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Sugimura R, Takamizawa T, Aoki R, Muto R, Hirokane E, Kurokawa H, Kitahara N, Miyazaki M. Influence of in-office whitening on the color matching and surface characteristics of single-shade resin composites. J ESTHET RESTOR DENT 2024. [PMID: 39003761 DOI: 10.1111/jerd.13279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 06/16/2024] [Accepted: 07/02/2024] [Indexed: 07/16/2024]
Abstract
OBJECTIVE The color matching of single-shade resin composites after in-office whitening was investigated. MATERIALS AND METHODS Four single-shade resin composites were used. A total of 35% hydrogen peroxide was used as the whitening agent. The resin composite was placed in a cavity of an artificially discolored bovine tooth. The color differences between the restoration and surrounding enamel before and after whitening were determined based on ΔE*ab, ΔE00, and ΔWID. The color stability, surface roughness (Sa), and surface gloss (GU) of the resin composite alone were also evaluated. Statistical analyses were performed using repeated-measures analysis of variance with the Tukey-Kramer test. RESULTS Based on the 50:50% of perceptibility and acceptability thresholds of ΔE*ab and ΔE00, none of the resin composite restorations were clinically acceptable before or after whitening. Regarding ΔWID, although all resin composites showed "acceptable match" in the baseline, they showed "mismatch" after the third session of whitening. Most of the resin composites alone were stable in color against whitening. CONCLUSIONS Although the single-shade resin composites failed to achieve the expected color matching on discolored teeth either before or after the whitening, the impact of the whitening on the color of the resin composite alone may be negligible.
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Affiliation(s)
- Runa Sugimura
- Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan
| | - Toshiki Takamizawa
- Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan
| | - Ryota Aoki
- Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan
| | - Rei Muto
- Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan
| | - Eizo Hirokane
- Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan
| | - Hiroyasu Kurokawa
- Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan
| | - Nobuya Kitahara
- Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan
- Team Tokyo Members Clinic
| | - Masashi Miyazaki
- Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan
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Moussa C, Savard G, Rochefort G, Renaud M, Denis F, Daou MH. Fracture Resistance of Direct versus Indirect Restorations on Posterior Teeth: A Systematic Review and Meta-Analysis. Bioengineering (Basel) 2024; 11:536. [PMID: 38927772 PMCID: PMC11201167 DOI: 10.3390/bioengineering11060536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 05/14/2024] [Accepted: 05/21/2024] [Indexed: 06/28/2024] Open
Abstract
The aim of this systematic review and meta-analysis was to compare static compression forces between direct composite resin restorations and indirect restorations for posterior teeth. All studies comparing mechanical properties of direct versus indirect restorations of posterior teeth were included from 2007 up to February 2024. A meta-analysis was conducted for static compression fracture resistance. Medline, Central, and Embase databases were screened. Twenty-four articles were included in the qualitative synthesis, and sixteen studies were finally included in the quantitative synthesis. There was no difference in terms of fracture resistance between direct and indirect restorations for posterior teeth (p = 0.16 for direct and indirect composite resin restorations and p = 0.87 for direct composite resin restorations and indirect ceramic restorations). Also, sub-group analysis with or without cusp coverage in each group revealed no discernable difference. Based on this study, it can be concluded that the choice between direct and indirect restoration approaches may not significantly impact fracture resistance outcomes. There was no statically significant difference between direct and indirect restorations for posterior teeth in all cases of restorations with or without cusp coverage and no matter the used materials. However, to better evaluate these materials, further studies are warranted.
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Affiliation(s)
- Carol Moussa
- Faculty of Dentistry, University of Tours, 37032 Tours, France; (G.S.); (G.R.); (M.R.); (F.D.); (M.H.D.)
- Department of Restorative Dentistry, Faculty of Dental Medicine, Saint-Joseph University, Beirut 1107 2180, Lebanon
- Division of Education, Ethics, Health, Faculty of Medicine, University of Tours, 37044 Tours, France
| | - Guillaume Savard
- Faculty of Dentistry, University of Tours, 37032 Tours, France; (G.S.); (G.R.); (M.R.); (F.D.); (M.H.D.)
