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Bond strength of dentinal adhesives in primary teeth.

The purpose of this project was to test the in vitro bond strength of three dentinal bonding agents to primary dentin. Scotchbond 2, All-Bond, and Amalgambond were applied to 63 teeth according to manufacturer's instructions. Valux composite resin was placed in a cylindrical matrix and light cured to the treated dentin. After they were thermocycled for approximately 800 cycles between 6 degrees C and 60 degrees C, the specimens were mounted in stone and placed in an Instron universal testing machine. They were placed under continuous load until failure. Fracture was at the dentin-bonding agent interface for all materials tested. Incisor bond strength was significantly stronger than molar bond strength for all three materials. Materials analysis revealed that the mean bond strength for Scotchbond 2 (6.99 MPa) was significantly different from those of All-Bond (13.01 MPa) and Amalgambond (13.03 MPa).

Analysis of Variance↗

[A 4-week oral toxicity study of prulifloxacin (NM441) in dogs followed by a 4-week recovery test].

A repeated dose toxicity study of prulifloxacin, a new antibacterial agent, was conducted in beagle dogs. Male and female dogs were given the test material orally for 4 weeks at doses of 0 (control), 30, 150 and 750 mg/kg. After discontinuation of the treatment, a 4-week recovery test was also conducted. Feces containing white material were seen in the 150 and 750 mg/kg groups. Salivation, prone, lateral or sitting position, gait disturbance, and locomotor depression were observed in the 750 mg/kg group. In this dose group, decreased body weight and food and water consumptions were also observed. There were no treatment-related effects on survival. Ophthalmoscopic and electrocardiographic examinations and urinalysis failed to show any abnormalities related to the treatment. Hematologic examination showed decreased WBC in the 750 mg/kg group. Blood chemical examination revealed increased GPT and alpha 2-globulin in the 750 mg/kg group. Pathological changes caused by the treatment were as follows. Rarefaction of matrix, cavitations and erosions in humeral and femoral articular cartilages, and inflammatory cell infiltration in synovium were seen in the 150 and 750 mg/kg groups. Focal hemorrhage in synovium was also observed in the 750 mg/kg group. In kidney, regeneration of tubular epithelium, inflammatory cell infiltration, fibrosis and crystalline substance in the tubular lumen were observed in the 750 mg/kg group. The above-mentioned changes were satisfactorily reversible except for the changes in the humeral and femoral articular cartilages and in the kidney. Plasma levels and urinary concentrations of active metabolite of the test material were increased in all dose groups with dose-related manner, whereby no sex difference was observed. No effects caused by the repeated dosing were seen in the plasma concentrations. Toxicological findings were not observed in the 30 mg/kg group. The results show that the NOAEL of prulifloxacin is 30 mg/kg for 4-week repeated dose toxicity in dogs.

Administration, Oral↗

Current views on biological testing of restorative materials.

It is anticipated that biological testing in Europe after 1 January 1993 will be based on European Standards (EN) common to all biomaterials. No details regarding the future certification programmes are yet available. In vitro cytotoxicity, tissue reactions to implanted materials and pulp studies ('usage tests') represent three levels commonly used for biological testing of restorative dental materials. Considerable variation in test methodology exists, and no universal agreement prevails with regard to which test or tests are most appropriate for evaluation of the biological effects of restorative materials. The latter also include a number of allergens, but few biological side-effects have been noted in clinical practice.

Biocompatible Materials↗

Shear bond strength of four filled dentin bonding systems.

This study compared the shear bond strength of four filled dentin bonding agents (Prime & Bond NT, One Coat Bond, OptiBond Solo, PermaQuik1) to a conventional unfilled Dentin Bonding agent (3M Scotchbond Multipurpose Plus). A column of composite resin (Herculite XRV Restorative Resin) was bonded to human dentin using the five dentin-bonding systems following the manufacturers' directions. The specimens were thermocycled 1000 cycles from 6 to 60 degrees C. Each specimen was tested on an MTS machine in shear-to-failure. The data were subjected to One-Factor ANOVA and Newman-Kuels post-hoc tests. Statistical analysis revealed that One Coat Bond had significantly greater shear bond strength than all other materials tested.

Analysis of Variance↗

Preliminary study on chitosan modified glass ionomer restoratives.

