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The effect of short-term temperature changes on superelastic nickel-titanium archwires activated in orthodontic bending.

The bending stiffness of superelastic nickel-titanium archwires is influenced by alterations in mouth temperature. The activation and deactivation phases of a load-deflection loop of superelastic wires have different stress-magnitudes. This investigation compared the effect of short-term cooling or heating on the bending force exerted by nickel-titanium archwires. Two rectangular superelastic and one conventional nickel titanium wire were tested in bending at 37 degrees C. The specimens were tested during the activation phase and during the deactivation phase. The wires were kept at constant strain and the bending force was measured continually while the activated specimens were subjected to cold (10 degrees C) or hot (80 degrees C) water. The test situation simulates a patient's archwire that is subjected to cold or hot drinks or food during a meal. The conventional nickel-titanium wire was marginally affected by brief cooling or heating, regardless of activation phase. In contrast, the superelastic wires were strongly affected by short-term application of cold or hot water. When tested in activation phase, the effect of heating was transient whereas the wires continued to exert sub-baseline bending forces after short-term application of cold water. When tested in deactivation phase, the effect of cooling was transient whereas the wires exerted supra-baseline bending forces after a short-term application of hot water. The effect of short-term temperature changes on the bending stiffness of superelastic nickel titanium archwires is dependent upon the bending phase. Cooling induced transient effects on a wire in its deactivation phase, but prolonged effects when the wire was tested in the activation phase. In contrast, the effect of short-term heating was transient when the wire was tested in the activation phase, but prolonged when the wire was tested in the deactivation phase.

Cold Temperature↗

Effects of recycling on the mechanical properties and the surface topography of nickel-titanium alloy wires.

The purpose of this study was to investigate the changes in mechanical properties, surface topography, and frictional forces of various nickel-titanium wires after recycling. Three types of nickel-titanium wires were separated into 3 groups: as-received condition (T0, control group), treated in artificial saliva for 4 weeks (T1), and treated in artificial saliva and autoclaved (T2). Strength changes were observed by tensile testing, and surface topography was assessed by scanning electron microscope and 3-D profilogram. Frictional coefficients were tested by friction test, and fatigue by bending fatigue test. Our findings showed that there were no statistically significant differences between the wires in maximum tensile strength, elongation rate, modulus of elasticity, and bending fatigue. Two wires demonstrated increased pitting and corrosion after recycling. The same 2 wires also demonstrated significantly greater surface roughness and maximum frictional coefficients compared with the control wires (P <.05), but the third wire showed no significant difference. However, surface roughness and frictional coefficient of the 2 wires after recycling were not greater than those of the third wire before treatment. Recycling increased the surface roughness and friction coefficients, but these seemed to have limited clinical significance.

Corrosion↗

Load-deflection characteristics of superelastic nickel-titanium orthodontic wires.

Previous mechanical testing of orthodontic wires has, in many cases, failed to simulate some key features of the clinical environment. The purpose of this study was to investigate the load-deflection characteristics of 7 different 0.016-in initial alignment archwires (Twistflex, NiTi, and 5 brands of heat-activated superelastic nickel-titanium [HASN]) with modified bending tests simulating a number of conditions encountered clinically. Load-deflection tests were carried out on the wires with 5 different model designs, and data from selected points on the unloading phase of the generated graphs were statistically analyzed. Wire deflection was carried out at 3 temperatures (22.0 degrees C, 35.5 degrees C, and 44.0 degrees C) and to 4 deflection distances (1 mm, 2 mm, 3 mm, and 4 mm). Rankings were derived according to statistically significant differences in each test situation. The effects of model, wire, and temperature variation were all statistically significant. Twistflex and the 5 HASN wires produced a range of broadly comparable results, and NiTi gave the highest unloading values. Model rankings indicated that self-ligating Twin-Lock brackets produced lower friction than regular edgewise brackets. The authors recommend using the rankings from the mechanical test simulations to predict possible clinical performance of archwires.

Alloys↗

Elastic properties of alternative versus single-stranded leveling archwires.

