Effect of microwave treatments on dimensional accuracy of maxillary acrylic resin denture base

Microwave energy has been used as an alternative method for disinfection and sterilization of dental prostheses. This study evaluated the influence of microwave treatment on dimensional accuracy along the posterior palatal border of maxillary acrylic resin denture bases processed by water-bath curing. Thirty maxillary acrylic bases (3-mm-thick) were made on cast models with Clássico acrylic resin using routine technique. After polymerization and cooling, the sets were deflasked and the bases were stored in water for 30 days. Thereafter, the specimens were assigned to 3 groups (n=10), as follows: group I (control) was not submitted to any disinfection cycle; group II was submitted to microwave disinfection for 3 min at 500 W; and in group III microwaving was done for 10 min at 604 W. The acrylic bases were fixed on their respective casts with instant adhesive (Super Bonder®) and the base/cast sets were sectioned transversally in the posterior palatal zone. The existence of gaps between the casts and acrylic bases was assessed using a profile projector at 5 points. No statistically significant differences were observed between the control group and group II. However, group III differed statistically from the others (p<0.05). Treatment in microwave oven at 604 W for 10 min produced the greatest discrepancies in the adaptation of maxillary acrylic resin denture bases to the stone casts.

Molar extinction coefficients and the photon absorption efficiency of dental photoinitiators and light curing units

OBJECTIVES

The light absorption of dental photoinitiators should correlate with the spectral emission profiles of dental light curing units compared on an equivalent basis. Spectral data of dental photoinitiators and light curing units can be used to define the photon absorption efficiency (PAE) obtained by integrating the product of the absorption and emission spectra in terms of photons. This parameter can be used to identify the best performance for photochemical process with specific photoinitiators.

METHODS

The efficiency of two LED and one QTH lamps were tested comparing their performances with the photoinitiators camphorquinone (CQ); phenylpropanedione (PPD); monoacylphosphine oxide (Lucirin TPO); and bisacylphosphine oxide (Irgacure 819). Absorption and emission spectra of the photoinitiators and the LED (Ultrablue I and Ultrablue IS) and QTH (Optilux 401) LCUs were determined in the 360-550nm range.

RESULTS

CQ exhibited an absorption centered in the blue region and, although the maxima of PPD, MAPO, and BAPO were in the UV-A region, their absorption extended to the visible region. Power output maxima of the LCUs were at 467 (Ultrablue I), 454 (Ultrablue IS) and 493nm (Optilux 401), and the total power densities were 170+/-1, 470+/-4 and 444+/-4mW/cm(2), respectively.

SIGNIFICANCE

The use of the PAE allows a prediction of the most efficient photoinitiator/LCU systems. For similar photoinitiator concentrations, Lucirin and CQ are most efficiently photoinitiated by the QTH unit, whereas the high-power LED device is more efficient for Irgacure. PPD is photoactivated similarly by both LCUs.

Effect of light-tip distance on the shear bond strengths of composite resin

The purpose of this study was to assess the effect of light-tip distance on the shear bond strength and failure site of brackets cured with three different light curing units: a high-intensity halogen (Astralis 10, 10-second curing), a light-emitting diode (LED, e-Light, six-second curing), and a plasma arc (PAC System, four-second curing). One hundred and thirty-five bovine permanent mandibular incisors were randomly allocated to nine groups of 15 specimens each. Stainless steel brackets were bonded with a composite resin to the teeth, and each curing light was tested at zero, three, and six mm from the bracket. After bonding, all samples were stored in distilled water at room temperature for 24 hours and subsequently tested for shear bond strength. When the three light curing units were compared at a light-tip distance of zero mm, the three lights showed no significantly different shear bond strengths. At light-tip distances of three and six mm, no significant differences were found between the halogen and plasma arc lights, but both lights showed significantly higher shear bond strengths than the LED light. When evaluating the effect of the light-tip distance on each light curing unit, the halogen light showed no significant differences between the three distances. However, the LED light produced significantly lower shear bond strengths at a greater light-tip distance, and the plasma arc lamp showed significantly higher shear bond strengths at a greater light-tip distance. In hard-to-reach areas, the use of PAC system is suggested, whereas the LED evaluated in this study is not recommended.

Flexural strength of autopolymerizing denture reline resins with microwave postpolymerization treatment

STATEMENT OF PROBLEM

Microwave postpolymerization has been suggested as a method to improve the mechanical strength of repaired denture base materials. However, the effect of microwave heating on the flexural strength of the autopolymerizing denture reline resins has not been investigated.

PURPOSE

This study analyzed the effect of microwave postpolymerization on the flexural strength of 4 autopolymerizing reline resins (Duraliner II, Kooliner, Ufi Gel Hard, and Tokuso Rebase Fast) and 1 heat-polymerized resin (Lucitone 550).

MATERIAL AND METHODS

For each material, 80 specimens (64 x 10 x 3.3 mm) were polymerized according to the manufacturer's instructions and divided into 10 groups (n = 8). Control group specimens remained as processed. Before testing, the specimens were subjected to postpolymerization in a microwave oven using different power (500, 550, or 650 W) and time (3, 4, or 5 minutes) settings. Load measurements (newtons) were made at a crosshead speed of 5 mm/min using a 3-point bending device with a span of 50 mm. The flexural strength values were calculated in MPa. Data analyses included 3-way and 2-way analysis of variance and the Tukey Honestly Significant Difference test (alpha = .05).

RESULTS

The flexural strengths of resins Duraliner II and Kooliner were significantly increased (P = .0015 and P = .0046, respectively) with the application of microwave irradiation using different time/power combinations. The materials Lucitone 550, Tokuso Rebase Fast, and Ufi Gel Hard demonstrated no significant strength improvement compared to the corresponding control. Only after microwave postpolymerization irradiation for 3 minutes at 550 W did Lucitone 550 show significantly higher flexural strength (P =.001) than Tokuso Rebase Fast and Ufi Gel Hard relining resins.

CONCLUSION

Microwave postpolymerization irradiation can be an effective method for increasing the flexural strength of Duraliner II (at 650 W) and Kooliner (at 550 W and 650 W for 5 minutes).

Mechanical properties of light-cured composites polymerized with several additional post-curing methods

This study determined the microhardness and diametral tensile strength of two hybrid resin composites submitted to conventional light curing, which were post-cured with different methods, and compared these data with the same data collected from one indirect resin composite. Two hybrid composites (TPH Spectrum and Filtek P60) and an indirect one (Solidex) were used. Conventional composites were polymerized with 1) conventional light curing for 40 seconds. Additional curing methods were applied with 2) laboratory multi-focal light curing for seven minutes, 3) microwave curing for five minutes at 500W, 4) oven curing for 15 minutes at 100 degrees C, 5) autoclave curing for 15 minutes at 100 degrees C and (6) were polymerized only with a laboratory light curing unit in three increments for three minutes and post-polymerized for seven minutes. The Solidex group was done following the manufacturers' instructions only. Diametral tensile strength and Knoop hardness tests were applied for all groups of five samples. Data were compared using ANOVA, Tukey and Student t-tests (p < 0.05). Post-curing methods increased the Knoop hardness and diametral tensile strength of conventional composites. In general, Filtek P60 showed higher hardness and diametral tensile strength values than TPH Spectrum resin. The Indirect resin composite showed poorer mechanical properties than conventional composites.

A technique for preparing protein gradients on polymeric surfaces:

A technique for preparing micropatterns and gradients of proteins on polymeric substrates has been developed in this work. Peroxides were generated on the substrate surface by UV preirradiation and they initiated graft polymerization of acrylic acid (AA) onto the surface upon a second UV irradiation. Micropatterns and gradients of poly(acrylic acid) (PAA) were formed when the substrate was placed under or moved with respect to a photomask during UV preirradiation. Protein micropatterns and gradients were fabricated on the surface by covalently linking to the carboxyl groups on PAA chains. To test cell response to the protein gradient surfaces, PC12 pheochromocytoma cells were cultured on laminin-bound substrates in serum-free medium supplemented with nerve growth factor (NGF). It is found that both the attachment and neurite outgrowth behaviors of PC12 cells were dependent on the surface laminin density. However, the unreacted carboxyl groups on the polymer surface negatively affected PC12 cells. This weakened the positive influence from laminin.

Effect of microwave sterilization and water storage on the Vickers hardness of acrylic resin denture teeth

STATEMENT OF PROBLEM

Acrylic resin denture teeth soften upon immersion in water, and the heating generated during microwave sterilization may enhance this process.

PURPOSE

Six brands of acrylic resin denture teeth were investigated with respect to the effect of microwave sterilization and water immersion on Vickers hardness (VHN).

