To explore the optimal pre-sintering temperature for graded glass/zirconia material, glass/zirconia specimens were prepared and pre-sintered at 900, 1,000 and 1,100°C respectively, glass infiltration and densification at 1,450°C. Monolith Y-TZP specimens were sintered at 1,450°C. Nanoindentation was used to test Young’s modulus and Hardness. Compressive strength test and cycling fatigue test were conducted. Nanoindentation test showed graded change of Young’s modulus in glass/zirconia structure. The compressive strength and the number of cycles to failure of specimens pre-sintered at 1,000°C were significantly higher than those of Y-TZP and the specimens pre-sintered at 900 and 1,000°C (p<0.05). It is concluded that when the pre-sintering temperature is set at 1,000°C, the graded glass/zirconia structure exhibits the most optimal compressive strength and anti-fatigue property.
The purpose of this in vitro study was to compare the shear bond strength (SBS) of five different resin cements to human enamel and dentin under different storage conditions. Five resin cements and their dedicated systems were tested. Teeth were embedded, ground flat to expose enamel or dentin and polished with sandpaper. Adhesive systems were applied according to the manufacturers’instructions. V2A steel cylinders with were silicated, coated, and cemented onto the teeth. Specimens were stored at three different conditions and subsequently thermocycled. SBS was measured. Significant differences were observed between the tested resin cements depending on the tooth surface. Different storage conditions influenced the bond strength, independent of the tooth surface, in all test cements. The bond strength of all experimental materials to enamel is higher than that to dentin surfaces. Furthermore, the adhesiveness decreases after wetness (hydro-) and hydrothermal stress, regardless of the tooth surface.
This study aimed to evaluate and compare the optical properties of supra-nano spherical filled resin composites and the nanofilled, nano-hybrid and microhybrid composites using the Kubelka-Munk Theory. Diffuse reflectance of samples (Shade A2) was measured against white and black backgrounds, using a spectroradiometer, using a viewing booth with D65 illuminant and d/0º geometry. S and K coefficients and T were calculated using Kubelka-Munk’s equations. The spectral behavior of S, K and T was similar for all dental resin composites analyzed (VAF close to 100%), even though they were, generally, statistically different (p≤0.05). The K-M T values overestimate the real value of Transmittance of the resin composites. Supra-nano spherical filled resin composites show the highest scattering and Transmittance when compared with the others materials, probably due to the shape and size of the filler. Such difference should be taken into consideration in a clinical situation to reproduce natural esthetic restorations.
The objective was to compare bond strengths of adhesives with/without thermocycling and to analyze the micromorphology of resindentin interfaces. Flat dentin surfaces were prepared and divided into eight groups to bond with four etch-and-rinse adhesives (Optibond FL, Adper Scotchbond Multi-Purpose, Optibond Solo Plus, and Single Bond 2) and four self-etch adhesives (Clearfil SE Bond, AdperSE Plus, Clearfil S3 Bond and AdperEasy Bond). Specimens were further divided into two subgroups subjected for with/without thermocycling and then subjected to both micro-tensile test and resin-dentin interface evaluation. The results revealed that there were significant differences in bond strength between the groups with and without thermocycling for all etch-and-rinse groups and for the Adper Easy Bond self-etch group (p<0.01). Clearfil SE Bond demonstrated highly durable bond strengths. Furthermore, more silver ion uptake was observed at the resin-dentin interfaces for all etch-and-rinse adhesives and Adper SE Plus and Adper Easy Bond after thermocycling.
The purpose of this study was to investigate the consequences of using flowable composite as a liner beneath class I resin composite restorations on polymerization shrinkage stress and occlusal force. Models of class I resin composite restorations were generated. A control model received no flowable composite liner. Thirteen test models received different flowable composite liners with varying elastic modulus. Finite element analysis was used. The polymerization shrinkage of the resin composite and an occlusal force were simulated in the models. The stress and strain energy density in each model were investigated. The results demonstrated that all flowable composite linings were able to reduce polymerization shrinkage stress and occlusal force in enamel, dentin, the hybrid layer, and the adhesive layer to various degrees in tooth-restoration systems. Therefore, additional techniques may be applied to reduce the remaining stress and to ensure the long-term success of restorations.