The strength, stiffness, and range of single-stranded stainless steel (SS) and superelastic nickel-titanium (NiTi) archwires were compared with those of alternative leveling products, including nylon-coated and multistranded wires. Wire cross-sections were photographed after being potted in polymer, ground, and polished. Because the rectangular wires had rounded or beveled corners, gravimetric measurements and specific gravity calculations quantified the actual polygonal cross-sectional areas versus the ideal rectangular cross-sectional areas. Beveling reduced the cross-sectional areas by 7% to 8%; this decreased the wire stiffnesses by 15% to 19%. Using a testing machine, we measured the yield strengths, the elastic limits, and the ultimate tensile strengths in tension, and wire stiffnesses in 3-point bending. From cyclic loading tests, the elastic limits of the superelastic NiTi wires were approximately 90% and 45% of their ultimate tensile strengths for the round and rectangular wires, respectively. Using the measurements of the mechanical properties and geometric parameters of each wire, we computed the elastic property ratios (EPRs) versus a 16-mil (0.41 mm) NiTi wire. The single-stranded NiTi wires outperformed the alternative wires, whose EPRs varied from 0.05 to 0.32 for strength, from 0.11 to 1.55 for stiffness, and from 0.10 to 0.80 for range. Based on the current study and a review of the orthodontic literature, few superelastic wires are activated sufficiently in vivo to exhibit superelastic behavior. Therefore, the EPR data reported here for superelastic wires truly represent their performance in most clinical situations.

Coated Materials, Biocompatible↗

A comparison of stainless steel and nickel-titanium H-type instruments of identical design: torsional and bending tests.

OBJECTIVE: For a true comparison of clinically relevant qualities of instruments manufactured from different alloys, the instrument must be identical in design. The purpose of this study was to perform mechanical tests on stainless steel and nickel-titanium instruments of identical design. STUDY DESIGN: Identical experimental endodontic files of H-type with double helix were fabricated from stainless steel and nickel-titanium alloys. Torsional and bending tests were carried out according to American National Standards Institute/American Dental Association specification No. 58 and International Standards Organization No. 3630/1. Changes in instruments during the testing were also analyzed with scanning electron microscope technique. RESULTS: The results indicated that the torsional moment of the stainless steel files was significantly higher than for the nickel-titanium files (P <.001), whereas the mean angular deflection for the nickel-titanium files was significantly higher. The mean bending moment for the nickel-titanium files was significantly lower (P <.001) than the mean value for the stainless steel files. The scanning electron microscope demonstrated that the fracture surfaces of the stainless steel files were brittle, whereas the nickel-titanium files had a ductile fracture. CONCLUSIONS: When the design of endodontic instruments of different alloys is identical, the nickel-titanium files are more flexible in bending. However, nickel-titanium files require less force to deform to fracture.

Dental Alloys↗

Orbital floor reconstruction with flexible Ethisorb patches: a retrospective long-term follow-up study.

OBJECTIVE: The purpose of the study was to investigate whether a flexible, biodegradable material (Ethisorb) shows better long-term results with regard to diplopia, bulbus motility, and exophthalmos/enophthalmos compared to the use of lyophilized dura-patches and polydioxanone (PDS) foils. METHODS: During a period of 6 years 435 patients with an orbital fracture were investigated retrospectively. Inclusion criteria were patients with fractures of the orbital floor with a maximum size of 2 x 2 cm. Bulbus motility, exophthalmos, enophthalmos, and diplopia were investigated during a period of 2 years. RESULTS: One hundred twenty orbital floors were reconstructed by lyophilized dura-patches, 81 by PDS, and 136 by Ethisorb. An exploration without an implantation was performed in 91 patients. The long-term investigation 12 to 15 months after surgery showed an exophthalmos and enophthalmos incidence of 1%, whereas a reduced bulbus motility and diplopia were found in 5% and 4%, respectively. Fifteen to 24 months after surgery 2% of the patients had an exophthalmos and 1% had an enophthalmos. A reduction of bulbus motility was found in 4% of the patients, and diplopia was found in 3%. The use of Ethisorb resulted in a significantly lower incidence of exophthalmos 3 months after surgery compared to PDS. CONCLUSION: The low rate of acquired bulbus motility demonstrates acceptable results in using Ethisorb in the floor of the orbit.

Absorbable Implants↗

Experimentally induced abutment strains in three types of single-molar implant restorations.

