Viscosity and wettability of animal mucin solutions and human saliva

OBJECTIVE

The purpose of this study was to compare viscosity and wettability between animal mucin solutions and human saliva.

MATERIALS AND METHODS

Human whole and glandular saliva, porcine gastric mucin, bovine submaxillary mucin, and a mucin-based saliva substitute were used. Viscosity was measured with a cone-and-plate digital viscometer, while wettability on acrylic resin and Co-Cr alloy was determined by the contact angle.

RESULTS

The viscosity of animal mucin solutions was proportional to mucin concentration, with the animal mucin solution of concentration 5.0 mg ml(-1) displaying similar viscosity to stimulated whole saliva. A decrease in contact angle was found with increasing animal mucin concentration. For the saliva samples tested, viscosity increased in the following order: stimulated parotid saliva, stimulated whole saliva, unstimulated whole saliva, stimulated submandibular-sublingual saliva. Contact angles of human saliva on the tested solid phases were inversely correlated with viscosity. Contact angles of human saliva on acrylic resin were much lower than those of animal mucin solutions and of those on Co-Cr alloy (P < 0.01).

CONCLUSIONS

The effectiveness of animal mucin solutions in terms of their rheological properties was objectively confirmed, indicating a vital role for mucin in proper oral function as well as the development of effective salivary substitutes.

Chlorhexidine preserves dentin bond in vitro

Loss of hybrid layer integrity compromises resin-dentin bond stability. Matrix metalloproteinases (MMPs) may be partially responsible for hybrid layer degradation. Since chlorhexidine inhibits MMPs, we hypothesized that chlorhexidine would decelerate the loss of resin-dentin bonds. Class I preparations in extracted third molars were sectioned into two halves. One half was customarily restored (etch-and-rinse adhesive/resin composite), and the other was treated with 2% chlorhexidine after being acid-etched before restoration. Specimens were stored in artificial saliva with/without protease inhibitors. Microtensile bond strengths and failure mode distribution under SEM were analyzed immediately after specimens' preparation and 6 months later. With chlorhexidine, significantly better preservation of bond strength was observed after 6 months; protease inhibitors in the storage medium had no effect. Failure analysis showed significantly less failure in the hybrid layer with chlorhexidine, compared with controls after 6 months. In conclusion, this in vitro study suggests that chlorhexidine might be useful for the preservation of dentin bond strength.

Effects of welding pulse energy and fluoride ion on the cracking susceptibility and fatigue behavior of Nd:YAG laser-welded cast titanium joints

In this study, the cracking susceptibility and fatigue behavior of Nd:YAG laser-welded cast Ti joints (welding pulse energy: 11, 15, and 18 J) in fluoride-containing (0 and 0.5% NaF) artificial saliva were evaluated using constant elongation rate test (CERT) and fatigue test (FT), respectively. Both CERT and FT were also carried out in open air as controls. Results showed that increasing the welding energy increased the elongation and fatigue life, but decreased the tensile strength, of cast Ti joints in open-air environment. With a welding energy of 11 J, the fluoride ions in the artificial saliva increased the cracking susceptibility and decreased the fatigue life of Ti joints. When the welding energy exceeded 15 J, the presence of fluoride ions still increased the cracking susceptibility, but did not reduce the fatigue life of Ti joints. Rupture of Ti joints--if it occurred--occurred only at the welded metal (versus the non-welded part).

Concentration-dependent effect of bleaching agents on microhardness and roughness of enamel and dentin

PURPOSE

To evaluate the microhardness and surface roughness of enamel and root dentin bleached with 10%, 15% and 22% carbamide peroxide agents.

METHODS

52 slabs of enamel and root dentin (6 x 3 x 2 mm) were cut from bovine incisors, ground flat and polished. According to a randomized complete block design, enamel and root dentin slabs (n = 13) were independently allocated to be bleached with one of the following carbamide peroxide-containing agents (CP): 10% (Rembrandt Bleaching Gel Plus), 15% (Rembrandt Xtra Comfort), or 22% (Rembrandt Xtra Comfort Ultra Strength). The control groups were mock-treated with artificial saliva. The bleaching procedures consisted of daily application of the agents on dental substrate surfaces for 2 hours, followed by immersion in artificial saliva for 22 hours over 21 days. Knoop microhardness and surface roughness were measured initially, on sound dental tissues, and at the postbleaching phase.

RESULTS

In enamel, microhardness attained after bleaching with 10% CP and 15% CP were similar and significantly lower than that observed for the control group. Specimens bleached with CP 22% did not differ from any of the other groups tested. In root dentin, microhardness changes were indistinguishable. ANOVA showed no significant difference among treatments with respect to surface roughness.

Determination of caries risk at resin composite margins

PURPOSE

To design an artificial mouth in order to evaluate if a new diagnostic tool (Clinpro Cario Diagnosis) can be used for early detection of secondary caries at resin composite margins in vitro.

METHODS

32 intact human third molars received standardized Class-V resin composite restorations (Tetric Ceram bonded with Syntac SC). After storage for 4 weeks at 37 degrees C, teeth were subjected to 5,000 or 10,000 thermocycles (+/- 5 degrees C and +/- 55 degrees C) and polysiloxane impressions were taken. Streptococcus mutans 10449 (SM) was used in a nutrition medium to initiate a secondary caries process. Daily, the teeth were incubated for 2 x 2.5 hours in SM containing nutrition medium followed by 2 x 9.5 hours incubation in artificial saliva. Teeth were investigated after total incubation periods of 4, 6, and 8 weeks. After the different incubation protocols, the restoration margins were evaluated for infection and secondary caries processes in using Clinpro Cario Diagnosis which measures site-specifically the lactic acid production of SM in response to a sucrose challenge. The color signal was read 5 minutes after removal of the diagnostic impression. After thermocycling and biological load cycling, precision polysiloxane impressions were taken and replicas were investigated under a light microscope for gap widths at enamel and dentin margins. Demineralization was evaluated by fluorescence microscopy in using a special FITC filter. The demineralization depths at the cavity margin were calculated with Xpert for Windows using a pixel distance of 5 microm.

RESULTS

After the different thermocycling protocols, no differences in gap widths and demineralization depths were found (P > 0.05). After SM incubation, gap widths and demineralization depths were significantly dependent on SM incubation time and previous number of thermocycles (P < 0.05). Lactic acid formations of SM were detectable by Clinpro Cario Diagnosis at dentin cavosurface margins formed after 6 weeks of incubation with SM (P < 0.05).

[Effect of aurum coating on corrosion resistance of Ni-Cr alloy]

OBJECTIVE

To evaluate the effect of aurum coating on corrosion resistance of Ni-Cr alloy in artificial saliva environment.

METHODS

The corrosion potential (E(corr)), self-corrosion current density (I(corr)), and polarization resistance (R(p)) of three alloys were measured using electrochemical methods to compare the difference of corrosion resistance between aurum-coated Ni-Cr alloy and Ni-Cr alloy or Au alloy. Meanwhile, microstructural and phase diffraction was examined with field scanning electromicroscopy (FSEM) and surface chemical analysis was performed by energy diffraction X-ray (EDX).

RESULTS

The I(corr) of aurum-coated Ni-Cr alloy was (0.70 +/- 0.20) x 10(-6) A/cm2, which was significantly higher than that of Au alloy (P < 0.05) and lower than that of Ni-Cr alloy (P < 0.05). R(p) of aurum-coated Ni-Cr alloy was (34.77 +/- 12.61) KOmega.cm2, which was higher than that of Ni-Cr alloy (P < 0.05) and lower than that of Au alloy (P < 0.05). The results of FSEM showed that the corrosion resistance of Ni-Cr alloy coated with aurum was better than that of Ni-Cr alloy. The results of EDX indicated that released Ni and Cr of Ni-Cr alloy coated with aurum after test were less than those of Ni-Cr alloy (P < 0.05).

CONCLUSIONS

The corrosion resistance of aurum-coated Ni-Cr alloy is higher than that of Ni-Cr alloy.

Stress corrosion cracking of NiTi in artificial saliva

OBJECTIVES

This paper aimed to study the mechanism of the cracking of orthodontic NiTi wire.

METHODS

Two orthodontic NiTi wires were subjected: (1) optical and scanning electron microscopy (SEM) to observe the fracture surface; (2) energy dispersive X-ray spectroscopy to determine the composition of the surface product; (3) anodic polarization to remove the surface product. Samples of NiTi alloy were subjected to the constant loading test to study the stress corrosion cracking (SCC) behavior of NiTi shape memory alloy in artificial saliva.

RESULTS

The results showed that there were three typical areas at the fracture surface of NiTi orthodontic wire. Area '1' was a tool-made notch. Crack initiated from the root of this notch and propagated to form Area '2', which was perpendicular to the wire axis and covered by surface film. This film consisted of Na, K, Cl, P, S and O except Ni and Ti. The cracking process of NiTi alloy under the constant loading test depended on the pH of saliva and applied stress. The crack length was about 262microm, the longest at 300MPa and pH 3.0.

