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Mechanical behavior of glass ionomer cements affected by long-term storage in water.

OBJECTIVES: The early strength of glass ionomer cements was investigated previously (Cattani et al., 1993). Using the same set of glass ionomer cements, this study was designed to determine if mechanical property degradation occurred after an extended period of storage in water. METHODS: In the present study, the effect of aging in water on the compressive, tensile and flexural strengths of twelve commercial glass ionomer cements was evaluated at different time intervals after the beginning of the setting reaction. The aging periods varied from 24 h to 12 mon. RESULTS: The results show that the mechanical properties of the tested materials are in some cases affected by long-term aging in water. The evolution of strength follows distinct patterns of change. It has been established that the glass ionomer cements are neither characterized by a continuous increase nor a continuous decrease in strength. Most of the materials tested maintained a constant strength. However, several of them first display an improvement of the mechanical strength followed by a reduction. In this case, the 24h and the 12 mon strengths are usually similar. SIGNIFICANCE: The aging mechanisms of glass ionomers are complex. Strengthening probably results from additional crosslinking and build-up of a silica gel phase, whereas weakening may result from erosion and plasticizing effect of water.

Acrylic Resins↗

Mold filling of Ti castings using investments with different gas permeability.

OBJECTIVES: The aim of this work was to study mold filling during casting of standardized five-unit Ti bridges vs. the gas permeability of the investments. METHODS: An Ar arc casting machine with a separate melting and mold chamber was used. Both chambers were evacuated before Ar was introduced into the melting chamber. A rubber sealer was inserted between the top of the steel ring of the mold and the steel floor between the two chambers. The mold cavity required the same Ar pressure as the melting chamber prior to casting. Four different investments for Ti casting were investigated: 1) Bellavest T (BEGO), 2) Rematitan Plus (Dentaurum), 3) Titavest CB (Morita) and 4) Titanium Vest (Ohara Co.). Three castings were made with each investment. The molds were fired according to the manufacturers' instructions and cooled to room temperature. The Ar gas pressures in the two chambers were recorded during casting, and the mold filling was evaluated initially by visual inspection and subsequently by studying the margins of the crowns in a microscope. RESULTS: In the melting and molding chambers, the Ar pressure was found to be: 1) Bellavest T: 400 and 1 torr; 2) Rematitan Plus: 600 and 85 torr; 3) Titavest CB:600 and 150 torr; and 4) Titanium Vest: 600 and 85 torr, respectively. This indicates substantial differences in the gas permeability of the molds. Bellavest T produced poorly filled molds, Rematitan Plus and Titanium Vest resulted in poor margins and Titavest CB produced complete castings. SIGNIFICANCE: Proper mold filling is promoted by investments with a high gas permeability, so the gases in the mold cavity can escape through the investment to the mold chamber.

Argon↗

Surface modifications of a glass and a glass-ceramic of the MgO-3CaO.P2O5-SiO2 system in a simulated body fluid.

A glass of nominal composition (wt%) 17.25 MgO-52.75 3CaO.P2O5-30 SiO2 and a glass-ceramic obtained from it showed surface modifications when immersed in an acellular medium having a composition similar to that of human blood plasma. A (Ca, P)-rich layer, with an approximate Ca/P atomic ratio of 1.7, identified as hydroxyapatite, developed on both samples. The precipitated film on the glassy sample was weakly bonded, whereas that formed on the glass-ceramic was strongly adherent. The apatite precipitated during the in vitro tests on both samples grew as a needle-like structure with crystals about 150-200 nm long and 50-70 nm thick, as measured on specimens soaked for 1 month in the simulated body fluid (SBF). The presence of calcium and phosphate ions in the SBF contributed to the precipitation of the (Ca, P)-rich layers on both specimens.

Binding Sites↗

Effects of magnesium on blood pressure and intracellular ion levels of Brazilian hypertensive patients.