OBJECTIVES: The aim of this study was to investigate the effect of chitosan (CH), a biocompatible polysaccharide, on the flexural strength of glass ionomer restoratives (GIR) and on the release of fluoride ions from GIR. METHODS: Commercial GIR (Vidrion, SS White) has been modified by adding chitosan (CH, Fluka). Samples containing 0.0044, 0.012, 0.025 and 0.045wt% CH were prepared, molded and weighed. For flexural strength, sets of 10 specimens 10mmx2mmx2mm of commercial and CH modified GIR were prepared. Differences were analyzed by the one-way analysis of variances (ANOVA) test, at significance level 0.05. The data were also analyzed by post hoc Tukey's HSD for unequal n (Spjotvoll/Stoline) test. Scanning electron microscopy analyses were performed on the composites cryo-fracture surfaces. For the fluoride release tests and medium pH determination, discs with 10mm diameter and 2mm height were prepared in a PTFE mold placed between two glass slides. Samples were weighed in order to normalize each material test group. At least 10 samples of each material were prepared. Approximately 5min after preparation the discs were transferred into individual glass flasks containing 50mL of distilled water. The concentration of released fluoride was determined as a function of time by means of a fluoride ion selective electrode Orion 94-09 SC connected to an Ionanalyser (Orion Research Inc., USA). The medium pH was monitored as a function of time at (25+/-1 degrees C), using a Digimed DM20 potentiometer (Digicrom Instrumentos, Brazil) equipped with a combined glass electrode. Ellipsometric measurements were performed to quantify the thickness of adsorbed polymer (poly(acrylic acid) or the mixture of poly(acrylic acid) with CH). RESULTS: The addition of 0.0044wt% of CH led to a significant increase in the flexural resistance. CH contents higher than 0.022wt% led to poor performance. For the same period of time the amount of fluoride ions released from CH modified GIR was much larger than that released from commercial GIR. CH catalyzed the fluoride release from GIR to the medium, especially from those with 0.0044wt% of CH. As a consequence, the medium pH increased from 5.0 to 6.3. A model based on the formation of a polymeric network around the inorganic particles was proposed to explain the experimental findings. The adsorption of CH and poly(acrylic acid) onto planar Si/SiO(2) substrates was quantified and supported the proposed model. SIGNIFICANCE: The results presented here showed that the flexural strength of a commercial GIR can be considerably improved by the addition of a tiny amount of CH. Moreover, in the presence of CH, the release of fluoride ions from GIR is catalyzed.

Acrylic Resins↗

Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of three 4.5-mm and two 5.5-mm cortical screws.

OBJECTIVE: To compare the biomechanical characteristics and mode of failure of 2 parallel-screw techniques for proximal interphalangeal joint arthrodesis in horses. STUDY DESIGN: Randomized block design, blocking for horse (1-5), method of screw fixation (three 4.5-mm vs two 5.5-mm), side (left limb vs right limb), and end (front limb vs hind limb). Constructs were loaded to failure in 3-point bending in a dorsal-to-palmar (plantar) direction. SAMPLE POPULATION: Twenty limbs (10 limb pairs) from 5 equine cadavers. METHODS: A combined aiming device was used to facilitate consistent screw placement. Three parallel 4.5-mm cortical screws were placed in lag fashion in 1 limb of a pair, and 2 parallel 5.5-mm cortical screws were placed in lag fashion in the contralateral limb. Arthrodesis constructs were tested in 3-point bending in a dorsal-to-palmar (plantar) direction using a materials-testing machine. Loading rate was 19 mm/s. Maximal bending moment at failure and composite stiffness were obtained from bending moment-angular deformation curves. Data were analyzed using ANOVA and chi(2) analysis. RESULTS: There were no significant differences in bending moment (P >.05, power = 0.8 @ delta = 19%) or composite stiffness (P >.05, power = 0.8 @ delta = 19%) between the 2 fixation techniques. Higher maximal bending moment was found in front limbs than hind limbs, and front limbs with two 5.5-mm screws than hind limbs with two 5.5-mm screws. In all cases, constructs completely failed. A greater number of 4.5-mm cortical screws failed than 5.5-mm cortical screws. CONCLUSIONS-In pastern arthrodesis constructs loaded in 3-point bending, end (front limb vs hind limb) affected maximal bending moment at failure of constructs. There was no significant effect of horse, treatment, or side on maximal bending moment or stiffness. Two 5.5-mm cortical screws should provide a surgically simpler pastern arthrodesis than three 4.5-mm cortical screws while maintaining similar biomechanical characteristics. CLINICAL RELEVANCE: Three 4.5-mm screws or two 5.5-mm screws will provide similar biomechanical characteristics in bending when performing equine pastern arthrodesis.