SIGNIFICANCE

A tool-made notch in orthodontic NiTi wires can cause SCC. At high stress and low pH, this NiTi alloy was most sensitive to cracking.

Effect of bleaching on subsurface micro-hardness of composite and a polyacid modified composite

OBJECTIVE

To investigate the influence of different bleaching techniques on subsurface physical properties of composite and polyacid modified composite tested via determination of micro-hardness.

METHODS

Specimens of Tetric Flow, Tetric EvoCeram and Compoglass were light cured (2.5mm thickness) and stored in artificial saliva for 2 weeks (n=12/group). The samples were only removed for application of the following bleaching agents in a humid atmosphere: Either Vivastyle (1h/d), Whitestrips (30min/d), sodium-perborate-water mixture (once for 72h), Simply White (1h/d), or Opalescence XtraBoost (1st and 5th day for 15min) were applied on the surfaces of the samples. Untreated specimens served as negative controls, samples treated with ethyl alcohol for 1h acted as positive controls. After the bleaching period, samples were cross-sectioned and the micro-hardness (Knoop) of different subsurface levels (0.1mm-2.0mm) was determined.

RESULTS

All bleaching techniques significantly reduced the Knoop-hardness of the restoratives compared to untreated controls. Thereby, bleaching significantly affected not only superficial but also the deep layers of the specimens: in superficial layers (0.1mm, 0.2mm) lowest micro-hardness values amounted to 69.5% and 76.3% of the respective untreated controls (Compoglass/Vivastyle). In deeper subsurface levels, the lowest hardness was observed with Opalescence/Tetric EvoCeram (0.3mm: 78.3%; 0.4mm: 80%; 0.5mm: 80.5%; 1.0mm: 84.2%; 2.0mm: 84.4%).

SIGNIFICANCE

Bleaching with the tested bleaching agents softens the adhesive restorative materials examined. Due to the fact that subsurface layers are also affected, polishing of the surface may not suffice for re-establishing the physical properties of the surface of the fillings.

The effect of mucine, IgA, urea, and lysozyme on the corrosion behavior of various non-precious dental alloys and pure titanium in artificial saliva

The corrosion of dental alloys has biological, functional, and aesthetic consequences. Various studies have shown that protein solutions can inhibit the corrosion of alloys. This study is planned to determine the relationship of organic constituents of saliva and the corrosion of dental alloys. The organic constituents are IgA, mucine, urea, and lysozyme which are encountered in the highest amounts in saliva and the dental materials are titanium (Ti), Co-Cr-Mo and Ni-Cr-Mo alloys, and dental amalgam, the most often used metallic components in dentistry. In particular, the interactions between the commonest salivary proteins, IgA, mucine, urea and lysozyme, and Ti, Co-Cr-Mo, Ni-Cr-Mo and dental amalgam were investigated. Each alloy was evaluated by cyclic polarization in each medium. The general anodic and cathodic behavior during forward and reverse cycles, the corrosion and passivation current densities (muA/cm2 ), and the corrosion and the pitting potentials (mV) were determined. The results have shown that Ni-Cr-Mo and dental amalgam alloys are highly susceptible to corrosion in all the investigated media. The Co-Cr-Mo alloy has shown high passive current densities in the solution of mucine and lysozyme in artificial saliva. Titanium instead, has shown a high resistance to corrosion and a stable passive behavior in all media, especially in a solution of mucine and IgA in synthetic saliva. Mucine and IgA, as well as urea and lysozyme, appeared to enhance the formation of a passive film layer on the Ti metal surface, thus inhibiting the corrosion. Based on the study findings, and especially considering the problem of nickel allergy and toxicity of mercury released from dental amalgam, the use of Co-Cr-Mo alloys and Ti to Ni-Cr-Mo alloys is recommended and alternatives to dental amalgam should be sought for patients with impaired salivary flow.

HPLC analysis of components released from dental composites with different resin compositions using different extraction media

Components released from dental composite resins are essential factors in the assessment of biocompatibility of these materials. The effect of different extraction media on monomer release from composite resins based on different monomer types was evaluated. Three types of visible light cured composite resins were formulated based on the following monomers: triethylene glycol dimethacrylate (TEGDMA), bisphenol A glycerolate dimethacrylate (BisGMA), and urethane dimethacrylate (UDMA). Seventy-five composite resin discs were fabricated and light cured for 1 min in the absence of oxygen. Extraction media used were: distilled water, saline solution, artificial saliva, serum-free culture medium, and culture medium with 10% fetal calf serum. The analysis of extracts from the composite resins was carried out by High Performance Liquid Chromatography (HPLC). Quantifiable amounts of TEGDMA were released into the aqueous media. However, BisGMA and UDMA were not detectable in any of the extracts from the composite resins. Statistical analysis by one-way ANOVA followed by Tukey's test showed that there was a significant difference in TEGDMA release between culture media and other media (p < 0.05). From the results of this experiment it can be concluded that TEGDMA-based composite resins can release a high quantity of monomer into aqueous environments. The type of extraction medium may have a significant effect on monomer release from composite resins.

Variation in surface topography of different NiTi orthodontic archwires in various commercial fluoride-containing environments

OBJECTIVES

The surface topography can affect the friction behavior between an orthodontic wire and brackets during clinical applications. The purpose of this study was to investigate the influence of a fluoride-containing environment on the surface topography variations of different nickel-titanium (NiTi) orthodontic archwires.

METHODS

Four different NiTi commercial orthodontic archwires were immersed in fluoride mouthwashes and in artificial saliva with the addition of commercial fluoride toothpastes or prophylactic gels for a 28-day period. Atomic force microscopy (AFM) was used to measure the three-dimensional surface topography of NiTi archwires before and after the immersion tests. Two-way analysis of variance (ANOVA) was used to analyze the surface roughness variance (including DeltaR(a), DeltaR(ms), and DeltaR(z)) with the archwire manufacturer and immersion test environment as the factors.

RESULTS

Both the archwire manufacturer and immersion environment had a significant influence on DeltaR(a), DeltaR(ms), and DeltaR(z) (manufacturer: P<0.05; environment: P<0.0001). Regardless of the archwire manufacturer, no statistically significant difference in DeltaR(a) (<70 nm), DeltaR(ms) (<90 nm), and DeltaR(z) (<450 nm) was observed on the tested NiTi archwires in lower fluoride-containing (<2500 ppm) environments, including the various fluoride mouthwashes and the artificial saliva added with fluoride toothpastes. In artificial saliva added with high fluoride prophylactic gel (around 17,000 ppm), a significant increase in DeltaR(a) (around 120-250 nm), DeltaR(ms) (around 140-320 nm), and DeltaR(z) (around 770-1410 nm), i.e. increasing the surface roughness, was observed on the tested NiTi archwires.

SIGNIFICANCE

The variation in the surface topography of the NiTi orthodontic archwires in the commercial fluoride-containing environments should be taken into consideration when the friction between the archwire and bracket is a clinical concern.

Managing complications of radiation therapy in head and neck cancer patients: Part II. Management of radiation-induced caries

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Where possible, pretreatment dental assessment shall be provided for these patients before they undergo radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally for radiation therapy. Because of this, they succumb to complicated oral complications after radiation therapy. The management of xerostomia has been reviewed in Part I of this series. In this article, the management of dental caries, a sequalae of xerostomia following radiation therapy is reviewed.

Managing complications of radiation therapy in head and neck cancer patients: Part I. Management of xerostomia

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Where possible, pretreatment dental assessment shall be provided for these patients before they receive radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally for radiation therapy. Because of this, they succumb to complicated oral adverse effects after radiation therapy. Part I of this series reviews the management of xerostomia. The management of the effect of xerostomia to the dentition/oral cavity is discussed in Part II.

Rehardening of caries-like lesions in root surfaces by saliva substitutes

OBJECTIVE

This study sought to evaluate whether root dentine caries-like lesions could be remineralised by saliva substitutes.

METHODS

Root dentine slabs (3 x 3 x 2 mm) were cut from bovine incisors, ground flat, polished and pre-tested for Knoop microhardness (KHN) at five locations spaced 500 microm apart and 500 microm from the left edge of each sectioned piece. After 60 out of the 100 slabs had been selected based upon their KHN values, specimens were coated with wax except for their outer surface. Specimens were then cycled through a highly cariogenic challenge model to induce caries-like lesions, whose formation was confirmed by KHN measurements located 500 microm from the right edge of the specimen. According to a randomised complete block design, the experimental units (n = 15) were exposed to 1.5 ml of saliva substitutes, based on either mucin (MC) or carboxymethylcellulose (CM), to natural human saliva (HS) or to 100% relative humidity (RH) over 20 days. Remineralisation was verified by KHN measurements located 1000 microm apart from the right edge of the specimen.

RESULTS

Analysis of variance indicated a significant (p < 0.0001) difference among the KHN values attained by the carious root dentine after exposure to the remineralising agents. Tukey's test ascertained that remineralisation was greatest with MC, intermediate with CM and least with HS, but rehardening did not reach the pre-caries lesion formation values.

