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Dentin bond strength of self-etching primers/adhesives.

This study compared the shear bond strengths (SBS) to dentin achieved with six self-etching systems and one total-etch one-bottle adhesive system. Seventy freshly extracted bovine incisors were mounted in acrylic molds and the facial surfaces ground to expose middle dentin, which was polished by 600-grit sand paper. The incisors were randomly assigned to groups (n=10): Adper Prompt Self-Etch Adhesive, 3M-ESPE (ADP) and One-Up Bond F, Tokuyama (OU) as self-etching adhesives; AdheSE, Ivoclar-Vivadent (ADH), Clearfil SE Bond, Kuraray (SE), Optibond Solo Plus-Self-Etch, Kerr (OP) as self-etching primers, Tyrian SPE, BISCO (TY) as a self-priming etchant and Single Bond, 3M-ESPE (SB), a total-etch one-bottle adhesive served as a control. All adhesives were applied according to the manufacturers' instructions with the respective hybrid composites. The specimens were thermocycled for 500 cycles (5 degrees C to 55 degrees C), then loaded to failure in an Instron Universal Testing Machine at a crosshead speed of 0.5 mm/minute. Mean bond strengths were analyzed with one-way ANOVA, followed by a Duncan's post hoc test. SBS (mean +/- SD) were: ADH = 13.2 (+/- 5.3)b;ADP = 6.8 (+/- 4.4)c; OP = 18.2 (+/- 3.8)a; OU = 3.5 (+/- 1.5)c; SB = 12.2 (+/- 4.2)b; SE = 12.4 ( +/- 4.0)b; TY = 5.5 (+/- 1.4)c. Superscript letters indicate Duncan's homogeneous subsets. The self-etching adhesives OU and ADP and the self-priming etchant TY resulted in lower dentin SBS. OP resulted in the highest mean dentin SBS, while the other materials tested in this study (SE and ADH) presented similar dentin SBS to a total-etch one-bottle bonding system (SB).

Acid Etching, Dental↗

Growth of osteoblasts on porous calcium phosphate ceramic: an in vitro model for biocompatibility study.

Biomaterial implantation in animals is commonly used for biocompatibility studies as well as examination of long-term interaction between tissue and the test material. An in vitro cell culture model is proposed as an alternative which will save animal lives and reduce the pain and discomfort of animals used for such studies. In this study the biomaterial was matched to the cell types typical of the implant site of the particular material: porous calcium phosphate ceramic, used as dental and orthopaedic implants, with periosteal fibroblasts, osteoblasts and chondrocytes. All three cell types attached on to the ceramic and formed multicellular layers. Numbers of periosteal fibroblasts, osteoblasts and chondrocytes increased 29-, 23- and 17-fold, respectively, during the 10 wk period. Osteoblasts retained their phenotypic expression by producing only Type I collagen. Parathyroid hormone (PTH, 50 nM) suppressed the alkaline phosphatase activity of osteoblasts by over 50% and increased cAMP by more than 10-fold over control cultures.

Alkaline Phosphatase↗

Study of the fluoridated adhesive resin cement--fluoride release, fluoride uptake and acid resistance of tooth structures.

The objectives of this study, were to evaluate the fluoride release from fluoridate adhesive resin cement, fluoride uptake into surrounding tooth structures and the effect of their acid resistance. Several specimens were prepared using a plastic ring mould, from extracted human premolars, and prepared from enamel and dentin of the central area of the buccal surface of bovine teeth. The fluoride release rate of fluoridate adhesive resin cement (PN 200) per day was higher than other materials during the 7-day study period. Fluoride released and fluoride uptake by tooth structures was higher in the fluoridate adhesive resin cement. WDX analysis showed the fluoride concentration on dentin contact area was higher than that of enamel after 60 days of immersion in deionized water. The calcium release values were similar for enamel and dentin plates in the various test materials. The present findings indicated the important enhancement of tooth structure acid resistance by fluoridate material.

Animals↗

Short-term retention properties of cements for retrievable implant-supported prostheses.