STATEMENT OF PROBLEM: The choice of single-molar implant design is difficult because of a lack of controlled, quantitative biomechanical analyses. PURPOSE: This study determined the effect of 3 single-molar implant designs on implant strains under a variety of homologous loading conditions. MATERIAL AND METHODS: On each implant abutment, 4 strain gauges were placed axially at 90 degrees to each other on the buccal, lingual, mesial, and distal surfaces. Effects of implant design, load location, direction, and magnitude were tested on axial and bending (buccolingual and mesiodistal) strains of 3 single-molar implant designs: (1) single, 3.75-mm (regular) diameter implant, (2) single, 5-mm (wide) diameter implant, and (3) two 3.75-mm diameter (double) implants connected through a single-molar crown. Results were analyzed with ANOVA. RESULTS: Variations in loading conditions induced 3-dimensionally complex abutment strains on the tested implant designs. Peak absolute strains in mesiodistal direction were 6493 microepsilon for design 1 and 3958 microepsilon on design 2, and 3160 microepsilon in buccolingual direction on design 3. For all loading conditions, the single 3.75-mm diameter implant consistently experienced the largest strains compared with wide-diameter and double implant designs. Changes in centric contact location affected implant abutment strains differently among the 3 designs. Angulated force direction resulted in larger bending strains. CONCLUSION: For single-molar implant designs, an increase in implant number and diameter may effectively reduce experimental implant abutment strains.

Analysis of Variance↗

Changes in properties of nonaqueous elastomeric impression materials after storage of components.

STATEMENT OF PROBLEM: Storage stability, or shelf life, is a critical property of perishable dental materials. PURPOSE: The purpose of this investigation was to document changes in the properties of nonaqueous elastomeric impression materials over time and on exposure to various environmental conditions. MATERIAL AND METHODS: Materials investigated included a polyether impression material, a polysulfide material (light, regular, and heavy consistencies), and an addition-reaction silicone material (light, regular, heavy, and putty consistencies). Tests included viscosity of individual pastes, elastic recovery, working and setting times, strain in compression, dimensional change, creep compliance, and tear energy. Means and standard deviations were calculated for each test interval. Statistical analysis included 2-way ANOVA (variables: time and storage condition) and comparison to baseline values using 1-way ANOVA (variable: time) and Scheffe's multiple comparison test (P < or = 0.05) within each material, consistency, and test. RESULTS: Results over 72 months revealed changes in viscosity, working/setting times, elastic recovery, and creep compliance. Separation of components was seen with polysulfide and addition silicone materials. Some batches of polysulfide base paste and polyether reactor paste solidified in the tube. CONCLUSION: Most batches of the materials and consistencies tested remained efficacious well past their designated shelf lives under a variety of storage and use conditions. Data for the addition-reaction silicone impression material changed little during the 72-month testing period; thus, the material may be considered relatively storage stable. Creep compliance was the most precise storage-stability indicator. The storage stability of perishable materials should be addressed in American Dental Association Specifications.

Analysis of Variance↗

Effect of soldering on metal-porcelain bond strength in repaired porcelain-fused-to-metal castings.

STATEMENT OF PROBLEM: Chemical bonding plays a major role in the adherence between metal and porcelain. The formation of an oxide layer on solder material has not been described in the literature. It is unknown whether the application of solder negatively affects the bond strength between porcelain and metal. PURPOSE: This in vitro study assessed the effect of solder on the bond strength between metal and porcelain. MATERIAL AND METHODS: Forty 20 x 6 x 0.5 mm patterns were divided into test (20) and control (20) groups. Test samples were perforated and repaired with solder, and 2 layers of opaque and dentin porcelain subsequently were applied on all samples. The samples were subjected to a 3-point flexural test on a screw-driven mechanical testing machine at a crosshead speed of 0.5 mm/min. Failure type (adhesive vs cohesive) was quantified by digitizing photographs of test and control samples. Three samples in each group also were examined with an SEM coupled with an x-ray energy-dispersive spectroscopy apparatus (SEM/EDS). Means and standard deviations of loads at failure, sample thickness, and surface area covered with porcelain were calculated, and data were analyzed with Student t test (P < or = 0.05). RESULTS: The mean fracture load for test samples was significantly greater than for control samples (P = 0.0038). Test samples also were significantly thicker (mean thickness difference 0.14 mm) (P = 0.0001). When the data were controlled for thickness by using a multiple linear regression analysis, no significant difference was found (P = 0.68). Test samples had a greater surface area covered with opaque porcelain (P = 0.0006) as determined by visual inspection. CONCLUSION: In this study, soldered and nonsoldered samples did not show any significant difference in porcelain-to-metal bond strength. Visual analysis revealed a significant difference in the amount of porcelain remaining on the fracture surface of the test and control samples; a complete quantitative elemental analysis with SEM/EDS is in progress.

