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Jack L Ferracane

Publications and source records attributed to Jack L Ferracane.

26 records · Page 2Linked to original sources

Effect of light activation method on flexural properties of dental composites.

PURPOSE: To determine if irradiating composites in a laboratory tungsten-halogen light-curing unit produced equal flexural properties to stepwise hand-curing with a tungsten-halogen lamp. METHODS: Bars (n = 10) of nine commercial composites were formed by light-curing in square glass tubes (2 x 2 x 25 mm). Flexure strength (FS, MPa) and flexure modulus (FM, GPa) were tested in three-point bending after aging specimens in water at 37 degrees C for 1 day. Two methods were used to irradiate the composites: a) Triad II (Dentsply) using 40-second exposures from top and bottom; and b) Optilux 400 (Demetron; 600 mW/cm2) using 3 x 40 seconds overlapping exposures from the top only. Filler wt% was determined by thermal gravimetric analysis. The degree of conversion (DC) of each composite cured with the two techniques was evaluated by micro-FTIR. T-tests were performed for FS and FM to compare Triad II vs Optilux for each composite (alpha < 0.05). RESULTS: There was a trend for Optilux to produce greater FS (significant for A110, Herculite and P60) and FM (significant for all but Clearfil, Esthet-X and Z250), but differences averaged less than 10%. There was no difference in DC between the irradiation modes for any composite.

Acrylic Resins↗

Effect of filler fraction and filler surface treatment on wear of microfilled composites.

OBJECTIVES: The aim of this study was to determine the effect of filler content and surface treatment on the wear of microfilled composites. METHODS: Four microfilled composites with different filler contents (A=20, B=25, C=30, and D=35 vol.%) were made with a light-cured resin (Bis-GMA/UDMA/TEGDMA). The surface treatment of the colloidal silica in each varied: F=functional silane, NF=non-functional silane, U=untreated. Silux Plus served as a control. Specimens were made in steel molds and cured in a light curing unit Triad II (40s/side). Abrasion and attrition wear were evaluated in vitro in a wear tester (OHSU oral wear simulator) with an abrasive slurry (poppy seeds + PMMA) and a human enamel antagonist. The average of five specimens was computed and compared using a ANOVA/Tukey's test at P < or = 0.05. The surface of the wear patterns and the distribution of filler particles were examined using a scanning electron microscope and digital imaging. RESULTS: As filler volume increased, wear was reduced regardless of filler treatment. Amounts of wear for specimens C and D were significantly lower than specimens A and B. Composites with functional silane treated microfiller (Group F) produced significantly less wear than those with non-functional microfiller (Group NF) at 30 and 35 vol.%, and less than the untreated microfiller (Group U) at 30 vol.%. Scanning electron microscopy of specimens of group NF showed large filler agglomerates (size > 1 microm) in the resin matrix, while specimens of group F and U showed fewer agglomerates. Digital imaging analysis revealed small filler clusters (size < or = 1 microm) in the resin matrix of all specimens. SIGNIFICANCE: Wear resistance of microfilled composites is enhanced by higher filler volumes irrespective of surface treatment, but good filler/matrix adhesion is needed to minimize wear.

Analog-Digital Conversion↗

Dynamic mechanical analysis of storage modulus development in light-activated polymer matrix composites.

OBJECTIVES: The goal of this study was to evaluate the potential for using dynamic mechanical analysis of tubular geometry in a three-point flexure fixture for monitoring the storage modulus development of a light-activated polymer matrix composite. METHODS: Composite samples were inserted into PTFE tubes and tested in a three-point bend fixture in a dynamic mechanical analyzer (DMA) at 200 Hz with 20 microm amplitude. Samples were light activated for 60s (385 mW/cm(2) at the composite surface) and storage modulus (E') was measured continuously for the seven light-activated composites studied (one microfill, four hybrids and two unfilled resins). Cores of composite were removed from the PTFE sheath after 13.5 min and evaluated with the same parameters in the DMA. A finite element model of the test configuration was created and used to estimate operating parameters for the DMA. Degree of conversion (DC) was measured using micro-Fourier Transform Infrared (FTIR) spectroscopy for the microfilled composite samples and one hybrid 13.5 and 60 min after light activation. RESULTS: The E' for a generic hybrid and microfilled composite was 13,400+/-1100 and 5900+/-200 MPa, respectively, when cured within the tube and then removed and tested in the DMA. DC was 54.6% for the hybrid and 60.6% for the microfill. A linear regression of E' for the sheath and core vs core alone (r(2)=0.986) indicated a linear scaling of the sheath and core values for E' enabling a correction for estimated E' values of the composite core. SIGNIFICANCE: This method estimates the storage modulus growth during light-activated polymerization of highly filled dimethacrylates. Although the approach is phenomenological in that quantitative measurements of E' are not made directly from the DMA, estimates of early polymerization kinetics appear to be validated by three different approaches.