Animals↗

Accuracy of one-step versus two-step putty wash addition silicone impression technique.

This study compared the accuracy of one-step putty wash with two-step putty wash impression techniques. Five addition silicone impression materials-Mirror 3 (MR), Mirror 3 Extrude (ME), Express (E), Permagum (P), and Absolute(A)--were tested. A stainless steel model containing two full-crown abutment preparations was used as the positive control. Five replications for one-step and two-step putty wash impressions of the master model were made for each test material. Accuracy of the materials was assessed by measuring six dimensions on stone dies poured from impressions of the master model. Accuracy of addition silicone impression material is affected more by material than technique. Accuracy of the putty wash one-step impression technique was not different from the putty wash two-step impression technique except at one of the six dimensions where one-step was more accurate than two-step. Mirror 3 putty wash two-step impression presented less distortion than Mirror 3 Extrude putty wash one-step or two-step impression.

Analysis of Variance↗

Fracture toughness of dental ceramics: comparison of bending and indentation method.

OBJECTIVES: The aim of this study was to compare two fracture toughness methods, the bending method on notched specimens as reference and the indentation method as comparison. Potentialities and limitations of the indentation method were analyzed. METHODS: Fracture toughness values were determined for seven dental ceramic materials on 'single-edge-v-notched beams' (bending method) as our standard method. Additionally indentation tests were done on the identical samples from the bending tests. The results were determined before and after annealing of the samples. With the reference fracture toughness results from the bending tests, the prefactor in the indentation test formula was individually adapted for each tested material. RESULTS: The individual prefactors varied between 0.0122 and 0.0253 for the specimens before annealing and between 0.0150 and 0.0267 for the annealed specimens. Subsequently the differences between the K Ic-values calculated by the ISO draft (TC 206) direction and calculated by the modified formulae with the material specific prefactors were up to 48% for unannealed and up to 33% for annealed specimens, respectively. SIGNIFICANCE: The indentation method is not an adequate tool to exactly determine the fracture toughness of an unknown ceramic material. This method can only be used for a first rough K Ic estimation.

Algorithms↗

[Technological studies on high pressure polymerization of dental plastic materials].

The author in his present paper reports a program of comparative materials testing of which the purpose was to assess the value of positive pressure polymerization of thermosets. This particular program required polymerization temperature measurements. K-value determinations, and cone indentation hardness tests to be made on samples of plastic material polymerized under positive liquid or steam pressure and in cuvets, respectively, the conditions of polymerization being those which are used in actual practice. The results obtained indicated a favorable influence of positive liquid pressure polymerization on the final hardness of the plastic material.

Dental Materials↗

In vitro evaluation of antibacterial activities of root canal sealers.

OBJECTIVE: The purpose of this study was to compare the antimicrobial effect of AH-26 (a resin-based sealer), Dorifill (a ZOE-based sealer), and pure ZOE after 24 hours and after one week. METHODOLOGY: All sealers were prepared according to the manufacturers' directions immediately before testing. The micro-organisms used in this assay included Staphylococcus aureous and Streptococcus mutans, which were prepared from isolated species in the microbiology laboratory. The antimicrobial effects of each sealer were determined by measuring the diameter of the zone of inhibition in millimeters after incubation at 37 degrees C for 24 hours and seven days in a humid atmosphere. Each test was repeated three times. RESULTS: In the 24-hour samples, the antibacterial activity of AH-26 was significantly greater than two other materials tested on both bacteria (p < 0.05). The antibacterial activity of Dorifill and ZOE on S. aureous was not significantly different from each other (p > 0.05), but Dorifill had a significantly greater effect on S. mutans than ZOE (p < 0.05). In the seven-day samples, statistically significant zones of bacterial growth inhibition for both bacterial species tested were observed in descending order of antibacterial activity as ZOE > AH-26 > Dorifill (p < 0.05). CONCLUSION: The products studied exhibited some variable antibacterial properties. In 24 hours, the AH-26 exerted the greatest activity against both organisms tested. By seven days, the ZOE-based sealer-Dorifill-showed lower antibacterial activity than AH-26 and pure ZOE.

Anti-Bacterial Agents↗

[Chest wall moulages for radiotherapy of resected breast cancer with fast electrons: comparative tests of different materials].

