analyzed using EPMA. The resin containing untreated NaF exhibited high-rate and short-term fluoride release, whereas the resin containing treated NaF released low concentrations of fluoride over a longer period. The former showed high fluorine uptake in the adjacent enamel. In contrast, the latter showed high fluorine uptake not only in the adjacent enamel, but also in a wider area of enamel surface. The latter also showed lower AZ and Ld values in the surrounding enamel, indicating a high inhibitory effect on caries formation. Therefore, it is suggested that regulated fluoride release from the resin based on polysiloxane coating is effective in preventing caries formation.

Animals↗

Water sorption characteristics of light-cured dental resins and composites based on Bis-EMA/PCDMA.

The water uptake characteristics of resins and composites based on an ethoxylated bisphenol A glycol dimethacrylate (Bis-EMA) and a polycarbonate dimethacrylate (PCDMA) were studied in detail. Polydimethacrylate resins were prepared by photopolymerization of the neat monomers and mixtures of them with various weight ratios, using the camphoroquinone/N,N-dimethylaminoethyl methacrylate system as initiator, while the composites were prepared from the light-curing of commercial samples (Sculpt-It and Alert). Water sorption/desorption was examined both in equilibrium and dynamic conditions in two adjacent sorption-desorption cycles. The equilibrium water uptake from all resins was very small with a trend to increase as the amount of PCDMA was increased. The inverse effect was observed in the solubility values. The composites studied exhibited also very low water uptake values in comparison to other composite materials reported in the literature. It was also observed that the equilibrium uptake decreased with increasing filler loading. Slightly larger equilibrium water uptake and much smaller solubility values were obtained during the second sorption-desorption cycle in comparison to the first one. Concerning the sorption rate data, it was observed that the resin materials followed Fickian diffusion during almost the whole sorption or desorption curve, while the composites showed this behavior until only M(t)/M( infinity ) congruent with 0.5. The diffusion coefficients calculated for the resins were larger than those of the composites and always higher during desorption compared to sorption. The values of the diffusion coefficients for both resins and composites were in the same order of magnitude with the values of the corresponding materials reported in the literature.

Composite Resins↗

Direct resin composite inlays/onlays: an 11 year follow-up.

OBJECTIVES: The aim of this study was to present an 11-year assessment of direct resin composite inlays/onlays. METHODS: One-hundred Class II direct resin composite inlays and 34 direct resin composite restorations were placed in 40 patients. The restorations were evaluated clinically, according to modified USPHS criteria, annually over a 11-year period. RESULTS: Of the 96 inlays/onlays and 33 direct restorations evaluated at 11 years, 17. 7% in the inlay/onlay group and 27.3% in the direct restorations group were assessed as unacceptable. The differences in longevity were not statistically significant. The main reasons for failure for the inlays/onlays and direct restorations were fracture (8.3 and 12. 1%, respectively), occlusal wear in contact areas (4.2 and 6.1%, respectively) and secondary caries (4.2 and 9.1%, respectively). Eight of the non-acceptable inlays/onlays and five of the direct restorations were replaced, while the other ones were repaired with resin composite. Unacceptable wear was observed in occlusal contact areas of six restorations, in patients who were severe bruxers. For the other restorations occlusal wear was not found to be a clinical problem and no difference was observed between the inlays/onlays and direct composite restorations. The marginal adaptation of the inlays/onlays was still good at the end of the study. Ditching was only observed in a few inlays. A higher failure rate was observed in molar teeth than in premolar teeth. CONCLUSIONS: Good durability was observed for the direct resin composite inlay/onlay technique. Excellent marginal adaptation and low frequency of secondary caries in patients with high caries risk were shown. No apparent improvement of mechanical properties was obtained by the secondary heat treatment of the inlays. Also, the difference in failure rate between the resin composite direct technique and the inlay technique was not large, indicating that the more time-consuming and expensive inlay technique may not be justified. The direct inlay/onlay technique is recommended to be used in Class II cavities of high caries risk patients with cervical marginal placed in dentin.

