Comparative hardness and modulus of tooth-colored restoratives: A depth-sensing microindentation study

Comparative evaluation of bonding performance between universal and self-etch adhesives: In vitro study

Objective

This work aimed to assess the bonding performance of universal adhesive and self-etch adhesives, and a comparative study was conducted using the same acid etching mode.

Methods

The selective acid-etching mode was used to simulate bonded restorations to teeth defects of isolated human molars including enamel and dentin. Microtensile bond strength and microleakage of all adhesives were tested and compared after 24 h and 5000 thermocycles, respectively. The morphology of the adhesive interfaces was observed by scanning electron microscopy (SEM) and fluorescent staining.

Results

The bond strength and microleakage of Single Bond Universal (SBU) adhesive are comparable to those of self-etch adhesives, although Clearfil Tri-S Bond (S3) exhibited significantly lower bond strength compared to other two self-etch groups evaluated. No significant differences were found in the microleakage resistance of these four adhesives, suggesting their similar effectiveness in sealing the margins of the restorations, although SBU showed the highest resistance of microleakage. The SEM and fluorescent staining results of the resin-dentin interfaces further revealed the formation of abundant resin tags for all adhesives.

Conclusions

Self-etch adhesives evaluated in this study performed similarly to universal adhesives in selective acid-etch mode for bond strength and microleakage resistance. Both types of adhesives exhibited effective penetration capabilities into the dentinal tubules.

Clinical significance

During the adhesion processes involving both dentin and enamel, self-etch adhesives can serve as alternatives to universal adhesives in selective acid-etch mode.

Resin-based dental pulp capping restoration enclosing silica and portlandite nanoparticles from natural resources

Natural-based materials represent green choices for biomedical applications. In this study, resin pulp capping restoration enclosing strengthening silica and bioactive portlandite nanofillers were prepared from industrial wastes. Silica nanoparticles were isolated from rice husk by heat treatment, followed by dissolution/precipitation treatment. Portlandite nanoparticles were prepared by calcination of carbonated lime waste followed by ultrasonic treatment. Both were characterized using x-ray diffraction, energy dispersive x-ray, and transmission electron microscopy. For preparing pulp capping restoration, silica (after silanization) and/or portlandite nanoparticles were mixed with 40/60 weight ratio of bisphenol A-glycidyl methacrylate and triethylene glycol dimethacrylate. Groups A, B, and C enclosing 50 wt.% silica, 25 wt.% silica + 25 wt.% portlandite, and 50 wt.% portlandite, respectively, were prepared. All groups underwent microhardness, compressive strength, calcium release, pH, and apatite forming ability inspection in comparison to mineral trioxide aggregate (MTA) positive control. In comparison to MTA, all experimental groups showed significantly higher compressive strength, group B showed comparable microhardness, and group C showed significantly higher calcium release. Groups B and C showed prominent hydroxyapatite formation. Thus, the preparation of economic, silica-fortified, bioactive pulp capping material from under-utilized agricultural residues (rice husk) and zero-value industrial waste (carbonated lime from sugar industry) could be achieved.

Changes in physical properties of universal composites and CAD/CAM materials after bleaching and antioxidant applications: Scanning electron microscope and atomic force microscope evaluation

To evaluate the effects of vital bleaching agents and the subsequent application of ascorbic acid (AA) to universal composites and resin-based CAD/CAM blocks on the physical properties of materials. In the study; G-enial A'chord (GCA), Filtek Ultimate (FU), Clearfil Majesty (CM) composites, and LAVA Ultimate (LU), Cerasmart (GCC) CAD/CAM blocks were used. The materials were divided into two subgroups based on the applied bleaching type (n = 30/group): office bleaching (OB) and home bleaching (HB). After bleaching, AA was applied to the samples. Surface roughness, microhardness, and color change values of all samples were measured at three stages: initial (I), post-bleaching (B), and post-bleaching+AA application (BA). Statistical analysis was performed using 3-way Mixed ANOVA with Bonferroni correction (p < .05). The BA of the HB group of CM; the B of the HB group of LU; the B roughness values of both the OB and HB groups of GCC were significantly lower than I. The microhardness values of all the materials examined decreased significantly after both bleaching (p < .05). With regard to the AA application, it significantly decreased Ra values in the HB group of CM. In addition, it significantly increased the microhardness values in the HB groups of CM and GCC. Also, the ΔE001 and ΔE002 values for the FU and GCC HB groups were significantly higher than in the OB groups (p < .05). Bleaching and AA application affected the physical properties of the materials. The physical properties of the materials either remained unchanged or improved with the application of AA after bleaching. RESEARCH HIGHLIGHTS: This article presents in vitro results of a new approach that has not been studied before. Ascorbic acid, used to increase the bond strength between the material-tooth after bleaching, was used to eliminate the adverse effects of bleaching on the physical properties of aesthetic restorative materials. Additionally, the effects of all procedures on the materials were examined using scanning electron microscopy (SEM) and atomic force microscopy (AFM). As a result of the study, it was concluded that the application of ascorbic acid after bleaching improved the physical properties of some of the materials.

Long-Term Assessment of Contemporary Ion-Releasing Restorative Dental Materials

The objective was to evaluate new commercially available ion-releasing restorative materials and compare them to established anti-cariogenic materials. Four materials were tested: alkasite Cention (Ivoclar Vivadent) in self-cure or light-cure mode, giomer Beautifil II (Shofu), conventional glass-ionomer Fuji IX (GC), and resin composite Tetric EvoCeram (Ivoclar Vivadent) as a control. Flexural strength, flexural modulus, and Weibull modulus were measured one day, three months, and after three months with accelerated aging in ethanol. Water sorption and solubility were evaluated for up to one year. Degree of conversion was measured during 120 min for self-cured and light-cured Cention. In this study, Beautifil II was the ion-releasing material with the highest flexural strength and modulus and with the best resistance to aging. Alkasite Cention showed superior mechanical properties to Fuji IX. Weibull analysis showed that the glass-ionomer had the least reliable distribution of mechanical properties with the highest water sorption. The solubility of self-cured alkasite exceeded the permissible values according to ISO 4049. Degree of conversion of light-cured Cention was higher than in self-cure mode. The use of alkasite Cention is recommended only in the light-cure mode.

Application of nanoindentation technology in testing the mechanical properties of skull materials

Three-point bending test, compression test and tensile test can detect the mechanical properties of the whole layer of skull, but cannot detect the mechanical properties of the inner plate, the diploe and the outer plate of the skull. In this study, nanoindentation technology was applied to detect mechanical properties of micro-materials of the skull, and differences in micro-mechanical properties of the inner, diploe and outer plates of the skull and cranial suture of human carcasses at different ages were analyzed. The differences in hardness (HIT) and modulus of elasticity (E) were statistically significant among different age groups (P < 0.01). In terms of structure, the E of diploe was higher than that of other structures, while HIT had no significant statistical difference. In terms of location, both HIT and E showed that left frontal (LF) was significantly higher than coronal suture (CS). The above results were consistent with the multi-factor ANOVAs. In addition, the multi-factor ANOVAs further explained the interaction of HIT and E with age, location and structure. It was believed that the nanoindentation technique could be used to analyze laws of micromechanical properties of different structures of human cadaveric skull and cranial suture.

