PubMed Health⌕ Search

Biomedical subjects

B Ciucchi

Publications and source records attributed to B Ciucchi.

33 records · Page 2Linked to original sources

[Canal obturation with the Ti-Flex cone. An in vitro trial of its tightness and its adaptation].

To compare, in vitro, the seal of Ti-Flex and GP cone obturations, to verify the adaptation of the Ti-Flex cone inside the obturated canal and to evaluate the density of the sealer material, eighty-two canals of freshly extracted teeth were manually prepared and obturated with corresponding Ti-Flex cones and with single GP cones. After dye infiltration the roots were transversally sectioned. On the first 5 apical sections (i.e. 3-5 mm from apex), the Ti-Flex obturations presented significantly more leakage than the GP obturations since no cones but only the sealer obturated these sections. The Ti-Flex cones appeared adapted to the walls in the apical and median segments of the canals. The density of the sealer in the Ti-Flex obturations was judged satisfactory in most of the specimens. The seal and adaptation defects of the Ti-Flex demonstrated in this study could be balanced by the limited effect of straightening the canal and thinning its dentinal wall of this anchoring system.

Evaluation Studies as Topic↗

The effectiveness of different endodontic irrigation procedures on the removal of the smear layer: a scanning electron microscopic study.

To compare the effectiveness of different irrigation procedures on the removal of the smear layer, 40 curved canals were manually prepared in vitro under copious irrigation with 3 per cent NaOCl. Ten canals served as controls. The remaining 30 were equally distributed in three experimental groups and subsequently irrigated with the following: ultrasound with NaOCl; EDTA; ultrasound with EDTA. In the scanning electron microscope, the appearance of the smear layer was rated over the distribution of dentinal tubule openings for the coronal, middle and apical segments of the canals. Irrigation with NaOCl produced consistently smeared surfaces. Ultrasonic stirring of NaOCl removed the smear layer moderately, while EDTA produced almost smear-free surfaces. Ultrasound in association with EDTA did not enhance the dissolving capability of this chelating agent. A definite decline in the efficiency of the irrigation procedures was also observed along the apical part of the canals.

Dentin↗

Volume of the internal gap formed under composite restorations in vitro.

OBJECTIVES: The gap that develops at the interface of dentin composite restoration during the polymerization of the resin can be subsequently filled by fluid filtrating from the pulp via the dentinal tubules. This in vitro study was designed to determine the volume of such a gap, at the occlusal floor of class I restoration and as a result of different dentin treatments and restoration procedures. METHODS: Fifty-six human third molars had their pulp chambers first sealed and connected to a hydraulic apparatus permitting microlitre fluid shift recordings. The teeth then received class I cavities of uniform dimensions and were sampled into nine groups for three dentin treatments (bonding with a dentin bonding agent, lining with a resin modified light-cured glass ionomer, lining with a zinc phosphate cement) and three restoration procedures (Bulk placement of the composite material, Multilayer, Indirect inlay). Fluid displacements were recorded during the filling procedures and stopped 30 min after the completion of the restorations. RESULTS: Dentin bonding agent treated cavities consistently presented the smallest gap volumes, followed by the GI and the ZnPO4 lined specimen. Multilayer and Indirect restoration techniques reduced the formation of gaps. CONCLUSIONS: None of the materials or techniques tested assured a gap-free interface and more effort should be directed at increasing the adhesive and sealing properties of restorative materials to be placed on the dentin.

Adhesives↗

Nanoleakage: leakage within the hybrid layer.

Most microleakage studies involve quantitating the magnitude of movement of a tracer molecule through a gap between restorative materials and the wall of cavity preparations. The present microscopic study examined the migration of silver nitrate into the interface between dentin and five different dentin bonding agents used to restore class 5 cavities, in the absence of gap formation. Several different leakage patterns were seen, but they all indicated leakage within the hybrid layer when viewed by SEM. The ranking of microleakage from most to least was: All-Bond 2 > Suberbond C&B > Scotchbond Multi-Purpose > Clearfil Liner Bond System > Kuraray Experimental System, KB-200. To distinguish this special type of microleakage within the basal, porous region of the hybrid layer in the absence of gap formation, we propose the term nanoleakage.

Analysis of Variance↗

Comparative SEM and TEM observations of nanoleakage within the hybrid layer.

Most adhesive interface studies have involved SEM demonstration of the penetration of adhesive resins into demineralized dentin surfaces with subsequent creation of hybrid layers. Nanoleakage is a term that describes the diffusion of small ions or molecules within the hybrid layer in the absence of gap formation. The present microscopic study examined the nanoleakage of the hybrid layer using a silver nitrate staining technique. Adhesive dentin sandwiches, which were immersed in a silver nitrate solution, were prepared for both SEM and TEM examination using both the Clearfil Liner Bond and All-Bond 2 adhesive systems. Both systems demonstrated silver accumulation within the hybrid layers. Clearfil Liner Bond System showed scattered silver particles at the bottom two-thirds of the hybrid layer by both SEM and TEM observation, whereas All-Bond 2 revealed stained fiber-like structures within the full thickness of the hybrid layer. To evaluate the quality of the hybrid layer, the utilization of tracer molecules such as silver nitrate that are detectable by both SEM and TEM is proposed. It is important to determine the location and morphology of these nanometer-sized porosities that may permit the hydrolysis of collagen fibers and degradation of adhesive monomers.

Collagen↗