Dental Porcelain↗

Influence of shade and storage time on the flexural strength, flexural modulus, and hardness of composites used for indirect restorations.

STATEMENT OF PROBLEM: Fracture resistance, elastic modulus, and hydrolytic degradation resistance are important properties of indirect composite restorations. Composite systems developed specifically for indirect application are said to have enhanced mechanical properties due to their elevated monomer conversion. PURPOSE: This study evaluated the influence of shade and the effect of 30-day water storage on the flexural strength, flexural modulus, and hardness of 4 commercially available indirect composite systems and 1 composite used with the direct technique. MATERIAL AND METHODS: A variety of commercially available indirect resin composites (Artglass, Belleglass, Sculpture, and Targis) and 1 directly placed composite (Z100, control) were used. Specimens made with either incisal or dentin shade (n = 10) were fractured with a 3-point bending test. Pre-failure loads corresponding to specific displacements of the crosshead were used for flexural modulus calculation. Knoop hardness was measured on fragments (n = 3) obtained after the flexural test. Tests were performed after 24 hours and after a 30-day water storage at 37 degrees C. Flexural strength data were analyzed with the Weibull distribution. Flexural modulus and Knoop hardness data were analyzed with 3-way ANOVA and Tukey's post-hoc test (alpha=0.05). RESULTS: In general, the directly placed composite (Z100) demonstrated flexural strength similar to that of Artglass, Targis, and Sculpture. Belleglass presented the highest flexural strength (221.7 MPa for incisal shade after 24 hours storage; 95% confidence interval: 208.3-235.4). Z100 demonstrated the highest flexural modulus (range: 10.9 +/- 0.6 to 12.0 +/- 0.9 GPa) and Targis the lowest (range: 5.1 +/- 0.5 to 5.9 +/- 0.9 GPa). Sculpture was the only material that showed differences in flexural strength with respect to shade (incisal-24 hours: 149.8 MPa; incisal-30 days: 148.7 MPa; dentin-24 hours: 200.0 MPa; dentin-30 days: 177.9 MPa). The flexural modulus and hardness of the dentin shade of Sculpture were higher than those of the incisal shade after 30 days. Belleglass also showed a significant difference in flexural modulus (dentin-24 hours: 11.1 GPa; incisal-24 hours: 9.6 GPa). The effect of water storage was more evident on hardness since all composite systems softened after 30 days. Prolonged water storage decreased flexural strength only for Artglass-dentin and Z100, both incisal and dentin shades. Water aging did not affect the flexural modulus of any composite tested. CONCLUSION: In general, indirect composites did not show enhanced mechanical properties compared to the directly placed composite. Property differences due to shade were more evident for Sculpture. Prolonged water storage had a deleterious effect on the hardness of all composites tested. However, water storage did not affect the flexural strength of most of the indirect composites or the flexural modulus of any composite tested.

Analysis of Variance↗

Flexural strength of heat-polymerized polymethyl methacrylate denture resin reinforced with glass, aramid, or nylon fibers.

STATEMENT OF PROBLEM: Despite the favorable properties of conventional PMMA used as a denture base material, its fracture resistance could be improved. PURPOSE: This in vitro study was performed to determine whether the flexural strength of a commercially available, heat-polymerized acrylic denture base material could be improved through reinforcement with 3 types of fibers. MATERIAL AND METHODS: Ten specimens of similar dimensions were prepared for each of the 4 experimental groups: conventional acrylic resin and the same resin reinforced with glass, aramid, or nylon fibers. Flexural strength was evaluated with a 3-point bending test. The results were analyzed with a 1-way analysis of variance. RESULTS: All reinforced specimens showed better flexural strength than the conventional acrylic resin. Specimens reinforced with glass fibers showed the highest flexural strength, followed by aramid and nylon. CONCLUSION: Within the limitations of this study, the flexural strength of heat-polymerized PMMA denture resin was improved after reinforcement with glass or aramid fibers. It may be possible to apply these results to distal extension partial denture bases and provisional fixed partial dentures.

Analysis of Variance↗

The effect of thermocycling on the fracture toughness and hardness of core buildup materials.

