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Heyder M, Kranz S, Wehle B, Schulze-Späte U, Beck J, Hennig CL, Sigusch BW, Reise M. Suitability of Direct Resin Composites in Restoring Endodontically Treated Teeth (ETT). MATERIALS (BASEL, SWITZERLAND) 2024; 17:3707. [PMID: 39124371 PMCID: PMC11313470 DOI: 10.3390/ma17153707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Revised: 07/04/2024] [Accepted: 07/09/2024] [Indexed: 08/12/2024]
Abstract
(1) Background: The in vitro study aimed to investigate mechanical characteristics of resin composites and their suitability in direct restauration of endodontically treated teeth (ETT). (2) Methods: 38 endodontically treated premolars with occlusal access cavities were directly restored using the following resin composites and adhesives: Tetric Evo Ceram® + Syntac classic® (n = 10), Venus Diamond® + iBond Total-Etch® (n = 10), Grandio® + Solobond M® (n = 9), Estelite® Sigma Quick + Bond Force® (n = 9). After thermocycling, the elastic modulus, shear-bond-strength, fracture load (Fmax) and fracture mode distribution were evaluated. Statistical analysis: one-way ANOVA, t-test, Kruskal-Wallis test; p < 0.05. (3) Results: Grandio® showed the highest E-modulus (15,857.9 MPa) which was significant to Venus Diamond® (13,058.83 MPa), Tetric Evo Ceram® (8636.0 MPa) and Estelite® Sigma Quick (7004.58 MPa). The highest shear-bond-strength was observed for Solobond M® (17.28 MPa), followed by iBond® (16.61 MPa), Syntac classic® (16.41 MPa) and Bond Force® (8.37 MPa, p < 0.05). The highest fracture load (Fmax) was estimated for ETT restored with Venus Diamond® (1106.83 N), followed by Estelite® Sigma Quick (1030.1 N), Tetric Evo Ceram® (1029 N) and Grandio® (921 N). Fracture-mode distribution did not show any significant differences. (4) Conclusions: The observed resin composites and adhesives show reliable mechanical characteristics and seem to be suitable for direct restoration of endodontically treated teeth.
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Affiliation(s)
- Markus Heyder
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany (M.R.)
| | - Stefan Kranz
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany (M.R.)
| | - Bruno Wehle
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany (M.R.)
| | - Ulrike Schulze-Späte
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany (M.R.)
| | - Julius Beck
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany (M.R.)
| | - Christoph-Ludwig Hennig
- Department of Orthodontics, Center of Dental Medicine, Jena University Hospital, 07743 Jena, Germany
| | - Bernd W. Sigusch
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany (M.R.)
| | - Markus Reise
- Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, Jena University Hospitals, 07743 Jena, Germany (M.R.)
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Mudhaffer S, Althagafi R, Haider J, Satterthwaite J, Silikas N. Effects of printing orientation and artificial ageing on martens hardness and indentation modulus of 3D printed restorative resin materials. Dent Mater 2024; 40:1003-1014. [PMID: 38735775 DOI: 10.1016/j.dental.2024.05.005] [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: 03/22/2024] [Revised: 04/29/2024] [Accepted: 05/03/2024] [Indexed: 05/14/2024]
Abstract
BACKGROUND Three-dimensional (3D) printing is increasingly used to fabricate dental restorations due to its enhanced precision, consistency and time and cost-saving advantages. The properties of 3D-printed resin materials can be influenced by the chosen printing orientation which can impact the mechanical characteristics of the final products. PURPOSE The objective of this study was to evaluate the influence of printing orientation and artificial ageing on the Martens hardness (HM) and indentation modulus (EIT) of 3D-printed definitive and temporary dental restorative resins. METHODS Disk specimens (20 mm diameter × 2 mm height) were additively manufactured in three printing orientations (0°, 45°, 90°) using five 3D-printable resins: VarseoSmile Crownplus (VCP), Crowntec (CT), Nextdent C&B MFH (ND), Dima C&B temp (DT), and GC temp print (GC). The specimens were printed using a DLP 3D-printer (ASIGA MAX UV), while LavaTM Ultimate (LU) and Telio CAD (TC) served as milled control materials. Martens hardness (HM) and indentation modulus (EIT) were tested both before and after storage in distilled water and artificial saliva for 1, 30, and 90 days at 37 °C. RESULTS 90° printed specimens exhibited higher HM than the other orientations at certain time points, but no significant differences were observed in HM and EIT between orientations for all 3D-printed materials after 90 days of ageing in both aging media. LU milled control material exhibited the highest HM and EIT among the tested materials, while TC, the other milled control, showed similar values to the 3D printed resins. CT and VCP (definitive resins) and ND displayed higher Martens parameters compared to DT and GC (temporary resins). The hardness of the 3D-printed materials was significantly impacted by artificial ageing compared to the controls, with ND having the least hardness reduction percentage amongst all 3D-printed materials. The hardness reduction percentage in distilled water and artificial saliva was similar for all materials except for TC, where higher reduction was noted in artificial saliva. SIGNIFICANCE The used 3D printed resins cannot yet be considered viable alternatives to milled materials intended for definitive restorations but are preferable for use as temporary restorations.
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Affiliation(s)
- Shaymaa Mudhaffer
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK; Substitutive Dental Sciences, Faculty of Dentistry, Taibah University, Madinah, Saudi Arabia.
| | - Rana Althagafi
- Substitutive Dental Sciences, Faculty of Dentistry, Taibah University, Madinah, Saudi Arabia
| | - Julfikar Haider
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK; Department of Engineering, Manchester Metropolitan University, Manchester, UK
| | - Julian Satterthwaite
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK
| | - Nick Silikas
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK.
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Fei X, Li Y, Zhang Q, Tian C, Li Y, Dong Q, Weir MD, Homayounfar N, Oates TW, Imazato S, Dai Q, Xu HHK, Ruan J. Novel pit and fissure sealant with nano-CaF 2 and antibacterial monomer: Fluoride recharge, microleakage, sealing ability and cytotoxicity. Dent Mater J 2024; 43:346-358. [PMID: 38583998 DOI: 10.4012/dmj.2023-166] [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: 04/09/2024]
Abstract
Conventional resin-based sealants release minimal fluoride ions (F) and lack antibacterial activity. The objectives of this study were to: (1) develop a novel bioactive sealant containing calcium fluoride nanoparticles (nCaF2) and antibacterial dimethylaminohexadecyl methacrylate (DMAHDM), and (2) investigate mechanical performance, F recharge and re-release, microleakage, sealing ability and cytotoxicity. Helioseal F served as commercial control. The initial F release from sealant containing 20% nCaF2 was 25-fold that of Helioseal F. After ion exhaustion and recharge, the F re-release from bioactive sealant did not decrease with increasing number of recharge and re-release cycles. Elastic modulus of new bioactive sealant was 44% higher than Helioseal F. The new sealant had excellent sealing, minimal microleakage, and good cytocompatibility. Hence, the nanostructured sealant had substantial and sustained F release and antibacterial activity, good sealing ability and biocompatibility. The novel bioactive nCaF2 sealant is promising to provide long-term F ions for caries prevention.
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Affiliation(s)
- Xiuzhi Fei
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University
- Center of Oral Public Health, College of Stomatology, Xi'an Jiaotong University
| | - Yuncong Li
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University
- Department of Prosthodontics, College of Stomatology, Xi'an Jiaotong University
| | - Qian Zhang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University
- Center of Oral Public Health, College of Stomatology, Xi'an Jiaotong University
| | - Chunli Tian
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University
- Center of Oral Public Health, College of Stomatology, Xi'an Jiaotong University
| | - Yue Li
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University
- Center of Oral Public Health, College of Stomatology, Xi'an Jiaotong University
| | - Qiannan Dong
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University
- Center of Oral Public Health, College of Stomatology, Xi'an Jiaotong University
| | - Michael D Weir
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry
| | - Negar Homayounfar
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry
| | - Thomas W Oates
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry
| | - Satoshi Imazato
- Department of Dental Biomaterials, Osaka University Graduate School of Dentistry
| | - Quan Dai
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University
| | - Hockin H K Xu
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry
- Center for Stem Cell Biology and Regenerative Medicine, University of Maryland School of Medicine
- Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine
| | - Jianping Ruan
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University
- Center of Oral Public Health, College of Stomatology, Xi'an Jiaotong University
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Elraggal A, Abdelraheem IM, Watts DC, Roy S, Dommeti VK, Alshabib A, Althaqafi KA, Afifi RR. Biomechanical reinforcement by CAD-CAM materials affects stress distributions of posterior composite bridges: 3D finite element analysis. Dent Mater 2024; 40:869-877. [PMID: 38609774 DOI: 10.1016/j.dental.2024.04.001] [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: 02/17/2024] [Revised: 03/28/2024] [Accepted: 04/02/2024] [Indexed: 04/14/2024]
Abstract
OBJECTIVES This 3D finite element analysis study aimed to investigate the effect of reinforcing CAD-CAM bars on stress distribution in various components of a posterior composite bridge. METHODS A virtual model mimicking the absence of an upper second premolar was created, featuring class II cavity preparations on the proximal surfaces of the adjacent abutment teeth surrounding the edentulous space. Five distinct finite element analysis (FEA) models were generated, each representing a CAD-CAM reinforcing bar material: 3-YTZP (IPS. emax ZirCAD MO; Zr), lithium disilicate (IPS e.max CAD; EX), nano-hybrid resin composite (Grandio Blocs; GB), Fibre-reinforced composite (Trilor; Tri), and polyetheretherketone (PEEK). A veneering resin composite was employed to simulate the replacement of the missing premolar (pontic). In the FEA, an axial force of 600 N and a transverse load of 20 N were applied at the center of the pontic. Subsequently, maximum von Mises (mvM) and maximum principal stresses (σmax) were computed across various components of the generated models. Additionally, shear stresses at the interface between the CAD-CAM bars and the veneering resin composite were determined. RESULTS CAD-CAM materials with high modulus of elasticity, such as Zr and EX, exhibited the highest mvM stresses and shear stresses while transferring the lowest stress to the veneering resin composite in comparison to other materials. Conversely, PEEK demonstrated the lowest mvM stresses but produced the highest stresses within the veneering resin composite. There was a uniform distribution of mvM stresses in the remaining tooth structure among all groups, except for a noticeable elevation in the molar region of Zr and EX groups. SIGNIFICANCE Reinforcing CAD-CAM bar materials with a high modulus of elasticity, such as Zr and EX, may result in debonding failures at the connector sites of posterior composite bridges. Conversely, GB, PEEK, and Tri have the potential to cause fracture failures at the connectors rather than debonding.
