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PubMed1994

Morphological characterization of the interface between resin and sclerotic dentine.

Since dentine exposed to the oral environment undergoes important compositional and morphological transformations, bonding to it differs significantly from bonding to unaffected normal dentine. In this investigation, the interface between resin and sclerotic dentine, the dentine type clinically exhibited by cervical abrasive or erosive lesions, was morphologically characterized by scanning electron microscopy after an argon-ion-beam etching procedure. The microstructure of the resin-sclerotic dentine interface was compared with that produced to normal unaffected dentine in an attempt to find reasons for the reported less reliable bonding of adhesive resins to sclerotic dentine. A resin-dentine interdiffusion zone or hybrid layer with only a limited width was formed at the hypermineralized intertubular dentine. No or only short resin tags were developed in most dentinal tubules, since their orifices were obliterated due to increased peritubular dentine apposition, intratubular deposition of irregular minerals and formation of so-called sclerotic casts. Consequently, it is reasonable to predict that dentine adhesives with an adhesion strategy, which mainly involves micromechanical interlocking by the formations of a resin-dentine interdiffusion zone combined with resin-tag development into the dentinal tubules, will be less effective when applied to sclerotic dentine than to unaffected normal dentine. An adapted adhesive treatment may be necessary to make sclerotic dentine more receptive to bonding. Further research should be directed to develop adhesive systems that bond equally well to various kinds of dentine.

Acid Etching, Dental↗

PubMed1999

The effect of a re-wetting agent on dentin bonding.

OBJECTIVES: Recently, a new generation of simplified one-bottle dentin bonding systems, sensitive to variations in the degree of substrate moisture, was introduced. This in vitro project compared the dentin bond strengths and interfacial ultra-morphology formed by three one-bottle bonding systems [OptiBond SOLO (ethanol-based), Prime&Bond 2.1 (acetone-based), and Single Bond (ethanol- and water-based)]. The null hypothesis tested was that re-wetting a dried dentin surface with a HEMA aqueous solution would not result in bond strengths, and resin impregnation into demineralized dentin, comparable to those obtained for moist dentin. METHODS: Dentin specimens were assigned to the following three etched surface conditions: moist dentin-control group; dentin dried for 5 s; and dentin dried for 5 s and re-moistened with a commercial 35% HEMA aqueous solution. Mean shear bond strengths were calculated and analyzed with one- and two-way ANOVA. Dentin discs treated with the same combination of surface condition/adhesive were processed and observed under both transmission and scanning electron microscopes. RESULTS: For moist dentin, the morphology of the resin-dentin interfaces showed penetration of the dentin adhesives to the depth of the transition between demineralized and unaffected dentin. Drying dentin for 5 s resulted in a significant decrease in mean bond strengths and an incompletely infiltrated collagen structure with areas of unveiled collagen fibers, regardless of the solvent. Re-wetting dentin with the aqueous HEMA solution re-established the level of bond strengths obtained to moist dentin and resulted in a raise of the fiber network with simultaneous increase in interfibrillar space dimensions. SIGNIFICANCE: The results suggest that the use of an aqueous HEMA solution might compensate for the dryness induced on dentin surfaces by using air blasts from an air syringe, after rinsing off the etchant. As the behavior of the material that contained water was also affected by surface dryness, the percentage of water included in the composition of current ethanol- and water-based adhesives, such as Single Bond, may not be enough to compensate for the collapse of the collagen filigree upon drying.

Analysis of Variance↗

PubMed2001

Effect of primers containing N-methylolacrylamide or N-methylolmethacrylamide on dentin bond durability of a resin composite after 5 years.