- Division of Education, Ethics, Health, Faculty of Medicine, University of Tours, 37044 Tours, France
- Department of Medicine and Bucco-Dental Surgery, Tours University Hospital, 37044 Tours, France
| | - Gael Rochefort
- Faculty of Dentistry, University of Tours, 37032 Tours, France; (G.S.); (G.R.); (M.R.); (F.D.); (M.H.D.)
- INSERM, Imaging Brain & Neuropsychiatry iBraiN U1253, 37032 Tours, France
| | - Matthieu Renaud
- Faculty of Dentistry, University of Tours, 37032 Tours, France; (G.S.); (G.R.); (M.R.); (F.D.); (M.H.D.)
- Department of Medicine and Bucco-Dental Surgery, Tours University Hospital, 37044 Tours, France
- N2C Laboratory, UMR INSERM U 1069, University of Tours, 37032 Tours, France
| | - Frédéric Denis
- Faculty of Dentistry, University of Tours, 37032 Tours, France; (G.S.); (G.R.); (M.R.); (F.D.); (M.H.D.)
- Division of Education, Ethics, Health, Faculty of Medicine, University of Tours, 37044 Tours, France
- Department of Medicine and Bucco-Dental Surgery, Tours University Hospital, 37044 Tours, France
| | - Maha H. Daou
- Faculty of Dentistry, University of Tours, 37032 Tours, France; (G.S.); (G.R.); (M.R.); (F.D.); (M.H.D.)
- Department of Pediatric Dentistry, Faculty of Dental Medicine, Saint Joseph University, Beirut 1107 2180, Lebanon
- Division of Biomaterials, Craniofacial Research Laboratory, Saint Joseph University, Beirut 1107 2180, Lebanon
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Dos Santos DB, Romano BDC, Pecorari VGA, Price RB, Giannini M. Effect of high irradiance and short exposure times on the depth of cure of six bulk-fill resin composites. Eur J Oral Sci 2024:e12990. [PMID: 38698528 DOI: 10.1111/eos.12990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Accepted: 04/15/2024] [Indexed: 05/05/2024]
Abstract
This study examined the effect of high irradiance and short exposure times on the depth of cure of six resin-based composites (RBCs). Bluephase PowerCure and the Valo X light-curing units (LCUs) were used to photocure bulk-fill RBCs for their recommended exposure times: Admira Fusion x-tra (AFX/20s), Aura Bulk Fill (ABF/20s), Filtek One Bulk Fill (FOB/20s), Opus Bulk Fill APS (OBF/30s), Tetric EvoCeram Bulk Fill (TEC/10s) and Tetric PowerFill (TPF/10s). In addition, all bulk-fill RBCs were tested for depth of cure with one short 3 s exposure time from the Bluephase PowerCure or the Valo X in the Xtra Power mode. The RBCs (n = 10 per RBC) were inserted into a 4 mm diameter metal mold and covered by a polyester strip before being photocured. After 24 h of storage, uncured RBC was scraped away to determine the depth of cure of the RBCs. None of the RBCs achieved a 4 mm depth of cure. The depth of cure of TEC and TPF was unaffected by the exposure times (recommended or short) when using the Valo X. The depth of cure of AFX/20s, AFX/Xtra Power, ABF/Xtra Power, FOB/Xtra Power, and OBF/30s RBCs was greater when using Valo X compared to the Bluephase PowerCure. It was concluded that short exposure times can reduce depth of cure and should only be used for some RBCs.