MATERIAL AND METHODS

The acrylic resin denture teeth (Dentron [D], Vipi Dent Plus [V], Postaris [P], Biolux [B], Trilux [T], and Artiplus [A]) were embedded in heat-polymerized acrylic resin within polyvinylchloride tubes. For each brand, the occlusal surfaces of 32 identical acrylic resin denture posterior teeth were ground flat with 1500-grit silicon carbide paper and polished on a wet polishing wheel with a slurry of tin oxide. Hardness tests were performed after polishing (control group, C), after polishing followed by 2 cycles of microwave sterilization at 650 W for 6 minutes (MwS group), after polishing followed by 90-day immersion in water (90-day Wim group), and after polishing followed by 90-day storage in water and 2 cycles of microwave sterilization (90-day Wim + MwS group). For each specimen, 8 hardness measurements were made and the mean was calculated. Data were analyzed with a 2-way analysis of variance followed by the Bonferroni procedure to determine any significance between pairs of mean values (alpha=.01).

RESULTS

Microwave sterilization of specimens significantly decreased (P <.001) the hardness of the acrylic resin denture tooth specimens P (17.8 to 16.6 VHN), V (18.3 to 15.8 VHN), T (17.4 to 15.3 VHN), B (16.8 to 15.7 VHN), and A (17.3 to 15.7 VHN). For all acrylic resin denture teeth, no significant differences in hardness were found between the groups MwS, 90-day Wim, and 90-day Wim + MwS, with the exception of the 90-day Wim + MwS tooth A specimens (14.4 VHN), which demonstrated significant lower mean values (P <.001) than the 90-day Wim (15.8 VHN) and MwS (15.7 VHN) specimens.

CONCLUSIONS

For specimens immersed in water for 90 days, 2 cycles of microwave sterilization had no effect on the hardness of most of the acrylic resin denture teeth.

The use of patterned dual thermoresponsive surfaces for the collective recovery as co-cultured cell sheets

Heterotypic cell interactions are critical to achieve and maintain specific functions in many tissues and organs. We have focused on patterned structure surfaces to enable co-culture of heterotypic cells and recovery of patterned co-cultured cell sheets for applications in tissue engineering. Thermoresponsive polymers exhibiting different transition temperatures in water comprise both poly(N-isopropylacrylamide) (PIPAAm) and n-butyl methacrylate (BMA) co-grafted as side chains to PIPAAm main chains. These copolymers were surface-grafted in patterns to obtain patterned dual thermoresponsive cell culture surfaces using electron beam polymerisation method and porous metal masks. On patterned surfaces, site-selective adhesion on and growth of rat primary hepatocytes (HCs) and bovine carotid endothelial cells (ECs) allowed patterned co-culture, exploiting hydrophobic/hydrophilic surface chemistry regulated by culture temperature as the sole variable. At 27 degrees C, seeded HCs adhered exclusively onto hydrophobic, dehydrated P(IPAAm-BMA) co-grafted domains (1-mm laser dot), but not onto neighbouring hydrated PIPAAm domains. Sequentially seeded ECs then adhered exclusively to hydrophobised PIPAAm domains upon increasing culture temperature to 37 degrees C, achieving patterned co-cultures. Reducing culture temperature to 20 degrees C promoted hydration of both polymer-grafted domains, permitting release of the co-cultured, patterned cell monolayers as continuous cell sheets with heterotypic cell interactions. Recovered co-cultured cell sheets can be manipulated, moved and sandwiched with other structures, providing new useful constructs both for basic cell biology research and preparation of tissue-mimicking multi-layer materials through overlaying co-cultured cell sheets.

Three-dimensional dose verification of the clinical application of gamma knife stereotactic radiosurgery using polymer gel and MRI

This work seeks to verify multi-shot clinical applications of stereotactic radiosurgery with a Leksell Gamma Knife model C unit employing a polymer gel-MRI based experimental procedure, which has already been shown to be capable of verifying the precision and accuracy of dose delivery in single-shot gamma knife applications. The treatment plan studied in the present work resembles a clinical treatment case of pituitary adenoma using four 8 mm and one 14 mm collimator helmet shots to deliver a prescription dose of 15 Gy to the 50% isodose line (30 Gy maximum dose). For the experimental dose verification of the treatment plan, the same criteria as those used in the clinical treatment planning evaluation were employed. These included comparison of measured and GammaPlan calculated data, in terms of percentage isodose contours on axial, coronal and sagittal planes, as well as 3D plan evaluation criteria such as dose-volume histograms for the target volume, target coverage and conformity indices. Measured percentage isodose contours compared favourably with calculated ones despite individual point fluctuations at low dose contours (e.g., 20%) mainly due to the effect of T2 measurement uncertainty on dose resolution. Dose-volume histogram data were also found in a good agreement while the experimental results for the percentage target coverage and conformity index were 94% and 1.17 relative to corresponding GammaPlan calculations of 96% and 1.12, respectively. Overall, polymer gel results verified the planned dose distribution within experimental uncertainties and uncertainty related to the digitization process of selected GammaPlan output data.

Technical considerations for implementation of x-ray CT polymer gel dosimetry

Gel dosimetry is the most promising 3D dosimetry technique in current radiation therapy practice. X-ray CT has been shown to be a feasible method of reading out polymer gel dosimeters and, with the high accessibility of CT scanners to cancer hospitals, presents an exciting possibility for clinical implementation of gel dosimetry. In this study we report on technical considerations for implementation of x-ray CT polymer gel dosimetry. Specifically phantom design, CT imaging methods, imaging time requirements and gel dose response are investigated. Where possible, recommendations are made for optimizing parameters to enhance system performance. The dose resolution achievable with an optimized system is calculated given voxel size and imaging time constraints. Results are compared with MRI and optical CT polymer gel dosimetry results available in the literature.

Cure kinetics of composites using video imaging

PURPOSE

To study the rate of curing, three composites, Heliomolar (Vivadent), Z100 (3M), and Renew (Bisco) were investigated

METHODS

Volumetric shrinkage was measured at 25 degrees C using the Acuvol with an RG610 red filter. The dynamic measurements were made in the single view mode.

RESULTS

Detailed kinetic studies for Renew determined the effect of varying the light intensity (100mW - 500mW) and irradiation time (3 seconds - 30 seconds) on the rate of curing. A measurement of the gel time of composites and a kinetic constant is reported. ANOVA followed by a Fisher's LSD test and a Kruskall-Wallis test were used for analysis of the data. The gel times follow the order of Heliomolar > Renew > Z100 at 20 seconds and 500 mW. Irradiation time had no significant effect on the gel time of Renew. Light intensity had a significant effect on the gel time of Renew.

Experimental study of attenuation properties of normoxic polymer gel dosimeters

The change in linear attenuation coefficient with absorbed dose has been investigated for aqueous polyacrylamide, gelatine and tetrakis (PAGAT) and aqueous methacrylic acid, gelatine and tetrakis (MAGAT) normoxic polymer gel dosimeters using tetrakis (hydroxy methyl) phosphonium chloride as the antioxidant. The measured linear attenuation coefficient increased linearly with absorbed dose up to 15 Gy for PAGAT gels and 10 Gy for MAGAT gels. Computerized tomography (CT) numbers or Hounsfield units (H) were calculated from the linear attenuation coefficients and compared with values obtained using a CT scanner. Both calculated and measured CT numbers followed a similar pattern when fitted with a biexponential curve. The CT numbers obtained from linear attenuation measurements were found to be greater than that obtained with the CT scanner for both PAGAT and MAGAT polymer gels. The H-dose sensitivities of the MAGAT and PAGAT polymer gel dosimeters measured on a CT scanner were calculated to be (0.85 +/- 0.08) H Gy(-1) and (0.31 +/- 0.03) H Gy(-1), respectively. The H-dose sensitivities of the MAGAT and PAGAT polymer gel dosimeters from attenuation measurements were found to be (1.10 +/- 0.66) H Gy(-1) and (0.34 +/- 0.01) H Gy(-1), respectively.

Effect of time on the flexural strength of glass ionomer and composite orthodontic adhesives

The purpose of this study was to compare the effects of time on the flexural strength of a resin-reinforced glass ionomer and a composite adhesive system, specifically at three time frames corresponding to the three stages of polymerization of Fuji Ortho LC. Ten rectangular specimens of each material were prepared in a metal mold (25 x 2 x 2 mm) and then stored at 37 degrees C and 100% humidity in an incubator. Six test groups were created, in which each specimen was fractured using a 3-point-bending test at a crosshead speed of 0.5 mm/min. The test results indicated that there were significant differences among the groups (P = .0001). The flexural strengths were significantly higher in the two groups (III and VI) that were fractured after seven days. This was true for both the Fuji Ortho LC (x = 77 +/- 6.1 MPa) and the Concise (x = 103.9 +/- 4.2 MPa). The flexural strength of the resin-modified glass ionomer adhesive was significantly lower than that for the composite whatever the time of fracture, 10 minutes, one hour, or seven days. The analysis of the strength-deformation curve of the group of Fuji Ortho LC, which was fractured within 10 minutes after setting (group I), showed viscoplastic behavior, whereas that of all the others groups showed elastic behavior. According to this study, clinicians must consider the mechanics of Fuji Ortho LC setting and, when this material is used, wait for at least one hour to ligate initial or repaired arch wires.