Barium Compounds↗

Reduced polymerization stress through non-bonded nanofiller particles.

The stress that results from the placement of dental composite in a confined setting compromises the integrity of the marginal seal. Dental composites which include nanofiller particles that are not treated with a functional agent to couple them to the resin matrix can result in lower stress levels. Three types of nanofillers were evaluated having either a functional silane coating, a non-functional silane coating. or no coating. These were added at five different vol% levels to a photo-sensitized mixture of three dimethacrylate monomers alone or at three different vol% levels to the same resin filled with mini-filler particles to a clinically realistic level. The stress generated by these materials when cured in a confined setting was measured in a mechanical testing machine. The effect of monomer molecular weight on the stress levels was evaluated by preparing three resin formulations with varied co-monomer levels and filling them with bonded or non-bonded nanofillers. Reductions in polymerization stress of up to 31% were achieved among both the nanofilled resins and the mini-filled composite. The materials which contained a heightened level of diluent monomer produced significantly higher stress levels (ANOVA/Tukey's test, p < 0.05). Significant reductions in polymerization stress can be achieved through minor alterations in composite chemistry.

Analysis of Variance↗

In vitro wear simulation measurements of composite versus resin-modified glass ionomer luting cements for all-ceramic restorations.

BACKGROUND: Although composite cements are generally indicated for cementation of all-ceramic restorations, some manufacturers of dental cements propose that resin-modified glass ionomers (RMGIs) may be used for cementation of high-strength ceramic restorations. PURPOSE: This study was undertaken to compare the in vitro abrasion and attrition wear of two dual-cure cements (in dual-cure and self-cure modes) and two RMGI cements when placed between ceramic and enamel to simulate the margin of a restoration. METHODS: Rectangular fragments of pressed ceramic (Empress 2) were cemented between the halves of bovine incisors sectioned mesiodistally, using one of the following materials: RelyX ARC, Variolink II, RelyX Luting, or ProTec CEM. The two resin cements were tested in dual-cure and self-cure modes. A three-body wear test was performed in the new Oregon Health Sciences University (OHSU) oral wear simulator (100,000 cycles; abrasion load: 20 N; attrition load: 90 N). Degree of conversion of resin cements was determined by Fourier transform infrared spectroscopy. Results were analyzed by analysis of variance and Tukey's test (p = .05). Epoxy replicas of wear specimens were observed in the scanning electron microscope. RESULTS: No significant differences in abrasion wear (RelyX ARC dual-cure: 11 +/- 4.4 microm; RelyX ARC self-cure: 17 +/- 7.0 microm; Variolink dual-cure: 14 +/- 8.6 microm; Variolink self-cure: 23 +/- 10.7 microm) or attrition wear (RelyX ARC dual-cure: 18 +/- 6.4 microm; RelyX ARC self-cure: 31 +/- 4.5 microm; Variolink dual-cure: 32 +/- 6.8 microm; Variolink self-cure: 39 +/- 15.9 microm) were found between activation modes of the resin cements. ProTec CEM (32 +/- 8.7 microm) showed abrasion similar to that of Variolink II and RelyX ARC self-cure. Resin-modified glass ionomers showed more attrition wear than the resin cements (ProTec CEM: 62 +/- 13.0 microm; RelyX Luting: 69 +/- 7.1 microm). RelyX ARC showed a similar degree of conversion for both activation modes (dual-cure: 70 +/- 4.3%; self-cure: 68 +/- 1.2%), but Variolink II had a higher degree of conversion in dual-cure mode (67 +/- 0.5% vs 60 +/- 1.0%). Cement wear was accompanied by marginal breakdown and increased surface roughness of enamel and ceramic. CONCLUSIONS: The activation mode of resin cements did not influence their wear resistance. The RMGIs underwent higher attrition wear than the resin cements. CLINICAL SIGNIFICANCE: Increased submargination associated with marginal breakdown and increased roughness of the surrounding structures may be expected when ceramic inlays are cemented with resin-modified glass ionomers.