CONCLUSION

Saliva substitutes may provide partial remineralisation to preformed caries-like lesions in root dentine.

Effect of copper on the volatility of aroma compounds in a model mouth system

Copper is thought to influence aroma perception by affecting volatility of aroma compounds in the mouth through interaction with salivary components, especially proteins. Our objective was to identify the effect of copper on the volatility of aroma compounds and the role of copper-protein interaction in volatile chemistry in the mouth. Copper (2.5 mg/L) and four aroma compounds (hexanal, butyl acetate, 2-heptanone, and ethyl hexanoate, 0.5 microL/L each) were added to model systems containing water, electrolytes, and artificial saliva at different pH levels. Headspace concentration of each volatile was measured using SPME-GC analysis. Copper in the model systems increased headspace concentration of volatiles at pH 6.5, but no change in volatility was observed at pH 7.0. At pH 7.5, the presence of copper in the artificial saliva system containing mucin and alpha-amylase decreased headspace volatile concentration, whereas histatin did not cause any changes in volatility. Effect of copper on volatiles at pH 6.5 may be due to increased solubility of copper at lower pH. Salivary proteins seem to interact with copper at pH 7.5. The interaction may change configuration of binding sites for aroma compounds in mucin.

Linseed based saliva substitutes and their effect on mineral dissolution of predemineralized bovine dentin in vitro

OBJECTIVES

Polymers used in saliva substitutes might inhibit remineralization. The present study evaluated the effects of various calcium, phosphate, and fluoride concentrations of linseed based solutions on the mineral loss of predemineralized bovine dentin in vitro.

METHODS

Dentin specimens were prepared, embedded and polished. The specimens were demineralized (pH 5.6; 6 d; 37 degrees C) and half of each sample was covered with nail varnish. Subsequently, the specimens (n=10) were exposed to 14 linseed based solutions (calcium 0-1.1 mM; phosphate 0-7.7 mM, fluoride 0-0.03 mM) at pH 5.5 and 6.5 as well as to Salinum for 14 days (37 degrees C). The differences in mineral loss (DeltaDeltaZ) between the values prior to and after storage in the solutions were evaluated from microradiographs of thin sections.

RESULTS

After the exposure to the various solutions decreased mineral contents compared to those after demineralization could be observed (p<0.05; paired t-test) whereas for the specimens stored in solution with the highest calcium and phosphate concentration no significant change in mineral loss could be evaluated (p>0.05). Salinum induced a significantly greater mineral loss compared to the equivalent saturated solution (p<0.05; ANOVA, Bonferroni). The general linear model revealed a significant dependency for DeltaDeltaZ on 'phosphate' (p=0.000) and 'fluoride' (p=0.001), but not on 'calcium' (p=0.397) and 'pH' (p=0.368).

CONCLUSIONS

The addition of calcium, phosphates, and fluorides seems to have a positive effect on the remineralizing qualities of linseed based saliva substitutes.

Static frictional resistances of polycrystalline ceramic brackets with metal slot inserts

AIMS

To compare the static frictional resistances of polycrystalline ceramic brackets with a gold slot insert (Desire), a stainless steel slot insert (Clarity), a conventional polycrystalline ceramic bracket (Transcend 6000) and a stainless steel bracket (Ultratrimm).

METHODS

Twenty five brackets of each type were tested by sliding against straight lengths of 0.019 x 0.025 inch rectangular stainless steel wire. During the tests the brackets and wire were lubricated with artificial saliva. Static frictional forces at three different binding angulations (0, 5 and 10 degrees) were measured for all brackets.

RESULTS

Statistically significant increases in static frictional resistance were found as the bracket/wire angulation increased from 0 through 5 to 10 degrees for all bracket types. At angulations below the critical binding angle the Ultratrimm brackets produced the greatest friction and the Transcend 6000 brackets produced the least friction. As the angulation increased the Transcend 6000 brackets produced greater friction than the other brackets. At the highest angulation (10 degrees), the Ultratrimm brackets produced significantly less friction and the Transcend 6000 brackets produced significantly more friction than the other brackets. The Desire and Clarity brackets produced comparable results: there were no statistically significant differences between these two brackets for static friction at any of the angulations.

CONCLUSIONS

Polycrystalline ceramic brackets with either stainless steel or gold slot inserts produced similar static frictional resistances to sliding. At binding angulations, the brackets with inserts demonstrated consistently lower static frictional resistances than a conventional ceramic bracket.

Ion release from dental casting alloys as assessed by a continuous flow system: Nutritional and toxicological implications

OBJECTIVES

The aims of this study were to quantify the metallic ions released by various dental alloys subjected to a continuous flow of saliva and to estimate the nutritional and toxicological implications of such a release.

METHODS

Four pieces of three nickel-based, one noble, one high-noble and two copper-aluminum alloys were cast and then immersed in a continuous flow of artificial saliva for 15 days. To simulate three meals a day, casts were subjected to thrice-daily episodes, lasting 30 min each and consisting of pH decreases and salinity increases. After 15 days, the metallic ions in the artificial saliva were analyzed. Data were expressed as averaged release rate: microg/cm2/day of ion released for each alloy. The highest value of 95% Cl of each ion was adapted to a hypothetical worst scenario of a subject with 100 cm2 of exposed metal surface. The results were compared with the tolerable upper daily intake level of each ion.

RESULTS

The copper-aluminum alloys released copper, aluminum, nickel, manganese and iron. The nickel-based alloys essentially released nickel and chromium, while the beryllium-containing alloy released beryllium and significantly more nickel. The noble and high-noble alloys were very resistant to corrosion. The amount of ions released remained far below the upper tolerable intake level, with the exception of nickel, released by beryllium-containing nickel-based alloy, whose levels approach 50% of this threshold.

SIGNIFICANCE

The daily amount of ions released seems to be far below the tolerable upper intake levels for each ion.

Influence of calcium phosphates added to mucin-based saliva substitutes on bovine dentin

OBJECTIVES

Remineralization of dentin by mucin-containing saliva substitutes might be inhibited by sialic acids bound to mucin, which are known to complex calcium. Thus, the aim of this investigation was to evaluate the effects of various mucin-containing solutions, differing in calcium phosphate concentrations, to be used as saliva substitutes on demineralized bovine dentin in vitro.

METHOD AND MATERIALS

Bovine specimens (153) were embedded in epoxy resin, polished (4,000 grit), and partly covered with nail varnish (control of sound dentin). After demineralization for 14 days (pH 5.5), the specimens (n = 9) were exposed to 14 mucin-based solutions (30 g/L) at 2 different pH values (5.5 or 6.5) and differing in saturation with respect to apatites. Two fluoride-free solutions and the commercially available saliva substitute Saliva Orthana(Orthana, Kastrup) served as controls. Differences in mineral loss (deltadeltaZ) and lesion depth (deltaLD) between the values prior to and after storage in the various solutions were evaluated from microradiographs of thin sections (100 microm).

RESULTS

The general linear model revealed an almost significant dependency on calcium for deltadeltaZ (P = .050) and a significant dependency on calcium for deltaLD (P = .037). pH influenced deltadeltaZ significantly (P < .001), whereas deltaLD was not influenced significantly (P = .169). Neither deltadeltaZ (P = .475) nor deltaLD (P = .703) were influenced significantly by phosphate.

CONCLUSION

Even with low concentrations of calcium and phosphates, mucin-based saliva substitutes are capable of inhibiting demineralization of bovine dentin, whereas with solutions supersaturated with respect to apatites, a remineralizing effect could be observed.

Effects of exogenous collagenase and cholesterol esterase on the durability of the resin-dentin bond

PURPOSE

The purpose of this work was to determine microtensile dentin bond strengths (microTBS) of dentin-resin composite bonds after three-month storage in artificial saliva containing either collagenase (COL) or cholesterol esterase (EST). The null hypothesis tested is that the resin-dentin bond strength is equivalent for each storage medium at the tested storage times.

MATERIALS AND METHODS

Resin composite was bonded to occlusal dentin, and microTBS specimens were formed and stored in the artificial saliva, COL, EST, or synthetic oil. After 24 h and 12-week storage, microTBS was determined and failure modes were characterized by SEM. The interfacial ultrastructure was evaluated by transmission electron microscopy as unstained and stained sections (phosphotungstic acid/uranyl acetate). Statistical analysis was performed by ANOVA and Weibull survival analyses at the 0.05 level of statistical significance.

RESULTS

There were significantly weaker bond strengths after 12 weeks for all experimental storage media (p < 0.001). Artificial saliva containing EST lowered bond strengths to a significantly greater extent than did COL after 12 weeks of storage, while no difference between these groups could be discerned after 24 h. Therefore, the null hypothesis of this experiment is rejected.

