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Impact strength of teeth restored by fragment-bonding.

The objective of this in vitro study was to investigate the impact strength of anterior teeth that have been fractured and restored by bonding with a dentin-bonding agent and a composite resin. Twenty sheep central incisors were divided into two groups, 10 in each. One group (intact teeth) served as the control and the teeth in the other group were fractured and then bonded with a bonding agent and a low-viscous composite resin. The specimens were tested in a modified impact-testing machine (pendulum type). The mean impact strength of the intact teeth was 30.6 +/- 2.16 KJ/m2 and of the bonded teeth was 30.2 +/- 1.86 KJ/m2. Statistics revealed that the two means were not significantly different. The results related well with the fracture strength obtained by loading intact and bonded teeth at constant but low speed until fracture. It was concluded that bonding fragments to the remaining tooth structure may restore the tooth to its original strength, measured at modest velocities of the applied force. In other words, reattaching the original coronal fragment of traumatised fractured anterior teeth restored with One-Step dentin bonding system and AEliteflo composite resin would withstand a second trauma to the same extent as intact teeth.

Acid Etching, Dental↗

Fracture properties of aged and post-processed dental composites.

The purpose of this study was to determine the flexure strength (sigma f), Young's modulus (E), and fracture toughness (KIC) of five dental composites after aging in water and air. The composites were, by weight, 75% or 79% glass filler and 25% or 21% resin composed of 60% Bis-GMA and 40% TEG-DMA. The filler was either strontium glass (75Sr or 79Sr) or a combination, by weight, of 90% strontium glass and 10% colloidal silica (75Sr10 or 79Sr10). The specimens, 2 x 4 x 70 mm bars, were aged in either air or distilled water at 37 degrees C and were tested in their respective aging media at a loading rate of 1.22 mm/s. The sigma f and E were tested in four-point loading and the KIC in three-point loading. The addition of the fillers to the unfilled resin resulted in a statistically significant increase in the flexure strength, flexure modulus, and fracture toughness. Aging in air had minimal effect on these properties. However, testing and aging in water led to a significant decrease in the mechanical properties in the first 6 months, but had limited effect from 6 to 12 months.

Aluminum Oxide↗

The long-term effectiveness of five current desensitizing products on cervical dentine sensitivity.

The aim of this study was to compare the long-term effectiveness of five desensitizing products on 25 male and 27 female patients (total 52) aged 21-67 years (mean 36 +/- 7 years) suffering from cervical dentine sensitivity. All subjects were seen by the same examiner (ID) who was blinded to the applied treatment for 3-month clinical study. Patients were asked to record their overall sensitivity by marking a point on a 10 cm Visual Analogue Scale (VAS). Two hundred and seventy-seven sensitive teeth were treated by one of the five desensitizing products, all of which were placed following manufacturers' instructions by the other investigator (AS). A paired (split mouth) study design was used and selection of quadrants was randomized. At the post-treatment and at 10 days and 3 months periods, sensitivity measurements were recorded by the same investigator (ID). Statistical analysis showed that all of the VAS scores at post-treatment evaluation points were significantly decreased compared with baseline data (P < 0.05). There was a significant reduction in mean sensitivity scores in the Protect Liner F and the Health-Dent Desensitizer groups when compared with Fluoline varnish at the 10-day time point (P < 0.05). At 3 months, the Protect Liner F group continued to show a significantly reduced sensitivity level when compared with Health-Dent Desensitizer, Single Bond, Fluoline and Gluma Desensitizer (P < 0.05). The present study demonstrated that although at the end of 3-month evaluation period all desensitizers showed lower VAS sensitivity values compared with baseline, there were differences in the level of reduction of cervical dentine sensitivity.

Adult↗

Fracture toughness of nine flowable resin composites.