The Evaluation of Microshear Bond Strength of Resin Cements to Titanium Using Different Surface Treatment Methods: An In Vitro Study

This study attempted to investigate the effect of sandblasting and H2O2 treatments on the microshear bond strength of two commercially available resin cements. A total of 90 cube-shaped specimens of commercially pure titanium (cp-Ti) were divided into two groups of Panavia and MHA cements (n = 45). Samples of the Panavia group were randomly divided into three subgroups of 15 samples, including subgroups (no treatment, aluminum oxide sandblasting, and immersion in 35% hydrogen peroxide solution with halogen light). Once the treatment was completed, Panavia V5 was applied on the cp-Ti surface by a Tygon tube. The 45 specimens of the MHA cement group were randomly divided into three subgroups (n = 15) similarly to the Panavia group. Then, the MHA was applied on the surface of cp-Ti. A universal testing machine was used to measure and examine the microshear bond strength of cement to cp-Ti subsequent to the step of thermocycling. According to results, in the Panavia cement group, the SBS of sandblasting treatment was significantly higher than that of the H2O2 treatment subgroup (p < 0.05), which displayed a significantly higher SBS than that of the no-treatment subgroup (p < 0.001). In regard to the MHA group, the SBS of the H2O2 treatment subgroup was significantly lower than that of the sandblasting treatment subgroup (p < 0.001), whereas there were no significant differences between the SBS of the no treatment and H2O2 treatment subgroups (p = 0.35). Considering the comparison between Panavia and MHA cases, there were no significant differences observed among the no-treatment subgroups (p = 0.34), as well as the sandblasting treatment subgroups (p = 0.67), while the SBS of the H2O2 treatment subgroup in Panavia cement was higher than that of the H2O2 subgroup in MHA cement (p < 0.001). In conclusion, in both Panavia V5 and MHA cements, sandblasting treatment could improve the bond strength between the titanium surface. However, H2O2 treatment proved to be capable of enhancing the bond strength of Panavia V5 cement without causing any positive effects on the bond strength of MHA cement.

Effect of post-irradiation polymerization on selected mechanical properties of six direct resins

This study evaluated the post-irradiation mechanical property development of six resin composite-based restorative materials from the same manufacturer starting at 1 h post irradiation, followed by 24 h, 1 week, and 1 month after fabrication. Samples were stored in 0.2M phosphate buffered saline until testing. Flexural strength, flexural modulus, flexural toughness, modulus of resiliency, fracture toughness, and surface microhardness were performed at each time interval. Mean data was analyzed by Kruskal Wallis and Dunn's post hoc testing at a 95% level of confidence (α=0.05). Results were material specific but overall, all resin composite material mechanical properties were found to be immature at 1 h after polymerization as compared to that observed at 24 h. It may be prudent that clinicians advise patients, especially those receiving complex posterior composite restorations, to guard against overly stressing these restorations during the first 24 h.

[Influence of base materials on stress distribution in endodontically treated maxillary premolars restored with endocrowns]

OBJECTIVE

To evaluate the influence of base materials on stress distribution in endodontically treated maxillary premolars restored with endocrowns using three-dimensional finite element analysis.

METHODS

A maxillary second premolar was scanned by Micro-CT and a three-dimensional finite element model of ceramic endocrown with 1 mm thickness of base was established. A model without base was also established as a negative control. Four kinds of conventional base materials with different elastic modulus were adopted: light cure glass ionomer(3M Vitrebond, 3 657 MPa), flowable composite resin(3M Filtek Z350XT Flowable Restorative, 7 300 MPa), high strength glass ionomer(GC Fuji Ⅸ, 13 130 MPa), and posterior composite resin(3M Filtek P60, 19 700 MPa). With a 200 N force loaded vertically and obliquely, the distribution and magnitude of stress in the tooth tissue and adhesive layer were investigated by three-dimensional finite element analysis.

RESULTS

The maximum von Mises stress values(vertical/oblique) in dentin and adhesive layer were measured as follows: (1) no base material: 19.39/70.49 MPa in dentin and 6.97/17.97 MPa in adhesive layer; (2) light cure glass ionomer: 19.00/69.75 MPa in dentin and 6.87/16.30 MPa in adhesive layer; (3) flowable composite resin: 18.78/69.33 MPa in dentin and 6.79/16.17 MPa in adhesive layer; (4) high strength glass ionomer: 18.71/69.20 MPa in dentin and 6.74/16.07 MPa in adhesive layer; (5) posterior composite resin: 18.61/69.03 MPa in dentin and 6.70/16.01 MPa in adhesive layer. Under the same loading condition, models with different elastic moduli of base materials had similar stress distribution patterns. The von Mises stress of tooth tissue was mainly concentrated in the tooth cervix. Under oblique load, the regions where von Mises stress concentrated in were similar to those under a vertical load, but the values increased. The stress concentration in the tooth cervix was alleviated in models with base materials compared with the model without base material. The maximum von Mises stress in the tooth tissue and adhesive layer decreased when the elastic modulus of base materials increased and got close to that of dentin.

CONCLUSION

The posterior composite resin of which the elastic moduli is high and close to that of dentin is recommended as base material for premolar endocrowns to alleviate the concentration of stress in tooth cervix and adhesive layer.

Comprehensive characterisation of flexural mechanical properties and a new classification for porosity of 11 contemporary ion-leaching dental restorative materials

The objectives of this study were to evaluate 4 aspects of ion-leaching restorative materials (ILMs): 4-point bending flexural strength (4 PB-FS) and relative mechanical properties; biaxial flexural strength (B-FS) in relation to 4 PB-FS; porosity; and surface morphology. Eleven ILMs were used for the 4-point bending test. Bar-shaped (n = 15) samples were fabricated, stored in distilled water for 7 days. Then 4 PB-FS and the other mechanical properties were determined. Five ILMs were selected for the B-FS test using disk specimens (n = 15). The correlation between 4 PB-FS and B-FS was addressed. After the 4 PB test, 5 randomised fragments from each material were used to make 0.5 mm-thick sections for light microscopy to investigate the degree of porosity using reflected and transmitted lights. Eight ILMs were selected for quantitative analysis of the fractional % pore volume (PV%) due to their relative pore prominence using ImageJ software. One-way ANOVA/Dunnett's T3 was used to test for significance. Resin-based ILMs (RB-ILMs) were ranked first (p < 0.05) for 4 PB-FS values (53.3-110.2 MPa) followed by resin-modified glass-ionomer cements (RMGICs; 30.9-44.3 MPa) and high-viscosity glass-ionomer cements (HVGICs; 12.9-19.6 MPa), respectively. 'Flexural modulus' (4 PB-E) and 'flexural toughness' (4 PB-T) of ILMs varied even though similar 4 PB-FS values were observed. There was a positive correlation (p < 0.001) between 4PB-FS and B-FS (R² = 0.992) with B-FS>4 PB-FS. There was no correlation between PV% and 4 PB-FS. In summary, material type played a major role in 4 PB-FS outcomes, whereas PV% seemed to have a minor effect when evaluating each material group of ILMs. Brittleness/ductility of ILMs was observed when determining 4 PB-E and 4 PB-T relative to 4 PB-FS. When selecting materials for posterior load-bearing dental restorations in high-caries risk patients, RB-ILMs or RMGICs would be more appropriate due to their superior flexural properties compared with recently introduced HVGICs. The decision for each situation will also be dependent on further evidence of the ion-leaching capacity.

A novel CAD/CAM resin composite block with high mechanical properties

OBJECTIVE

To determine the mechanical properties of a newly-developed CAD/CAM resin composite block and compare with other resin composite blocks and a polymer-infiltrated ceramic block.

METHODS

Experimental composite block was formulated by our proprietary resin and filler technologies and cured via Hot Isostatic Pressing (HIP). Bar-shaped specimens (1 × 4×12 - 13 mm, n = 10) for flexural strength, flexural modulus and modulus of resilience were sectioned from block materials and measured in accordance to modified ISO-6872. Cylinder specimens for compressive strength (2 × 4 mm, n = 8) and for diametral tensile strength (6 × 3 mm, n = 8) were milled from the block materials and tested according to ASTM-D695 and ANSI/ADA-Specification #27, respectively. Block specimens (5 mm, n = 3) for Vickers hardness were polished and measured for five indentations on each specimen. The data was analyzed by one-way ANOVA and post-hoc Tukey tests (p ≤ 0.05).

