To reduce loss of tooth tissue and to improve esthetic results, inlay and onlay restorations are good treatment choices for extensive cavities in posterior teeth. The aim of this paper was to evaluate, by means of three-dimensional finite element analysis, the effects of restorative material and cavity design on stress distribution in the tooth structures and restorative materials. Two different nanofilled composites and two different all-ceramic materials were used in this study. A permanent molar tooth was modeled with enamel and dentin structures. 3-D inlay and onlay cavity designs were created. Von Mises, compressive, and tensile stresses on the restorative materials, core materials, enamel, and dentin were evaluated separately. On the effect of restorative material, results showed that in the case of materials with low elastic moduli, more stress was transferred to the tooth structures. Therefore, compared to the nanofilled composites, the all-ceramic inlay and onlay materials tested transferred less stress to the tooth structures. On the effect of cavity design, the onlay design was more efficacious in protecting the tooth structures than the inlay design.

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Finite element analysis (FEA) was used to investigate the influence of different post systems on the stress distribution of weakened teeth under oblique-load application. A maxillary central incisor root obtained from a sound tooth was weakened by partial removal of dentin inside the root canal. Seven two-dimensional numerical models, one from the sound tooth and six from the weakened root restored with composite resin and post systems were created as follows — ST: sound tooth; CPC: cast CuAl post and core; SSP: stainless steel post + composite core; GP: fiberglass + composite core; CP: carbon fiber + composite core; ZP: zirconium dioxide post + composite core; TP: titanium post + composite core. The numerical models were considered to be restored with a leucite-reinforced all-ceramic crown and received a 45º occlusal load (10 N) on the lingual surface.
All the materials and structures were considered linear elastic, homogeneous, and isotropic, with the exception of fiberglass and carbon fiber posts which assumed orthotropic behavior. The numerical models were plotted and meshed with isoparametric elements, and the results were analyzed using von Mises and Sy stress criteria. When compared with the sound tooth, FEA revealed differences in stress distribution when post systems were used. Among the restored teeth, the use of CPC, SSP, ZP, and TP resulted in higher stress concentration in the post itself when compared to GP and CP. Therefore, results from the FEA images suggested that the use of non-metallic post systems could result in improved mechanical behavior for the weakened restored teeth.

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The purpose of this in vitro study was to evaluate marginal integrity and wall adaptation in 1- and 2-mm-deep cavities restored with a high filler-loaded flowable composite in comparison to a flowable composite with lower filler content and a conventional hybrid composite. 1-mm-deep dentin and 2-mm-deep enamel-dentin Class I cavities were prepared and restored with a self-etch adhesive and with one of the composites. Samples were crosscut and evaluated for marginal integrity and gap formation using a digital microscope. Selected samples were also observed using a scanning electron microscope. For 1-mm-deep cavities, no differences in marginal integrity and wall adaptation were observed among the three composites. For 2-mm-deep cavities, those restored with the bulk technique and with the higher filler-loaded flowable composite demonstrated a similar outcome as that of the conventional hybrid composite. On the effect of restorative techniques, cohesive enamel defects were observed in bulk-filled 2-mm-deep cavities. However, when the incremental technique was used in conjunction with the higher filler-loaded flowable composite and the conventional hybrid composite for 2-mm-deep cavities, superior results were obtained.

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The aim of this study was to evaluate the effects of plasma treatment on adhesion between fiber-reinforced posts and a composite core material. Two types of posts, methacrylate-based (FRC Postec) and epoxy resin-based (DT Light-Post), were treated with oxygen plasma (O₂), argon plasma (Ar), nitrogen plasma (N₂), or helium mixed with nitrogen plasma (He+N₂) using a radio-frequency generator before bonding to a methacrylate-based composite. Pull-out tests were performed using a universal testing machine. Surface roughness of each group was evaluated using a profilometer. On tensile-shear bond strength, statistical analysis revealed that the type of post, type of plasma treatment, and their interaction significantly influenced the results (p<0.05). Tukey’s test revealed significant differences in tensile-shear bond strength between the control and other plasma treatment groups (p<0.05). On surface roughness, Tukey’s test revealed significant differences between the control group and the Ar group (p<0.05) with DT Light Post. Plasma treatment appeared to increase the tensile-shear bond strength between post and composite.