CONCLUSION

Exogenous enzymatic challenge to resin-dentin bonds decreased bond durability only with EST. However, when further challenges to ideal infiltration of the comonomers into the hybrid layer were carried out using inadequate removal of solvent, additional alterations in hybrid layer ultrastructure were discerned by TEM that may represent different potential degradative processes. The contribution of endogenous enzymatic challenges to the primary degradative process, ie, hydrolysis, is unknown and deserves continued attention.

Wear resistance and surface roughness of a newly devised adhesive patch for sealing smooth enamel surfaces

A laboratory study assessed the wear resistance and surface roughness after chemical and mechanical wear of a newly devised adhesive patch when used as a smooth surface sealant. Forty-eight enamel discs were prepared from bovine lower central incisors. Sixteen specimens were treated with one of two sealing options: the prototype of an adhesive patch or a flowable resin. Unsealed enamel served as the positive control. Wear and surface roughness was measured at baseline and after all the samples were immersed in saliva or lactic acid (n=8 per treatment group) for up to 21 days, during which the experimental and control enamel surfaces were exposed to 10 double-stroke toothbrush cycles per day. In saliva and lactic acid, the sealed specimens showed no significant wear during the observation period (p=0.1841). Only untreated specimens exposed to lactic acid showed a significant substance loss after 14 and 21 days (p=0.0186). The patch and flowable resin showed no differences in surface roughness values at respective times (p=0.385); whereas the surface roughness of the unsealed specimens in lactic acid was significantly higher (p<0.0001). It was concluded that the adhesive patch under investigation merits further study to assess its potential as a sealant for smooth enamel surfaces.

Remineralized dentin lesions induced by glass ionomer demonstrate increased resistance to subsequent acid challenge

OBJECTIVE

The purpose of this study was to test the hypothesis that remineralized dentin lesions induced by glass ionomer are less vulnerable to subsequent acid challenge.

METHOD AND MATERIALS

Baseline demineralized (BDe) lesions were created in 50 bovine dentin slices immersed for 3 weeks in acid solution. A resin-modified glass ionomer (RMGI) was applied to the specimens before immersion in salivalike solution to allow remineralization (Re) for 2 weeks (V2W) or 6 weeks (V6W). Resin-modifed glass ionomer was coated to block further ion release before a 3-week immersion in acid solution as a second demineralization (SDe). Control groups (C2W and C6W) were done simultaneously without RMGI. In another group, RMGI was left undisturbed (V2W+) to allow continuous ion release during SDe. Mineral content was converted from microradiographs, after BDe, Re, and SDe steps. Changes in mineral content were calculated and compared between groups.

RESULTS

The remineralized surface zone was maintained after SDe, but the lesion body became deeper. Percentage of mineral loss from SDe was not significantly different between V2W and C2W (t test, P > .05). When remineralization was extended to 6 weeks, V6W showed significantly less mineral loss than C6W. Mineral loss was lowest when RMGI was not blocked (V2W+).

CONCLUSION

Dentin lesions remineralized in the presence of RMGI maintained the highly mineralized surface zone when subjected to second demineralization. However, the remineralized surface zone could not prevent advance of the lesion body. The subsequent demineralization was markedly reduced by extending the remineralization period or by leaving the RMGI undisturbed to resume ion release.

Microradiographic study on the effects of mucin-based solutions used as saliva substitutes on demineralised bovine enamel in vitro

Sialic acids and proteins bound to mucins are known to form complexes with calcium, and this mechanism may hamper the remineralization of calcium-containing mucin-based saliva substitutes. Thus, the aim of this investigation was to evaluate the effects of adding various concentrations of calcium phosphate to self-made mucin-containing solutions on demineralised bovine enamel in vitro. Bovine specimens were prepared, embedded in epoxy resin, and polished to 4000 grit. Subsequently, the surfaces of the specimens were partially covered with nail varnish, thus serving as a control of sound enamel, and demineralised (37 degrees C; pH 5.0) for 14 (19 groups; n=10) or 28 days (three groups; n=9). After demineralization, the specimens were exposed to mucin-based solutions (30 g/l) with various saturations with respect to apatites containing 0.1 mM NaF, CaCl(2) (0-20 mM) and KH(2)PO(4) (0-52 mM) at two different pH values (5.5 or 6.5). A fluoride-free solution and the commercially available saliva substitute Saliva Orthana (Orthana, Kastrup, Copenhagen Denmark) served as controls. The differences in mineral loss (DeltaDeltaZ) between the values prior to (DeltaZ(Demin)) and after storage (DeltaZ(Effect)) in the various solutions were evaluated from microradiographs of thin sections (100 microm). The general linear model revealed a significant dependency of DeltaDeltaZ for calcium (P=0.006), but not for phosphate (P=0.081) or pH (P=0.114). DeltaZ(Effect) was only significantly reduced compared with DeltaZ(Demin) in the group with the highest saturation with respect to hydroxyapatite (P<0.05; t-test). In conclusion, mucin-based saliva substitutes with an adequate composition are able to remineralize bovine enamel in vitro.

Surface analysis and corrosion resistance of different stainless steel orthodontic brackets in artificial saliva

The purpose of this study was to investigate the variation in corrosion resistance of commercial stainless steel (SS) brackets with different brands and types for the same application, using the electrochemical technique. The linear polarization test was used to evaluate the corrosion resistance, in terms of polarization resistance (Rp), of as-received commercial SS brackets in acidic artificial saliva. A two-way analysis of variance was used to analyze the Rp with the factors of brand and type. A scanning electron microscope and an atomic force microscope were used to analyze the surface morphology and roughness, respectively. The X-ray photoelectron spectroscopy was used to identify the chemical composition of the passive film on SS brackets. Results showed that different brands of SS brackets had a statistically significant difference in Rp (P < .0001), whereas there was no statistical difference between the bracket types ("Roth" and standard) (P = .27). Different surface topography, including surface roughness and defect, was present among the tested SS brackets. The same passive film structure, containing Cr2O3/Fe2O3 with small amounts of NiO, was observed on all SS brackets. The surface topography of the commercial SS brackets with identical surface passive film structure did not correspond with the difference in corrosion resistance.

Effects of sonic energy on monospecific biofilms of cariogenic microorganisms

PURPOSE

To evaluate the in vitro differential effect of sonic energy, delivered by Sonicare Advance, on cariogenic and non-cariogenic bacteria biofilms.

METHODS

A wild strain of Streptococcus mutans, Lactobacillus acidophilus, Streptococcus salivarius and Veillonella alcalescens was isolated from human dental plaque. For each of the four microorganisms a biofilm adherent to bovine enamel disks, coated with artificial saliva, was obtained. Biofilms were divided into four groups and were exposed to acoustic energy delivered by Sonicare for 0 (control group), 5, 15 and 30 seconds. The distance between the end of the bristles and the disk surface was set to 7 mm, to ensure that the biofilm removal was simply due to fluid forces and not to the contact with the bristle tips during the brushing cycle. A colorimetric technique (MTT assay), based on the reduction of a yellow tetrazolium salt to a purple formazan, was used to evaluate the reduction of the adherent biomass after the exposure to the sonic energy.

RESULTS

ANOVA results showed that sonic energy exposure significantly reduced the biomass of S. mutans and S. salivarius adherent to the disks, while L. acidophilus and V. alcalescens seemed to remain basically unaffected. In the two streptococcal groups, the increase of the exposure time led to different reduction trends; while S. salivarius exhibited a progressive decrease over time, S. mutans showed a rapid reduction of the adherent biomass after a 15-second exposure to Sonicare.

Analysis of potential lubricants for in vitro wear testing

OBJECTIVES

A critical testing aspect for a reliable two-body wear simulation may be the lubricity condition. The main hypothesis tested in this study was that, over the experiment duration, the presence or absence of lubricants would provide to a composite similar wear rates to those observed under human saliva lubrication.

METHODS

Seventy specimens, fabricated from a minifill composite, were tested in a programmable logic controlled wear simulator with human saliva (HS), mucin-based artificial saliva (MC), carboxymethylcellulose-containing saliva (CM), deionized water (DW) or with no lubrication (UN). Wear depth was quantified at the end of 1000, 5000, 10,000 and 50,000 cycles and at each 50,000 through 250,000 cycles.

RESULTS

Over all the test period, UN led to the greatest wear. Initially, lubrication resulted in no significant differences among the wear rates. Subsequently, up to 50,000 cycles, depths of wear provided by HS and MC were still similar, being the lowest, whereas DW yielded greater wear than CM. Later, interposition of CM and HS resulted in equivalent wear. At 250,000 cycles, wear of the composite ranked as follows: MC<HS<CM<DW<UN. Regression analyses showed that for all lubricity conditions wear of the composite rose logarithmically with number of cycles.

SIGNIFICANCE

The role of the interposed lubricant was of importance for the wear testing. The present findings supported by studies on the lubricity ability of mucin-based artificial saliva, allowed to conclude that this preparation may be considered as a potential lubricant for in vitro wear test purposes.