RESULTS

Experimental composite block showed higher or significantly higher flexural strength, flexural modulus, modulus of resilience, compressive strength, diametral tensile strength and Vickers hardness than the other commercially available block materials except Vita Enamic for flexural modulus and hardness and Cerasmart for modulus of resilience. Some positive correlations were observed among the different mechanical properties.

SIGNIFICANCE

New composite block exhibited higher mechanical properties as compared to commercially available composite block materials. Superior mechanical properties for resin composite block materials were obtained by composite and curing processing technologies. Resin composite blocks with higher mechanical properties are good options for the fabrication of CAD/CAM indirect restorations.

The Effects of Food-Simulating Liquids on Surface Roughness, Surface Hardness, and Solubility of Bulk-Fill Composites

Aim:

To investigate the surface roughness, surface hardness, and solubility of bulk-fill composites after exposure to food-simulating liquids (FSLs).

Materials and Methods:

A total of 200 disc-shaped samples (8 mm diameter × 4 mm depth) were prepared using four bulk-fill composites (SonicFillTM, Tetric® EvoCeram Bulk Fill, Beautifil-Bulk Restorative, FiltekTM Bulk Fill Posterior Restorative) and a microhybrid composite (FiltekTM Z250) ( n = 40). Following the measurement of initial weights of the samples ( m1), the surface roughness measurements were gauged using a contact-profilometer. The samples were stored in four different FSLs for 7 days, and then the second surface roughness values were recorded. The samples were stored in a desiccator to reach the constant mass and the values were recorded as m2, then the solubility levels were calculated. The Vickers microhardness values of the samples were determined. A total of 20 specimens were evaluated in terms of surface morphology with a scanning electron microscope (SEM). Data were statistically analyzed with the two-way ANOVA and Bonferroni tests ( P < .05).

Results:

Beautifil-Bulk Restorative was affected at most in terms of surface roughness after storage in FSLs and citric acid caused the highest values in this group ( P < .005). Beautifil-Bulk Restorative and Filtek Z250 showed the highest surface hardness values, while the Tetric EvoCeram group had the lowest. The highest solubility values were found in Beautifil-Bulk Restorative, and citric acid and ethanol yielded the highest solubility values for all of the composites.

Conclusion:

Beautifil-Bulk Restorative is the most affected group in all parameters evaluated and also affected overly by citric acid among the FSLs in consequence of its prereacted glass ionomer fillers.

Evaluation of F, Ca, and P release and microhardness of eleven ion-leaching restorative materials and the recharge efficacy using a new Ca/P containing fluoride varnish

OBJECTIVES

The objectives of this study were to evaluate fluoride (F), calcium (Ca), and phosphate (P) release of ion-leaching restorative materials (ILMs), their recharge efficacy with a Ca/P-containing F varnish, and relative microhardness.

METHODS

Thirteen groups of materials were investigated. Cylindrical-shaped specimens were fabricated. Deionised water or lactic-acid solution were used as the storage media. Solutions were changed after 1d, 4d, 7d, and 14d of ion release and at the same periods after recharge with MI Varnish (7 -h storage). F, Ca, and P measurements were accomplished using a fluoride-ion selective electrode, atomic absorption spectrometry, and colourimetric method by spectrophotometer, respectively. Relative Vickers hardness was proceeded with similar specimens used in the F assay (4 periods). SEM/EDS was additionally performed. Statistical analyses were calculated in each parameter (p < 0.05).

RESULT

Hardness of several ILMs immediately increased after recharge. After 28d, Ketac Universal [a high-viscosity glass-ionomer cement (HVGIC)] showed the highest hardness similar to the resin composite control. Although 2 HVGICs (Zirconomer and Equia Forte Fil) ranked as first and second for F release/re-release, some HVGICs had inferior or comparable F capacity to RMGICs (Fuji VIII and Fuji II LC) and a resin-based (RB) ILM (Cention N). Cention N, Activa-Restorative (RB-ILM), and Zirconomer were the top-3 ranking for Ca release/re-release. Activa-Restorative showed the highest P release, whereas Cention N displayed the greatest recharge ability for P.

CONCLUSIONS

Zirconomer showed a versatile performance for ion-release/re-release, especially for F. Cention N had excellent capacity in relation to Ca release and recharge ability of Ca/P.

CLINICAL SIGNIFICANCE

With the F varnish recharge protocol, Zirconomer, Equia Forte, and Fuji VIII seems to have an ability to inhibit initial caries initiation. Cention N is a promising resin-based material that could be an alternative for high caries risk patients due to the high Ca release/recharge with acceptable F release.

Effect of Non-Thermal Atmospheric Pressure Plasma (NTP) and Zirconia Primer Treatment on Shear Bond Strength between Y-TZP and Resin Cement

The purpose of this study was to investigate the effect of non-thermal atmospheric pressure plasma (NTP) treatment on the sandblasting of mechanical method and zirconia primer of chemical method used to increase the bond strength between zirconia and resin cement. In this study, Y-TZP was divided into 4 groups according to the surface treatment methods as follows: Zirconia primer (Pr), NTP + Zirconia primer (NTP + Pr), Sandblasting + Zirconia primer (Sb + Pr), Sandblasting + NTP + Zirconia primer (Sb + NTP + Pr). Then, two types of resin cement (G-CEM LinkAce and Rely X-U200) were used to measure the shear bond strength (SBS) and they were divided into non-thermal cycling group and thermal cycling group for aging effect. Statistical analyses were performed using the Kruskal-Wallis test and Mann-Whitney U test. The result of the surface energy (SE), there was no significant difference among the groups (p > 0.05). As a result of the SBS test, the Sb + Pr group had a significantly higher SBS value than the other groups regardless of the resin cement type (p < 0.05), and the decrease rate after thermal cycling treatment was the lowest. On the other hand, the NTP + Pr group showed significantly lower SBS values than the other groups except for the case of using Rely X-U200 (p < 0.05), and the reduction rate after thermal cycling was the highest. The Sb + NTP + Pr group did not differ significantly from the Pr group (p > 0.05). Within the limitations of two successive studies, treatment with NTP after sandblasting used for mechanical bond strength showed a positive effect on initial SBS. However, when NTP was treated before the zirconia primer used for the chemical bond strength, it showed a negative effect on SBS compared to other treatment methods, which was noticeable after the thermal cycling treatment.

Biomodification of a Class-V Restorative Material by Incorporation of Bioactive Agents

Restoring subgingival class-V cavities successfully, demand special biological properties from a restorative material. This study aimed to assess the effects of incorporating bioactive materials to glass ionomer cement (GIC) on its mechanical and biological properties. Hydroxyapatite, chitosan, chondroitin sulphate, bioglass, gelatine and processed bovine dentin were incorporated into a GIC restorative material. Compressive strength, biaxial flexural strength (BFS), hardness, setting and working time measurements were investigated. Biocompatibility of the new materials was assessed using both monolayer cell cultures of normal oral fibroblasts (NOF) and TR146 keratinocytes, and a 3D-tissue engineered human oral mucosa model (3D-OMM) using presto-blue tissue viability assay and histological examination. Significant reduction in the compressive strength and BFS of gelatine-modified discs was observed, while chondroitin sulphate-modified discs had reduced BFS only (p value > 0.05). For hardness, working and setting times, only bioglass caused significant increase in the working time. NOF viability was significantly increased when exposed to GIC-modified with bovine dentine, bioglass and chitosan. Histological examination showed curling and growth of the epithelial layer toward the disc space, except for the GIC modified with gelatine. This study has highlighted the potential for clinical application of the modified GICs with hydroxyapatite, chitosan, bioglass and bovine dentine in subgingival class-V restorations.

