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At least 577 records · Page 32Linked to original sources
PubMed2001

Efficacy of dentin bonding to cervical defects.

The bonding efficacy of sclerotic dentin was determined by measuring the polymerization contraction gap width of a commercial light-activated resin composite in a cervical defect and by measuring the micro-Vicker's hardness at the dentin adhesive surface; morphological characteristics were observed using a scanning electron microscope in extracted human incisors and premolars. Contraction gap formation was completely prevented when the cavity wall was primed with 35 vol% glyceryl mono-methacrylate solution after 0.5 mol/L EDTA conditioning. The contraction gap width was significantly decreased when the resin composite was filled into the sclerotic dentin cavity even when priming was omitted. These results suggest that the sclerotic dentin, which is frequently observed in cervical defects, should be preserved as a substrate because it exhibits an effect of dentin priming and is suitable for bonding.

Acid Etching, Dental↗
PubMed2003

Evaluation of adhesive defects using an ultrasonic pulse-reflection technique.

The purpose of this study was to examine the application of an ultrasonic pulse-reflection technique for the evaluation of adhesive defects. First, the sonic velocities in the enamel and dentin of human molars and bovine incisors were measured with a pulsar receiver attached to an ultrasonic transducer. The identification of the dentino-enamel junction and pulp-dentin interface using the ultrasonic method based on intrinsic sonic velocities showed good agreement with the actual measured thicknesses. Next, a cemented restoration with artificial faults was prepared. Half of the Au-Ag-Pd alloy plate area was cemented to the dentin slab using luting resin cement. The adhesive interface was evaluated with a high-resolution ultrasonic imaging system. Clear internal faults were evident from the ultrasonic tomogram. The findings of this study suggest that the ultrasonic pulse-reflection technique may be useful for inspecting and imaging structural defects of adhesive interfaces.

Animals↗
PubMed2005

Pulpal response to a hybrid composite resin inlay bonded with a newly developed resin-modified glass ionomer luting cement.

This study evaluated the pulpal response of hybrid composite resin inlay luted with a resin-modified glass ionomer cement, and compared it with a glass ionomer cement and an amalgam. Cervical cavities were prepared in monkey teeth. A resin-modified glass ionomer luting cement (Ionotite F, Tokuyama Dental Corp.) was applied to the teeth in one of the experimental groups, and then hybrid composite resin inlays (Estenia, Kuraray Medical Inc.) were bonded to the cavities. The teeth were extracted after 3, 30, and 90 days and stained with Hematoxylin and Eosin staining or Brown and Brenn gram stain for bacterial observation. No serious inflammatory reaction of the pulp, such as necrosis or abscess formation, was observed in any of the experimental groups. No bacterial penetration along the cavity walls was detected in the resin-modified glass ionomer luting cement group. Hence, the resin-modified glass ionomer luting cement showed an acceptable biological compatibility with monkey pulp.

Analysis of Variance↗
PubMed2005

Regional bond strength of four self-etching primer/adhesive systems to root canal dentin.

The purpose of this study was to evaluate the regional bond strength of a dual-cure resin core material to root canal dentin using four self-etching primer/adhesive systems. Post spaces were prepared in extracted premolars, and their root canal dentin was treated with one of the following self-etching primer/adhesive systems: ED Primer II and Clearfil Photobond, photo-cure/dual-cure systems of Clearfil Liner Bond 2V, or Clearfil SE Bond. Post spaces were filled with the dual-cure resin core material, and microtensile bond strength (microTBS) at the coronal and apical regions was measured after 24-hour storage. There were no regional differences in microTBS of the photo-cure and dual-cure systems of Clearfil Liner Bond 2V, while microTBS at the coronal region of Photobond and SE Bond groups were higher than those at the apical region. At the apical region, photo-cured Clearfil Liner Bond 2V exhibited significantly higher bond strength than those of the other systems.

Adolescent↗
PubMed1997

Clinical evaluation of hybrid ionomer restoratives in Class V abrasion lesions: two-year results.

