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At least 19 recordsLinked to original sources

In vitro microleakage of Class V composite resin restorations with and without light-cured glass-ionomer (poly alkenoate) cement lining.

The restoration of Class V cavities with composite resin when the cervical cavity margin extends onto the root surface poses a special problem with regard to marginal seal. The use of glass-ionomer (poly alkenoate) cement (GIC) linings has not overcome this problem completely. The efficacy of a new light-cured GIC lining was tested in vitro, as was the use of a modern dentine-bonding agent. The light-cured GIC lining afforded a reliable marginal seal but the efficacy of the dentine-bonding agent related to the time of finishing of the composite restoration.

Adolescent↗

Dentin thickness, hardness, and Ca-concentration vs bond strength of dentin adhesives.

The relationship between the tensile bond strength (TBS) and three dentin characteristics: remaining dentin thickness (RDT), Ca-concentration, and hardness, were investigated. Sixty-two extracted bovine incisors, divided into four groups, were prepared using 600-grit SiC paper to create flat dentinal surfaces. The materials tested in this study consisted of three commercially available and one experimental dentin bonding systems. The TBS and modes of failure were determined after storage for 24 h in 37 degrees C water. Then RDT, Ca-concentration, and hardness were measured. Data were statistically compared with TBS of each group. The mean bond strength of the commercial materials ranged from 2.5 +/- 0.9 MPa to 7.7 +/- 2.8 MPa. Correlations with Ca-concentration and RDT varied, depending on the product. The bond strength of the experimental material was 9.2 +/- 4.4 MPa and significantly correlated with RDT and hardness. With two of the dentin bonding agents, specimens showed a high number of cohesive fractures in dentin, 40% to 82%. It was concluded that the variability of TBS was influenced by dentinal characteristics in three of the four materials tested.

Adhesiveness↗

A new light-activated adhesive composite: shear bond strength and microleakage.

A new light-activated adhesive composite has been formulated. Its shear bond strength and marginal microleakage were compared with glass ionomer cements: Fuji Ionomer Type II, Ketac-Fil and Ketac-Bond. The new material showed significantly (p < 0.05) higher bond strength to non-etched enamel (7.9 MPa) and dentin (7.3 MPa) than commercially available materials. It also performed significantly better (p < 0.05) in the microleakage test. Ease of use and the excellent marginal sealing ability of the new material are expected to allow considerable innovation in restorations of root caries, cervical erosion and other conditions where the marginal seal of the gingival cavosurface is difficult.

Aluminum Silicates↗

An in vitro comparative analysis: scanning electron microscopy of dentin/restoration interfaces.

One hundred maxillary premolar teeth were randomly allocated to ten groups. Each group was restored with one of ten different restorative techniques. The teeth were stored in deionized water for 7d prior to longitudinal sectioning in a mesio-distal plane. Following sectioning, ten specimens from each group were chosen at random from the 20 available sections. The sectioned surfaces were polished using 600-grit SiC abrasive paper and etched for 10 s with 50% phosphoric acid to remove the smear layer produced by sectioning. Five tooth sections from the dentin bonding resin groups were allowed to dry at 20 degrees C for 24h. The glass ionomer-based groups were reimmersed in deionized water during this period. The remaining five sections from each group were replicated using an addition-cure vinyl polysiloxane impression material and an epoxy resin. A comparison was made of the sections and the replicas. All tooth specimens were sputter-coated with gold for 4 min and examined using a scanning electron microscope. Replicas were gold-coated for 3 min. Different tooth/restoration interfaces, associated with different materials, were observed. A marked difference between the replicas and tooth sections was observed for glass ionomer-based restorations but not for resin-based bonding systems. Representative samples of replicas and specimens are shown, and the significance of the observed differences is discussed.

Bisphenol A-Glycidyl Methacrylate↗

Dentin adhesion of "modified" 4-META/MMA-TBB resin: function of HEMA.