The Micro-Shear bond strength of different cements to commercially pure titanium

Background

The most appropriate luting agent for attaching the prefabricated Ti-based insert of hybrid abutments to its ceramic component has not yet been determined. This study was done aimed at examining the micro-shear bond strength (μSBS) of different cements to commercially pure titanium (Cp Ti).

Material and Methods

A total of 100 milled cubes of Cp Ti was airborne-particle abraded using 250 μm aluminum oxide particles. Specimens were then divided into 5 groups (n=20) according to the type of resin cement used: (1) Panavia F.2, (2) Rely X U200, (3) Panavia SA LUTING Plus, (4) GC Fuji I, and (5) GC FujiCEM 2. After 24h storage, half of the samples were subjected to 5000 cycles of thermal aging. Next, the bonded samples were tested in the micro-shear mode. Data (MPa) were analyzed using a two-way ANOVA and the post hoc Tukey test (α=0.05). After debonding, each sample was examined for the failure mode classification.

Results

The highest μSBS value in the study cements was obtained for Panavia F.2 cement (P<0.001) with no significant difference with Rely X U200 (P=0.07). The μSBS values of both GI-based cements were significantly lower than those of resin cements. Thermal aging decreased the μSBS values of all groups (P=0.003) significantly. The mainly occurred failure mode in all groups was the adhesive feature.

Conclusions

Resin cements demonstrated acceptable bonding to Cp Ti, yet Gl-based cements did not. From among the cements examined, Panavia F.2 can be considered as the best option for bonding to Ti. Key words:Bond strength, Glass ionomer, Hybride abutment, Resin cement, Titanium.

Effects of Curing Modes on the Microhardness of Resin-modified Glass Ionomer Cements

Objective

This study evaluated the effects of curing modes on surface microhardness of visible light-cured resin-modified glass ionomer cements (VLC RMGIC) and a giomer after different storage periods in comparison to auto-cured resin-modified glass ionomer cements (AC RMGIC).

Materials and Methods

The following materials were used: VLC RMIC: Fuji II LC Improved, Photac Fil Quick Aplicap, AC RMGIC: Fuji Plus, Fuji VIII and Giomer: Beautifil II. The measurements of microhardness were performed using a Vickers test (100 g loads were applied for 10 s) in the following time intervals: immediately after the recommended cure and after 1, 7 and 14 days of immersion in distilled water. Five samples (d=4 mm, h=2 mm) were prepared for each combination of curing mode and tested material.

Results

After 14 days, an improvement of microhardness was evident in all tested materials. The full factorial ANOVA identified a highly significant (p<0.001) effect of the factors “material”, “time” and “curing mode (“low”, “soft“, „high”) for the light-cured materials Beautifil II, Fuji II LC and Photac Fil Quick. There was a statistically significant difference in the microhardness between different material types (Beautifil II˃Fuji II LC˃Photac Fil Quick˃Fuji Plus˃Fuji VIII) and curing modes (low ˂soft ˂high).

Conclusions

Material type had the greatest impact on microhardness, followed by the factor of time, while curing modes showed a considerably smaller influence on microhardness of the light-cured materials.

Bonding Interaction and Shrinkage Stress of Low-viscosity Bulk Fill Resin Composites With High-viscosity Bulk Fill or Conventional Resin Composites

OBJECTIVE

To analyze the shrinkage stress, bonding interaction, and failure modes between different low-viscosity bulk fill resin composites and conventional resin composites produced by the same manufacturer or a high-viscosity bulk fill resin composite used to restore the occlusal layer in posterior teeth.

METHODS & MATERIALS

Three low-viscosity bulk fill resin composites were associated with the conventional resin composites made by the same manufacturers or with a high-viscosity bulk fill resin composite, resulting in six groups (n=10). The bonding interaction between resin composites was tested by assessing the microshear bond strength (μSBS). The samples were thermocycled and were tested with 1-mm/min crosshead speed, and the failure mode was evaluated. The post-gel shrinkage (Shr) of all the resin composites was measured using a strain gauge (n=10). The modulus of elasticity (E) and the hardness (KHN) were measured using the Knoop hardness test. Two-dimensional finite element models were created for analyzing the stress caused by shrinkage and contact loading. The μSBS, Shr, E, and KHN data were analyzed using the Student t-test and one-way analysis of variance. The failure mode data were subjected to chi-square analysis (α=0.05). The stress distribution was analyzed qualitatively.

RESULTS

No significant difference was verified for μSBS between low-viscosity bulk fill resin composites and conventional or high-viscosity bulk fill composites in terms of restoring the occlusal layer (p=0.349). Cohesive failure of the low-viscosity bulk fill resin composites was the most frequent failure mode. The Shr, E, and KHN varied between low-viscosity and high-viscosity resin composites. The use of high-viscosity bulk fill resin composites on the occlusal layer reduced the stress at the enamel interface on the occlusal surface.

CONCLUSIONS

The use of high-viscosity bulk fill resin composites as an occlusal layer for low-viscosity bulk fill resin composites to restore the posterior teeth can be a viable alternative, as it shows a similar bonding interaction to conventional resin composites as well as lower shrinkage stress at the enamel margin.

Dimensional Changes of Glass Ionomers and a Giomer during the Setting Time

Objectives

The aim of this study was to evaluate dimensional changes of conventional glass ionomer cements, resin-modified glass-ionomer cement, and a giomer during the setting time using digital laser interferometry. Additionally, the influence of different curing modes ("high", "soft", and "low") of a light-emitting diode (LED) curing unit on dimensional changes was evaluated.

Materials and methods

Linear curing shrinkage of conventional glass ionomer cements (CGICs): Fuji IX Extra (F9E), Fuji IX Fast (F9F), Ketac Molar Aplicap (KM), Ketac Molar Quick Aplicap (KMQ), resin-modified glass ionomer cement (RM GIC): Fuji II LC (F2LC) and giomer: Beautifil II (B2) was analyzed. All tested materials were of shade A3, while all of the GIC were encapsulated. Discoid specimens (n=10, d=10 mm, h=0.85 mm) were prepared for each tested material and each curing mode (for light-curable materials) according to the manufacturer's instructions. Light-curable specimens were cured with LED curing unit (Bluephase G2, Ivoclar-Vivadent, and Schaan, Liechtenstein). Dimensional changes during curing were recorded in real-time. The results were analyzed by ANOVA, and Tukey post hoc test was used for multiple comparisons (α˂ 1%).

Results

All tested materials showed an initial setting expansion and a subsequent setting shrinkage. KM and KMQ had significantly lower setting shrinkage than RM GIC polymerized using any of the three curing modes. B2 showed lower shrinkage compared to F2LC.

Conclusions

The extent of curing shrinkage in RM GIC measured in this study can affect longevity of restorations.

Characterization of fluoride releasing restorative dental materials

This study aimed to evaluate and compare certain mechanical properties, Vickers-hardness, water sorption, fluoride-release, shrinkage-stress and wear of five commercial fluoride-releasing restorative materials (Dyract, CompGlass, BEAUTIFIL II, ACTIVA-Restorative, and GC Fuji II LC), in relation to their microstructural characteristics. Mechanical properties were determined for each material following ISO standards. A wear test was conducted with 15,000 chewing cycles using a dual-axis chewing simulator. Daily fluoride-release was measured during the first 10 days by using a fluoride ion selective electrode. Scanning electron microscopy (SEM) was used to evaluate the microstructure of each material. Results were statistically analysed using ANOVA followed by post hoc Tukey's test. ACTIVA-Restorative exhibited the highest fracture toughness (1.1 MPa m^1/2) among the materials tested. BEAUTIFIL II presented the highest flexural strength (145 MPa) which was not significantly different (p>0.05) from CompGlass and Dyract. Highest fluoride-release measurement was located for GC Fuji II LC among other tested materials.