Eighty Class V abrasion cavities were selected, and 20 cavities were restored with one of three resin-modified glass-ionomer materials (Fuji II LC, Photac-Fil, and Vitremer) or a polyacid-modified resin composite (Dyract). The restorations were clinically evaluated after 1 and 2 years with the US Public Health Service criteria. The results revealed a statistically significant difference in the percentage of restorations rated Alfa for color match at 2 years. No statistically significant difference was found in the percentage of alfa rating for anatomic form. Restorations of all materials showed some marginal discrepancies that were not statistically significant.

Compomers↗
PubMedDate not supplied

Two-year clinical performance of a resin-modified glass-ionomer restorative material.

This study was a 2-year clinical evaluation of a conventional and a resin-modified glass-ionomer restorative material. Thirty-four restorations each of Ketac-Fil and Photac-Fil were placed without tooth preparation in cervical abrasion/abfraction lesions, primarily in premolar teeth. Patients ranged in age from 30 to 73 years, with a median age of 45 years. Isolation for the restorations was accomplished with cotton rolls. Restorations of both materials were retained at the rate of 93%, and both were comparable in appearance, receiving Alfa ratings for more than 85% of the restorations. One occurrence of secondary caries was observed for each material. No significant difference between the materials was observed for any evaluation category (exact binomial test, P > 0.05).

Adult↗
PubMed1999

Treatment of invasive cervical resorption: an analysis of results using topical application of trichloracetic acid, curettage, and restoration.

OBJECTIVE: The purpose of this study was to carry out a clinical evaluation of the treatment of invasive cervical resorption. METHOD AND MATERIALS: Topical application of a 90% aqueous solution of trichloracetic acid, curettage, nonsurgical root canal treatment where necessary, and restoration with glass-ionomer cement were performed on 94 patients with a total of 101 affected teeth. A minimum of 3 years' follow-up was required, unless failure occurred before that time, in which case that treatment was included. Teeth were divided into four classes, depending on the extent of the resorptive process. Class 1 represented the least invasive resorptive lesion, near the cervical area with shallow penetration into dentin, while class 4 represented the most invasive resorptive process, which had extended beyond the coronal third of the root. RESULTS: In all class 1 and class 2 cases, the results showed complete success, judged by an absence of resorption or signs of periapical or periodontal pathosis. When overall success was judged by absence of resorption and periapical or periradicular pathosis, the success rate in class 3 lesions was 77.8%. Only 12.5% of teeth in class 4 were free of resorption and deemed to be clinically sound. CONCLUSION: The treatment regimen was successful in class 1 and class 2 cases, reasonably successful in class 3 cases, and generally unsuccessful in class 4 resorptions, where alternative treatment is recommended. Diagnosis of lesions at an early stage is, therefore, highly desirable.

Administration, Topical↗
PubMedDate not supplied

Effect of dentin primer application on regional bond strength to cervical wedge-shaped cavity walls.

The purpose of this study was to examine the effect of multiple applications of self-etching primer on regional tensile bond strength (microTBS) to artificial wedge-shaped cavities (i.e., occlusal vs gingival wall). Eighteen extracted noncarious human molars were used to measure microTBS, and four additional teeth were used for scanning electron microscopy (SEM) of the interface. Wedge-shaped defects were prepared in the buccal cervical dentin. The teeth were mounted on their distal surface, simulating the supine position of the teeth during dental treatment. The teeth were divided into two groups according to the bonding systems [Clearfil Liner Bond II (LB) or Imperva Fluoro Bond (FB)], and again divided into two subgroups for bonding. One group (Group S) was treated once with the primer according to the manufacturer's instructions. For the other group (Group M), the primer was applied several times for the period recommended by the manufacturer. The adhesive bonding resins were then applied to the cavity walls, and restored with a low-viscosity resin composite (Protect Liner F), and stored in 37 degrees C water for 24 hours. The resin-bonded teeth were serially sliced parallel to the long axis of the tooth. The adhesive interface of each slice was trimmed alternately at the occlusal or gingival wall, and a microtensile testing method was used to compare resin bond strength to each wall. With both adhesive systems and primer application methods, tensile bond strength to the gingival wall was significantly lower than to the occlusal wall (P < 0.05). Tensile bond strength of LB to each cavity wall of a wedge-shaped defect increased significantly by multiple primer application (P < 0.05); however, bond strengths of FB were not significantly different after multiple primer applications.