OBJECTIVES: The effect of experimental dentin primers containing N-methylolacrylamide (MEAA) or N-methylolmethacrylamide (MEMA) on bond durability of a resin composite (Photo Clearfil A) with a bonding agent (Clearfil Photo Bond) to bovine dentin was investigated. METHODS: The etching agents were 10% maleic acid (10% MA), 10% phosphoric acid (10% PA) and 10% citric acid-3% ferric chloride (10-3 solution). Water solutions of 35% hydroxyethyl methacrylate (HEMA), 50% MEAA or 30% MEMA were used as dentin primers. The etched dentin was pre-treated with the dentin primers for 30s. The resin composite systems were applied in a Teflon tube positioned onto pre-treated dentin surfaces. After water immersion for 1 day and 5 years, the shear bond strengths were measured. The amounts of calcium dissolved with etching agents were measured using atomic absorption spectrometry. The thicknesses of hybrid layers at the dentin-resin interfaces treated with 6 mol/l HCl and 1% NaOCl were measured using scanning electron microscopy. RESULTS: The bond strengths of the specimens (Controls) without primers to dentin etched with 10% MA and 10-3 solution significantly decreased after immersion in water for 5 years (p<0.05) while other bond strengths did not decrease. The bond strengths of the composites to MEMA- and MEAA-primed dentin were significantly higher than that of the control after 1 day, regardless of the types of etching agents (p<0.05). The 5 year bond strengths of the composites to HEMA-, MEMA- and MEAA-primed dentin were significantly higher than that of the control, regardless of the types of etching agents (p<0.05). The 1 day and 5 year bond strengths of the composite to MEAA-primed dentin were significantly higher than those of the composites to HEMA-primed dentin, regardless of the types of etching agents (p<0.05). The highest amount (182.3+/-8.0 microg/cm(2)) of dissolved calcium was determined for the pre-treatment with 10% PA, followed by that (152.0+/-6.9 microg/cm(2)) with 10% MA and that (140.1+/-2.8 microg/cm(2)) with 10-3 solution (p<0.05). The hybrid layer thicknesses (approximately 1 microm) for 10-3 solution were thinner than those (approximately 2 microm) for others after HCl immersion. For the controls, the hybrid layers after NaOCl immersion become narrower or disappeared. The main fracture pattern of specimens was a mixture of resin-dentin interface failure and dentin cohesive fracture after the bond test. CONCLUSIONS: MEAA solution was more effective in improving the bond strength of the controls to etched dentin than was HEMA after 1 day and 5 years. Clearfil Photo Bond created good hybrid dentin layers which could resist NaOCl-attack and showed good dentin bond durability when dentin primers were used, regardless of the type of etching agent.

Acid Etching, Dental↗

PubMed2006

[Microtensile bond strength and morphological evaluations of total-etch and self-etch adhesives to caries-affected dentin].

OBJECTIVE: To evaluate the microtensile bond strength and bond interface of total-etch or self-etch adhesives to normal dentin and caries-affected dentin. METHODS: A total of 20 molars with occlusal caries lesion were used. The caries-affected dentin was obtained by removing the caries-infected dentin under the guidance of the caries detector. Beyond the level of caries-affected dentin all the enamel and partial dentin were removed. The adhesive systems, two total-etch adhesives (All-Bond 2, Prime&Bond NT) and two self-etch adhesives (Clearfil SE Bond, Xeno III) were applied respectively under the instructions of manufacturers. A block of composite resin was build up superficially. All the teeth were sectioned to obtain bar-shaped specimens with bonded surface area about 0.9 mm x 0.9 mm. The specimens were divided into normal dentin group and caries-affected dentin group via stereomicroscope. The bond strength was tested in a microtensile tester with a crosshead speed of 1 mm/min. The mean values of bond strength were compared using two-way ANOVA. The bonding interface between the dentin and adhesives was qualitatively evaluated under the observation of scanning electron microscope (SEM). RESULTS: Two-way ANOVA revealed a significant influence of both the type of dentin and the adhesive systems tested on microtensile bond strength values. All the adhesives attained higher strength in normal dentin. In normal dentin, there was no significant difference between total-etch and self-etch adhesives. In caries-affected dentin, bond strength of Xeno III was significantly lower than the others. For SEM, the hybrid layer in caries-affected dentin was thicker but more porous than that in normal dentin. Compared with normal dentin, there was fewer resin tag exhibited in caries-affected dentin and no lateral branches were observed. CONCLUSIONS: The total-etch adhesive had higher bond strength than self-etch adhesive systems in caries-affected dentin.

Acid Etching, Dental↗

PubMed2003

Morphological analysis and chemical content of natural dentin carious lesion zones.