STATEMENT OF PROBLEM: Thermocycling has been shown to cause surface degradation of many dental materials, but its effect on the fracture toughness and hardness of direct core buildup materials is unknown. PURPOSE: This study was designed to determine the effect of thermocycling on the fracture toughness and hardness of 5 core buildup materials. MATERIAL AND METHODS: Fifteen specimens were prepared from each of the following materials: Fluorocore, VariGlass VLC, Valiant PhD, Vitremer, and Chelon-Silver. American Standard for Testing Materials guidelines for single-edge notch, bar-shaped specimens were used. Ten specimens of each material were thermocycled for 2000 cycles; the other 5 specimens were not thermocycled. All specimens were subjected to 3-point bending in a universal testing machine. The load at fracture was recorded, and the fracture toughness (K(IC)) was calculated. Barcol hardness values were also determined. Data were analyzed with 1-way analysis of variance and compared with the Tukey multiple range test (P<.05). Pearson's correlation coefficient was also calculated to measure the association between fracture toughness and hardness. RESULTS: Fluorocore had the highest thermocycled mean K(IC) and Valiant PhD the highest non-thermocycled K(IC). Chelon-Silver demonstrated the lowest mean K(IC) both before and after thermocycling. One-way analysis of variance demonstrated significant differences between conditions, and the Tukey test showed significant differences (P<.05) between materials for both conditions. Most specimens also showed significant hardness differences between conditions. Pearson's correlation coefficient indicated only a mild-to-moderate correlation between hardness and fracture toughness. CONCLUSION: Within the limitations of this study, the thermocycling process negatively affected the fracture toughness and hardness of the core buildup materials tested.

Acrylic Resins↗

Flexural strength of provisional crown and fixed partial denture resins.

STATEMENT OF PROBLEM: Provisional prostheses are subject to flexure under function. Selection of the appropriate material for their fabrication is difficult given the limited evidence-based information on the flexural strength of provisional resins. PURPOSE: This study compared the flexural strength of 5 methacrylate-based resins and 8 bis-acryl resins used to fabricate provisional crowns and fixed partial dentures. MATERIAL AND METHODS: Bar-type specimens were fabricated according to American National Standards Institute/American Dental Association specification 27. After being immersed in artificial saliva at 37 degrees C for 10 days, the specimens were fractured under 3-point loading in a universal testing machine at a crosshead speed of 0.75 mm/min. Maximal loads to fracture in Newtons were recorded. Mean flexural strengths were calculated in MPa (n = 10 per group). Comparisons were made with analysis of variance and Duncan's multiple range test (P<.05). RESULTS: Mean flexural strengths ranged from 56.2 to 123.6 MPa. There were 4 statistically similar groups. The group with the highest strengths consisted of 4 bis-acryl materials (Provipont, Integrity, Protemp 3 Garant, and Luxatemp). CONCLUSION: Within the limitations of this study, flexural strengths were material- rather than category-specific. Some, but not all, bis-acryl resins demonstrated significantly superior flexural strength over traditional methacrylate resins.

Acrylic Resins↗

The effect of filler loading and morphology on the mechanical properties of contemporary composites.

STATEMENT OF PROBLEM: Little information exists regarding the filler morphology and loading of composites with respect to their effects on selected mechanical properties and fracture toughness. PURPOSE: The objectives of this study were to: (1) classify commercial composites according to filler morphology, (2) evaluate the influence of filler morphology on filler loading, and (3) evaluate the effect of filler morphology and loading on the hardness, flexural strength, flexural modulus, and fracture toughness of contemporary composites. MATERIAL AND METHODS: Field emission scanning electron microscopy/energy dispersive spectroscopy was used to classify 3 specimens from each of 14 commercial composites into 4 groups according to filler morphology. The specimens (each 5 x 2.5 x 15 mm) were derived from the fractured remnants after the fracture toughness test. Filler weight content was determined by the standard ash method, and the volume content was calculated using the weight percentage and density of the filler and matrix components. Microhardness was measured with a Vickers hardness tester, and flexural strength and modulus were measured with a universal testing machine. A 3-point bending test (ASTM E-399) was used to determine the fracture toughness of each composite. Data were compared with analysis of variance followed by Duncan's multiple range test, both at the P<.05 level of significance. RESULTS: The composites were classified into 4 categories according to filler morphology: prepolymerized, irregular-shaped, both prepolymerized and irregular-shaped, and round particles. Filler loading was influenced by filler morphology. Composites containing prepolymerized filler particles had the lowest filler content (25% to 51% of filler volume), whereas composites containing round particles had the highest filler content (59% to 60% of filler volume). The mechanical properties of the composites were related to their filler content. Composites with the highest filler by volume exhibited the highest flexural strength (120 to 129 MPa), flexural modulus (12 to 15 GPa), and hardness (101 to 117 VHN). Fracture toughness was also affected by filler volume, but maximum toughness was found at a threshold level of approximately 55% filler volume. CONCLUSION: Within the limitations of this study, the commercial composites tested could be classified by their filler morphology. This property influenced filler loading. Both filler morphology and filler loading influenced flexural strength, flexural modulus, hardness, and fracture toughness.