Analysis of Variance↗
PubMedDate not supplied

CCTV study of cemental annulations in determining the age from single tooth.

Cementum in human tooth is a hard tissue in its root deposited around dentin in layers throughout the life. Microscopically each layer is seen as a set of alternating dark and light bands and called as Cemental Annulations. Intact teeth obtained from subjects of either sex and of known ages processed by ground sectioning manually and mounted on a glass slide. The cemental annulations were then counted by light microscope using CCTV Screen, at the junction of cervical with middle third of root. Age was then determined by adding the eruption age in years of tooth in study to the annulations counted. This was found to be matching with actual age almost to an accuracy of +/- 1-2 years.

Adult↗
PubMed1999

Influence of tissue characteristics at margins on leakage of Class II indirect porcelain restorations.

PURPOSE: To evaluate the sealing ability of Class II porcelain inlays with margins placed in cementum-dentin and enamel, luted by two new different cementing materials. MATERIALS AND METHODS: Thirty extracted molars, free from caries and restorations, were selected. The sample cavities were prepared in a standardized manner and then were divided in three groups (n = 10) at random. Group 1: The cervical margin was located 1 mm below the CEJ and the inlays were luted with EBS Multi (Espe) bonding system in combination with Compolute 1.0 Aplicap (CLA 1.0, Espe) experimental resin cement. Group 2: The cervical margin was placed 1 mm below the CEJ and Syntac bonding system (Vivadent) and Variolink II resin cement (Vivadent) were used. Group 3: The cervical margin was placed 0.5 mm above the CEJ and the same materials selected for Group 1 were used. IPS-Empress (Ivoclar) inlays were made following manufacturer's instructions. After luting procedures and 2500 thermal cycles (5 degrees and 55 degrees C), the samples were processed and evaluated for marginal leakage at cervical and occlusal site. Samples of Group 3 were first sectioned in the center of the restorations as in Group 1 and 2 and scored (Group 3A) and then two other cuts were made along the buccal and lingual areas (Group 3B) and also scored. After scoring dye penetration of Group 1 and 2 samples, half of the sections were randomly selected to evaluate: (1) resin cement thickness, (2) Hybrid layer formation at the interface between adhesive material and dental substrate and (3) to observe the morphology of the Class II cavity margins. The leakage data were statistically evaluated with the Mann-Whitney U test (P < 0.5). RESULTS: Statistically significant differences were found between Groups 3A and 3B at the occlusal site, and not at the cervical site. Samples of Group 1 showed a cement thickness of 92 microns, and 68 microns in Group 2. Hybrid layer and resin tag formation was evident in Group 1. In Group 2 samples, the hybrid layer formation was less evident and thinner than in Group 1. At cervical margins, an outer layer, not identifiable as sound dentin, of 200-300 microns thick, was noted. This layer was present in all three groups between outer margin and sound dentin. The margins located both cervically and axially in enamel mainly showed prisms cut along their long axis and a low level of structured etch pattern.

Aged↗
PubMed2000

Residual dentin thickness in mandibular premolars prepared with gates glidden and ParaPost drills.