Irradiation of the thoracic wall with high-speed electrons is one of the standard methods of prophylaxis and therapy of local recurrences and cutaneous metastases of an operated mammary carcinoma. The surface dose, however, is only 85% of the maximum dose, due to the depth dose curve of the electron beams with the preponderantly applied energy of 7MeV. This is a poor value, since most of all recurrences appear near to the surface and so the risk of giving an insufficient dose is involved. The dose distribution could be essentially improved by the use of moulages on the chest. These moulages were made of different materials which were tested and compared with respect to their suitability for radiotherapeutic purposes. The best materials proved to be "Urgo-Plastan" (manufacturer: Holphar, Sulzbach) and "Orthoplast" (manufacturer: Johnson & Johnson, Düsseldorf). Both materials are synthetic substances which after heating can easily be adapted to the body shape and which offer a good stability, little inconvenience for the patient and a relative easy handling. With these moulage materials, the surface dose is increased to 98% ("Urgo-Plastan") and 99% ("Orthoplast") of the maximum dose.

Breast Neoplasms↗

The inflammatory cell influx and cytokines changes during transition from acute inflammation to fibrous repair around implanted materials.

The inflammatory and fibrous responses in a subcutaneous rat model were evaluated around degradable polyurethane urea (PUUR; Artelon), with titanium and tissue culture polystyrene (PS) discs having different surface chemical properties but similar surface topography. Cytokines, viability, cellular response, differentiation of cells and fibrous capsule formation and vascularization was investigated after 1, 7 and 21 days of implantation. The exudates retrieved from the pockets were analysed with respect to the total cell numbers, the proportions of cell types, the differentiation of monocytes/macrophages (ED1, ED2), the DNA content and the viability (LD, Trypan blue). Tumour necrosis factor alpha ((h)TNF-alpha) and interleukin-10 ((h)IL-10) were quantified by ELISA. The number of blood vessels, blood vessel luminal area, blood vessel distribution and the fibrous capsule thickness were analysed. The highest number of cells in the exudates around all implants was detected during the early phase of healing (1-7 days). The proportion of ED2-positive cells in the exudates increased from 2-8% at 1 day to 43-56% at 21 days. The levels of TNF-alpha were low with a decrease at 7 days. After 21 days high amounts of IL-10 in the exudates were detected, in particular around PUUR. This study shows that the transition from inflammation to repair (1-21 days) around PUUR, Ti and PS materials was characterized by a decrease in inflammatory cell influx, an increasing proportion of ED2-expressing macrophages, a biphasic TNF-alpha secretion, an increase of IL-10 and a fibrous capsule formation similar to all materials tested.

Animals↗

A new screening test for toxicity testing of dental materials.

OBJECTIVES: The development of a micro plate assay for cytotoxicity testing of dental materials based on a bioassay using brine shrimp larvae (artemia salina) as sensitive organisms. METHODS: Brine shrimp larvae are commonly used for cytotoxicity assays in pharmacology. These larvae are sensitive to toxic substances. The ratio between dead larvae (no motility) and living larvae (high motility) in comparison to a control without any toxic substances is used to estimate the toxicity of the test solutions. The test materials (Arabesk((R)), Solitaire((R)), Pertac((R)) II, Tetric((R)), Herculite((R)) and the compomer materials Dyract((R)), Hytac((R)), Compoglass((R))) were polymerized and consecutively milled. After incubation of 1g in 4ml distilled water at 37 degrees C for 48h, the solid materials were separated by centrifugation. The solutions were equibrilated with NaCl to a salt content of 25g/l. Aliquots of 200microl were distributed in eight micro wells and 50microl of a artemia salina containing (n=8-14) solution were added to each well. As controls eight wells with 250microl salt solution containing a comparable number of brine shrimp were used. At baseline, after 2, 5, 24 and 48h, the dead shrimp were counted using a stereo microscope. Finally all shrimps were sacrificed using Na-acid (5%) and counted to get the number of shrimps per well. RESULTS: All compomers and Solitaire caused 100% brine shrimp lethality after 24h and showed significantly (p<0.01, signed rank test) higher toxicities than the remaining composites. With the exception of Pertac II, all composites showed significantly higher toxic values than the control. Pertac II did not show any differences from the controls used. CONCLUSIONS: This new technique has some advantages for toxicity testing of restorative materials, because it can quickly be carried out at low costs. The disadvantage is the high quantity of material used and the low sensitivity.

Animals↗

Development of low- and high-serum culture conditions for use of human oral fibroblasts in toxicity testing of dental materials.