This study compared the surface roughness of feldspathic porcelain polished with newly developed alumina-zirconia pastes or diamond paste. Porcelain discs were prepared and polished with sandpaper using a polishing-machine. The surface roughness (Ra) of each sample was measured using a profilometer. The samples were randomly divided into 6 groups (n=10). The control group was polished with diamond paste (DP), and the five remaining groups were polished with the newly developed alumina-zirconia paste with the following ratios of glycerin:alumina:zirconia by weight: 1:0.5:0.5 (Z0.5), 1:0.5:0.75 (Z0.75), 1:0.5:1 (Z1), 1:0.5:1.5 (Z1.5), and 1:0.5:2 (Z2). The specimens were polished for 120 s. The Ra values were determined again and the surface morphology of the porcelain samples was analyzed using SEM. The Ra values decreased as the amount of zirconia in the polishing paste increased, except for the Z2 group. The surface roughness as observed by SEM showed a correlation with the Ra values.
The purpose of this study was to compare the micro-tensile bond strength (µTBS) of three resin core composites to dentin and to examine the bonded interface of the composites. One experimental TDK-03(TD) and, two commercial, DC core Automix One (DC) and Unifil core EM(UN) were used. Flat dentin surfaces of human molars were exposed using #600 SiC paper and bonded with the respective adhesive of each system. After bonding, the composites were built up on the surfaces and cured under two conditions: “light condition” or “dark condition”. µTBSs (MPa) in the light condition were: TD; 60.02±17.08, DC; 38.21±13.70, and UN; 29.50±9.71; in the dark condition: TD; 54.62±17.11, DC; 8.40±4.81, and UN; 9.47±6.56. Dark curing negatively affected the bond strength of the two commercial resin-core materials. The experimental material was not affected by the curing conditions.
This study evaluated cell viability, microhardness and flexural strength of two ceramic composites systems (ZA and AZ), pure alumina and zirconia. There were prepared homogeneous mixtures of 78wt%Al2O3+20wt%3Y-TZP+2wt%Al2O3w (AZ) and 80wt%3YTZP+18wt%Al2O3+2wt%Al2O3w (ZA), as well as 3Y-TZP (Z), pure Al2O3 (A) and commercial monolithic 3Y-TZP (Zc). Also mouse fibroblast cells 3T3-L1 and a MTT test was carried out at 24, 48 and 72 h. The surfaces were observed with SEM and the microhardness and three-point flexural strength values were estimated. The absolute microhardness values were: A>AZ>Z>Zc>ZA. Flexural strength of Zc, Z, and ZA were around double than AZ and A. All groups showed high biocompatibility trough cell viability values at 24, 48 and 72 h. Factors like grain shape, grain size and homogeneous or heterogeneous grain distributions may play an important role in physical, mechanical and biological properties of the ceramic composites.
The purpose of this study was to evaluate the ability of a calcium-fluoroaluminosilicate glass-based desensitizer (Nanoseal) to protect against root demineralization in vitro. Nanoseal was applied to human root dentin, which was immersed in acidic buffer for 72 h, or exposed to pH cycling by immersing in distilled water or mineralizing solution for 24 h intermediately during 48 h-acid attack. Demineralization was evaluated by μ-CT, and mineral loss (ML) and lesion depth (LD) were determined from mineral density profiles. ML and LD in all treatment groups were significantly smaller compared with control. The Nanoseal-treated group with pH cycling using mineralizing solution had the lowest ML and LD. Analysis using an EPMA demonstrated calcium and phosphorous were incorporated into the superficial layer of specimens in the Nanoseal-treated groups, suggesting Nanoseal modified the dentin surface, making it resistant to demineralization. Application of Nanoseal is an effective method for protecting root from demineralization.
To examine the bonding of flowable resin composite restorations (F-restoration) to class 1 occlusal cavities with and without cyclic load stress, compared with that of a universal resin composite restoration (U-restoration). Two flowable composites and one universal composite (control) were applied with an adhesive system to 42 standardized class 1 occlusal cavities. The restored specimens were subjected to cyclic load stress and no stress modes. The microtensile bond strength (μ-TBS) of the dentin floor was measured. The U-restoration did not show pretesting failure. The F-restorations exhibited pretesting failure, regardless of the stress mode. The μ-TBS was not significantly different among the three restorations, regardless of the stress mode. The cyclic load stress did not influence the μ-TBS of the F-restorations; however, it significantly reduced μ-TBS in the U-restoration. The bonding reliability of the F-restorations was inferior to that of the U-restoration, for both stress modes.
