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Biomedical subjects

John M Powers

Publications and source records attributed to John M Powers.

At least 19 recordsLinked to original sources

Structural and functional characterization of a conserved cryptic epitope on SARS-CoV-2 spike S2 subunit.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has undergone extensive evolution since its emergence in 2019, underscoring the continuous need for vaccines and therapeutics effective against multiple variants of concern (VOCs). The S2 subunit of the viral spike (S) glycoprotein is highly conserved among sarbecoviruses, making it an attractive target for broadly protective countermeasures. To elucidate the S2 antigenic landscape, we employed yeast surface display to isolate S2-targeted antibodies from COVID-19 convalescent donors. Biophysical characterization revealed that these S2 apex-directed antibodies preferentially bind to open spike conformations and a stabilized S2 construct but not to the closed, trimeric prefusion spike. Cryo-electron microscopy structures defined a cryptic epitope encompassing the upper helix and fusion peptide proximal region on S2. This epitope is conserved among sarbecoviruses but remains largely occluded in the closed prefusion conformation of the spikes. As a result, the antibodies exhibited weak neutralization activity against SARS-CoV-2 pseudoviruses, failed to neutralize authentic viruses, and did not provide protection in a lethal mouse challenge model using a mouse-adapted SARS-CoV-2 strain. These findings highlight a non-neutralizing epitope on S2 capable of eliciting antibodies during SARS-CoV-2 infection in humans and provide valuable reagents for probing S2 conformational dynamics and optimizing S2-based vaccine antigens.

Spike Glycoprotein, Coronavirus↗

Combined effect of staining substances on the discoloration of esthetic Class V dental restorative materials.

The purpose of this study was to determine the combined effect of an organic substance (mucin as a substitute for salivary organic substances), chlorhexidine, and an iron compound/tea solution on the changes in the color of esthetic Class V dental restorative materials. Color of a glass ionomer, resin-modified glass ionomer, compomer and flowable resin composite of A2 shade, respectively, was determined according to the CIELAB color scale relative to the standard illuminant D65. Color was measured at baseline, and after sequential immersion in the following substances: Step-1, mucin in PBS (MCP) for 48 h; Step-2, chlorhexidine (CHX) for 24 h; Step-3, iron compound (IRN) or tea solution (TEA) up to 7 days; and Step-4, ultrasonic cleaning for 1 h. Color change (DeltaE(ab )*) was calculated by the equation: DeltaE(ab)* = [(DeltaL*)(2) + (Deltaa*)(2) + (Deltab*)(2)](1/2), of which DeltaL(*) indicates changes in value, Deltaa(*) indicates changes in red-green parameter and Deltab(*) indicates changes in yellow-blue parameter. DeltaE(ab)* values after immersion in MCP and CHX were compared, and DeltaE(ab)* values after immersion in IRN or TEA, and subsequent ultrasonic cleaning were compared with respect to the restorative material and immersion substance. DeltaE(ab)* and changes in the color parameters (DeltaL(*), DeltaC(ab)* and DeltaH(ab)*) were analyzed by repeated measures, analysis of variance and a post-hoc test at the 0.05 level of significance. Color changes after immersion in MCP were acceptable (DeltaE(ab)* < 3.3), and those after immersion in CHX were generally acceptable. The range of DeltaE(ab)* values after immersion in IRN was 3.1-19.6, and that after ultrasonic cleaning was 2.4-9.6. The range of DeltaE(ab)* values after immersion in TEA was 10.7-21.1, and that after ultrasonic cleaning was 11.9-14.5. Color changes of four Class V restorative materials after combined treatment with mucin, chlorhexidine and an iron compound/tea solution were not acceptable. Colors did not recover to their original values after ultrasonic cleaning. Modifications on the surface of a restoration should be considered to reduce stain accumulation.

Acrylic Resins↗

Combined effects of staining substances on resin composites before and after surface sealant application.