Acrylic Resins↗

The accuracy of dual-arch impressions: a pilot study.

STATEMENT OF PROBLEM: Dual-arch impression trays often are used for addition silicone final impressions of fixed prosthodontic preparations, but concerns about distortion of the impression are common because such trays lack rigidity. PURPOSE: This in vitro pilot study was designed to determine the accuracy of addition silicone impressions made with custom trays or made with either passive or stressed dual-arch trays. MATERIAL AND METHODS: Complete crown preparations of a mandibular molar, premolar, and incisor were made on a dentoform. These tooth preparations received flat, parallel indexes on the facial and lingual axial walls for accurate and reproducible positioning of a digital caliper. Gypsum dies were produced with an addition silicone impression material in either custom trays or dual-arch trays seated passively or with induced flexure (3 dies per tray group). The facio-lingual dimensions of the dies were measured with a digital caliper accurate to +/-5 microm and compared to the dimensions of the original preparations. Flexure in the latter group was induced by contact of the tray with a simulated torus, made of resin, in the lingual vestibule of the dentoform. Data were analyzed with 2-way analysis of variance and Tukey's multiple comparison test (alpha=.05). RESULTS: Dies fabricated with either the custom or passive dual-arch tray reproduced the facio-lingual dimensions of the preparations within a -27 to +13 microm range. Dies fabricated with the flexed dual-arch tray exhibited greater discrepancy, in the range of -47 to -67 microm relative to the preparations. Tray type was a significant factor (P=.002): the flexed tray group was significantly different than the other 2 groups, which did not differ from each other. CONCLUSION: Within the limitations of this pilot study, dual-arch impressions were comparable in accuracy to impressions made with custom trays. Accuracy was reduced, however, when the trays were flexed during closure of the arches.

Acrylic Resins↗

Influence of fiber type and wetting agent on the flexural properties of an indirect fiber reinforced composite.

STATEMENT OF PROBLEM: Different fiber types are available for reinforcing composite restorations. Little information exists regarding optimal fiber type/bonding agent combinations. PURPOSE: This in vitro study examined the influence of storage time and 2 fiber wetting agents on the flexural properties of an indirect dental composite reinforced by 3 fiber types. MATERIAL AND METHODS: Three types of fiber (ultra-high molecular weight polyethylene, Kevlar, and Glass fiber) were used to reinforce samples of an indirect composite (Artglass) prepared to test flexural properties. Each fiber type was used to prepare 3 groups of 10 specimens after fiber wetting with an unfilled or a filled resin bonding agent. All fibers were weighed to an accuracy of 0.01 mg to standardize the amount of fiber placed in the base (tensile side) of the specimen preparation mold (2 x 2 x 25 mm). Fiber-reinforced samples wetted with the unfilled resin were stored for 24 hours before flexural testing, whereas separate groups of fiber-reinforced samples wetted with the filled resin were tested after both 24 hours and 6 months storage in water at 37 degrees C. Two additional groups of unreinforced composite control specimens (10 samples per group) were prepared, one for each of the 2 storage times, resulting in 11 groups total. Mean flexural strengths (MPa) and flexural modulus (GPa) values were determined in a 3-point bend test at a crosshead speed of 1 mm/min by use of a universal testing machine. Comparisons between means were performed with 2- and 1-way analysis of variance tests (alpha=.01) to demonstrate the influence of storage time, fiber wetting agent, and fiber type on the flexural properties of the indirect dental composite tested. RESULTS: Significant increases (124% to 490%) in mean flexural strength (P<.01) were found for all fiber-reinforced groups in comparison to the unreinforced controls at both storage time intervals. The silane containing unfilled bonding agent gave the greatest reinforcing effect (364%) when used with the glass fiber material. After 6 months storage in water, a significant decline (28%) occurred in the mean flexural strength of the glass fiber-reinforced specimens (P<.01) when the filled bonding agent was used. CONCLUSION: Within the limitations of this study, the choice of fiber type and wetting agent was shown to have a significant positive influence on the flexural properties of the fiber-reinforced composite. When used with the silane containing unfilled bonding agent, the glass fiber increased the mean flexural strength of the unreinforced indirect composite by 364%.

