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At least 307 records · Page 17Linked to original sources
PubMed2002

A new approach to restoring root-end cavity preparation in surgical endodontic procedures--a scanning electron microscopy study.

While many different restorative materials are now available for filling root-end preparations in surgical endodontic therapy, each one has drawbacks. The current study suggests that a flowable composite resin, cured by a high-power curing light in 10 seconds, may be the material of choice. The significance of coating the resected root surface with a dentin-bonding agent is also discussed.

Apicoectomy↗
PubMed2003

Sealing ability of dentin coating using adhesive resin systems.

PURPOSE: To assess the sealing ability of dentin coating using adhesive resin systems to verify its potential in protecting the dentin/pulp from the oral environmental stimuli. MATERIALS AND METHODS: 15 extracted human premolars were prepared for complete crowns and the electrical resistance of their coronal dentin was measured. The prepared teeth were then randomly divided into three groups, and the prepared dentin surface of five teeth in each group was coated using one of three adhesive resin systems (All-Bond 2, Clearfil Liner Bond II, Super-Bond D-Liner) with low viscosity resins. Measurements for electrical resistance of the prepared coronal dentin was repeated after the first and second coat of the low viscosity resins, and at 1 and 4 weeks of storage in a physiological saline solution. Additionally, three prepared teeth were exposed to either cold (37 degrees C --> 4 degrees C) or heat (37 degrees C --> 60 degrees C) stimulus and the temperature change was monitored inside the pulp chamber. Time-temperature curve was obtained before and after the first and the second dentin coating. RESULTS: Before dentin coating electrical resistance of the coronal dentin ranged from 1 to 11 k(omega), and increased significantly after the first coating by 3-15 times, and by 5-185 times after the second coating. Thermal diffusion was significantly smaller in the dentin after the coating. Before coating, the temperature change inside the pulp chamber ranged from 2-5 degrees C at 5 seconds after the thermal stimuli were applied. This decreased significantly to between 0.3-0.5 degrees C after the coating.

Analysis of Variance↗
PubMed2003

Advances in dentin adhesion.

While bonding to enamel has been a dependable technique, bonding to dentin is still an overwhelming task--dentin is a naturally soaked organic tissue. The enamel bonding agents of the 1960s and 1970s progressively evolved into complex multibottle or universal adhesives in the early 1990s. These multibottle systems were formulated to bond to enamel, dentin, composite, amalgam, porcelain, and nonprecious metal. More recently, simplified dentin adhesives were introduced following one of two adhesion strategies: total-etch adhesives that include an acid gel to remove the smear layer and dissolve hydroxyapatite (generally 30% to 40% phosphoric acid for 15 to 30 seconds); and self-etching primers that treat the dentin and enamel with a non-rinsing solution of acidic monomers in water without removing the smear layer. Recent attempts to simplify the bonding procedure have led to the introduction of adhesives that do not use a separate acid-etch step and, therefore, do not etch enamel to the same depth as phosphoric acid-based dental adhesives.

Acid Etching, Dental↗
PubMed2005

Evaluation of resin composite materials. Part II: in vivo investigations.

PURPOSE: To clinically evaluate two different resin-based composites (Solitaire I and Ariston pHc) in order to determine the minimum clinical evaluation time needed to detect critical signs of failure. METHODS: In a controlled prospective clinical study, 99 cavities (30 Class I, 69 Class II) in 31 patients were restored (50 Ariston pHc without enamel etching and rubber dam, 49 Solitaire I restorations with total etching and rubber dam) and clinically investigated at baseline, after 6, 12, and 24 months. RESULTS: After 2 years of clinical service, 49 restorations (Ariston pHc: n = 38, Solitaire: n = 11) had to be replaced. The majority of failures occurred after more than 1.5 years. The reasons for replacement were differently distributed in both groups (Ariston pHc: 28 tooth fractures, 3 gap formations, 5 hypersensitivities, 1 bulk fracture, 1 marginal fracture. Solitaire: 5 gap formations, 1 hypersensitivity, 3 bulk fractures, 1 wear of the restorative material, 1 void in the restoration). Forty-four restorations were still in function after 2 years (overall failure rate after 2 years: 14%; Ariston pHc: 17%; Solitaire: 7%; survival analysis algorithm according to Kaplan/Meier). Comparing the materials, no statistical differences were evident except for the criteria "integrity tooth" (= tooth fracture or cracks) and "hypersensitivity" (from the 12-month recall; Mann-Whitney U-test; P< 0.05). In both cases of significant difference, Ariston pHc exhibited inferior results. After 2 years, only three teeth restored with Ariston pHc did not show considerably cracked enamel. The additional marginal analysis showed statistically significant differences for both materials regarding the criteria "perfect margin" (decrease), "gap formation" (increase), and "negative step formation" (increase; P< 0.05; Friedman 2-way ANOVA) between the four recalls. Therefore, a 2-year in vivo evaluation should be recommended prior to marketing a dental restorative material.