In Situ Control of Cell Adhesion Using Photoresponsive Culture Surface

A photoresponsive culture surface (PRCS) allowing photocontrol of cell adhesion was prepared with a novel polymer material composed of poly(N-isopropylacrylamide) having spiropyran chromophores as side chains. Cell adhesion of the surface was drastically enhanced by the irradiation with ultraviolet (UV) light (wavelength: 365 nm); after subsequent cooling and washing on ice, many cells remained in the irradiated region, whereas most cells were removed from the nonirradiated region. The cell adhesion of the PRCS, which had been enhanced by previous UV irradiation, was reset by the visible light irradiation (wavelength 400-440 nm) and the annealing at 37 degrees C for 2 h. Also it was confirmed that the regional control of cell adhesion was induced several times by repeating the same series of operations. Further, living cell patterning with the 200 microm line width was produced readily by projecting UV light along a micropattern on the PRCS on which the living cells had been seeded uniformly in advance. By using a fluorescent probe that stains living cells only, it was confirmed that the cells maintained sufficient viability even after UV light irradiation followed by cooling and washing.

Effects of gel composition on the radiation induced density change in PAG polymer gel dosimeters: a model and experimental investigations

Due to a density change that occurs in irradiated polyacrylamide gel (PAG), x-ray computed tomography (CT) has emerged as a feasible method of performing polymer gel dosimetry. However, applicability of the technique is currently limited by low sensitivity of the density change to dose. This work investigates the effect of PAG composition on the radiation induced density change and provides direction for future work in improving the sensitivity of CT polymer gel dosimetry. A model is developed that describes the PAG density change (delta(rho)gel) as a function of both polymer yield (%P) and an intrinsic density change, per unit polymer yield, that occurs on conversion of monomer to polymer (delta(rho)polymer). %P is a function of the fraction of monomer consumed and the weight fraction of monomer in the unirradiated gel (%T). Applying the model to experimental CT and Raman spectroscopic data, two important fundamental properties of the response of PAG density to dose (delta(rho)gel dose response) are discovered. The first property is that delta(rho)polymer)depends on PAG %C (cross-linking fraction of total monomer) such that low and high %C PAGs exhibit a higher deltarho(polymer)than do more intermediate %C PAGs. This relationship is opposite to the relationship of polymer yield to %C and is explained by the effect of %C on the type of polymer formed. The second property is that the delta(rho)gel dose response is linearly dependent on %T. From the model, the inference is that, at least for %T < or = 2%, monomer consumption and delta(rho)polymer depend solely on %C. In terms of optimizing CT polymer gel dosimetry for high sensitivity, these results indicate that delta(rho)polymer can be expected to vary with each polymer gel system and thus should be considered when choosing a polymer gel for CT gel dosimetry. However, delta(rho)polymerand %P cannot be maximized simultaneously and maximizing %P, by choosing gels with intermediate %C and high %T, is found to have the greatest impact on increasing the sensitivity of PAG density to dose. As such, future research into new gel formulations for high sensitivity CT polymer gel dosimetry should focus on gels that exhibit an intrinsic density change and maximizing polymer yield in these systems.

Residual monomers released from glass-fibre-reinforced composite photopolymerised in contact with bone and blood

PURPOSE

The aim of this study was to determine the quantity of residual monomers of glass fibre-reinforced composite released into water from the composite that had been photopolymerized in contact with bone and blood.

MATERIALS AND METHODS

E-glass fibre reinforced composite (FRC) made of E-glass fibre veil and the bis-GMA-TEGDMA-PMMA resin system was used in the study. In the first group, pieces of non-polymerised FRC were photopolymerised (40 s) in air which influenced the oxygen inhibited resin layer (positive control). In the second group, the FRC was polymerized between two glass plates allowing both surfaces to be well polymerized (negative control). In the test groups, the FRC was polymerized in contact with bone or in contact with blood. FRC specimens from all four groups were incubated in three milliliters of deionised water at 37 degrees C for three days. At the end of the incubation period, the residual monomers were extracted from the water with dichloromethane, and the residual monomers of TEGDMA and bis-GMA quantitatively analysed by HPLC. The degree of monomer conversion was measured by FTIR from the surface of the test specimen. Differences between the groups were analysed using one-way ANOVA (p < 0.05).

RESULTS

The total quantity of residual monomers released from FRC polymerized in contact with bone was lower (0.55 wt%) than in the positive control group (0.97 wt%) (p = 0.021), and only slightly exceeded that of the negative control group (0.42 wt%) (p = 0.717). The total quantity of monomers released from FRC polymerized in contact with blood was at the level of the negative control group. The main residual monomer released was TEGDMA. The surfaces of the positive and negative controls showed a clear difference between the degree of monomer conversion, 34.0 and 62.8%, respectively, when analysed with FTIR (p < 0.001).

CONCLUSION

The surface of the bone or contact with blood did not significantly inhibit the photoinitiated free radical polymerisation of the dimethacrylate monomer system of the FRC.

Influence of light-curing procedures and photo-initiator/co-initiator composition on the degree of conversion of light-curing resins

OBJECTIVE

The hypothesis that the degree and rate of conversion can be modified favourably by using different light-curing procedures and different photo initiator/co-initiator combinations was tested.

METHOD

A photo-initiator (0.02 mM/g resin); either camphorquinone (CQ) or 1-phenyl-1,2-propanedione (PPD), was mixed with bisGMA:TEGDMA (50:50 by weight). In addition, a co-initiator (0.04 mM/g resin); either N,N-dimethyl-p-aminobenzoic acid ethylester (DABE), N,N-cyanoethylmethylaniline (CEMA), or 2-dimethylaminoethyl methacrylate (DMAEMA), was added. These six combinations were subjected to three curing conditions (standard curing, soft-start curing or LED curing). The conversion levels (DC) were determined with differential scanning calorimetry (DSC). The DSC results were analysed using a general linear model (GLM) and Duncan's multiple range test and regular t-test.

RESULTS

The fastest conversion initially was obtained by standard curing, followed by LED curing and soft-start curing. After 40 s of curing, conventional curing and soft-start curing produced a higher DC than LED curing. However, strong interactions occurred between the different variables (curing method, initiator and co-initiator). Initially, CQ was more efficient than PPD, but after 40 s, this difference was insignificant.

CONCLUSION

By using soft-start curing and an appropriate photo initiator/co-initiator combination it is possible to achieve slow curing and a high DC at within a curing time of 40 s.

Magnetic resonance imaging of radiation dose distributions using a polymer-gel dosimeter

A new formulation of a tissue-equivalent polymer-gel dosimeter for the measurement of three-dimensional dose distributions of ionizing radiation has been developed. It is composed of aqueous gelatin infused with acrylamide and N, N'-methylene-bisacrylamide monomers, and made hypoxic by nitrogen saturation. Irradiation of the gel, referred to as BANG, causes localized polymerization of the monomers, which, in turn, reduces the transverse NMR relaxation times of water protons. The dose dependence of the NMR transverse relaxation rate, R2, is reproducible (less than 2% variation) and is linear up to about 8 Gy, with a slope of 0.25 s(-1)Gy(-1) at 1.5 T. Magnetic resonance imaging may be used to obtain accurate three-dimensional dose distributions with high spatial resolution. Since the radiation-induced polymers do not diffuse through the gelatin matrix, the dose distributions recorded by BANG gels are stable for long periods of time, and may be used to measure low-activity radioactive sources. Since the light-scattering properties of the polymerized regions are different from those of the clear, non-irradiated regions, the dose distributions are visible, and their optical densities are dependent on dose.

Relationship between contraction stress and degree of conversion in restorative composites

OBJECTIVES

To verify the relationship between contraction stress and degree of conversion (DC) in different composites (Filtek Z250, Filtek A110, Tetric Ceram and Heliomolar).

METHODS

For the contraction stress test, composite (2 mm thick) was applied between two 5-mm diameter glass rods, mounted in a tensilometer. DC was determined by Infrared Photoacoustic spectroscopy in specimens with similar dimensions and geometry, submitted to identical curing conditions. Specimens were exposed to different energy densities (4.5, 13.5, 27.0, 54.0 and 108.0 J/cm2) by varying exposure time. Contraction stress and DC were recorded 10 min after the beginning of photoactivation. Results were analyzed by ANOVA/Tukey's test and regression analysis.