STATEMENT OF PROBLEM: The main factor that determines the prognosis of restored pulpless teeth is preservation of sound dentin. PURPOSE: This study evaluated the residual dentinal thickness (RDT) of mandibular premolars after preparation of post space with Gates Glidden and ParaPost drills. MATERIAL AND METHODS: Twelve extracted single canal mandibular premolars were embedded in clear polyester resin to the cementoenamel junction (CEJ) in a muffle device. Three horizontal sections were made 1, 3, and 5 mm apical to the CEJ. Mesiodistal (MD) and faciolingual (FL) axes were carefully marked and the RDT was measured for each slice. Each tooth slice was reassembled in the muffle device with orientation pins, then secured with stabilizing pins. This procedure was repeated after enlarging the root canal to K-40 file and preparing the coronal root canal space with Gates Glidden drills and ParaPost drills Nos. 3, 4, and 5. RESULTS: Residual dentinal thickness in a MD direction was 3.77 +/- 0.51 mm in the unprepared upper slice and 2.23 +/- 0.31 mm in the No. 5 ParaPost drill prepared lower slice, for a difference of 41%. The corresponding values for the FL direction were 4.35 +/- 0.51 mm and 4.08 +/- 0.46 mm, respectively (6%). CONCLUSION: The average dentinal thickness 5 mm below the CEJ in the mesial and distal directions after post space preparation approached the accepted minimal 1 mm. A conservative approach to post space preparation was advocated.

Analysis of Variance↗
PubMed1999

1-year clinical evaluation of one-step in non-carious cervical lesions.

PURPOSE: To evaluate the 1-year clinical retention rate of restorations of non-carious cervical lesions placed using a "one-bottle" adhesive (One-Step) and one of two low modulus resin-based composite (RBC) restorative materials (AEliteflo or Bisco Glaze) or a microfilled RBC (Silux Plus). MATERIALS AND METHODS: 105 non-carious cervical lesions in 14 patients, mean age 60 years, were restored using either AEliteflo, Bisco Glaze or Silux Plus with One-Step dentin bonding agent. The dentin surface was lightly roughened with a fine diamond stone, cleaned with pumice and water and restored according to the manufacturers' instructions. Patients were recalled at 6 months and 1 year, and the restoration sites examined. RESULTS: At 6 months all restorations were present. At 1 year, five restorations were missing (two Silux, three AEliteflo), three of which were in one patient. A cumulative retention rate of 95% was recorded. A small number of restorations exhibited marginal discoloration, but this was believed to be due to excess RBC on unetched enamel.

Adult↗
PubMed2000

Microleakage study of flowable composite resin systems.

The purpose of this in vitro microleakage study was to evaluate four low-viscosity composite resin systems. Each resin system included the corresponding bonding agent for each respective flowable composite. A hybrid material was used as a control. A total of 75 noncarious, freshly extracted human teeth were prepared with a Class 5 occlusal preparation and a gingival preparation at the cementoenamel junction. The materials were inserted according to the manufacturers' recommendations using the single-component bonding agent for each system. Teeth were thermocycled 800 times between 5 degrees C and 55 degrees C with 30-second dwell times. The teeth were then coated with nail polish 1 mm short of the restoration, placed in a basic fuchsin dye for 24 hours, and sectioned with a diamond wheel. Enamel and dentin/cementum margins were analyzed for microleakage on a scale of 0 (no leakage) to 3 (axial wall). Results were evaluated with the Fisher's exact test. The results of the study indicate that there was no leakage at the enamel margin of any restorations. No statistically significant differences in microleakage were found in dentin/cementum margins among the samples in the experimental group or between the experimental group and control group. The results indicate flowable composites demonstrate resistance to microleakage in both enamel and cementum/dentin margins similar to TPH hybrid composite.

Cold Temperature↗
PubMed2000

Creeping attachment: autogenous graft vs dermal matrix allograft.

For many years, free autogenous grafts have been used as a method of gaining keratinized tissue around teeth with mucogingival problems. Creeping attachment using autogenous graft material has been actively studied. In addition, biocompatible, acellular connective-tissue material has recently been used as an alternative to free gingival grafts to increase the zone of keratinization. This report presents a patient with bilateral mucogingival defects in the canine and premolar areas. The patient received an autogenous graft on one side and a dermal matrix allograft on the contralateral side. Creeping attachments were measured and compared at 3 months and 12 months after surgery. After 12 months of healing, an average of 1.23 mm of creeping attachment was measured on the free gingival graft side and 0.96 mm of creeping attachment was measured with the dermal matrix allograft.