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Affiliation(s)
| | | | | | | | - Marcelo Giannini
- Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
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AlGhamdi MA, Alatiyyah FM, Almedarham RF, Al Dawood ZH, Alshaikhnasser FY, Alboryh SY, Khan SQ, Abualsaud R, Gad MM. Impact of Nanoparticle Addition on the Surface and Color Properties of Three-Dimensional (3D) Printed Polymer-Based Provisional Restorations. NANOMATERIALS (BASEL, SWITZERLAND) 2024; 14:665. [PMID: 38668159 PMCID: PMC11053498 DOI: 10.3390/nano14080665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 04/07/2024] [Accepted: 04/09/2024] [Indexed: 04/29/2024]
Abstract
This study aimed to evaluate and compare the impact of additives such as ZrO2 and SiO2 nanoparticles (ZrO2NP or SiO2NP) on the hardness, surface roughness, and color stability of 3D printed provisional restorations. Two hundred samples in total were printed using 3D printed resins (ASIGA, and NextDent). Each resin was modified with ZrO2NPs or SiO2NPs in two different concentrations (0.5 wt% and 1 wt%), while one group was kept unmodified (n = 10). Disc-shaped (15 × 2.5 mm) samples were designed and printed in accordance with the manufacturer's recommendation. Printed discs were evaluated for color changes through parameters CIELAB 2000 system (ΔE00), hardness using Vickers hardness test, and surface roughness (Ra) using a noncontact profilometer. After calculating the means and standard deviations, a three-way ANOVA and Tukey post hoc test were performed at α = 0.05. The addition of ZrO2NPs or SiO2NPs to ASIGA and NextDent resins significantly increased the hardness at a given level of concentration (0.5% or 1%) in comparison with pure (p < 0.001), with no significant difference between the two modified groups per resin type (p > 0.05). The highest hardness value was detected in 1% ZrO2NPs with 29.67 ± 2.3. The addition of ZrO2NPs or SiO2NPs had no effect on the Ra (p > 0.05), with 1% ZrO2NPs showing the highest value 0.36 ± 0.04 µm with NextDent resin. ZrO2NPs induced higher color changes (∆E00), ranging from 4.1 to 5.8, while SiO2NPs showed lower values, ranging from 1.01 to 1.85, and the highest mean ∆E00 was observed in the 1% ZrO2NPs group and NextDent resin. The incorporation of ZrO2NPs and SiO2NPs in 3D printed provisional resins increased the hardness without affecting the surface roughness. The optical parameters were significantly affected by ZrO2NPs and less adversely affected by SiO2NPs. Consequently, care must be taken to choose a concentration that will improve the materials' mechanical performance without detracting from their esthetic value.
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Affiliation(s)
- Maram A. AlGhamdi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (M.A.A.); (R.A.)
| | - Fatimah M. Alatiyyah
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (F.M.A.); (R.F.A.); (Z.H.A.D.); (F.Y.A.); (S.Y.A.)
| | - Rawan F. Almedarham
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (F.M.A.); (R.F.A.); (Z.H.A.D.); (F.Y.A.); (S.Y.A.)
| | - Zainab H. Al Dawood
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (F.M.A.); (R.F.A.); (Z.H.A.D.); (F.Y.A.); (S.Y.A.)
| | - Farah Y. Alshaikhnasser
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (F.M.A.); (R.F.A.); (Z.H.A.D.); (F.Y.A.); (S.Y.A.)
| | - Shaymaa Y. Alboryh
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (F.M.A.); (R.F.A.); (Z.H.A.D.); (F.Y.A.); (S.Y.A.)
| | - Soban Q. Khan
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia;
| | - Reem Abualsaud
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (M.A.A.); (R.A.)
| | - Mohammed M. Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (M.A.A.); (R.A.)
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Halkai R, Gopinagaruri S, Halkai KR. Evaluation of fracture resistance of maxillary premolars of different geometrical cavities restored with different composite resins incorporated with chitosan nanoparticles. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2024; 27:180-185. [PMID: 38463474 PMCID: PMC10923228 DOI: 10.4103/jcde.jcde_264_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 11/29/2023] [Accepted: 12/11/2023] [Indexed: 03/12/2024]
Abstract
Background Composites with 0.2% chitosan nanoparticles (CSN) are used recently; however, this combination needs to be studied in different cavity designs. Aims The aim of the study was to compare the fracture resistance of maxillary premolars with different cavity geometries restored with different types of composite resins incorporated with 0.2% CSN. Methods About 130 extracted human single-rooted maxillary premolars were embedded in acrylic molds 2 mm below cementoenamel junction, divided into five groups for cavity preparations of standardized dimensions. Group 1: (control) intact teeth (n = 10), Group 2: Class I cavities (n = 40), Group 3: Class II mesio-occlusal (MO) (n = 40), Group 4: Class II mesio-occluso-distal (MOD) (n = 40). Groups 2, 3, and 4 were subdivided into four subgroups for composite restoration; A: Neo spectra ST-Universal (NST); B: Tetric N-Ceram Bulk-fill (TNC); C: NST + CSN; and D: TNC + CSN and tested for fracture resistance using universal testing machine. Statistical Analysis One-way analysis of variance and post hoc Tukey's tests were used for data analysis (P ≤ 0.05). Results In all groups, the highest fracture resistance was found in MOD cavities, followed by MO and least in Class I cavities. Subgroup D (TNC with CSN) showed the highest fracture resistance in all groups (P ≤ 0.05). Conclusion Tetric N-Ceramic bulk fill with 0.25% CSN showed high fracture resistance in cavities with different geometries.
