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Karevan Y, Eldafrawy M, Herman R, Sanchez C, Sadoun M, Mainjot A. Do all ceramic and composite CAD-CAM materials exhibit equal bonding properties to implant Ti-base materials? An Interfacial Fracture Toughness Study. Dent Mater 2024; 40:1524-1533. [PMID: 39107223 DOI: 10.1016/j.dental.2024.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2024] [Revised: 07/19/2024] [Accepted: 07/23/2024] [Indexed: 08/09/2024]
Abstract
OBJECTIVES To compare the interfacial fracture toughness (IFT) with or without aging, of four different classes of CAD-CAM ceramic and composite materials bonded with self-adhesive resin cement to titanium alloy characteristic of implant abutments. METHODS High translucent zirconia (Katana; KAT), lithium disilicate-based glass-ceramic (IPS. emax.CAD; EMX), polymer-infiltrated ceramic network material (PICN) (Vita Enamic; ENA), and dispersed filler composite (Cerasmart 270; CER) were cut into equilateral triangular prisms and bonded to titanium prisms with identical dimensions using Panavia SA Cement Universal. The surfaces were pretreated following the manufacturers' recommendations and developed interfacial area ratio (Sdr) of the pretreated surfaces was measured. IFT was determined using the Notchless Triangular Prism test in a water bath at 36 °C before and after thermocycling (10,000 cycles) (n = 40 samples/material). RESULTS IFT of the materials ranged from 0.80 ± 0.25 to 1.10 ± 0.21 MPa.m1/2 before thermocycling and from 0.71 ± 0.24 to 1.02 ± 0.25 MPa.m1/2 after thermocycling. There was a statistical difference between IFT of CER and the two top performers in each scenario: KAT and EMX before aging, and KAT and ENA after aging. Thermocycling significantly decreased IFT of EMX. The Weibull modulus of IFT was similar for all materials and remained so after thermocycling. Sdr measurements revealed that ENA (7.60)>Ti (4.97)>CER (2.85)>KAT (1.09)=EMX (0.96). SIGNIFICANCE Dispersed filler CAD-CAM composite showed lower performance than the other materials. Aging only affected IFT of Li-Si glass-ceramic, whereas zirconia and PICN performed equally well, probably due to their chemical bonding potential and surface roughness respectively.
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Affiliation(s)
- Yousef Karevan
- Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium
| | - Maher Eldafrawy
- Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium
| | - Raphael Herman
- Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium
| | - Christelle Sanchez
- Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), Liège, Belgium
| | | | - Amélie Mainjot
- Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), Liège, Belgium.
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Kessler A, Reichert T, Lindner S, Liebermann A, El Gezawi M, Kaisarly D. Influence of additive and subtractive zirconia and lithium disilicate manufacturing on tensile bond strength and surface topography. J Prosthet Dent 2024; 132:623.e1-623.e7. [PMID: 38853056 DOI: 10.1016/j.prosdent.2024.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 03/29/2024] [Accepted: 04/01/2024] [Indexed: 06/11/2024]
Abstract
STATEMENT OF PROBLEM Although bonding is important for long-term clinical success, studies on the bonding of additively manufactured ceramics are sparse. PURPOSE The purpose of this in vitro study was to determine the influence of manufacturing methods, additive (LCM) versus subtractive (CAM). and ceramic materials, zirconia (ZrO2) and lithium disilicate (LiSi), on the tensile bond strength (TBS), failure mode, and surface roughness of ceramics. MATERIAL AND METHODS A total of 240 ceramic specimens (n=60/group; 2×2×10 mm) were prepared. Two additively manufactured (LCM-printed) ceramics, LiSi and ZrO2 (Lithoz), subtractively manufactured LiSi (IPS e.max CAD), and subtractively manufactured ZrO2 (KATANA Zirconia HTML PLUS) were evaluated. From each material, 40 specimens were bonded together (n=20 ceramic-ceramic specimens/group), and 20 specimens were bonded to equally sized human dentin specimens (n=20 ceramic-dentin specimens/group). The ZrO2 specimens were airborne-particle abraded (Al2O3, 50 µm, 0.1 MPa), and the LiSi specimens were etched with hydrofluoric acid. Then, a universal primer (Monobond Plus) was applied. After the dentin was coated with an etch-and-rinse adhesive (Syntac Classic), the specimens were bonded with luting composite resin (Variolink Esthetic DC), light polymerized for 40 seconds, thermally aged (10 000 cycles between 5 °C and 55 °C), tested for TBS, and statistically analyzed (1- and 3-way ANOVA and Weibull analysis). The ceramic surface was examined with scanning electron microscopy, and surface roughness was measured with digital microscopy before and after surface pretreatment. RESULTS TBS varied between 5.88 ±2.22 MPa and 6.34 ±2.26 MPa in the ceramic-dentin groups and 12.40 ±1.56 MPa and 18.82 ±5.92 MPa in the ceramic-ceramic groups. No significant difference was observed regarding the manufacturing method and material for different bonding conditions (P>.05). Additive and subtractive LiSi showed the highest reliability with m=18.27. The ceramic-ceramic specimens failed cohesively in the luting composite resin, whereas the ceramic-dentin specimens failed adhesively. CONCLUSIONS The manufacturing method and material used had little effect on bond strength values or surface properties. The recently introduced printed materials performed similarly to conventionally milled materials.
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Affiliation(s)
- Andreas Kessler
- Assistant Professor, Department of Prosthetic Dentistry, Faculty of Medicine, Center for Dental Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany; Assistant Professor, Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilian-University of Munich, Munich, Germany.
| | - Thilo Reichert
- Postdoctorate, Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilian-University of Munich, Munich, Germany
| | - Stefanie Lindner
- Assistant Professor, Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilian-University of Munich, Munich, Germany
| | - Anja Liebermann
- Full Professor and Department Head, Department of Prosthetic Dentistry, University Hospital of Cologne, Cologne, Germany
| | - Moataz El Gezawi
- Full Professor, Department of Restorative Dental Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Dalia Kaisarly
- Assistant Professor, Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilian-University of Munich, Munich, Germany
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Costa JLDSG, Barros APO, Junior AJ, Gelio MB, Dantas AAR, Kuga MC. Influence of residues from bioceramic sealer on the bond interface with universal adhesive in different application modes. Eur J Oral Sci 2024; 132:e12994. [PMID: 38780370 DOI: 10.1111/eos.12994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Accepted: 04/29/2024] [Indexed: 05/25/2024]
Abstract
This study evaluated the effect on adhesive layer thickness, bond strength, and adhesive failure pattern of the application of universal adhesive (Scotchbond Universal) using either manual or rotary brush in dentin previously impregnated with bioceramic sealer (Sealer Plus BC) using a manual brush, at 24 h and 1 year. Eighty-eight bovine crowns were divided into four groups (n = 22) according to the intervention: (i) use of bioceramic sealer and adhesive application using manual brush, (ii) use of bioceramic sealer and adhesive application using rotary brush, (iii) use of resin sealer and adhesive application using manual brush, and (iv) use of resin sealer and adhesive application using rotary brush. Subsequently, specimens were restored with a composite resin (Filtek Z-250). Adhesive layer thickness was evaluated using confocal microscopy. Bond strength was assessed using the microtensile bond strength test, and adhesive failure pattern was evaluated under a stereomicroscope. Data were analyzed using two-way ANOVA/Tukey tests. Specimens where a rotary brush had been used exhibited lower adhesive layer thickness. Specimens treated with resin sealer and using a manual brush showed lower bond strength values and a higher occurrence of adhesive failures at 24 h and 1 year than specimens treated with bioceramic sealer and using rotary brush for adhesive application.
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Affiliation(s)
- Joatan Lucas de Sousa Gomes Costa
- Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais - UFMG, Belo Horizonte, Minais Gerais, Brazil
| | | | - Adirson Jorge Junior
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo, Brazil
| | - Mariana Bena Gelio
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo, Brazil
| | - Andréa Abi Rached Dantas
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo, Brazil
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo, Brazil
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Costa JLDSG, Barros APO, Gelio MB, Galvani LD, Vaz LG, Kuga MC. Influence of bioceramic sealer residues on the adhesion interface with a universal adhesive in the etch-and-rinse strategy, based on the application protocol and evaluation time. Dent Mater J 2024; 43:565-572. [PMID: 38825448 DOI: 10.4012/dmj.2024-046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Abstract
The aim of this study was to evaluate the effects of the application of universal adhesive in the etch-and-rinse (ER) strategy with a manual brush (MB) or rotary brush (RB) in adhesion to dentin impregnated (WB) or not (NB) with bioceramic sealer, at 24 h and 1 year. Eighty-eight crowns of bovine incisors were divided into four groups (n=22): WB-MB, WB-RB, NB-MB, NB-RB. After the restorative protocol, dentin penetrability was evaluated by confocal microscopy. Bond strength was evaluated by microtensile test. Data were analyzed using one-way ANOVA/Tukey tests (α=0.05). NB-RB and WB-RB exhibited greater extensions of resin tags in dentin. At 24 h, WB-RB and NB-MB showed the highest and lowest values of bond strength, respectively. At 1 year, WB-MB and WB-RB demonstrated the highest bond strength values. The RB increases the formation of resin tags and residues of bioceramic sealer provides higher bond strength in the ER strategy.
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Affiliation(s)
| | | | - Mariana Bena Gelio
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University-UNESP
| | - Lucas David Galvani
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University-UNESP
| | - Luis Geraldo Vaz
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University-UNESP
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University-UNESP
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Alanazi AM, Khan AA, Siddiqui YTS, Leemani MJ, Shabbir T, Ali S. Photoactivated rose bengal-doped TiO 2 nanoparticles modified fifth-generation adhesive on the survival rate of Streptococcus mutants and mechanical properties of tooth-colored restorative material to carious dentin. Microsc Res Tech 2024. [PMID: 39056241 DOI: 10.1002/jemt.24658] [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: 05/08/2024] [Revised: 06/20/2024] [Accepted: 07/09/2024] [Indexed: 07/28/2024]
Abstract
Assessment of the antimicrobial, micro tensile bond strength (μTBS), and degree of conversion (DC) of fifth-generation adhesive modified using photoactivated 0.5% rose bengal (RB) and photoactivated RB-doped titanium dioxide nanoparticles (TiO2NPs) in different concentrations (2% and 5%) as compared with the unmodified adhesive bonded to the carious affected dentin (CAD). Forty mandibular molars with caries progression up to the middle third of the dentin, as per the International Caries Detection and Assessment System (ICDAS) score of 4 and 5 were included. Specimens were divided into four groups based on etch and rinse adhesive (ERA) modification group 1: unmodified ERA, group 2: photoactivated 0.5% RB photosensitizer (PS) modified ERA, group 3: photoactivated RB-doped 2 wt% TiO2NPs adhesive, group 4: photoactivated RB-doped 5 wt% TiO2NPs adhesive. Followed by adhesive and composite restoration on the CAD surface. All the specimens were thermocycled and an assessment of μTBS and failure pattern analysis was performed. The antibacterial potency of RB and RB-doped TiO2NPs (2% and 5%) followed by their activation using visible light against Streptococcus mutans (S.mutans) were tested. The survival rate of S.mutans was assessed using the Kruskal-Wallis test. The analysis of μTBS involved the use of ANOVA, followed by a post-hoc Tukey honestly significant difference (HSD) multiple comparisons test. Group 1 (Unmodified ERA) (0.52 ± 0.31 CFU/mL) treated samples unveiled the highest means of bacterial survival and lowest μTBS (11.32 ± 0.63 MPa). Nevertheless, group 4: photoactivated RB-doped 5 wt% TiO2NPs adhesive displayed the lowest outcomes of S.mutans survival (0.11 ± 0.02 CFU/mL) and highest bond strength (18.76 ± 1.45 MPa). The photoactivated RB-doped 2 wt% TiO2NPs in adhesive demonstrated promising enhancements in both μTBS and antibacterial efficacy against S.mutans. However, it is noteworthy that this modification led to a decrease in the DC of the adhesive. RESEARCH HIGHLIGHTS: Unmodified ERA-treated samples unveiled the highest bacterial survival and the lowest μTBS. Photoactivated RB-doped 5 wt% TiO2NPs adhesive displayed the lowest S.mutans survival rate and highest bond strength. DC decreased with an increase in concentration of TiO2.
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Affiliation(s)
- Amer M Alanazi
- Pharmaceutical Biotechnology Laboratory, Department of Pharmaceutical Chemistry, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Azmat Ali Khan
- Pharmaceutical Biotechnology Laboratory, Department of Pharmaceutical Chemistry, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | | | | | - Tooba Shabbir
- Altamash Institute Dental Medicine, Karachi, Pakistan
| | - Sadia Ali
- Dow University of Health Sciences, Karachi, Pakistan
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Silva CLD, Cavalheiro CP, Silva CGDOD, Raggio DP, Casagrande L, Lenzi TL. Restoration-repair potential of resin-modified glass ionomer cement. Braz Oral Res 2024; 38:e076. [PMID: 39166601 DOI: 10.1590/1807-3107bor-2024.vol38.0076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 08/24/2023] [Indexed: 08/23/2024] Open
Abstract
This in vitro study aimed to evaluate the repair bond strength of resin-modified glass ionomer cement using either the same material or a universal adhesive in the etch-and-rinse and self-etch modes plus resin composite. Twenty-four resin-modified glass ionomer cement blocks were stored in distilled water for 14 d and thermocycled. Sandpaper ground specimens were randomly assigned to three experimental groups according to the repair protocol: resin-modified glass ionomer cement (Riva Light Cure, SDI) and universal adhesive (Scotchbond Universal Adhesive, 3M Oral Care) in etch-and-rinse or self-etch modes and nanohybrid resin composite (Z350 XT, 3M Oral Care). After 24 h of water storage, the blocks were sectioned, and bonded sticks were subjected to the microtensile bond strength (μTBS) test. One-way ANOVA and Tukey's test were used to analyze the data. The failure mode was descriptively analyzed. The highest μTBS values were obtained when the resin-modified glass ionomer cement was repaired using the same material (p < 0.01). In addition, the mode of application of the universal adhesive system did not influence the repair bond strength of the resin-modified glass ionomer cement. Adhesive/mixed failures prevailed in all groups. Repair of resin-modified glass ionomers with the same material appears to be the preferred option to improve bond strength.