This in vitro study compared the retentive ability of 11 materials used to cement cast crowns on one implant system. The crowns were cemented to the abutments and the tensile load necessary to remove each casting was measured 30 minutes after cementation in a dry condition at 22 degrees C and after storage for 72 hours in saline solution at 37 degrees C. The results provide a ranking order of the tested materials according to their ability to retain implant restorations. This information, along with studies that better represent the effect of aging, may assist the clinician in selecting a material that is retentive enough to withstand occlusal forces, yet weak enough to allow easy retrieval of cement-retained implant restorations.

Adhesiveness↗

Thermal dimensional behavior of dental ceramics.

The aim of this study was to characterize the relation of dimensional changes of dental ceramic materials as function of temperature. The thermal dimensional behavior of one glass ceramic core, four commercially available veneering porcelains and two experimental veneering porcelain materials was determined on cooling from 450 degrees C to 20 degrees C by means of a vertical differential pushrod thermal dilatometer. The thermal dimensional behavior of the ceramic materials was expressed in three different ways: as linear relation with a linear line fitting procedure; as non-linear relation by a quadratic curve fitting procedure and according to ISO 9693 by a thermal expansion coefficient. For all ceramic materials except the one consisting of aluminum oxide fillers, the thermal dimensional behavior is best described with the polynomial function: Deltal/l = C + alpha1T + alpha2T2. The description of the thermal expansion coefficient according to the ISO standard on metal is not appropriate for the prediction of a thermal incompatibility of ceramic materials. Except for Vitadur Alpha, the ceramics materials tested showed non-linear expansion; their thermal dimensional behavior can be best described according to the quadratic relation method, second by the linear relation, third as recommended by ISO.

Biocompatible Materials↗

Heparin surface treatment of poly(methylmethacrylate) alters adhesion of a Staphylococcus aureus strain: utility of bacterial fatty acid analysis.

Bacterial adhesion on biomaterials is an important cause of associated infection. Many authors have studied the adhesion mechanisms of bacteria on biomaterials. These studies were useful in making materials more and more refractory to bacterial adhesion. We analysed the gas chromatographic modifications of structural fatty acids of a Staphylococcus aureus strain after adhesion on two polymers, poly(methylmethacrylate) (PMMA), whose biological compatibility is known, and heparin-surface-modified PMMA (HSM-PMMA). We noted changes to the chromatographic peaks peculiar to the fatty acids of S. aureus for each tested material and particularly for HSM-PMMA.

Bacterial Adhesion↗

In vitro biomechanical properties of linear, circular, and hybrid external skeletal fixation devices for use in large ruminants.

OBJECTIVE: To report the biomechanical properties of 3 external skeletal fixation (ESF) devices for use in large ruminants. STUDY DESIGN: In vitro biomechanical testing of ESF constructs. SAMPLE POPULATION: Adult buffalo (weighing, 250-350 kg) tibiae (n=27). METHODS: ESF constructs (bilateral linear fixator [BLF], 4-ring circular external fixator [CEF], and hybrid fixator [HF]) were made using mild (low carbon) steel implants plated with nickel and cadaveric buffalo tibiae. After ESF application, a 1 cm mid-diaphyseal gap was created. Constructs were loaded to failure, on a materials testing machine, in axial compression (n=5/ESF type) and craniocaudal bending (n=3/ESF type). In addition, 3 CEF constructs were tested in intact tibiae under craniocaudal bending. RESULT: In compression, HF was the strongest and most rigid construct; yield load was significantly higher for HF than for BLF or CEF. Under bending, both CEF and HF had similar strength and modulus of elasticity. Strength for BLF was higher than CEF and HF, whereas the reverse was true for modulus of elasticity. CONCLUSIONS: ESF made from mild steel for use in large ruminants could withstand<or=300 kg load applied under compression and bending moment without any substantial adverse biomechanical effects on the constructs. HF was most rigid and strong under compression, whereas BLF was strongest in craniocaudal bending. Overall, HF seemed biomechanically the most suitable ESF device. CLINICAL RELEVANCE: A hybrid ESF developed using mild steel is sufficiently strong and economical and may prove useful for fixation of long bone fractures in large ruminants (weighing<or=300 kg).

Animals↗

Effects of disinfectants on dimensional accuracy of impression materials.