Adult↗
PubMedDate not supplied

Correlation between clinical scoring of secondary caries at crown margins and histologically assessed extent of the lesions.

PURPOSE: The aim of this study was to propose a new clinical diagnostic rating index for secondary caries lesions at crown margins and to correlate this index with histologic evaluations. MATERIALS AND METHODS: Based on criteria for the evaluation of root caries, a modification of secondary caries lesions at the crown margin (SC index) was applied; the lesion characteristics were described as SCO to SC4. A total of 16 crowned teeth exhibiting secondary caries were randomly selected. The teeth were rated and grouped according to their clinical SC grades (SC1 to SC4). After embedding in Technovit, the teeth were serially sectioned and histologic caries scores were given for each section. RESULTS: Fifty-two percent of the prepared margins were in cementum/dentin. Crown margins with no caries lesions were mainly found in teeth clinically rated as SC1 and exhibiting localized discolorations, whereas deep lesions were found histologically at teeth rated SC4. The nonparametric test according to Spearman's rank correlation coefficient (rho) confirmed a highly significant correlation between the clinical SC index and the histologic evaluation (rho = 0.87, 95% confidence interval = 0.67 to 0.96, P < 0.01). SC1 discolorations overestimate caries lesions, whereas SC2 and SC4 lesions are well correlated to the percentage of histologically evaluated caries extension into all sections of a tooth. Lesions rated SC3 demonstrated a high variability of caries penetration into the dentin. CONCLUSION: The depth of discolorations and circular lesions is clinically not well predictable. Clinical diagnosis for localized superficial caries and deep caries lesions at the crown margin correlated well with the histologic caries rating.

Adult↗
PubMedDate not supplied

Microleakage at the cervical margin of composite Class II cavities with different restorative techniques.

This study evaluated the microleakage at the cervical margins of Class II composite resin restorations restored with different techniques. Slot cavities were prepared on both proximals of 40 unerupted third molars with one cervical margin located above and the other below the cementoenamel junction. The prepared teeth were randomly assigned to four groups and restored using the following techniques: (I) 3-Sited, (II) Directed-Shrinkage, (III) Resin-Modified Glass-Ionomer Cement or a (IV) Flowable Composite as the gingival increment. All restorations were placed with the same bonding agent and composite resin. The difference among the groups was on the first increment and on its insertion and polymerization techniques. After restoration, the teeth were thermocycled and exposed to a dye. Results showed that all the techniques worked well for enamel, with almost no leakage. However, on cementum, all techniques demonstrated moderate to severe leakage.

Barium Compounds↗
PubMedDate not supplied

The effect of additional enamel etching and a flowable composite to the interfacial integrity of Class II adhesive composite restorations.

This in vitro study evaluated the interfacial integrity of Class II resin composite restorations. The influence of a flowable composite and additional enamel etching was also evaluated. Deep, saucer-shaped Class II cavities were prepared in the mesial and distal proximal surfaces of 25 extracted human molars and assigned to five treatment groups. The gingival margins were extended to approximately 1 mm above the CEJ in 40 cavities and below the CEJ in 10 cavities. The prepared cavities were then restored with a self-etching primer system (Clearfil Liner Bond II) and a hybrid resin composite (Clearfil AP-X), with and without a flowable composite (Protect Liner F) and additional enamel etching with 37% phosphoric acid gel (K-etchant). After finishing, polishing and thermocycling (4 and 60 degrees C, x300), the samples were longitudinally sectioned through the restorations and resin-tooth interfaces were observed directly under a laser scanning microscope. Statistical analysis indicated that the use of a flowable composite produced significantly more (p = 0.04) gap-free resin-dentin interfaces than teeth restored without the flowable composite. However, both flowable composite and enamel etching could not prevent gap formation at enamel-resin interfaces and crack formation on enamel walls.

Acid Etching, Dental↗