Review of the use of polymers in saliva substitutes for symptomatic relief of xerostomia

It is clear from the many clinical studies carried out on currently available saliva substitutes, that the main factors limiting the success of polymers in treating xerostomia is their short duration of action and/or their lack of acceptability by users. The most effective formulations for severe sufferers of xerostomia contain relatively viscous, thixotropic polymers, which mild to moderate sufferers in particular tend to dislike. Relief can also be extended by increasing concentrations of non-thixotropic polymers; however, this also has to be balanced by the decrease in palatability resulting from higher polymer levels. In addition, gels rather than solutions tend to result from higher polymer concentrations, which are only employed by the most severe sufferers of xerostomia, and in fact, have been suggested to offer little improvement in efficacy over oral sprays. It would be highly advantageous to improve the duration of relief without impacting negatively on the sensory profile of the product. This would provide a longer lasting effect that is acceptable to all sufferers of xerostomia. The essential role of polymers in saliva substitutes is to provide lubrication, hydration, and protection of the oral mucosa, providing symptomatic relief to sufferers of xerostomia. However, saliva substitutes should also be of neutral or near neutral pH, to prevent demineralization of the oral hard tissues. These products should always be used in conjunction with a thorough oral health regimen, but may also contain appropriate levels of electrolytes for remineralization of enamel and dentine.

[Short-term fluoride release from conseal F fissure sealant in some media--an in vitro study]

INTRODUCTION

Low fluoride concentrations constantly maintained in the oral cavity are important for caries prevention. Application of fissure sealants containing fluoride improves protection and reinforces caries prophylaxis. The aim of this study was to assess the level of fluoride release from Conseal F fissure sealant in different media.

MATERIAL AND METHODS

Sealant samples were placed in (a) artificial saliva without calcium ions (C++) at pH of 4.5, 5.5, 6.0, 7.0, and 7.5, (b) artificial saliva with calcium ions (Ca") at pH 4.5, and 5.5, (c) saline, and (d) deionized water. Fluoride concentration in solution was measured after 1, 3, 24, 48, 72, and 168 hours from the start of the experiment.

RESULTS

The highest cumulative fluoride concentration was found in saline (9.39 +/- 2.17 microg F/mm(2)), the lowest in artificial saliva at pH of 7.0 (0.45+/-0.14 microg F/mm(2)). The highest fluoride emission was observed during the first three hours which then decreased to a low but relatively stable level.

CONCLUSION

The level of fluoride release from Conseal F fissure sealant depends on composition and pH of the medium. Decrease in pH increased fluoride release. This property is essential for patients with low salivary pH and high risk of caries.

Electrochemical properties of suprastructures galvanically coupled to a titanium implant

In recent years, dental implants have been widely used for the aesthetic and functional restoration of edentulous patients. Dental implants and restorative alloys are required with high corrosion resistance. Suprastructures and implants of different compositions in electrical contact may develop galvanic or coupled corrosion problems. In addition to galvanic corrosion, crevice and pitting corrosion may occur in the marginal gap between dental implant assemblies. In this study, gold, silver-palladium, cobalt-chromium, and nickel-chromium suprastructures were used to investigate their galvanic and crevice corrosion characteristics in combination with titanium (Ti) implants. Potentiodynamic and potentiostatic testing were performed in artificial saliva at 37 degrees C. Potentiodynamic testing was carried out at the potential scan rate of 1 mV/s in the range of -600-1600 mV (SCE). Potentiostatic testing was performed with an open-circuit potential and current densities at -250, 0, and 250 mV (SCE) in artificial saliva. After electrochemical testing, surface morphologies and cross-sections were examined using micrographs of the samples. Potentiodynamic test results indicated that suprastructure/Ti implant couples produced passive current densities in the range of 0.5-12 microA/cm(2); Ti abutment/Ti implant and gold/Ti implant couples exhibited relatively low passive current densities; Co-Cr/Ti implant couples the highest. Co-Cr and Ni-Cr/Ti implant couples showed breakdown potentials of 700 and 570 mV (SCE), respectively. The open-circuit potentials of silver, Ti abutment, gold, Ni-Cr, and Co-Cr/Ti implant couples were -93.2 +/- 93.9, -123.7 +/- 58.8, -140.0 +/- 80.6, -223.5 +/- 35.1, and -312.7 +/- 29.8 mV (SCE), respectively, and did not change with immersion time. The couples exhibited cathodic current densities at -250 mV (SCE); in particular, gold and silver alloys showed high cathodic current densities of -3.18 and -6.63 microA/cm(2), respectively. At 250 mV (SCE), Ti abutment/Ti implant couples exhibited a minimum current density of 9.48 x 10(-2) microA/cm(2), but gold, Ni-Cr, Co-Cr, and silver/Ti implant couples exhibited 0.313, 1.27, 5.60, and 8.06 microA/cm(2), respectively. All couples exhibited relatively low current densities at 0 mV (SCE). Photomicrographs after electrochemical testing showed crevice or pitting corrosion in the marginal gap and at the suprastructure surface. Although of the tested samples Co-Cr/Ti implant couples showed the possibility of galvanic corrosion, its degree was not significant. However, it should be borne in mind that galvanic corrosion can accelerate localized corrosion, such as crevice or pitting corrosion.

Surface characterizations and corrosion resistance of nickel-titanium orthodontic archwires in artificial saliva of various degrees of acidity

This study investigated the surface characterizations and corrosion resistance of as-received commercial nickel-titanium (NiTi) dental orthodontic archwires from different manufacturers using a cyclic potentiodynamic test in artificial saliva with various acidities. An atomic force microscope was used to evaluate the surface topography of the NiTi wires. The surface chemical analysis of the passive film on the NiTi wires was characterized using X-ray photoelectron spectroscopy and Auger electron spectroscopy. A scanning electron microscope, together with an energy-dispersive spectrometer, was used to analyze the surface characterizations of the NiTi wires before and after the corrosion tests. Two-way analysis of variance was used to analyze the corrosion-resistance parameters with the factors of wire manufacturer and solution pH. The results showed that the surface structure of the passive film on the tested NiTi wires were identical, containing mainly TiO2, with small amounts of NiO. A different surface topography was observed on the NiTi wires from various manufacturers. The corrosion tests showed that both the wire manufacturer and solution pH had a statistically significant influence on the corrosion potential, corrosion rate, passive current, breakdown potential, and crevice-corrosion susceptibility. The difference in the corrosion resistance among these NiTi dental orthodontic archwires did not correspond with the surface roughness and pre-existing defects.

Ion release and cytotoxicity of stainless steel wires

Heat treatment is generally applied to orthodontic stainless steel (SS) wires to relieve the stresses that result from their manipulation by orthodontists. The quality and thickness of the oxide films formed on the surface of heat-treated wires can vary, and it is believed that these oxide films can influence the properties of heat-treated wires. The aim of this study was to investigate the influence of heat treatment and cooling methods on the amount of metal ions released and to examine the cytotoxicity of heat-treated wires. In this study, four types of SS wires (Remanium, Permachrome, Colboloy and Orthos) with a cross-sectional area of 0.41 x 0.56 mm were investigated. These wires were heat-treated in a vacuum, air, or argon environment, and were cooled in either a furnace or a water bath. Four control groups and 24 experimental groups were classified according to the type of wires, heat treatment conditions and cooling methods. In each group, the amount of nickel released as well as its cytotoxicity was investigated. The concentration of dissolved nickel ions in artificial saliva was measured for a period of up to 12 weeks. In all groups, the concentration of dissolved nickel ions in artificial saliva was lowest for the vacuum heat treatment-furnace cooling group and a significant difference was shown compared with the other experimental groups. The concentration of dissolved nickel ions in artificial saliva was highest in the groups heat-treated in air (P < 0.05), while the amount of nickel released was highest in the Remanium and Colboloy (P < 0.05). The cytotoxicity was mild in all the experimental groups but the response index of the air groups was slightly higher than in the other groups. According to these results, SS wires retain their high corrosion resistance and low ion release rate when heat-treated in a vacuum and cooled in a furnace.

An FTIR study of the effects of artificial saliva on the physical characteristics of the glass ionomer cements used for art

OBJECTIVE

To investigate the physical and chemical changes of five esthetic restorative materials in an artificial saliva using Fourier transform infrared spectroscopy (FTIR).

METHODS

The materials included two glass polyalkenoate (ionomer) cements, one polyacid-modified resin composite, and two resin composites. Five fresh and 20 aged specimens for each material were immersed in 2 ml of artificial saliva at 37 degrees C for 1 week, 2 weeks, 1 month, and 2 months. They were examined by laser surface profilometer and FTIR.

RESULTS

Surface roughness average (Ra) value showed significant differences among the physical properties of glass ionomers, polyacid-modified resin composite, and resin composites.

SIGNIFICANCE

FTIR spectra showed that a major chemical changes in Fuji IX GP Fast glass ionomer cement in P-NH2 group bonding (900-1000 cm(-1)) that may explain the previously reported increase in microhardness after immersion. There was no direct correlation between surface roughness and spectral changes of the materials tested.