Analysis of Variance↗

Mechanical and physical properties of contemporary dental luting agents.

STATEMENT OF PROBLEM: New luting agents, particularly with adhesive capability, are being introduced in an attempt to improve clinical success. Independent studies of basic comparative data are necessary to characterize these materials in relation to mechanical and physical properties. PURPOSE: The purpose of this study was to compare the flexural strength, modulus of elasticity, and radiopacity and pH of representatives of 5 types (categories) of luting agents. MATERIAL AND METHODS: The luting agents included a zinc phosphate, a conventional and a resin-modified glass ionomer, 2 dual-polymerizing resins ("photopolymerized" after mixing and "unphotopolymerized" conditions), and an auto-polymerizing resin. The specimens were prepared and the testing was conducted by 1 person to maximize standardization. Flexural strength (MPa) and modulus of elasticity (GPa) were determined on bar-shaped specimens (2 x 2 x 20 mm) at 24 hours and 3 months (n = 8). Radiopacity (mm Al) was measured by exposing 1 mm thick specimens along with an aluminum step wedge (n = 4). pH was measured using a pH electrode immediately after mixing; at 1, 5, 15, 30 minutes; and at 1, 2, 4, 6, and 24 hours (n = 4). The data were subjected to statistical analyses with analysis of variance and Duncan's multiple range test (P<.05). RESULTS: The resin luting agents (64 to 97 MPa) showed higher flexural strength than all other materials tested (7 to 27 MPa), with the "photopolymerized" (83 to 97 MPa) conditions higher than "unphotopolymerized" (64 to 81 MPa) (P<.0005). Zinc phosphate was the most radiopaque (6.4 mm Al) (P<.0001) and provided the highest rigidity (9.2 GPa) (P<.05). The autopolymerization resin cement was the most radiolucent (1.1 mm Al) (P<.0001). Zinc phosphate and conventional glass ionomer cements were the most acidic immediately after mixing (pH 1.5 to 2.2) but were the least acidic after 24 hours (pH 6.4 to 6.8) (P<.0001). CONCLUSIONS: Within the limitations of this study the data showed a wide variation of material properties. The dual-polymerization resin luting agents tested showed the best combination of mechanical and physical properties combined with the highest setting pH. Photopolymerization of these resin-based materials was necessary to maximize strength and rigidity.

Analysis of Variance↗

Fracture toughness of nine flowable resin composites.

STATEMENT OF PROBLEM: Flowable composite is used in a variety of clinical applications; however, the capacity of these materials to resist crack propagation is not well understood. PURPOSE: The purpose of this investigation was to compare the resistance to crack propagation of 9 flowable composites as measured by the fracture toughness. MATERIAL AND METHODS: The composites studied include AeliteFlo, Crystal Essence, Flow-it, FloRestore, Permaflo, Revolution, Tetric Flow, VersaFlo, and Wave. Ten specimens of each composite were formed with a brass mold with a 3-mm preformed notch. The final dimensions of each specimen were 2 x 4.2 x 20 mm. All specimens were light-polymerized to manufacturer specifications and stored in air for 24 hours. The fracture toughness value, K(IC) (MNm(-3/2)), for each specimen was measured by use of a 3-point bending mode and a single-edge notched beam at a crosshead speed of 0.125 mm/min until fracture. The data were analyzed statistically by use of 1-way analysis of variance, t tests (P<.05), and regression analysis. RESULTS: The flowable composites tested showed a spectrum of fracture toughness values ranging from 1.15 +/- 0.10 MNm(-3/2) for Wave to 1.65 +/- 0.13 MNm(-3/2) for Permaflo (significantly different, P<.05). The remaining materials formed 1 group with intermediate K(IC) values not different from each other (P>.05) but significantly different from Wave and Permaflo. Comparisons of fracture toughness to the filler content by volume of each composite revealed no correlation. CONCLUSION: This in vitro study concluded that there was no significant difference among 7 of the 9 composites tested in their resistance to fracture. Permaflo showed the greatest resistance to crack propagation. There was no correlation between the filler content by volume and the fracture toughness of these flowable composites.

Air↗