There is a continuing concern over the potential for cross-contamination of viral infections such as AIDS by means of dental impressions. This investigation compared the effects of various viricidal agents on the accuracy of irreversible hydrocolloid and silicone impressions made of single-unit and full mandibular arch models. Measurements on casts made from the treated impressions were compared with the corresponding measurements on casts made from untreated impressions. The results of this study led to the conclusions that there was no preferred disinfectant with respect to dimensional stability for the irreversible hydrocolloid, condensation silicone, or vinyl polysiloxane impression materials tested, and there was no difference in the accuracy of the casts obtained either by spraying with or immersion in any of the disinfectants tested. Therefore using the disinfectants described with either the immersion or spray techniques will not significantly affect the dimensional accuracy of cats made from treated impressions.

Aerosols↗

Porosity of resin cements and resin-modified glass-ionomers.

PURPOSE: To quantify the internal free surface in various resin cements and glass-ionomer-based materials. MATERIALS AND METHODS: Materials tested were Nexus fluid (NXF) and viscous (NXV), Vitremer (VTM), Fuji II LC (FII), Vitremer Luting Cement (VLC), Dyract (DYR) and Compoglass (COM). Samples (n=5) were made of each material between two microscopic glass slides under same weight. With a transmitted light microscopy, four zones of each sample were evaluated, finding the number of porosities per mm2 (NP), the average radius of porosities (RP), the ratio of total area of surface porosities (micron2) to area (mm2) of specimen surface (TA) and the ratio of total volume of porosities (micron2) to area (mm2) of material surface (VP). RESULTS: Median test was used. NP: NXV, NXF and DYR had smaller NP than VTM and FII and (likely) than VLC (P> 0.0000001). RP was smaller for DYR than for VLC and (likely) than for NXV (P= 0.00019). TA: NXV, NXF and DYR had smaller TA than VTM, FII and VLC (P< 0.0000001). VP: NXV and DYR had smaller VP than FII and (likely) than VTM and VLC (P< 0.0000001).

Chi-Square Distribution↗

Screening of stabilized crosslinked polyethylene using a novel wear tester.

A novel pin-on-disk type wear tester is described allowing a rapid screening of different types of polyethylene under both unidirectional and multidirectional sliding motion. The wear of four polyethylene materials sliding against a roughened CoCrMo alloy was evaluated: a non-irradiated UHMWPE, a UHMWPE irradiated with a dose of 25 kGy in air, and two types of crosslinked UHMWPE (100 kGy, air), which were subjected to a stabilization heat treatment in nitrogen at 155 degrees C for 72 hours (XLPE I) and in water at 130 degrees C for 72 hours (XLPE II), respectively.Under multidirectional sliding conditions both types of XLPE exhibited significantly less wear with respect to the 25 kGy irradiated UHMWPE and the non-irradiated UHMWPE, even under the rough counterface conditions applied. Under unidirectional sliding motion both types of XLPE exhibited the highest wear of all materials tested, because the orientation hardening effect acting under linear lubricated condition is less pronounced for crosslinked polyethylene.

Dose-Response Relationship, Radiation↗

Influence of the number of cortices on the stiffness of plate fixation of diaphyseal fractures.

OBJECTIVE: To determine the influence of the number of cortices of fixation on the stiffness of plate fixation of diaphyseal fractures. DESIGN: Canine experimental study. SETTING: Tertiary referral and teaching hospital in Toronto, Canada. PARTICIPANTS: Paired radii from fourteen skeletally mature, cross-bred dogs. MAIN OUTCOME MEASURE: One member of each pair of radii was tested intact as a control, and the other had a transverse osteotomy plated sequentially with five to ten cortices of fixation on either side of the simulated fracture. Dynamic compression plates and limited contact dynamic compression plates were used in two groups with seven paired radii each. Normalized torsional stiffness and four-point bending stiffness were determined in the elastic range for the control and each of the plated constructs in both groups, using a materials testing machine. RESULTS: The authors found no significant difference between the stiffness of the dynamic compression plates and limited contact dynamic compression plates. With either plate of a given length, significantly increased torsional stiffness is achieved with end bicortical screws. For bending stability with the plate at right angles to the bending plane, even short plated constructs have a stiffness exceeding that of intact bone. CONCLUSIONS: For a transverse osteotomy with no fracture interdigitation, the bending rigidity with the plate at right angles to the bending plane is greater than the original stiffness of the bone for all constructs tested, with the exception of the limited contact dynamic compression plate with five cortices of fixation. The torsional rigidity of fixation only approaches the original rigidity of the bone for ten cortices of fixation with the dynamic compression plate and the limited contact dynamic compression plate.