The mechanical properties, volumetric shrinkage and depth of cure of a short fiber-reinforced resin composite (SFRC) were investigated in this study and compared to both a bulk fill resin composite (BFRC) and conventional glass/ceramic-filled resin composite (CGRC). Fracture toughness, flexural properties, volumetric shrinkage and depth of cure of the SFRC, BFRC and CGRC were measured. SFRC had significantly higher fracture toughness than BFRCs and CGRCs. The flexural properties of SFRC were comparable with BFRCs and CGRCs. SFRC showed significantly lower volumetric shrinkage than the other tested resin composites. The depth of cure of the SFRC was similar to BFRCs and higher than CGRCs. The data from this laboratory investigation suggests that SFRC exhibits improvements in fracture toughness, volumetric shrinkage and depth of cure when compared with CGRC, but depth of cure of SFRC was similar to BFRC.
This study aimed to examine the effect of thermal cycling on gap formation at the interface between infiltrated resin (ICON®) and enamel lesion and on the durability of anti-demineralization efficacy to predict the future performance. SS-OCT technique was examined to determine whether it has the potential to detect the gap. Bovine enamel lesions were prepared, and the infiltrated resin was applied to the lesion. Resin-infiltrated lesion specimens were thermal cycled 10,000 cycles and further demineralized in pH 4.5 buffer for 7 days. Released Ca (mg/cm2) was quantified by Ca electrode. The SS-OCT technique was applied to detect the gap, and SEM observation was performed to determine the presence of the gap. There was no significant difference in the amount of Ca release before and after the thermal cycling, suggesting long-lasting anti-demineralization efficacy of the resin. SS-OCT and SEM observations indicated no apparent gap formation after the thermal cycling.
Swept source optical coherence tomography (SS-OCT) is an interferometric imaging technique. This study aimed to assess SS-OCT as a diagnostic tool for the evaluation of occlusal fissure depth and sealant penetration into fissure. Seventy investigation sites of occlusal fissures without visible evidence of caries were categorized into four groups (smooth, shallow, intermediate, and deep fissures). Categorization utilized two methods: 1) visually, using a computer screen, and 2) using SS-OCT images. After sealant placement, penetration was observed in SS-OCT. The results obtained from SS-OCT and visual inspections were compared with those of confocal laser scanning microscope (CLSM). The diagnostic power of SS-OCT was higher than that of visual inspection for fissure depth. Additionally, clear cross-sectional images of sealant penetration into fissures were observed with SS-OCT. SS-OCT can be used to evaluate fissure depth and monitor sealant penetration.
This study aimed to evaluate the effect of an acidic-adjusted pH of solvent in silanization on the amount of fluoride released and mechanical properties of heat-cured acrylic resin containing a silanized fluoride-releasing filler. The experimental groups were divided into 4 groups; non-silanized, acidic-adjusted pH, non-adjusted pH, and no filler as control. For fluoride measurement, each specimen was placed in deionized water which was changed every day for 7 days, every week for 7 weeks and measured. The flexural strength and flexural modulus were evaluated after aging for 48 h, 1, and 2 months. Two-way ANOVA indicated significant differences among groups, storage times, and its interaction in fluoride measurement and flexural modulus. For flexural strength, there was significant difference only among groups. Acidic-adjusted pH of solvent in silanization enhanced the amount of fluoride released from acrylic resin, while non-adjusted pH of solvent exhibited better flexural strength of acrylic resin.
This study evaluated fabrication techniques of recently introduced all-ceramic copings’ marginal adaptation on two different implant abutments with different finish lines. Five different copings were prepared (Casted chrome-cobalt metal coping, Zirkonzahn, Cercon, In Ceram Alumina and IPS e.max Press) on two cementable implant abutments with two marginal designs. Ten samples for each coping group were prepared (totally 100 samples). Copings were cemented to implant abutments and marginal gap measurements were done from 24 points with stereomicroscope and the datas were analyzed by the Kruskal-Wallis test before cementation. Cercon copings showed the lowest marginal fit scores and metal copings showed the highest scores. After cementation, all marginal gap values have been increased. All marginal gap values obtained from crown copings can be considered in clinically acceptable limits (<120 µm) except metal copings after cementation on abutment with 135 degrees shoulder group (123 µm).
The aim of this study was to examine the effects of recombinant human BMP-9 (rhBMP-9) with chitosan sponge (ChiS) or absorbable collagen sponge (ACS) on bone formation in rat calvarial defects. The defects were treated by one of the following implantations: ChiS, rhBMP-9/ChiS, ACS, rhBMP-9/ACS and no implantation. The animals were euthanized at 8 weeks for histological evaluation. The percentage of defect closure (DC) in the rhBMP-9/ACS group was significantly greater than that in the ACS group. The rhBMP-9/ACS group demonstrated the highest level of DC among all the groups. The newly formed bone area (NBA) and NBA/total area in the ChiS-implanted groups and in the rhBMP-9/ACS group were significantly greater compared with those in the ACS group. It can be concluded that rhBMP-9/ACS has a potential to induce bone formation in rat calvarial defects. Further studies are required to elucidate the mechanism of bone formation induced by rhBMP-9.