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The objective of this study was to evaluate, using methylene blue (MB), the effects of various light sources on the bleaching action of hydrogen peroxide (H₂O₂) with two titanium dioxide (TiO₂) photocatalysts — an ultraviolet light-activated TiO₂ photocatalyst (UVTiO₂) versus a visible light-activated TiO₂ photocatalyst (VL-TiO₂). Five experimental solutions (VL-TiO₂+H₂O₂, UV-TiO₂+H₂O₂, H₂O₂, VL-TiO₂, UV-TiO₂) were prepared by mixing varying concentrations of H₂O₂ and/or TiO₂ photocatalyst with MB solution. For H₂O₂-containing solutions (VL-TiO₂+H₂O₂, UV-TiO₂+H₂O₂, and H₂O₂), the concentration of H₂O₂ was adjusted to 3.5%. For the four different light sources, low- and high-intensity halogen lamps and blue LED LCUs were used. All the experimental solutions were irradiated by each of the light sources for 7 minutes, and the absorbance at 660 nm was measured every 30 seconds to determine the concentration of MB as an indicator of the bleaching effect. On the interaction between the effects of light source and bleaching treatment, the high-intensity halogen with VL-TiO₂+H₂O₂ caused the most significant reduction in MB concentration. On the effect of light sources, the halogen lamps resulted in a greater bleaching effect than the blue LED LCUs.

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Microcapsules containing active drugs, e.g. an antimicrobial agent, with a hydroxyapatite (HAp) shell are expected to prevent infection and to improve osseointegration simultaneously when used as implant materials. This study was conducted to investigate the effects of etching with hydrofluoric acid (HF) to change the surface morphology of titanium in cases of adhesion of calcium-deficient HAp microspheres onto titanium. The microspheres were mixed with Hanks’ balanced salt solution (HBSS) to prepare slurry; the slurry was then put between two titanium disks that had been etched and kept soaking in HBSS for seven days at 310 K. The coverage and the degree of adherence of the microsphere were evaluated using electron probe microanalysis. The etching at an HF concentration of 0.10 mol/L caused the greatest adhesion. Changing the temperature between 303 and 323 K showed a tendency for the degree of adherence to increase.

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The aim of this study was to investigate the wear of four nanofilled resin composites using simulated toothbrushing for 50,000 cycles with calcium carbonate slurry. The depth of abrasion and roughness (Ra) were measured after each 10,000 brushing cycle. The surface texture of the worn samples was examined by SEM.
The wear depths of the nanofill Filtek Supreme XT (FIL), the nanohybrides Grandio (GRA), Tetric EvoCeram (TET), and Venus Diamond (VED) increased linearly with numbers of brushing cycles or approximately 80, 12, 600, and 60 &mu;m, respectively after 50,000 strokes. Surface roughness showed virtually no change between 10,000 and 50,000 brushing cycles; the ranking order was TET < FIL < GRA < VED. FIL showed rather uniform abrasion with nanoclusters protruding from the surface. TET was very smoothly abraded without signs of debonding of the prepolymerized particles, whereas GRA and VED showed pronounced wear of the matrix polymer surrounding larger glass filler particles.

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An acid-base resistant zone has been found to exist after acid-base challenge adjacent to the hybrid layer using SEM. The aim of this study was to examine the acid-base resistant zone using three different bonding systems. Dentin disks were applied with three different bonding systems, and then a resin composite was light-cured to make dentin disk sandwiches. After acid-base challenge, the polished surfaces were observed using SEM. For both one- and two-step self-etching primer systems, an acid-base resistant zone was clearly observed adjacent to the hybrid layer — but with differing appearances. For the wet bonding system, the presence of an acid-base resistant zone was unclear. This was because the self-etching primer systems etched the dentin surface mildly, such that the remaining mineral phase of dentin and the bonding agent yielded clear acid-base resistant zones. In conclusion, the acid-base resistant zone was clearly observed when self-etching primer systems were used, but not so for the wet bonding system.