The objective was to measure the combined effect of mucin, chlorhexidine and tea solution on the staining of four dental resin composites, and to determine the effect of surface sealant on staining. One side of cured resin composite specimens of 10 mm in diameter and 2 mm in thickness were polished with 600-grit silicon carbide paper. One group of specimens (n = 5) was treated with a surface sealant [BisCover, Bisco, USA; SS (surface sealant) group], and the other group was not (NO group; control). Specimens were sequentially immersed in the following substances: Mucin in phosphate buffered saline (PBS); chlorhexidine; tea solution; and ultrasonic cleaning and then immersion in PBS. Color was measured on a reflection spectrophotometer. Changes in color (DeltaE (*) (ab)) and color parameters, such as hue, chroma and value, after immersion in tea solution and subsequent cleaning were analyzed by repeated measures, analysis of variance at the 0.05 level of significance. The range of DeltaE (*) (ab) values after immersion in tea solution was 11.4-21.1 for NO group and 10.5-19.6 for SS group, and that after cleaning was 2.4-10.0 for NO group and 2.7-8.3 for SS group. After staining, CIE L (*) value (lightness) decreased, and CIE a (*) and b (*) values increased. Color changes of resin composites were not acceptable after sequential immersion treatment (DeltaE (*) ( ab ) > 3.3). The changes in color and color parameters of sealant applied group were not significantly different from those of control group except for a few combinations of color parameters and resin composites.

Chlorhexidine↗

Vickers hardness investigation of work-hardening in used NiTi rotary instruments.

A contributing mechanism for clinical failure of NiTi rotary instruments might be excessive work hardening. Vickers hardness was measured with 300 gm load near the flutes in three regions (D2-D4, D6-D10, and D14 towards the shank) for nine representative clinically used ProFile GT instruments that had been axially sectioned (10 measurements in each region). Consistent values could not be obtained at D1. Minimum hardness occurred at D2 to D4, with means from 313 to 324 (SD from 7 to 16). Maximum hardness with means ranging widely from 330 to 481 was found beyond D14. Mean hardness at D2 to D4 was 320 for an as-received ProFile instrument. Because a mean Vickers hardness of 326 has been reported for a shape-memory NiTi orthodontic wire product, it can be concluded that the NiTi instruments did not experience substantial work hardening at D2 to D4 during clinical use, in agreement with previous differential scanning calorimetric analyses.

Dental Alloys↗

Color changes of resin composites in the reflectance and transmittance modes.

OBJECTIVES: The objective of this study was to evaluate the changes in color and color coordinates after accelerated aging of resin composites depending on the measuring modes of reflectance and transmittance. METHODS: Color of seven resin composites (1-mm thick specimens) was measured in the reflectance mode and in the transmittance mode. After the baseline color measurement, the specimens were aged for total energy of 150 kJ/m2. Color change after aging was calculated in the reflectance mode and in the transmittance mode. Based on the data of A2 shade composites, the influence of measuring mode on the color change (DeltaEab*) and changes in three color coordinates (DeltaL*, Deltaa* and Deltab*) after aging was analyzed by ANOVA (p<0.01). RESULTS: Measuring mode influenced DeltaEab*, DeltaL* and Deltaa* values. There were significant correlations between the color changes measured in the reflectance mode and in the transmittance mode (r=0.91). SIGNIFICANCE: The color changes in the transmittance mode can roughly be estimated based on the reflected color changes.

Analysis of Variance↗

Influence of fluorescent and opalescent properties of resin composites on the masking effect.

The objective of this study was to determine the influence of fluorescent properties in the reflectance and transmittance modes and opalescent properties and translucency under ultraviolet (UV)-included and -excluded conditions on the masking effect of commercial resin composites quantitatively. Color and spectral distribution of seven resin composites (14 shades) of 1-mm thick were measured in the reflectance and transmittance modes under UV-included and -excluded conditions. For the fluorescence evaluation, subtraction spectra by the inclusion and exclusion of the UV component of the illumination in the reflectance and transmittance modes were calculated. Opalescence parameter (DeltaO*(ab)) was calculated as the difference in yellow-blue (Deltab*) and red-green (Deltaa*) coordinates between the reflected and transmitted colors under UV-included and -excluded conditions. Under UV-included and -excluded conditions, translucency parameter (TP) was calculated and masking effect was calculated as the color difference between a specimen over a black tile and black tile itself. Fluorescent and opalescent properties varied by the brand and shade of composites and measurement protocols. Masking effect was correlated with TP values when TP values of materials were obviously different. But when TP values were in the similar range, the opalescent property influenced the masking effect of resin composites. The influence of fluorescent property on masking effect was also confirmed, although the degree of correlation was very low.