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Affiliation(s)
- Alaaeldin Elraggal
- Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK; Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
| | - Islam M Abdelraheem
- Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - David C Watts
- Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Sandipan Roy
- Department of Mechanical Engineering, SRM Institute of Science and Technology, Kattankulathur 603203, Tamil Nadu, India
| | - Vamsi Krishna Dommeti
- Department of Mechanical Engineering, SRM Institute of Science and Technology, Kattankulathur 603203, Tamil Nadu, India
| | - Abdulrahman Alshabib
- Restorative Dentistry Department, Faculty of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Khaled Abid Althaqafi
- Restorative Dentistry Department, Faculty of Dentistry, College of Dental Medicine, University of Umm Al Qura, Makkah, Saudi Arabia
| | - Rania R Afifi
- Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
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Huang T, Jia J, Zhu C, Tian J, Zhang S, Yang X, Lei B, Li Y. A novel mussel-inspired desensitizer based on radial mesoporous bioactive nanoglass for the treatment of dentin exposure: An in vitro study. J Mech Behav Biomed Mater 2024; 152:106420. [PMID: 38310812 DOI: 10.1016/j.jmbbm.2024.106420] [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: 11/24/2023] [Revised: 01/18/2024] [Accepted: 01/23/2024] [Indexed: 02/06/2024]
Abstract
OBJECTIVES The dentin exposure always leads to dentin hypersensitivity and the acid-resistant/abrasion-resistant stability of current therapeutic approaches remain unsatisfatory. Inspired by the excellent self-polymerization/adherence activity of mussels and the superior mineralization ability of bioactive glass, a novel radial mesoporous bioactive nanoglass coated with polydopamine (RMBG@PDA) was developed for prevention and management of dentin hypersensitivity. METHODS Radial mesoporous bioactive nanoglass (RMBG) was synthesized by the sol-gel process combined with the cetylpyridine bromide template self-assembly technique. RMBG@PDA was synthesized by a self-polymerization process involving dopamine and RMBG in an alkaline environment. Then, the nanoscale morphology, chemical structure, crystalline phase and Zeta potential of RMBG and RMBG@PDA were characterized. Subsequently, the ion release ability, bioactivity, and cytotoxicity of RMBG and RMBG@PDA in vitro were investigated. Moreover, an in vitro experimental model of dentin hypersensitivity was constructed to evaluate the effectiveness of RMBG@PDA on dentinal tubule occlusion, including resistances against acid and abrasion. Finally, the Young's modulus and nanohardness of acid-etched dentin were also detected after RMBG@PDA treatment. RESULTS RMBG@PDA showed a typical nanoscale morphology and noncrystalline structure. The use of RMBG@PDA on the dentin surface could effectively occlude dentinal tubules, reduce dentin permeability and achieve excellent acid- and abrasion-resistant stability. Furthermore, RMBG@PDA with excellent cytocompatibility held the capability to recover the Young's modulus and nanohardness of acid-etched dentin. CONCLUSION The application of RMBG@PDA with superior dentin tubule occlusion ability and acid/abrasion-resistant stability can provide a therapeutic strategy for the prevention and the management of dentin hypersensitivity.
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Affiliation(s)
- Tianjia Huang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China
| | - Jieyong Jia
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China
| | - Changze Zhu
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China
| | - Jing Tian
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China; Frontier Institute of Science and Technology, Xi'an Jiaotong University, Xi'an, 710054, China
| | - Shiyi Zhang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China
| | - Xiaoxi Yang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China
| | - Bo Lei
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China; Frontier Institute of Science and Technology, Xi'an Jiaotong University, Xi'an, 710054, China.
| | - Yuncong Li
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China.
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Çağırır Dindaroğlu F, Yılmaz E. Two-year evaluation of a nano-hybrid and a bulk-fill resin composite: a randomized, double-blind split-mouth clinical study. Clin Oral Investig 2024; 28:208. [PMID: 38467942 PMCID: PMC10927878 DOI: 10.1007/s00784-024-05592-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 02/26/2024] [Indexed: 03/13/2024]
Abstract
OBJECTIVES The aim of this study was to compare the 2-year clinical performance of a bulk-fill composite resin and a nano-hybrid-filled composite resin in 6-12-year-old children in a split-mouth design. MATERIALS AND METHODS This randomized, split-mouth, and double-blind study was conducted on 89 patients aged 6-12 years with caries on bilateral mandibular first molars. In a split-mouth design, restorations of mandibular permanent molars were completed with nano-hybrid organically modified ceramic (ORMOCER)-based bulk-fill composite resin Admira Fusion x-tra (Voco GmbH, Cuxhaven, Germany) and nano-hybrid composite Grandio (Voco, Cuxhaven, Germany). Futurabond U single dose (Voco, Cuxhaven, Germany) was used with selective enamel etching. The clinical success of the restorations was evaluated using USPHS and FDI criteria at 6, 12, and 24-month follow-up controls. RESULTS In the 2-year follow-up, all restorations were clinically acceptable. Grandio was significantly worse than Admira Fusion x-tra in terms of surface luster and superficial change (p < 0.05). Surface staining and color match scores increased in Admira Fusion x-tra compared with Grandio significantly (p < 0.05). CONCLUSIONS Although both materials showed acceptable clinical performance over 2 years, a significant difference was observed between the surface luster, surface staining, marginal adaptation, and staining of the nano-hybrid composite placed with the incremental technique and the bulk-fill ORMOCER-based composite resin. CLINICAL RELEVANCE As an alternative to nano-hybrid composite resins, using bulk-fill restorative materials, which can be indicated in the proper case, may contribute to shortening treatment procedures and increasing patient and physician comfort, leading to clinical success.
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Affiliation(s)
- Funda Çağırır Dindaroğlu
- İzmir Katip Çelebi University, School of Dentistry, Department of Pediatric Dentistry, İzmir, Turkey.
| | - Ece Yılmaz
- İzmir Katip Çelebi University, School of Dentistry, Department of Pediatric Dentistry, İzmir, Turkey
- Private Practice, Istanbul, Turkey
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Fidalgo-Pereira R, Catarino SO, Carvalho Ó, Veiga N, Torres O, Braem A, Souza JCM. Light transmittance through resin-matrix composite onlays adhered to resin-matrix cements or flowable composites. J Mech Behav Biomed Mater 2024; 151:106353. [PMID: 38194785 DOI: 10.1016/j.jmbbm.2023.106353] [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: 11/15/2023] [Revised: 12/21/2023] [Accepted: 12/24/2023] [Indexed: 01/11/2024]
Abstract
OBJECTIVE The aim of this study was to evaluate the influence of the thickness of resin-matrix composite blocks manufactured by CAD-CAM on the light transmittance towards different resin-matrix cements or flowable composites. METHODS Sixty specimens of resin-matrix composite CAD-CAM blocks reinforced with 89 wt% inorganic fillers were cross-sectioned with 2 or 3 mm thicknesses. The specimens were conditioned with adhesive system and divided in groups according to the luting material, namely: two dual-cured resin-matrix cements, two traditional flowable resin-matrix composites, and one thermal-induced flowable resin-matrix composite. Specimens were light-cured at 900 mW/cm2 for 40s. Light transmittance assays were preformed using a spectrophotometer with an integrated monochromator before and after light-curing. Microstructural analysis was performed by optical and scanning electron microscopy (SEM). Nanoindentation tests were performed to evaluate mechanical properties for indirect evaluation of degree of monomers conversion. RESULTS Optical and SEM images revealed low thickness values for the cementation interfaces for the traditional flowable resin-matrix composite. The cement thickness increased with the size and content of inorganic fillers. The highest light transmittance was recorded for the onlay blocks cemented with the traditional flowable resin-matrix composites while a group cemented with the dual-cured resin-matrix cement revealed the lowest light transmittance. The elastic modulus and hardness increased for specimens with high content of inorganic fillers as well as it increased in function of the light transmittance. CONCLUSIONS The light transmittance of flowable resin-matrix composites was higher than that for resin-matrix cement after cementation to resin-matrix composites blocks. The type, size, and content of inorganic fillers of the luting material affected the thickness of the cement layer and light transmittance through the materials. CLINICAL RELEVANCE On chair-side light curing, the transmission of visible light can be interfered by the chemical composition and viscosity of the luting materials. The increase in size and content of inorganic fillers of resin-matrix composites and luting materials can decrease the light transmittance leading to inefficient polymerization.