Animals↗

Wear resistance of packable resin composites after simulated toothbrushing test.

PURPOSE: The purpose of this study was to determine the wear resistance of five different packable composites versus two different composite controls using a laboratory toothbrushing simulation test. MATERIALS AND METHODS: Twelve samples measuring 5 mm in diameter and 3 mm thick were prepared from the following resin composites: Packable resin composites SureFil (Dentsply Ind. Com. Ltda, Petrópolis, Rio de Janeiro, Brazil), Alert (Jeneric Pentron Incorporated, Wallingford, CT, USA), Filtek P60 (3M ESPE Dental Products, St. Paul, MN, USA), Prodigy Condensable (sds Kerr, Orange CA, USA), Solitaire (Heraeus Kulzer GmbH, Wehrheim, Germany), and control resin composites Z100 Restorative (3M ESPE) and Silux Plus (3M ESPE). Finishing and polishing were conducted with Sof-Lex disks (3M ESPE), and baseline weight (grams) and surface roughness (measured with Hommel Tester T 1000, Hommelwerke, GmbH, Alte Tuttinger Strebe 20. D-7730 VS-Schwenningen, Germany) were recorded. Specimens were aged for 2 weeks until they reached a weight that remained constant for 5 consecutive days, and then were subjected to 100,000 cycles of brushing (representative of 4.2 yr) using a toothbrushing testing machine. Toothbrush heads with soft bristle tips (Colgate Classic, Colgate-Palmolive Co., Osasco, São Paulo, Brazil) with dentifrice suspension (Colgate MFP, Colgate-Palmolive Co.) in deionized water were used under a 200 g load. Changes in weight and surface roughness were determined after toothbrushing cycles. RESULTS: Significant differences of weight loss and surface roughness were found (paired t-test, p < .05). Weight loss percentage (mean [SD]) ranged from 0.38 to 1.69% (analysis of variance and Tukey's least significant difference, p < .05); the weight loss of the materials ranked from least to most as follows: SureFil (0.38 [0.56]), Alert (0.52 [0.18]), Z100 (1.16 [0.27]), Filtek P60 (1.31 [0.17]), Solitaire (1.51 [0.45]), Prodigy Condensable (1.55 [0.471), and Silux Plus (1.69 [0.66]). Regarding surface roughness, Prodigy Condensable (0.19 [0.08]), Solitaire (0.28 [0.06]), and Z100 (0.30 [0.07]) became less rough after toothbrushing, whereas all the others were rendered rougher: Alert (0.49 [0.29]), Filtek P60 (0.28 [0.08]), Silux Plus (0.39 [0.091), and SureFil (0.81 [0.32]). CONCLUSION: SureFil and Alert were statistically more resistant to wear (less weight loss) than were the other materials. SureFil became significantly rougher than did all the others. CLINICAL SIGNIFICANCE: Overal, packable resin composites are unlikely to show superior wear resistance with regard to weight loss and surface roughness compared with current resin composites also indicated for posterior restorations.

Analysis of Variance↗

Soft layered prostheses for arthritic hip joints: a study of materials degradation.