STATEMENT OF PROBLEM: Flowable composite is used in a variety of clinical applications; however, the capacity of these materials to resist crack propagation is not well understood. PURPOSE: The purpose of this investigation was to compare the resistance to crack propagation of 9 flowable composites as measured by the fracture toughness. MATERIAL AND METHODS: The composites studied include AeliteFlo, Crystal Essence, Flow-it, FloRestore, Permaflo, Revolution, Tetric Flow, VersaFlo, and Wave. Ten specimens of each composite were formed with a brass mold with a 3-mm preformed notch. The final dimensions of each specimen were 2 x 4.2 x 20 mm. All specimens were light-polymerized to manufacturer specifications and stored in air for 24 hours. The fracture toughness value, K(IC) (MNm(-3/2)), for each specimen was measured by use of a 3-point bending mode and a single-edge notched beam at a crosshead speed of 0.125 mm/min until fracture. The data were analyzed statistically by use of 1-way analysis of variance, t tests (P<.05), and regression analysis. RESULTS: The flowable composites tested showed a spectrum of fracture toughness values ranging from 1.15 +/- 0.10 MNm(-3/2) for Wave to 1.65 +/- 0.13 MNm(-3/2) for Permaflo (significantly different, P<.05). The remaining materials formed 1 group with intermediate K(IC) values not different from each other (P>.05) but significantly different from Wave and Permaflo. Comparisons of fracture toughness to the filler content by volume of each composite revealed no correlation. CONCLUSION: This in vitro study concluded that there was no significant difference among 7 of the 9 composites tested in their resistance to fracture. Permaflo showed the greatest resistance to crack propagation. There was no correlation between the filler content by volume and the fracture toughness of these flowable composites.

Air↗

Curing depths of a universal hybrid and a flowable resin composite cured with quartz tungsten halogen and light-emitting diode units.

This in vitro study evaluated curing depths of a universal hybrid resin composite with two viscosities (Tetric Ceram and Tetric Flow) after curing with 6 different quartz tungsten halogen and light-emitting diode curing units. Irradiance (light intensity) of the curing units varied between 200 and 700 mW/cm2. The curing units were used for standard, soft-start, or pulse curing. Curing times were 20 and 40 s for standard curing, 3 + 10 s and 3 + 30 s for pulse curing, and 40 s for soft-start. Resin composite specimens, 5 in each group, with a diameter of 4 mm and a height of 6 mm, were made in brass molds and cured from one side at a distance of 6 mm. After 2 weeks, the specimens were ground longitudinally half through the specimen. Curing depth was then determined by measurement of Wallace hardness for each half millimeter starting at 0.5 mm from the top surface. For all curing units and for both resin composites an increased curing time led to statistically significantly higher depth of cure (P < 0.0005). Tetric Flow showed a statistically significantly higher depth of cure than Tetric Ceram (P < 0.0005). All curing units cured more than 2.0 mm of both composites from a distance of 6 mm at 20 s curing time. The value for 40 s was 3.0 mm. The composite closer to the surface than the depth of cure value was equally well cured with all curing units investigated. There was a significant linear correlation between the determined irradiance of the curing units and the depths of cure obtained (20s: r = 0.89, P < 0.025; 40 s: r = 0.91, P < 0.01).

Aluminum Compounds↗

Prenatal estrogen exposure differentially affects estrogen receptor-associated proteins in rat testis gonocytes.

We previously reported that gonocytes from 3-day-old rat testes proliferate in response to estradiol. In the present study, we found that purified gonocytes contained the mRNAs of estrogen receptor beta (ERbeta) and the chaperones Hsp90, p23, and Cyp40, but no inducible Hsp70. Immunoblot analysis showed high levels of ERbeta, Hsp90, p23, Cyp40, and the constitutive Hsc70 in gonocytes. Prenatal exposure to the estrogenic compounds diethylstilbestrol, bisphenol A, genistein, and coumestrol led to significantly increased Hsp90 mRNA levels in testis, but not p23 and Cyp40. In situ hybridization analysis indicated that Hsp90 mRNA was prominent in gonocytes, where it was increased following phytoestrogen exposure, whereas bisphenol A induced a more generalized increase throughout the testis. Immunoblot analysis of testicular extracts demonstrated that Hsp90 protein levels were significantly increased following estrogen exposure, and immunohistochemical analysis indicated that this increase occurred predominantly in gonocytes. By contrast, no change was observed in the expression of Cyp40, p23, and ERbeta, whereas Hsc70 was increased by bisphenol A only. Using an antibody and reverse transcriptase-polymerase chain reaction probes specific for Hsp90alpha, we subsequently confirmed that Hsp90alpha was primarily expressed in gonocytes, and that it was increased following estrogen exposure. Hsp90 immunolocalization in fetal and prepubertal testes showed an increased expression in fetal gonocytes upon estrogen exposure, but no difference in the subsets of Hsp90-positive germ cells in prepubertal testes. These results demonstrate that prenatal estrogen exposure specifically affects Hsp90 expression in gonocytes. Considering the interaction of Hsp90 with several signaling molecules, changes in its expression levels may lead to subsequent changes in gonocyte development.