Biocompatible Materials↗

Influence of salivary organic substances on the discoloration of esthetic dental materials-a review.

The objective of this article was to review the articles on the interaction of salivary organic substances with resin-based dental materials and on the interaction of these organic substances with exogenous chemical agents, which results in discoloration. Original scientific articles or reviews on the saliva, acquired pellicle, and the interaction with pellicle and chemical agents related to dental resin-based materials were reviewed. Salivary esterases can increase or decrease the internal and external discoloration. The formation of acquired pellicle on the surface of a material varies by the properties of material, and the pellicle interacts with denaturation agents, such as tannin and chlorhexidine, to form stains and also adsorbs staining substances. Therefore, for the quality and longevity of restorations, protocols for the evaluation of the influence of organic substances on the extrinsic staining of restorative materials should be included in the evaluation of aesthetic restorative materials.

Dental Materials↗

Influence of a series of organic and chemical substances on the translucency of resin composites.

The objective of this study was to investigate the changes in the translucency of resin composites following a series of immersion treatments in organic and chemical substances. Color of resin composites was measured according to the CIELAB color scale relative to the standard illuminant D65 over a white and a black background. Translucency parameter (TP) of resin composites was calculated at baseline, and after sequential immersion: Step 1, porcine liver esterase (a substitute for a salivary esterase); Step 2, organic substances (mucin and serum) and phosphate-buffered saline (PBS) as a control; Step 3, chemical alteration agents [chlorhexidine (CH) and carbamide peroxide (CP)]; and Step 4, 2% methylene blue. Porcine liver esterase caused small changes in TP (DeltaTP = -0.5 to 0.2). After Step 2, DeltaTP values of three groups were similar in the range of -0.7 to 1.2. After Step 3, DeltaTP values of all groups were small in the range of -1.5 to 2.2. After Step 4, DeltaTP values were high and differences that varied by the resin composite and the immersion protocol were clearly observed (DeltaTP = -13.4 to -2.5). Changes in TP were mainly influenced by resin composite. After Step 4, mucin and serum groups showed generally small changes in TP compared to PBS group. It is a possibility that the high changes in TP after immersion in methylene blue is an indication of dye absorption which might be an indication of the degree of resin composite degradation.

Animals↗

Effects of staining and bleaching on color change of dental composite resins.

STATEMENT OF PROBLEM: Discoloration of resin-based composites by colored solutions is a common problem. The use of bleaching agents for discolored natural teeth is becoming increasingly popular. It is not clear if bleaching agents can remove the stain from composite resins. PURPOSE: The purpose of this study was to investigate the effects of 2 staining solutions and 3 bleaching systems on the color changes of 2 dental composite resins. MATERIAL AND METHODS: Forty-five disk-shaped specimens (9 x 2.5 mm) of each of 2 composite resins, Filtek Supreme (FS) and Esthet X (EX), were prepared. The specimens were then divided into 3 groups of 15 specimens each and immersed in 2 staining solutions (coffee or red wine) or distilled water (control) for 3 hours daily over a 40-day test period. The 3 groups were then divided into 3 subgroups (n = 5), and 3 bleaching agents (Crest Night Effects, Colgate Simply White Night, or Opalescence Quick) were applied to the surface of the specimens over a 14-day period. Color of the specimens was measured with a spectrophotometer using CIELAB color space relative to CIE standard illuminant D55 at baseline, after staining, and after bleaching. The color differences (deltaE(ab)*) between the 3 measurements were calculated. The value deltaE(ab)* = 3.3 was used as an acceptable value in subjective visual evaluations. Analysis of variance and nonparametric analysis (Kruskal-Wallis test and Mann-Whitney test) were used to analyze the data. RESULTS: After staining, FS had more color change than EX and was more affected by the wine solution. After bleaching, the color of both EX and FS specimens returned to the baseline. The color differences between bleaching and baseline were less than value deltaE(ab)* = 3.3 for all groups. CONCLUSION: The nanocomposite (FS) changed color more than the microhybrid composite (EX) as a result of staining in coffee or red wine solutions. After bleaching, discoloration was removed completely from the composite resins tested.