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Affiliation(s)
- Rita Fidalgo-Pereira
- Center for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine (FMD), Universidade Católica Portuguesa (UCP), 3504-505, Viseu, Portugal
| | - Susana O Catarino
- Center for MicroElectroMechanical Systems (CMEMS-UMinho), University of Minho, 4800-058, Guimarães, Portugal; LABBELS - Associate Laboratory, University of Minho, Guimarães, 4710-057 Braga, Portugal
| | - Óscar Carvalho
- Center for MicroElectroMechanical Systems (CMEMS-UMinho), University of Minho, 4800-058, Guimarães, Portugal; LABBELS - Associate Laboratory, University of Minho, Guimarães, 4710-057 Braga, Portugal
| | - Nélio Veiga
- Center for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine (FMD), Universidade Católica Portuguesa (UCP), 3504-505, Viseu, Portugal
| | - Orlanda Torres
- Oral Pathology and Rehabilitation Research Unit (UNIPRO), University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra, Portugal
| | - Annabel Braem
- Department of Materials Engineering (MTM), Biomaterials and Tissue Engineering Research Group, KU Leuven, 3000 Leuven, Belgium
| | - Júlio C M Souza
- Center for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine (FMD), Universidade Católica Portuguesa (UCP), 3504-505, Viseu, Portugal; Center for MicroElectroMechanical Systems (CMEMS-UMinho), University of Minho, 4800-058, Guimarães, Portugal; LABBELS - Associate Laboratory, University of Minho, Guimarães, 4710-057 Braga, Portugal.
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Reda SA, Hussein YF, Riad M. The impact of Bis-GMA free and Bis-GMA containing resin composite as posterior restoration on marginal integrity: a randomized controlled clinical trial. BMC Oral Health 2023; 23:1022. [PMID: 38114979 PMCID: PMC10731870 DOI: 10.1186/s12903-023-03759-5] [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: 09/01/2023] [Accepted: 12/12/2023] [Indexed: 12/21/2023] Open
Abstract
BACKGROUND There have been concerns surrounding the utilization of Bis-GMA, a type of bisphenol A (BPA) derivative, within the dental industry. The aim of this study was to compare the performance of bulk fill Bis-GMA-free resin composite class II restorations in respect of its marginal integrity in comparison to bulk fill Bis-GMA-containing resin composite class II restorations over a 12-month period in a parallel clinical trial utilizing a split-mouth, double-blind, randomized strategy. METHODS 20 patients participated in this study. Each patient has received one pair of class II posterior restorations, Bis-GMA-free (Admira fusion x-tra), and Bis-GMA containing (x-tra fil) on each side of the mouth (split-mouth strategy), (n = 40). The restorations' marginal integrity was evaluated based on Ryge's criteria (modified USPHS) at baseline (after 1 week), as well as 1 month, 3 months, 6 months, 9 months, and after 12 months of follow-up by two calibrated examiners. The statistical analyses utilizing the Friedman and Wilcoxon tests, the significance level was adjusted to 0.05. RESULTS Following the 12-month period, all patients attended the recall visits to evaluate the restorations. The Wilcoxon signed-rank and Friedman tests, revealed that both types of bulk fill had 100% of Alpha (A) scores at baseline and after 1 month with no significant statistical differences. After 3, 6, 9, and 12 months, both tested bulk fill restorations showed Bravo (B) score with Bis-GMA free 10% and 5% for Bis-GMA containing with no statistically significant difference (p ≤ 0.05) for clinical marginal integrity parameter in USPHS criteria. CONCLUSIONS Bis-GMA-free resin composites demonstrated satisfactory, marginal integrity compared with Bis-GMA-containing resin composites within 12 months. TRIAL REGISTRATION The protocol of the current study was registered at www. CLINICALTRIALS gov , with the identification number NCT05480852 on 29/07/2022. All procedures involving human participants were performed in accordance with the ethical standards of the Research Ethics Committee of the Faculty of Dentistry, Minia University, Egypt, under the approval number 419 on 27/06/2020.
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Affiliation(s)
- Sara Ahmed Reda
- Operative Dentistry Department, Faculty of Dentistry, Minia University, Minia, Egypt
| | - Yasser Fathi Hussein
- Dental Biomaterials Department, Faculty of Dentistry, Minia University, Minia, 61519, Egypt
| | - Mona Riad
- Conservative Dentistry Department, Faculty of Dentistry, Cairo University, 11 El-Saraya St, Manial, Cairo, 11553, Egypt.
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Pinheiro ACP, Aires OV, Gasperini MRC, Lima LCD, Shimokawa CAK, Turbino ML. The effect of tooth bleaching using violet LED (405-410 nm) on the properties of resin-based composites. Photodiagnosis Photodyn Ther 2023; 44:103883. [PMID: 37944626 DOI: 10.1016/j.pdpdt.2023.103883] [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] [Revised: 10/30/2023] [Accepted: 11/03/2023] [Indexed: 11/12/2023]
Abstract
BACKGROUND The objective of this study was to evaluate the effect of bleaching techniques, including or not the use of violet light (405-410 nm), on resin-based composites' color, surface roughness, nanohardness, and elastic modulus. METHODS Ninety-six disk-shaped specimens (12 mm x 2 mm; n = 12) were prepared using Filtek Z350 XT (Z350) and IPS Empress Direct (ED) resin-based composites. After 24 h, specimens were stained in red wine for 28 days. After staining, specimens were divided into four experimental groups: 40 % Hydrogen Peroxide (HP); Violet Light (VL); 40 % Hydrogen Peroxide associated with Violet Light (HP+VL), and a control group - no treatment (NT). Specimens were evaluated at six experimental times: initial (24 h after light curing); after staining and after the 1st, 2nd, 3rd, and 4th bleaching sessions regarding the color change (ΔE00, L*, a*, b*, and WID); roughness (Ra), nanohardness and elastic modulus (GPa). Two-way analysis of variance for repeated measures was performed (α=0.05 %). RESULTS There was a statistically significant difference between staining and the 1st bleaching session for all ED groups (p<0.05). After the last bleaching session, there were no differences between the experimental and the control groups of both resin-based composites. Bleaching using violet light did not change the roughness, nanohardness and elastic modulus of the tested resin-based composites (p>0.05). CONCLUSIONS Although hydrogen peroxide and violet light remove pigments from resin-based composites without affecting their surface roughness, nanohardness, and elastic modulus, the color change was similar to the one obtained by immersion in distilled water.
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Affiliation(s)
- Amanda Cavalcante Pereira Pinheiro
- Department of Restorative Dentistry, University of São Paulo, School of Dentistry, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil
| | - Olívia Vieira Aires
- Department of Restorative Dentistry, University of São Paulo, School of Dentistry, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil
| | - Mariana Rossi Carneiro Gasperini
- Department of Restorative Dentistry, University of São Paulo, School of Dentistry, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil
| | - Leonardo Custódio de Lima
- Department of Restorative Dentistry, University of São Paulo, School of Dentistry, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil
| | - Carlos Alberto Kenji Shimokawa
- Department of Restorative Dentistry, University of São Paulo, School of Dentistry, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil.
| | - Míriam Lacalle Turbino
- Department of Restorative Dentistry, University of São Paulo, School of Dentistry, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil
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Fidalgo-Pereira R, Carvalho Ó, Catarino SO, Henriques B, Torres O, Braem A, Souza JCM. Effect of inorganic fillers on the light transmission through traditional or flowable resin-matrix composites for restorative dentistry. Clin Oral Investig 2023; 27:5679-5693. [PMID: 37592003 PMCID: PMC10492747 DOI: 10.1007/s00784-023-05189-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 07/28/2023] [Indexed: 08/19/2023]
Abstract
OBJECTIVES The aim of this in vitro study was to evaluate the light transmission through five different resin-matrix composites regarding the inorganic filler content. METHODS Resin-matrix composite disc-shaped specimens were prepared on glass molds. Three traditional resin-matrix composites contained inorganic fillers at 74, 80, and 89 wt. % while two flowable composites revealed 60 and 62.5 wt. % inorganic fillers. Light transmission through the resin-matrix composites was assessed using a spectrophotometer with an integrated monochromator before and after light curing for 10, 20, or 40s. Elastic modulus and nanohardness were evaluated through nanoindentation's tests, while Vicker's hardness was measured by micro-hardness assessment. Chemical analyses were performed by FTIR and EDS, while microstructural analysis was conducted by optical microscopy and scanning electron microscopy. Data were evaluated using two-way ANOVA and Tukey's test (p < 0.05). RESULTS After polymerization, optical transmittance increased for all specimens above 650-nm wavelength irradiation since higher light exposure time leads to increased light transmittance. At 20- or 40-s irradiation, similar light transmittance was recorded for resin composites with 60, 62, 74, or 78-80 wt. % inorganic fillers. The lowest light transmittance was recorded for a resin-matrix composite reinforced with 89 wt. % inorganic fillers. Thus, the size of inorganic fillers ranged from nano- up to micro-scale dimensions and the high content of micro-scale inorganic particles can change the light pathway and decrease the light transmittance through the materials. At 850-nm wavelength, the average ratio between polymerized and non-polymerized specimens increased by 1.6 times for the resin composite with 89 wt. % fillers, while the composites with 60 wt. % fillers revealed an increased ratio by 3.5 times higher than that recorded at 600-nm wavelength. High mean values of elastic modulus, nano-hardness, and micro-hardness were recorded for the resin-matrix composites with the highest inorganic content. CONCLUSIONS A high content of inorganic fillers at 89 wt.% decreased the light transmission through resin-matrix composites. However, certain types of fillers do not interfere on the light transmission, maintaining an optimal polymerization and the physical properties of the resin-matrix composites. CLINICAL SIGNIFICANCE The type and content of inorganic fillers in the chemical composition of resin-matrix composites do affect their polymerization mode. As a consequence, the clinical performance of resin-matrix composites can be compromised, leading to variable physical properties and degradation.