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Affiliation(s)
- Carolina Lopes da Silva
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Post-Graduate Program in Dentistry, Porto Alegre, RS, Brazil
| | - Cleber Paradzinski Cavalheiro
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Post-Graduate Program in Dentistry, Porto Alegre, RS, Brazil
| | | | - Daniela Prócida Raggio
- Universidade de São Paulo - USP, School of Dentistry, Department of Orthodontics and Pediatric Dentistry, São Paulo, São Paulo, Brazil
| | - Luciano Casagrande
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Post-Graduate Program in Dentistry, Porto Alegre, RS, Brazil
| | - Tathiane Larissa Lenzi
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Post-Graduate Program in Dentistry, Porto Alegre, RS, Brazil
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Fatima A, İftekhar H, Alam S, Tewari RK, Andrabi MUN. Comparative evaluations of shear bond strength of mineral trioxide aggregate, Biodentine, and calcium-enriched mixture to bulk-fill flowable composite using three different adhesive systems: An in vitro study. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2024; 27:706-713. [PMID: 39262590 PMCID: PMC11385902 DOI: 10.4103/jcde.jcde_192_24] [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: 04/09/2024] [Revised: 05/01/2024] [Accepted: 05/08/2024] [Indexed: 09/13/2024]
Abstract
Objective The objective of the study was to assess the shear bond strength of bulk-fill flowable composite resin smart dentin replacement plus when bonded to mineral trioxide aggregate (MTA)-angelus, biodentine, and calcium-enriched mixture (CEM) at two different aging periods (15 min and 72 h) using three distinct adhesive systems. In addition, the study identified the specific modes of failure (adhesive, cohesive, or mixed) using a stereomicroscope and scanning electron microscope. Materials and Methods One hundred and twenty-six cylindrical acrylic blocks used in the study were sorted into three groups based on the bioactive substance used to fill the 3-mm diameter and 3-mm high hole in the center of each block. The groups were MTA, Biodentine, and CEM. The specimens were then divided into subgroups based on the aging interval (15 min and 72 h) of the bioactive material and the adhesive system used (two-step total-etch, two-step self-etch [SE], and one-step SE) while bonding to the restorative bulk-fill flowable composite. The shear bond strength values were measured with a universal testing machine, and the data were analyzed using two-way and one-way analysis of variance, followed by a post hoc test. The specimens were assessed under stereomicroscope and scanning electron microscope to characterize the mode of bond failure (cohesive, adhesive, or mixed). Results The study showed that the type of adhesive system and the time of bonding affected the shear bond strength of bulk-fill composite to the pulp capping agents (P < 0.05). For MTA, the highest bond strength was observed with two-step SE group at 15 min (18.16 ± 2.97 MPa) (P < 0.05). CEM exhibited the highest bond strength with two-step SE group at 72 h intervals (8.77 ± 1.76) (P < 0.05). The highest bond strength for biodentine group was observed with total-etch group (8.54 ± 1.35 Mpa) and two-step SE (8.19 ± 1.94 Mpa) bonded at 72 h interval (P < 0.05). The majority of the samples in the MTA group (29/42) and CEM group (20/42) showed a cohesive fracture, whereas Biodentine group (22/42) had an adhesive fracture in most of its samples. Conclusion MTA demonstrated the highest bond strength with two-step SE group at 15 min, and CEM exhibited the highest bond strength with two-step SE groups at 72 h interval. For biodentine group, the type of adhesive used did not impact the bond strength values.
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Affiliation(s)
- Asmat Fatima
- Department of Conservative Dentistry and Endodontics, Dr. ZADC, AMU, Aligarh, Uttar Pradesh, India
| | - Huma İftekhar
- Department of Conservative Dentistry and Endodontics, Dr. ZADC, AMU, Aligarh, Uttar Pradesh, India
| | - Sharique Alam
- Department of Conservative Dentistry and Endodontics, Dr. ZADC, AMU, Aligarh, Uttar Pradesh, India
| | - Rajendra Kumar Tewari
- Department of Conservative Dentistry and Endodontics, Dr. ZADC, AMU, Aligarh, Uttar Pradesh, India
| | - Mukhtar Un Nisar Andrabi
- Department of Conservative Dentistry and Endodontics, Dr. ZADC, AMU, Aligarh, Uttar Pradesh, India
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Alam A, Yamauti M, Chowdhury AFMA, Wang X, Álvarez-Lloret P, Zuñiga-Heredia EE, Cifuentes-Jiménez C, Dua R, Iijima M, Sano H. Evaluating the advancements in a recently introduced universal adhesive compared to its predecessor. J Dent Sci 2024; 19:1609-1619. [PMID: 39035277 PMCID: PMC11259734 DOI: 10.1016/j.jds.2023.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/06/2023] [Indexed: 07/23/2024] Open
Abstract
Background/purpose The dental adhesive market is constantly evolving to meet the demands of dentists and patients, but new products and upgrades should be rigorously evaluated before being used in clinical practice. This study investigated the physicomechanical properties and dentin bonding efficacy of a newly upgraded universal adhesive compared to its predecessor. Materials and methods Twenty-four molars were divided into four groups (n = 6/group) based on adhesive (new vs. predecessor) and application mode [self-etch (SE) vs. etch-and-rinse (ER)] for evaluating their dentin microtensile bond strength (μTBS), failure pattern, and bonding interface. Additional thirty-six molars' crowns were perpendicularly sectioned to obtain flat mid-coronal dentin discs. The opposing dentin surfaces of each disc received contrasting treatments (new/predecessor adhesive applied in SE/ER mode), resulting in six interventions. The bonded discs (n = 6/intervention) were used to assess the adhesives' survival probability employing a double-sided μTBS test. The other physicomechanical properties examined were adhesives' oxygen inhibition layer (OIL), viscosity, hardness, elastic modulus, degree of conversion (DC), and in-situ DC. Results Both adhesive versions showed similar μTBS (P > 0.05), failure pattern (P > 0.05), and survival probability (P > 0.008). ER mode promoted resin tag formation and exhibited a slender adhesive layer for both adhesives. The newer adhesive version showed a thinner adhesive layer in general with narrower OIL (P < 0.001), less viscosity (P < 0.001), higher hardness (P < 0.05), elastic modulus (P < 0.05), DC (P < 0.001), and in-situ DC (P < 0.001). Conclusion While the newly updated adhesive had superior physicomechanical properties with more fluidity, its dentin bonding efficacy and survival probability were comparable to its predecessor.
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Affiliation(s)
- Arefin Alam
- Polymer and Material Science Division, Department of Innovation and Technology Research, American Dental Association Science and Research Institute, LLC., Gaithersburg, MD, USA
| | - Monica Yamauti
- Department of Restorative Dentistry, Graduate School of Dental Medicine, Hokkaido University, Sapporo, Japan
| | | | - Xiaohong Wang
- Polymer and Material Science Division, Department of Innovation and Technology Research, American Dental Association Science and Research Institute, LLC., Gaithersburg, MD, USA
| | | | - Enrique-Ezra Zuñiga-Heredia
- Division of Orthodontics and Dentofacial Orthopedics, School of Dentistry, Health Sciences University of Hokkaido, Hokkaido, Japan
| | | | - Rupak Dua
- Polymer and Material Science Division, Department of Innovation and Technology Research, American Dental Association Science and Research Institute, LLC., Gaithersburg, MD, USA
| | - Masahiro Iijima
- Division of Orthodontics and Dentofacial Orthopedics, School of Dentistry, Health Sciences University of Hokkaido, Hokkaido, Japan
| | - Hidehiko Sano
- Department of Restorative Dentistry, Graduate School of Dental Medicine, Hokkaido University, Sapporo, Japan
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Pauletto G, Machry RV, Baumhardt T, de Freitas Daudt N, Pereira GKR, Bier CAS. Effect of radiotherapy, immediate dentin sealing and irrigation simulating single- or two-visits endodontic treatment on the bond strength to pulp chamber dentin: an in vitro study. Odontology 2024:10.1007/s10266-024-00971-9. [PMID: 38951300 DOI: 10.1007/s10266-024-00971-9] [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: 02/17/2024] [Accepted: 06/19/2024] [Indexed: 07/03/2024]
Abstract
This study aimed to evaluate the influence of radiotherapy and different endodontic treatment protocols on the bond strength to pulp chamber dentin. Eighty mandibular molars were randomly divided into two groups (n = 40): non-irradiated and irradiated (60 Gy). The pulp chambers were sectioned, and each group was subdivided (n = 8), according to the endodontic treatment protocol: no treatment (Control); Single-visit; Two-visits; Immediate dentin sealing (IDS) + single-visit; and IDS + two-visits. Each endodontic treatment visit was simulated through irrigation with 2.5% NaOCl, 17% EDTA and distilled water. IDS was performed by actively applying two coats of a universal adhesive to the lateral walls of the pulp chamber. After, the pulp chambers were restored with resin composite and four sticks were obtained for microtensile test. In addition, the dentin of the pulp chamber roof was assessed for surface roughness, chemical composition, and topography after each treatment protocol. Two-way ANOVA, Tukey's post hoc, Mann-Whitney, Kruskal-Wallis and Dunn's post hoc were performed (α = 5%). The treatment protocol affected bond strength (p < 0.05), while the irradiation did not (p > 0.05). The control group presented the highest values (p < 0.05). The single-visit group demonstrated better performance compared to the other groups (p < 0.05), which did not differ from each other (p > 0.05) The use of IDS changed the surface roughness (p < 0.05), chemical composition (p < 0.05) and topography of the dentin. In conclusion, the treatment protocol influenced dentin adhesion, while irradiation did not.
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Affiliation(s)
- Guilherme Pauletto
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Roraima Avenue #1000, T Street, Building 26F, Room 2383, Santa Maria, Rio Grande do Sul, 97105-900, Brazil.
| | - Renan Vaz Machry
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Roraima Avenue #1000, T Street, Building 26F, Room 2383, Santa Maria, Rio Grande do Sul, 97105-900, Brazil
- Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - Tadeu Baumhardt
- Radiotherapy Sector, University Hospital of Santa Maria, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Natália de Freitas Daudt
- Post-Graduate Program in Mechanical Engineering, Faculty of Mechanical Engineering, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Gabriel Kalil Rocha Pereira
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Roraima Avenue #1000, T Street, Building 26F, Room 2383, Santa Maria, Rio Grande do Sul, 97105-900, Brazil
| | - Carlos Alexandre Souza Bier
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Roraima Avenue #1000, T Street, Building 26F, Room 2383, Santa Maria, Rio Grande do Sul, 97105-900, Brazil
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Kim M, Lee J, Park C, Jo D, Yu B, Khalifah SA, Hayashi M, Kim RH. Evaluation of Shear Bond Strengths of 3D Printed Materials for Permanent Restorations with Different Surface Treatments. Polymers (Basel) 2024; 16:1838. [PMID: 39000693 PMCID: PMC11244285 DOI: 10.3390/polym16131838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Revised: 06/17/2024] [Accepted: 06/21/2024] [Indexed: 07/17/2024] Open
Abstract
The development of high-filled 3D printing resin necessitates a bonding protocol for dental indirect restorations to achieve optimal bond strength after cementation. This study evaluates shear bond strengths of high-filler 3D printed materials for permanent restorations with various surface treatments. Rodin Sculpture 1.0 (50% lithium disilicate fillers) and 2.0 Ceramic Nanohybrid (>60% zirconia and lithium disilicate fillers) were tested, with Aelite All-Purpose Body composite resin as control. Samples were prepared, post-cured, and sandblasted with alumina (25 µm). Surface roughness was analyzed using an optical profilometer. Two bonding protocols were compared. First, groups were treated with lithium disilicate silane (Porcelain Primer) or zirconia primer (Z-Prime Plus) or left untreated without a bonding agent. Beam-shaped resin cement (DuoLink Universal) specimens were bonded and stored in a 37 °C water bath. Second, additional sets of materials were coated with a bonding agent (All-Bond Universal), either followed by silane application or left untreated. These sets were then similarly stored alongside resin cement specimens. Shear bond tests were performed after 24 h. SEM images were taken after debonding. One-Way ANOVA and post hoc Duncan were performed for the statistical analysis. Rodin 1.0 exhibited increased adhesive failure with silane or zirconia primer coating, but significantly improved bond strengths with bonding agent application. Rodin 2.0 showed consistent bond strengths regardless of bonding agent application, but cohesive failure rates increased with bonding agent and filler coating. In all groups, except for Rodin 1.0 without bonding agent, silane coating increased cohesive failure rate. In conclusion, optimal shear bond strength for high-filler 3D printing materials can be achieved with silane coating and bonding agent application.
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Affiliation(s)
- Mijoo Kim
- Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA; (J.L.); (C.P.); (D.J.); (B.Y.); (S.A.K.); (M.H.)
- Section of Restorative Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USA
| | - Jimin Lee
- Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA; (J.L.); (C.P.); (D.J.); (B.Y.); (S.A.K.); (M.H.)
| | - Chan Park
- Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA; (J.L.); (C.P.); (D.J.); (B.Y.); (S.A.K.); (M.H.)
- Section of Restorative Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USA
- Department of Prosthodontics, School of Dentistry, Dental Science Research Institute, Chonnam National University, Gwangju 500-757, Republic of Korea
| | - Deukwon Jo
- Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA; (J.L.); (C.P.); (D.J.); (B.Y.); (S.A.K.); (M.H.)
- Section of Restorative Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USA
| | - Bo Yu
- Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA; (J.L.); (C.P.); (D.J.); (B.Y.); (S.A.K.); (M.H.)
- Section of Restorative Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USA
| | - Shahed Al Khalifah
- Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA; (J.L.); (C.P.); (D.J.); (B.Y.); (S.A.K.); (M.H.)
- Section of Restorative Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USA
| | - Marc Hayashi
- Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA; (J.L.); (C.P.); (D.J.); (B.Y.); (S.A.K.); (M.H.)
- Section of Restorative Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USA
| | - Reuben H. Kim
- Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA; (J.L.); (C.P.); (D.J.); (B.Y.); (S.A.K.); (M.H.)
- Section of Restorative Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USA
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Peutzfeldt A, Hug T, Wierichs RJ. Bond strength and marginal adaptation of resin composites and correlations with clinical results. Dent Mater 2024; 40:966-975. [PMID: 38724332 DOI: 10.1016/j.dental.2024.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Revised: 04/23/2024] [Accepted: 05/03/2024] [Indexed: 06/15/2024]
Abstract
OBJECTIVES Due to innumerable confounding factors and a high number of types and brands of dental restorative materials, the clinical performance of restorative materials are sought predicted by various in vitro tests. However, only few such tests have been found to correlate well with clinical findings. Thus, the present study determined the in vitro dentin bond strength and marginal adaptation of Class II restorations and correlated the results to their clinical outcomes. METHODS Dentin bond strength (µTBS and µSBS) and marginal gap formation of Class II restorations (replica technique and SEM) were measured after 24 h and 6 m water storage using eight combinations of adhesive and resin composite. Clinical outcomes (mean survival time, Hazard Ratio, annual failure rate; n = 10.695) were gained from a data set of a retrospective multicenter study of direct restorations. RESULTS Significant differences were found for dentin bond strength and marginal gap formation between the restorative material groups, and negative effects of long-term storage were observed. µTBS correlated significantly with certain clinical outcomes of Class I restorations, while µSBS correlated with certain clinical outcomes of Class II, III, IV and V restorations. Marginal gap formation in enamel and number of paramarginal fractures correlated with certain clinical outcomes of Class II restorations. SIGNIFICANCE Using the same restorative materials in vitro as in vivo, gave significant, but weak correlations between in vitro bond strength or marginal adaptation and clinical outcomes, lending support to the use of in vitro tests in early stages of material selection.