Dentin is one of the earliest bio-mineralization products to appear in the evolution of vertebrates. Dentin reactions to infection mimic earlier phylogenetic patterns, and carious lesions are divided into different zones which reflect the natural patho-morphological reaction of dentin to the carious attack. It was the aim of this study to investigate deep dentin carious lesions of human molars with combined polarization light microscopy, scanning electron microscopy and energy dispersive X-ray element analysis (EDX) for the determination of different zones of the carious lesions, their extent and the chemical content. Sixteen extracted teeth with deep dentin carious lesions were embedded in Technovit 9100 (Kulzer) and serial sections of 80 microm thickness were made. These sections were then examined with polarized light microscopy to identify the different zones of the lesions. The outlines of the zones were traced consecutively and 3D-reconstructions were made for the determination of the extent and calculation of the volumes of the different zones. From the volumes of the demineralizing dentin and the translucent zone a Dentin Demineralization Index (DDI) was calculated. Three sections of each lesion were then coated with carbon and studied with a scanning electron microscope. 3D-reconstruction of the teeth showed the rather stable translucent zone, interrupted by remnants of dead tracts, and very different volumes of demineralizing dentin. Therefore, with increasing size of the demineralizing dentin, the DDI increased. The chemical content was measured using energy dispersive X-ray analysis (EDX) in areas of intertubular dentin. The content of Ca, P, and C was significantly different in all zones. The Ca/P ratio was significantly different between sound dentin and demineralizing dentin. From the results we conclude that the mineral content of intertubular dentin of the translucent zone and demineralizing dentin is different from that of sound dentin, and the unique mineralization pattern of the translucent zone is a biological reaction to the carious attack. Because active dentin lesions exhibit many non-occluded open dentin tubules, further bacterial invasion or, in case of dentin treatment, the penetration of bonding agents towards the pulp is morphologically not prevented and therefore of clinical importance.

Dental Caries↗

PubMed2005

Elemental distributions and microtensile bond strength of the adhesive interface to normal and caries-affected dentin.

The aim of this study was to evaluate the microtensile bond strength (microTBS) and the elemental contents of the adhesive interface created to normal versus caries-affected dentin. Extracted human molars with coronal carious lesions were used in this study. A self-etching primer/adhesive system (Clearfil Protect Bond) was applied to flat dentin surfaces with normal and caries-affected dentin according to the manufacturer's instructions. After 24 h water storage, the bonded specimens were cross-sectioned and subjected to a microTBS test and electron probe microanalysis for the elemental distributions [calcium (Ca), phosphorus (P), magnesium (Mg), and nitrogen (N)] of the resin-dentin interface after gold sputter-coating. The microTBS to caries-affected dentin was lower than that of normal dentin. The demineralized zone of the caries-affected dentin-resin interface was thicker than that of normal dentin (approximately 3 microm thick in normal dentin; 8 microm thick in caries-affected dentin), and Ca and P in both types of dentin gradually increased from the interface to the underlying dentin. The caries-affected dentin had lost most of its Mg content. The distributions of the minerals, Ca, P, and Mg, at the adhesive interface to caries-affected dentin were different from normal dentin. Moreover, a N peak, which was considered to be the collagen-rich zone resulting from incomplete resin infiltration of exposed collagen, was observed to be thicker within the demineralized zone of caries-affected dentin compared with normal dentin.

Dental Caries↗

PubMed2005

Microtensile bond strength of a total-etching versus self-etching adhesive to caries-affected and intact dentin in primary teeth.

BACKGROUND: The objec tives of this study were to determine microtensile bond strengths of two dentin adhesives and to compare the micromorphological structure of the resin/dentin interface in caries-affected dentin with that of intact dentin. METHODS: The authors randomly divided 40 proximal dentinal carious primary teeth and 40 noncarious anterior primary teeth into two groups (self-etching and total-etching). They used a caries-detecting dye as an indicator of the need to remove the outer carious dentin. The authors restored the teeth with a hybrid resin-based composite. After 24 hours' storage in 37 C water, specimens were sectioned and shaped to form a curved section with a cross-sectional area of 1 square millimeter, then tension was applied until they fractured. The authors prepared the resin/dentin interfaces for the two bonding systems and examined them in 10 occlusal carious and 10 noncarious teeth. STATISTICAL ANALYSIS: The bond strengths for intact and caries-affected dentin within the same group were analyzed via a t test. The authors compared the remaining dentin thickness (RDT) and dentin hardness using analysis of variance and the least significant difference test at the .05 level of significance. RESULTS: The self-etching adhesive demonstrated no statistical difference in bond strength between intact and caries-affected dentin. However, the total-etching adhesive demonstrated different bond strengths for intact and caries-affected dentin. Moreover, the RDT of specimens with intact and caries-affected dentin was not significantly different, whereas the dentin hardness of caries-affected dentin was significantly lower than that of intact dentin. The authors found a thicker hybrid layer in intact and caries-affected dentin of specimens in the total-etching group. CONCLUSION: The adhesives exhibited significantly different bond strengths in intact dentin of primary teeth. However, they exhibited similar bond strengths in caries-affected dentin.