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Affiliation(s)
- Rita Fidalgo-Pereira
- Center for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine (FMD), Universidade Católica Portuguesa (UCP), 3504-505, Viseu, Portugal
- University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra PRD, Portugal
| | - Óscar Carvalho
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, 4800-058, Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
| | - Susana O Catarino
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, 4800-058, Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
| | - Bruno Henriques
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, 4800-058, Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
- Ceramic and Composite Materials Research Group (CERMAT), Department of Mechanical Engineering (EMC), Federal University of Santa Catarina (UFSC), SC, 88040-900, Florianopolis, Brazil
| | - Orlanda Torres
- Oral Pathology and Rehabilitation Research Unit (UNIPRO), University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra, Portugal
| | - Annabel Braem
- Department of Materials Engineering (MTM), Biomaterials and Tissue Engineering Research Group, KU Leuven, 3000, Leuven, Belgium
| | - Júlio C M Souza
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, 4800-058, Guimarães, Portugal.
- LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal.
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11
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Yassin SM, Mohamad D, Togoo RA, Sanusi SY, Johari Y. Do nanofillers provide better physicomechanical properties to resin-based pit and fissure sealants? A systematic review. J Mech Behav Biomed Mater 2023; 145:106037. [PMID: 37499522 DOI: 10.1016/j.jmbbm.2023.106037] [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: 06/05/2023] [Revised: 07/16/2023] [Accepted: 07/21/2023] [Indexed: 07/29/2023]
Abstract
The purpose of this study was to systematically review the impact of nanofillers on the physicomechanical properties of resin-based pit and fissure sealants (RBS). This review included in vitro studies with full-length English-language articles reporting on the physicomechanical properties of nanofilled RBS until February 2023. PubMed, Web of Sciences, Scopus, and LILACS databases were accessed for literature searches. The review was formulated based on the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines and used the Consolidated Standards of Reporting Trials (CONSORT) guidelines and risk of bias Cochrane tool for quality assessment. The search resulted in 539 papers, of which 22 were eligible to be included in the review. Inorganic, polymeric, core-shell, and composite nanomaterials were used to reinforce the studied RBS. The inherent nature of the nanomaterial used, its morphology, concentration, and volume used were the primary parameters that determined the nanomaterial's success as a filler in RBS. These parameters also influenced their interaction with the resin matrix, which influenced the final physicomechanical properties of RBS. The use of nanofillers that were non-agglomerated and well dispersed in the resin matrix enhanced the physicomechanical properties of RBS.
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Affiliation(s)
- Syed M Yassin
- Biomaterials and Craniofacial Aesthetics Research Cluster, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia; Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, 62529, Kingdom of Saudi Arabia.
| | - Dasmawati Mohamad
- Biomaterials and Craniofacial Aesthetics Research Cluster, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
| | - Rafi Ahmad Togoo
- Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, 62529, Kingdom of Saudi Arabia.
| | - Sarliza Yasmin Sanusi
- Biomaterials and Craniofacial Aesthetics Research Cluster, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
| | - Yanti Johari
- Biomaterials and Craniofacial Aesthetics Research Cluster, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
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12
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Alzahrani B, Alshabib A, Awliya W. Surface hardness and flexural strength of dual-cured bulk-fill restorative materials after solvent storage. BMC Oral Health 2023; 23:306. [PMID: 37208664 DOI: 10.1186/s12903-023-03047-2] [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: 03/25/2023] [Accepted: 05/15/2023] [Indexed: 05/21/2023] Open
Abstract
BACKGROUND This study aimed to evaluate the surface hardness (VHN) and biaxial flexural strength (BFS) of dual-cured bulk-fill restorative materials after solvent storage. METHODS Two dual-cured bulk-fill composites (Surefil One® and Activa™ Bioactive), a light-cured bulk-fill composite (Filtek One Bulk-Fill) and a resin-modified glass ionomer (Fuji II LC) were investigated. Surefil One and Activa were used in the dual-cure mode, all materials were handled according to manufacturer's instructions. For VHN determination, 12 specimens were prepared from each material and measured after 1 h (baseline), 1 d, 7 d and 30 d of storage in either water or 75% ethanol-water. For BFS test, 120 specimens were prepared (n = 30/material) and stored in water for either 1, 7 or 30 d before testing. Repeated measures MANOVA, two-way and one-way ANOVA followed by the Tukey post hoc test (p ≤ 0.05) were used to analyze the data. RESULTS Filtek One had the highest VHN, while Activa had the lowest. All materials exhibited a significant increase in VHN after 1d of storage in water, except for Surefil One. After 30 d of storage, VHN increased significantly in water except for Activa, while ethanol storage caused a significant time-dependent reduction in all tested materials (p ≤ 0.05). Filtek One showed the highest BFS values (p ≤ 0.05). All the materials, except for Fuji II LC, exhibited no significant differences between 1 and 30 d BFS measurements (p > 0.05). CONCLUSIONS Dual-cured materials had significantly lower VHN and BFS compared to the light-cured bulk-fill material. The low results of Activa VHN and Surefil One BFS, indicate that these materials should not be recommended in posterior stress-bearing areas.
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Affiliation(s)
- Bashayer Alzahrani
- Department of Restorative Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
| | - Abdulrahman Alshabib
- Department of Restorative Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Wedad Awliya
- Department of Restorative Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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13
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Effect of hydrothermal aging on the microhardness of high- and low-viscosity conventional and additively manufactured polymers. J Prosthet Dent 2022; 128:822.e1-822.e9. [DOI: 10.1016/j.prosdent.2022.08.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 08/29/2022] [Accepted: 08/29/2022] [Indexed: 03/14/2023]
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14
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Shim JS, Li CY, Won JE, Ryu JJ. Evaluation of microleakage and push-out bond strength of various composite resins for sealing the screw-access channel in implant-supported restorations. J Prosthet Dent 2022; 128:764.e1-764.e7. [DOI: 10.1016/j.prosdent.2022.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 07/28/2022] [Accepted: 07/28/2022] [Indexed: 11/06/2022]
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15
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Stiles A, Tison TA, Pruitt L, Vaidya U. Photoinitiator Selection and Concentration in Photopolymer Formulations towards Large-Format Additive Manufacturing. Polymers (Basel) 2022; 14:polym14132708. [PMID: 35808752 PMCID: PMC9268840 DOI: 10.3390/polym14132708] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 06/27/2022] [Accepted: 06/27/2022] [Indexed: 02/04/2023] Open
Abstract
Photopolymers are an attractive option for large-format additive manufacturing (LFAM), because they can be formulated from structural thermosets and cure rapidly in ambient conditions under low-energy ultraviolet light-emitting diode (UV LED) lamps. Photopolymer cure is strongly influenced by the depth penetration of UV light, which can be limited in the 2–4 mm layer thicknesses typical of LFAM. Photoinitiator (PI) systems that exhibit photobleaching have proven useful in thick-section cure applications, because they generate a photoinitiation wavefront, but this effect is time-dependent. This study investigates the light transmission and through-thickness cure behavior in (meth)acrylate photopolymer formulations with the photobleaching initiator bis(2,4,6-trimethylbenzoyl)-phenylphosphine oxide (BAPO). Utilizing an optical model developed by Kenning et al., lower concentrations (0.1 wt% to 0.5 wt%) of BAPO were predicted to yield rapid onset of photoinitiation. In situ cure measurements under continuous UV LED irradiation of 380 mW/cm2 showed that a 0.1 wt% concentration of BAPO achieved peak polymerization rate within 2.5 s at a 3-mm depth. With only 1 s of irradiation at 1.7 W/cm2 intensity, the 0.1 wt% BAPO formulation also achieved the highest level of cure of the formulas tested. For an irradiation dose of 5.5 J/cm2 at a duration of 3.7 s, cured polymer specimens achieved a flexural strength of 108 MPa and a flexural modulus of 3.1 GPa. This study demonstrates the utility of optical modeling as a potential screening tool for new photopolymer formulations, primarily in identifying an upper limit to PI concentration for the desired cure depth. The results also show that photobleaching provides only a limited benefit for LFAM applications with short (1.0 s to 3.7 s) UV irradiation times and indicate that excess PI concentration can inhibit light transmission even under extended irradiation times up to 60 s.
