Compressive strength of two calcium hydroxide bases.
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Dental care providers wear gloves for all clinical procedures. This study was designed to assess the intactness of examination gloves after exposure to commonly used agents. Finger portions from latex and vinyl examination gloves were sealed to syringe barrels and exposed to alcohol, eugenol, a surface disinfectant, cavity varnish, or commercial mouth wash. Tritiated water was introduced into the finger-tip portion, which was suspended in a vacuum flask containing distilled water. Aliquots of water were withdrawn from the flask at intervals of 5 minutes to 8 hours and analyzed for transfer of radioactivity through the glove tip. Treatment with agents such as eugenol and cavity varnish resulted in significant leakage after 5 to 15 minutes. Although some agents apparently quickly damaged the gloves, leaks developed in untreated gloves with time. Results suggest that visibly intact gloves may have developed microleaks and that changing gloves during long clinical procedures may be indicated.
Microleakage at the gingival margins is a major problem with class II posterior composite restorations. Gingival margins of class II restorations with a glass-ionomer cement liner were evaluated for in vitro microleakage. At the end of 1 year less microleakage occurred at the gingival margin of class II restorations when a glass-ionomer cement was used as a liner.
This study investigated the sealing properties of chemical and light-cured basing materials in dentin. Fifty extracted molars were selected and cleaned. Slot preparations with standard dimensions were made. The prepared cavities were filled with Cavitec, Life, Ketac-Bond, VLC Dycal, and Cavalite materials. Samples were immersed in 0.05% crystal violet solution for 2 hours. The samples were then embedded in clear casting resin, sectioned, and examined with a microscope. Results indicated that Cavalite and Ketac-Bond materials allow a greater degree of dye penetration that the three other materials. Cavitec, VLC Dycal, and Life materials were similar to each other in degree of dye penetration.
Eighty class I and class II light-cured posterior composite resin restorations were compared with 43 class I and class II amalgam restorations during a 5-year period after placement. The results of this clinical study showed that both materials were satisfactory during the time period and that the only significant statistical differences are a poorer marginal integrity for the amalgam and a greater wear rate for the composite resin.
Preparative treatment is the preferred method to protect the dentin and pulp from complications in composite resin therapy. This study investigated the in vivo effects of the polycarboxylate cement containing zinc fluoride and tannic acid in composite resin restorations. Scanning electron micrographs established that the composite resin failed to contact the axial wall. The gaps varied from 10 to 60 microns. However, this polycarboxylate cement was shown to provide excellent adaptation to dentin when used as a base and its chemical adhesion allowed it to make close contact with the unetched dentin. The newly developed electron probe x-ray microanalyzer revealed that the in vivo penetration of fluoride and zinc occurred through the dentinal tubules. When this polycarboxylate cement was used, the orifices of dentinal tubules were partially occluded, possibly with the smear layer fixed by tannic acid. In addition, by releasing the components, this polycarboxylate cement adds acid resistance to dentin and increases the resistance of dentin collagen to proteolytic enzymes. As such this polycarboxylate cement offers advantages as a base to composite resin therapy.
The retention of temporary crowns was studied with the use of a fluoride varnish (Duraphat) combined with various temporary cements. The mixture of Duraphat varnish and cement improved retention, with the exception of Opotow cement. Applying Duraphat varnish to the tooth surface before cementation enhanced the retentive strength of Tempbond, weakened the retention of Freegenol, but had no effect on Opotow cement. A "transfer effect" was observed, inasmuch as the Duraphat varnish encouraged adherence of the cement to the tooth structure rather than to the temporary crown.
This study evaluated the clinical performance of a visible light-cured small particle bimodally filled hybrid condensable composite resin system that included a dentin bonding agent compared with an amalgam alloy in class II restorations of permanent teeth. A total of 108 restorations were placed in 34 patients. Fifty-three composite resin and 55 amalgam restorations were inserted. Each restoration was evaluated immediately after placement and then on an annual basis for a 3-year period using the Public Health Service (PHS) criteria. In addition, the Moffa-Lugassy scale was used to measure the loss of material on the occlusal surface of these materials. One hundred percent of the resin and amalgam restorations were evaluated, measured, and reasons for replacement were recorded over the 3-year period. There was no significant difference (p greater than 0.05) in the clinical performance of the composite resin and the amalgam when evaluated by the PHS criteria. Analyses of wear at each of the three annual recall periods did not reveal any significant difference (p greater than 0.05) between the two restorative materials when measured by the Moffa-Lugassy scale.
This study investigated the sealing properties of various combinations of base materials. Three chemically cured and three light-activated base materials were combinationally used to make 15 sample groups. The samples were thermocycled and immersed in 0.05% crystal violet solution for 1 hour. They were then embedded in clear casting resin, sectioned, and photographed. The interfaces of the samples were digitized. The ratio of the total interface length to the penetration of leakage was calculated and compared. The results indicated that the combination of Cavalite and VLC Dycal materials had the least microleakage and was significantly different from the other 14 groups.
Although the use of cavity varnishes with composite resins has traditionally been discouraged, several "resin-compatible" varnishes are currently available. This in vitro study evaluated the effects of resin-compatible cavity varnishes on a hybrid composite resin. The results of the study indicate that these varnishes soften the composite resin in contact with varnished dentin.
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