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Affiliation(s)
- A Peutzfeldt
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Switzerland; Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - T Hug
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Switzerland.
| | - R J Wierichs
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Switzerland
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Alkhudhairy F, Bin-Shuwaish MS, Aljamhan AS. Effect of Casein Phosphopeptide-Amorphous Calcium Phosphate, Proanthocyanidin, Carbon Dioxide Laser Remineralization on the Bond Integrity of Composite Restoration Bonded to Caries-Affected Dentin. Photobiomodul Photomed Laser Surg 2024; 42:350-355. [PMID: 38588575 DOI: 10.1089/photob.2023.0071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/10/2024] Open
Abstract
Objective: Assessment of different remineralizing pretreatment casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), proanthocyanidin (PA), carbon dioxide laser (CO2), eggshell solution (ES) on the shear bond strength (SBS) of resin composite bonded to remineralized carious-affected dentin (CAD). Materials and methods: Eighty human molars were collected with occlusal caries that extended about halfway into the dentin. Using a water-cooled, low-speed cutting saw, a flat, mid-coronal dentin surface was exposed. CAD was differentiated from healthy dentin. Based on the remineralizing agent used on the CAD surface, the teeth were arbitrarily allocated into five groups (n = 10). Group 1: no remineralizing agent, Group 2: CPP-ACP, Group 3: 6.5% PA solution, Group 4: CO2 laser, and Group 5: ES solution. All samples were bonded to composite and light cured and thermocycled. SBS and failure mode analysis were performed using universal testing and stereomicroscope 40 × . Using SPSS, SBS, and failure mode data were analyzed using analysis of variance and Tukey's honesty significant difference (HSD) test Results: Group 3 (6.5% PA solution; 15.59 ± 1.44 MPa) samples established the maximum bond integrity. Nevertheless, Group 1 (No remineralizing agent; 11.19 ± 1.21 MPa) exhibited the minimum outcome of bond strength. Intergroup comparison analysis showed that Group 1 (No remineralizing agent), Group 2 (CPP-ACP), and Group 4 (CO2 laser) established comparable values of bond strength (p > 0.05). Likewise, Group 3 (6.5% PA solution) and Group 5 (EA solution) also revealed equivalent bond integrity (p > 0.05). Conclusions: PA and ES are considered potential remineralizing agents used for caries-affected dentin surfaces in improving bond integrity to composite resin. However, further studies are advocated to extrapolate the findings of this study.
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Affiliation(s)
- Fahad Alkhudhairy
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Mohammed S Bin-Shuwaish
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Abdullah S Aljamhan
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Tang C, Mercelis B, Zhang F, Mocquot C, Nakanishi K, Yoshihara K, Peumans M, Van Meerbeek B. Filler Mixed Into Adhesives Does Not Necessarily Improve Their Mechanical Properties. Oper Dent 2024; 49:311-324. [PMID: 38632849 DOI: 10.2341/23-106-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2023] [Indexed: 04/19/2024]
Abstract
OBJECTIVES To investigate the influence of filler type/loading on the micro-tensile fracture strength (μTFS) of adhesive resins, as measured 'immediately' upon preparation and after 1-week water storage ('water-stored'). METHODS The morphology and particle-size distribution of three filler particles, referred to as 'Glass-S' (Esschem Europe), 'BioUnion' (GC), and 'CPC_Mont', were correlatively characterized by SEM, TEM, and particle-size analysis. These filler particles were incorporated into an unfilled adhesive resin ('BZF-29unfilled', GC) in different concentrations to measure the 'immediate' μTFS. After 1-week water storage, the 'water-stored' μTFS of the experimental particle-filled adhesive resins with the most optimum filler loading, specific for each filler type, was measured. In addition, the immediate and water-stored μTFS of the adhesive resins of three experimental two-step universal adhesives based on the same resin matrix but varying for filler type/loading, coded as 'BZF-21' (containing silica and bioglass), 'BZF-29' (containing solely silica), and 'BZF-29_hv' (highly viscous with a higher silica loading than BZF-29), and of the adhesive resins of the gold-standard adhesives OptiBond FL ('Opti-FL', Kerr) and Clearfil SE Bond 2 ('C-SE2', Kuraray Noritake) was measured along with that of BZF-29unfilled (GC) serving as control/reference. Statistics involved one-way and two-way ANOVA followed by post-hoc multiple comparisons (α<0.05). RESULTS Glass-S, BioUnion, and CPC_Mont represent irregular fillers with an average particle size of 8.5-9.9 μm. Adding filler to BZF-29unfilled decreased μTFS regardless of filler type/loading. One-week water storage reduced μTFS of all adhesive resins except BZF-21, with the largest reduction in μTFS recorded for BZF-29unfilled. Among the three filler types, the μTFS of the 30 wt% Glass-S and 20 wt% BioUnion filled adhesive resin was not significantly different from the μTFS of BZF-29unfilled upon water storage. CONCLUSIONS Adding filler particles into adhesive resin did not enhance its micro-tensile fracture strength but appeared to render it less sensitive to water storage as compared to the unfilled adhesive resin investigated.
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Affiliation(s)
- C Tang
- Chuliang Tang, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
| | - B Mercelis
- Ben Mercelis, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
| | - F Zhang
- Fei Zhang, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium; KU Leuven (University of Leuven), Department of Materials Engineering, Leuven, Belgium; 3Université Lyon 1, Laboratoire des Multimatériaux et Interfaces, Villeurbanne, France
| | - C Mocquot
- Caroline Mocquot, Université Lyon 1, Laboratoire des Multimatériaux et Interfaces, Villeurbanne, France; Université Paris Cité, Faculté dentaire, Hôpital Rothschild, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - K Nakanishi
- Ko Nakanishi, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium; Hokkaido University, Faculty of Dental Medicine, Department of Biomaterials and Bioengineering, Sapporo, Japan
| | - K Yoshihara
- Kumiko Yoshihara, National Institute of Advanced Industrial Science and Technology (AIST), Health and Medical Research Institute, Kagawa, Japan; Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Pathology & Experimental Medicine, Okayama, Japan
| | - M Peumans
- Marleen Peumans, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
| | - B Van Meerbeek
- *Bart Van Meerbeek, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
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Sesiashvilli E, Ratnaweera PM, Zagreanu C. Micro-tensile bond strength of two pit and fissure sealants to intact enamel. Heliyon 2024; 10:e28324. [PMID: 38571654 PMCID: PMC10987996 DOI: 10.1016/j.heliyon.2024.e28324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 03/11/2024] [Accepted: 03/15/2024] [Indexed: 04/05/2024] Open
Abstract
Background Sealing dental pits and fissures with resin-based sealants effectively prevents occlusal dental caries. The effectiveness of resin-based pit and fissure sealants relies on maintaining a strong bond between the sealant and the enamel. Objective This in-vitro study compared the micro-tensile bond strength (μTBS) of a conventional resin-based sealant (Clinpro™) and a hydrophilic resin-based sealant (Embrace™ WetBond™) when applied to intact, aprismatic human enamel. Methods Forty extracted permanent premolar and molar teeth were divided into two groups and paired by tightly approximating two buccal surfaces to create an artificial enamel groove (fissure). Fissure sealants (Clinpro™ and Embrace™ WetBond™) were applied to the artificial enamel 'grooves' in each group. The specimens were then cut into beams with a cross-sectional area of 1 mm2 and tested for the micro-tensile bond strength (μTBS). Fractured surfaces of samples were examined under a conventional microscope to identify the failure modes. Two specimens from each group were prepared and observed under a scanning electron microscope (SEM). Mann-Whitney U and Fischer-Freeman-Holton exact tests were used to test the statistical differences between the fissure sealants. Results The μTBS mean ± SD for Clinpro™ was 16.43 ± 7.08, and 10.57 ± 6.64 for Embrace™ WetBond™. There was a statistically significant difference in μTBS between Embrace™ WetBond™ and Clinpro™ (p < 0.001). There was no association between fissure sealant and failure modes (p = 0.922). Conclusion Clinpro™ showed higher μTBS to enamel than Embrace™ WetBond™. Further studies are needed to conclude the clinical effectiveness of these sealants.
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Affiliation(s)
- Erekle Sesiashvilli
- School of Clinical Sciences, AUT, 90 Akoranga Drive, Northcote, Auckland 0627, New Zealand
| | | | - Claudia Zagreanu
- School of Clinical Sciences, Auckland University of Technology, 90 Akoranga Drive, Auckland 0627, New Zealand
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Alqutaibi AY, Saker S, Alghauli MA, Algabri RS, AbdElaziz M. Clinical survival and complication rate of ceramic veneers bonded to different substrates: A systematic review and meta-analysis. J Prosthet Dent 2024:S0022-3913(24)00215-4. [PMID: 38604905 DOI: 10.1016/j.prosdent.2024.03.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 03/12/2024] [Accepted: 03/14/2024] [Indexed: 04/13/2024]
Abstract
STATEMENT OF PROBLEM Evidence on the long-term clinical assessment and longevity of ceramic veneers bonded to different substrates is limited. PURPOSE The purpose of this systematic review and meta-analysis was to evaluate the effect of various substrates, including enamel, dentin, or an existing composite resin restoration, on the clinical survival and complication rates of ceramic veneers. MATERIAL AND METHODS The PubMed, Scopus, and the Cochrane Library electronic databases were searched, and related journals were hand searched without time or language restrictions to identify clinical trials that compared the survival rate and clinical complication rates when bonding ceramic veneers to different tooth substrates. The success rate of the included participants was estimated by the number of veneers that did not require a clinical intervention, and the survival rate by all veneers that did not fail absolutely. The risk difference (RD) with 95% confidence intervals (CIs) for dichotomous outcomes was used to quantify the intervention effect. RESULTS Of 973 screened articles, 6 clinical studies were included. The survival and success rates varied depending on the bonding substrate. Enamel-bonded veneers had almost perfect rates of survival (99% with a range of 98% to 100%) and success (99% with a range of 98% to 100%). Veneers bonded to composite resin or surfaces with minimal dentin exposure had slightly lower survival rates (94% with a range of 91% to 97% and 95% with a range of 91% to 100%, respectively) and success rates (70% with a range of 60% to 80% and 95% with a range of 90% to 99%). Severe dentin exposure significantly decreased both survival rates (91% with a range of 84% to 98%) and success rates (74% with a range of 64% to 85%). The combined findings suggested that ceramic veneers bonded to enamel had fewer clinical complications (RD: -0.04; 95% CI: -0.09 to 0.02) and lower failure rates (RD: -0.13; 95% CI: -0.32 to 0.07) compared with those bonded to exposed dentin. Additionally, veneers attached to teeth with minimal dentin exposure were significantly less likely to require clinical interventions (RD: -0.16; 95% CI: -0.31 to -0.01) and had a reduced incidence of failure (RD: -0.08; 95% CI: -0.17 to 0.01) compared with those with severe dentin exposure. CONCLUSIONS Ceramic veneers bonded to enamel showed higher survival and success rates with lower clinical incidences of complications and failure than those bonded to dentin or teeth with existing composite resin restorations.
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Affiliation(s)
- Ahmed Yaseen Alqutaibi
- Associate Professor, Department of Prosthodontics and Implant Dentistry, College of Dentistry, Taibah University, Al Madinah, Saudi Arabia; and Associate Professor, Department of Prosthodontics, College of Dentistry, Ibb University, Ibb, Yemen.
| | - Samah Saker
- Professor, Fixed Prosthodontics Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Mohammed Ahmed Alghauli
- Assistant Professor, Department of Prosthodontics, College of Dentistry, Ibb University, Ibb, Yemen
| | - Radhwan S Algabri
- Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Ibb University, Ibb, Yemen; and Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, National University, Ibb, Yemen
| | - Mohammed AbdElaziz
- Associate Professor, Substitutive Dental Science Department, College of Dentistry, Taibah University, Al Madinah Almonawrah, Saudi Arabia; and Professor, Crown and Bridge Department, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt
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González CC, Ñaupari-Villasante R, Dos Santos de Castro A, Mendez-Bauer L, Dávila-Sanchez A, Aliaga-Sancho P, Gutierrez MF, Reis A, Loguercio AD. Clinical evaluation of posterior restorations over wet and dry dentin using an etch-and-rinse adhesive: A 36-month randomized clinical trial. Dent Mater 2024; 40:619-628. [PMID: 38369403 DOI: 10.1016/j.dental.2024.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Revised: 01/30/2024] [Accepted: 02/12/2024] [Indexed: 02/20/2024]
Abstract
OBJECTIVES To evaluate the clinical performance of posterior restorations over wet and dry dentin with an etch-and-rinse adhesive after 36 months of clinical service. METHODS Forty-five participants were recruited, each one had at least two posterior teeth that needed restoration. Ninety restorations were placed on Class I or Class II cavities. For the restoration protocol, a simplified etch-and-rinse adhesive (Adper Single Bond 2) was applied over wet (WD) or dry dentin (DD) and later restored with a bulk-fill composite (Filtek Bulk Fill) under rubber dam isolation. Each restoration was evaluated using the World Dental Federation (FDI) criteria after 6, 12, and 36 months of clinical service, regarding the following principal restoration characteristics: postoperative sensitivity, marginal discoloration, marginal adaptation, fracture of material and retention, and recurrence of caries. Kruskal Wallis analysis of variance rank (α = 0.05) and Kaplan-Meier survival analysis were used for statistical analysis. RESULTS After 36 months of clinical evaluation, no significant difference between groups was observed in each FDI criterion (p > 0.05). Twenty restorations (WD=10, DD=10) showed minor marginal staining, and twenty-two restorations (WD=11, DD=11) presented small marginal adaptation defects (p > 0.05). Four restorations were lost (WD = 2, DD = 2) and the fracture rates (95% confidence interval) were 94.9% for each one, without significant difference between wet and dry dentin (p > 0.05). SIGNIFICANCE The degree of dentin moisture does not seem to affect the clinical performance of a simplified etch-and-rinse adhesive in posterior restorations when the adhesive is applied vigorously over the dentine surface.
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Affiliation(s)
- Claudia C González
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | - Romina Ñaupari-Villasante
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | | | - Luján Mendez-Bauer
- Research Department, Faculty of Dentistry, Francisco Marroquím University, Guatemala city, Guatemala
| | - Andrés Dávila-Sanchez
- Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - Paulina Aliaga-Sancho
- Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - Mario Felipe Gutierrez
- Universidad de los Andes, Facultad de Odontología, Santiago, Chile; University of Chile, Institute for Research in Dental Sciences, Faculty of Dentistry, Santiago, Chile
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil.
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Chen T, Xu S, Chen X, Wang D, Liu C, Liu H. Effects of Nd: YAG LASER irradiation and O 2 plasma on the adhesive performance of poly-ether-ether-ketone (PEEK). J Mech Behav Biomed Mater 2024; 152:106461. [PMID: 38394766 DOI: 10.1016/j.jmbbm.2024.106461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 02/02/2024] [Accepted: 02/05/2024] [Indexed: 02/25/2024]
Abstract
PURPOSE To evaluate the effects of neodymium-doped yttrium aluminum garnet (Nd: YAG) LASER irradiation and oxygen (O2) plasma on the adhesive performance of polyether ether ketone (PEEK) and resin adhesive. METHODS Nd: YAG LASERs of varying powers and O2 plasma for different durations were used to modify PEEK. A total of 168 PEEK specimens were randomly divided into seven groups (n = 24/group): (A) Control group: untreated PEEK, (B) L0.75 group: PEEK modified with 0.75 W Nd: YAG LASER, (C) L1 group: PEEK modified with 1.0 W Nd: YAG LASER, (D) L1.25 group: PEEK modified with 1.25 W Nd: YAG LASER, (E) P15 group: PEEK modified with 15 min of O2 plasma, (F) P25 group: PEEK modified with 25 min of O2 plasma, and (G) P35 group: PEEK modified with 35 min of O2 plasma. The surface characteristics of the materials were comprehensively analyzed using a scanning electron microscope (SEM), profilometer, energy-dispersive spectrometer (EDS), and contact angle tester. The adhesive specimens were bonded with Variolink N resin adhesive in all groups and each group was further divided into two subgroups (n = 12/group): (a) water storage for 56 h at 37 °C and (b) thermal cycling 5000 times. Shear bond strength (SBS) was tested using a universal testing machine, and the fracture modes were observed using an automated chemiluminescence analysis system to assess the effects of Nd: YAG LASER and O2 plasma on the bond strength of PEEK to resin adhesive. RESULTS Both Nd: YAG LASER and O2 plasma treatments altered the surface characteristics of PEEK and significantly increased the SBS between PEEK and Variolink N resin adhesive. The L0.75 group (Nd: YAG LASER) and the P35 group (O2 plasma) achieved the highest SBS, respectively. Furthermore, the SBS of the L0.75 group was higher than that of the P35 group. Following thermal cycling, SBS values decreased compared to the water storage subgroups. The fracture modes of the specimens in each group were predominantly interfacial and mixed, with no cohesive fractures observed. CONCLUSIONS Nd: YAG LASER irradiation and O2 plasma treatments can improve the SBS between PEEK and resin adhesive, with the 0.75 W Nd: YAG LASER being the preferred treatment method.