Effect of a carbamide peroxide bleaching gel containing calcium or fluoride on human enamel surface microhardness

This in vitro study evaluated the surface microhardness of human enamel submitted to bleaching with 10% carbamide peroxide (CP) containing calcium or fluoride. Ninety-eight dental blocks (5 x 5 mm²) with polished enamel surfaces were randomly assigned to 7 treatment groups (n=14), as follows: without bleaching and storage in artificial saliva (control); 10% CP; 10% CP + 0.05% calcium; 10% CP + 0.1% calcium; 10% CP + 0.2% calcium; 10% CP + 0.2% fluoride; and 10% CP + 0.5% fluoride. During 14 days, enamel surfaces were daily exposed to a 6-h bleaching regimen followed by storage in artificial saliva. Surface microhardness was measured before (baseline), during (7th day), immediately after bleaching (14th day) and 1 week post bleaching. Data were analyzed by two-way ANOVA and Tukey's test (p<0.05). All treatments reduced SM significantly during the bleaching cycle (7th day), immediately after bleaching (14th day) and 1 week post bleaching, compared to baseline and to the unbleached control group. In conclusion, in spite of the addition of calcium and fluoride, all bleaching treatments affected the enamel surface microhardness.

Electrochemical impedance spectroscopy study of Ti–6Al–4V alloy in artificial saliva with fluoride and/or bovine albumin

OBJECTIVES

To investigate the electrochemical mechanism of Ti-6Al-4V alloy in acidic artificial saliva with NaF and/or bovine albumin (BA).

METHODS

The electrochemical behavior of Ti-6Al-4V alloy was investigated using electrochemical impedance spectroscopy (EIS) measurements at the open circuit potentials. The electrolytes used included artificial saliva with 0-0.5% NaF, with 0.1% NaF+0.01-0.5% BA, and with 0.01-0.5% BA at pH 5 and 37 degrees C. One-way ANOVA was used to analyze the influence of NaF and BA concentration on the polarization resistance (Rp) obtained from the EIS data. Surface chemical analyses were performed with X-ray photoelectron spectroscopy.

RESULTS

The impedance was mainly characterized by the resistance and capacitance of a protective TiO2-based passive film on Ti-6Al-4V alloy when NaF concentration was low (< or = 0.01%). When NaF concentration was higher than 0.1%, the impedance was characterized by two capacitive and one inductive effects, which were related to the metal's charge transfer reaction and the decayed TiO2-based oxide film (capacitive effects), and the relaxation of the adsorbed Ti-F complex compound (inductive effect). The addition of 0.01-0.5% BA in 0.1% NaF-containing artificial saliva significantly increased the impedance of Ti-6Al-4V alloy compared to that without BA addition (p < 0.001). The presence of BA in fluoride-free artificial saliva had no influence on the electrochemical impedance of Ti-6Al-4V alloy (p > 0.05).

SIGNIFICANCE

The EIS measurement technique is suitable for the study of the electrochemical behavior of dental alloy. The electrochemical mechanism of Ti-6Al-4V alloy in artificial saliva is related to the fluoride and bovine albumin concentration.

Corrosion resistance of three orthodontic brackets: a comparative study of three fluoride mouthwashes

In the present study, three types of orthodontic brackets were investigated: cobalt-chromium (CoCr), iron-chromium-nickel (FeCrNi) and titanium (Ti) based. Their corrosion resistance was compared with that of platinum (Pt), which was chosen as the reference material because of its excellent electrochemical properties. The test solutions were Elmex, Meridol and Acorea fluoride mouthwashes. Fusayama Meyer artificial saliva was used as the reference solution. The corrosion resistance of the different brackets in the three mouthwashes was assessed electrochemically to determine the corrosion potential and corrosion current density, and polarization resistance values were then calculated. A scanning electron microscopic (SEM) study and an analysis of released metal ions confirmed the electrochemical studies. The results showed that the bracket materials could be divided into two groups: Ti and FeCrNi in one, and CoCr, which has properties close to those of Pt, in the other. Similarly, two groups of electrolytes were identified: Elmex and Acorea mouthwashes in one group, and Meridol mouthwash in the second group. The results indicate that because of the risk of corrosion Meridol mouthwash should not be prescribed for patients wearing Ti or FeCrNi-based orthodontic brackets.

The electrochemical behaviour of various non-precious Ni and Co based alloys in artificial saliva

Five non-precious Ni-Co based alloys were analyzed with respect to their corrosion behaviour. The correlation between the amount of the elements Cr, Mo, V and the corrosion behaviour, expressed by the PREN (pitting resistance equivalent number) index in the case of the allied steels, was extended for Ni-Cr and Co-Cr dental alloys characterization. Open circuit potential, corrosion current densities, as a measure of the corrosion rate, and main parameters of the corrosion process were evaluated from linear and cyclic polarization curves, for five Ni-Cr or Co-Cr alloys in an Afnor type artificial saliva. The maintenance times of the alloy in the corrosive medium influence the corrosion rate; the corrosion current values decrease with the maintenance time due to their passivation in solution. The microscopic analysis of the alloy surfaces shows that this passivation in solution does not modify the corrosion type. The alloys with PREN <or=32.9 are susceptible of localized corrosion.

A stainless steel bracket for orthodontic application

Aesthetics has become an essential element when choosing orthodontic fixed appliances. Most metallic brackets used in orthodontic therapy are made from stainless steel (SS) with the appropriate physical properties and good corrosion resistance, and are available as types 304, 316 and 17-4 PH SS. However, localized corrosion of these materials can frequently occur in the oral environment. This study was undertaken to evaluate the accuracy of sizing, microstructure, hardness, corrosion resistance, frictional resistance and cytotoxicity of commercially available Mini-diamond (S17400), Archist (S30403) and experimentally manufactured SR-50A (S32050) brackets. The size accuracy of Mini-diamond was the highest at all locations except for the external horizontal width of the tie wing (P < 0.05). Micrographs of the Mini-diamond and Archist showed precipitates in the grains and around their boundaries. SR-50A showed the only austenitic phase and the highest polarization resistance of the tested samples. SR-50A also had the highest corrosion resistance [SR-50A, Mini-diamond and Archist were 0.9 x 10(-3), 3.7 x 10(-3), and 7.4 x 10(-3) mm per year (mpy), respectively], in the artificial saliva. The frictional force of SR-50A decreased over time, but that of Mini-diamond and Archist increased. Therefore, SR-50A is believed to have better frictional properties to orthodontic wire than Mini-diamond and Archist. Cytotoxic results showed that the response index of SR-50A was 0/1 (mild), Mini-diamond 1/1 (mild+), and Archist 1/2 (mild+). SR-50A showed greater biocompatibility than either Mini-diamond or Archist. It is concluded that the SR-50A bracket has good frictional property, corrosion resistance and biocompatibility with a lower probability of allergic reaction, compared with conventionally used SS brackets.

Surface roughness and fatigue performance of commercially pure titanium and Ti-6Al-4V alloy after different polishing protocols

STATEMENT OF PROBLEM

Surface quality of cast metal is directly related to service performance under fatigue stress. Surface heterogeneities resulting from either finishing or polishing processes or by corrosive agents such as fluoridated solutions, can negatively affect fatigue life. Cast titanium frameworks are difficult to polish, and an accepted polishing protocol has not been established.

PURPOSE

This study evaluated and compared surface roughness of cast commercially pure titanium (CP Ti) and Ti-6Al-4V alloy submitted to conventional or electrolytic polishing, correlating the results with corrosion-fatigue strength testing performed in artificial fluoridated saliva. Specimens were also tested in air at room temperature to evaluate the effectiveness of the corrosion-fatigue test model.

MATERIAL AND METHODS

For each metal, 40 dumb-bell-shaped rods, 2.3 mm in diameter at the central segment, were cast. Conventional polishing was performed on 20 specimens of each metal following the manufacturer's instructions. A source of continuous electrical current was used for electrolytic polishing of the other 20 specimens of each metal, which were immersed in an electrolytic solution containing 5% fluoridric acid, 35% nitric acid, and 60% distilled water. Surface roughness, Ra (microm), was measured with a profilometer, and fatigue tests were carried out with a universal testing machine using a load 30% lower than the 0.2% offset yield strength. After failure, the fractured surfaces were examined using scanning electron microscopy. Surface roughness means were analyzed with a 2-way analysis of variance and the Tukey multiple comparisons test (alpha=.05).

RESULTS

Electrolytic polishing (0.24 +/- 0.05 microm) provided significantly (P <.05) lower surface roughness values than conventional polishing (0.32 +/- 0.06 microm). Regardless of the polishing protocol, surface roughness of Ti-6Al-4V alloy (0.25 +/- 0.06 microm) was significantly lower (P <.05) than that of CP Ti (0.31 +/- 0.05 microm), and the fluoridated environment did not influence fatigue performance. There was no correlation between fatigue performance and surface roughness.