With the aim of establishing conditions applicable to the testing of dental materials in human target cells, fibroblastic cell lines have been derived and grown from explants of human oral mucosa. Both a high-serum medium (termed "HSM") (CMRL 1066 supplemented with 10% fetal bovine serum) and a low-serum medium (termed "LSM") (a 1:1 mixture of M 199:MCDB 153 supplemented with 1.25% serum) supported radial outgrowths of cells from oral explants, as well as the subsequent transfer and growth of the cells in mass culture and at clonal density. Cells were typically fibroblastic in that they expressed vimentin uniformly, but did not express immunocytochemical markers of epithelial or endothelial cells. Cells derived in either LSM or HSM showed significantly higher colony-forming efficiency and clonal growth rate when transferred in LSM, as compared with HSM. Because cell migration occurred to a lesser extent in LSM, microscopic scoring of colony formation was also markedly facilitated. In both LSM and HSM, cellular low-molecular-weight thiols constituted about 30% of the total amount of sulfhydryls. Glutathione was present in about six- to seven-fold-higher amounts than cysteine--glutathione primarily in its reduced form and cysteine primarily in its oxidized form. A corrosion product of dental amalgam, i.e., Hg2+, decreased cell survival measured as colony-forming efficiency in a dose-dependent manner following either an acute (one h) exposure or continuous exposure (seven days). These studies demonstrated that human oral fibroblasts could be cultured at about one-tenth of the serum content that is commonly used.(ABSTRACT TRUNCATED AT 250 WORDS)

Blood↗

Effect of bioresorbable fibres (Polyfibre) and a bioresorbable foam (Polyfoam) on new bone formation. A short term experimental study on the rabbit skull.

The aim of the study was to evaluate two bioresorbable polylactic acid (PLA) filler materials in a guided bone regeneration (GBR) model system. The first was Polyfibre, a fibrous PLA filler material. Polyfoam, the second material tested, consisted of a spongy PLA filler material. In each group there were eight rabbits. In test rabbits a flap was raised uncovering the calvaria. A hemispherical PLA dome was filled with Polyfibre or Polyfoam material and periphereal blood and anchored onto the calvaria. Eight rabbits with the same domes, filled with blood alone, served as controls. The rabbits were sacrificed at 1 or 2 months. Histomorphometric measurements of regenerated total tissue volume, bone height and bone volume were carried out in undecalcified sections under a light microscope. At 1 month the totally filled volume attained 87% (range 82-91) in the fibre group, including 25% (23-27) fibres, 87% (85-95) in the foam group, including 15% (15-16) foam, and 55% (16-100) in the controls. The volume of mineralized bone was 12% (7-15) in the fibre group, 15% (12-18) in the foam group and 6% (1-11) in control domes. Bone height attained 48% (27-79) in the fibre group, 37% (31-58) in the foam group and 45% (14-67) in the control group. At 2 months, tissue volume attained 86% (85-87) including 26% (22-29) fibres, bone volume attained 13% (7-21) and bone height attained 56% (42-78) in the Polyfibre group. In the Polyfoam group, they were 83% (55-99) including 18% (15-19) foam, 13% (7-24) and 49% (29-74). In control domes, tissue volume was 82% (35-100), bone volume 20% (9-27) and bone height 86% (60-100). The Polyfibre and Polyfoam material was excellently integrated. No adverse reactions were found in the surrounding tissues. Direct bone apposition was observed onto the material. In conclusion, Polyfibre and Polyfoam material had a positive effect on initial bone and tissue formation but was a hindrance to increasing tissue volume, bone volume or bone height at 2 months compared to control specimens. The Polyfibre and Polyfoam material provoked no adverse reactions in the surrounding tissues and allowed for extensive angiogenesis.

Absorbable Implants↗

[Experimental determination of the wear of biomaterials used in the construction of hip arthroprosthesis].

The author reports the results of an experimental test using a "hip simulator" to evaluate the wear rate of hip prostheses. The following couplings were tested: Cobalt-Chromium-Molybdenum (CoCrMo)-Ultra High Molecular Weight Polyethylene (UHMWPE), Alumina (Al203)-Ultra High Molecular Weight Polyethylene (UHMWPE) and Alumina (Al203)-Alumina (Al203). The Results obtained emphasize that the tribologic properties of alumina are better than those of the other materials tested.