Analysis of Variance↗

Interactions of pigments and opacifiers on color stability of MDX4-4210/type A maxillofacial elastomers subjected to artificial aging.

STATEMENT OF PROBLEM: The color instability and degradation of maxillofacial elastomers limit the function and cosmetic quality of facial prostheses. PURPOSE: The purpose of this study was to measure the interactions of oil pigments plus dry earth opacifiers at 5%, 10%, and 15% by volume in stabilizing the color of MDX4-4210/type A silicone elastomers before and after artificial aging. MATERIAL AND METHODS: In the first part of the study, each of 5 opacifiers (Georgia kaolin powder neutral, kaolin powder calcined, Artskin white, dry pigment titanium (Ti) white, or Ti white artists' oil color) at 10% concentrations were combined with each of 5 oil pigment types (no pigment, cadmium-barium red deep, yellow ochre, burnt sienna, or a mixture of the 3 pigments), for a total of 25 experimental groups of elastomers. In the second part of the study, 50 experimental groups of elastomers were made by combining 1 of 5 opacifiers at 5% and 15% concentrations with 1 of 5 oil pigments as in Part 1. Five specimens of each elastomer were tested, for a total of 375 specimens. In each part of the study, all specimens were aged in an artificial aging chamber. CIE L*a*b* values were measured by a spectrophotometer. The color differences (DeltaE*) were subjected to repeated-measures analysis of variance. Mean values were compared by Tukey-Kramer intervals (alpha = .05). RESULTS: In Part 1, when the opacifiers were tested at 10% concentration, Ti white oil color had the most color change, and dry pigment Ti white had the least; all other opacifiers were not significantly different from each other. In Part 2, at 5%, Ti white oil color had the most color change; all other opacifiers were not significantly different from the others. At 15%, Ti white oil color again had the most color change, followed by Artskin white, kaolin powder calcined, and Georgia kaolin; Ti white dry earth pigment had the least color change. Overall, 5% Artskin white had less color change than the 15%, whereas 15% dry pigment Ti white had less color change than the 5% (P < .001). The 5% and 15% of other opacifiers were not significantly different. CONCLUSIONS: At all 3 concentrations, oil pigments mixed with opacifiers helped protect the MDX4-4210/type A silicone elastomer from color degradation over time. Dry pigment Ti white remained the most color stable over time, followed by the pigments mixed with kaolin powder calcined, Georgia kaolin, Artskin white, and Ti white artists' oil color.

Barium Sulfate↗

Influence of the amount of UV component in daylight simulator on the color of dental composite resins.

STATEMENT OF PROBLEM: Color of fluorescent substances is influenced by the amount of ultraviolet (UV) component in the illumination. Color of fluorescent dental composite resins may change by the amount of UV component in the ambient light, but there have been few studies on this subject. PURPOSE: The purpose of this study was to determine the differences in color and color parameters such as lightness, chroma, and hue of composite resins created by varying the amount of UV component of a pulsed-xenon source that is conditioned to approximate the Commission Internationale de l'Eclairage (CIE) standard illuminant D65. MATERIAL AND METHODS: A spectrophotometer, in which the UV component of a daylight simulator could be adjusted, was developed. Eight light-polymerized dental composite resins, A3 shade, were studied. Five disk-shaped specimens, 10 x 3 mm, were prepared for each material. Color of specimens was measured on a reflection spectrophotometer over a white background relative to 3 illuminations, which had the same spectral power distribution of the CIE standard illuminant D65 in visible range, but different UV component. D65 indicated the illumination in which the UV component of the pulsed-xenon source was adjusted to the CIE standard illuminant D65 using a UV adjustment tile. UV-EXC indicated the illumination in which the UV component of the source was excluded with a UV filter. UV-INC indicated the illumination in which the UV component was included. Differences in color parameters by the illumination were analyzed with repeated-measures 1-way analysis of variance (ANOVA) by the brand of composite resins. Differences in color (DeltaE*(ab)) and color parameters such as lightness (DeltaL*), chroma (DeltaC*(ab)), and hue angle (Deltah) were analyzed with 3-way ANOVA, with the independent variables of brand of composite resin, combination of illuminations, and type of color parameters (alpha = .05). RESULTS: Color differences (DeltaE*(ab)) by the amount of UV component in the illuminations ranged between 0.3 and 1.4 for D65 and UV-EXC, between 0.3 and 0.5 for D65 and UV-INC, and between 0.2 and 1.6 for UV-EXC and UV-INC. Based on the repeated-measures ANOVA, lightness was not influenced by the amount of the UV component in the illumination, however, chroma and hue angle were influenced by the amount of UV component. Based on the 3-way ANOVA, differences in color and color parameters (DeltaE*(ab), DeltaL*, DeltaC*(ab), and Deltah) by the amount of the UV component were influenced by all of the 3 factors, and there were significant interactions between all the combinations of factors (P < .05). CONCLUSION: Though there were significant differences in color and color parameters by the amount of the UV component in the D65-simulated xenon source, color difference caused by the UV component was lower than 1.6, which is in the visually acceptable range.