Acid Etching, Dental↗

PubMed2002

Dentin morphology and permeability after brushing with different toothpastes in the presence and absence of smear layer.

BACKGROUND: The purpose of this study was to evaluate the morphology and permeability of dentin after brushing with different toothpastes in the presence and absence of smear layers. METHODS: Dentin discs were prepared from extracted third molars. Dentin permeability was measured using a hydraulic pressure apparatus working at 70 cm H2O pressure. Dentin was treated with 0.5 M EDTA for 5 minutes and washed to remove a smear layer and to establish the maximum permeability of each dentin disc, which was expressed as 100%. A new smear layer was then created on the upper surface using a #400 carbide paper under water for 30 seconds. Dentin permeability of the smear layer-covered dentin was measured and expressed as a percentage of the maximum permeability of that specimen, permitting each specimen to serve as its own control. Each sample was then brushed by a mechanical device under water for 3 minutes with constant pressure of 250 g using a medium toothbrush and permeability remeasured. Finally, 1 of 5 different toothpastes was applied on the dentin and brushed for 3 minutes. In another group, the same procedures were performed with the exception of the smear layer production, so it was possible to calculate changes in the permeability of dentin with open tubules following brushing. Scanning electron microscopic (SEM) examination of dentin was obtained before and after treatments with brushing and toothpastes. RESULTS: Dentin permeability was reduced by brushing procedures when the smear layer was absent, but it was increased when the smear layer was present. Toothpaste application reduced dentin permeability when no smear layer was present on the top of the surface, but modified and increased permeability of samples with smear layers. SEM observations demonstrated the presence of dentifrice particles on dentin surfaces and inside dentinal tubules, and this may be responsible for the observed reductions in permeability. Smear plugs produced during dentin brushing were not removed by the dentifrices. CONCLUSIONS: Dentin permeability and morphology are significantly affected by toothbrushing and by the type of dentifrice used. The presence of smear plugs in the dentin may decrease severity.

Adult↗

PubMed2006

Age-related changes in hardness and modulus of elasticity of dentine.

OBJECTIVES: Little knowledge has been clarified about the relationship between the morphological and physical changes of dentine during aging. The purpose of this study was to clarify the modulus of elasticity and hardness related to the morphological changes of dentine by aging using a transmitted light microscope (TLM) and a nano-hardness tester (NHT). METHODS: Aged human molars and young third molars were used. The dentine morphology was observed under a TLM. The hardness and Young's modulus of elasticity related to the morphologic study were evaluated with an NHT. RESULTS: The thickness of mantle dentine and globular dentine of aged teeth were less than that of young teeth. Transparent dentine was observed only underneath the attrition of young teeth. Reactionary tertiary dentine formed and a "dark zone" was found at the junction between physiologic secondary and reactionary dentine only in aged teeth. At the mantle dentine, hardness and modulus of elasticity of aged dentine were higher than those of young dentine. The reactionary dentine in aged teeth and newly developed secondary dentine in young teeth demonstrated lower modulus of elasticity and hardness than those of other circumpulpal dentine. Relatively low modulus of elasticity and hardness were observed at the zone between secondary and reactionary dentine. CONCLUSIONS: Changes in dentine due to aging resulted in transformation of morphological features causing changes to their hardness and modulus of elasticity at the explicit areas such as the increase of hardness and modulus of elasticity at mantle dentin and the reduction of these properties at the "dark zone" that found in aged teeth.

Adolescent↗

PubMed1999

An ultra-morphological characterization of collagen-depleted etched dentin.