Adult↗

Mechanical properties of resin composites with filler particles aligned by an electric field.

OBJECTIVES: To explore possible enhancement of the mechanical properties of resin composites by aligning the filler particles. METHODS: The resin for the composites consisted of urethane dimethacrylate (UDMA) and 1,6-hexanediol dimethacrylate (HDDMA) mixed in the ratio of 90 to 10; the filler was silica-zirconia in two particle sizes, 1.7 microns (P50), which was mixed with the resin in the volume fractions of 29 and 48 vol%, and 0.7 micron (Z100), which was mixed with the resin in the volume fractions of 37 and 57 vol%. Particle alignment was obtained by applying a 60 Hz AC electric field across the composite before the resin was photopolymerized. The stress-strain behavior and the elastic modulus of the hardened composite were measured along the alignment axis in compression. RESULTS: The elastic moduli of the aligned composites increased by as much as 20%, and the maximum stress sustainable in compression before significant deformation occurred was elevated. An electric field strength of the order of 1 kV mm-1 was required to obtain sufficient alignment. SIGNIFICANCE: Besides conferring a structure to resin composites that is more like that of the natural tooth, particle alignment increased some of the mechanical properties and may have improved durability.

Composite Resins↗

Removal of heavy metals from aqueous solution by chelating resin in a multistage adsorption process.

Copper and zinc removal from aqueous solution by chelating resin was investigated theoretically and experimentally in the present study. A multistage process was proposed as an alternative for enhancement of the heavy removal of the single-stage process. Heavy metal mass balance equations with empirical Freundlich adsorption isotherm were developed to represent the multistage process and the theoretical model permits determination of the inter-stage heavy metal concentrations and the total amount of chelating resin required for achieving a desired level of heavy metal removal. Optimization of the linearized theoretical model shows that equal division of the total amount of chelating resin among all stages of the multistage process yields the best results in terms of saving of chelating resin for a given heavy metal removal or enhanced heavy metal removal for a given total amount of chelating resin. Experimental tests were also conducted to establish the equilibrium adsorption of heavy metal by the chelating resin and to empirically verify the advantages of the multistage adsorption process.

Adsorption↗

Kinetics of removal of chromium from water and electronic process wastewater by ion exchange resins: 1200H, 1500H and IRN97H.

The removal of chromium from aqueous solution by an ion exchange resin is described. Ion exchange resins 1200H, 1500H and IRN97H show a remarkable increase in sorption capacity for chromium, compared to other adsorbents. The adsorption process, which is pH dependent show maximum removal of chromium in the pH range 2-6 for an initial chromium concentration of 10mg/l. The metal ion adsorption obeyed linear, Langmuir and Freundlich isotherms. The adsorption of chromium on these cation exchange resins follows first-order reversible kinetics and pseudo-first-order kinetics. The intraparticle diffusion of chromium on ion exchange resins represents the rate-limiting step. The uptake of chromium by the ion exchange resins was reversible and thus have good potential for the removal/recovery of chromium from aqueous solutions. We conclude that such ion exchange resins can be used for the efficient removal of chromium from water and wastewater.

Adsorption↗

Bond strengths and remnant adhesive resin on debonding for orthodontic bonding techniques.

Bond strengths and remnant adhesive resin on the tooth surface after debonding for three bonding techniques used to attach foil mesh orthodontic brackets to 315 freshly extracted bovine incisor teeth were compared in an in vitro study. Each method of bonding used 105 teeth in groups of 15, bonded with seven different (bis-GMA type) two-paste chemically cured resins. The direct method comprised bonding the attachments directly to the incisors with the composite resin. The indirect-1 method comprised securing attachments to die-stone models of the teeth with a water soluble glue, making silicone positioners to transfer the brackets from the models to the teeth, and bonding to the teeth with the use of the two-paste composite resin system. The indirect-2 method comprised bonding the attachments to die-stone models of the teeth with composite resin, making silicone positioners to transfer the brackets from the models to the teeth, and bonding to the teeth with the use of unfilled sealant resin. Significant differences in bond strength existed among the groups evaluated. The direct technique had statistically significant (p < 0.05) higher bond strength as compared with the indirect-1 and indirect-2 techniques in four of the seven groups evaluated. The indirect-1 and indirect-2 techniques were not significantly different (p < 0.05) in bond strength in six of seven groups tested. The indirect-2 technique had significantly lower adhesive remnant index scores (ARI) compared with the direct and indirect-1 techniques.(ABSTRACT TRUNCATED AT 250 WORDS)