Comparative Evaluation of Colour Stability and Surface Hardness of Methacrylate Based Flowable and Packable Composite -In vitro Study

INTRODUCTION

With the advent of new technology in material sciences in recent years, the quality of composite resin restorations has improved; however, discolouration and wear of composite resin materials remains to be a major problem in long-term clinical studies.

AIM

The aim of the present study was to compare the colour stability and surface hardness of methacrylate based flowable nano composite with methacrylate based packable nano composite.

MATERIALS AND METHODS

The difference in colour stability and microhardness of the three composites: G aenial Universal Flo (GC India), Filtek Z350XT (3MESPE) and Tetric N Ceram (Ivoclar Vivadent) were evaluated. Forty eight disc shaped specimens were made out of three different resin composite materials which were subdivided into two groups of Colour Stability (CS) and Vicker's Hardness (VH). For colour stability, specimens were immersed in staining solution consisting instant coffee for 72 hours, and then specimens were rinsed thoroughly under tap water and subjected to 10 strokes of brushing with a soft-grade toothbrush. The colour measurements were obtained using spectrophotometer and the process was repeated every 72 hours for three weeks. VH was evaluated using microhardness tester (Zwick/Roell Vicker's Microhardness Tester). Vicker's Hardness Numbers (VHN) were determined from indentations made under 10 N load for 15 seconds by the arithmetic mean of three indentation values randomly performed. One-way ANOVA and Tukey's post-hoc analysis were applied.

RESULTS

Statistically significant difference was found in comparison of colour stability at different time interval in study groups (p<0.001). Filtek Z350XT group showed least discolouration followed by Tetric N Ceram group and highest colour change in G aenial Universal Flo group after immersion for 21 days. Mean microhardness value of Filtek Z350XT (101.62) group was found to be significantly different from Tetric N Ceram group (63.74) (p<0.001*) and G aenial Universal Flo group (56.75) (p<0.001*).

CONCLUSION

Greatest CS and VH was seen in Filtek Z350XT followed by Tetric N Ceram and least values were seen in G aenial Universal Flo.

Effects of thermal fatigue on shear punch strength of tooth-colored restoratives

Aims:

This study investigated the effect of thermal fatigue on the shear strength of a range of tooth-colored restorative materials including giomers, zirconia-reinforced glass ionomer cement (GIC), nano-particle resin-modified GIC, highly viscous GICs, and composite resin.

Materials and Methods:

Twenty specimens of each material were fabricated in standardized washers (17 mm outer diameter, 9 mm internal diameter, 1 mm thick). The specimens were cured, stored in 100% humidity at 37.5°C for 24 h, and randomly divided into two groups of 10. Group A specimens were nonthermocycled (NT) and stored in distilled water at 37°C for 168 h. Group B specimens were thermocycled (TC) for 10,000 cycles (168 h) with baths X, Y, and Z adjusted to 35°C, 15°C, and 45°C, respectively. Each cycle had dwell times of 28 s in X, and 2s in Y/Z in the order XYXZ. Specimens then underwent shear punch testing at a crosshead speed of 0.5 mm/min with a 2 kN load cell. Statistical analysis of shear strength was done using t-test and two-way ANOVA/Scheffe's post hoc test at significance level P < 0.05.

Results:

The effect of thermal fatigue on shear strength was material dependent. Except for the “sculptable” giomer (Beautifil II) and a highly viscous GIC (Fuji IX GP Fast), no significant differences in shear strength were generally observed between the NT and TC groups. For both groups, the composite resin (Filtek Z250XT) had the highest shear strength while the zirconia-reinforced (zirconomer) and a highly viscous GIC (Ketac Molar Quick) had the lowest.

Conclusions:

The effect of thermocycling on shear strength was material dependent. Thermal fatigue, however, did not significantly influence the shear strength of most materials assessed. The “sculptable” composite and giomer were significantly stronger than the other materials evaluated. Shear strength of the “flowable” injectable hybrid giomer was intermediate between the composite and GICs.

The Effect of Resin-modified Glass-ionomer Cement Base and Bulk-fill Resin Composite on Cuspal Deformation

Objectives: This study investigated cuspal deformation in teeth restored with different types of adhesive materials with and without a base.

Methods: Mesio-occluso-distal slot cavities of moderately large dimension were prepared on extracted maxillary premolars (n=24). Teeth were assigned to one of four groups and restored with either a sonic-activated bulk-fill resin composite (RC) (SonicFill), or a conventional nanohybrid RC (Herculite Ultra). The base materials used were a flowable nanofilled RC (Premise Flowable) and a high-viscosity resin-modified glass-ionomer cement (RMGIC) (Riva Light-Cure HV). Cuspal deflection was measured with two direct current differential transformers, each contacting a buccal and palatal cusp. Cuspal movements were recorded during and after restoration placement. Data for the buccal and palatal cusp deflections were combined to give the net cuspal deflection.

Results: Data varied widely. All teeth experienced net inward cuspal movement. No statistically significant differences in cuspal deflection were found among the four test groups.

Conclusions: The use of a flowable RC or an RMGIC in closed-laminate restorations produced the same degree of cuspal movement as restorations filled with only a conventional nanohybrid or bulk-fill RC.

Comparative Shear-Bond Strength of Six Dental Self-Adhesive Resin Cements to Zirconia

This study compared shear bond strength (SBS) of six self-adhesive resin cements (SARC) and one resin-modified glass ionomer cement (RMGIC) to zirconia before and after thermocycling. The cylinder shape (Φ 2.35 mm × 3 mm) of six SARCs (G-CEM LinkAce (GLA), Maxcem Elite (MAX), Clearfil SA Luting (CSL), PermaCem 2.0 (PM2), Rely-X U200 (RXU), Smartcem 2 (SC2)) were bonded to the top surface of the zirconia specimens with light-curing. RMGIC (Fujicem (FJC)) was bonded to the specimens with self-curing. The shear bond strength of all cemented specimens was measured with universal testing machine. Half of the specimens were thermocycled 5000 times before shear bonding strength testing. Fractured surfaces were examined with a field-emission SEM (10,000×) and analyzed by energy dispersive x-ray analysis. MAX, PM2, SC2 group without thermocycling and GLA, MAX, PM2 group with thermocycling showed adhesive failure, but GLA, CSL, RXU, FJC group without thermocycling and SLC, RXU, SC2, FJC group with thermocycling indicated cohesive failure. Within the limitation of this study, All of SARCs except MAX demonstrated higher bond strength than that of RMGIC regardless of thermocycling. Also, SARC containing MDP monomers (CSL) retained better bonds than other cements.

Addition of mechanically processed cellulosic fibers to ionomer cement: mechanical properties

In this study, conventional restorative glass ionomer cement (GIC) was modified by embedding it with mechanically processed cellulose fibers. Two concentrations of fibers were weighed and agglutinated into the GIC during manipulation, yielding Experimental Groups 2 (G2; 3.62 wt% of fibers) and 3 (G3; 7.24 wt% of fibers), which were compared against a control group containing no fibers (G1). The compressive strengths and elastic modulus of the three groups, and their diametral tensile strengths and stiffness, were evaluated on a universal test machine. The compressive and diametral tensile strengths were significantly higher in G3 than in G1. Statistically significant differences in elastic modulus were also found between G2 and G1 and between G2 and G3, whereas the stiffness significantly differed between G1 and G2. The materials were then characterized by scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS). Heterogeneously shaped particles were found on the G2 and G3 surfaces, and the cement matrices were randomly interspersed with long intermingled fibers. The EDS spectra of the composites revealed the elemental compositions of the precursor materials. The physically processed cellulosic fibers (especially at the higher concentration) increased the compressive and diametral tensile strengths of the GIC, and demonstrated acceptable elastic modulus and stiffness.