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It has been established that the toxicity of acrylate and methacrylate monomers is driven by their reactivity towards glutathione (GSH). With this relationship, the objective of this study was to predict the GSH reactivity of dental methacrylate monomers, and hence their toxicity, using the ¹³C-NMR chemical shifts of β-carbon (δ_Cβ) and the ¹H-NMR shifts of the protons attached to β-carbon (δ_Ha, δ_Hb). The different nucleophiles were chosen to compare the different nucleophilic reactions involving acrylate and methacrylate monomers. In conjunction with the use of literature data for monomer/GSH reactivity, significant linear relationships between GSH reactivity (log K) and δ_Cβ or δ_Ha were observed (p<0.001). As for the oral LD₅₀ values of some dental dimethacrylates in mice, they were estimated using linear regression curve fitting of GSH reactivity-toxicity response data. Results revealed an acceptable correlation between the oral LD₅₀ values of acrylates and methacrylates and GSH reactivity (p<0.05, outlier: HEMA). In conclusion, the present findings suggested that NMR spectra might be useful for predicting the toxicity of dental methacrylates.

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The present study tested the shear bond strength (SBS) of orthodontic brackets bonded to teeth using flowable resins. A total of 105 human teeth were divided into seven groups. The brackets in each group were bonded to the tooth substrates using a Transbond XT adhesive and six other different flowable resins, respectively. Each adhesive resin was light-cured using a quartz-tungsten-halogen (QTH) light for 40 seconds. The brackets were debonded in shear mode using a universal testing machine. The brackets bonded using Tetric Flow and Grandio Flow showed slightly greater SBS values (13.0±1.8 and 12.2±1.2 MPa, respectively) than the Transbond XT adhesive (12.1±1.2 MPa). However, the SBS values of Transbond XT, X-flow, Tetric Flow, Grandio Flow, and Filtek Z350 flow were not significantly different. As for Admira Flow and Aelite Flow, they scored significantly lower SBS values (7.0±2.1 and 9.2±1.3 MPa, respectively) than the other groups. On bracket failure mode, statistical analysis revealed a similar failure mode among all the seven test groups.

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The aims of this study were to modify dental device surface with fluorine and silver and to examine the effectiveness of this new surface modification method. Stainless steel plates were modified by plasma-based fluorine and silver ion implantation-deposition method. The surface characteristics and brushing abrasion resistance were evaluated by XPS, contact angle and brushing abrasion test. XPS spectra of modified specimens showed the peaks of fluoride and silver. These peaks were detected even after brushing abrasion test. Water contact angle significantly increased due to implantation-deposition of both fluorine and silver ions. Moreover, the contact angle of the modified specimen was significantly higher than that of fluorine only deposited specimen with the same number of brushing strokes. This study indicates that this new surface modification method of fluorine and silver ion implantation-deposition improved the brushing abrasion resistance and hydrophobic property making it a potential antimicrobial device.

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The purpose of this study was to evaluate the microtensile bond strength (μTBS) to human dentin of an experimental bonding agent containing calcium phosphates experimentally developed for direct pulp capping. Different concentrations of four types of calcium phosphates were added to an experimental bonding monomer, and six experimental bonding agents were thus prepared. Clearfil SE Bond/Bond was used as the control. Flat dentin surfaces of human molars were assigned to the experimental adhesive systems and the control. After Clearfil SE Bond/Primer was applied to the dentin surface, each experimental bonding agent was applied and photopolymerized, and then a resin composite paste was placed and photopolymerized. The specimens were subjected to μTBS testing. Results revealed that there were no significant differences among the μTBS values of the experimental bonding agents and the control. In other words, the calcium phosphate-containing experimental adhesives did not adversely affect the μTBS to dentin.

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