Aging↗

Geometric factors affecting dentin bonding in root canals: a theoretical modeling approach.

Cavity configuration factor (C-factor) is the ratio of the bonded surface area in a cavity to the unbonded surface area. In a box-like class I cavity, there may be five times more bonded surface area than the unbonded surface area. During polymerization, the volume of monomers is reduced, which creates sufficient shrinkage stresses to debond the material from dentin, thereby decreasing retention and increasing leakage. The important variables influencing bonding adhesive root-filling materials to canals was examined using a truncated inverted cone model. C-factors in bonded root canals exhibit a negative correlation with sealer thickness. For a 20 mm-long canal prepared with a size 25 file, calculated C-factors ranged from 46 to 23,461 with decreasing sealer thickness (500-1 microm), compared to a C-factor of 32 when the canal was filled only with sealer. As the thickness of the adhesive is reduced, the volummetric shrinkage is reduced, which results in a reduction in shrinkage stress (S-factor). C-factors above 954 calculated with sealer thickness smaller than 25 microm are partially compensated by increases in bonding area and decreases in shrinkage volume. However, the interaction of these two geometrically related factors (C- and S-factors) predicts that bonding of adhesive root-filling materials to root canals is highly unfavorable when compared with indirect intracoronal restorations with a similar resin film thickness.

Barium Compounds↗

The effect of an intermediate layer of flowable composite resin on microleakage in packable composite restorations.

OBJECTIVES: The aim of the present study was to evaluate the effect of a thin layer of flowable composite on microleakage in Class II direct packable composite resin restorations on young permanent teeth in vitro. METHODS: Twenty sound human premolars and molars extracted for orthodontic reasons were selected for this study. The teeth were randomly assigned into two groups of 10 teeth each (groups A and B). Class II cavities were prepared as uniformly as possible in the mesial and distal aspects of each tooth. The gingival margin extended apically approximately 0.5 mm beyond the cemento-enamel junction, in the dentin. Cavities in group A were restored with packable composite and Alert/Flow-it flowable composite, while groups B cavities were restored with Pyramid/Aeliteflo. The control cavities in groups A1 and B1 were restored with only packable composite. The teeth were immersed in 2% methylene blue solution for 24 h to allow dye penetration into possible existing gaps between the tooth substance and the restorative material. All teeth were subjected to thermocycling. RESULTS: The dye penetration ranged between 6.6 and 7.2 mm. No significant difference was found between the control and the experimental groups. CONCLUSION: The use of flowable composite resin as intermediate material does not reduce microleakage.

Adolescent↗

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↗

The effect of comonomer composition, silane heating, and filler type on aqueous TEGDMA leachability in model resin composites.

Experimental composites using either bisGMA/TEGDMA or UEDMA/ TEGDMA matrices, quartz or barium glass fillers, and 2 different filler silanization methods were evaluated regarding monomer leachability in distilled water. The leached amount was detected and quantified using gas chromatography. The results showed that twice as much TEGDMA is leached from a bisGMA/TEGDMA based composite than from an UEDMA/ TEGDMA based composite, when both contain 50 wt% TEGDMA. The hypothesis suggested that the higher degree of cure of UEDMA/TEGDMA based composites would be reflected in a lower monomer leaching value, and this hypothesis was supported by the findings. Whether such a correlation exists within groups of UEDMA/TEGDMA based matrices having different degrees of cure was not determined and needs to be investigated in future studies. Variables such as filler composition and silane treatment did not affect the leaching values of TEGDMA in water. That finding suggests that future studies should target differences in matrices, and that the need for considering effects of filler composition and silane treatment methods should not receive the same priority.

Analysis of Variance↗

Drying and rewetting anterior crown fragments prior to bonding.

Fractured anterior teeth can be restored by adhesive bonding of the fragment to the remaining tooth structure. This in vitro study describes the effect on fracture strength of fragments dried and rewetted for various periods of time prior to bonding. Seventy central incisors from sheep were fractured. The resulting incisal crown fragments were then stored in air at room temperature at ambient humidity (70 +/- 16%) for 5 s, 30 min, 1 h, 3 h, 6 h, 12 h, or 24 h. The apical parts of the fractured teeth were stored in water. After storage in air each fragment was then bonded to the matching apical tooth structure with a bonding agent and a low-viscosity composite resin. After water storage for 2 days, mean fracture strength was measured. Another group of teeth comprising 40 sheep central incisors was fractured and the fragments were stored in air at room temperature for 24 h as above. The fragments were then immersed in water for 10 min, 1 h, 1 day, or 7 days, prior to bonding and measurement as described above. Statistical analysis revealed that the fracture strength of the fragment-bonded teeth was unaffected by air storage of the fragment for up to 1 h prior to bonding, after which additional drying resulted in decreased fracture strength. Fragments dried for 24 h in air and rewetted by immersion in water for at least 1 day were fragment-bonded without loss of fracture strength.