This study evaluated shear bond strengths of a layering indirect composite material to a zirconia framework material treated with tribochemical silica coating. Zirconia disks were divided into two groups: ZR-PRE (airborne-particle abrasion) and ZR-PLU (tribochemical silica coating). Indirect composite was bonded to zirconia treated with one of the following primers: Clearfil Ceramic Primer (CCP), Clearfil Mega Bond Primer with Clearfil Porcelain Bond Activator (MGP+Act), ESPE-Sil (SIL), Estenia Opaque Primer, MR. Bond, Super-Bond PZ Primer Liquid A with Liquid B (PZA+PZB), and Super-Bond PZ Primer Liquid B (PZB), or no treatment. Shear bond testing was performed at 0 and 20,000 thermocycles. Post-thermocycling shear bond strengths of ZR-PLU were higher than those of ZR-PRE in CCP, MGP+Act, SIL, PZA+PZB, and PZB groups. Application of silane yielded better durable bond strengths of a layering indirect composite material to a tribochemically silica-coated zirconia framework material.
This study was designed to evaluate the volume of alveolar bone augmentation after immediate implant placement using demineralized bone. We examined the collagen matrix of demineralized bone and biologically active substances contained therein. Rat maxillary first molars were extracted, and the animals were divided into five groups as follows: tooth extraction only, implant into the mesial root socket, implant and other root sockets covered with demineralized bone sheet, implant and other root sockets filled with demineralized bone powder under the sheet, and implant and other root sockets covered with demineralized bone sheet from which proteins were extracted. We ascertained whether biologically active substances are contained in extracted proteins. Biologically active substances were detected in extracted proteins. Conditions using demineralized bone sheet with biologically active substances significantly augmented the height of the alveolar bone. Such resorbable membranes containing biologically active substances hold promise as clinical agents for bone augmentation upon implantation.
The purpose of this study was to evaluate pulpal healing and reparative dentin formation after 14 and 28 days in exposed rat pulp directly capped with an experimentally developed all-in-one adhesive containing surface reaction-type pre-reacted glass-ionomer (S-PRG) filler. The four experimental groups and the control group were compared using the Kruskal-Wallis test, followed by the Steel-Dwass post-hoc test to compare the histopathological score. The Mann-Whitney U test was used to compare the histopathological score at 14 and 28 days for each observation item. All experimental adhesives containing S-PRG fillers developed for direct pulp capping showed no pulpal inflammation. After 14 days, the experimental adhesives containing S-PRG fillers and the control group formed tertiary dentin around the exposed pulp. After 28 days, the experimental adhesives containing 13 and 27 wt% of S-PRG fillers formed dentin bridge equal to the control.
The aim of this study was to evaluate shear bond strength (SBS) and microleakage of a self-etching adhesive (Adper Prompt L-Pop) in comparison to acid etching prior fissure sealing. Each procedure was tested with 3 aging procedures (1-day water storage, 3-month water storage and 1-day water storage/5,000× thermocycling). SBS was determined according to ISO standard 29022. Additional 30 third molars were utilized for the microleakage analyses. Data were analyzed using Mann-Whitney-U-Test and multiple linear regression models. The SBS of the self-etching adhesive were significantly lower (14.9, 11.9, and 13.0 MPa) than those of conventional fissure sealing (19.1, 18.2, and 15.6 MPa). Multiple linear regression models predicted that material and alteration significantly influenced SBS. The microleakage revealed no difference between both groups (1.3% vs. 1.2%). It can be concluded that the selfetching adhesive might be a pre-treatment alternative for fissure sealing in terms of the easier and shorter clinical workflow.
The aim of the study was to compare the fracture resistance of the palatal cusps of defective and endodontically treated premolars after restoration with various restorative techniques. Fifty premolars were assigned to five groups. The first group comprised intact teeth as control (G1), while the other experimental groups (G2, G3, G4 and G5) comprised endodontically-treated teeth, whose palatal cusps were cut and reduced the buccal cusps by 2 mm. G2, composite resin onlay with buccal cusp coverage (CR). G3, CR and fiber post. G4, CR and polyethylene fiber. G5, CR, fiber post and polyethylene fiber. Fracture resistance was tested. The data were recorded in Newton and submitted to ANOVA and Tukey post hoc tests. Statistically significant difference was found between the mean fracture resistances of the groups. Polyethylene fiber reinforced composite restorations strengthened the fracture resistance of palatal cusps defective and endodontically treated premolars.