RESULTS

For contraction stress, the interaction between composite and energy density was significant. Stress values ranged between 0.6+/-0.2 and 2.0+/-0.3 MPa at 4.5 J/cm2, 2.3+/-0.5 and 4.3+/-0.4 MPa at 13.5 J/cm2, 3.8+/-0.5 and 5.8+/-0.9 MPa at 27.0 J/cm2, 4.2+/-0.8 and 7.9+/-0.9 MPa at 54.0 J/cm2 and 6.6+/-0.8 and 8.1+/-0.9 MPa at 108.0 J/cm2. Tetric Ceram (39+/-5.8%) showed a higher average DC than the other materials. Heliomolar (28+/-5.2%) showed an average DC similar to Filtek Z250 (32+/-6.6%) and to Filtek A110 (24+/-7.5%) regardless of the energy density level. No significant increase in DC was observed above 27 J/cm2.

CONCLUSIONS

At high energy levels, DC had a tendency to level off earlier than contraction stress values.

SIGNIFICANCE

Using high energy densities may cause a significant increase in stress values, without producing a significant increase in conversion.

Hardness and degree of conversion of posterior packable composites

Knoop microhardness and the degree of conversion of three packable composites (SureFil, Alert and Solitaire), a microfil composite (Heliomolar), a microhybrid composite (Herculite) and an indirect laboratory-processed composite (Belleglass) were evaluated as a function of distance from the irradiated surface. Cylindrical specimens (5.0 mm [diameter] x 6.0 mm [length]) of each material were visible light cured for 60 seconds in black-backed Teflon molds and sectioned. Knoop microhardness values were then obtained at 0-, 2- and 4-mm using a 50-gram load and 20 second dwell time. Degree of conversion was determined using Fourier Transform Infrared Spectroscopy. ANOVA (p<0.001) and Tukey Multiple Comparison Test (p<0.05) showed the indirect laboratory-processed composite Belleglass exhibited the highest mean values for both hardness and degree of conversion. Alert exhibited significantly greater hardness than SureFil and Solitaire at 0-mm depth. SureFil had significantly greater hardness than Alert at 4-mm depth. The degree of conversion of SureFil packable composite at 4-mm depth was significantly higher than any of the other direct composites tested.

Influence of mechanical and chemical polishing in the solubility of acrylic resins polymerized by microwave irradiation and conventional water bath

OBJECTIVES

The aim of this work was to evaluate the solubility of acrylic resin activated by microwave irradiation (MI) or water bath (WB), when submitted to chemical (CP) or mechanical (MP) polishing.

METHODS

Forty acrylic resin samples were made and processed either by water bath (74 +/- 1 degrees C, 9 h) or microwave irradiation (500 W, 3 min). After deflasking, the samples were finished with aluminum oxide sandpapers in decreasing granulations till reaching similar dimensions. The samples were divided into four groups according to the association between kind of polymerization and polishing: A (WB + CP), B (WB + MP), C (MI + CP) and D (MI + MP). Solubility test was performed for each group and percentile solubility was calculated. Data were statistically analyzed using variance analysis and Kruskal-Wallis.

RESULTS

The average of percentile solubility (%) was obtained: A = 0.07, B = 0.02, C = 0.04, D = -0.14, however, no significant difference was found between types of polishing in the samples polymerized by water bath (A and B). When processed by microwave irradiation (C and D), there was significant difference between the applied methods of polishing, so that mechanical polishing lead to a lower solubility.

SIGNIFICANCE

Solubility is a property of acrylic resins, representing not reacted substances releasing that could promote tissular reactions in prosthesis users. The association between polymerization by microwave irradiation and mechanical polishing showed less residual substances releasing for heat-cured acrylic resins, reducing the probability of developing tissular reactions.

Does plasma irradiation improve shear bond strength of acrylic resin to cobalt-chromium alloy?

OBJECTIVES

Plasma treatment leads to surface modification such as the improved wettability of dental materials. Studies have suggested that plasma treatment may bring about an improvement in the shear bond strength between cobalt-chromium alloy and self-curing acrylic resin.

METHODS

Forty-eight cobalt-chromium alloy specimens were randomly divided into four groups (each of the groups consisted of 12 specimens); air abrasion, adhesive primer, adhesive primer after air abrasion, or after plasma irradiation. A self-curing acrylic resin, 2 mm thick and 3.6 mm in diameter, was processed on all specimens before storage in distilled water at 37 degrees C for 24 h. Shear bond strength values were determined at a crosshead speed of 0.5 mm/min. Data was statistically analyzed using Scheffé's test.

RESULTS

Adhesive primer clearly increased the shear bond strength compared with air abrasion (p < 0.05). The synergy of air abrasion and adhesive primer greatly increased the shear bond strength, showing a five-fold increase over air abrasion, or one and a half-fold over adhesive primer. A similar tendency in increase was observed in the adhesive primer after plasma treatment, but to a lower degree. Adhesive primer after plasma treatment showed half the shear bond strength of the treatment of adhesive primer after air abrasion (p < 0.05). Moreover, adhesive primer after plasma treatment showed a lower shear bond strength than adhesive primer alone although the difference was not statistically significant.

SIGNIFICANCE

Plasma treatment does not improve adhesion between cobalt-chromium alloy and self-curing acrylic resin.

The effect of polymerization cycles on porosity of microwave-processed denture base resin

STATEMENT OF PROBLEM

Although most of the physical properties of denture base resin polymerized by microwave energy have been shown to be similar to resins polymerized by the conventional heat polymerization method, the presence of porosity is a problem.

PURPOSE

This study evaluated the effect of different microwave polymerization cycles on the porosity of a denture base resin designed for microwave polymerization.

MATERIAL AND METHODS

Thirty-two rectangular resin specimens (65 x 40 x 5 mm) were divided into 3 experimental groups (A, B, and C; Onda-Cryl, microwave-polymerized resin) and 1 control group (T; Clássico, heat-polymerized resin), according to the following polymerization cycles: (A) 500 W for 3 minutes, (B) 90 W for 13 minutes+500 W for 90 seconds, (C) 320 W for 3 minutes+0 W for 4 minutes+720 W for 3 minutes, and (T) 74 degrees C for 9 hours. Porosity was calculated by measurement of the specimen volume before and after its immersion in water. Data were analyzed using 1-way analysis of variance (alpha=.05).

RESULTS

The mean values and SDs of the percent mean porosity were: A=1.05%+/-0.28%, B=0.91%+/-0.15%, C=0.88%+/-0.23%, T=0.93%+/-0.23%. No significant differences were found in mean porosity among the groups evaluated.

CONCLUSION

Within the limitations of this study, a denture base resin specifically designed for microwave polymerization tested was not affected by different polymerization cycles. Porosity was similar to the conventional heat-polymerized denture base resin tested.

Morphology and properties of denture acrylic resins cured by microwave energy and conventional water bath

OBJECTIVES

This study examined the influence of microwave energy levels on the morphology and properties of an impact resistant denture material poly(methyl methacrylate) with a thickness of 10 mm.

METHODS

A microwave flask containing two resin blocks was processed at 80, 160, 240, and 560 W for 15, 10, 7, and 2 min, separately. Each Flask was then turned over, and cured for an additional 2 min at 560 W. The process using conventional methods was carried out at 70 degrees C for 9 h. The blocks were tested for hardness, porosity, flexural properties, solubility, and molecular weight. The morphology of the specimens after staining with osmium tetroxide was examined by transmission electron microscope.

RESULTS

The changes in temperature with time were recorded during microwave heating at 80, 160, and 240 W, respectively. A significantly large difference in the curing temperature was observed when comparing these two processing methods. There was little difference in the mean values of surface hardness and the weight percent of the insoluble parts. The mean domain size and the volume fraction of the rubber phase favor of the water-bath method. However, the porosity in the water-bath-cured specimens was much less than that in the microwave-cured specimens. Thus, the conventionally cured specimens showed better flexural strength and flexural modulus than the microwave-cured specimens.

SIGNIFICANCE

This study has shown that microwave energy can efficiently polymerize denture base polymer. Highly statistical differences in morphology and flexural properties favor of the water-bath method. Choice of a suitable microwave power and polymerization time is important in order to reduce porosity to a minimum level and increase the domain size and volume of the rubber phase.

Ablation of composite resins using Er:YAG laser--comparison with enamel and dentin

OBJECTIVES

The purpose of this work is to investigate comparative ablation rate between composite resins and dental hard tissues (enamel and dentin) after Er:YAG laser irradiation to verify possible development of an ultra-conservative dentistry to with minimum effect for the teeth tissue.

METHODS

We have used 11 extracted or exfoliated primary anterior and posterior teeth and six extracted permanent molar teeth. Three different types of composite resin were chosen (microfiller, hybrid, and condensable) in terms of chemical and structural composition. Composite tablets and the teeth were irradiated with a Er:YAG laser at different laser beam energy level per pulse (100, 200, 300, and 400 mJ). Diameter and depth of each resulted microcavity were measured and the material removed volumes were calculated. The resulted values were plotted and fitted to allow a comparative observation of the material removed as a function of energy level per pulse.