Analysis of Variance↗

Development of new photopolymerizable dental sealants.

This paper describes the results obtained in the optimization of the composition of dental sealants in relation to the nature and proportions of monomer mixtures and photoinitiating system employed. The quantification and variation of certain parameters which determine the quality of a dental sealant (such as viscosity and penetrating power, residual double bonds, solubility and absorption, volume shrinkage and certain specific mechanical properties) have resulted in the development of new formulations. The composition which has achieved the best results of all the above properties was that corresponding to the monomer mixture bis-GMA/tri(ethylene glycol) dimethacrylate (TEGDMA) 40/60 wt%, and the photoinitiating system camphorquinone (CQ) with co-initiators N,N,3,5-tetramethyaniline (TMA) or N,N-dimethyl-p-toluidine (DMPT) in the ratio 1:1. The final properties and characteristics of the obtained formulations are superior to those of commercial dental sealants currently in use.

Absorption↗

Influence of aldehydes on selected mechanical properties of resin composites.

The present study investigated whether propanol, a monofunctional aldehyde, was able to improve the mechanical properties of dental polymers. The underlying hypothesis was that a cross-linking reaction is possible between various functional groups of different polymers. Propanol was added to monomer mixtures, which were then made light-curing and loaded with filler. The monomer mixtures were varied with respect to monomer composition and content of aldehyde. Four mechanical properties of the experimental resin composites were determined. Addition of propanol gave rise to significant improvements in mechanical properties, which may be indicative of a cross-linking ability of monofunctional aldehydes. With the exception of modulus of elasticity, the mechanical properties of resin composites based on UEDMA/HEMA were superior to those of BISGMA/TEGDMA-based materials, even though the improvements in flexural strength and modulus of resilience were most pronounced for the BISGMA/TEGDMA-based resin composites.

Aldehydes↗

Contemporary resin-based composite materials for direct placement restorations: packables, flowables and others.

Resin-based composite (RBC) materials are composed of principal and diluent monomers, fillers, coupling agents and other components. These materials have been developed in recent years to produce packable and flowable materials, and materials which may release ions under specific conditions and which may contain fibres. Materials which are organic-inorganic copolymers have also become available. Long term clinical trial data are not available for the most recently introduced materials.

Aluminum Silicates↗

Depth of cure and microleakage with high-intensity and ramped resin-based composite curing lights.

BACKGROUND: The authors conducted a study to determine whether high-intensity curing lights in high and ramped intensity modes affect microleakage of resin-based composite restorations and whether different types of resin-based composites meet American National Standards Institute/American Dental Association Specification no. 27 (1993): 7.7 for depth of cure when polymerized using these lights. METHODS: The authors compared five high-intensity lights, three plasma arc lights and two quartz-tungsten-halogen lights in their regular and ramped intensity modes with a quartz-tungsten-halogen 40-second light. The parameters tested were microleakage one month after bonding and curing depth for different resin-based composite types. The authors measured curing depth using a scratch test. RESULTS: Light curing with Optilux 501 (Kerr/Demetron, Orange, Calif.) for 10 seconds and ADT Power PAC (American Dental Technologies, Corpus Christi, Texas) for 10 seconds resulted in higher microleakage values than light curing with other lights (P < .05). The microhybrid resin-based composite was the only material that met the specification when light cured with all of the lights tested. The flowable resin-based composite did not meet the specification when light cured with all lights tested. Microhybrid resin-based composite had the greatest depth of cure, and flowable resin-based composite had the least depth of cure. CONCLUSIONS: Microhybrid resin-based composite microleakage is affected by some light-curing modes. Different categories of resin-based composites are cured to different depths using high-intensity lights. CLINICAL IMPLICATIONS: Light curing with some high-intensity lights compared with halogen lights may result in higher microleakage values. Use caution when light curing flowable resin-based composite with the high-intensity lights. Place increments less than 2 millimeters in depth when using this material.