PURPOSE: To evaluate the ultramorphology of superficial and deep dentin after etching with 35% phosphoric acid (H3PO4) and after etching with 35% H3PO4 followed by deproteinization with 5% sodium hypochlorite (NaOCl). MATERIALS AND METHODS: Two dentin disks (superficial and deep dentin) were obtained from each of 10 extracted human third molars by slow-speed sectioning. Dentin was polished with wet 600-grit SiC abrasive paper for 1 min to provide smooth surfaces. The occlusal surface of each disk was etched with 35% H3PO4 for 15 s and thoroughly rinsed. The specimens were kept moist and analyzed using Atomic Force Microscopy (AFM). Half of the specimens were deproteinized by rubbing with 5% NaOCl for 2 min, followed by a 30 s rinse with deionized water. After AFM analysis of the deproteinized specimens, all disks were fixed in a solution of glutaraldehyde and paraformaldehyde, dehydrated in ethanol and dried in hexamethyldisilazane. The dentin disks were then mounted on aluminum stubs for field-emission scanning electron microscope (FESEM) observation. RESULTS: The surface of etched dentin displayed a granular layer of silica, which did not reach the peritubular collagen area. The silica was more uniformly distributed in superficial dentin than in deep dentin. In spite of the silica deposition, the intertubular porosity remained unobstructed when observed at high magnification. Under a lateral view, intertubular dentin was demineralized to a depth of 2.0 to 2.5 microns for superficial dentin, and 2.5 to 3.0 microns for deep dentin. Deproteinization with 5% NaOCl removed the exposed collagen both for superficial and deep dentin. The number of open tubules was greater for deep dentin. Deproteinization of superficial dentin revealed an extensive labyrinth of lateral secondary tubules and anastomoses, which opened on the intertubular region and on the peritubular area close to the surface. This phenomenon decreased the area of exposed intertubular dentin as compared to etched specimens. In deproteinized deep dentin, the lateral anastomotic tubules were not consistently observed on the intertubular area, but were easily depicted on the peritubular area.

Acid Etching, Dental↗

PubMed2002

Changes in dentin after insertion of self-threading titanium pins with 3 methods: a scanning electron microscope pilot study.

STATEMENT OF PROBLEM: Inserting a self-threading pin can cause dentinal cracks, but it is not known whether dentin bonding agents can penetrate these cracks. PURPOSE: Part I of this in vitro pilot study was conducted to document the presence of dentinal cracks after the placement of self-threading pins with 3 methods. Part II was conducted to observe changes in dentin when a dentin bonding agent was applied before insertion of the self-threading pins. MATERIAL AND METHODS: The crowns of 14 noncarious third molars were sectioned horizontally 2 mm above the cemento-enamel junction, and the occlusal portions were discarded. The teeth were put into a nontransparent bag and divided randomly into 2 groups. Group 1 consisted of 12 teeth. In each tooth, 4 pinholes were prepared with a handpiece at normal rotation speed (30,000 rpm). Self-threading pins were placed into 3 of the pinholes in each tooth: 1 manually, 1 by handpiece at 7000 rpm, and 1 by handpiece at 30,000 rpm. The fourth pinhole was left empty and served as the control. All group 1 teeth were sectioned vertically through the pins, dental hard tissue, and control pin holes. The examination surface of each specimen in group 1 was polished, and the smear layer was removed with Calcinase and NaOCl solutions. After dehydration in ascending grades of alcohol, specimens were coated with a 10- to 15-nm-thick layer of gold and examined with a scanning electron microscope. In the remaining 2 teeth (group 2), a dentin bonding agent was introduced into the pinholes prior to pin placement. Two pins were placed manually and 2 by handpiece at 30,000 rpm. After pin placement, sectioning, cleaning, and dehydration, the specimens were examined with a scanning electron microscope, and x-ray mapping was performed to determine the presence of titanium, silicon, and calcium. RESULTS: Craze lines in dentin were associated with 54.5% of pins placed manually and 54.5% of pins placed with a handpiece at reduced speed (7000 rpm). Dentinal cracks were associated with 50% of pins placed with a handpiece at standard speed and with 16.7% of the control pinholes. X-ray mapping analysis revealed the presence of the dentin bonding agent between the pin and dentin wall. The dentin bonding agent was not found in the dentinal cracks except at the crack orifice. SUMMARY: Within the limitations of this pilot study, the method of pin insertion had no direct bearing on the presence of dentinal cracks. The dentin bonding agent tested did not fill the entire space of dentinal cracks but did occlude their orifices and fill the spaces between pin surface and dentin walls in the pin preparation.

Cracked Tooth Syndrome↗

PubMed2003

Permeability and morphology of dentin after erosion induced by acidic drinks.