RESULTS

While the idea of ultra-conservative dentistry seems to apply well for enamel of primary and permanent teeth, at the present stage it does not apply well for primary or permanent dentin. For dentin, the composition and content of water makes the Er:YAG laser ablation equal or superior in rate compared with the three used resins.

SIGNIFICANCE

This work presents of a comparative study of Er:YAG laser ablation, allowing to analyze the possible selective ablation between composite resin placed and cured and dental hard tissues, with the goal to propose a new clinical technique: differential ablation for composite resin restorations using Er:YAG laser.

Polymerization shrinkage-strain kinetics of temporary crown and bridge materials

OBJECTIVE

The purpose of this study was to measure the polymerization shrinkage kinetics of four commercially available polymer-based temporary crown and bridge materials, including the effect of ambient temperature.

METHODS

Three dimethacrylate-based materials and one monomethacrylate-based material were investigated. The polymerization shrinkage-strains were measured by using the Bonded-disk method with initial specimen temperature at both 23 and 37 degrees C, with values particularly noted at 5, 10, and 120 min after mixing. Five recordings were taken for each material. The progress of the setting reaction and its temperature-dependence were evaluated by the kinetic curves, and net shrinkage and total shrinkage (inclusive of expansion magnitude) of each material were compared by independent sample t-test and one-way ANOVA.

RESULTS

Most shrinkage occurred in the first 10 min after mixing although there was an early expansion especially with the monomethacylate in the first 5 min. At 120 min, the net shrinkage-strain at 23 and 37 degrees C of the materials used in this test ranged from 3.54 to 4.13%. The fastest setting dimethacrylate-based material and the monomethacrylate-based material showed higher shrinkage-strain than other materials. No significant differences of net shrinkage-strain were found between 23 and 37 degrees C, but higher shrinkage rates were measured at 37 degrees C than at 23 degrees C.

SIGNIFICANCE

The Bonded-disk method is a suitable method for measuring temperature-dependence of shrinkage-strain of polymer-based temporary materials. The dimethacrylate-based materials are preferable to monomethacrylates for temporary restoration as judged by the magnitude of polymerization shrinkage-strain, the majority of which is apparent within 10 min from the start of mixing and may affect the clinical outcome.

Effect of Plasma Treatment on Adhesion of Self-curing Repair Resin to Acrylic Denture Base

Plasma irradiation on surface of heat-cured acrylic resin prior to processing self-curing acrylic resin is likely to effectively increase the adhesive strength between these materials for short-term period. However, long-term reliability of adhesive strength between these materials has not been clarified yet. In the present study, these materials were stored in water for a long period (100 days), and the effect on their shear bond strength was investigated. Forty-four test specimens with flat bonding test surface were made with heat-cured acrylic resin. They were divided into four groups according to treatment procedures for bonding surface: plasma treatment, adhesive primer application, adhesive primer application after plasma treatment, and no treatment (for control). Self-curing acrylic resin was processed against all bonding surfaces. After storage in water for 100 days, shear bond strength values between heat-cured and self-cured acrylic resins were measured. Specimens in plasma treatment group exhibited higher shear bond strength value than those in control, although the difference was not significant.

Light-curing Reinforcement for Denture Base Resin Using a Glass Fiber Cloth Pre-impregnated with Various Urethane Oligomers

The purpose of this study was to investigate the flexural properties of denture base resin reinforced using glass fiber cloth and a urethane oligomer. The five types of oligomer used in this study were S5, S9, S3, U4, and U6, which have varying functional groups and viscosities. The flexural properties of S9 with glass fiber cloth could not be measured because S9 is elastic. In the heat-cured resin reinforced with S9, the reinforcement peeled away from the resin. In the self- and light-cured resins reinforced with S9, the flexural properties increased significantly. When reinforced with the other four oligomers (S5, S3, U4, and U6), the flexural strength and flexural modulus of the self-, heat-, and light-cured resins increased significantly (p<0.01).

Effectiveness of microwave sterilization on three hard chairside reline resins

PURPOSE

The aim of this study was to evaluate the effectiveness of microwave irradiation sterilization on hard chairside reline resins.

MATERIALS AND METHODS

Specimens of three reline resins (Kooliner, Tokuso Rebase, and Ufi Gel Hard) were fabricated and subjected to ethylene oxide sterilization. The specimens were then individually inoculated (10(7) cfu/mL) with Tryptic Soy Broth media containing one of the tested microorganisms (C albicans, S aureus, B subtilis, and P aeruginosa). After 48 hours at 37 degrees C, the samples were vortexed for 1 minute and allowed to stand for 9 minutes, followed by a short vortex to resuspend any organisms present. After inoculation, 40 specimens of each material were immersed in 200 mL of water and subjected to microwave irradiation at 650 W for 6 minutes. Forty non-irradiated specimens were used as positive controls. Replicate specimens (25 microL) of suspension were plated at dilutions of 10(-3) to 10(-6) on plates of selective media appropriate for each organism. All plates were incubated at 37 degrees C for 48 hours. After incubation, colonies were counted, and the data were statistically analyzed by the Kruskal-Wallis test. Twelve specimens of each material were prepared for SEM.

RESULTS

All immersed specimens showed consistent sterilization of all the individual organisms after microwave irradiation. SEM examination indicated an alteration in cell morphology after microwave irradiation.

CONCLUSION

Microwave sterilization for 6 minutes at 650 W proved to be effective for the sterilization of hard chairside reline resins.

Polymerization of resin composite restorative materials: exposure reciprocity

OBJECTIVE

To examine whether there is reciprocity between irradiation time and irradiance with regard to the mechanical properties of filled, resin composite restorative materials (RCs).

METHODS

Four visible light-cured RCs, all of shade A3, were used: Heliomolar Radiopaque (HR) and Tetric Ceram (TC) (Ivoclar, Schaan, Liechtenstein), Filtek Z250 (FZ) (3M, St Paul, MN, USA) and Prodigy condensable (PR) (Kerr, Orange, CA, USA). Bar specimens (1.0 x 1.5 x 16.0 mm(3)) were cured at irradiances (I) ranging from 25-1500 mW/cm(2) and irradiation times (t) of 1-3000 s. Six specimens at 250 combinations of t and I were prepared and stored in artificial saliva of pH 6, at 37 degrees C for 7d before performing three-point bend tests for flexural strength (F), flexural modulus (E) and total energy to failure (W). Contour plots of property value vs. t and I on log scales were prepared.

RESULTS

The contour plots showed three regions: unset at low I.t, a plateau corresponding to more or less full property development, and connecting ramp. The boundary between the plateau and the ramp suggests the minimum acceptable exposure. No practical lower limit to irradiance was detected, but there may be no benefit from increasing I beyond about 1,000 mW/cm(2). The slopes of the contours in the log-log plots provided a test of the hypothesis of reciprocity. These slopes were approximately -1.5 for HR, TC and PR; and approximately -1 for FZ, compared with the expected value of -1. The general hypothesis therefore fails. The existence of localized maxima in property values is further evidence of that failure, even for FZ.

SIGNIFICANCE

Dentists may use any lamp, including LED sources, and attain satisfactory results providing irradiation time is long enough. Manufacturers ought to supply a graph indicating the minimum acceptable exposure for each product for specified curing lamps. Calculations based on total energy delivered to guide irradiation protocols are invalid and do not recognize product behavior.

Effect of the curing conditions on the properties of an acrylic denture base resin microwave-polymerised

OBJECTIVES

The aim of this study is to evaluate the effect of the different conditions of curing on the residual monomer levels, hardness and impact strength of a microwave-polymerised acrylic resin.

METHODS

The material was polymerised in a microwave oven in four different conditions of power and curing time. The kinetics of release of residual monomer in water was evaluated by spectrophotometric method up to 24 h. The hardness of the sample was determined by the Rockwell method and the impact strength tested by the Charpy method. The results were subjected to statistical analysis using ANOVA and Tukey's test for comparison.

RESULTS

The levels of residual monomer were found dependent upon the curing conditions and they were correlated with the values of impact strength. Significant differences were observed in this property regarding the analysed conditions (p<0.001).

CONCLUSIONS

From the appropriate selection of power and time of curing of the resin, it is possible to optimise the level of residual monomer and a low cytotoxicity keeping at the same time the best mechanical properties.