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Affiliation(s)
- Alex Stiles
- Bredesen Center for Interdisciplinary Research, University of Tennessee, Middle Drive, Knoxville, TN 37996, USA;
| | - Thomas-Allan Tison
- Tickle College of Engineering, University of Tennessee, Middle Drive, Knoxville, TN 37996, USA;
| | - Liam Pruitt
- Haslam College of Business, University of Tennessee, 1000 Volunteer Boulevard, Knoxville, TN 37996, USA;
| | - Uday Vaidya
- Tickle College of Engineering, University of Tennessee, Middle Drive, Knoxville, TN 37996, USA;
- Manufacturing Sciences Division, Oak Ridge National Laboratory, 2350 Cherahala Blvd, Knoxville, TN 37932, USA
- Institute for Advanced Composites Manufacturing Innovation, 2360 Cherahala Blvd, Knoxville, TN 37932, USA
- Correspondence: ; Tel.: +1-865-974-7620
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16
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Yadav R, Meena A, Patnaik A. Biomaterials for dental composite applications: A comprehensive review of physical, chemical, mechanical, thermal, tribological, and biological properties. POLYM ADVAN TECHNOL 2022. [DOI: 10.1002/pat.5648] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Ramkumar Yadav
- Department of Mechanical Engineering Malaviya National Institute of Technology Jaipur Rajasthan India
| | - Anoj Meena
- Department of Mechanical Engineering Malaviya National Institute of Technology Jaipur Rajasthan India
| | - Amar Patnaik
- Department of Mechanical Engineering Malaviya National Institute of Technology Jaipur Rajasthan India
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Effect of Surface Polishing on Nano-Hardness and Elastic Modulus of Different Resin Composites after Immersion in Alcoholic Medium. JOURNAL OF COMPOSITES SCIENCE 2021. [DOI: 10.3390/jcs5120327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
There has been a great tendency toward using resin composite in dentistry and exploring nano-hardness, elastic modulus, and effect of polishing on its mechanical properties after its artificial ageing. This study aimed to evaluate the effect of surface polishing of four different resin composites on their nano-hardness and elastic modulus. This effect was tested right after light curing of composite resin and after its artificial ageing (immersion in alcoholic medium). Nanoindentation test preparations, surface roughness, surface hardness, and scanning electron microscope were conducted across the four different resin composites: Clearfil AP-X (APX), Estelite Sigma Quick (ESQ), Beautifil II (BE2), and FiltekTM Supreme Ultra Universal restorative (FSU). We found that difference in fillers load and particle size are amongst the factors influencing hardness and modulus of elasticity. The APX is the highest in term of hardness due to fillers load and size while the ESQ is the lowest because all fillers in nano size and distributed homogenously. The significance of surface polishing of the studied resin composite restorations was highlighted. Future research may focus on exploring survival rate of polished and non-polished composite surfaces with emphasis on measuring degree of conversion and impacts of polished and non-polished surfaces on the individuals’ oral health quality of life.
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18
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Wang WJ, Grymak A, Waddell JN, Choi JJE. The effect of light curing intensity on bulk-fill composite resins: heat generation and chemomechanical properties. Biomater Investig Dent 2021; 8:137-151. [PMID: 34622209 PMCID: PMC8491722 DOI: 10.1080/26415275.2021.1979981] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Objectives The aim of this study was to assess the effect of light curing intensity and wavelength spectrum on heat generation and chemomechanical properties of bulk-fill composites. Methods Four bulk-fill restorative materials (Filtek bulk-fill, Tetric PowerFill bulk-fill, Beautifil Bulk restorative and Admira Fusion X-tra were used in this study. A total of 100 cylindrical specimens of each composite (n = 25/group) were prepared, then cured using monowave light curing unit (LCU) with a single light intensity of 1470 mW/cm2, and polywave LCU with three different light intensities (1200,2100, 3050mW/cm2). The temperature change during polymerisation was measured by five K-type thermocouples placed in each 1 mm layer from top to bottom. Hardness and degree of conversion of composites at each level were evaluated. Results were statistically analysed. Results The use of polywave LCU resulted in statistically higher peak temperatures ranging between 31.4-63.5 °C compared to the temperature generated by monowave LCU ranging between 29.5-60 °C (p < .05). Curing using polywave LCU with the highest light intensity of 3050 mW/cm2 caused the highest peak temperature irrespective of the composite types. There was no significant difference in hardness with different light curing intensities and curing times, regardless of the bulk-fill resin materials (p > .05). A positive correlation was also found between the hardness and the DoC of the four bulk-fill composites. Conclusion The change in temperature during polymerisation of bulk-fill composites were found to be proportional to the increase in light curing intensity. Mechanical properties of the bulk-fill composites were dependent on the composition and the type of photoinitiators.
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Affiliation(s)
- Wendy Jingwen Wang
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Anastasiia Grymak
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - John Neil Waddell
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Joanne Jung Eun Choi
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
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Algamaiah H, Watts DC. Post-irradiation surface viscoelastic integrity of photo-polymerized resin-based composites. Dent Mater 2021; 37:1828-1833. [PMID: 34593246 DOI: 10.1016/j.dental.2021.09.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Revised: 09/13/2021] [Accepted: 09/13/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVE A class of ultra-rapid-cure resin-based composites (RBCs) exhibited immediate post-irradiation surface viscoelastic integrity using an indentation-creep/recovery procedure. The aim of this study was to determine whether such behavior is more generally characteristic of a wider range of RBCs. METHODS Eight representative RBCs were selected based on different clinical categories: three bulkfills (OBF, Filtek One Bulk Fill; VBF, Venus Bulkfill; EBF, Estelite Bulkfill), three conventional non-flowables (XTE, Filtek Supreme XTE; GSO, GrandioSo; HRZ, Harmonize) and conventional flowables (XTF, Filtek Supreme XTE Flow; GSF, GrandioSo Flow). Stainless steel split molds were used to fabricate cylindrical specimens (4mm (dia)×4mm). These were irradiated (1.2W/cm2) for 20s on the top surface. Post-irradiation specimens (n=3), within their molds, were centrally loaded with a flat-ended 1.5mm diameter indenter under 14MPa stress: either immediately (<2min) or after 24h delayed indentation. Stress was maintained for 2h, then - after removal - recovery measurements continued for a further 2h. Indentation depth (%) versus time was measured continuously to an accuracy of <0.1μm. Data were analyzed by One-way ANOVA and Tukey post-hoc tests (α=0.05). RESULTS Time-dependent viscoelastic indentation was observed for all RBCs. For immediate indentation, the maximum indentation range was 1.43-4.92%, versus 0.70-2.22% for 24h delayed indentation. Following 2h recovery, the residual indentation range was 0.86-3.58% after immediate indentation, reducing to 0.22-1.27% for delayed indentation. The greatest immediate indentation was shown by VBF followed by XTF and GSF. OBF, HRZ, XTE and GSO had significantly lower indentations (greater hardness). XTE showed a significantly reduced indentation maximum compared to OBF (p<0.05). Indentations delayed until 24h post-irradiation were reduced (p<0.05) for most materials. SIGNIFICANCE The indentation-creep methodology effectively characterized resin-based composites within several categories. Viscoelastic properties evaluated by the indentation-creep method confirmed that highly filled RBCs were more resistant to indentation. Indentations were reduced after 24h post-irradiation due to further matrix-network development.
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Affiliation(s)
- Hamad Algamaiah
- Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK; Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
| | - David C Watts
- Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK; Photon Science Institute, University of Manchester, Manchester, UK.
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20
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Chan SM, Guo J, Aregawi WA, Yang J, Fok A, Wang Y. Investigation of mechanical performances and polymerization shrinkage of dual-cured resin composites as core build-up material. Dent Mater J 2021; 40:1217-1225. [PMID: 34121020 DOI: 10.4012/dmj.2020-237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study systematically compared the mechanical performances and polymerization shrinkage of two novel dual-cured resin composites (DCRC) with one conventional packable light-cured resin composite (LCRC) for their application as core build-up material by micro-hardness test, flexural strength test, push-out test, and digital image correlation analysis. The LCRC had a significantly higher micro-hardness (p<0.05) whereas the bond strength demonstrated no difference. The mean values of three materials ranged from 35.16 and 64.82 for the Vickers hardness and from 4.66 MPa to 11.53 MPa for the bond strength. The flexure strength of the three materials was not statistically different from each other. LCRC demonstrated 1.88% of volumetric shrinkage while the two DCRC showed 5.06% and 4.91%, respectively. In general, the DCRC demonstrated a comparable flexural strength and bond strength as the LCRC, however, the significant polymerization shrinkage of DCRC should be emphasized.