Fifteen patients with uncomplicated mild to moderate primary hypertension (7 males, 8 females, age range 36-65 years) were submitted to a double blind randomized crossover study, receiving MgO 3 times a day at a daily dose of 1.0 g (600 mg/day of magnesium) and placebo for a period of 6 weeks. This was to test the effects of oral magnesium supplementation on blood pressure and sodium, potassium, calcium and magnesium intraerythrocyte concentrations. Concomitantly, plasma renin activity and serum aldosterone was also measured. Oral magnesium reduced significantly the systolic (delta = -7.6 mmHg, P < 0.05); diastolic (delta = -3.8 mmHg, P < 0.01) and mean blood pressure (delta = -5.9 mmHg, P < 0.01). After magnesium supplementation intraerythrocyte sodium concentration was reduced (delta = -0.55 mEq/l per cell, P < 0.01) and intraerythrocyte magnesium concentration was increased (delta = 1.20 mg/dl per cell, P < 0.01). The diminution of the blood pressure correlated positively with the reduction in intraerythrocyte sodium (r = 0.66, P < 0.01) after magnesium. However, our results have shown that the blood pressure response to oral magnesium was not homogeneous. Forty percent of our patients had their blood pressure effectively controlled (more than 10 mmHg reduction in mean blood pressure), being the hypotensive effect more evident in patients with recent hypertension and in those where the reduction in intraerythrocyte sodium was significantly greater than in the non-responder individuals. Intraerythrocyte potassium and calcium, serum aldosterone, plasma renin activity and urinary sodium excretion were maintained unchanged after magnesium supplementation. These data showed that oral magnesium supplementation may reduce the blood pressure, which can be partially explained by the decrease in intracellular sodium and augment in intracellular magnesium.

Administration, Oral↗

The ball mill as a means of investigating the mechanical failure of dental materials.

OBJECTIVE: The main purpose of this paper is to present a new method of predicting clinical performance using mechanical loading in a ball mill. METHODS: A series of four experiments (two involving a hybrid composite and one each on orthodontic brackets and bands) is described in which the ball mill was used to subject specimens to mechanical fatigue. RESULTS: A reproducibility study using composite beam specimens showed no significant difference between the Mean Survival Time (MST) in all the three experimental runs (P = 0.42). When subjected to thermal cycling, the MST of the cycled group was 155.0 min compared to 247.0 min for the control group (P < 0.01). The MST of untreated and sandblasted brackets was 7.9 h and 14 h respectively (P < 0.01). There is also a significant difference (P < 0.001) in the MST of sandblasted bands when compared to the untreated bands. CONCLUSIONS: The ball mill proved to be a convenient and reproducible means of producing mechanical fatigue and may be useful in predicting the clinical performance of dental materials.

Bisphenol A-Glycidyl Methacrylate↗

Low force cementation.

OBJECTIVES: The marginal adaptation of full coverage restorations is adversely affected by the introduction of luting agents of various minimum film thicknesses during the cementation process. The increase in the marginal opening may have long-term detrimental effects on the health of both pulpal and periodontal tissues. The purpose of this study was to determine the effects of varying seating forces (2.5, 12.5, 25 N), venting, and cement types on post-cementation marginal elevation in cast crowns. MATERIALS: A standardized cement space of 40 microns was provided between a machined gold crown and a stainless steel die. An occlusal vent was placed that could be opened or closed. The post-cementation crown elevation was measured, following the use of two commercially available capsulated dental cements (Phosphacap, and Ketac-cem Applicap). RESULTS: The results indicate that only the combination of Ketac-Cem Applicap and crown venting produced post-cementation crown elevation of less than 20 microns when 12.5 N seating force was used. Higher forces (25 N) and venting were required for comparable seating when using Phosphacap (19 microns). CONCLUSIONS: The amount of force required to allow maximum seating of cast crowns appears to be cement specific, and is reduced by effective venting procedures.

Cementation↗

Ten years' clinical evaluation of three luting cements.

OBJECTIVE: The aim of the present clinical longitudinal study was to observe, over 10 years, the prognosis of abutment teeth restored with fixed prostheses retained by glass ionomer luting cements and one conventional zinc phosphate cement. METHODS: Three dentists prepared 135 abutment teeth in 61 patients to retain 81 fixed prostheses. The prostheses were retained by two glass ionomer luting cements (Ketac-Cem, Fuji Ionomer), or a conventional zinc phosphate cement (De Trey Zinc Zement Improved). The patients were examined yearly for 10 years. RESULTS: Post-operative hypersensitivity occurred in five teeth restored with glass ionomer luting cement. The prevailing reason for abutment tooth failure was secondary caries (n = 21) and pulp necrosis (n = 5). Non-parametric survival estimates indicated that 80-85% of the abutment teeth remained intact after 5 years and 71-81% after 10 years. CONCLUSIONS: The 10-year results indicate that the prognosis of abutment teeth restored with fixed prostheses is good, regardless of whether a glass ionomer or a zinc phosphate luting cement is used.

Dental Abutments↗

Quantitative tensile-tilting stages for the high voltage electron microscope.

This paper describes a soft and a hard tensile stage for the high voltage electron microscope. Both stages can be combined with a top entry double tilting stage. The devices are driven by thermal expansion elements operating against water cooled parts. The drive mechanism shows smooth action with a relatively low response time and good long-time stability. The stages are equipped with strain gauge bridges for force and elongation measurements. The soft stage has a maximum load of 13 g, and a hard one reaches 1.5 kg.