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Affiliation(s)
- Tianjie Chen
- Hospital of Stomatology, Jilin University, Changchun 130012, China; Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan
| | - Shan Xu
- College of Medical Technology, Zibo Vocational Institute, Zhoucun District, Zibo 255300, China
| | - Xueqing Chen
- Department of Cardiology, Central Hospital of Zibo Ccity, Zhangdian District, Zibo 255036, China
| | - Defei Wang
- Hospital of Stomatology, Jilin University, Changchun 130012, China; Health Supervision Institute of Dezhou City, Decheng District, Dezhou 253018, China
| | - Chang Liu
- Hospital of Stomatology, Jilin University, Changchun 130012, China.
| | - Hong Liu
- Hospital of Stomatology, Jilin University, Changchun 130012, China.
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Ma T, Zhang J, Liu X, Sun S, Wu J. Effects of combined modification of sulfonation, oxygen plasma and silane on the bond strength of PEEK to resin. Dent Mater 2024; 40:e1-e11. [PMID: 38365456 DOI: 10.1016/j.dental.2024.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 01/30/2024] [Accepted: 02/06/2024] [Indexed: 02/18/2024]
Abstract
OBJECTIVE This study aimed to evaluate the combined effects of sulfonation, non-thermal oxygen plasma and silane on the shear bond strength (SBS) of PEEK to resin materials. MATERIALS AND METHODS Two hundred and eighty specimens were randomly divided into four groups: (A) untreated; (B) sulfonation for 60 s; (C) oxygen plasma for 20 min; (D) sulfonation for 60 s and oxygen plasma for 20 min. According to the instructions, 120 samples (N = 30) were coated with silane, adhesive, and resin composites. Each group of bonding specimens was divided into two subgroups (n = 15) to measure immediate and post-aging SBS. The surface morphology and the interface between the samples and adhesive were analyzed through SEM. Physicochemical characteristics of the surface and mechanical properties were determined through XPS, FTIR, light interferometry, contact angle measurement, and three-point bending tests. RESULTS Sulfonation produced a porous layer of approximately 20 µm thickness on the surface, and the oxygen plasma increased the O/C ratio and oxygen-containing groups of the sample surface. After coating with silane, the SBS values of sulfonated PEEK and plasma-treated PEEK increased (9.96 and 10.72 MPa, respectively), and dual-modified PEEK exhibited the highest SBS value (20.99 MPa), which was significantly higher than that of blank group (p > 0.01). After 10,000 thermal cycles, the dual-modified PEEK still displayed a favorable SBS (18.68 MPa). SIGNIFICANCE Sulfonation strengthened the mechanical interlocking between PEEK and the resin while oxygen plasma established a chemical bonding between silane and PEEK. This dual modification of the surface microstructure and chemical state synergistically improved the bond strength of PEEK to resin and resulted in considerable long-term effects.
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Affiliation(s)
- Tongtong Ma
- Department of Prosthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012, Jinan, Shandong, China
| | - Jiajia Zhang
- Department of Prosthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012, Jinan, Shandong, China
| | - Xueye Liu
- Department of Prosthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012, Jinan, Shandong, China
| | - Shuoyao Sun
- Department of Prosthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012, Jinan, Shandong, China
| | - Junling Wu
- Department of Prosthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012, Jinan, Shandong, China.
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Ñaupari-Villasante R, de Freitas A, Hass V, Matos TP, Parreiras SO, Reis A, Gutiérrez MF, Loguercio AD. Prolonged polymerization of a universal adhesive in non-carious cervical lesions: 36-month double-blind randomized clinical trial. J Dent 2024; 142:104823. [PMID: 38145806 DOI: 10.1016/j.jdent.2023.104823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 12/18/2023] [Accepted: 12/22/2023] [Indexed: 12/27/2023] Open
Abstract
OBJECTIVE To evaluate the effect of prolonged (P) polymerization time of a universal adhesive system applied in etch-and-rinse (ER) or self-etch (SE) strategies on the clinical performance of restorations in non-carious cervical lesions (NCCLs), after 36 months of clinical service. METHODS A total of 140 restorations were randomly placed in 35 subjects according to the polymerization time groups: ER (10 s); ER-P (40 s); SE (10 s); and SE-P (40 s) at 1,200 mW/cm2. Composite resin was placed incrementally. The restorations were evaluated immediately and after 6, 12, 18, and 36 months using the FDI criteria. Data were analyzed using the Kaplan-Meier survival test for retention loss, and the Kruskal-Wallis' test for secondary outcomes (α = 0.05). RESULTS After 36 months, 19 restorations were lost: ER 6, ER-P 2, SE 9, SE-P 2. The retention rates were 82.3% for ER; 94.1 % for ER-P; 73.5 % for SE; and 94.1 % for SE-P, with a significant difference between ER vs. ER-P and SE vs. SE-P, as well as ER vs. SE-P and ER-P vs. SE (p < 0.0001). Minor defects were observed in 18 restorations for the marginal staining criteria: ER 5, ER-P 2, SE 8, SE-P 3; and in 33 restorations for the marginal adaptation criteria: ER 11, ER-P 4, SE 12, and SE-P 6 (p > 0.05). No restorations showed recurrence of caries or postoperative sensitivity. CONCLUSIONS A prolonged polymerization time of 40 s improves the clinical performance of the universal adhesive for both adhesive strategies evaluated, even after 36 months. CLINICAL SIGNIFICANCE Prolonging the polymerization time of a universal adhesive from 10 to 40 s has been shown to improve its clinical performance when used in NCCLs.
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Affiliation(s)
- Romina Ñaupari-Villasante
- Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, PR, Brazil
| | - André de Freitas
- Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, PR, Brazil
| | - Viviane Hass
- School of Dentistry, Oral and Craniofacial Sciences, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Thalita P Matos
- Department of Restorative Dentistry, School of Dentistry, Tuiuti University of Paraná, Curitiba, PR, Brazil
| | - Sibelli O Parreiras
- Department of Restorative Dentistry, State University of Northern Paraná, Jacarezinho, PR, Brazil
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, PR, Brazil
| | - Mario F Gutiérrez
- Universidad de los Andes, Chile. Facultad de Odontología, Santiago, Chile; Department of Restorative Dentistry, Faculty of Dentistry, University of Chile, Santiago, Chile.
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, PR, Brazil
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Yamanaka A, Mine A, Shintani A, Aoki-Matsumoto M, Yumitate M, Ban S, Ishida M, Takaishi M, Yatani H, Van Meerbeek B, Minamino T, Ishigaki S. Advanced statistical analyses to reduce inconsistencies in bond strength data focused on donor factors: A six-factor analysis using linear mixed and nonlinear regression models. J Prosthodont Res 2024:JPR_D_23_00193. [PMID: 38432943 DOI: 10.2186/jpr.jpr_d_23_00193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2024]
Abstract
PURPOSE This study aimed to investigate the effects of the age and sex of tooth donors on dentin bond strength. METHODS A total of 38 extracted teeth (12 male and 26 female donors; age range: 17-82 years) were used in this study. In addition to donor age and sex, four other microtensile bond strength (μTBS) test specimen factors were evaluated: dentin position, bonding area, presence of voids at the interface, and computed tomography (CT) values of dentin. The μTBS was measured immediately (24 h) and 6 months after storage in water. After the μTBS testing, linear mixed and nonlinear regression models were used to analyze the effects of these factors on the μTBS data. RESULTS The results from the linear mixed model revealed that the bonding area (P = 0.02), presence of voids at the interface (P = 0.04), and storage time (P < 0.001) significantly affected bond strength. In contrast, no correlation was observed between the μ TBS and dentin position (P = 0.08) or sex (P = 0.07). The results of the nonlinear regression model with robust variance-covariance estimators revealed that age significantly affected bond strength (P < 0.001). In addition, a significant positive correlation was found between μTBS and age (P < 0.001), with nonlinearity (P = 0.002). However, no correlation was observed between the μTBS and CT values (P = 0.69) without nonlinearity (P = 0.39). CONCLUSIONS These findings suggest that bond strength increases with age until 60 years but not afterward.
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Affiliation(s)
- Azusa Yamanaka
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
| | - Atsushi Mine
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
| | - Ayumi Shintani
- Department of Medical Statistics, Osaka Metropolitan University Graduate School of Medicine and Faculty of Medicine, Osaka, Japan
| | - Mariko Aoki-Matsumoto
- Department of Restorative Dentistry, Hokkaido University Graduate School of Dental Medicine, Sapporo, Japan
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Leuven, Belgium
| | - Masahiro Yumitate
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
| | - Shintaro Ban
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
| | - Masaya Ishida
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
| | - Munechika Takaishi
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
| | - Hirofumi Yatani
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
| | - Bart Van Meerbeek
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Leuven, Belgium
| | - Takuya Minamino
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
| | - Shoichi Ishigaki
- Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Suita, Japan
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Abo-Alazm EAE, Abdou A, Hassouneh L, Safy RK. Reliability of an Innovative Slab Shear versus Microtensile Bond Strength Test: Mechanical and Finite Element Analysis. Eur J Dent 2024; 18:182-195. [PMID: 37059444 PMCID: PMC10959604 DOI: 10.1055/s-0043-1763498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2023] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the efficiency of slab shear bond strength test (Slab_SBS) versus the microtensile in evaluation of the bond strength of different substrates. MATERIALS AND METHODS Forty-eight extracted caries-free human third molars were utilized for teeth specimens' preparation. After flattening of all molars' occlusal table, the specimens were divided into two groups based on the type of utilized restorative material: nanohybrid resin composite and resin-modified glass ionomer (RMGI). Each group was further subdivided into three subgroups according to the subsequently applied bond strength test and specimen width; microtensile bond strength test (μTBS), Slab_SBS [2 mm] and Slab_SBS [3 mm]. Both testing methods were additionally applied on CAD/CAM specimens, nanohybrid resin composite blocks (composite-to-composite), and ceramic blocks (ceramic-to-ceramic). CAD/CAM specimens were prepared and cemented and then sectioned and subdivided as followed for teeth specimens' preparation. Pretest failures (PTF), bond strength, and failure mode of each specimen were recorded. Representative three-dimensional (3D) finite element analysis (FEA) models were developed to simulate μTBS and Slab_SBS specimens. Data were statistically analyzed using Shapiro-Wilk test and Weibull analysis. RESULTS Pretest failures were only noted in the μTBS subgroups. Slab_SBS provided comparable bond strength to the μTBS of all substrates with adhesive mode of failure. CONCLUSION Slab_SBS is easier to prepare with consistent and predictable outcome with no pretest failures during specimen preparation and better stress distribution.
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Affiliation(s)
| | - Ahmed Abdou
- Department of Prosthetic Dentistry, Biomaterials Division, Faculty of Dentistry, King Salman International University, El Tur, South Sinai, Egypt
| | - Layla Hassouneh
- Department of Conservative Dentistry, Jordan University of Science and Technology, Ar-Ramtha, Jordan
| | - Rehab Khalil Safy
- Department of Conservative Dentistry, Suez Canal University, Ismailia Governorate, Egypt
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Ismail HS, Ali AI. Effect of different restorative systems and aging on marginal adaptation of resin composites to deep proximal margins. J ESTHET RESTOR DENT 2024; 36:346-355. [PMID: 37515523 DOI: 10.1111/jerd.13116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 06/16/2023] [Accepted: 07/17/2023] [Indexed: 07/31/2023]
Abstract
OBJECTIVES To evaluate and compare the marginal integrity of different restorative systems bonded to proximal gingival dentin, and determine the consistency level of the results obtained by two in vitro methods. MATERIALS AND METHODS Thirty molars received occluso-mesial preparations with dentin/cementum gingival margins. They were divided into three groups and restored using different restorative systems with light-cured (Adhese Universal), self-cured (Palfique universal bond), and dual-cured (Futurabond U) adhesives. The restoration/gingival dentin interfaces were observed using scanning electron microscopy (SEM) and evaluated based on the World Dental Federation (FDI) criteria. After 10,000 thermal cycles, the marginal integrity was re-evaluated. Marginal integrity was evaluated by the percentage of continuous margin (% CM) at ×200 for SEM and as the frequency of each score within the FDI ranking. RESULTS No significant differences were found between the restorative systems immediately, however, the system with the light-cured adhesive had the lowest marginal integrity after aging. All tested restorative systems were adversely affected by aging. A moderate inverse correlation was identified between evaluation techniques. CONCLUSION The tested restorative systems utilizing self-cured and dual-cured adhesives may be preferable for achieving optimal marginal integrity when bonding to deep proximal margins, compared to the tested system with light-cured adhesive. CLINICAL SIGNIFICANCE When performing deep margin elevation, it is important to consider the adhesive system being used.
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Affiliation(s)
- Hoda S Ismail
- Operative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Ashraf I Ali
- Operative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
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Mokeem LS, Martini Garcia I, Balhaddad AA, Lan Y, Seifu D, Weir MD, Melo MA. Multifunctional Dental Adhesives Formulated with Silane-Coated Magnetic Fe 3O 4@m-SiO 2 Core-Shell Particles to Counteract Adhesive Interfacial Breakdown. ACS APPLIED MATERIALS & INTERFACES 2024; 16:2120-2139. [PMID: 38170561 DOI: 10.1021/acsami.3c15157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
Abstract
The process of bonding to dentin is complex and dynamic, greatly impacting the longevity of dental restorations. The tooth/dental material interface is degraded by bacterial acids, matrix metalloproteinases (MMPs), and hydrolysis. As a result, bonded dental restorations face reduced longevity due to adhesive interfacial breakdown, leading to leakage, tooth pain, recurrent caries, and costly restoration replacements. To address this issue, we synthesized and characterized a multifunctional magnetic platform, CHX@SiQuac@Fe3O4@m-SiO2, to provide several beneficial functions. The platform comprises Fe3O4 microparticles and chlorhexidine (CHX) encapsulated within mesoporous silica, which was silanized by an antibacterial quaternary ammonium silane (SiQuac). This platform simultaneously targets bacterial inhibition, stability of the hybrid layer, and enhanced filler infiltration by magnetic motion. Comprehensive experiments include X-ray diffraction, FT-IR, VSM, EDS, N2 adsorption-desorption (BET), transmission electron microscopy, scanning electron microscopy, thermogravimetric analysis, and UV-vis spectroscopy. Then, CHX@SiQuac@Fe3O4@m-SiO2 was incorporated into an experimental adhesive resin for dental bonding restorations, followed by immediate and long-term antibacterial assessment, cytotoxicity evaluation, and mechanical and bonding performance. The results confirmed the multifunctional nature of CHX@SiQuac@Fe3O4@m-SiO2. This work outlined a roadmap for (1) designing and tuning an adhesive formulation containing the new platform CHX@SiQuac@Fe3O4@m-SiO2; (2) assessing microtensile bond strength to dentin using a clinically relevant model of simulated hydrostatic pulpal pressure; and (3) investigating the antibacterial outcome performance of the particles when embedded into the formulated adhesives over time. The results showed that at 4 wt % of CHX@SiQuac@Fe3O4@m-SiO2-doped adhesive under the guided magnetic field, the bond strength increased by 28%. CHX@SiQuac@Fe3O4@m-SiO2 enhanced dentin adhesion in the magnetic guide bonding process without altering adhesive properties or causing cytotoxicity. This finding presents a promising method for strengthening the tooth/dental material interface's stability and extending the bonded restorations' lifespan.