Analysis of Variance↗

Effect of filler addition on the bonding parameters of dentin bonding adhesives bonded to human dentin.

PURPOSE: To determine the effect of filler addition on two total-etch, single component bonding systems on the bond strength, displacement at debonding, stiffness of debonding and energy absorbed to debonding of resin composites to human dentin. METHODS: Two dentin bonding systems with no-filler (OS and SB) and filler-added (OSP and SBP) versions were studied. The dentin surfaces of human teeth were exposed with 600-grit SiC. TPH Spectrum A2 was used to bond to the dentin surfaces in the form of a truncated cone, 3 mm in diameter at the bonding surfaces and 5 mm in diameter at the base. Bonded specimens were stored in distilled water at 37 degrees C for 24 hours. They were then debonded in tension with a universal testing machine at a cross-head speed of 0.5 mm/minute. Displacement at debonding, stiffness and energy to debonding were calculated based on the stress-displacement curve. RESULTS: Bond strength, displacement at debonding and energy to debonding (measured and elastic) were influenced by the brand of the adhesive (OS/OSP vs. SB/SBP), but were not influenced by the filler addition based on two-way analysis of variance. Bond strength was in the range of 24.4-30.1 MPa, and there were significant differences between the bond strengths of OS and SB. Displacement and energy to debonding (measured and elastic) were different between the adhesives. Bond strength, bond stiffness and energy to debonding (measured) showed significant correlations.

Bisphenol A-Glycidyl Methacrylate↗

Optical properties of four esthetic restorative materials after accelerated aging.

PURPOSE: To determine the differences in CIE L*, a*, and b* values, translucency parameter (TP), opalescence parameter (deltaO*ab), and color difference caused by the fluorescence (deltaE*ab-FL) of resin composite, glass-ionomer, resin-modified glass-ionomer, and compomer of A2 shade before and after accelerated aging. METHODS: Color and spectral distribution of the materials were measured according to the CIELAB color scale relative to the standard illuminant D65 in the transmittance and reflectance modes. Aging was performed in an accelerated aging chamber with an energy exposure of 150 kJ/m2. The translucency parameter (TP) was calculated as the color difference (deltaE*ab) of the specimen over white and black backgrounds. Opalescence parameter (deltaO*ab) was calculated as the difference in blue-yellow coordinate (deltab*) and red-green coordinate (deltaa*) between the transmitted and reflected colors of a 1 mm-thick specimen. Color difference by the fluorescence (deltaE*ab-FL) in reflectance mode was calculated as an index of fluorescence. Differences and changes in optical properties were analyzed by the repeated-measures ANOVA. RESULTS: Type of material and the mode of measurement (transmittance and reflectance) influenced CIE L*, a* and b* values significantly (P< 0.05) before aging. Accelerated aging influenced CIE L*, a* and b* values. Aging and the type of material influenced TP, deltaO*ab and deltaE*ab-FL values significantly (P< 0.05).