BACKGROUND: The aims of this study were to evaluate 1) the alterations of dentin permeability after single exposure of dentin to several acidic soft drinks with different acid composition; 2) the effectiveness of smear layer on dentin surface to prevent erosion of sound dentin; and 3) the role of brushing procedures. METHODS: Dentin discs from human third molars were prepared. Each disc was treated with 0.5 M neutral EDTA for 5 minutes to remove the smear layer and to calculate the maximum fluid flow rate for each disc (to which an arbitrary value of 100% was assigned) using a pressure apparatus working at 1.0 psi. An homogeneous thin smear layer was then recreated with an abrasive paper under water. The following acidic drinks were applied for 5 minutes onto dentin surface: cola drink (phosphoric acid), orange fruit juice (ascorbic + citric acid), white wine (tartaric acid), vinegar (acetic acid), and mucolytic syrup (benzoic and tartaric acid). Each sample was then brushed for 3 minutes. Finally, each sample was brushed with a toothpaste and, as the final step, etched with phosphoric acid for 1 minute. Permeability was measured after each step. RESULTS: All acidic drinks were able to statistically increase dentin permeability and to open dentinal tubules by removing the smear layer. CONCLUSIONS: The study demonstrated that acidic drinks increased dentin permeability by removing and dissolving the smear layer and smear plugs. The erosion of peritubular dentin and smear plug removal is the main agent responsible for the increase in dentin permeability and probably for clinical dentin hypersensitivity. Brushing procedures reduced dentin permeability, creating a new fine and thin smear layer. Toothpaste may play a protective role in preventing complete smear layer removal and reducing dentin hypersensitivity by producing a new artificial smear layer and deposit inside tubules. The use and the abuse of acidic drinks may damage dentin and increase the risk for dentin hypersensitivity.

Acids↗

PubMedDate not supplied

Bonding efficacy of single-step self-etch systems to sound primary and permanent tooth dentin.

Currently, there is little information regarding the bonding efficacy of single-step self-etch systems to primary tooth dentin. This study examined the microtensile bond strength of single-step self-etch systems (Clearfil tri-S Bond and One-Up Bond F Plus) to sound primary and permanent tooth dentin. Adhesives were applied to flat samples of primary and permanent tooth dentin, and resin composites were bonded according to the manufacturers' instructions. After 24 hours of storage in distilled water at 37 degrees C, hour glass-shaped specimens were produced. They were subjected to microtensile testing at a crosshead speed of 1.0 mm/minute. The results were analyzed using 2-way analysis of variance (ANOVA) followed by the Tukey HSD post-hoc test (alpha=0.05). Field-emission scanning electron microscopy (FE-SEM) observations of the adhesive-treated dentin surfaces and the resin/dentin interface were also conducted. The bond strengths of primary tooth dentin were significantly lower than that of permanent tooth dentin for both self-etch systems: 44.7 +/- 10.4 versus 54.3 +/- 9.0 MPa for Clearfil tri-S Bond and 40.6 +/- 9.9 versus 50.0 +/- 8.7 MPa for One-Up Bond F Plus (p<0.001). There was no statistically significant interaction between the type of adhesive system and the dentin substrate (p=0.957). Although there was no statistically significant difference in the mean values among the different adhesive systems (p=0.094), there was a statistically significant difference in mean values among the different dentin substrates (p<0.001), which were lower for primary tooth dentin than for permanent tooth dentin. The failure modes were also independent of the type of dentin but dependent on the adhesive systems, an equal distribution among the 3 types of failure for Clearfil tri-S Bond and cohesive failures in adhesives for One-Up Bond F Plus. FE-SEM observations of dentin to which adhesive had been applied revealed that the smear layer had been removed and the collagen fibers exposed. Though the bond strengths to primary tooth dentin were lower than to permanent tooth dentin, excellent adaptation of the single-step self-etch systems to both dentin substrates was observed by FE-SEM. Further studies are required to determine the long-term clinical performance of these adhesive systems when applied to primary tooth dentin.

Adhesives↗

PubMed2003

Micro-shear bond strengths of adhesive resins to coronal dentin versus the floor of the pulp chamber.