Initial sliding wear kinetics of two types of glass ionomer cement: a tribological study

The aim of this work was to characterize the initial wear kinetics of two different types of glass ionomer cement used in dentistry (the conventional glass ionomer cement and the resin-modified glass ionomer cement) under sliding friction after 28-day storing in distilled water or Ringer's solution. Sliding friction was applied through a pin-on-disk tribometer, in sphere-on-plane contact conditions, under 5 N normal load and 120 rotations per minute. The test lasted 7500 cycles and replicas were performed at 2500, 5000 and 7500 cycles. A profilometer was used to evaluate the wear volume. Data were analysed using Student's t-test at a significant level of 5%. There is no statistical significant difference between the results obtained for a given material with the maturation media (P > 0.05). However, for a given maturation medium, there are significant statistical differences between the data obtained for the two materials at each measurement (P < 0.0001). The wear rates of both materials decrease continuously during the running-in period between 0 and 2500 cycles. After 2500 cycles, the wear rate becomes constant and equal for both materials. The resin matrix contained in the resin-modified glass ionomer cement weakens the tribological behaviour of this material.

Investigation of the correlation between the different mechanical properties of resin composites

The aim of this study was to investigate the relationship between the different mechanical properties with the filler fraction of various resin composites. Mechanical properties of eighteen different resin composites were investigated in this study; flexural strength (FS), flexural modulus (FM), fracture toughness (FT), compressive strength (CS), diametral tensile strength (DTS), Barcol hardness (BH), Vickers hardness (HV), and Knoop hardness (HK). The mean values of mechanical properties and the filler fractions (V(f )) obtained from the literature and the manufacturer were analyzed using Pearson's correlation test at p<0.01. The relationships were compared with the data retrieved from previous studies. Strong correlations between Vf and BH/HV/HK and V(f) and FM were evident in the results of the present study and these results were supported by the retrieved data from previous studies. The other relationships between mechanical properties, such as that between FS and FM and between CS and HV were not significant.

The Nanomechanical and Tribological Properties of Restorative Dental Composites after Exposure in Different Types of Media

The aim of this study was to evaluate the effects of various acidic solutions on the surface mechanical properties of commercial resin composites with different microstructures (Filtek Z350 XT, TPH3, Durafill, and Superlux). Specimens were immersed in orange juice, cola, and distilled water for 5 days and the nanohardness, elastic modulus, and wear behavior of the samples were determined via the nanoindentation test and a reciprocating nanoscratch test. The nanoscratch morphology was observed using scanning electron microscopy (SEM) and the wear depth was recorded by scanning probe microscopy (SPM). The results indicate that the nanofilled resin composites had the greatest hardest and highest elastic modulus, whereas the microfilled composites exhibited the lowest nanohardness and elastic modulus values. SEM observations showed that all resin composites underwent erosion and surface degradation after immersion in acidic solutions. Furthermore, the wear resistance was influenced by the composition of the acidic solution and was correlated with the nanohardness and elastic modulus. The dominant wear mechanism changed from plastic deformation to delamination after immersion in acidic solutions.

Effects of Food-simulating Liquids on Surface Properties of Giomer Restoratives

This study examined the effects of food-simulating liquid (FSL) on the hardness and roughness of giomer restoratives based on pre-reacted glass ionomer (PRG) technology. The materials investigated included a regular (Beautifil II [BT]) and a recently introduced injectable (Beautifil Flow Plus F00 [BF]) hybrid PRG composite. A direct hybrid composite (Filtek Z250 [ZT]) and an indirect hybrid composite (Ceramage [CM]) were used for comparison. The materials were placed into customized square molds (5 mm × 5 mm × 2.5 mm), covered with Mylar strips, and cured according to manufacturers' instructions. The materials were then conditioned in air (control), distilled water, 50% ethanol solution, and 0.02 N citric acid at 37°C for seven days. Specimens (n=6) were then subjected to hardness testing (Knoop) and surface profilometry. Data were analyzed using one-way analysis of variance and post hoc Scheffe test (p&lt;0.05). Mean Knoop hardness values for the control group (air) ranged from 53.4 ± 3.4 (BF) to 89.5 ± 5.2 (ZT), while mean surface roughness values values ranged from 0.014 ± 0.002 (ZT) to 0.032 ± 0.001 (BT). All materials were significantly softened by FSL. The degree of softening by the different FSLs was material dependent. The hardness of giomers was most affected by citric acid and ethanol. The smoothest surface was generally observed with the control group. Giomer restoratives were significantly roughened by citric acid.

Correlation between surface roughness and microhardness of experimental composites with varying filler concentration

AIM

The purpose of this study was to investigate the influence of the surface roughness on the surface microhardness of experimental composites with varying filler concentration.

MATERIALS AND METHODS

Experimental resin composites were formulated by mixing Bis-GMA and TEGDMA in a 50/50% weight ratio and CQ/EDAB were added to make the material photosensitive. Silanized glass particles were incorporated in the resin blend in two concentrations: C50 with 50% and C75 with 75% in weight ratio. The surface roughness and the surface microhardness measurements were determined after every three finishing procedures with #280-, #600- and #1200-grit wet sandpapers, respectively. The data were analyzed statistically by Two Way ANOVA and Tukey's test, and comparisons were conducted using the Spearman's correlation test (p > 0.05).

RESULTS

The surface roughness and surface microhardness were negatively associated (r = - 0.68) and the finishing procedures of both composites resulted in harder and smoother surfaces than the initial ones. Additionally, in a smooth circumstance, the higher content of fillers has not resulted in a composite with better microhardness and smoothness.

CONCLUSION

Finishing procedures decreased the surface roughness and consequently improved the surface microhardness of the composites evaluated.

CLINICAL SIGNIFICANCE

Finishing and polishing procedures are effectives in reducing the surface roughness amplitude of composite materials and in improving their surface microhardness. Thus a microhardness test and any hardness evaluation must be conducted only after a properly finished and polished surface is achieved.

Microhardness of glass ionomer cements indicated for the ART technique according to surface protection treatment and storage time

The aim of this study was to assess the microhardness of 5 glass ionomer cements (GIC) - Vidrion R (V, SS White), Fuji IX (F, GC Corp.), Magic Glass ART (MG, Vigodent), Maxxion R (MR, FGM) and ChemFlex (CF, Dentsply) - in the presence or absence of a surface protection treatment, and after different storage periods. For each GIC, 36 test specimens were made, divided into 3 groups according to the surface protection treatment applied - no protection, varnish or nail varnish. The specimens were stored in distilled water for 24 h, 7 and 30 days and the microhardness tests were performed at these times. The data obtained were submitted to the ANOVA for repeated measures and Tukey tests (alpha = 5%). The results revealed that the mean microhardness values of the GICs were, in decreasing order, as follows: F > CF = MR > MG > V; that surface protection was significant for MR, at 24 h, without protection (64.2 + or - 3.6a), protected with GIC varnish (59.6 + or - 3.4b) and protected with nail varnish (62.7 + or - 2.8ab); for F, at 7 days, without protection (97.8 + or - 3.7ab), protected with varnish (95.9 + or - 3.2b) and protected with nail varnish (100.8 + or - 3.4a); and at 30 days, for F, without protection (98.8 + or - 2.6b), protected with varnish (103.3 + or - 4.4a) and protected with nail varnish (101 + or - 4.1ab) and, for V, without protection (46 + or - 1.3b), protected with varnish (49.6 + or - 1.7ab) and protected with nail varnish (51.1 + or - 2.6a). The increase in storage time produced an increase in microhardness. It was concluded that the different GICs, surface protection treatments and storage times could alter the microhardness values.