Analysis of Variance↗

In vitro enamel caries formation and orthodontic bonding agents.

PURPOSE: To examine, in vitro, the caries-like lesion formation in enamel adjacent to fluoride-releasing orthodontic bonding agents using polarized light microscopic techniques. METHODS: 40 human extracted permanent third molars with sound enamel smooth surfaces were divided into two treatment groups: Light Bond group, a fluoride-releasing filled resin orthodontic bonding agent (n=20); and Pro Seal group, an orthodontic bonding agent with glass-ionomer (n=20). Prior to bonding agent placement on the buccal surfaces, acid-resistant varnish was applied to the molar teeth leaving a 2 mm (occlusal-cervical direction) by 5 mm (mesial-distal direction) exposed sound enamel window on the buccal surfaces of each molar tooth. The exposed window had the assigned orthodontic bonding agent applied, according to the manufacturer's instructions. With each specimen, a 1 mm (occlusal-cervical direction) by 5 mm (mesiodistal direction) sound enamel window was exposed by selectively removing the acid-resistant varnish on the opposing lingual or palatal surface with each molar tooth, and serving as a matched internal control with each molar. The molar teeth were then sectioned into buccal and lingual/palatal tooth halves. Acid-resistant varnish was applied to the cut surfaces. Each group underwent synthetic saliva rinsing for 2 weeks prior to in vitro caries formation using a modified ten Cate solution over a 2-week lesion initiation period. Longitudinal sections (three per treatment and control groups) were taken for polarized light study. The remaining tooth portions were exposed to synthetic saliva rinsing for 1 week and then exposed to the in vitro caries solution for an additional 1-week period to allow for lesion progression within the exposed enamel windows (progression 1 period). Longitudinal sections (three per treatment and control groups) were taken at the end of lesion progression 1 for polarized light study. After lesion progression 1, the remaining tooth portions were exposed to synthetic saliva rinsing for 1 week and then exposed to the in vitro caries solution for 1 week to allow for additional lesion progression within the exposed enamel windows (progression 2 period). Longitudinal sections (three per treatment and control groups) were taken at the end of lesion progression 2 for polarized light study. All longitudinal sections from the treatment and control groups at all three time periods (lesion initiation, progression 1 and progression 2) were imbibed with water and examined with polarized light microscopy to determine lesion depths and evaluate the enamel-resin interface. Mean (SD) lesion depths were determined and compared (ANOVA, t-test). RESULTS: Following lesion initiation, lesion progression 1 and lesion progression 2 periods, both treatment groups exhibited significant reductions in mean lesion depth when compared with the matched no treatment control group (P< 0.05). The Pro Seal group exhibited statistically significant reductions in mean lesion depths when compared with those for the Light Bond group at lesion initiation, lesion progression 1 and lesion progression 2 periods (P< 0.05, ANOVA, t-test). Both orthodontic bonding agents showed intact and intimate enamel-bonding agent interfaces with no lesion formation within the underlying bonded enamel. Caries-like lesions were only present in the exposed enamel windows adjacent to the orthodontic bonding agents.

Analysis of Variance↗

Color compatibility of resin composites of identical shade designation.

OBJECTIVE: The aim of this study was to evaluate color compatibility of corresponding resin composite shades keyed to Vitapan Classical shade guide (Vita). METHOD AND MATERIALS: Twenty-one shades of 6 commercial resin composites were analyzed. Specimens (n = 5) were made as disks, 11 mm in diameter and 2 mm thick, using cylindrical molds. Specimens were polymerized according to manufacturers' suggestions using a light-curing unit. Data were collected using a spectrophotometer and analyzed using the appropriate color difference metric equations. A total color difference (deltaE*ab) greater than or equal to 3.7 was considered a mismatch. Analysis of variance and Fisher's probable least-squares difference (PLSD) test. intervals for comparison of means were calculated at the .05 level of significance. RESULTS: Mean deltaE*ab values among A2, B2, C2, and opaque A2 shade pairs were 4.4 (1.8), 7.3 (3.2), 5.6 (2.8), and 6.5 (1.8), respectively, while the mean color difference for all the pairs compared was 5.8 (2.8). For A2 shades, deltaL*, deltaa*ab, and deltab*ab values ranged by 5.3, 2.3, and 6.7, respectively. Corresponding values for B2 shades ranged by 10.5, 2.2, and 11.5; 7.9, 2.2, and 4.3 for C2 shades; and 7.9, 1.4, and 4.4 for opaque A2 shades. Fisher's PLSD critical intervals for comparing deltaE*ab values among the shades and composite pairs were 0.07 and 0.15, respectively (P < .0001, power 1.00). CONCLUSION: Overall, poor color compatibility of shade pairs of identical shade designation was recorded. The best color match was recorded for A2 shade pairs, followed by C2, B2, and opaque A2 shade pairs.