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Affiliation(s)
- Lamia Sami Mokeem
- Ph.D. Program in Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, Maryland 21201, United States
| | - Isadora Martini Garcia
- Ph.D. Program in Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, Maryland 21201, United States
- Division of Cariology and Operative Dentistry, Department of Comprehensive Dentistry, University of Maryland School of Dentistry, Baltimore, Maryland 21201, United States
| | - Abdulrahman A Balhaddad
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
| | - Yucheng Lan
- Department of Physics and Engineering Physics, Morgan State University, Baltimore, Maryland 21251, United States
| | - Dereje Seifu
- Department of Physics and Engineering Physics, Morgan State University, Baltimore, Maryland 21251, United States
| | - Michael D Weir
- Ph.D. Program in Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, Maryland 21201, United States
- Division of Biomaterials and Tissue Engineering, Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, Maryland 21201, United States
| | - Mary Anne Melo
- Ph.D. Program in Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, Maryland 21201, United States
- Division of Cariology and Operative Dentistry, Department of Comprehensive Dentistry, University of Maryland School of Dentistry, Baltimore, Maryland 21201, United States
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Stape THS, Mutluay M, Tezvergil-Mutluay A. To etch or not to etch, Part III: On the hydrophobic-rich content and fatigue strength of universal adhesives after long-term ageing. Dent Mater 2024; 40:44-52. [PMID: 37891131 DOI: 10.1016/j.dental.2023.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 09/28/2023] [Indexed: 10/29/2023]
Abstract
OBJECTIVES To examine whether dentin-etching extension and/or the hydrophobic-rich content of hybrid layers would affect fatigue strengths of a mild universal adhesive after long-term aging. METHODS Twin-bonded resin-dentin interfaces were produced by etching sound midcoronal dentin beams with 32 % ortho-phosphoric acid for 15 s (OPA15s), 3 s (OPA3s) or 10 % meta-phosphoric acid for 15 s (MPA15s). Samples were bonded with a mild universal adhesive with or without additional coating using a solvent-free bisGMA-based bonding resin. Self-etch application served as control. Composite buildups were made with a nanofilled composite. Bar-shaped twin-bonded interfaces (0.9 × 0.9 × 12 mm) were aged for two years in artificial saliva at 37 ℃ and tested under 4-point flexure at quasi-static (n = 16) and cyclic loads (n = 35) until failure. The stress-life fatigue behavior was evaluated using the staircase method at 4 Hz. Crack initiation and fracture patterns were evaluated by SEM. Cyclic-loaded data was analyzed by Kruskal-Wallis on Ranks (α = 0.05). RESULTS Significantly higher fatigue life distributions and higher endurance limits were observed for less aggressive etch-and-rinse protocols (OPA3s and MPA15s) after long-term ageing. Hydrophobic-rich coating produced 20-32 % higher endurance limits, prevented micrometer-sized porosities at bonded interfaces, reduced etching-associated variability and lowered crack formation. Significance Long-term hydrolysis produces detrimental effects on the fatigue strength of resin-dentin interfaces. The bond-promotion effect of less aggressive etch-and-rinse protocols and the creation of hybrid layers with higher hydrophobic-rich content are critical to extend the durability of mild universal adhesives. Therefore, current oversimplification trends in adhesive dentistry may limit resin-dentin bonding performance.
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Affiliation(s)
- Thiago Henrique Scarabello Stape
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland; Turku University Hospital, TYKS, University of Turku, Turku, Finland.
| | - Murat Mutluay
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland; Department of Prosthetic Dentistry, Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
| | - Arzu Tezvergil-Mutluay
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland; Turku University Hospital, TYKS, University of Turku, Turku, Finland
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Ismail OA, Stape THS, Tezvergil-Mutluay A. Concentration effect of DMSO-dry bonding on the stability of etch-and-rinse bonds. Dent Mater 2023; 39:1113-1121. [PMID: 37838609 DOI: 10.1016/j.dental.2023.09.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Accepted: 09/28/2023] [Indexed: 10/16/2023]
Abstract
OBJECTIVES To examine whether lower dimethyl sulfoxide (DMSO) concentrations would affect long-term bond stability of simplified or multistep water-based adhesives to dry-etched dentin. METHODS H3PO4-etched mid-coronal dentin surfaces from human molars were randomly blot- or air-dried for 30 s and pretreated or not with 5 or 50 % (v/v) ethanolic DMSO solutions. Untreated samples served as control. Samples were bonded with a two-step or a three-step etch-and-rinse adhesive. Restored crown segments (n = 5/group) were stored in distilled water for 24 h and sectioned for microtensile bond strength testing. Resin-dentin beams (0.8 mm2) were tested under tension until fracture (0.5 mm/min) after 24 h and one year of storage in artificial saliva at 37 °C. Nanoleakage evaluation and hybrid layer characterization were performed by SEM. Bond strength data was examined by three-way ANOVA followed by the Tukey test (α = 0.05). RESULTS Dry bonding produced significantly lower bond strengths than conventional wet bonding for both water-based adhesive systems (p < 0.05). DMSO-dry bonding restored bond strengths and reduced nanoleakage levels, regardless of adhesive type or DMSO concentration (p < 0.05). Bond strengths of DMSO-dry bonded samples were not significantly affected by long-term ageing regardless of adhesive type or DMSO concentration (p < 0.05). SIGNIFICANCE Although bonding methacrylate-based resins to etched dentin is normally performed under wet conditions, hybridization of air-dried collagen can outperform conventional wet bonding by employing water-free DMSO solutions with concentrations as low as 5 %. Reduced moisture-related technique sensitivity, higher bonding performance and improved hybrid layer stability may contribute to extend the service life of resin-dentin bonding.
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Affiliation(s)
- Omar Abdelaziz Ismail
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland; Department of Conservative Dentistry, Horus University in Egypt, Egypt; Department of Conservative Dentistry, Faculty of Dentistry, Cairo University, Egypt.
| | - Thiago Henrique Scarabello Stape
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland; Turku University Hospital, TYKS, University of Turku, Turku, Finland
| | - Arzu Tezvergil-Mutluay
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland; Turku University Hospital, TYKS, University of Turku, Turku, Finland
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Kibe K, Hatayama T, Shimada Y. In vitro performance of an autocured universal adhesive system in bonding to dentin. BMC Oral Health 2023; 23:933. [PMID: 38012568 PMCID: PMC10683120 DOI: 10.1186/s12903-023-03645-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 11/09/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND The successful integration of resin-based dental adhesives significantly impacts restorative dentistry, providing efficient and aesthetically pleasing caries treatments. Among various adhesives, one-step self-etching adhesives (1-SEAs) have gained popularity due to their simplicity and short application time. However, concerns have been raised regarding their bonding performance and marginal adaptation characteristics, which differ from two-step self-etching adhesives (2-SEAs) and three-step etch-and-rinse adhesives. Additionally, light-cured bonding materials may encounter challenges in deep cavities and inaccessible areas, necessitating extended light irradiation time. Autocured bonding materials are a potential solution, but limited comparative studies have been conducted on their performance. METHODS In this in vitro study, we evaluated a new autocured universal bonding material (Bondmer Lightless 2) and compared the results with recent light-cured bonding materials. Microshear bond strength (μSBS) tests were performed on 25 human molars using five different combinations of adhesives and composite resins: Bondmer Lightless 2 with Estelite Bulk Fill Flow (BE group), Bondmer Lightless 2 with a prototype composite resin (BO group), Prime&Bond Universal with SDR flow + (PS group), Scotchbond Universal with Filtek Bulk Fill (SF group), and G-Premio Bond with Gracefil BulkFlo (GG group). The bond strengths and failure modes were assessed using a universal testing machine and scanning electron microscope (SEM), respectively. Marginal adaptation was evaluated using swept-source optical coherence tomography (SS-OCT) and confocal laser scanning microscopy (CLSM) on 40 sound bovine maxillary incisors. RESULTS The μSBS test showed no significant differences in bond strength among the tested groups. Most failure modes were observed at the bond interface between the adhesive and the dentin. The autocured bonding material demonstrated significantly higher marginal adaptation (SI%) than PS, SF, and GG. The CLSM images corresponded with gaps observed in the SS-OCT images, indicating improved marginal sealing in the autocured group. CONCLUSIONS The new autocured universal bonding material exhibited comparable bond strength to a conventional light-cured material while demonstrating a superior marginal adaptation level. This finding suggested that the autocured material could be a valuable alternative, especially when extended light irradiation would pose a challenge. Further clinical studies would be warranted to evaluate the performance of the autocured bonding material in actual restorative dental practice.
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Affiliation(s)
- Kota Kibe
- Division of Oral Health Sciences, Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan
| | - Takashi Hatayama
- Division of Oral Health Sciences, Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.
| | - Yasushi Shimada
- Division of Oral Health Sciences, Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan
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Nawrocka A, Nowak J, Sauro S, Hardan L, Bourgi R, Lukomska-Szymanska M. Shear Bond Strength of Metal and Ceramic Brackets Depending on Etching Protocol in Direct Bonding Technique. MATERIALS (BASEL, SWITZERLAND) 2023; 16:6697. [PMID: 37895679 PMCID: PMC10608197 DOI: 10.3390/ma16206697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 10/02/2023] [Accepted: 10/13/2023] [Indexed: 10/29/2023]
Abstract
Successful orthodontic therapy, apart from a proper treatment plan, depends on optimal bracket-enamel adhesion. Among numerous factors affecting adhesion, the type of bracket and preparation of the tooth's surface are crucial. The aim of this study was to compare the shear bond strength (SBS) of metal and ceramic brackets to the enamel's surface using direct bonding. Forty extracted human premolars were divided into four groups according to the etching method (etch-and-rinse and self-etch) and bracket type. The SBS and adhesive remnant index (ARI) were determined. The ceramic brackets achieved the highest SBS values both in the self-etch (SE) and etch-and-rinse (ER) protocols. Higher SBS values for ceramic and metallic brackets were found in the ER protocol. In all tested groups, the achieved SBS value was satisfactory to withstand orthodontic and occlusal forces. There was no significant difference in the ARI score between study groups (p = 0.71). The fracture occurred between the bracket base and adhesive material in both types of brackets, which decreased the risk of enamel damage during debonding.
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Affiliation(s)
- Agnieszka Nawrocka
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland;
| | - Joanna Nowak
- University Laboratory of Materials Research, Medical University of Lodz, Pomorska 251, 92-213 Lodz, Poland;
| | - Salvatore Sauro
- Dental Biomaterials, Preventive and Minimally Invasive Dentistry, Departamento de Odontología, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera C/Del Pozo ss/n, Alfara del Patriarca, 46115 Valencia, Spain;
- Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University, Moscow 119146, Russia
| | - Louis Hardan
- Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; (L.H.); (R.B.)
| | - Rim Bourgi
- Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; (L.H.); (R.B.)
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, University of Strasbourg, 67000 Strasbourg, France
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Sedky RA, Chew HP, Nour KA, Abuelsadat SM, Elsherbini D, Fok ASL. Interfacial integrity of bulk-fill resin composite restorations in deep Class-II cavities. Dent Mater J 2023; 42:692-699. [PMID: 37612062 DOI: 10.4012/dmj.2022-241] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
Abstract
This study evaluated the interfacial integrity of deep (6 mm) Class-II (OM/OD) restorations placed using different bulk-fill resin composites [Filtek™ Bulk Fill Flowable Restorative (BF) and Filtek™ Bulk Fill Posterior Restorative (BP) (3M ESPE, St. Paul, MN, USA)] of different increment thicknesses (2 or 4 mm). BP was used for capping in all cases, while Filtek™ Z250 Universal Restorative (3M ESPE) was used as the control material. Interfacial debonding was measured during curing through acoustic emission (AE), followed by image analysis using micro-computed tomography and scanning electron microscopy. Microhardness testing was also conducted to assess degree of conversion. Depth of cure was adequate in all restorations. Specimens with 4-mm thick first increment of BF, which had a higher shrinkage strain, produced most AE events and debonding. Thus, bulk filling of deep cavities using bulk-fill resin composites with a high shrinkage strain should be avoided.
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Affiliation(s)
| | - Hooi Pin Chew
- Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota
| | - Khaled Aly Nour
- Department of Operative Dentistry, Faculty of Dentistry, Ain-Shams University
| | | | - Dina Elsherbini
- Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota
| | - Alex Siu Lun Fok
- Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota
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Siqueira FSFD, Wendlinger M, Araújo LCR, Moreira PHDA, Cardenas AFM, Carvalho TS, Reis A, Loguercio AD. Bonding performance of universal adhesives to eroded dentine: A 6-year evaluation. J Dent 2023; 136:104633. [PMID: 37490967 DOI: 10.1016/j.jdent.2023.104633] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 07/06/2023] [Accepted: 07/21/2023] [Indexed: 07/27/2023] Open
Abstract
OBJECTIVES To evaluate the microtensile bond strength (µTBS) and nanoleakage (NL) of several universal adhesives to eroded dentine (ED) using etch-and-rinse (ER) and self-etch (SE) strategies, immediately and after 6 years of water storage. MATERIAL AND METHODS Four hundred and eighty human molars were distributed into 60 groups according to dentine substrate (sound dentine [SD], eroded with soft drink, or eroded with citric acid), application method of the adhesive (SE or ER), and the adhesives used: 1. All-Bond Universal, 2. Ambar Universal, 3. Clearfil Universal, 4. Futurabond U, 5. One Coat 7 Universal, 6. Peak Universal Bond, 7. Prime&Bond Elect, 8. Scotchbond Universal, 9. Tetric n-bond Universal, and 10. Xeno Select. The restoration was then performed with a composite resin, and the specimens were sectioned into resin-dentine bonded sticks. The sticks were tested (immediately or after 6 years of storage) for µTBS (0.5 mm/min) or used to assess NL. The eroded dentine surfaces were also examined using FE-SEM to evaluate the NL. Data for µTBS were analyzed by four-way ANOVA and Tukey's post-hoc test (a = 0.05), and the NL was analyzed by Kruskal-Wallis and the Wilcoxon Signed Rank Sum test (a = 0.05). RESULTS In ED, there was no difference in μTBS and NL between ER and SE strategies (p > 0.05). Most μTBS and NL values obtained for ED were lower and higher, respectively, than those for SD (p < 0.005). Additionally, the worst results (μTBS and NL) were observed for erosion with citric acid groups in comparison with erosion with soft-drink groups (p < 0.007). After 6y, μTBS was generally lower and NL higher for all substrates, adhesives, and strategies (p < 0.05), except for AMB, SBU, and TEU in dentine eroded with citric acid. The lowest μTBS and highest NL values were observed for ABU, FBU, OCU, PUB, PBE, and XEN in both types of eroded dentine and evaluation times (p < 0.002). CONCLUSION The use of MDP-containing adhesives seems to be essential to maintain adhesion to eroded dentine. However, other factors such as acidity should be considered. CLINICAL SIGNIFICANCE The bonding of eroded dentine is a challenge. However, the use of MDP-containing universal adhesives showed less degradation after long-term evaluation.