PURPOSE: To evaluate the micro-shear bond strengths to superficial coronal dentin and the floor of the pulp chamber using two dentin bonding systems and to compare the ultrastructure of the resin-dentin interface of the two regions. METHODS: 30 non-carious molars were used to obtain 2 mm thick slabs of coronal dentin and dentin at the pulp chamber. The specimens in each region were divided into three sub-groups to be bonded as follows; Clearfil SE Bond was used according to the manufacturer's instructions, Single Bond was applied to either wet dentin (Blot dry Group) or air-dried dentin (Dry Group) after phosphoric acid etching. A resin composite cylinder 0.5 mm high and 0.75 mm in diameter formed using a vinyl tube was bonded to the dentin. Specimens were stored at 37 degrees C for 24 hours in water and then stressed in shear at a crosshead speed of 1 mm/minute. The data were analyzed with one-way ANOVA and Fisher's PLSD test at the 5% level of significance. In addition, the ultrastructure of cross-sectioned dentin surfaces, the conditioned dentin surface and the resin dentin interfaces were observed by SEM. RESULTS: The bond strengths of Clearfil SE Bond and the Single Bond Blot dry group were approximately 40 MPa in coronal dentin and 30 MPa in the dentin at the floor of the pulp chamber respectively. However, the bond strengths of Single Bond were significantly lower in the Dry condition (MPa) (P < 0.05). SEM observations revealed the thickness of the hybrid layer created by Clearfil SE Bond in coronal dentin and at the floor of the pulp chamber were less than 1.0 microm thick. For Single Bond, a 3-4 microm hybrid layer was created in coronal dentin, while a thinner hybrid layer was observed in the floor of the pulp chamber. Morphological and structural variations in dentin may have influenced the bond strengths of the bonding systems to the floor of the pulp chamber.

Acid Etching, Dental↗

PubMed1997

Development of interglobular dentine in rat molars and its relation to maturation of enamel.

The development of interglobular dentine in the first upper and lower molars of Wistar rats aged 3, 7, 14, 21, 42 days was examined histochemically using a lectin, succinyl wheat germ agglutinin (sWGA), which is specific for N-acetyl-D-glucosamine. sWGA stained the interglobular dentine, predentin and Golgi area of odontoblasts. Interglobular dentine was not formed in the first molars of 3-day rats, but appeared in those of 7-day rats near the enamel-free area. In 14-day rats, interglobular dentine was present in most areas of the coronal dentine except the cervical area. At the interface between dentine and predentin, numerous sWGA-negative calcospherites were seen, suggesting that the interglobular dentine is formed actively there. In 21-day rats, the interlobular dentine was more numerous than in 14-day rats. Interglobular dentine was present in the cervical root dentine as well as in the coronal dentine, including the cervical area. The distribution of interglobular dentine in 42-day rats was similar to that in 21-day rats, but fluorescence of sWGA binding was less intense in the former. Because the development of interglobular dentine appeared to be time and position specific its relation to the stages of ameloblasts was analysed. Thin enamel matrix was formed at cusps in molars of 3-day rats and thickness of enamel matrix increased in 7-day rats. In these teeth, the ameloblasts were at the differentiating or secretory stage. The Golgi area and Tomes' processes of the secretory ameloblasts, the cells of intermediate layer and the enamel matrix were weakly positive with sWGA. The epithelial cells at the enamel-free area were also stained with sWGA. In 14-day rats, most of the ameloblasts in the first maxillary molars were at the maturative stage except in the cervical area, where the ameloblasts were at the transitional stage. sWGA stained the distal border and the Golgi area of the maturative ameloblasts as well as the cells of the papillary layer. The distal border of the maturative ameloblasts appeared either thick or thin, suggesting a ruffle-end and smooth-end of the cells. Ameloblasts were absent in the first molars of 21-day rats and the cervical part of the enamel was covered with the stratified epithelium like that of 42-day rats. The present study has demonstrated that interglobular dentine contains sWGA-binding glycoconjugates and the formation of the interglobular dentine is largely associated with the enamel maturation. These results suggest that matrix-to-cell interaction is important for the development of interglobular dentine.

Acetylglucosamine↗

PubMed1991

Early healing events at the dentin-connective tissue interface. Light and transmission electron microscopy observations.