CONCLUSION

Surface roughness of Ti-6Al-4V was significantly lower than that of CP Ti. For cast titanium frameworks, the electrolytic polishing regimen was found to be more effective than the manufacturer's polishing instructions with abrasives and rotary instruments. After polishing, differences in surface roughness values did not affect corrosion-fatigue performance.

Comparison of metal release from new and recycled bracket-archwire combinations

Most orthodontic brackets and archwires made from stainless steel or nickel (Ni)-titanium (Ti) alloys can release metal ions into the saliva. This study measures the amounts of metal released from simulated fixed orthodontic appliances. Sixty simulated fixed orthodontic appliances were manufactured in different ways and divided into four equal groups as follows: new brackets and new archwires (group 1 controls), new brackets and recycled archwires (group 2), recycled brackets and new archwires (group 3), and recycled brackets and recycled archwires (group 4). The bracket bases coated with adhesives were heated at 350 degrees C for 30 minutes. Recycled archwires were sterilized by autoclaving. Each appliance was soaked in artificial saliva of pH 7 at 37 degrees C for 45 days. At the end of this period, a sample of the artificial saliva was collected for analysis. Concentrations of Ni, chromium (Cr), iron (Fe), manganese, copper (Cu), and Ti ions were measured by atomic absorption and recorded in micrograms per liter. Analysis of variance and the Duncan multiple-range test indicated significant differences among the groups (P < .001). The study revealed the following: (1) group 4 released higher amounts of Cr, Fe, and Ti than any of the other three combinations; (2) Ni release was similar in groups 1 and 2 and in groups 2, 3, and 4; (3) the amounts of Cu, Cr, and Ti ions released from groups 3 and 4 were significantly greater than the amounts released from the other two combinations.

Influence of different beverages on the microhardness and surface roughness of resin composites

This study assessed the influence of different beverages on the microhardness and surface roughness of microfilled (A110, 3M/ESPE), hybrid (Z250 3M/ESPE) and flowable (Flow, 3M/ESPE) resin composites, over time. Twenty-four disc-shaped specimens (10 mm; 2-mm thick) of each resin composite were fabricated, thereby forming three groups (n=24). Knoop microhardness and surface roughness (Ra) were analyzed at predetermined evaluation periods: 24 hours, and 7, 30 and 60 days after specimens fabrication. The 24-hour measurements were recorded after storage in artificial saliva. Next, each group (n=24) was divided into four subgroups (n=6) according to the test beverages: Coca-Cola, sugar cane spirit, coffee and artificial saliva (control). Control specimens were kept in saliva throughout the experiment (60 days). For experimental specimens, a 60-day testing cycle was carried out: specimens were initially stored in saliva for four hours, then submitted to a five-minute immersion in the beverages (Coca-Cola, sugar cane spirit, coffee) intercalated by immersions in saliva three times daily. Microhardness/roughness measurements were done at 7-, 30- and 60-day intervals. Data were submitted to three-way ANOVA and Scheffée test (p<0.05). It was observed that the tested beverages somewhat altered (p<0.05) the composites' microhardness and/or surface roughness. Knoop microhardness-for all resin composites, microhardness remained stable up to the 30-day record, decreasing significantly at the 60-day evaluation. During the interaction beverage X evaluation period, it was observed that the microhardness of materials immersed in coffee and Coca-Cola remained stable up to the seven-day measurement, showing a decrease at the 30-day record and a more accentuated drop at the 60-day evaluation (p<0.05). Specimens immersed in sugar cane spirit exhibited no significant change in microhardness up to the seven-day measurement, increasing significantly at the 30-day record and later decreasing at the 60-day evaluation. Surface Roughness--For all resin composites, surface roughness increased at the seven-day measurement, while decreasing at the 30-day record and even more at the 60-day record. In the interaction beverage X evaluation period, the surface roughness of specimens immersed in test beverages increased at the seven-day measurement, showing a gradual decrease at the following records (30- and 60-day evaluations). The findings of the reported research disclosed that all beverages altered, to some degree, the microhardness and/or surface roughness of the tested resin composites. The alterations' effects ranged from slightly adverse to a markedly negative impact on the composites' microhardness and surface roughness, depending on the characteristics of the materials, type of beverage and the evaluated period. Generally, the greater number of immersions in beverages resulted in a more accentuated impact on the resins' properties.

Corrosion resistance of cobalt-chromium and palladium-silver alloys used in fixed prosthetic restorations

The corrosion resistance of a cobalt-chromium (Co-Cr) alloy was assessed with a view to determining its potential use in the manufacture of fixed dental prostheses. The electrochemical behaviour of the alloy was compared with that of two palladium (Pd)-based alloys. Measurements of corrosion potential and anodic polarization were performed on the alloys, and the specimen surfaces were examined by using scanning electron microscopy. Although the corrosion potential of the Co-Cr alloy was lower than that of the Pd-based alloys, the corrosion currents and polarization resistance values were similar for all three alloys. All materials showed a very high resistance to corrosion. Given that the beneficial mechanical properties of Co-Cr alloys have already been established, this type of alloy may be a suitable alternative for use in the manufacture of fixed dental prostheses.

Barium and strontium leaching from aged glass particle/resin matrix dental composites

OBJECTIVES

This study characterizes the loss of Ba and Sr from glass particle/resin-matrix dental composites during simulated aging.

METHODS

X-ray wavelength dispersive spectrometry and secondary ion mass spectrometry were used to analyze the Ba and Sr content from the surfaces of three commercial dental composites after aging for 4 and 8 months in humid air, artificial saliva, water, and 50% ethanol.

RESULTS

Aging in artificial saliva caused the greatest leaching of Ba or Sr for all the specimens, compared with either lesser or no leaching for aging in ethanol and water. Differences in leaching were observed between the different composites. Composites aged in artificial saliva also picked up elements in the saliva solution and displayed crystallite formation on the surface. Samples aged in ethanol displayed cracking which was not observed for water or artificial saliva.

SIGNIFICANCE

Dental composites display ion leaching from their surfaces over periods of four to eight months. Three mechanisms are proposed to explain differences in leaching for the various composites and aging solutions. Surface mineralization is also proposed to occur as a self-repair mechanism in artificial saliva.

Frictional forces between lingual brackets and archwires measured by a friction tester

Frictional resistance tends to rapidly increase as the angle between a bracket and an archwire increases beyond a critical angle. The purpose of this study was to determine a new measuring method with a pin on disk friction tester for the measurement of the frictional force between lingual brackets and archwires. A lingual bracket is different from a labial bracket in dimensions and in some clinical aspects. The influence of artificial saliva was also surveyed. Two brands of lingual brackets and one brand of labial standard bracket with an 0.018-inch slot size were used. Archwires of three alloys (stainless steel [SS], Ormco; beta-Titanium [TM], Ormco; cobalt-chrome, [EL], RMO) with 0.016 x 0.022- and 0.017 x 0.025-inch dimensions were used. Measurements were conducted with an angular velocity of 0.6 degrees/s for 90 seconds and a normal force of 100 g at 25 degrees C in a dry and 34 degrees C in an artificial saliva environment. For SS and EL archwires, the frictional force with the FJT bracket was greater than that with ORM bracket (P < .01). Compared with SS and TM archwires, 0.016 x 0.022-inch EL archwire showed a higher frictional force with two lingual brackets (P < .01). Significant differences in frictional force existed between dry and artificial saliva environments (P < .05), and the effects varied by the bracket-archwire couples. The estimated critical contact angles were greater than the theoretical values. This new method can be a useful protocol for measurement of frictional force because it can measure the frictional force under the conditions of continuous angular change between bracket and archwire.

Effect of tray-based and trayless tooth whitening systems on microhardness of enamel surface and subsurface

PURPOSE

To evaluate the effect of tray-based and trayless tooth whitening systems on surface and subsurface microhardness of human enamel.

METHODS

Enamel slabs were obtained from recently extracted human third molars. Specimens were randomly assigned to six groups according to tooth whitening treatment (n = 10): 6.0% hydrogen peroxide (HP) (Crest Whitestrips), 6.5% HP (Crest Professional Whitestrips), 7.5% HP (Day White Excel 3), 9.5% HP (Day White Excel 3), 10% carbamide peroxide (Opalescence), and a control group (untreated). Specimens were treated for 14 days following manufacturers' recommended protocols, and were immersed in artificial saliva between treatments. Enamel surface Knoop microhardness (KHN) was measured immediately before treatment, and at days 1, 7, and 14 of treatment. After treatment, subsurface microhardness was measured at depths of 50-500 microm. Data were analyzed for statistical significance using analysis of variance.

RESULTS

Differences in microhardness for treated vs. untreated enamel surface were not statistically significant at any time interval. For 6.5% and 9.5% HP, there was a decrease in surface microhardness values during treatment, but at the end of treatment the microhardness values were not statistically different from the baseline values. For the enamel subsurface values, no differences were observed between treated vs. untreated specimens at each depth. Trayless and tray-based tooth whitening treatments do not significantly affect surface or subsurface enamel microhardness.