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Affiliation(s)
| | - Michel Wendlinger
- Department of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Paraná, Brazil
| | | | | | | | - Thiago Saads Carvalho
- Department of Pediatric Dentistry, School of Dental Medicine, Bern University, Switzerland
| | - Alessandra Reis
- Department of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Paraná, Brazil.
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Paraná, Brazil
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Matos TP, Ñaupari-Villasante R, Kunz PVM, Hass V, Reis A, Gutiérrez MF, Loguercio AD. 48-month clinical evaluation of a copper-containing universal adhesive in non-carious cervical lesions: A double-blind randomised clinical trial. Dent Mater 2023; 39:820-830. [PMID: 37481368 DOI: 10.1016/j.dental.2023.07.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 07/01/2023] [Accepted: 07/02/2023] [Indexed: 07/24/2023]
Abstract
OBJECTIVES This study aimed to evaluate the effect of copper nanoparticles (CuNp) on the clinical performance of a universal adhesive system used as an etch-and-rinse or self-etch strategy. METHODS A total of 216 class V (non-carious lesions) restorations were randomly placed in 36 subjects according to the following groups: ERcu, adhesive in etch-and-rinse with 0.1% CuNp; ERct, adhesive in etch-and-rinse without CuNp; SEcu, adhesive in self-etch with 0.1% CuNp; and Sect, adhesive in self-etch without CuNp. Restorations were evaluated at baseline and at 6, 12, 18, 36, and 48 months, using the FDI and USPHS criteria. Appropriate statistical analyses were performed (α = 0.05). RESULTS After 48 months, 14 restorations were lost (two for ERcu, five for SEcu, and seven for SEct) and the retention rates (95% confidence interval [CI]) were 74.1% for ERcu (95% CI 61.1-83.8); 81.5% for ERct (95% CI 69.2-89.6); 64.8% (95% CI 51.5-76.2) for SEcu; and 64.8% (95% CI 51.5-76.2) for SEct, with statistical differences between SEct vs. ERct and SEcu vs. ERct (p < 0.05). No significant differences between the groups were observed when the secondary parameters were evaluated (p > 0.05). Nineteen restorations (two for ERcu, two for ERct, six for SEcu, and nine for SEct) showed minor marginal staining, and 44 restorations (7 for ERcu, 8 for ERct, 14 for SEcu, and 15 for SEct) presented minimal marginal adaptation defects. SIGNIFICANCE This is the first long-term clinical trial to show that the addition of CuNp to a universal adhesive system does not affect clinical performance.
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Affiliation(s)
- Thalita P Matos
- School of Dentistry, Tuiuti University, Rua Santo Inácio, 395, Zip Code 82010-210 Curitiba, Santo Inácio, Curitiba, Paraná, Brazil
| | - Romina Ñaupari-Villasante
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Zip Code 84030-900, Campus Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Patrícia Valeria Manozzo Kunz
- School of Dentistry, Tuiuti University, Rua Santo Inácio, 395, Zip Code 82010-210 Curitiba, Santo Inácio, Curitiba, Paraná, Brazil
| | - Viviane Hass
- School of Dentistry, Oral and Craniofacial Sciences, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Zip Code 84030-900, Campus Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Mario F Gutiérrez
- Universidad de los Andes, Chile, Facultad de Odontología, Santiago Zip Code 7550000, Chile; Physiology Laboratory, Institute for Research in Dental Sciences, University of Chile, Santiago Zip Code 8380544, Chile.
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Zip Code 84030-900, Campus Uvaranas, Ponta Grossa, Paraná, Brazil
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Mohan MC, Geetha P, Soman D, Kunjusankaran RN, Kurup NB, Venugopal K. The Effect of Salivary Contamination on the Shear Bond Strength of Seventh- and Eighth-generation Adhesive Systems. Int J Clin Pediatr Dent 2023; 16:S63-S66. [PMID: 37663220 PMCID: PMC10474395 DOI: 10.5005/jp-journals-10005-2587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/05/2023] Open
Abstract
Aim To compare the effect of salivary contamination on the shear bond strength (SBS) of seventh- and eighth-generation adhesives. Materials and methods Specimens were randomly divided into group I and group II, subdivided into three subgroups of 11 samples. Subgroup IA-seventh-generation uncontaminated (control); adhesive; air-dried; light cured. Subgroup IB-seventh-generation adhesive; saliva application, air-dried; light cured. Subgroup IC-seventh-generation adhesive; saliva application, air-dried, reapplication of adhesive, air-dried, light cured. Subgroup IIA- eighth-generation uncontaminated (control); adhesive, air-dried; light cured. Subgroup IIB- eighth-generation adhesive; saliva application, air-dried; light cured. Subgroup IIC-eighth-generation adhesive, saliva application, air-dried, reapplication of adhesive, air-dried; light cured. Following bonding procedure, composite resin restoration was done and subjected to SBS analysis. Results Mean SBS of eighth-generation adhesive was higher compared to seventh with and without saliva contamination. Reduction of SBS in seventh- and eighth-generation after saliva contamination was regained by reapplication of adhesive, which was less compared to the control [statistically significant (p < 0.05) for seventh and statistically not significant for eighth-generations]. Conclusion The eighth-generation adhesives show better SBS with and without saliva contamination and reapplication of eighth-generation adhesives significantly improved the SBS close to the control. Clinical significance Single-step self-etch adhesives are the adhesives which are currently used for bonding composite restorations to dentin. The adhesive bond strength can be adversely affected by moisture contamination, especially by saliva, which can lead to failure of restoration. So, it is imperative to study a material which gives better bond strength and is less affected by salivary contamination and effect of decontamination to regain the bond strength. The study concluded that eighth-generation adhesives showed higher mean SBS with and without saliva contamination and reapplication of eighth-generation adhesives significantly improved the bond strength close to the control group. How to cite this article Mohan MC, Geetha P, Soman D, et al. The Effect of Salivary Contamination on the Shear Bond Strength of Seventh- and Eighth-generation Adhesive Systems. Int J Clin Pediatr Dent 2023;16(S-1):S63-S66.
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Affiliation(s)
- Mahesh C Mohan
- Department of Conservative Dentistry & Endodontics, Azeezia College of Dental Sciences and Research, Kollam, Kerala, India
| | - Praveena Geetha
- Department of Conservative Dentistry & Endodontics, Azeezia College of Dental Sciences and Research, Kollam, Kerala, India
| | - Drisya Soman
- Department of Conservative Dentistry & Endodontics, Azeezia College of Dental Sciences and Research, Kollam, Kerala, India
| | - Radhakrishnan N Kunjusankaran
- Department of Conservative Dentistry & Endodontics, Azeezia College of Dental Sciences and Research, Kollam, Kerala, India
| | - Nisha B Kurup
- Department of Conservative Dentistry & Endodontics, Azeezia College of Dental Sciences and Research, Kollam, Kerala, India
| | - Krishnan Venugopal
- Department of Conservative Dentistry and Endodontics, Amrita Viswa Vidyapeetham, Amrita School of Dentistry, Kochi, Kerala, India
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Wang R, Hass V, Wang Y. Machine Learning Analysis of Microtensile Bond Strength of Dental Adhesives. J Dent Res 2023; 102:1022-1030. [PMID: 37464796 PMCID: PMC10477772 DOI: 10.1177/00220345231175868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023] Open
Abstract
Dental adhesives provide retention to composite fillings in dental restorations. Microtensile bond strength (µTBS) test is the most used laboratory test to evaluate bonding performance of dental adhesives. The traditional approach for developing dental adhesives involves repetitive laboratory measurements, which consumes enormous time and resources. Machine learning (ML) is a promising tool for accelerating this process. This study aimed to develop ML models to predict the µTBS of dental adhesives using their chemical features and to identify important contributing factors for µTBS. Specifically, the chemical composition and µTBS information of 81 dental adhesives were collected from the manufacturers and the literature. The average µTBS value of each adhesive was labeled as either 0 (if <36 MPa) or 1 (if ≥36 MPa) to denote the low and high µTBS classes. The initial 9-feature data set comprised pH, HEMA, BisGMA, UDMA, MDP, PENTA, filler, fluoride, and organic solvent (OS) as input features. Nine ML algorithms, including logistic regression, k-nearest neighbor, support vector machine, decision trees and tree-based ensembles, and multilayer perceptron, were implemented for model development. Feature importance analysis identified MDP, pH, OS, and HEMA as the top 4 contributing features, which were used to construct a 4-feature data set. Grid search with stratified 10-fold cross-validation (CV) was employed for hyperparameter tunning and model performance evaluation using 2 metrics, the area under the receiver operating characteristic curve (AUC) and accuracy. The 4-feature data set generated slightly better performance than the 9-feature data set, with the highest AUC score of 0.90 and accuracy of 0.81 based on stratified CV. In conclusion, ML is an effective tool for predicting dental adhesives with low and high µTBS values and for identifying important chemical features contributing to the µTBS. The ML-based data-driven approach has great potential to accelerate the discovery of new dental adhesives and other dental materials.
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Affiliation(s)
- R. Wang
- Department of Oral and Craniofacial Sciences, University of Missouri-Kansas City, MO, USA
| | - V. Hass
- Department of Oral and Craniofacial Sciences, University of Missouri-Kansas City, MO, USA
| | - Y. Wang
- Department of Oral and Craniofacial Sciences, University of Missouri-Kansas City, MO, USA
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Cakir E, Duman AN, Yildirim AZ, Cevik P. Shear Bond Strength between Orthodontic Brackets and Monolithic 4Y-TZP: An In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2023; 16:5173. [PMID: 37512447 PMCID: PMC10383428 DOI: 10.3390/ma16145173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 07/18/2023] [Accepted: 07/19/2023] [Indexed: 07/30/2023]
Abstract
The aim of this study was to evaluate the effect of different surface treatments on the shear bond strength (SBS) between metal orthodontic brackets and monolithic zirconia surfaces bonded with resin composite. Fifty monolithic zirconia (4Y-TZP) disks were sintered and glazed. Specimens were divided into five groups (n = 10) for different surface treatments: control, nano second fiber laser, sandblasting, grinding and tribochemical coating (CoJet Sand 30-μm). Metal orthodontic brackets were bonded to monolithic zirconia surface by two-component orthodontic adhesive. After 500 cycles of thermocycling, shear bond strength values were measured by a universal testing machine at a cross head speed of 0.5 mm/min. The data was recorded as MPa and statistically analyzed with One-way ANOVA, Levene's LSD tests with Bonferroni corrections. The significance level was α = 0.05. The surface topography of one specimen of each group was evaluated by scanning electron microscopy (SEM). Statistically significant difference was observed among study groups (p = 0.018). The lowest shear bond strength was observed in the control group (3.92 ± 1.9). Tribochemical coating showed the highest bond strength (7.44 ± 2.9), which was statistically different from the control and nano second laser (4.3 ± 1.4) groups but not statistically different from grinding (6.15 ± 3.1) or sandblasting (6.47 ± 3.3). SEM images showed comprehensive results of each surface treatment on monolithic zirconia. All failure modes were recorded as adhesive between the composite resin and monolithic zirconia. Based on the findings of this study, it can be concluded that grinding, sandblasting and tribochemical coating techniques showed clinically acceptable bond strength within the range of 6-8 MPa. These surface treatments can be considered suitable for achieving a durable bond between metal orthodontic brackets and monolithic 4Y-TZP ceramic surfaces.
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Affiliation(s)
| | - Ayse Nurcan Duman
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara 06490, Türkiye
| | - Arzu Zeynep Yildirim
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara 06490, Türkiye
| | - Pinar Cevik
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara 06490, Türkiye
- Department of General Practice and Dental Public Health, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX 77054, USA
- Houston Center for Biomaterials and Biomimetics, Houston, TX 77054, USA
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Jassim SJ, Majeed MA. Effect of plasma surface treatment of three different CAD/CAM materials on the micro shear bond strength with resin cement (A comparative in vitro study). Heliyon 2023; 9:e17790. [PMID: 37449108 PMCID: PMC10336531 DOI: 10.1016/j.heliyon.2023.e17790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 06/09/2023] [Accepted: 06/28/2023] [Indexed: 07/18/2023] Open
Abstract
Objectives This study aimed to evaluate and compare the effect of plasma treatment versus conventional treatment on the micro shear bond strength (μSBS), surface roughness, and wettability of three different CAD/CAM materials. Materials and methods Sixty cylindrical specimens (5 mm diameter × 3 mm height) were prepared from three different CAD/CAM materials: Group A: Zirconia, Group B: Lithium disilicate, and Group C: Resin nano-ceramic. Each group was subdivided into two subgroups according to surface treatment used: Subgroup I: Conventional treatment, zirconia was sandblasted with Al2O3, while lithium disilicate and resin nano-ceramic were etched with hydrofluoric acid. Subgroup II: Plasma treatment, the surface of each material was treated with a plasma device (PiezoBrush® PZ3 Handheld Device, Relyon Plasma, Regensburg, Germany). G-Multi PRIMER was applied, then self-adhesive cement (G-CEM ONE) was applied using a split mold (1 mm diameter × 3 mm height), and μSBS was tested in a universal testing machine. The surface roughness was measured using a profilometer. Nine additional specimens of each material for wettability test using an optical tensiometer. Statistical analysis The data were analyzed using ANOVA and Bonferroni test at a level of significance of 0.05. Results The highest mean of μSBS was recorded by AII (27.3 MPa), while the lowest was recorded by AI (17.9 MPa). One-way ANOVA test revealed a significant difference among groups. Bonferroni test showed each two subgroups significant difference except subgroups AI, CI and BII, CII, where there was a non-significant difference. For all CAD/CAM materials, conventional treatment increased the surface roughness compared to plasma treatment, while the contact angle decreased after plasma treatment. Conclusion Plasma treatment increased the μSBS of resin cement to zirconia significantly while not significantly affecting the μSBS of resin nano-ceramic. Conventional treatment of lithium disilicate provided significantly higher μSBS than plasma treatment.
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Park EH, Na YK, Gug H, Lee DS, Park JC, Park SH, Shon WJ. Development of a new universal adhesive containing CPNE7-derived peptide and its potential role in reducing postoperative sensitivity. Dent Mater J 2023:2022-181. [PMID: 37271544 DOI: 10.4012/dmj.2022-181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Post-operative sensitivity (POS) is the most common clinical dental complaint after tooth preparation and resin-based composite restoration. In our previous study, copine 7 (CPNE7) and CPNE7-derived peptide (CPNE7-DP) induced in vitro odontoblast differentiation and in vivo dentin formation. Here, we incorporated CPNE7-DP into All-Bond Universal (ABU) adhesive, developing ABU/CPNE7-DP. This study aimed to investigate the possibility of reducing POS using ABU/CPNE7-DP. We first determined the stability of CPNE7-DP under low pH. Furthermore, we evaluated its dentinal tubule penetration, in vitro odontogenic differentiation potential, in vivo tertiary dentin formation and its effects on bonding performance. CPNE7-DP was stable at pH 1.2, even lower than ABU's pH of 3.2. ABU/CPNE7-DP can penetrate dentinal tubules, stimulate odontoblast differentiation in vitro and generate tertiary dentin with tubular structure in vivo without interfering with bonding performance. Therefore, ABU/CPNE7-DP may serve as a novel bioactive adhesive for reducing POS.