Aluminum↗

Glass ionomer cements in orthodontics--an update.

Because conventional bands continue to be used in clinical orthodontics, it is essential to evaluate new dental cements to establish their suitability as a cementing medium for orthodontic bands. This study was undertaken to determine the failure rate of bands cemented with a glass ionomer cement to premolar and molar teeth. The sample consisted of 100 consecutively completed cases. Stainless steel bands were cemented to premolar and molar teeth (799) with a glass ionomer cement (Ketac-Cem). The failure rate for the bands was 1.9%. This is significantly lower than the 5.1% recorded for bands cemented with a polycarboxylate cement reported in a previous study.

Child↗

An in vitro evaluation of bond strength of three glass ionomer cements.

The purpose of this study was to determine the bond strength of three commercially available glass ionomer cements when used to bond mesh-backed medium twin (0.130 inch) brackets to enamel surface. Three different enamel surface conditions, which included use of pumice, pumice and polyacrylic acid, and pumice followed by acidulated phosphate fluoride, were also tested to determine their effect on the bond strength. In addition, bond strength of one composite resin was compared with those of glass ionomer cements. The teeth were bonded with all the materials according to manufacturers' instructions. Each specimen was embedded in Super-Die with the bonded facial surface exposed. A surveyor was used to align the teeth in the stone uniformly for all specimens. A special bracket holder was used to hold the brackets precisely under the wings during debonding. An Instron universal testing machine was used to measure the force required for bond failure. To stimulate oral conditions, the direction of pull was so designed that it included an element of torsional stress along with tensile force. The findings indicate that a large variation existed between the bond strengths of all materials tested. The bond strength of glass ionomer cements was significantly less than that composite resin. However, the bond strength of at least one glass ionomer cement appears to be adequate for clinical use. The different surface preparation before bonding did not significantly affect the bond strengths of glass ionomer cements. Further investigation is required to test the bond strengths of glass ionomer cements clinically.

Acidulated Phosphate Fluoride↗

Tensile bond force of glass ionomer cements in direct bonding of orthodontic brackets: an in vitro comparative study.

Tensile bond force of three glass ionomers was evaluated in vitro. Ketac-Cem and Aqua-Cem, two conventional cements, and light-cured Vitrabond were used in this study. The results were then compared with the values obtained for a composite resin (Concise) by means of the Mann-Whitney two-sample rank test adjusted for ties. The composite resin had a significantly higher bond force (152.5 N) than any of the other adhesives (5.5 to 27.53 N) used. Tensile bond strength was also calculated and the failure bond site investigated on the enamel surface was evaluated. The composite resin and the two conventional glass ionomers used had high cement percentages (86% to 62%) adhering to the enamel surface. Cement remaining on enamel was lower (20%) for the light-cured glass ionomer. It was concluded that the in vitro bond force of Vitrabond might be adequate for orthodontic bracket bonding.

Acrylic Resins↗

An in vivo study on the merits of two glass ionomers for the cementation of orthodontic bands.

The purpose of this study was to investigate the cariostatic effect of two glass ionomer cements on in vivo demineralization of partly uncovered enamel beneath orthodontic bands. A 4-week clinical trial was conducted on a group of five patients with nine pairs of premolars to be extracted for orthodontic purposes. Specially designed orthodontic bands were cemented with either Ketac-Cem (K-C) or Aqua-Cem (A-C). A local cariogenic milieu was created between the buccal surface of the premolars and the inner surface of the bands to secure plaque accumulation. The mineral content of the teeth was quantified by microradiography. The data were compared with data from a previous study of patients in the same age group with bands that had been cemented with a non-F cement. After comparison with the non-F group, the lesion depth (ld) was reduced by 63% for K-C and by 55% for A-C. This reduction was statistically significant at the 2.5% level (t test). The total mineral loss in teeth cemented with glass ionomer cements (delta Z) was reduced, in comparison with the loss in teeth cemented with non-F cement, by 49% with K-C and by 27% with A-C. The differences were statistically significant only for the K-C group (t test, p less than 0.025). There were no significant differences between the two glass ionomer cements with respect to either lesion depth or total mineral loss values (paired t test; p greater than 0.05). This investigation shows that fluoride released from glass ionomer cements contributes substantially to demineralization "reduction." However, these cements do not provide complete caries protection in sites where access is difficult.

Acrylic Resins↗

Measurements of spin-lattice relaxation times, T1, in Na2O-MgO-SiO2 glasses doped with MnO.