This study investigated adhesion to dentin of a modified 4-META/MMA-TBB resin (4-methacryloxyethyl trimellitate anhydride in methyl methacrylate initiated by tri-n-butyl borane) which does not require PMMA powder to polymerize. Ground bovine dentin specimens were pre-treated with an aqueous solution of 10% citric acid and 3% ferric chloride (10-3). This solution removes the smear layer and demineralizes the dentin, exposing collagen. Improved bond strengths were obtained when a HEMA-primer was applied to 10-3 pre-treated dentin. SEM examination revealed the formation of a transitional zone of resin-reinforced-dentin (hybrid layer) in 10-3 pre-treated, HEMA-primed samples. The adhesive monomer impregnated exposed collagen fibrils and, upon polymerization, became entangled with them to create the hybrid layer, essential in achieving significantly high tensile bonding strengths. HEMA enhanced the penetration capability of dentinal substrates. After polymerization and formation of the hybrid layer, auto-cured acrylic resin, photo-cured composite and amalgam were all capable of adhering to the dentin. The modified 4-META/MMA-TBB resin created significant adhesive bonds to 10-3 pre-treated ground bovine dentin.

Adhesiveness↗

Influence of selected variables on adhesion testing.

Three variables associated with adhesion testing were examined: (1) the test mode, shear and tension; (2) design of the tensile apparatus; and (3) tooth substrate, human and bovine. Findings revealed no significant differences in bond strength by one tensile test and a shear test. However, the shear test produced more true adhesive failures; thus it may be preferable to use a shear test for adhesion testing. Bond strengths with some adhesive systems differed significantly when tested by two different tensile apparatus. Design of the test apparatus appeared to affect values. Bond strength measurements obtained with human and bovine enamel were essentially comparable. Values with dentin varied. There appeared to be a trend for higher bond strength values with bovine than with human dentin.

Adhesiveness↗

Effects of surface-active resins on dentin/composite bonds.

Effective dentin bonding systems based on para-PMDM diadduct of pyromellitic dianhydride and 2-hydroxyethyl methacrylate (HEMA) have been developed (Bowen et al., 1982). Para-PMDM, a solid of limited solubility, is usually applied from an acetone solution to dentin that has been preconditioned with acid and N-phenylglycine. The feasibility of using a liquid, surface-active bonding resin to substitute for or to supplement para-PMDM was explored. Mono(2-methacryloyloxy)ethyl phthalate (MMEP), a liquid, monofunctional homolog of para-PMDM (derived from the reaction of phthalic anhydride with HEMA) was used to formulate several bonding resin systems and solutions. Dentin surfaces were pretreated according to several variations of a three-step bonding protocol involving sequential application of 6.8 w/o ferric oxalate in 2.5 w/o HNO3, N-phenylglycine in acetone, and an experimental bonding resin before placement of a chemically cured composite restorative material. Tensile bond strengths were tested after 24 h storage in distilled water at 23 degrees C. The results suggest that solutions based on MMEP and/or para-PMDM in acetone or in other monomers, especially those containing HEMA, can effectively promote bonding to dentin. A new mechanism for the observed self-polymerization of MMEP or para-PMDM with N-phenylglycine is proposed.

Acetone↗

Delineation of cytotoxic concentrations of two dentin bonding agents in vitro.

Until adhesiveness of dentin bonding agents and other restorative materials to dental structures can be assured, microleakage into resulting "gaps" and dentin permeability will remain major concerns in cases of pulpal irritation. The objectives of the present study were to (a) delineate the kinds and levels of metabolic cytotoxicity of the GLUMA and Scotchbond 2 systems as well as glutaraldehyde and 2-hydroxyethylmethacrylate, and (b) compare the effects of these same materials after diffusion through dentin discs approximately 0.5-mm thick. In monolayer cultures, glutaraldehyde was much more cytotoxic than 2-hydroxyethylmethacrylate. However, GLUMA sealer and Scotchbond 2 adhesive exhibited similar cytotoxicity in monolayer cultures. After diffusion through dentin, glutaraldehyde and 2-hydroxyethylmethacrylate effects were diluted 14.7 and 26.7 times, respectively. The postdiffusional effects of the GLUMA and Scotchbond 2 systems were not significantly different and less than those effects in monolayer cultures. This study should help in the evaluation of possible causes of pulpal irritation following restorative procedures.

3T3 Cells↗

The use of glass ionomer as a root canal sealer--a pilot study.