Analysis of Variance↗

Influence of opalescence and fluorescence properties on the light transmittance of resin composite as a function of wavelength.

PURPOSE: To determine the influence of opalescence and fluorescence properties on the light transmittance of resin composites as a function of wavelength (410-750 nm). METHODS: Spectral distribution of seven resin composites of A2 shade was measured according to the CIELAB color scale relative to the standard illuminant D65 in the reflectance and transmittance modes. Opalescence spectrum (OPS) was calculated as the subtraction spectrum (i.e., the spectrum measured in the transmittance mode subtracted at each wavelength from the spectrum measured in the reflectance mode). UV component of the illuminant was included and excluded to calculate the fluorescence spectrum (FLR and FLT in the reflectance and transmittance mode, respectively). Contrast ratio (CR) was calculated as the ratio of reflectance over a black background and over a white background. The total transmittance spectral distribution (TSD) value was used as the parameter to indicate masking ability of the resin composites over background color. Multiple regression analyses were performed among TSD and other optical parameters at the significance level of 0.05. RESULTS: In all the resin composites and wavelength range, correlation between CR and TSD was very high (r = -0.99). Correlations between each parameters varied by the wavelength range of fluorescence (410-500 nm) and no-fluorescence (510-750 nm). Correlation between OPS and TSD varied by the wavelength range (r = -0.86 to -0.94, P< 0.05). Fluorescence of resin composites increased the TSD values. Based on this in vitro study, the influence of opalescence and fluorescence of resin composite varied by the wavelength.

Composite Resins↗

Color interaction of dental materials: blending effect of layered composites.

OBJECTIVES: To evaluate the in vitro blending effect (BE) of layered resin composites related to material, shade, and differences in color and translucency between compared materials. METHODS: Specimens made of two composites (2CS, n=5) consisted of the outer composite with an outer diameter of 10mm, 4mm thick and an inner diameter of 4mm, 2mm thick for the inner composite. Thus, the inner composite was encircled by a 3mm outer composite around its circumference and backed by a 2mm thick outer composite, to simulate a dental restoration surrounded by hard dental tissues. The outer composite was Palfique Estelite (PE, C2 shade, standard shade), while the inner composites were PE A2, B2 and C2 shades and corresponding shades of Point 4 (P4), Tetric Ceram (TC) and Filtek A110 (FA) composites (batch shades). Single-composite, disk-shaped specimens (1CS) of all five shades (D=10mm, 2mm thick, n=5) were made as well. Visual color assessments were done by six observers using a lightbooth and 1 (mismatch) to 5 (perfect match) scale. The BE was calculated as a difference in scores between corresponding 2CS and 1CS. Z-scores and corresponding BE values (BE(Z)) were calculated. 1CS were also evaluated using a spectrophotometer. RESULTS: Blending effect ranged from -0.4 to 2.2, while BE(Z) ranged from -0.6 to 3.0. Mean visual scores for 1CS and 2CS were 1.8 (1.2) and 2.2 (1.3), respectively. BE increased with a decrease in color difference (r=0.41) and increase of translucency parameter (TP, r=0.77). High agreement was recorded among pairs of observers for both 1CS, r=0.95 (0.03) and 2CS, r=0.96 (0.02). SIGNIFICANCE: Blending effect is composite and shade dependent. Quantifying of blending potential of dental materials might provide useful clinical information for dental professionals.

Color↗