A great deal of interest is being shown in complaint bearing surfaces for artificial joints. These produce very low friction because of the fluid-film lubrication that they exhibit, and therefore should produce lower wear than current prosthetic materials as the two surfaces of the joint are completely separated by a film of synovial fluid. However, one problem with soft elastic materials in vivo is that the elastomers may degrade with time. Specimens of four polyurethanes were kept in Ringer's solution at 37 degrees C for about 4 months to investigate changes in mechanical properties and the mode of lubrication with time of immersion. The materials tested were a polyether-urethane (E57), a polyester-urethane (E58), an aromatic polyether-urethane (P1) and an aliphatic polyether-urethane (A1). Samples of E57 showed a decrease in hardness and elastic modulus of 21% and 28% respectively. This was much better than E58 which showed decreases of 32% and 42% respectively. Better results were achieved with A1 (hardness change 2%) and P1 (decrease in hardness of 14% and modulus 17%). When tested in a hip-function simulator, A1 showed virtually no change in its very low coefficient of friction (0.004), P1 showed an increase of 60%, while E57 and and E58 both showed a doubling in friction over the course of the study. The modes of in vitro degradation were considered and surface effects determined to be most damaging. Currently the best candidate for a compliant material in hip replacement is the aliphatic polyether-urethane which maintains fluid-film lubrication.

Compliance↗

In vitro dentine permeability evaluation of HEMA-based (desensitizing) products using split-chamber model following in vivo application in the dog.

The aim of this study was to evaluate in vitro dentine permeability evaluation of 2-Hydroxyethyl methacrylate (HEMA)-based desensitizing products using split-chamber model following in vivo application in the dogs for three experimental time periods of 1 week, 1 month and 3 months. Buccal enamel of upper and lower canines of nine young dogs was removed and flat dentinal surface was obtained using a water-cooled diamond bur. The dentinal surface divided into four quarters, three experimental and a control. Health-Dent and Gluma Desensitizing agent and Single bond were applied to respective quarters of one tooth, according to manufacturers' instructions. The last quarters were left as control without any applications. For the each experimental period, 10 dentine samples from each group including control were used to measure the hydraulic conductance values. The dentine discs were placed pulp-side down in a split-chamber device in which the plastic spacers containing the rubber 0 rings have a surface area of 1 mm(2) and permeability was measured by fluid filtration. The data were expressed as hydraulic conductance (Lp). Differences in dentine permeability obtained for the desensitizing agents against the control were tested for statistical significance using Kruskal-Wallis one-way ANOVA and Bonferroni-adjusted Mann-Whitney U-tests. Differences in permeability in three time periods for each desensitizing agent were analysed using Friedman's anova and Wilcoxon signed rank tests. All desensitizing applications caused decreased Lp values compared with the control Lp value at the end of 1 week. In the 1-month samples, between the Lp values of Single bond and control, no statistical difference was found (P > 0.05). At the end of the 3-month period, the Gluma Desensitizing agent had the lowest the Lp value (P < 0.05). The result of this study is that the topical application of desensitizing agents led to decrease in dentine permeability in the dog model. The Gluma Desensitizing agent provide the more lasting tubule-occluding effect than the other material tested in this model.

Animals↗

Primary stability of four different implants for opening wedge high tibial osteotomy.

Since a significant number of implant failures have been reported in association with the procedure of open wedge valgus high tibial osteotomy, the initial biomechanical stability of different fixation devices was investigated in this study. Fifteen third generation Sawbones composite tibiae were used as a model. Four different plates were tested: a short spacer plate (OWO) (n = 4), a short spacer plate with multi-directional locking bolts (MSO) (n = 5), a prototype version of a long spacer plate with multi-directional locking bolts (MSOnew) (n = 2), and a long medial tibia plate fixator with locking bolts (MPF) (n = 4). All opening wedge osteotomies were performed by the same surgeon (PL) in a standardized fashion. Axial compression of the tibiae was performed using a materials testing machine under standardized alignment of the loading axis. Single load to failure tests as well as load-controlled cyclical failure tests were performed. The required force and cycles to failure were recorded. Osteotomy gap motion was measured using linear displacement transducers. Residual stability after failure of the opposite lateral cortex was analysed. Failure occurred at the lateral cortex bone-bride in all tested implants. The rigid long plate fixator (MPF) resisted the greatest amount of force (2,881 N) in the single load to failure tests. In the cyclical load-to-failure tests, the constructs with MPF resisted more than twice the amount of loading cycles when compared to the short spacer plates. The osteotomy gap motion was smallest in the MPF, with a reduction of the displacements of up to 65, 66 and 88%, when compared to OWO, MSO and MSOnew, respectively. The highest residual stability after failure of the lateral cortex was observed in MPF as well. The results suggest that the implant design strongly influences the primary stability of medial opening wedge tibial osteotomy. A rigid long plate fixator with angle-stable locking bolts yields the best results.