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Affiliation(s)
- Sin Man Chan
- Hostpital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology
| | - Jiawen Guo
- Hostpital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology
| | - Wondwosen A Aregawi
- Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota
| | - Jiajun Yang
- Hostpital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology
| | - Alex Fok
- Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota
| | - Yan Wang
- Hostpital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology
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21
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Persistent polyamorphism in the chiton tooth: From a new biomineral to inks for additive manufacturing. Proc Natl Acad Sci U S A 2021; 118:2020160118. [PMID: 34088834 DOI: 10.1073/pnas.2020160118] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Engineering structures that bridge between elements with disparate mechanical properties are a significant challenge. Organisms reap synergy by creating complex shapes that are intricately graded. For instance, the wear-resistant cusp of the chiton radula tooth works in concert with progressively softer microarchitectural units as the mollusk grazes on and erodes rock. Herein, we focus on the stylus that connects the ultrahard and stiff tooth head to the flexible radula membrane. Using techniques that are especially suited to probe the rich chemistry of iron at high spatial resolution, in particular synchrotron Mössbauer and X-ray absorption spectroscopy, we find that the upper stylus of Cryptochiton stelleri is in fact a mineralized tissue. Remarkably, the inorganic phase is nano disperse santabarbaraite, an amorphous ferric hydroxyphosphate that has not been observed as a biomineral. The presence of two persistent polyamorphic phases, amorphous ferric phosphate and santabarbaraite, in close proximity, is a unique aspect that demonstrates the level of control over phase transformations in C. stelleri dentition. The stylus is a highly graded material in that its mineral content and mechanical properties vary by a factor of 3 to 8 over distances of a few hundred micrometers, seamlessly bridging between the soft radula and the hard tooth head. The use of amorphous phases that are low in iron and high in water content may be key to increasing the specific strength of the stylus. Finally, we show that we can distill these insights into design criteria for inks for additive manufacturing of highly tunable chitosan-based composites.
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Lien W, Yi MD, Jones SD, Wentworth CV, Savett DA, Mansell MR, Vandewalle KS. The effect of micro-mechanical signatures of constituent phases in modern dental restorative materials on their macro-mechanical property: A statistical nanoindentation approach. J Mech Behav Biomed Mater 2021; 120:104591. [PMID: 34052729 DOI: 10.1016/j.jmbbm.2021.104591] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 05/03/2021] [Accepted: 05/09/2021] [Indexed: 10/21/2022]
Abstract
This study utilized a statistical nanoindentation analysis technique (SNT) to measure the amount of organic and inorganic constituents of twenty different brands of dental resin-based composites (RBCs) and tested whether their macro-property such as flexural modulus could be approximated by the proportions of constituents' micromechanical signatures using various rules of mixtures. The probability density function (PDF) of constitutive moduli per RBC brand were measured for three groups, comprised of different indent arrays and inter-indent spacings. SNT was then applied to deconvolute each PDF, from which the effective filler (μF) and matrix (μM) moduli and filler (VF) and matrix (VM) volume fractions per RBC brand were computed. VF and VM values obtained via SNT were strongly correlated with VF and VM obtained via Thermogravimetric Analysis and Archimedes method. The "observed" flexural modulus (EcFS) measured under macro-experiment were well associated with "predicted" effective modulus (EcEff) measured under nano-experiment, thereby establishing that global modulus was strongly affected by the constituents' micromechanics. However, the "predicted" EcEff were proportionally higher than the "observed" EcFS. VF was a confounder to EcFS and EcEff, whereby the influence of VF on both modular ratios (EcFS/μM and EcEff/μM) was best modeled by an exponential regression.
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Affiliation(s)
- Wen Lien
- United States Air Force, 3698 Chambers Pass, Ft. Sam Houston, TX, 78234, USA.
| | - Minju D Yi
- United States Air Force, 3698 Chambers Pass, Ft. Sam Houston, TX, 78234, USA.
| | - Shauna D Jones
- United States Army, 36014 Wratten Loop, Ft. Hood, TX, 76544, USA.
| | | | - Daniel A Savett
- United States Air Force, 3698 Chambers Pass, Ft. Sam Houston, TX, 78234, USA.
| | | | - Kraig S Vandewalle
- United States Air Force, 1615 Truemper St., Joint Base San Antonio, Lackland, TX, 78236, USA.
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Alabdali ZN, Irizarry E, Reiter MP, Ashraf A, Lynch‐Branzoi JK, Mann AB. Low‐weight fractions of graphene and hydroxyapatite enhance mechanics in photocured methacrylate adhesives. J Appl Polym Sci 2021. [DOI: 10.1002/app.50442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Zinah N. Alabdali
- Department of Materials Science and Engineering Rutgers The State University of New Jersey Piscataway New Jersey USA
- Materials Engineering Department University of Technology Baghdad Iraq
| | - Emanuel Irizarry
- Department of Chemistry University of Puerto Rico Mayaguez Puerto Rico USA
| | - Mary P. Reiter
- Department of Biomedical Engineering Rutgers The State University of New Jersey Piscataway New Jersey USA
| | - Ali Ashraf
- Department of Mechanical and Aerospace Engineering Rutgers The State University of New Jersey Piscataway New Jersey USA
| | - Jennifer K. Lynch‐Branzoi
- Department of Mechanical and Aerospace Engineering Rutgers The State University of New Jersey Piscataway New Jersey USA
| | - Adrian B. Mann
- Department of Materials Science and Engineering Rutgers The State University of New Jersey Piscataway New Jersey USA
- Department of Biomedical Engineering Rutgers The State University of New Jersey Piscataway New Jersey USA
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Nazar AM, George L, Mathew J. Effect of layer thickness on the elution of monomers from two high viscosity bulk-fill composites: A high-performance liquid chromatography analysis. J Conserv Dent 2021; 23:497-504. [PMID: 33911360 PMCID: PMC8066676 DOI: 10.4103/jcd.jcd_535_20] [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: 10/19/2020] [Revised: 11/27/2020] [Accepted: 12/05/2020] [Indexed: 12/04/2022] Open
Abstract
Aim: The aim is to evaluate the effect of different layer thickness on the amount of elution of monomers from two high viscosity bulk-fill composites after 24 h and 1 month storage in ethanol using high-performance liquid chromatography (HPLC) analysis. Materials and Methods: Forty-eight samples prepared from two high viscosity bulk-fill composite resins; Tetric EvoCeram Bulk Fill and x-tra fil were divided into three groups (n = 8) based on their layer thickness, i.e., Group 1 (2 mm), Group 2 (4 mm), and Group 3 (6 mm) and were then subdivided based on their storage period. The analysis of the eluates was performed using HPLC unit. Statistical analysis was performed using One-way ANOVA, independent sample t-test, and paired “t” test at a significance level of 0.05 (P < 0.05). Results: Increase in layer thickness resulted in increased amount of bisphenol A-glycidyl methacrylate (Bis-GMA) and urethane dimethacrylate (UDMA) elution for both composites, i.e., Group 3 > Group 2 > Group 1 and there was statistically significant difference among all the groups. Tetric EvoCeram Bulk Fill showed a statistically significant increase in amount of Bis-GMA and UDMA elution for all groups compared to x-tra fil. Furthermore, increase in storage period resulted in statistically significant increase in amount of Bis-GMA and UDMA elution for both composites, i.e., Group 1B > Group 1A, Group 2B > Group 2A, and Group 3B > Group 3A. The mean value of UDMA elution was higher when compared to that of Bis-GMA elution for both composites and there was statistically significant difference for all groups. Conclusion: Within the limitations of this in vitro study, it was concluded that increase in layer thickness resulted in increased amount of Bis-GMA and UDMA elution for both Tetric EvoCeram Bulk Fill and x-tra fil.
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Affiliation(s)
- Anciya Mohamed Nazar
- Department of Conservative Dentistry and Endodontics, Annoor Dental College, Ernakulam, Kerala, India
| | - Liza George
- Department of Conservative Dentistry and Endodontics, Annoor Dental College, Ernakulam, Kerala, India
| | - Josey Mathew
- Department of Conservative Dentistry and Endodontics, Annoor Dental College, Ernakulam, Kerala, India
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Substantial regional differences in the biomechanical behavior of molar treated with selective caries tissue removal technique: a finite element study. Dent Mater 2021; 37:e162-e175. [PMID: 33358015 DOI: 10.1016/j.dental.2020.11.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 08/07/2020] [Accepted: 11/13/2020] [Indexed: 12/27/2022]
Abstract
OBJECTIVES Selective caries removal (SCR) is recommended over non-selective removal for managing deep carious lesions to avoid pulp exposure and maintain pulp vitality. During SCR, residual carious dentin is left behind and sealed beneath the restoration. The biomechanical effects of such residual lesions on the restored tooth remain unclear and were assessed using finite element modeling (FEM). METHODS Based on μ-CT images of a healthy permanent human third molar, we developed five finite element models. Generic class I and II cavity restorations were modeled where residual lesions of variable sizes were either left or fully removed on occlusal and proximal surfaces. The cavities were restored with adhesive composite. All 3D-FE models were compared with a model of a healthy, non-treated molar. A vertical load of 100 N was applied onto the occlusal surface. RESULTS Regardless of the lesion size, in molars with occlusal lesions higher mean stresses were predicted along the filling-lesion interface than in all other models. The smallest occlusal lesion (Ø1 = 1 mm) resulted in the highest maximum stresses at the filling-lesion interface with large stress concentrations at the filling walls indicating failure risk. In conclusion, lesion site and extent are influencing parameters affecting the filling-lesion interactions and thus the biomechanical behavior of the tooth after SCR. SIGNIFICANCE Retaining carious lesions around the pulpal floor affects the deformation and stress states in tooth-filling complexes. The higher stresses observed in molars with occlusal lesions may affect restoration stability and longevity. Suprisingly, more extended occlusal lesions may provide a more favorable tooth performance than less extended ones. In contrast, in molars with proximal lesions the residual lesion had only limited effect on the tooth's biomechanical condition.