Hip Prosthesis↗

Evaluation of three silicone-based materials as potential retrograde fillings in surgical endodontics.

Endodontic therapy has played an important role in maintaining the integrity of the natural dentition as a fully functional and esthetic masticatory apparatus. Although the sealing of the root canal system is usually accomplished by the conservative endodontic approach, cases which have failed or which involve perforations, broken instruments, or post-crown restorations are almost always treated surgically by using zinc-free amalgam as a retrograde filling material. However, the literature is controversial concerning the health risks and benefits of this material. For this reason, the study presented here was initiated to evaluate the potential of (a) a medical grade silicone-titanium mesh compound; (b) Endo-Fill (Lee Pharmaceuticals, El Monte, CA); and (c) an experimental expanding Endo-Fill (Lee Pharmaceuticals) as alternatives to amalgam. The three silicone-based materials and amalgam were compared for linear apical dye leakage. The leakage study involved 80 teeth which were instrumented, obturated, and prepared surgically for one of the four test materials. Either the teeth were placed immediately into 1% methylene blue dye or the material was allowed to set for 24 h before placement into the dye. Endo-Fill showed significantly less leakage than did the other materials in both the immediately placed and the 24-h set groups. On the other extreme, the experimental expanding Endo-Fill allowed significantly more dye penetration than did amalgam and the other silicone variations.

Bicuspid↗

Effect of two abrasive systems on resin bonding to laboratory-processed indirect resin composite restorations.

PURPOSE: This study compared two methods of surface roughening or preparation, with or without the use of proprietary surface wetting agents, to evaluate their effect on resin cement adhesion to the following laboratory-processed, indirect restorations: Artglass (AG), belleGlass HP (BG), Concept (C), and Targis (T). Methods of surface roughening or preparation included microetching with aluminum oxide (AO): 50 microns at 34 psi and silanized silica coating, CoJet-Sand (CJ): 30 microns at 34 psi. Artglass and Concept were tested with and without the use of their respective surface wetting agents: Artglass Liquid (AGL) and Special Bond II (SB). MATERIALS AND METHODS: One hundred twenty specimens, each consisting of a pair of cylinders (7.0 x 3 mm and 4.3 x 3 mm) were fabricated. The larger cylinder or base was embedded in self-curing resin in a phenolic ring, and bonding surfaces were finished with 320-grit silicon carbide paper. Specimen pairs for each restorative material were randomly assigned to treatment groups (n = 10) and received the following surface treatments prior to cementation: group 1 (AG/AO/+AGL), group 2 (AG/AO/-AGL), group 3 (AG/CJ/+AGL), group 4 (AG/CJ/-AGL), group 5 (BG/AO), group 6 (BG/CJ), group 7 (C/AO/+SB), group 8 (C/AO/-SB), group 9 (C/CJ/+SB), group 10 (C/CJ/-SB), group 11 (T/AO), and group 12 (T/CJ). Specimen pairs were cemented with a dual-cure resin cement (Dual) and a standardized force of 1 MPa. Specimens were light-cured 40 seconds per side (80 s total), then thermocycled 300 times at between 5 degrees and 55 degrees C. Shear bond strengths (MPa) were determined using a Zwick Materials Testing Machine at a crosshead speed of 5 mm per minute. RESULTS: One-way analysis of variance (ANOVA) and Duncan's multiple range test (alpha = 0.05) by restoration type indicated no significant differences in shear bond strength between BG group 5 (29.8 +/- 5.8), BG group 6 (28.3 +/- 4.3), T group 11 (29.3 +/- 4.9), and T group 12 (29.0 +/- 4.4). Shear bond strength in AG group 3 (35.9 +/- 3.4) was significantly higher than in AG group 4 (32.4 +/- 4.0) and equal to that in AG group 2 (31.9 +/- 3.9) and AG group 1 (30.0 +/- 3.6). Shear bond strength in C group 10 (24.8 +/- 5.7) was equal to that in C group 9 (21.5 +/- 2.9), but was higher than in C groups 7 (19.4 +/- 3.1) and 8 (19.3 +/- 3.4). CLINICAL SIGNIFICANCE: Under the conditions of this study, the combination of CoJet-Sand and Artglass Liquid resulted in the highest bond strength for Artglass restorations. Microetching with CoJet-Sand or aluminum oxide followed by wetting with an unfilled adhesive was an effective surface pretreatment for dual-cure resin cementation of the four proprietary indirect resin-ceromer restorations tested.

Acid Etching, Dental↗