This study evaluated the depth of cure (DOC) of packable and flowable bulk-fill resin-based composites (RBCs) including PRG (prereacted glass ionomer) and short-fiber materials. The materials were placed in a black split-mold with a 7 mm deep recess and cured at 700 mW/cm2 for 20 s using a LED curing light. DOC was assessed using the ISO scraping and Knoops hardness tests. Data (n=5) were computed and analyzed using one-way ANOVA/Scheffe’s post hoc test (p<0.05). ISO DOC ranged from 3.66 to 2.54 mm while DOC based on hardness testing ranged from 3 to 1.5 mm. For all materials, a decrease in hardness was observed with increasing depths. The DOC of bulk-fill RBCs was product dependent and greater than standard composites. At 4 mm depth, none of the bulk-fill RBCs had a depth: top hardness ratio of 0.8 and above.
We focused on the antimicrobial effects of titanium dioxide (TiO2) after stopping ultraviolet (UV) irradiation as an adjunctive treatment for peri-implantitis in this study. The aim was to determine the continuous photocatalytic effects of TiO2 after UV irradiation and its antimicrobial activity against periodontal pathogen. The continuous photocatalytic effects of TiO2 after UV irradiation were determined by electron spin resonance (ESR) spectroscopy using TiO2 particles of various sizes with various UV irradiation times. In addition, antimicrobial activity against Porphyromonas gingivalis was investigated by quantitation of colony-forming units (CFUs). The results showed that the ESR signal ratio for the UV-irradiated TiO2 was significantly higher than that of the non-irradiated TiO2. UV-irradiated TiO2 significantly reduced the number of P. gingivalis when compared with non-irradiated controls. These results suggest that TiO2 has a continuous photocatalytic effect even after stopping UV irradiation and that it showed antimicrobial activity against periodontal pathogen.
To determine new developed light curing units with shorter curing times effects on microleakage and microhardness values for resin fissure sealants. Resin filled sealant (UltraSeal-XT), resin unfilled sealant (Delton Type-II) and ormocer-based sealant (Admira-Seal) were light cured with a quartz-tungsten-halogen (QTH), two LED light and a high power LED. Two hundred and forty extracted human molars were randomly allocated into four groups according to used light-curing unit and three subgroups were formed for three different fissure sealant materials. Specimens were immersed in 0.5% basic fuchsin for 24 h, sectioned and examined under a stereomicroscope, and scored for marginal microleakage. Knoop hardness number (KHN) readings were measured after 48 h. Statistical analyses of test were found in significant difference both microleakage and microhardness values between the various light curing units. The time saving approaches in the curing light were determined higher microhardness, although it was found in higher microleakage.
The aim of the study to evaluate the fracture resistance of a computer-aided design/computer-aided manufacturing (CAD/CAM) and three indirect composite materials for three different mesio-occluso-distal (MOD) inlay cavity designs. A total of 120 mandibular third molar were divided into three groups: (G1) non-proximal box, (G2) 2-mm proximal box, and (G3) 4-mm proximal box. Each cavity design received four composite materials: Estenia, Epricord (Kuraray, Japan), Tescera (Bisco, USA), and Cerasmart CAD/CAM blocks (GC, USA). The specimens were subjected to a compressive load at a crosshead speed of 1 mm/min. The data was analyzed using the two-way analysis of variance and Bonferroni post hoc test (p<0.05). Estenia exhibited significantly higher fracture strength than Epricord and Cerasmart in G1. In G2 and G3, there was no significant difference among the four materials. Using a non-proximal box design for the cavity can improve the fracture resistance of the inlay restoration.
The aim of this study was to compare the caries prevention effectiveness, retention rates and the level of fluoride of saliva of a glassionomer sealant (GIS) with that of a resin-based sealant (RS). Eighty GIS and 80RS were placed on the first permanent molars in 40 children aged 7–10 years. Children were re-examined at 6, 12, 24, 36 and 48 months after the procedure. Saliva samples were collected before the sealant was applied and again at each appointment, and fluoride levels were measured. After 48 months, occlusal caries were seen in 4 and 12 teeth in GIS and RS groups respectively. There was a statistically significant difference in the fluoride levels of saliva between baseline and up to 12th month in GIS group. GISs presented effective prevention of caries development, even though the failure rate is higher when compared to the RSs. An increased salivary fluoride level due to GISs might be an additive effect on the prevention of dental caries.