Fracture resistance of amalgam/glass-polyalkenoate open sandwich Class II restorations: an in vitro study

OBJECTIVE

To investigate the effect of two glass-polyalkenoate restorative materials used as root-dentin replacements on the fracture strength of Class II amalgam restorations.

MATERIALS AND METHODS

Class II slot preparations extending 2mm apical to the cemento-enamel junction were made in 30 teeth and randomly assigned to three groups. Group 1 (Control): restored entirely with amalgam (Tytin, Sybron Kerr, Orange, CA, USA). Group 2: The root-dentin area was restored with a viscous conventional glass-polyalkenoate restorative material (Fuji IX GP, GC America, Alsip, IL, USA), and the remainder of the preparation restored with amalgam. Group 3: The root-dentin area was restored with a resin-modified glass-polyalkenoate restorative material (Fuji II LC, GC America) and the remainder restored with amalgam. The amalgam restorations were loaded in compression to failure and the data analyzed using one-way ANOVA (alpha=0.05).

RESULTS

No significant differences in fracture strength were found.

CONCLUSION

Root-dentin replacement with the tested glass-polyalkenoate materials did not affect the fracture strength of Class II amalgam restorations.

Bond strength of adhesively luted ceramic discs to different core materials

The purpose of this in vitro study was to compare the shear bond strengths of resin, glass-ionomer, and ceramic-based core materials to all ceramic discs. Five core materials (Core max, Sankin; Clearfil AP-X, Kuraray; Empress Cosmo, Ivoclar-Vivadent; Photocore, Kuraray; Dyract Extra, Dentsply) were prepared as discs 10 mm in diameter and 2 mm in height according to the manufacturer's instructions. Ten disc specimens per group were prepared, and dentin served as the control. All resin specimens were embedded in autopolymerizing acrylic resin, with one surface facing up. All ceramic discs (IPS Empress I, Ivoclar-Vivadent) 3 mm in diameter and 2 mm in height were prepared and bonded to core specimens with a dual-curing luting resin cement (Variolink II, Vivadent). Specimens were stored in distilled water at 37 degrees C. Shear bond strength of each sample was measured after 24 h using a universal testing machine at a crosshead speed of 0.5 mm/min. The data were analyzed with one-way analysis of variance and Tukey HSD tests (alpha = 0.05). Shear bond strength varied significantly depending on the core material used (p < 0.05). Clearfil AP-X and Photocore showed the highest shear bond strength value while Empress Cosmo provided the lowest (p < 0.05). There were no statistically significant differences among Clearfil AP-X, Photocore, and Core-Max (p > 0.05). And also there were no statistically significant differences between Dyract Extra and the control group (p > 0.05). In vitro shear bond strengths of ceramic discs bonded to resin-based core materials showed higher bond strength values than ceramic-based core material.

Effect of chain modifications on the physicomechanical properties of silsesquioxane-based dental nanocomposites

The objective of this study was to evaluate the physicomechanical properties of a series of polyhedral silsesquioxane (SSQ) methacrylate monomers developed for dental applications. The effect of chain modifications on the properties of the SSQ-based monomers was also evaluated. Physicomechanical properties that are investigated include polymerization shrinkage, degree of conversion, hardness, and modulus. Results obtained were compared with unfilled 1:1 (control) bis-GMA/TEGDMA materials (typical monomers used in dental composites). All samples investigated were cured using 400-500 nm light at 500 mW/cm(2) for 40 s. Shrinkage associated with curing and post-gel reactions for all synthesized SSQ compounds were found to range from (0.04 +/- 0.01)% to (0.33 +/- 0.03)% with degree of conversion ranging from (56.68 +/- 2.81)% to (84.53 +/- 2.62)%. At all time intervals, post-gel shrinkage associated with control was found to be significantly greater than all SSQ compounds. No significant difference in degree of conversion was observed for control, and all SSQ compounds except for SSQ attached with eight equivalents of short-chain methacrylate. Mechanical properties associated with SSQ compounds were found to be significantly lower than control. However, through chain modifications, mechanical properties of SSQ compounds can be improved by approximately 50%.

Influence of environmental calcium/phosphate and pH on glass ionomers

This study investigated the effects of environmental calcium/phosphate and pH on the hardness and elastic modulus of two glass-ionomer cements (GICs) [Fuji IX Fast (FN) and KetacMolar (KM)]. Specimens were randomly subjected to storage media of pH 3, 5, and 7. The calcium and phosphate levels of the storage solutions ranged from 0 to 2.4 mM. After 4 wk of conditioning, hardness and elastic modulus were determined using a depth-sensing microindentation test. Sectioned surfaces were observed with scanning electron microscopy. For both FN and KM, no significant change in hardness, elastic modulus, or surface structure were observed at pH 7 and 5, regardless of the concentration of calcium and phosphate. FN and KM specimens conditioned at pH 3 had lower hardness and modulus in comparison to those conditioned at pH 7. An increased level of environmental phosphate led to higher hardness and elastic modulus of FN and KM at pH 3. In general, a microscopic surface reaction layer was observed in specimens conditioned at pH 3. The thickness and structure of the reaction layer varied depending on environmental phosphate levels. The results suggest that the influence of environmental calcium and phosphate on GICs was pH dependent.

Environmental degradation of glass-ionomer cements: A depth-sensing microindentation study

This study investigated the effects of various environmental conditions on the hardness and elastic modulus of restorative glass-ionomer cements (GICs). Two resin-modified GICs (RMGICs) (Fuji II LC [FL]; Photac-Fil Quick [PQ]) and three highly viscous GICs (HVGICs) (Fuji IX Fast [FN]; KetacMolar [KM]; KetacMolar Quick [KQ]) were evaluated in this study. Specimens were fabricated according to the manufacturers' instructions and stored under a variety of conditions (n = 7): 100% humidity, distilled water, pH 5 demineralization solution, and pH 7 remineralization solution. The hardness and elastic modulus were measured using a depth-sensing microindentation test after 4 weeks. The results were analyzed using the independent samples T-test and ANOVA/Scheffe's post hoc test (p < 0.05). HVGICs showed significantly higher hardness and elastic modulus than RMGICs under all storage conditions. Storage in distilled water significantly increased the hardness and elastic modulus of FN, but decreased that of PQ. All HVGICs and RMGICs stored in remineralization solution had hardness values and elastic moduli comparable to those stored in water. Compared to remineralization solution, demineralization solution had no significant effects on the modified GICs with the exception of KQ. The results suggest that the mechanical properties of glass-ionomer restoratives are material-type and storage condition dependent. Therefore, the clinical selection of a glass-ionomer material should be based on the oral environment to which it will be subjected.