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Affiliation(s)
- Rahul Halkai
- Department of Conservative Dentistry and Endodontics, Al-Badar Rural Dental College and Hospital, Kalaburgi, Karnataka, India
| | - Snigdhapriya Gopinagaruri
- Department of Conservative Dentistry and Endodontics, Al-Badar Rural Dental College and Hospital, Kalaburgi, Karnataka, India
| | - Kiran R. Halkai
- Department of Conservative Dentistry and Endodontics, Al-Badar Rural Dental College and Hospital, Kalaburgi, Karnataka, India
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Lin GSS, Pow KJ, Yahya NA, Foong CC, Noorani TY. Identifying relevant topics and their competency levels for dental materials science: a fuzzy Delphi study. BMC Oral Health 2023; 23:243. [PMID: 37106354 PMCID: PMC10134517 DOI: 10.1186/s12903-023-02946-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 04/05/2023] [Indexed: 04/29/2023] Open
Abstract
BACKGROUND Dental materials science is an important core course in undergraduate dental programs which integrates foundational concepts of chemical engineering and materials science into clinical dentistry. The present study aimed to identify relevant dental materials science topics for Malaysian undergraduate dental curricula and to determine their appropriate competency levels in terms of cognitive and psychomotor taxonomies. METHODS Potential dental materials science topics were drafted in alignment with the revised national competency statement. The list of topics was further amended after comparing it with those recommended topics in the literature. Fuzzy Delphi method was applied. Experts were selected based on the different inclusion criteria. They ranked the topics using a five-point Likert scale and recommended the appropriate cognitive and psychomotor levels. Next, fuzzy evaluation was performed. Consensus was deemed for a topic to be included if (a) the average expert agreement was ≥ 75%, (b) the d-construct threshold value for each topic was ≤ 0.2 and (c) the average fuzzy number was ≥ 0.5. RESULTS Sixty-two experts participated in the study. They accepted 33 out of 36 potential dental materials science topics. The average Likert score and fuzzy number ranged from 3.63 to 4.92 and 0.526 to 0.784, respectively. Furthermore, "Endodontic materials" was ranked as the most significant topic. Meanwhile, many topics required dental students to demonstrate a cognitive level of "Apply" and a psychomotor level of "Guided response". Based on mean scores, "Impression materials" was rated as the most cognitively demanding topic, whilst "Temporary restorative materials" was the most demanding topic for psychomotor taxonomy. CONCLUSION The present study has identified relevant dental materials science topics and their appropriate cognitive and psychomotor levels using the Fuzzy Delphi approach. The findings of the present study form the basis for future studies to develop measurable learning outcomes, design corresponding innovative pedagogy and propose assessment criteria for each topic.
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Affiliation(s)
- Galvin Sim Siang Lin
- Department of Dental Materials, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Bedong, 08100, Kedah, Malaysia.
| | - Kah Jun Pow
- Pulau Pinang State Health Department, Ministry of Health Malaysia, 10590, Pulau Pinang, Malaysia
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, 50300, Kuala Lumpur, Malaysia
| | - Noor Azlin Yahya
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, 50603, Kuala Lumpur, Malaysia
| | - Chan Choong Foong
- Medical Education and Research Development Unit (MERDU), Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia
| | - Tahir Yusuf Noorani
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia
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