Acid Etching, Dental↗

Solid-phase synthesis of deglycobleomycins: a C-terminal tetraamine linker that permits direct evaluation of resin-bound bleomycins.

Deglycobleomycin analogues having different length polyamine side chains at the C-terminus were synthesized using a novel solid-phase synthesis strategy that produces fully deprotected deglycobleomycin congeners attached to the resin. Detailed studies of DNA cleavage by these compounds and their resin-bound counterparts using supercoiled plasmid DNAs and DNA restriction fragments as substrates revealed that (i) the length of the polyamine side chain of free deglycoBLM had limited effect on its DNA cleavage potency or sequence selectivity, and (ii) the nature of the linker moiety between the resin and attached deglycobleomycin had a more substantial effect on the potency of DNA cleavage, but no effect on sequence selectivity of resin-bound deglycoBLMs. Resin-bound 4 exhibited efficient DNA cleavage, indicating that its tetraamine linker moiety could be used for the elaboration and direct evaluation of bleomycin congeners attached to resins.

Antibiotics, Antineoplastic↗

Synthesis of spirohydantoins and spiro-2,5-diketopiperazines via resin-bound cyclic alpha,alpha-disubstituted alpha-amino esters.

A seven-step solid-phase synthesis of spirohydantoins and an eight-step solid-phase synthesis of spiro-2,5-diketopiperazines is reported. Key intermediate in the synthesis of both compound libraries is the resin-bound cyclic alpha,alpha-disubstituted alpha-amino ester, which can be obtained after selective homogeneous reduction of the aliphatic nitro ester using tin(II) chloride dihydrate. Nitro ester, in turn, is synthesized by a high-pressure-assisted [4 + 2] cycloaddition of resin-bound nitro alkene and butadiene, whereas nitro alkene is obtained by a Knoevenagel condensation of resin-bound nitro acetate with an imine. Novel spirohydantoins are obtained by isocyanate coupling with the resin-bound amino ester 5, followed by cyclization cleavage using a base. Novel spiro-2,5-diketopiperazines are obtained by PyBOP coupling of a Fmoc-protected amino acid with resin-bound amino ester, followed by Fmoc deprotection and an acid-assisted cyclization cleavage. After preparation of seven different resin-bound alpha,alpha-disubstituted alpha-amino esters, a 7 x 8 compound library of spirohydantoins was synthesized using eight different isocyanates, and a 7 x 8 compound library of spiro-2,5-diketopiperazines was synthesized using eight different Fmoc amino acids.

Amino Acids↗

Sorption and binary exchange of nitrate, sulfate, and uranium on an anion-exchange resin.

Competitive ion-exchange reactions were studied on a strong-base anion-exchange resin to remove NO3- and uranium from a contaminated groundwater containing high levels of NO3- (approximately 140 mM), SO4(2-) (approximately 10 mM), and U(VI) (approximately 0.2 mM). Results indicate that although SO4(2-) carries divalent negative charges, it showed the least selectivity for sorption by the Purolite A-520E resin, which is functionalized with triethylamine exchange sites. Nitrate was the most strongly sorbed. Sorption selectivity followed the order of NO3- > Cl- > SO4(2-) under the experimental conditions. Nitrate competitively sorbed and displaced previously sorbed SO4(2-) in a column flow-through experiment and resulted in a high elution front of SO4(2-) in the effluent. Although the concentration of uranium in groundwater is orders of magnitude lower than that of NO3- or SO4(2-), it was found to be strongly sorbed by the anion-exchange resin. Because the most stable uranium species in oxic and suboxic environments is the UO2(2+) cation, its strong sorption by anion-exchange resins is hypothesized to be the result of the co-ion effect of NO3- by forming anionic UO2(NO3)3- complexes in the resin matrix. These observations point out a potential alternative remediation strategy that uses strong-base anion-exchange resins to remove uranium from this site-specific groundwater, which has a low pH and a relatively high NO3- concentration.