Analysis of Variance↗

Assessment of the estrogenicity and toxicity of a domestic wastewater effluent flowing through a constructed wetland system using biomarkers in male fathead minnows (Pimephales promelas rafinesque, 1820).

The toxicity and estrogenicity of a final treated municipal effluent was examined while flowing through a constructed wetland in north-central Texas, USA. Fish data were collected, and a baseline wetland characterization was performed to assess wetland treatment potential for these effluent properties. Vitellogenin (VTG), gonadosomatic index (GSI), hepatosomatic index (HSI), and secondary sexual characteristics were biomarkers used in fish models to assess aqueous estrogenicity. Biological indicators used to assess overall fish health included hematocrit and condition factor. Estrogenic nature of final sewage treatment works effluent was screened, concurrent with a three-week fish exposure, via gas chromatography/mass spectrometry for target estrogenic compounds, including 17beta-estradiol, ethynylestradiol, bisphenol A, nonylphenolic compounds, phthalates, and DDT. The VTG in Pimephales promelas was measured after exposure at four sites in a treatment wetland and was significantly elevated (p < 0.0001) in fish exposed at the inflow site. The GSIs were significantly less (alpha = 0.001) at the inflow site. At wetland sites closest to the inflow, secondary sexual characteristics, tubercle numbers, and fatpad thickness were less (alpha = 0.0001) than in laboratory controls. The HSIs and density of male breeding stripes were not significantly different from those of laboratory controls. However, elevated HSIs were found at the inflow site. Hematocrit and condition factors were both less (alpha = 0.001) in effluent-exposed fish at wetland sites closer to the inflow than in control fish or fish further downstream.

Animals↗

The application of fluorinated aromatic dimethacrylates to experimental light-cured radiopaque composite resin, containing barium-borosilicate glass filler--a progress in nonwaterdegradable properties.

This study investigated the durability, especially the nonwaterdegradable qualities, of experimental light-cured composite resin containing barium-borosilicate glass filler. For this purpose, Bis-GMA, a typical component of base monomer in conventional composite resin, was replaced by Bis-GMA-F which is water-repellent. After over 20,000 thermal cycles, the composite resin containing Bis-GMA retained only 60 approximately 70% of its initial compressive, diametral tensile, flexural strength and flexural elastic modulus. However, the experimental composite resin containing Bis-GMA-F as a resin matrix showed no loss of compressive, diametral tensile strength or flexural elastic modulus, although flexural strength showed some deterioration. It was considered that the difference between Bis-GMA-F and Bis-GMA, as resin matrix, caused variation in the characteristics of water sorption.

Barium Compounds↗

Adhesive bonding of fractured anterior teeth: effect of wet technique and rewetting agent.

PURPOSE: To compare the fracture strength of intact teeth with that of fractured crowns bonded with adhesive and a resin material on either wet or dry dentin, or dried dentin rewetted with a rewetting agent for various periods of time. MATERIALS AND METHODS: Sheep central incisors were divided into seven groups, each of 10 teeth. Group 1: Intact teeth tested for fracture strength in an Instron testing machine and used as controls. Groups 2-7 were sectioned in a vice equipped with sharp blades, 2.5 mm away from and parallel to the incisal edge. The two fracture surfaces were etched with 37% phosphoric acid for 15 s and rinsed with water for 5-6 s. Group 2: The surfaces were air-dried for 2 s. Group 3: As for Group 2 but the surfaces were rewetted with Aqua-Prep for 2 s and immediately air-blasted to remove excess. Group 4: As for Group 3, but the rewetting agent was applied for 10 s before air-blasting. Group 5: As for Group 4, but the rewetting agent was applied for 20 s. Group 6: As for Group 4, but the rewetting agent was applied for 30 s. Group 7: As for Group 2, but the surfaces were left moist after etching and rinsing by gently shaking the specimens twice. The fracture surfaces of Groups 2-7 were rebonded with All-Bond 2 adhesive system and Aeliteflo composite. After 48 hrs the restored teeth were debonded in the Instron testing machine. Fracture strengths were calculated and compared with the fracture strength of intact teeth (control group). RESULTS: Newman-Keuls' multiple range test revealed that there was a statistically significant difference between the control mean and the means of Groups 2 and 3. All other means were not significantly different. Drying of the dentin surface decreased the bonding strength, and rewetting of the dried dentin for 2 s was not sufficient to rewet the collapsed collagen fibers, as indicated by a decrease of fracture strength.

Acid Etching, Dental↗