The use of a resin-based glass ionomer as an endodontic sealer was studied in vitro. The root canals of extracted single-rooted human teeth with mature apices were prepared using a stepback technique. Subsequently, the smear layer was removed with 40% citric acid and the canals obturated using lateral condensation of cold gutta-percha and a resin-based glass ionomer as the sealer. The relationship between the sealer and the wall of the root canal was studied using scanning electron microscopy. The shear bond strength of gutta-percha to this glass ionomer was also determined. Finally, the uptake of fluoride into the wall of the root canal was studied using scanning electron microprobe analysis after storage for 2 weeks, 1 month and 3 months following root filling with gutta-percha and glass ionomer cement. The results showed that removal of the smear layer allowed the sealer to enter some of the dentinal tubules. This was observed most frequently in the middle third of the root canal, where there was good adaptation of the sealer. The shear bond strength of gutta-percha to the glass ionomer sealer was not significantly different from that obtained between gutta-percha and a proprietary zinc oxide-eugenol endodontic sealer. The concentration of fluoride in the dentine in the coronal part of the root canal increased after obturation with gutta-percha and the glass ionomer sealer at every time interval. The increase in fluoride concentration varied widely between teeth. It is concluded that a resin-based glass ionomer cement may have potential as a root canal sealer.

Dental Bonding↗

The effect of smear layer upon the coronal leakage of gutta-percha fillings and a glass ionomer sealer.

The effect of the removal of the smear layer on coronal leakage of root fillings was studied using two sealer cements. Sixty single-rooted teeth with mature apices were prepared chemomechanically using a modified double-flared technique with non-cutting tipped files and copious irrigation with 2% sodium hypochlorite. The teeth were randomly allocated to four groups of 15 teeth each. Two groups were treated with 40% citric acid to remove the smear layer. Two groups of teeth, one with and one without smear layer, were filled by lateral condensation of gutta-percha with either Tubliseal or a resin-based glass ionomer, Vitrebond. The teeth were stored for 1 week, thermocycled, and the extent of coronal leakage determined for each group after immersion in Indian ink for 90 h. The teeth were demineralized, dehydrated and immersed in methyl salicylate which rendered them transparent. Linear measurement of dye penetration was recorded. The mean depth (+/- SD) of leakage for the groups in which the smear layer was left intact was 4.26 +/- 1.53 mm and 6.83 +/- 1.65 mm for the Vitrebond and Tubliseal, respectively. When the smear layer had been removed, the mean depth of leakage for the Vitrebond group was 1.13 +/- 0.29 mm, and 3.72 +/- 1.23 mm for the Tubliseal group. There was a statistically significant difference in leakage between the groups (P < 0.001). With both sealers, those teeth in which the smear layer had been removed showed less leakage than the specimens in which the smear layer was left intact (P < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)

Citrates↗

Effects of pH on the dentin surface.

A microleakage and scanning electron microscope (SEM) study was conducted in order to investigate the effects of acidic primers on prepared dentin surfaces. The microleakage study revealed that no significant differences were noted between the five materials tested in regard to leakage at enamel and dentin margins. SEM analyses revealed that the smear layers of all specimens were altered in some manner. Further long-term clinical studies should be conducted to evaluate acidic treatment of dentin.

Composite Resins↗

Dentin bond shear strength and microleakage for Syntac/Heliomolar: a comparison between the manufacturer's and total etch technique.

Recent improvements in formulation have led to significant improvements in the bond strength and clinical performance of dentin bonding agents. The growing interest in the concept of total etch prompted a comparison between manufacturer-recommended procedure and that of total etch for the product Syntac. An in vitro study to examine shear bond strength to dentin and microleakage and an in vivo component to investigate the micromorphologic relationship between restoration and tissue was conducted. No statistical significance was observed in bond strength values for the nonetched versus the etched group. Significantly, however, a larger number of specimens in the nonetched group exhibited microleakage. In vivo, only the etched group exhibited a zone of hybridization although both nonetched and etched restorations showed no interfacial gaps. It was concluded that total etch does not compromise the shear bond strength of Syntac but it appears to significantly reduce microleakage possibly due to the formation of a hybrid zone and may have merit clinically.

Acid Etching, Dental↗

Permeability effects of two dentin adhesive systems.