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Cuspal Deflection and Temperature Rise of MOD Cavities Restored through the Bulk-Fill and Incremental Layering Techniques Using Flowable and Packable Bulk-Fill Composites. MATERIALS 2020; 13:ma13245664. [PMID: 33322480 PMCID: PMC7763159 DOI: 10.3390/ma13245664] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 11/27/2020] [Accepted: 12/09/2020] [Indexed: 11/16/2022]
Abstract
Background: The aim of this study was to investigate cuspal deflection caused by material shrinkage and temperature rise occurring in the pulp chamber during photopolymerization. The aim of this study was also to investigate the effect of flowable and packable bulk-fill composites on cuspal deflection occurring in mesio-occlusal–distal (MOD) cavities restored through the bulk-fill or through the incremental layering technique. Additionally, mechanical and thermal properties of bulk-fill composites were considered. Methods: Two bulk-fill composites (high-viscosity and low-viscosity), largely differing in material composition, were used. These composites were characterized through linear shrinkage and compressive test. Cuspal deformation during restoration of mesio-occlusal–distal cavities of human premolars was evaluated using both the bulk-fill and the incremental layering techniques. Temperature rise was measured through thermocouples placed 1 mm below the cavity floor. Results: Shrinkage of the flowable composite was significantly higher (p < 0.05) than that of packable composite, while mechanical properties were significantly lower (p < 0.05). For cusp distance variation, no significant difference was observed in cavities restored through both restorative techniques, while temperature rise values spanned from 8.2 °C to 11.9 °C. Conclusions: No significant difference in cusp deflection between the two composites was observed according to both the restorative techniques. This result can be ascribed to the Young’s modulus suggesting that the packable composite is stiffer, while the flowable composite is more compliant, thus balancing the cusp distance variation. The light curing modality of 1000 mW/cm2 for 20 s can be considered thermally safe for the pulp chamber.
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Tinoco JV, Jurado CA, Sayed ME, Garcia Cortes JO, Kaleinikova Z, Hernandez A, Alshabib A, Tsujimoto A. Conservative approach for management of fractured maxillary central incisors in young adults. Clin Case Rep 2020; 8:2692-2700. [PMID: 33363807 PMCID: PMC7752372 DOI: 10.1002/ccr3.3177] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 06/09/2020] [Accepted: 07/05/2020] [Indexed: 11/06/2022] Open
Abstract
Ceramic restorations could be an acceptable treatment choice for fractured central incisors. A successful esthetic and conservative result to restore damaged anterior teeth can be obtained through proper evaluation, diagnostic wax-up, guided minimal preparations, ceramic selection, and bonding protocols. Handcrafted glass-based restorations can mimic contours and shape of natural teeth.
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Affiliation(s)
- Jose Villalobos Tinoco
- Department of Oral RehabilitationAutonomous University of Queretaro School of DentistryQueretaroMexico
| | - Carlos Alberto Jurado
- Clinical Digital DentistryA. T. Still University Arizona School of Dentistry and Oral HealthMesaArizonaUSA
| | - Mohammed E. Sayed
- Department of Prosthetic Dental SciencesJazan University College of DentistryJazanSaudi Arabia
| | | | - Zinaida Kaleinikova
- Comprehensive Care UnitA. T. Still University Arizona School of Dentistry and Oral HealthMesaArizonaUSA
| | - Alfredo Hernandez
- Prosthodontics CareA. T. Still University Arizona School of Dentistry and Oral HealthMesaArizonaUSA
| | - Abdulrahman Alshabib
- Department of Restorative DentistryKing Saud University College of DentistryRiyadhSaudi Arabia
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Nanotechnology in dentistry: Present and future perspectives on dental nanomaterials. Dent Mater 2020; 36:1365-1378. [PMID: 32981749 PMCID: PMC7516471 DOI: 10.1016/j.dental.2020.08.006] [Citation(s) in RCA: 75] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 08/27/2020] [Accepted: 08/28/2020] [Indexed: 12/25/2022]
Abstract
OBJECTIVES The number of dental nanomaterials has increased significantly over the past years. A variety of commercial dental nanomaterials are available and researched. Nevertheless, how these nanomaterials work, what makes them special and whether they are superior to traditional dental materials is not always clear to dentists and researchers. The objective of this review paper is, therefore, to give an overview of the principles of nanomaterials and basic research and applications of dental nanomaterials. METHODS The fundamentals of materials science of nanomaterials as well as their advantages and disadvantages are elaborated. The most important dental nanomaterials are discussed. This is mainly based on a survey of the literature and a review of the most frequently cited scientific papers in the international peer reviewed journal Dental Materials over the past five years. The developments of commercial dental nanomaterials as well as aspects of their clinical use are considered in this review. RESULTS Nanomaterials have unique structures and properties that distinguish them from other materials. The journal Dental Materials is the journal with the highest numbers of articles and citations on the subject of dental nanomaterials. The most frequently reported dental nanomaterials are nanocomposites, nanoparticles, antimicrobial nanomaterials and bio-mineralization systems. Hallmarks of dental nanomaterials include a set of unique properties and challenges in the preparation of these materials. SIGNIFICANCE By understanding the physical principles of dental nanomaterials, their strengths, limitations and their specific benefits will be better appreciated. Dental nanomaterials have potential for the future but currently do not always exhibit superior properties, for example in clinical situations.
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Watts DC, Algamaiah H. Characterizing surface viscoelastic integrity of ultra-fast photo-polymerized composites: Methods development. Dent Mater 2020; 36:1255-1265. [PMID: 32819731 DOI: 10.1016/j.dental.2020.07.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 07/28/2020] [Accepted: 07/28/2020] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Resin-Composites are now available designed for polymerization using 3 s of intense light irradiation. The aim was to develop an experimental method to probe their surface viscoelastic integrity immediately following such rapid photo-cure via macroscopic surface indentation under constant stress as a function of time. METHODS Two bulk-fill composites (Ivoclar AG) were studied: Tetric PowerFill (PFill) and PowerFlow (PFlow). Split molds were used to fabricate cylindrical {4 mm (dia) × 4 mm} paste specimens, irradiated at 23 °C at 0 mm from the top surface with a BluephasePowerCure LED-LCU, with 3 s or 5 s modes, emitting 3 and 2 W/cm2, respectively. Post-irradiation specimens were immediately transferred to an apparatus equipped with a flat-ended indentor of 1.5 mm diameter. 14 MPa compressive stress at the indentor tip was applied centrally in < 2 min and maintained constant for 2 h. Indentation (I) magnitudes were recorded in real-time (t), with I(t) data re-expressed as % indentation relative to the 4 mm specimen height. After 2 h, the indentor was unloaded and indentation recovery was monitored for a further 2 h. Parallel sets of measurements were made where indentation was delayed for 24 h. Further measurements were made with more conventional composites: EvoCeram Bulk Fill (ECeram) and Tetric EvoFlow Bulk Fill (EFlow). These were irradiated for 20 s at 1.2 W/cm2. Kinetic data were curve-fitted to exponential growth functions and key parameters analyzed by ANOVA and post-hoc tests (α = 0.05). RESULTS I(t) plots looked initially similar to bulk creep/recovery: rapid deformation plus viscoelastic response; then, upon unloading: rapid (elastic) recovery followed by partial viscoelastic recovery. However, unlike multiply irradiated and stored bulk-creep specimens, the present specimens were exposed to only 3 or 5 s "occlusal" irradiation; generating "hard" surfaces. Subsequently, during the 2 h indentation, the polymer matrix network continued to harden and consolidate. Upon initial loading, I(t) reached 2-3% indentation, depending upon the formulation. Upon unloading at 2 h, elastic recovery was only ca. 1 %. Delayed loading for 24 h, generated I(t) plots of significantly reduced magnitude. Most importantly, however, the I(t) plots for ECeram and EFlow, after 20 s irradiation, showed I(t) magnitudes quite comparable to the PFill and PFlow rapid-cure composites. SIGNIFICANCE Macroscopic indentation creep has been shown to be a workable procedure that can be applied to rapid-cure materials to assess their immediate surface integrity and developing viscoelastic characteristics. The applied stress of 14 MPa was relatively severe and the indentation/recovery profiles of PowerFill materials with only 3 or 5 s irradiation demonstrated comparability with their established 20 s cure siblings, evidencing the suitability of the PowerCure system for clinical application.
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Affiliation(s)
- David C Watts
- Biomaterials Science, Division of Dentistry, School of Medical Sciences, University of Manchester, UK; Photon Science Institute, University of Manchester, UK.
| | - Hamad Algamaiah
- Biomaterials Science, Division of Dentistry, School of Medical Sciences, University of Manchester, UK; Department of Restorative Dental Science, College of Dentistry, King Saud University, Saudi Arabia.
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Arbildo-Vega HI, Lapinska B, Panda S, Lamas-Lara C, Khan AS, Lukomska-Szymanska M. Clinical Effectiveness of Bulk-Fill and Conventional Resin Composite Restorations: Systematic Review and Meta-Analysis. Polymers (Basel) 2020; 12:polym12081786. [PMID: 32785019 PMCID: PMC7464794 DOI: 10.3390/polym12081786] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 08/01/2020] [Accepted: 08/07/2020] [Indexed: 12/11/2022] Open
Abstract
The objective of this systematic review and meta-analysis was to determine the clinical effectiveness of bulk-fill and conventional resin in composite restorations. A bibliographic search was carried out until May 2020, in the biomedical databases Pubmed/MEDLINE, EMBASE, Scopus, CENTRAL and Web of Science. The study selection criteria were: randomized clinical trials, in English, with no time limit, with a follow-up greater than or equal to 6 months and that reported the clinical effects (absence of fractures, absence of discoloration or marginal staining, adequate adaptation marginal, absence of post-operative sensitivity, absence of secondary caries, adequate color stability and translucency, proper surface texture, proper anatomical form, adequate tooth integrity without wear, adequate restoration integrity, proper occlusion, absence of inflammation and adequate point of contact) of restorations made with conventional and bulk resins. The risk of bias of the study was analyzed using the Cochrane Manual of Systematic Reviews of Interventions. Sixteen articles were eligible and included in the study. The results indicated that there is no difference between restorations with conventional and bulk resins for the type of restoration, type of tooth restored and restoration technique used. However, further properly designed clinical studies are required in order to reach a better conclusion.