Acid Etching, Dental↗
PubMedDate not supplied

Effect of desensitizers on the bond strength of a self-etching adhesive system to caries-affected dentin on the gingival wall.

A self-etching dentin adhesive was evaluated for its ability to bond to caries-affected and sound dentin after applying three desensitizers to the gingival walls. Sixty extracted human molars, with approximal dentin caries, were cut horizontally on the long axis of the tooth through caries-affected gingival walls. Carious dentin was removed with SiC paper by means of a caries detector to expose caries-affected dentin. The molars were randomly assigned to four groups: control and three experimental groups-Micro Prime, Glauma Desentizer and Cervitec. Desensitizers were applied to the dentinal surfaces according to manufacturers' instructions. A resin composite was bonded to both the caries-affected and sound dentin of each tooth using a bonding system and plastic rings. The restoration was debonded by shear bond strength. The application of Micro Prime and Gluma Desensitizer to caries-affected dentin did not show any effect on bond strength testing. However, Cervitec caused a decrease in bond strength to caries-affected dentin. The effect of desensitizers on the bond strength of the self-etch bonding agent to caries-affected dentin changed according to the chemical composition of the materials. Desensitizer application on sound dentin is recommended with self-etch bonding systems.

Benzethonium↗
PubMed2004

Green Or preparation in dentin hypersensitivity treatment.

The effectiveness of Green Or preparation in the treatment of cervical dental hypersensitivity was evaluated. This problem is difficult for patients and for dentists because of dual and unknown methods of treatment. The preparation was used in 30 patients between the ages of 20 and 70 years on 240 teeth with exposed and hypersensitive necks. The obtained results are acceptable, as total elimination of hypersensitivity was attained in 85% of cases, partial reduction of hypersensitivity in 15% cases.

Administration, Topical↗
PubMed2006

Microtensile bond strengths of composite to dentin treated with desensitizer products.

PURPOSE: This study was designed to analyze the influence of desensitizing procedures on dentin bond strength. MATERIALS AND METHODS: Forty bovine incisors were used, divided into four groups (n = 10): G1: control; G2: Gluma Desensitizer (Heraeus Kulzer); G3: Oxa-Gel (Art-Dent); G4: low-intensity laser (MMOptics). The buccal surface was wet ground flat with 180-, 400- and 600-grit silicon carbide abrasive paper to expose midcoronal dentin and create a uniform surface. After the application of the desensitizing agents to the exposed dentin, the specimens were etched with 35% phosphoric acid for 30 s, and an adhesive (Single Bond) was applied and light cured. A 4-mm high crown of composite resin (Filtek Z250) was then built up. Specimens were trimmed to an hourglass shape with cross sections of 1 mm2. Each specimen was individually fractured by a microtensile testing machine at a crosshead speed of 0.5 mm/min. The data, recorded in MPa, were analyzed with one-way ANOVA and the Duncan test (p = 0.05). RESULTS: Specimens treated with dentin desensitizers (except Gluma) yielded significantly lower mean bond strengths than nontreated control specimens. The mean values in MPa (+/- SD) were: G1: 13.4 (6.2); G2: 13.2 (4.8); G3: 7.15 (4.3); G4: 7.21 (4.6). CONCLUSIONS: Among the desensitizing agents studied, only Gluma Desensitizer did not detrimentally influence the bond strength values. It is a useful material for dentin desensitization.

Acid Etching, Dental↗
PubMed1995

Effect of Gluma desensitization on dentin bond strength.

PURPOSE: To determine whether the use of Gluma as a desensitizing agent on tooth preparations has any effect upon the bond strength of a resin composite restoration cemented to dentin. MATERIALS AND METHODS: Forty extracted human molars which were caries and restoration-free were occlusally reduced to remove enamel. Twenty of the teeth received a Gluma desensitization treatment and 20 were untreated (controls). Following a 7-day storage period, simulated resin composite inlays were bonded to all of the dentin specimens, using either All-Bond 2 with All-Bond Crown & Bridge Cement or OptiBond with Porcelite Dual Cure. Twenty-four hours later, the shear bond strength of the specimens was determined. RESULTS: Statistical analysis (paired t-tests) indicated no significant difference in bond strength for Gluma-treated specimens when compared to controls, for either bonding material.

Analysis of Variance↗