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Affiliation(s)
- Eun Hyun Park
- Department of Conservative Dentistry, Dental Research Institute, School of Dentistry, Seoul National University
| | - Yun Kyung Na
- Department of Conservative Dentistry, Dental Research Institute, School of Dentistry, Seoul National University
| | - Hyeri Gug
- Laboratory for The Study of Regenerative Dental Medicine, Department of Oral Histology-Developmental Biology, School of Dentistry and Dental Research Institute, BK 21, Seoul National University
| | - Dong-Seol Lee
- Regenerative Dental Medicine R and D Center, HysensBio Co., Ltd
| | - Joo-Cheol Park
- Laboratory for The Study of Regenerative Dental Medicine, Department of Oral Histology-Developmental Biology, School of Dentistry and Dental Research Institute, BK 21, Seoul National University
| | - So-Hyun Park
- Department of Conservative Dentistry, Dental Research Institute, School of Dentistry, Seoul National University
| | - Won-Jun Shon
- Department of Conservative Dentistry, Dental Research Institute, School of Dentistry, Seoul National University
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Zhou Y, Huang X, Wu L, Liang Y, Huang Y, Huang S. Microleakage, microgap, and shear bond strength of an infiltrant for pit and fissure sealing. Heliyon 2023; 9:e16248. [PMID: 37229157 PMCID: PMC10205491 DOI: 10.1016/j.heliyon.2023.e16248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 05/05/2023] [Accepted: 05/10/2023] [Indexed: 05/27/2023] Open
Abstract
Objectives This study aimed to evaluate the potential clinical application of an infiltrant with different etchants as pit and fissure sealants and to compare them with a conventional resin-based sealant. Materials and methods Seventy-five molars were randomly divided into three groups (n = 25): phosphoric acid etchant + conventional resin-based sealant (Group A); 15% hydrochloric acid etchant + infiltrant (Group B); phosphoric acid etchant + infiltrant (Group C). Fifteen teeth in each group were subjected to pit and fissure sealing procedures. After 500 thermocycling and methylene blue dye penetration, ten specimens were sectioned and the pencentages of dye penetration were measured under a stereomicroscope. Another five teeth in each group were sectioned and the microgaps between materials and enamel surface were measured using electron microscope scanning. Ten teeth in each group were used to measure shear bond strength and the failure mode was analyzed. Results The results showed that infiltrant exhibited significantly less microleakage and microgap than resin-based sealant, no matter which echant was used. Although there was no significant difference betweern the three groups, infiltrant applied with 15% hydrochloric acid etching showed higher shear bond strength than resin-based sealant etching with 35% phosphoric acid. Conclusions The infiltrant has significant advantages in reducing the degree of microleakage and microgap. Moreover, the infiltrant could achieve the same bonding strength as conventional resin-based sealant. Although, manufacturers do not currently recommend the infiltrant for fissure sealing, the potential clinical application would be an off-label use.Clinical relevance This report provides a theoretical basis for the potential clinical application of the infiltrant as a pit and fissure sealant, and provides a new perspective for selecting pit and fissure sealants.
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Alkattan R, Ajaj R, Koller G, Banerji S, Deb S. A self-etch bonding system with potential to eliminate selective etching and resist proteolytic degradation. J Dent 2023; 132:104501. [PMID: 36967082 DOI: 10.1016/j.jdent.2023.104501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2023] [Revised: 03/06/2023] [Accepted: 03/23/2023] [Indexed: 03/30/2023] Open
Abstract
OBJECTIVES Bonded restorations using self-etch (SE) systems exhibit a limited lifespan due to their susceptibility to hydrolytic, enzymatic or fatigue degradation and poor performance on enamel. This study was conducted to develop and assess the performance of a two-step SE system using a functional monomer bis[2-(methacryloyloxy)ethyl]phosphate (BMEP) and demonstrate a strategy to enhance stability of bonded resin composite restorations to both enamel and dentine. METHODS A two-step SE system was formulated with a primer containing BMEP, with an adhesive with or without BMEP, and compared to a commercial 10-MDP-containing system, ClearfilTM SE Bond 2 (CFSE). The systems were evaluated on enamel for surface roughness and microshear bond strength (µSBS) and on dentine for microtensile bond strength (µTBS), nanoleakage, MMP inhibition and cyclic flexural fatigue. RESULTS Whilst all bonding systems resulted in statistically similar µSBS, BMEP-based primers yielded greater enamel surface roughness than the CFSE primer. The BMEP-free adhesives resulted in statistically similar or higher µTBS and lower nanoleakage compared to CFSE. In situ zymography revealed minimal to no MMP activity within the hybrid layer of BMEP-based systems. The BMEP-free adhesive exhibited flexural strength and fatigue resistance statistically similar to CFSE. CONCLUSIONS Incorporation of BMEP in the primer led to satisfactory bond strengths with both enamel and dentine, potentially eliminating the need for selective enamel etching. Combined with an adhesive formulation that is solvent-free and hydrophobic, and confining the acidic functional monomer in the primer resulted in minimal interfacial leakage, and resistance to proteolytic degradation and the cyclic nature of chewing. CLINICAL SIGNIFICANCE The SE bonding system containing BMEP combines the potent etching of phosphoric acid with the therapeutic function of the phosphate-based monomer in creating a homogenous hybrid layer with protection against endogenous proteolytic enzymes. This strategy may overcome current challenges that arise during selective enamel etching.
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Awad MM, Alhalabi F, Bamuqadm M, Alhoti A, Almasaad A, Robiaan A, Almahdy A, Alrahlah A, Ahmed MH. Adhesive sonic agitation improves bonding durability to class-II cavity preparation. Odontology 2023; 111:409-419. [PMID: 36175718 DOI: 10.1007/s10266-022-00751-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 09/20/2022] [Indexed: 10/14/2022]
Abstract
The purpose of this study was to evaluate the effect of adhesive sonic agitation on resin-dentin micro-tensile bond strength (µTBS) and interfacial morphology at the gingival wall of class-II cavity preparation. Seventy-two molars with prepared class-II cavities were divided into six groups (n = 12) according to the bonding mode; etch-and-rinse (E&R) or self-etch (SE) and application protocol of the universal adhesive (UA) employed (Clearfil Universal Bond Quick, Kuraray Noritake); following the manufacturer instructions (MI), manual agitation for 20 s (20s), or sonic agitation for 20 s using a modified sonic micro-brush mounted on EndoActivator device, Dentsply Sirona, (sonic). Restored teeth were sectioned into resin-dentin beams and slaps and µTBS was evaluated at 1 week (1w) and after thermocycling (10k). µTBS data were analyzed using the linear mixed-effects modeling with specific contrast (p < 0.05). The resin-dentin interfacial morphology was evaluated using a scanning electron microscope. Adhesive sonic agitation resulted in significantly higher µTBS means in both E&R and SE modes, compared to MI group. The µTBS of MI group showed significant reduction upon aging when applied in SE mode. Sonic agitation was associated with enhanced adhesive infiltration into dentin specially in E&R mode. Sonic agitation of UA using modified sonic micro-brush attached to EndoActivator device significantly improved the resin-dentin µTBS and interfacial morphology at the gingival wall of class-II cavity preparation.
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Affiliation(s)
- Mohamed M Awad
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, P.O Box 153, Al-Kharj, 11942, Saudi Arabia.
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland.
| | - Feras Alhalabi
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, P.O Box 153, Al-Kharj, 11942, Saudi Arabia
| | - Mohamed Bamuqadm
- College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, 11942, Saudi Arabia
| | - Abdulmalik Alhoti
- College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, 11942, Saudi Arabia
| | - Abdulilah Almasaad
- College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, 11942, Saudi Arabia
| | - Ali Robiaan
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, P.O Box 153, Al-Kharj, 11942, Saudi Arabia
| | - Ahmed Almahdy
- Department of Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, 11545, Saudi Arabia
| | - Ali Alrahlah
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh, 11545, Saudi Arabia
- Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, King Saud University, Riyadh, 11545, Saudi Arabia
| | - Mohammed H Ahmed
- Department of Dental Biomaterials, Faculty of Dentistry, Tanta University, Tanta, Egypt
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Reis A, Loguercio AD, Favoreto M, Chibinski AC. Some Myths in Dentin Bonding: An Evidence-Based Perspective. J Dent Res 2023; 102:376-382. [PMID: 36707968 DOI: 10.1177/00220345221146714] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
Laboratory investigations are essential models responsible for science development. However, laboratory discoveries must be confirmed in a clinical environment where many known and unknown variables and complex mechanisms are involved. Using conclusions from laboratory studies to make clinical recommendations can lead to widespread "unreliable truths" or so-called myths in any field of knowledge. These myths may increase the costs (financial and time) or even cause harm (side effects) that would be unnecessary, given that the current protocol or conduct was previously evaluated in a more complex and complete clinical setting. This article will discuss certain myths in dentin bonding that may influence clinical decision-making, bringing some principles of evidence-based practice to allow a more critical evaluation of the literature findings.
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Affiliation(s)
- A Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - A D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - M Favoreto
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - A C Chibinski
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
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Are universal adhesives in etch-and-rinse mode better than old 2-step etch-and-rinse adhesives? One-year evaluation of bonding properties to dentin. J Dent 2023; 132:104481. [PMID: 36918052 DOI: 10.1016/j.jdent.2023.104481] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/22/2023] [Accepted: 03/08/2023] [Indexed: 03/14/2023] Open
Abstract
OBJECTIVES This study compared the bonding properties of dentin of three 2-step etch-and-rinse adhesives (2-ERAs) to those of three universal adhesives (UAs) applied with an etch-and-rinse strategy (ER), immediately and after 1 year of water storage. METHODS Sixty caries-free molars were divided into 6 groups according to the adhesive systems used (n = 10). The 2-ERA systems included were: 1) Adper Single Bond 2 (SB), 2) Tetric N-Bond (TB), and 3) Ambar (AM); and the UAs systems were: 4) Single Bond Universal (SBU) 5) Tetric N-Bond Universal (TBU), and 6) Ambar Universal (AMU). The occlusal third of each tooth was removed and the adhesives were applied. After the composite build-up, specimens were sectioned and tested for microtensile bond strength (µTBS) and nanoleakage (NL) immediately and after 1 year of water storage. In situ degree of conversion (DC) was only evaluated in the immediate time. For water sorption (WS), solubility (SO), and mass change (MC) tests, 48 disk-shaped specimens were prepared (n = 8) and assessed according to ISO 4049:2009. RESULTS UAs showed higher µTBS and lower NL values than 2-ERAs did after 1 year of water storage (p = 0.001). Regarding DC, 2-ERAs showed higher DC values than UAs (p = 0.001). Regarding WS, 2-ERAs showed higher WS values than those of UAs (p = 0.00001), except for AM and AMU. Lower WS was observed for AM than for other 2-ERAs (p = 0.00001). CONCLUSION The use of UAs applied with the ER strategy seems to be a more effective technique for maintaining adhesion to dentin substrate than 2-ERAS. CLINICAL SIGNIFICANCE This study may support clinicians in selecting the most adequate adhesive system to be used in ER strategy in dentin, demonstrating that UAs were more effective, considering the longevity of the resin restorations.
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A randomized clinical study of the performance of self-etching adhesives containing HEMA and 10-MDP on non-carious cervical lesions: A 2-year follow-up study. J Dent 2023; 130:104407. [PMID: 36621551 DOI: 10.1016/j.jdent.2022.104407] [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: 11/03/2022] [Revised: 12/11/2022] [Accepted: 12/29/2022] [Indexed: 01/07/2023] Open
Abstract
OBJECTIVE To evaluate the association of HEMA and 10-MDP in the clinical performance of self-etching adhesives in the restoration of NCCLs during 2-years. MATERIALS AND METHODS 60 restorations were performed in 17 volunteers and randomized into three groups: G1 (n = 20) - Prime and Bond Universal (10-MDP); G2 (n = 20) - Optibond All-in-One (HEMA); and G3 (n = 20) - Clearfil SE (10-MDP and HEMA). No cavity preparation was performed. After 2 years, the restorations were evaluated using the modified USPHS criteria for retention, marginal adaptation/ staining, postoperative sensitivity and secondary caries. The results were analyzed using Fisher's exact test and Kruskal-Wallis test. RESULTS All groups showed 100% retention rate, except G1, who lost two restorations (p > 0.05). Regarding marginal adaptation, G1 showed greater deficiency, as only eight restorations (40%) remained intact (p < 0.05). Regarding marginal staining, G1 and G2 showed higher rate, as only 12 restorations (65%) in each one were free of staining (p < 0.05). All groups showed similar results for postoperative sensitivity and secondary caries (p > 0.05). CONCLUSION The association of HEMA and 10-MDP monomers in the self-etching adhesives did not influence the clinical performance of the NCCL restorations with respect to retention, postoperative sensitivity, and incidence of secondary caries. However, positively influenced the marginal adaptation and marginal staining at the 2-year follow-up. CLINICAL SIGNIFICANCE The association of HEMA and 10-MDP monomers in the self-etching adhesives positively influence the clinical performance of the NCCL restorations with respect to marginal adaptation and marginal staining.
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The Shear Bond Strength between Milled Denture Base Materials and Artificial Teeth: A Systematic Review. Dent J (Basel) 2023; 11:dj11030066. [PMID: 36975564 PMCID: PMC10046986 DOI: 10.3390/dj11030066] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 12/13/2022] [Accepted: 01/05/2023] [Indexed: 03/05/2023] Open
Abstract
The data about bond strength between digitally produced denture base resins and artificial teeth are scarce. Several studies investigated shear bond strength values of milled denture base resins and different types of artificial teeth. The purpose of the present study was to compare and evaluate the available evidence through a systematic review. A bibliographic search was conducted in PubMed, Scopus, and Web of Science to assess adequate studies published up to 1 June 2022. This review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The appropriate studies that determined the shear bond strength values between milled denture base resins and artificial teeth were selected. The initial search identified 103 studies, which were included in the PRISMA 2020 flow diagram for new systematic reviews. Three studies met the inclusion criteria, and all of them present a moderate risk of bias (score 6). Two studies found no statistical differences between heat-polymerized and CAD/CAM (milled) denture base materials when attached with different types of artificial teeth, while one study showed higher values of CAD/CAM (milled) denture base materials. Bonding agents ensure bonding strength at least similar to the conventional methods. In order to improve the quality of future studies, it would be advantageous to use a larger number of specimens with standardized dimensions and a blinded testing machine operator to decrease the risk of bias.
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Brkanović S, Sever EK, Vukelja J, Ivica A, Miletić I, Krmek SJ. Comparison of Different Universal Adhesive Systems on Dentin Bond Strength. MATERIALS (BASEL, SWITZERLAND) 2023; 16:1530. [PMID: 36837160 PMCID: PMC9963205 DOI: 10.3390/ma16041530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 02/06/2023] [Accepted: 02/10/2023] [Indexed: 06/18/2023]
Abstract
Over the past few decades, adhesive dentistry has advanced significantly. In light of minimal-invasive dentistry, this novel technique advocates a more conservative cavity design that relies on the efficiency of present enamel-dentine adhesives. The study aimed to address the scientific deficit in understanding the long-term bonding performance of universal adhesives and to provide a new clinical solution with desirable bond strength to dentin. The dentin bond strength of three bonding agents, G2-Bond Universal (GC), Clearfil SE Bond (Kuraray), and Scotchbond Universal Plus (3M ESPE), was evaluated following various storage and etching modes. The UltraTester (Ultradent) bond strength testing machine was used to assess shear bond strength. The results showed that thermal cycling and the choice of adhesive system significantly affected the shear bond strength (p = 0.018 and p = 0.001, respectively). Among the three adhesives, Scotchbond Universal Plus had the lowest bond strength value (mean value = 24.78 MPa), while G2-Bond Universal was found to have desirable shear bond strength to dentin compared to the other adhesives, even after one year in the oral environment (mean value = 35.15 MPa). These findings imply that the HEMA-free universal adhesive G2-Bond Universal is the most effective universal adhesive for clinical practices, particularly when applied in the self-etch mode.