Bone Plates↗

The fracture toughness of various core materials.

PURPOSE: This study determined the fracture toughness of four core buildup materials. MATERIALS AND METHODS: Single-edge notch, bar-shaped specimens conforming to the American Society for Testing Materials standard E-399 were fabricated for a high copper amalgam alloy, two composite resins, and a glass ionomer buildup material. The specimens were stored in air for 1 week and then tested in three-point bending mode with an Instron Universal Testing Machine (Instron Corporation, Canton, MA). RESULTS: Fracture toughness values obtained were as follows: Fluorocore (composite resin; Caulk, Milford, DE), 1.54 MN.m-1.5; Ti-Core (composite resin and titanium; Essential Dental Systems, New York, NY), 1.34 MN.m-1.5; Valiant Ph.D. (amalgam; Caulk), 1.29 MN.m-1.5; and Coreshade Glass Ionomer Base Cement (Shofu Inc, Kyota, Japan), 0.55 MN.m-1.5. CONCLUSIONS: Glass ionomer materials are probably unsuitable as core buildup materials because of their relatively low fracture toughness. Fluorocore, Ti-Core, and amalgam all had fracture toughness values significantly greater than the glass ionomer (P < .01).

Analysis of Variance↗

Determining low levels of fluoride released from resin based dental materials.

Fluoride release determinations were made on two resin matrix dentine bonding systems using an ion-selective electrode and ion chromatography. Calibrations were made on serially diluted samples of standard fluoride solutions. The electrode method consistently gave higher values than the chromatographic method for one of the materials, and this was considered to be due to the use of total ionic strength adjustment buffer in electrode determinations. The lower limit of fluoride determination using the electrode was 0.5-0.1 p.p.m. Below this concentration the output from the electrode became meaningless. The chromatographic method gave meaningful results down to 0.001 p.p.m. The fluoride release results for the meter were meaningful only for the first 2 d for one test material and for up to 10 d for the other material. Using chromatography, fluoride release could be monitored for the full 44 d of the trial for both materials. Over the range of concentrations where fluoride determinations were possible by both methods, the values were correlated (R = 0.98). Ion chromatography appears to have an advantage over the ion-selective electrode for measuring low levels of fluoride release from dental materials.

Analysis of Variance↗

Galvanic interaction between titanium and gallium alloy or dental amalgam.

OBJECTIVES: The objective was to examine in vitro the galvanic interaction between titanium and a high-copper dental amalgam or a gallium-based direct filling alloy at different area ratios, and to relate the observed interactions to the electrochemical characteristics of the alloys. METHODS: The tested materials were cast titanium, a single-composition, spherical high-copper amalgam, and a gallium-based direct filling alloy. Polarization curves were recorded. The galvanic couples were prepared at Ti/filling alloy ratios of 1:1, 2:1, 4:1 and 6:1. The couples were exposed to synthetic saliva at 37 degrees C and the galvanic currents and potentials were measured as a function of time. The results were analyzed by ANOVA and Tukey tests (p < or = 0.05). RESULTS: Freshly abraded titanium initially was anodic to both the amalgam and the gallium alloy, but the polarity reversed after a period of exposure. The galvanic potential and current density increased with the increasing Ti/alloy area ratio. The potential increase was smaller and the current increase larger for the Ga alloy than for the amalgam. The difference was consistent with the polarization characteristics. The galvanic current density was of the order of 10(-8) A/cm2 for the Ti/amalgam couple, and 10(-7) to 10(-6) A/cm2 for the Ti/gallium alloy couple. SIGNIFICANCE: The results show that the galvanic interaction between titanium and direct filling alloys is small. High copper dental amalgams should suffer little galvanic corrosion when in contact with Ti. For gallium direct filling alloys, the galvanic interaction may be more detrimental because of the inherently lower corrosion resistance.

Analysis of Variance↗