Polymerization of orthodontic adhesives using modern high-intensity visible curing lights

This study was undertaken to assess the efficacy of 3 visible curing lights: a conventional halogen light and 2 high-intensity halogen lights in the polymerization of a polymer-based and resin-modified glass ionomer orthodontic cement. Degree of polymerization was measured by Fourier transform infrared spectroscopy and the development of mechanical properties by Barcol hardness. The results were analyzed with either 2- or 3-way analysis of variance. It was shown that, for the polymer-based material, there was a significant increase in degree of cure and hardness with time of application of the light for each light source. For chemical conversion, there was no significant difference between the lights. However, there was a difference in hardness: the higher intensity lights produced greater hardness in shorter time. Thus, there was poor correlation between degree of polymerization and hardness. For the resin-modified glass ionomer, similar trends were found, but there was a difference in hardness between the top and the bottom of the specimens. It was concluded that the higher intensity lights could aid in the more rapid development of mechanical properties of the tested adhesives.

The effects of degree of crosslinking on the fatigue crack initiation and propagation resistance of orthopedic-grade polyethylene

Crosslinked ultrahigh molecular weight polyethylene (UHMWPE) has been recently approved by the Food and Drug Administration for use in orthopedic implants. The majority of commercially available UHMWPE orthopedic components are crosslinked using e-beam or gamma radiation. The level of crosslinking is controlled with radiation dose and free radicals are eliminated through heat treatments to prevent long-term degradation associated with chain scission or oxidation mechanisms. Laboratory studies have demonstrated a substantial improvement in the wear resistance of crosslinked UHMWPE. However, a concern about the resistance to fatigue damage remains in the clinical community, especially for tibial components that sustain high cyclic contact stresses. The objective of this study was to investigate both the initiation and propagation aspects of fatigue cracks in radiation crosslinked medical-grade UHMWPE. This work evaluated three levels of radiation, which induced three crosslink densities, on the fatigue crack propagation and total fatigue life behavior. Both as-received UHMWPE, as well as those that underwent an identical thermal history as the crosslinked UHMWPE were used as controls. Fractured crack propagation specimens were examined using scanning electron microscopy to elucidate fatigue fracture mechanisms. The results of this work indicated that a low crosslink density may optimize the fatigue resistance from both a crack initiation and propagation standpoint.

Combining photolysis and bioprocesses for mineralization of high molecular weight polyacrylamides

The influence of ultraviolet photolysis as a pretreatment to the aerobic and anaerobic biological mineralization of a 14C-polyacrylamide was assessed using a series of radiorespirometry bioassays. The polyacrylamide studied was non-ionic with molecular weights ranging between 100,000 and 1 million. Aerobic and anaerobic biomineralization of the unphotolysed (raw) polyacrylamide was found to be only 0.60% and 0.70%, respectively, after 6 weeks of incubation, and hence indicative of the natural recalcitrance of polyacrylamide to microbial degradation. The effectiveness of UV irradiation in the physical breakdown of the polyacrylamide chain into oligomers was demonstrated by the shift in the molecular weight distribution and the positive correlation between the time of irradiation and the degree of its biological mineralization. The molecular weight fraction below 3 kD, which represents only 2% of the raw polyacrylamide, was increased to 41, 60 and 80% after 12, 24 and 48 hours of photolysis, respectively. This in turn, yielded, after 6 weeks of incubation, an aerobic mineralization of 5, 17 and 29% of 150 mg/L polyacrylamide, respectively, and an anaerobic mineralization of 3, 5 and 17%, respectively. Biomass acclimation substantially improved the specific initial rate of biomineralization of the photolysed polyacrylamides, but not the overall percentage of polyacrylamides mineralized.

Volumetric shrinkage of composites using video-imaging

OBJECTIVE

This study involves investigation of the use of video-imaging for measurement of volumetric shrinkage of composites.

METHODS

Six composites were tested for volumetric shrinkage using video-imaging. The volumetric shrinkage was measured using the single- and multi-view volumetric reconstruction modes. All composites were cured using a VIP(TM) curing light for 40s at 500 mW/cm(2). Dynamic shrinkage was measured using the single-view mode with a red filter placed over the detector opening.

RESULTS

Analysis of the volumetric shrinkage values by a one way ANOVA for each composite showed no difference for the single- and multi-view measurement mode. The shrinkage values determined by video-imaging were compared to those measured for the same composites by mercury dilatometry by one way ANOVA followed by a paired comparison using the Bonferroni method.

CONCLUSION

The video-imaging technique gives reproducible results for volumetric shrinkage of composites comparable to those measured by dilatometry.

Dimensional change in complete dentures fabricated by injection molding and microwave processing

STATEMENT OF PROBLEM

Acrylic resin complete dentures undergo dimensional changes during polymerization. Techniques with injection molding and polymerization and microwave polymerization are reported to reduce these changes and thereby improve clinical fit. These dimensional changes need to be quantified.

PURPOSE

The purpose of this study was to compare differences in dimensional changes of simulated maxillary complete dentures during polymerization and storage in water after injection molding and conventional polymerization, or microwave polymerization against a control of conventionally packed and polymerized simulated maxillary complete dentures.

MATERIAL AND METHODS

Forty identical maxillary denture bases were prepared in dental wax with anatomic teeth. They were invested and the wax eliminated from the molds. Ten specimens each were randomly assigned to 1 of 4 groups. Group 1 was compression molded and conventionally polymerized; group 2 was injection molded and conventionally polymerized (Success); group 3 was injection molded and microwave polymerized (Acron MC); and group 4 was injection molded and microwave polymerized (Microbase). Intermolar width and changes in vertical dimension of occlusion, were determined after polymerization and after storage in water for 28 days. Measurements in triplicate were made between points scribed on the second molar teeth with a traveling microscope (accurate to 0.005 mm). Vertical dimension of occlusion was measured between points scribed on the upper and lower members of an articulator by use of an internal micrometer (accurate to 0.05 mm). Data were analyzed by use of a 1-way analysis of variance with Tukey post-hoc contrasts (P <.05).

RESULTS

Polymerization contractions (intermolar widths) for each group were: group 1, -0.24%; group 2, -0.27%; group 3, -0.35%; and group 4, -0.37%. The Microbase specimens had greater shrinkage than conventionally polymerized specimens, but there were no significant differences between the groups. All injection methods had less postpolymerization increase in vertical dimension of occlusion (0.63 to 0.41 mm) than the conventional Trevalon control (0.74 mm), but only group 4 was significantly different (P<.004). After storage in water for 28 days, all specimens increased in vertical dimension of occlusion (0.10% to 0.16%) from polymerization techniques, but there were no significant differences between groups.

CONCLUSION

Within the limitations of this study, injection molding resulted in a slightly less increase of vertical dimension of occlusion than conventional polymerization techniques, the difference being significant for Microbase compared with the conventional Trevalon control.

Radiation dose distribution in polymer gels by Raman spectroscopy

The Raman spectroscopy of polymer gel dosimeters has been investigated with a view to developing a novel dosimetry technique that is capable of determining radiation dose within a micrometer of spatial resolution. The polymer gel dosimeter, known as the PAG dosimeter, is typically made up of acrylamide, N,N'-methylene-bis--acrylamide, gelatin, and water. A polyacrylamide network within the gelatin matrix forms in response to an absorbed dose. The loss of monomers may be monitored by corresponding changes to the Raman spectrum. Principal component analysis offers a simple method of quantifying the absorbed radiation dose from the Raman spectrum of the polymer gel. The background luminescence in the spectrum increased significantly with dose and is shown to originate in the glass of the sample vial. The competing effects of elastic scatter, which increases with dose due to the formation of polymer, and sample absorption were quantified and found to introduce errors of up to 5% under certain conditions. Raman spectra as a function of distance from the air-surface interface have been measured for samples that were subjected to doses delivered by a clinical linear accelerator. The depth dose profile thus obtained compared favorably with "gold standard" ion-chamber measurements.

Investigation of ultrasonic properties of PAG and MAGIC polymer gel dosimeters

Ultrasonic speed of propagation and attenuation were investigated as a function of absorbed radiation dose in PAG and MAGIC polymer gel dosimeters. Both PAG and MAGIC gel dosimeters displayed a dependence of ultrasonic parameters on absorbed dose with attenuation displaying significant changes in the dose range investigated. The ultrasonic attenuation dose sensitivity at 4 MHz in MAGIC gels was determined to be 4.7 +/- 0.3 dB m(-1) Gy(-1) and for PAG 3.9 +/- 0.3 dB m(-1) Gy(-1). Ultrasonic speed dose sensitivities were 0.178 +/- 0.006 m s(-1) Gy(-1) for MAGIC gel and -0.44 +/- 0.02 m s(-1) Gy(-1) for PAG. Density and compressional elastic modulus were investigated to explain the different sensitivities of ultrasonic speed to radiation for PAG and MAGIC gels. The different sensitivities were found to be due to differences in the compressional elastic modulus as a function of dose for the two formulations. To understand the physical phenomena underlying the increase in ultrasonic attenuation with dose, the viscoelastic properties of the gels were studied. Results suggest that at ultrasonic frequencies, attenuation in polymer gel dosimeters is primarily due to volume viscosity. It is concluded that ultrasonic attenuation significantly increases with absorbed dose. Also, the ultrasonic speed in polymer gel dosimeters is affected by changes in dosimeter elastic modulus that are likely to be a result of polymerization. It is suggested that ultrasound is a sufficiently sensitive technique for polymer gel dosimetry.