The efficacy of a fluoride varnish in reducing enamel demineralization adjacent to orthodontic brackets: an in vitro study

OBJECTIVES

To test the hypothesis that fluoride varnish is effective in reducing demineralization (white spot) lesions adjacent to bonded orthodontic brackets.

DESIGN

Two similar samples of extracted bovine incisors, with bonded orthodontic brackets, were separated into an experimental group (fluoride varnish was applied) and control group (no fluoride varnish) to examine the preventive effects of fluoride varnish.

SETTING AND SAMPLE POPULATION

The dental clinic of the State University of Maringá--UEM (Maringá, Paraná, Brazil). Thirty-eight extracted bovine incisors with bonded orthodontic brackets.

EXPERIMENTAL VARIABLE

Fluoride varnish was applied topically to half of the sample of extracted bovine teeth. No varnish was applied to the other half.

OUTCOME MEASURE

The depths of enamel demineralization (white spot) lesions were measured from polarized light microscopy images using image analysis software.

RESULTS

The teeth in both the experimental and control groups had been exposed to a cariogenic environment twice a day for 35 days. Those teeth that had been treated with two applications of fluoride varnish (one at the outset and another 15 days later) demonstrated about 38% less mean lesion depth than teeth where no varnish had been applied.

CONCLUSION

Orthodontists may wish to consider the application of fluoride varnish during fixed orthodontic therapy to help reduce the development of enamel white spot lesions.

Effect of fluoride varnishes on color stability of esthetic restorative materials

Fluoride varnish applications were applied to two hybrid resin composite materials, Z-100 (3M Dental Products, St Paul, MN, USA) and Esthet-X (Dentsply Caulk, Milford, DE, USA), shades A1 and A2 and a glass ionomer, GC Fuji IX GP Fast (GC Corporation, Tokyo, Japan), shade A2, to evaluate color stability. Specimens (12.6-mm dia x 2.3 mm) were prepared using a polyethylene frame, light-cured and polished through a 1-microm alumina finish. After the initial baseline color measurements, the discs were suspended in Fusayama artificial saliva (FAS) solution at 37 degrees C for 48 hours. Post immersion, the specimens were divided into five groups (n=15 each). The following fluoride varnishes were applied to four groups of test specimens: Duraphat (Colgate Oral Pharmaceutical, Inc, Canton MA, USA), Cavity Shield (OMNII Oral Pharmaceuticals, West Palm Beach, FL, USA), Duraflor (Pharmascience Inc, Montreal, Canada) and Fluor Protector (Vivadent, Ivoclar North America, Amherst, NY, USA). The varnish was allowed to dry for five minutes before immersion. The control group was not coated with varnish, although the specimens were immersed in FAS. All specimens were incubated in newly prepared FAS at 37 degrees C for 24 hours, cleaned with an electric toothbrush and the process repeated using newly prepared FAS. CIE L*a*b* color measurements were recorded five times: at baseline, after 48 hours FAS immersion, after cleaning the first and second fluoride varnish applications and after the final brushing using a commercial toothpaste (Crest). A Minolta CR-300 tristimulus colorimeter with an 8-mm aperture (Ramsey, NJ, USA) was used to record color measurements with the daylight (D65) setting. Calculations were performed for using CIE parameters deltaE*, deltaL*, delta a*, delta b*. Analysis of variance (ANOVA) and post-hoc test (Fisher's PLSD) were used for statistical analysis. After immersion in saliva, the tested glass ionomer (Fuji IX) produced the most significant color changes (deltaE*=1.19 and deltaL*=-1.03), indicating the effect of the color change was due to absorption. After fluoride varnish applications, Duraphat varnish produced significant changes in all tested materials and shades, resulting in color changes with deltaE greater than (>) 1 but less than (<) 3. These color changes are considered visually perceptible, yet have been reported in dental literature as clinically acceptable. Fluoride varnishes can be used without adversely affecting the color of restorative materials.

Effects of artificial saliva and APF gel on the surface roughness of newer glass ionomer cements

OBJECTIVES

To investigate the surface roughness changes of newer esthetic dental restorative materials with aging and acid erosion in a simulated oral environment.

METHODS

The materials included two viscous conventional glass ionomer cements originally marketed for the ART approach, one resin-modified glass ionomer cement and two resin composites. Ten specimens for each material were prepared according to the manufacturers' instructions, then each specimen was immersed in 2 ml of buffered artificial saliva at 37 degrees C for three weeks. For each material, five specimens (Group B) were then coated with 1.23% acidulated phosphate fluoride (APF) gel for four minutes, rinsed and immersed again in artificial saliva for another three weeks. Gel was not applied to the Group A specimens. For each material, the surface roughness of an additional three fresh specimens and those from Groups A and B were evaluated using a profilometer and SEM.

RESULTS

The resin composites showed the least effects of acidic corrosion on their surface texture. The viscous glass ionomer cements showed the greatest changes, with significantly increased surface roughness p<0.001).

CONCLUSIONS

The immersion of two newer viscous GICs in a buffered artificial saliva and the single application of APF gel resulted in significantly rougher surfaces over a relatively short six-week period.

Effects of strain rate and temperature on the mechanical properties of resin composites

OBJECTIVE

To evaluate the effects of strain rate and temperature on the mechanical properties of resin composite restorative materials (RCs) and to investigate the construction of temperature--strain rate equivalence 'master curves'.

METHODS

Four visible light-cured resin composite 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 (10 x 1.5x 16.0 mm3) were cured for 50 s at an irradiance of 500 mW cm(-2) and were randomly distributed into groups of six for each type of material. All specimens were stored in artificial saliva at pH 6, for 7d. The specimens tested at 12, 24 and 37 degrees C were stored at the corresponding temperature but those tested at 0 degrees C were stored at 24 degrees C. Three-point bend tests for flexural strength (F), flexural modulus of elasticity (E) and total energy to failure (W) were performed at cross-head speeds (XHS) of 0.1, 1.0, 10, 50 and 100 mm min(-1) for all materials as well as at 0.01, 0.03, 0.2 and 0.5 mm min(-1) for some materials.

RESULTS

There was a common pattern of behavior across materials. At constant temperature, F showed a slight variation with cross-head speed, with a broad peak in the region of 1-10 mm min(-1). E, on the other hand, showed a more marked and steady increase with XHS at all temperatures except at 0 degrees C, where it tended to level off above about 10 mm min(-1). In contrast, the values of W showed a decline with increasing XHS, except at 37 degrees C where an initial rise followed by a decline was observed. At constant XHS, increase in temperature caused a small, but highly significant (P < 10(-3)) decline in F but a marked decline in E. W, again in contrast to Fand E, showed a general increase with temperature. A master curve model for the temperature-strain-rate equivalence was fitted to the E and W data (all P < 10(-5)) and the fitted parameters interpreted in terms of strain rate and temperature sensitivity.

SIGNIFICANCE

The mechanical properties of RCs are very sensitive to the test conditions of strain rate and temperature. This implies that properties determined at any temperature other than 37 degrees C, or at only one cross-head speed (or only one strain rate) are inadequate to describe their behavior in service. The master curve principle is applicable to RCs and can be used, inter alia, to determine property values under other than tested conditions. Conditions of testing in regard to XHS and temperature, as well as other factors, should clearly be stated to enable proper comparisons between studies, but more importantly the use of standardized test conditions is overdue.

Effect of carbamide peroxide bleaching agents on tensile strength of human enamel

OBJECTIVES

The aim of this study was to evaluate the effects of low concentrations of carbamide peroxide bleaching agents (CP) on the ultimate tensile strength of enamel (UTS).

METHODS

Resin composite structure was built-up on the bonded occlusal surface of 12 sound third molars to facilitate specimen preparation for microtensile testing. The bonded teeth were sectioned in a bucco-lingual direction in slices approximately 0.7 mm thick. Each slice was trimmed with a fine diamond bur to reduce the buccal, internal slope enamel of the cusps to a dumb-bell shape with a cross-sectional area at the 'neck' of less than 1 mm2. The sample was randomly divided into six groups of 10 specimens each: Control (C-untreated); Opalescence 10% (O10), Opalescence 15% (O15), Opalescence 20% (O20), Whiteness 10% (W10) and Whiteness 16% (W16). Specimens in each group received the application of the CP for 6 h/day, at 37 degrees C, during 14 days and were stored in artificial saliva in between each application. After the bleaching regimen, specimens were tested with the microtensile method at 0.5 mm/min. Data were analyzed by ANOVA and Tukey test (5%).

RESULTS

Mean tensile strengths were (MPa): C = 47.5 +/- 6.2a; O10 = 37.6 +/- 5.8b; O15 = 33.2 +/- 6.0b; O20 = 31.2 +/- 3.5b; W10 = 32.5 +/- 6.1b; W16 = 30.6 +/- 7.7b. Specimens subjected to the bleaching regimen presented significantly lower UTS than the control group. No differences were found among the type and concentration of the bleaching agents.

SIGNIFICANCE

Results suggested that bleaching enamel with CP could significantly reduce its UTS within a 14 days treatment.