The objective of these studies was to follow early healing at the dentin-connective tissue interface. Small dentin blocks were surgically implanted in bone cavities under mucoperiosteal flaps in the edentulous alveolar ridges of five beagle dogs at various times. In two separate experiments, wound maturation on native dentin surfaces and on citric acid or heparin conditioned dentin surfaces was observed. Block specimens including bone, dentin, and surrounding soft tissues were obtained at 10 minutes, 1 and 6 hours, and 1, 3, and 7 days after flap closure and prepared for light and transmission electron microscopic examination of the interface. The very initial attachment to native dentin was mediated by a granular precipitate. At 1 and 6 hours, the intercellular matrix was more organized with fibrin formation around red blood cell aggregates and at the dentin surface. Polymorphonuclear leukocytes were observed throughout the interface. Red blood cells were undergoing degradation at day 1 and polymorphonuclear cells were prevalent at the dentin surface. The 3-day observation interval was characterized by further maturation of the fibrin clot. Macrophages were observed near the dentin surface and fibroblasts could be identified. The 7-day specimens exhibited areas of cell rich connective tissue attachment without inflammatory cells as well as areas showing the fibrin clot in various stages of decomposition. These observations suggest that connective tissue attachment to dentin surfaces is mediated by adsorption of plasma proteins to the surface and subsequent development and maturation of a fibrin clot. The sequence of healing events at dentin surfaces conditioned with citric acid or heparin was largely similar to healing at native dentin surfaces. However, at day 1 and later time points, clot adhesion to heparin-conditioned dentin appeared compromised, whereas the fibrin clot seemed to adhere to citric acid-conditioned dentin at all observation periods. These observations indicate that in the absence of mechanical trauma, epithelial proliferation, and infection, wound maturation at the dentin-connective tissue interface may not necessarily be affected by treatments that either enhance or inhibit clot adhesion to the dentin surface.

Alveolectomy↗

PubMed1991

Dentin permeability and restorative dentistry: a status report for the American Journal of Dentistry.

Most dental materials permit of microleakage because oral fluids and bacteria commonly gain access to dentin surfaces. Dentin is permeable and allows the bidirectional movement of materials from the oral cavity, across dentin to the pulp and vice versa. The pupal irritation associated with microleakage is often dictated by the permeability of dentin. Thick dentin covered with a smear layer is a better barrier than thin dentin with the smear layer removed, while coronal dentin is more permeable than root dentin. Carious dentin is less permeable than normal dentin, but freshly cut dentin is more permeable than previously prepared dentin. This is partly due to the movement of large plasma proteins from the pulpal blood vessels into dentin. The pulpal circulation contributes to the health of the pulp by supplying nutrients and by removing toxic material that diffuses across dentin via the microcirculation. Thus, there is a delicate balance involving the rate bacterial products diffuse around microgaps between restorative materials and dentin, the rate these materials permeate across dentin and the rate they are removed during pulpal circulation.

Dental Leakage↗

PubMed1996

[The effect of Kaviner and the smear layer on dentin permeability of permanent teeth in children].

The dentin permeability is defined as a moving of fluid, of chemical substances and microbial products as well through the dentin. The clinical protection of children permanent teeth in other words the protection of pulp-dentin complex after their preparation makes a big problem into the restorative stomatology. Caviner is one of the newer means which is used in the protection of pulp-dentin complex which represents the components of powder dispersing within the ethyl-acetate mixture of polystirol. The important variable in this study is the presence or absence of smearing layer which has the important influence onto the dentin permeability. In order to confirm the Caviner and smearing layer working onto the dentin permeability of the children permanent teeth in vitro experiment was designed. We used for it the dentin disks made of the intact first premolar, extracted because of orthodontic reasons at the ten years old children. They were put into the split chamber which represents a part of apparatus made at our Faculty, which is, in fact, a modified apparatus which was formed by prof. D.H. Pashley (Georgia, USA), and it is used for measuring of dentin permeability with the help of hydraulic conductance (Lp) of dentin. The dentin permeability is expressed by the hydraulic conductance term, but the measures are still expressed as the Lp percentage maximum because of better survey of results. Comparing the obtained results with the other authors results we have come to the similar conclusions, and that is in fact, that the smearing layer significantly reduces the dentin permeability, and that the Caviner, as the other layners, reduces the dentin permeability. If we compare the reduction of dentin permeability at the dentin covered with the smearing layer and with the Caviner, it has been noticed that the smearing layer reduces more significantly. It should be accented that the Caviner reduces the dentin permeability less than the most earlier researched means for the protection of pulp-dentin complex.

Acetates↗