Selective removal of residual composite from dental enamel surfaces using the third harmonic of a Q-switched Nd:YAG laser

BACKGROUND AND OBJECTIVE

Conventional methods of residual composite removal after the debonding of orthodontic brackets involve the use of abrasives that damage the underlying enamel. The objective of this study was to demonstrate that 355-nm laser pulses with a pulse width of 10 ns are well suited for the removal of composite through selective laser ablation.

STUDY DESIGN/MATERIALS AND METHODS

The residual composite remaining on the surface of extracted human third molars and bovine incisors was removed using multiple laser pulses from the third harmonic (355-nm) of a Q-switched Nd:YAG laser.

RESULTS

There is selective ablation of composite from the enamel surface without any discernable damage to the underlying enamel.

CONCLUSION

This study demonstrates that 355-nm, 10 ns laser pulses can be used for the selective ablation of dental composite without thermal or mechanical damage to the underlying enamel.

Optimization of multiple spin-echo sequences for 3D polymer gel dosimetry

The overall performance of polymer gel dosimeters for three-dimensional radiation dosimetry is determined by the temporal and spatial stability of the gels, dose sensitivity and image quality with respect to both systematic and stochastic deviations. The dose resolution (D(p)delta) is determined by the dose sensitivity and the signal-to-noise ratio (SNR) in the dose images. The dose sensitivity can be altered by changing the chemical composition of the polymer gel. The SNR is determined by the scanner and the imaging sequence. In the dose verification of conformal radiotherapy treatments the chosen number of slices may reach a number of 10-20. For these experiments, to obtain a sufficient SNR within a reasonable measurement time using a certain MR scanner, the imaging sequence should be optimized. A few other studies have emphasized the importance of optimizing the imaging sequence with respect to dose resolution (D(p)delta) or SNR but do not give quantitative values for the optimal sequence parameters for scanning a polymer gel dosimeter in three dimensions. In this paper, it is proved that a multiple spin-echo sequence is preferable to a single spin-echo sequence. It is also shown that when using a multiple spin-echo sequence it is not the inter-echo time that should be optimized but the number of echoes. An algebraical expression is derived for the dose resolution in terms of sequence parameters. A mathematical formalism and look-up tables are provided that can be used to optimize both a single and a slice-selective multiple spin-echo sequence to acquire a set of dose images at various locations. The use of the optimization protocol is illustrated by some examples. The optimization protocol enables the user to derive the optimal sequence parameters to acquire a set of dose maps obtained by quantitative T2 imaging for each polymer gel dosimeter within the shortest time possible.

Energy dependent polymerization of resin-based composite

OBJECTIVE

This study explores the relationship between the extent of polymerization and the radiant energy (dose) applied during the photopolymerization of resin-based composites.

METHOD

FTIR was used to measure the 5-min and 24-h conversion of four resin-based composites prepared in a thin film and polymerized under conditions of decreasing intensity and a constant exposure time (30s) using a tungsten halogen curing light. The measured conversion was obtained over a wide range of applied radiant energy. Additionally, samples for two of the materials were polymerized at various intensities and exposure times such that the dose remained constant. This process was performed at four dose levels representing approximately 75% of the conversion range.

RESULTS

The curing profiles (percent conversion versus applied radiant energy) depict a gradual decrease in conversion with decreasing energy followed by a rapid descent. Though there are differences in the maximum conversion attained between the materials, when conversion is represented as a fractional conversion relative to the maximum 24-h value, their 5-min and 24-h curing profiles appear quite similar. Additionally, very similar conversion was measured when the films were exposed using equivalent doses providing evidence for a reciprocal relationship between irradiance (power density) and exposure time. For the 24-h measurements, statistical equivalence (Fishers protected LSD at the 0.05 level) was noted for most of the combinations of exposure time and power density within a given dose. Generally, the exceptions occurred with the shortest exposure times.

SIGNIFICANCE

A reciprocal relationship between exposure time and power density adds significance to the study of conversion as a function of the total applied dose. This relationship establishes the curing profile as a universal correlation between exposure time and power density.

Effect of photo-irradiation on hardness of soft lining materials for denture base

Nine photo-activated acrylic-type (EPL) soft lining materials were produced experimentally to examine their durability. The purpose of this study was to investigate the effect of photo-irradiation on the hardness of experimental soft lining materials. The hardness (Hex) of the nine EPLs was increased 4.3-170.1% by exposing them to light. The effect of irradiation on the Hex of the EPLs was remarkable when the material contained much ethylmethacrylate, together with smaller amounts of di-n-butyl phthalate. Moreover, the Hex tended to increase for EPLs in which the liquid portion contained less di-n-butyl phthalate or more ethanol (Et). The weight change ratio (Wc) was greater for EPL specimens containing less Et. The Wcs ranged from 0.118 to 0.661% after 8 weeks. These results showed that the Hexs of six of the EPLs were approximately equal to those of four commercially available soft lining materials, and these six EPLs may have properties favouring their use in clinical dentistry.

Dose-response stability and integrity of the dose distribution of various polymer gel dosimeters

In this study the stability of different polymer gel dosimeters is investigated. Further to a previous chemical stability study on a (6%T, 50%C) PAG gel, the change in slope and intercept of the linear part of the R2-dose plot is recorded with time for different gel formulations. In addition to this R2-dose-response stability study, the dose edge of a half-blocked field was recorded with time. Three different PAG type polymer gels, a hydroxyethyl acrylate (HEA) gel and two different normoxic polymer gels were investigated. In the PAG type polymer gels, the relative concentration of gelatin and comonomers was varied in order to study the influence of the different components, that constitute the dosimeter, on the stability. It is shown that the R2-dose-response stability is largely determined by the chemical composition of the gel dosimeters. All the PAG gel dosimeters and the normoxic gel dosimeters are found to preserve the integrity of the dose distribution up to 22 days after irradiation. The half-life of the change in dose sensitivity of a MAGIC gel is found to be 18 h compared to 5.7 h for a (6%T, 50%C) PAG gel. A maximum relative decrease in dose sensitivity of 21% was noted for the MAGIC gel compared to an increase of 50% for a (6%T, 50%C) PAG gel. A loss of integrity of the dose distribution was found in the HEA gel.

Evaluation of porosity in microwave-processed acrylic resin using a photographic method

STATEMENT OF PROBLEM

The effect of microwave polymerization on the porosity of denture base resin has not been fully determined.

PURPOSE

This study investigated the effect of microwave energy on the porosity of 2 heat-activated denture base resins.

MATERIAL AND METHODS

Two heat-activated denture base resins, one conventional (Paladon 65) and one designed for microwave polymerization (Acron MC), were used to prepare 50 test specimens. Five groups of 10 specimens each were established: Group A (Paladon 65, water bath); Group B(1) (Paladon 65, short microwave cycle); Group B(2) (Paladon 65, long microwave cycle); Group C(1) (Acron MC, short microwave cycle); and Group C(2) (Acron MC, long microwave cycle). Half of the specimens in each group were 3 mm thick, the other half 6 mm thick. After being polymerized, specimens were cut so that 3 cross-sectional areas were formed (S(1), S(2), and S(3)). These surfaces were polished and photographed under a microscope at x100 magnification. On the developed photographs, the area of each pore was measured with a digital planimeter, and the total area of pores per surface was calculated in percentage form. The total number of pores on each surface and the topographical distribution of the pores also were recorded. A 3-factor repeated-measures analysis of variance was used to compare porosity data, and a 1-way analysis of variance was performed to determine possible interactions between groups based on material and specimen thickness (P<.05). The effect of surface area on porosity data was analyzed with the use of contrasts.

RESULTS

Group A specimens exhibited no pores. In the thicker specimens of Groups B(1) and B(2), giant pores (area as great as 3.69 mm(2)) and small, gaseous pores of almost uniform shape and size were found. In Groups C(1) and C(2), only the smaller pores were found; these were not clinically significant. Of the observed surfaces, 75.3% were free of pores and 24.7% contained at least one pore. In a selected group of pore-bearing surfaces, the majority (81%) had pores located near the center. The thicker specimens in Group B exhibited the greatest amount of porosity (P<.0001); Group C specimens exhibited the least porosity. Repeated-measures analysis of variance showed that polymerization cycle had no effect on porosity (P=.19). The 3 other factors (material, specimen thickness, and surface) and all possible interactions among them were significant (P<.05). Among the surfaces, S(1) and S(2) exhibited the highest total mean value of porosity (0.71% and 0.74%, respectively) and S(3) the lowest (0.025%). S(3) showed a different pattern of porosity than S(1) and S(2).