Silicate glasses without paramagnetic components show 29Si relaxation times, T1, in the order of minutes. Because of these T1 values, unacceptably long instrument times are needed to obtain satisfactory' signal-to-noise ratios. Therefore, all samples were doped with MnO when microstructures of electrode glasses were investigated. Small amounts of paramagnetic ions in the glass reduce the relaxation time but do not affect the electrode properties. In any case when the distribution of manganese ions is homogeneous, the relaxation rates are proportional to the MnO content. The spin-lattice relaxation times of the different Qn species are similar within error limits. The best spectra were obtained using 0.1 mol% MnO.

Electrodes↗

Physicochemical degradation studies of calcium phosphate glass ceramic in the CaO-P2O5-MgO-TiO2 system.

The aim of this work was to evaluate the in vitro degradation behaviour of a 45CaO-37P(2)O(5)-5MgO-13TiO(2) (mol.%) glass ceramic, under two different simulated physiological conditions: normal physiological pH 7.4, and pH 3.0, which was designed to simulate the acidic conditions produced by osteoclast cells. The in vitro testing was carried out at 37 degrees C for up to 42 days for the pH 7.4 solution and for up to 1 day for the pH 3.0 solution. The incorporation of TiO(2) into the glass structure leads to the precipitation of specific crystalline phases in the glass matrix, namely alpha- and beta-Ca(2)P(2)O(7), TiP(2)O(7) and CaTi(4)(PO(4))(6). The degradation testing at pH 3.0 showed a higher weight loss compared with degradation testing at pH 7.4; the weight loss under the acidic condition after 1 day (24 h) was about 10 times higher than the weight loss after 42 days of immersion at pH 7.4. The ionic release profile of Ca(2+), PO(4)(3-), Mg(2+) and Ti(4+) showed a continuous increase in concentration over all immersion times for both testing solutions. After 1 day of immersion at pH 3.0, the concentration levels of Mg(2+), Ca(2+), PO(4)(3-) were about six times higher than the levels achieved after 42 days of immersion at pH 7.4. The glass ceramic showed similar degradation to hydroxyapatite, and therefore has potential to be used in certain clinical applications where relatively slow resorption of the implant and replacement by bone is required, e.g. cranioplasty.

Biocompatible Materials↗

Low-grade MgO used to stabilize heavy metals in highly contaminated soils.

Low-grade MgO may be an economically feasible alternative in the stabilization of heavy metals from heavily contaminated soils. The use of MgO is described acting as a buffering agent within the pH 9-11 range, minimizing heavy metals solubility and avoiding the redissolution that occurs when lime is used. The effectiveness of LG-MgO has been studied as stabilizer agent of heavily polluted soils mainly contaminated by the flue-dust of the pyrite roasting. The use of LG-MgO as a reactive medium ensures that significant rates of metal fixation, greater than 80%, are achieved. The heavy metals leachate from the stabilized soil samples show a concentration lower than the limit set to classify the waste as non-special residue. Regardless of the quantity of stabilizer employed (greater than 10%), LG-MgO provides an alkali reservoir that allows guaranteeing long-term stabilization without varying the pH conditions.

Environmental Pollution↗

Properties of hydrocarbon- and salt-contaminated flare pit soils in northeastern British Columbia (Canada).

Many contaminated sites in Canada are associated with flare pits generated during past petroleum extraction operations. Flare pits are located adjacent to well sites, compressor stations and batteries and are often subjected to the disposal of wastes from the flaring of gas, liquid hydrocarbons and brine water. This study was conducted to evaluate the physical, chemical, electrical and mineral properties of three flare pit soils as compared to adjacent control soils. Results showed that particle size distribution, pH, total N, cation exchange capacity, exchangeable Mg(2+), and sodium adsorption ratio were similar in soils from flare pits and control sites. Total C, exchangeable Ca(2+), K(+) and Na(+), soluble Ca(2+), Mg(2+), K(+) and Na(+) and electrical conductivity were higher in flare pit soils compared to control soils. X-ray diffraction and scanning electron microscopic analyses showed the presence of gypsum [CaSO(4).2H(2)O], dolomite [CaMg(CO(3))(2)], pyrite [FeS(2)], jarosite [KFe(3)(OH)(6)(SO(4))(2)], magnesium sulphate, oxides of copper and iron+copper in salt efflorescence observed in flare pit soils. Soils from both flare pits and control sites contained mica, kaolonite and 2:1 expanding clays. The salt-rich materials altered the ionic equilibria in the flare pit soils; K(Mg-Ca) selectivity coefficients in control soils were higher compared to contaminated soils. The properties of soils (e.g., high electrical conductivity) affected by inputs associated with oil and gas operations might render flare pit soils less conducive to the establishment and growth of common agricultural crops and forest trees.

British Columbia↗