Adsorption↗

Resins for combined light and electron microscopy: a half century of development.

The last fifty years have seen enormous improvements in the way biological specimens are prepared for microscopy. The Fifties produced the essential groundwork upon which many of our current methodologies are based. Acrylic resin embedding was introduced in 1949, with subsequent publications seeking improvements to resin formulations, embedding protocols, and modes of polymerisation. Procedures for progressive lowering of temperature processing, cryosubstitution, freeze-drying and polymerisation by ultra-violet light at low temperatures, all had their genesis in this decade of great innovation. The Sixties marked the period when the acrylics were eclipsed by the more stable and reliable epoxy resins, and much of our present-day understanding of ultrastructure was elucidated. The Seventies carried on this work with advances in technical developments concerned mainly with freezing methodologies. The beginning of the Eighties saw a resurrection of the acrylic resins, with new formulations of these resins giving reliable and stable embeddings. The low temperature and freezing methodologies pioneered in the Fifties, backed up by recent improvements to low temperature technologies, were used to further our understanding of ultrastructure and breathe new life into the science of immunocytochemistry. The remainder of the Eighties and Nineties has seen the ever increasing application of these various microscopical techniques to a wide range of biological studies. The flexibility offered by the acrylic resins in choosing between different processing, embedding and polymerisation methods has provided the impetus for detailed studies to bring to the attention of microscopists the underlying trends governing specimen preparation. Therefore, looking forward to the new Millennium, this has allowed for a more reasoned choice in organising a strategy to deal with a variety of microscopical requirements and for planning an appropriate protocol.

Catalysis↗

The single unit, single retainer, cantilever resin-bonded bridge.

Resin-bonded restorations have many advantages over conventional alternatives. Advances in adhesive technology together with a better understanding of the clinical function of such restorations have allowed resin-bonded bridges to play an important role in everyday clinical practice. This paper highlights the role and importance of the single abutment, single pontic cantilever resin-bonded bridge. Clinical experience might suggest that the cantilever design offers a viable alternative to other designs. Furthermore, the paper suggests that when cantilever resin-bonded bridges fail initially, re-bond often leads to predictable long-term success. Factors such as patient selection, abutment preparation, retainer design and the aesthetic limitations of resin-bonded bridges are also discussed. The authors can claim that further clinical studies are necessary to identify exactly what factors influence the success of cantilever and other resin-bonded designs.

Dental Abutments↗

Tensile bond strengths of hard chairside reline resins as influenced by water storage.

Due to gradual resorption of the edentulous ridge bone, removable prostheses often require denture base relines to improve fit and stability. This research evaluated the bond strength between one heat-cured acrylic resin (Lucitone 550(R)) and two hard chairside reline resins, after two different periods of storage in water (50 h and 30 days). The bond strength was evaluated using a tensile test. The mode of failure, adhesive or cohesive, was also recorded. The results submitted to the Kruskal-Wallis test indicated that the highest tensile strengths were achieved with intact Lucitone 550(R) denture base resin in both periods of storage in water. After 50 h of storage in water, Duraliner II(R) reline material exhibited the highest bond strength to the denture base resin. After 30 days of storage in water, Duraliner II(R) reline resin demonstrated a significant reduction in adhesion, showing lower tensile bond strength than Kooliner(R) material. Both hard chairside reline materials failed adhesively across Lucitone 550(R) denture base resin, in both periods of time.

Acrylic Resins↗