CONCLUSION

Within the limitations of this in vitro study, minor porosity was identified in thin and more severe porosity in thicker areas of conventional resin specimens that underwent microwave polymerization. The resin designed specifically for microwave polymerization exhibited no clinically significant porosity.

Resin polymerization problems--are they caused by resin curing lights, resin formulations, or both?

Negative effects of rapid, high-intensity resin curing have been predicted for both argon lasers and plasma-arc curing lights. To address these questions, six different resin restorative materials were cured with 14 different resin curing lights representing differences in intensities ranging from 400 mW/cm2 to 1,900 mW/cm2; delivery modes using constant, ramped, and stepped methods; cure times ranging from 1 second to 40 seconds; and spot sizes of 6.7 mm to 10.9 mm. Two lasers, five plasma-arc lights, and seven halogen lights were used. Shrinkage, modulus, heat generation, strain, and physical changes on the teeth and resins during strain testing were documented. Results showed effects associated with lights were not statistically significant, but resin formulation was highly significant. Microfill resins had the least shrinkage and the lowest modulus. An autocure resin had shrinkage and modulus as high as or higher than the light-cured hybrid resins. Lasers and plasma-arc lights produced the highest heat increases on the surface (up to 21 degrees C) and within the resin restorations (up to 14 degrees C), and the halogen lights produced the most heat within the pulp chamber (up to 2 degrees C). Strain within the tooth was least with Heliomolar and greatest with Z100 Restorative and BISFIL II autocure resin. Clinical effects of strain relief were evident as white lines at the tooth-resin interface and cracks in enamel adjacent to the margins. This work implicates resin formulation, rather than light type or curing mode, as the important factor in polymerization problems. Lower light intensity and use of ramped and stepped curing modes did not provide significant lowering of shrinkage, modulus, or strain, and did not prevent enamel cracking adjacent to margins and formation of "white line" defects at the margins. Until materials with lower shrinkage and modulus are available, use of low-viscosity surface sealants as a final step in resin placement is suggested to seal defects.

Tensile bond strength of dentin-resinous system interfaces conditioned with Er:YAG laser irradiation

OBJECTIVE

The aim of this in vitro study was to assess tensile bond strength of dentin-resinous system interfaces conditioned with Er:YAG laser irradiation.

BACKGROUND DATA

There are different results reported in the literature which relate to laser Er:YAG effects on dentin surface as a pretreatment during adhesives procedures.

MATERIALS AND METHODS

Forty-two surfaces of human dentin from third upper molar were used after being extracted and kept in the refrigerator in 0.5% chloramines aqueous solution and then divided into three experimental groups and three control groups. The chosen restorative systems were Alert (Jeneric/Penton), Prodigy (Kerr Co.), and Z-100 (3M Co.), with correspondent dental adhesives Bond 1, Optibond Solo, and Single Bond, respectively. To conduct tensile tests, a special system of pairs of rods aligned in a specific apparatus was used, in accordance with ISO/TR 11405 standard (1994).

RESULTS

By means of statistical analysis, the Kruskal Wallis test, it was noticed that group IE (laser + acid + Alert), 18.89 MPa, differed considerably from group IC (acid + Alert), 8.03 MPa (p < 0.10), but did not differ from the other groups. Group IIC (acid + Prodigy), 19.88 MPa, differed from group IIE (laser + acid + Prodigy), 12.57 MPa (p < 0.05), but did not differ from groups IIIE (laser + acid + Z-100), 14.11 MPa, and IIIC (acid + Z-100), 19.58 MPa. Group IIIE did not differ statistically from group IIIC.

CONCLUSION

It was concluded that previous Er:YAG laser treatment on the dentinal structure only improved the tensile bond resistance of the Alert restorative system.

Influence of visible-light exposure on colour stability of current dual-curable luting composites

This study was conducted to evaluate influence of visible-light exposure on colour stability of dual-curable luting composite. Using six dual-curable luting composites [Bistite II (BI), Clapearl DC (CL), Dicor Light Activated Cement (DI), G-Cera Cosmotech II (GC), Lute-It (LU) and Variolink II (VA), disk specimens were prepared with the following two methods: (i) dual-cured specimens, exposure with visible-light from a photo-curing unit for 120 s and (ii) chemical-cured specimens, chemically cured without exposure. Five specimens were produced for each material and curing mode. After 24 h, all specimens were immersed in distilled water at 37 degrees C for 24 weeks, during which colour accuracy was measured with a dental colorimeter. The colours characterized in the Commission Internationale d'Eclairage (CIE) L*a*b* colour space were first determined 24 h after preparation (baseline colour evaluation), and again after 1, 2, 3, 4, 8, 12, 16 and 24 weeks. The colour difference (Delta E*) values between 24 h and the other immersion periods were calculated, and then analysed by repeated measure analysis of variance (ANOVA). In addition, the Delta E* values after 24 weeks for dual-cured specimens were compared with those for chemical-cured specimens by one-way ANOVA and by contrasts for each composite (P < 0.05). The Delta E* values were influenced by the material and curing mode as well as immersion period (P=0.0001). After 24 weeks the dual-cured specimens showed significantly lower Delta E* values than the chemical-cured specimens, except for the VA material. The CL material exhibited the least colour change (1.9 +/- 0.2) among the dual-cured specimens, and the VA material showed the least (4.5 +/- 0.9) among the chemical-cured specimens after 24 weeks. Dual-curable luting composites should be polymerized with the dual modes to ensure colour stability.

Evaluation of a device for attenuation of electron release from dental restorations in a therapeutic radiation field

STATEMENT OF PROBLEM

For some patients, radiation treatment is a part of tumor therapy in the head and neck area before and/or after surgery. The oral cavity and teeth are thereby frequently exposed to high doses of radiation. In this situation, electronic backscatter from dental materials may damage the surrounding soft tissue.

PURPOSE

This study determined the degree of absorption and the backscatter effect of therapeutic radiation used in the presence of 4 different dental materials. The efficacy of a protective stent also was investigated.

MATERIAL AND METHODS

The influence of 4 dental materials (a high-gold alloy, pure titanium, amalgam, and a synthetic material) on radiation dose distribution was tested on 2 test models that simulated the presence of teeth. An alanine dosimeter was used to make measurements with and without the presence of a protective stent. To verify the results, one of the test models was compared to a computer simulation.

RESULTS

Backscatter effects on the surface of dental materials caused an increase of up to 170% of the radiation dose measured without the materials. The rate of overdose increased with the atomic number of the dental material. The extent of the backscatter effect was a maximum of 4 mm.

CONCLUSION

The considerable overdose of 170% found in this study suggests that soft tissue surrounding dental restorations should be protected from radiation. The backscatter results indicate that soft tissue could be effectively shielded with a 3-mm synthetic stent.

A clinical trial of light cure acrylic resin for orthodontic use

OBJECTIVE

To ascertain whether or not the less porous surface associated with visible light cure appliances and the absence of free monomer had any measurable affect upon mucosal erythema, and to assess the durability of such appliances in a clinical context.

DESIGN

A prospective randomized trial of visible light cure (Triad VLC) and autopolymerizing (Orthoresin) acrylic resin used as orthodontic base plate materials.

SETTING

University Dental Hospital and School.

SUBJECTS

Fifty subjects from a consecutively enrolled sample of 69 (19 drop outs) for removable appliance therapy (23 VLC, 27 AP).

OUTCOME MEASURES

Erythema meter scores and appliance breakages.

RESULTS

No statistical difference in mucosal erythema between the two materials was found. Fifty-two per cent of VLC appliances broke during a 6-month period, as opposed to 7 per cent of AP appliances.

CONCLUSIONS

VLC appears to have no clinically beneficial effect on the oral mucosa compared with AP. VLC appliances are currently not sufficiently durable to make them a viable alternative to AP appliances.

Preliminary study of potential for rapid prototype and surface scanned radiotherapy facemask production technique

Preliminary investigations into the potential of an elegant technique to create a rudimentary facemask for patient immobilization during radiotherapy treatment are presented. This method combines modern technology to cause the patientfar less discomfort compared with current plaster of Paris (POP) face mould procedures. Near instantaneous patient face scanning is accomplished with charge-coupled devices for imaging in an optical surface scanning system. The surface generated data is input to a rapid prototype (RP) system that creates a life-size model of the patient's face topology. As proof of principle a basic prototype facemask was successfully constructed using this technique and some qualitative comparison measurements for position and surface dose were made. These initial results confirm the validity of this technique and justify the need for further quantitative studies to fully investigate the potential of RP facemasks over POP based methods for mask production.