This in vitro study evaluated the effects of two dentin adhesive systems on dentin permeability. The XR-Bonding System modifies the smear layer but does not open dentinal tubules. The Kanca or "total-etch" technique (phosphoric acid, Tenure A and B, Scotchbond 2 Adhesive) removes the smear layer and opens dentinal tubules. Despite these differences, both systems reduced dentin permeability in a similar manner. XR-Bond decreased permeability to 52% of the smear layer value, while total etching reduced permeability to 66% of that value.

Acid Etching, Dental↗

Effect of cavity disinfection on bond strength to dentin.

The application of a disinfecting step in cavity preparation and tooth restoration is gaining wider acceptance. This study examined the effect of two commercially available disinfecting agents on the shear bond strength to dentin using a fourth generation dentin bonding agent. The agent tested permitted an evaluation of both dry and wet bonding techniques. It was found that the commercial preparations did not adversely affect shear bond strength to dentin in either the dry or wet application.

Analysis of Variance↗

Bonding composite to glass ionomer with adhesive resin cements.

This study was to determine the bond strength of composite to glass ionomer using the following adhesive resin cements: Imperva Dual, CB Metabond, All-Bond, Geristore, and Panavia. All materials were mixed following the manufacturer's specifications. Bonded samples were thermocycled for 2000 x between 5 degrees C and 55 degrees C. Shear bond strengths were determined using an Instron Testing Machine. No statistical differences were noted between materials at the p < .05 level of significance. In addition, scanning electron micrographs were taken of the primed glass ionomer surfaces. These micrographs revealed varying amounts of matrix dissolution along with roughened surface topographies.

Analysis of Variance↗

Bonding Ni-Cr alloy to tooth structure with adhesive resin cements.

This study was to determine the shear bond strengths of Ni-Cr alloy to Ni-Cr alloy (Group I), Ni-Cr alloy to enamel (Group II), and Ni-Cr alloy to dentin (Group III) using Imperva Dual, DC Metabond, All-Bond, Geristore, and Panavia. All bonded specimens were thermocycled 2000 x (5 degrees C-55 degrees C) after 24 hours and subjected to shear bond testing on a Universal Instron Testing Machine. In all groups of the study, Imperva Dual and CB Metabond had significantly (p < .05) higher bond values than Panavia.

Analysis of Variance↗

Marginal leakage of a new adhesive restorative system: a preliminary in vivo investigation.

The efficacy of newly developed adhesive restorative materials is commonly described by in vitro test results such as bond strength and microleakage data. Due to the inconsistency often found between in vitro testing and in vivo performance, the purpose of the present investigation was to restore teeth scheduled for extraction in vivo with an experimental restorative bonding system and to evaluate the microleakage of the restorations by common laboratory techniques following extraction after 3 months of clinical service. Two restorations were placed in each of seven anterior teeth, one in the middle of the labial enamel portion and the other labially extending over the cementoenamel junction (CEJ). Six of the seven fillings completely surrounded by enamel showed no microleakage. However, two of the restorations crossing the CEJ revealed microleakage originating from the cervical margins. In spite of the small number of fillings assessed, the experimental enamel-dentin adhesive compound tested is preliminarily considered a promising new system.

Bisphenol A-Glycidyl Methacrylate↗

Effect on dentinal adhesives on marginal adaptation and cavity sealing with resin restorations in vitro.

In a companion article in this issue and a previous article in this journal, two experimental enamel dentin adhesive systems were evaluated and compared with four commercially available resin bonding agents by SEM investigation of the tooth adhesive interfaces and by determination of bond strengths to enamel and dentin under various conditions. In continuation of these screening investigations, the present article describes the results of cavity tests for assessment of marginal adaptation by measurement of gap dimensions, and of cavity sealing by rating of microleakage, when standardized dentin cavities were treated with the adhesive restorative systems. Both tests resulted in the same ranking of the six materials. Gluma, Clearfil Photo Bond, and two experimental compounds showed very narrow gaps and moderate microleakage. In contrast, Prisma Universal Bond 2 (the material has been replaced in the market by Prisma Universal Bond 3) and Scotchbond 2 showed significantly wider marginal gaps and more pronounced microleakage. Final discrimination between the efficacy of adhesive restorative materials by any of the currently used in vitro tests is disputable and prediction of long-term clinical performance by laboratory test data remains questionable.

Adhesives↗