Physicomechanical evaluation of low-shrinkage dental nanocomposites based on silsesquioxane cores

This study aimed to determine the modulus, hardness, and polymerization shrinkage of novel silsesquioxane (SSQ)-based nanocomposites synthesized for dental applications. Four novel SSQ materials were developed and mixed with control monomers in 5, 10, 20, and 50 wt% SSQ nanocomposite ratios and were evaluated for use as potential low-shrinkage composite restoratives. The postgel polymerization shrinkage of the hybrid materials was then investigated and compared with unfilled 1:1 (control) bisphenol A glycerolate (1 glycerol/phenol) dimethacrylate/tri(ethylene glycol) dimethacrylate (Bis-GMA/TEGDMA) materials using a strain-monitoring device and test configuration. Mechanical properties, such as hardness and modulus, were determined using the depth-sensing microindentation approach. All samples investigated were polymerized using a dental light-curing unit (BISCO VIP) at 500 mW cm(-2) for 40 s. The results obtained were analyzed using analysis of variance/Scheffe's posthoc test at a significance level of 0.05. At 60 min postlight polymerization, postgel shrinkage associated with the control was found to be significantly higher than for all control/SSQ mixtures. Hardness and modulus were found to decrease with increased amount of SSQ monomers added, indicating that the incorporation of SSQ monomers into the control generally helps to reduce both the rigidity and the polymerization shrinkage. Therefore, in the correct formulation, SSQ materials have great potential to be used as low-shrinkage composite restoratives.

The effect of temperature on viscoelastic properties of glass ionomer cements and compomers

The objective of this study was to determine the viscoelastic properties of different types of glass ionomer cements (GICs) and compomers under varying temperature conditions found in the mouth. The materials tested were a conventional GIC (Aqua Ionofil U), a resin modified GIC (Fuji II LC), a highly viscous GIC (Voco Ionofil Molar), and two polyacid modified composite resins/compomers (Glasiosite and Dyract Flow). Six groups of four specimens were prepared from each material. One group was stored dry for 24 h and was subsequently tested dry at 21 degrees C. Each of the remaining five groups was stored for 24 h in distilled water at the temperatures 21, 30.5, 37, 43.5, and 50 degrees C, respectively, and was subsequently tested at that temperature. Shear storage modulus and loss tangent were determined by conducting dynamic torsional loading. Static shear moduli were determined by applying a constant torque (below the proportional limit of the materials) for 10 s and recording the angular deformation of the specimens. Data were analyzed by ANOVA and Duncan's test (alpha= 0.05). It was found that the viscoelastic properties varied significantly (p < 0.05) across the different materials. The compomer Glasiosite, with the highest filler content, and the highly viscous GIC Voco Ionofil Molar exhibited the highest elastic moduli and lowest loss tangents. Viscoelastic properties varied also significantly (p < 0.05) with temperature levels, but changes in the tested region were not indicative of a glass transition. Dynamic shear storage moduli were highly correlated to the static ones. Storage in water lowered the values of elastic moduli.

Changes in color and translucency of porcelain-repairing resin composites after thermocycling

The objective of this study was to determine the changes in color and translucency of dental porcelain-repairing resin composites compared to dental porcelain after thermocycling. Color and spectral reflectance of three shades (A2, A3, and A3.5) of one brand of dental porcelain and three basic shades (A2, A3, and A3.5) and three combinations (A2/A3, A3/3.5, and A2/A3.5) of three brands of porcelain-repairing resin composites (ABT, FSP, and TCR) were measured, before and after thermocycling for 3000 cycles, relative to the illuminant D65. The specimen was 2 mm in thickness, and 1 mm of each shade was layered to make combined shades. Changes in color (DeltaE*ab) and translucency parameter (DeltaTP) were calculated. A general linear model by the material (porcelain or resin composite) and shade was used to compare differences (alpha = 0.05). The range of color changes was 0.68-1.67 in porcelain, 0.56-1.30 in ABT, 2.28-3.10 in FSP, and 0.36-1.15 in TCR. The range of DeltaTP was 0.45-0.96 in porcelain, -0.48 to 0.94 in ABT, -1.31 to 0.82 in FSP, and -0.51 to 1.91 in TCR. After thermocycling, changes in color and TP were correlated with the shade of the material, but not with the material. The discrepancy in the changes of color and translucency after thermocycling between porcelain and porcelain-repairing resin composites should be considered when selecting repairing materials.

Nanoindentation of dental composites

The intent of this project was to evaluate the elastic modulus and hardness of four composites with different fillers, a microfill, a hybrid, a dental resin cement, and a fiber filler, using nanoindentation. An indentation load of 0.001 N was used and 100 indents per specimen were taken. The elastic modulus measured for the Choice composite was 30.2-30.3 GPa, 15.9-16.0 GPa for Micronew, 24.6-27.1 GPa for Renew, and 36.4-47.1 GPa for Restolux. The statistical analysis indicated a significant difference in the elastic modulus for all four composites. Micronew had the lowest hardness (1.2-1.3 GPa) followed by Renew (1.6-1.8 GPa), Choice (2.6-2.8 GPa), and Restolux (2.7-4.0 GPa). The statistical analysis indicated a significant difference between Choice and Restolux from Micronew and Renew, with Renew and Micronew not being significantly different from each other. Nanoindentation of dental composites, using a 10 x 10 matrix of indentations, resulted in a wide range of measured values for the elastic modulus and hardness because of the size of the filler particle, the location of the indenter within the filler particle, the composition of the filler particles, and the location of the indenter within the filler/resin matrix.

Effects of surface finish on indentation modulus and hardness of dental composite restoratives

OBJECTIVES

The depth-sensing micro-indentation testing was recently introduced for the characterization of dental composites. One of the critical issues raised was the possible influence of surface finish on material properties. The aim of this study was to investigate the effects of surface finish on the indentation modulus and micro-hardness of resin-based dental composite materials.

METHODS

The materials used included minifill (Z100, 3M ESPE), microfill (A110, 3M ESPE) and poly-acid modified (F2000, 3M ESPE) composites. The specimens were polished successively using SiC grinding papers of different grit size and diamond suspensions to achieve varying surface roughness. The arithmetic mean of the roughness (R(a)) was measured using profilometry. In the depth-sensing micro-indentation test, specimens (n=7) were indented to 10N with Vickers indenter and the load-displacement (P-h) data was obtained using a universal testing system. The indentation modulus (E(in)) and hardness (H) were then computed using the developed analytical solutions. Data was analyzed using ANOVA/post-hoc Scheffe's test at significance level 0.05.

RESULTS

The polished specimens had surface roughness ranging from 0.02 to 0.81 microm. The roughness of F2000 was significantly higher than A110 and Z100. The E(in) and H for Z100 ranged from 14.02 to 14.83GPa and 1.18 to 1.27 GPa, respectively. E(in) for F2000 and A110 ranged from 12.25 to 13.82 GPa and 5.26 to 5.52 GPa and hardness ranged from 0.89 to 0.98 GPa and 0.52 to 0.55 GPa, respectively.

SIGNIFICANCE

The indentation modulus and hardness of dental composite restoratives were independent of the surface finish provided indenter penetration is sufficiently deep (h(max)/R(a)>30).

Influence of thermocycling on the optical properties of laboratory resin composites and an all-ceramic material

The purposes were to determine the difference of color and translucency of dental laboratory resin composites and an all-ceramic material, and to compare the changes in optical properties after thermocycling. Three shades for enamel appearance of two laboratory resin composites (ART; Artglass, TES; Tescera) and all-ceramic material (EMP; Empress 2) were chosen, and three disk specimens for each shade and thickness (0.8, 1.3 and 1.8 mm) were made. Color and spectral reflectance were measured before and after thermocycling over white and black backgrounds. Contrast ratio (CR) and translucency parameter (TP) were calculated. Before and after thermocycling, CR of 1.8 mm specimens did not differ between the materials. After thermocycling, CR and TP of TES were not changed significantly; however, ART and EMP showed increased CR and decreased TP in some shades (p = 0.05). Color change of three materials after thermocycling was not significant. CR increased in inverse proportion to TP (r = - 0.93, p < 0.01). In TES, change of translucency after thermocycling was lower than those of other materials regardless of the specimen thickness. TES seemed to yield more predictable curing performance.