Analysis of Variance↗

Polymerization contraction stress in dual-cure cements and its effect on interfacial integrity of bonded inlays.

OBJECTIVES: To compare the polymerization contraction stress of resin cements in dual-cure and self-cure modes, and verify its effect on microleakage and gap formation in class I cavities restored with porcelain inlays. METHODS: Dual-cure cements (Calibra, Choice and RelyX ARC) were monitored for contraction stress during 30 min in the tensilometer, in the presence or absence of photo-activation. Microleakage was evaluated in porcelain inlays bonded to cavities prepared in bovine incisors, combining the same adhesive (One-Step) with each of the cements in both activation modes. Epoxy replicas of the sectioned specimens were analyzed in the SEM to determine the percentage of discontinuous margins. RESULTS: The stress developed in dual-cure mode was higher than in self-cure mode for all cements. In self-cure mode, no significant difference in stress was found among materials. Choice and RelyX ARC showed higher microleakage in dual-cure mode than in self-cure mode. Calibra did not show a significant difference in microleakage between activation modes. Contraction gap results showed wide variations, and no significant differences were detected among the groups. Gaps occurred more often in dentin, with an overall average of 22 +/- 17.5%. CONCLUSIONS: The higher stress generated in dual-cure cements subjected to photo-activation may lead to higher marginal leakage. In the confinement condition represented by the class I inlay, even the lower contraction stress of the cements in self-cure mode had enough magnitude to disrupt the bonding to dentin.

Animals↗

A clinical comparison of two cements for levels of post-operative sensitivity in a practice-based setting.

UNLABELLED: This study compared the post-operative results of cementing full crowns (all metal or PFM) with either a conventional (Fuji I, GC; n=102) or a resin modified GI luting cement (Rely X, 3M/ESPE; n=107). METHODS: Ten private practitioners fabricated 209 crowns using standardized preparation/luting criteria and randomly assigned cements. Patients self-reported temperature and biting sensitivity, on a 0-10 scale at 24 hours, one week, one month and three months post-cementation. Data were analyzed using t-tests, confirmatory Mann-Whitney tests and Pearson correlations, with a significance level of p < or = 0.05. RESULTS: Of all patients, 50.7% reported any sensitivity at any time period. Mean sensitivity for all patients on the 10-point scale was 0.52 for temperature and 0.23 for biting. Cements did not differ in cold or biting sensitivity at any time. There were many significant (though low) correlations between the sensitivity measures and age (inverse relationship) and dentin area of preparation (direct). The practice-based format provided a viable alternative to performing clinical research.

Age Factors↗

Effects of cavity configuration on composite restoration.

This study evaluated the effects of various cavity configurations on the bond strength, microleakage, flexural strength and elastic modulus of a hybrid (Clearfil AP-X) and a microhybrid (Esthet-X) composite restorative. After the specimens were made with C-factors of less than 1, 2.4 and 3.4, flexural strength and elastic modulus were evaluated in three-point bending using a mechanical testing machine. Fragments of the fractured specimens were selected randomly and the fracture surfaces were examined in SEM. To evaluate the microtensile bond strength and microleakage of composite restorations in bovine cavities, C-factors (ratio of bonded to non-bonded cavity surface) were controlled as 1.0, 2.3, 3.0 and 3.7. All specimens were stored in distilled water at 37 degrees C for 24 hours and tested in a universal testing machine (EZ Test, Shimadzu, Japan). For the microleakage test, teeth with restorations were stained with silver nitrate and examined by two examiners under a stereomicroscope at 40x magnification. The hybrid composite showed higher mechanical properties than the microhybrid composite. The flexural strength and elastic modulus of both composites decreased when polymerized under greater constraint, that is, with increasing C-factor. Mean microtensile bond strength to dentin was also decreased with increasing C-factor for both types of composites. Microleakage scores for the hybrid composite restorations were generally higher than the microhybrid composite.

Analysis of Variance↗