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Takamizawa T, Hirokane E, Sai K, Ishii R, Aoki R, Barkmeier WW, Latta MA, Miyazaki M. Bond durability of a two-step adhesive with a universal-adhesive-derived primer in different etching modes under different degradation conditions. Dent Mater J 2023; 42:121-132. [PMID: 36351598 DOI: 10.4012/dmj.2022-130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
This study investigated the enamel and dentin bond durability of a two-step adhesive system, using a universal adhesive-derived primer (G2-Bond Universal [GU]), and compared it with the two conventional, two-step, self-etch adhesive systems (Clearfil SE Bond 2 [CS] and OptiBond XTR [OX]) under thermal cycling (TC) and long-term water storage (WS). The shear bond strengths to bovine enamel and dentin were determined using the etch-and-rinse and self-etch modes. Twelve specimens per test group were prepared and further divided into the following subgroups: 1) subjected to TC, 2) long-term WS, and 3) WS for 24 h (baseline). The enamel and dentin bond durability of GU was superior to those of CS and OX in different etching modes and under different degradation conditions. The latest two-step adhesive system, which utilizes universal adhesives' benefits in its primer, might offer durable clinical bonding performances and can be widely used in a clinical setting.
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Affiliation(s)
| | - Eizo Hirokane
- Department of Operative Dentistry, Nihon University School of Dentistry
| | - Keiichi Sai
- Department of Operative Dentistry, Nihon University School of Dentistry
| | - Ryo Ishii
- Department of Operative Dentistry, Nihon University School of Dentistry
| | - Ryota Aoki
- Department of Operative Dentistry, Nihon University School of Dentistry
| | - Wayne W Barkmeier
- Department of General Dentistry, Creighton University School of Dentistry
| | - Mark A Latta
- Department of General Dentistry, Creighton University School of Dentistry
| | - Masashi Miyazaki
- Department of Operative Dentistry, Nihon University School of Dentistry
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Effect of Different Application Modalities on the Bonding Performance of Adhesive Systems to Dentin: A Systematic Review and Meta-Analysis. Cells 2023; 12:cells12010190. [PMID: 36611983 PMCID: PMC9818277 DOI: 10.3390/cells12010190] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/11/2022] [Accepted: 12/30/2022] [Indexed: 01/05/2023] Open
Abstract
Diverse types of dental adhesives exhibit different cytotoxic outcomes on cells in vitro. Currently, no standard adhesive application technique has so far been decisive for clinicians for better durability of resin-dentin bonds of adhesive systems. The purpose of this study was to systematically review the literature to evaluate the bonding performance of adhesive systems to dentin by using different application modalities. The systematic research strategy was conducted by two reviewers among multiple databases: PubMed, Scopus, Web of Science, Embase, and Scielo. In vitro studies reporting the effects of additional steps for the application of adhesive systems on the bond strength to dentin were selected. Meta-analysis was performed using Review Manager Software version 5.3.5 using the random effects model. The methodological quality of each in vitro study was assessed according to the parameters of a previous systematic review. The electronic research through different databases generated a total of 8318 references. After the examination of titles and abstracts, a total of 106 potentially relevant studies accessed the full-text evaluation phase. After full-text examination, 78 publications were included for the qualitative analysis, and 68 studies were included in the meta-analysis. Regarding the etch-and-rinse adhesive systems, the application modalities that improved the overall bond strength were the application of a hydrophobic resin layer (p = 0.005), an extended application time (p < 0.001), an application assisted by an electric current (p < 0.001), a double-layer application (p = 0.05), the agitation technique (p = 0.02), and the active application of the adhesive (p < 0.001). For self-etch adhesive systems, the techniques that improved the overall bond strength were the application of a hydrophobic resin layer (p < 0.001), an extended application time (p = 0.001), an application assisted by an electric current (p < 0.001), a double-layer application (p < 0.001), the agitation technique (p = 0.01), and the active application of the adhesive (p < 0.001). The in vitro evidence suggests that the application of adhesive systems using alternative techniques or additional strategies may be beneficial for improving their bond strength to dentin. The application modalities that favored the overall bond strength to dentin were an extended application time, a double-layer application, an application assisted by an electric current, the active application of the adhesive, and the application of a hydrophobic resin layer. Worth mentioning is that some techniques are intended to increase the degree of the conversion of the materials, and therefore, improvements in the biocompatibility of the materials can be expected.
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Sun G, Chen X, Wei F, Bai T, Zhu S. Effects of Er: YAG, Er,Cr: YSGG, and Nd: YAG laser irradiation and adhesive systems on the immediate and long-term bond strength of dentin: a systematic review and meta-analysis. Lasers Med Sci 2023; 38:32. [PMID: 36595096 DOI: 10.1007/s10103-022-03699-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 12/23/2022] [Indexed: 01/04/2023]
Abstract
At present, lasers are increasingly used in the oral clinical field, and research and applications in dental hard tissue treatment are also increasing. The effect of laser etching dentin on the bonding strength of composite resin reported in the literature is still inconclusive. The purpose of this review was to evaluate whether laser etching can improve the immediate and long-term bonding strength of dentin and investigate the effect of different types of adhesives on the bonding strength of dentin. Two reviewers performed a literature search up from January 2012 to November 2021 in four databases: MEDLINE (PubMed), Web of Science, EMBASE, and the Cochrane Library. A total of 25 studies were included in the meta-analysis. The Cochrane Collaboration Bias Risk Assessment tool was used to evaluate the quality of the included literature, and an analysis was carried out using Review Manager Software version 5.3. The aging bond strength of dentin after erbium (Er): yttrium aluminum garnet (YAG) laser treatment was significantly lower than that of dentin in the bur group (P < 0.00001). At the same time, the bond strength of dentin immediately and aging after (Er), chromium-doped (Cr): yttrium scandium gallium garnet (YSGG) laser treatment was lower than that of dentin in the bur group (P < 0.05). There was no significant difference in the immediate and aging bonding strength among samples in the Er: YAG laser, Er, Cr: YSGG laser, and blank control groups (no laser or bur). The aging bond strength of samples after neodymium-doped (Nd): YAG laser treatment was higher than that of samples in the blank control group (P < 0.05); in addition, the performance of self-etching adhesive was slightly better than that of acid etching adhesive. Regardless of the applied surface treatment and the adhesive employed, dentin after aging showed significant bond degradation (P < 0.05). There was high heterogeneity of bond strength between different groups, and the small number of studies and the contradictory results may be the main reasons for this outcome.
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Affiliation(s)
- Guangdi Sun
- Department of Prosthodontics, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Chaoyang District, Changchun, 130012, Jilin, China
| | - Xue Chen
- Department of Prosthodontics, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Chaoyang District, Changchun, 130012, Jilin, China
| | - Fei Wei
- Department of Prosthodontics, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Chaoyang District, Changchun, 130012, Jilin, China
| | - Tingting Bai
- Department of Prosthodontics, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Chaoyang District, Changchun, 130012, Jilin, China
| | - Song Zhu
- Department of Prosthodontics, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Chaoyang District, Changchun, 130012, Jilin, China.
- Department of Prosthodontics, Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Chaoyang District, Changchun, 130012, Jilin, China.
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Hong Q, Pierre-Bez AC, Kury M, Curtis ME, Hiers RD, Esteban Florez FL, Mitchell JC. Shear Bond Strength and Color Stability of Novel Antibacterial Nanofilled Dental Adhesive Resins. NANOMATERIALS (BASEL, SWITZERLAND) 2022; 13:1. [PMID: 36615911 PMCID: PMC9823690 DOI: 10.3390/nano13010001] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 12/09/2022] [Accepted: 12/16/2022] [Indexed: 06/17/2023]
Abstract
Experimental adhesives containing co-doped metaloxide nanoparticles were demonstrated to display strong and long-term antibacterial properties against Streptococcus mutans biofilms. The present study represents an effort to characterize the shear-bond strength (SBS) and color stability (CS) of these novel biomaterials. Experimental adhesives were obtained by dispersing nitrogen and fluorine co-doped titanium dioxide nanoparticles (NF_TiO2, 10%, 20% or 30%, v/v%) into OptiBond Solo Plus (OPTB). Dentin surfaces were wet-polished (600-Grit). Specimens (n = 5/group) of Tetric EvoCeram were fabricated and bonded using either OPTB or experimental (OPTB + NF_TiO2) adhesives. Specimens were stored in water (37 °C) for twenty-four hours (T1), three months (T2), and six months (T3). At T1, T2, or T3, specimens were removed from water storage and were tested for SBS. Disc-shaped specimens (n = 10/group; d = 6.0 mm, t = 0.5 mm) of adhesives investigated were fabricated and subjected to thermocycling (10,000 cycles, 5−55 °C, 15 s dwell time). Specimens’ colors were determined with a VITA Easyshade® V spectrophotometer (after every 1000 cycles). SBS data was analyzed using two-way ANOVA and post-hoc Tukey tests, while CS data was analyzed using one-way ANOVA and post-hoc Tukey tests (α = 0.05). Mean values of SBS ranged from 16.39 ± 4.20 MPa (OPTB + 30%NF_TiO2) to 19.11 ± 1.11 MPa (OPTB), from 12.99 ± 2.53 MPa (OPTB + 30% NF_TiO2) to 14.87 ± 2.02 (OPTB) and from 11.37 ± 1.89 (OPTB + 20% NF_TiO2) to 14.19 ± 2.24 (OPTB) after twenty-four hours, three months, and six months of water storage, respectively. Experimental materials had SBS values that were comparable (p > 0.05) to those from OPTB independently of nanoparticle concentration or time-point considered. Experimental materials with higher NF_TiO2 concentrations had less intense color variations and were more color stable than OPTB even after 10,000 thermocycles. In combination, the results reported have demonstrated that experimental adhesives can establish strong and durable bonds to human dentin while displaying colors that are more stable, thereby suggesting that the antibacterial nanotechnology investigated can withstand the harsh conditions within the oral cavity without compromising the esthetic component of dental restorations.
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Affiliation(s)
- Qing Hong
- College of Dental Medicine, Midwestern University, Glendale, AZ 85308, USA
| | | | - Matheus Kury
- Division of Operative Dentistry, Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas, Piracicaba 13414-903, Brazil
| | - Mark E. Curtis
- Mewbourne School of Petroleum and Geological Engineering, University of Oklahoma, Norman, OK 73019, USA
| | - Rochelle D. Hiers
- Division of Dental Biomaterials, Department of Restorative Sciences, College of Dentistry, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA
| | - Fernando L. Esteban Florez
- Division of Dental Biomaterials, Department of Restorative Sciences, College of Dentistry, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA
| | - John C. Mitchell
- College of Dental Medicine, Midwestern University, Glendale, AZ 85308, USA
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Yaghmoor RB, Jamal H, Abed H, Allan E, Ashley P, Young A. Incorporation of MMP inhibitors into dental adhesive systems and bond strength of coronal composite restorations: A systematic review and meta-analysis of in vitro studies. JAPANESE DENTAL SCIENCE REVIEW 2022; 58:298-315. [PMID: 36247748 PMCID: PMC9557023 DOI: 10.1016/j.jdsr.2022.09.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 08/31/2022] [Accepted: 09/22/2022] [Indexed: 10/31/2022] Open
Abstract
Purpose To systematically review in vitro studies that incorporated MMP inhibitors into adhesive systems in terms of the effect on immediate and aged bond strength of dental composite to dentine. Materials and methods Independently, two reviewers conducted an electronic search in three databases (MEDLINE, EMBASE, and Google Scholar) following the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols (PRISMA-P), up to 6 March 2022. Results The search resulted in 894 papers, 33 of which were eligible to be included in the review; of those, 13 fulfilled the meta-analysis eligibility criteria. Nineteen inhibitors were used among the studies, and those included in the meta-analysis were 2%, 0.2% chlorhexidine (CHX), 5 µM GM1489, and 0.5%, 1% benzalkonium chloride (BAC). In the meta-analysis, while above inhibitors showed no adverse effect on bond strength, 0.2% CHX and 5 µM GM1489 caused a significant increase in immediate and 12-months bond strength. All other inhibitors resulted in a significant increase in bond strength at six months of ageing. Conclusions Incorporation of MMP inhibitors into the adhesive system has no unfavourable effect on immediate bond strength but a favourable effect on longer-term bond strength. Additionally, inhibitors other than CHX could have similar or better effects on bond strength.
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Affiliation(s)
- Rayan B. Yaghmoor
- Department of Restorative Dentistry, Faculty of Dentistry, Umm Al-Qura University, Makkah 24381, Saudi Arabia
- Department of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, Royal Free Hospital London, NW3 2PF, UK
- Department of Microbial Diseases, UCL Eastman Dental Institute, Royal Free Hospital, London NW3 2PF, UK
- Corresponding author at: Department of Restorative Dentistry, Faculty of Dentistry, Umm Al-Qura University, Makkah 24381, Saudi Arabia.
| | - Hasan Jamal
- Unit of Paediatric Dentistry, UCL Eastman Dental Institute, London WC1E 6DE, UK
| | - Hassan Abed
- Department of Basic and Clinical Oral Sciences, Umm Al-Qura University, Faculty of Dentistry, Makkah 24381, Saudi Arabia
| | - Elaine Allan
- Department of Microbial Diseases, UCL Eastman Dental Institute, Royal Free Hospital, London NW3 2PF, UK
| | - Paul Ashley
- Unit of Paediatric Dentistry, UCL Eastman Dental Institute, London WC1E 6DE, UK
| | - Anne Young
- Department of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, Royal Free Hospital London, NW3 2PF, UK
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Tsujimoto A, Barkmeier WW, Teixeira EC, Takamizawa T, Miyazaki M, Latta MA. Fatigue bond strength of dental adhesive systems: Historical background of test methodology, clinical considerations and future perspectives. JAPANESE DENTAL SCIENCE REVIEW 2022; 58:193-207. [PMID: 35789771 PMCID: PMC9250030 DOI: 10.1016/j.jdsr.2022.05.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 01/27/2022] [Accepted: 05/09/2022] [Indexed: 10/31/2022] Open
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50
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Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:medicina58101482. [PMID: 36295642 PMCID: PMC9610387 DOI: 10.3390/medicina58101482] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 10/05/2022] [Accepted: 10/14/2022] [Indexed: 11/06/2022]
Abstract
Dietschi and Spreafico first proposed deep margin elevation (DME) in 1998 to address the multiple clinical problems associated with sub-gingival margins, where sub-gingival margins will be repositioned coronally using composite resin restorations. Given that dentistry is directing towards conservatism, its use is currently trending. Materials and Methods: a search was performed through PubMed, Scopus, and Google Scholar search engines to obtain relevant articles with no time restriction. Results: With biological width taken into consideration, well-defined and polished sub-gingival restorations are compatible with periodontal health. Marginal integrity in the DME technique seems to be affected by the type of adhesive, restoration, and incremental layering of the restoration. Regarding fracture resistance, DME has no significant effects. Conclusion: The DME technique seems to be a minimally invasive alternative to surgical crown lengthening (SCL) and orthodontic extrusion (OE) with respect to biological width. Well-controlled clinical trials are limited in this field; further long-term follow-up studies emphasizing the periodontal outcomes and prevention of complications are needed.
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