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Affiliation(s)
- Heber Isac Arbildo-Vega
- Department of General Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo 14012, Peru;
- Department of General Dentistry, Dentistry School, Universidad Particular de Chiclayo, Chiclayo 14012, Peru
| | - Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland;
| | - Saurav Panda
- Department of Periodontics and Oral Implantology, Siksha ‘O’ Anusandhan Univeristy, Bhubaneswar 751003, India;
- Department of Biomedical, Surgical and Dental Sciences, Universita Degli Studi di Milano, 20122 Milano, Italy
| | - César Lamas-Lara
- Department of General Dentistry, Stomatology School, Universidad Peruana Los Andes, Lima 15072, Peru;
| | - Abdul Samad Khan
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia;
| | - Monika Lukomska-Szymanska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland;
- Correspondence: ; Tel.: +48-42-675-74-61
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Haugen HJ, Marovic D, Par M, Khai Le Thieu M, Reseland JE, Johnsen GF. Bulk Fill Composites Have Similar Performance to Conventional Dental Composites. Int J Mol Sci 2020; 21:ijms21145136. [PMID: 32698509 PMCID: PMC7404092 DOI: 10.3390/ijms21145136] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Revised: 07/15/2020] [Accepted: 07/18/2020] [Indexed: 12/28/2022] Open
Abstract
The aim of the study was to perform comprehensive characterization of two commonly used bulk fill composite materials (SDR Flow (SDR) and Filtek™ Bulk Fill Flowable Restorative (FBF) and one conventional composite material (Tetric EvoCeram; TEC). Eleven parameters were examined: flexural strength (FS), flexural modulus (FM), degree of conversion, depth of cure, polymerisation shrinkage (PS), filler particle morphology, filler mass fraction, Vickers hardness, surface roughness following simulated toothbrush abrasion, monomer elution, and cytotoxic reaction of human gingival fibroblasts, osteoblasts, and cancer cells. The degree of conversion and depth of cure were the highest for SDR, followed by FBF and TEC, but there was no difference in PS between them. FS was higher for bulk fill materials, while their FM and hardness were lower than those of TEC. Surface roughness decreased in the order TEC→SDR→FBF. Bisphenol A-glycidyl methacrylate (BisGMA) and urethane dimethacrylate were found in TEC and FBF eluates, while SDR released BisGMA and triethylene glycol dimethacrylate. Conditioned media accumulated for 24 h from FBF and TEC were cytotoxic to primary human osteoblasts. Compared to the conventional composite, the tested bulk fill materials performed equally or better in most of the tests, except for their hardness, elastic modulus, and biocompatibility with osteoblasts.
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Affiliation(s)
- Håvard J. Haugen
- Department of Biomaterials, Institute of Clinical Dentistry, University of Oslo, PO Box 1109 Blindern, NO-0376 Oslo, Norway; (H.J.H.); (M.K.L.T.); (J.E.R.); (G.F.J.)
| | - Danijela Marovic
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia;
- Correspondence:
| | - Matej Par
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia;
| | - Minh Khai Le Thieu
- Department of Biomaterials, Institute of Clinical Dentistry, University of Oslo, PO Box 1109 Blindern, NO-0376 Oslo, Norway; (H.J.H.); (M.K.L.T.); (J.E.R.); (G.F.J.)
| | - Janne E. Reseland
- Department of Biomaterials, Institute of Clinical Dentistry, University of Oslo, PO Box 1109 Blindern, NO-0376 Oslo, Norway; (H.J.H.); (M.K.L.T.); (J.E.R.); (G.F.J.)
| | - Gaute Floer Johnsen
- Department of Biomaterials, Institute of Clinical Dentistry, University of Oslo, PO Box 1109 Blindern, NO-0376 Oslo, Norway; (H.J.H.); (M.K.L.T.); (J.E.R.); (G.F.J.)
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Comba A, Scotti N, Maravić T, Mazzoni A, Carossa M, Breschi L, Cadenaro M. Vickers Hardness and Shrinkage Stress Evaluation of Low and High Viscosity Bulk-Fill Resin Composite. Polymers (Basel) 2020; 12:polym12071477. [PMID: 32630127 PMCID: PMC7407633 DOI: 10.3390/polym12071477] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 06/28/2020] [Accepted: 06/29/2020] [Indexed: 11/23/2022] Open
Abstract
The aim of this in vitro study was to evaluate the hardness and shrinkage stress (SS) of six bulk-fill resin composites. To evaluate microhardness (MH), ten 6 mm specimens were prepared using a metal mold for each selected bulk-fill resin composite and irradiated from the top side for 40 s using an LED light. After 24 h of storage, Vickers MH was evaluated on the upper, lower and lateral sides of the specimens. SS evaluation was then performed with a universal machine, which evaluated the contraction force generated by a bulk-fill composite specimen placed between two metal cylinders during and after light curing. The results were evaluated with a one-way ANOVA test with a post-hoc Bonferroni test and linear regression analysis (p < 0.05). All materials showed a significant MH decrease between the top and bottom surfaces. However, the bulk-fill materials tested performed differently when considering lateral depth progression. ANOVA tests for SS evaluation showed that both SDR and Venus Bulk Fill had significantly lower stress during irradiation than other tested materials. Further, MH decrease became significantly lower from the top surface at different depths in each tested group. Among the different resins, Venus Bulk Fill and SDR showed not only inferior hardness, but also a significant reduction in SS.
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Affiliation(s)
- Allegra Comba
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (A.C.); (T.M.); (A.M.); (L.B.)
| | - Nicola Scotti
- Department of Surgical Science, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy;
- Correspondence: ; Tel.: +39-340-2861799
| | - Tatjana Maravić
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (A.C.); (T.M.); (A.M.); (L.B.)
| | - Annalisa Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (A.C.); (T.M.); (A.M.); (L.B.)
| | - Massimo Carossa
- Department of Surgical Science, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy;
| | - Lorenzo Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (A.C.); (T.M.); (A.M.); (L.B.)
| | - Milena Cadenaro
- Department of Medical Sciences, University of Trieste, Strada di Fiume 447, 34149 Trieste, Italy;
- Institute for Maternal and Child Health—IRCCS “Burlo Garofolo”, Via dell’Istria 65/1, 34137 Trieste, Italy
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Fei X, Li Y, Weir MD, Baras BH, Wang H, Wang S, Sun J, Melo MAS, Ruan J, Xu HHK. Novel pit and fissure sealant containing nano-CaF 2 and dimethylaminohexadecyl methacrylate with double benefits of fluoride release and antibacterial function. Dent Mater 2020; 36:1241-1253. [PMID: 32571624 DOI: 10.1016/j.dental.2020.05.010] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Accepted: 05/25/2020] [Indexed: 02/05/2023]
Abstract
OBJECTIVE Pit and fissure sealants with antibacterial and remineralization properties have broad application prospects in caries prevention. The objectives of this study were to: (1) develop a novel pit and fissure sealant containing CaF2 nanoparticles (nCaF2) and dimethylaminohexadecyl methacrylate (DMAHDM); and (2) investigate the effects of nCaF2 and DMAHDM on biofilm response and fluoride (F) ion release for the first time. METHODS Helioseal F was used as a control. Bioactive sealants were formulated with DMAHDM and nCaF2. Flow properties, enamel shear bond strength, hardness and F ion releases were measured. Streptococcus mutans (S. mutans) biofilms were grown on sealants. Biofilm metabolic activity, lactic acid production, colony-forming units (CFU), and pH of biofilm culture medium were measured. RESULTS Adding 5% DMAHDM and 20% nCaF2 did not reduce the paste flow and enamel bond strength, compared to control (p < 0.05). Hardness of sealants with 20% nCaF2 and DMAHDM was higher than control (p < 0.05). The F ion release from 20% nCaF2 was much higher than that of commercial control (p < 0.05). The sealant with DMAHDM reduced the S. mutans biofilm CFU by 4 logs. The pH in biofilm medium of the new bioactive sealant was much higher (pH 6.8) than that of commercial sealant (pH 4.66) (p < 0.05). SIGNIFICANCE The new bioactive pit and fissure sealant with nCaF2 and DMAHDM achieved high fluoride release and strong antibacterial performance. This novel fluoride-releasing and antibacterial sealant is promising to inhibit caries and promote the remineralizaton of enamel and dentin.
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Affiliation(s)
- Xiuzhi Fei
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, and Department of Preventive Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi 710004, China; Department of Advanced Oral Sciences & Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
| | - Yuncong Li
- Department of Prosthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi 710004, China
| | - Michael D Weir
- Department of Advanced Oral Sciences & Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
| | - Bashayer H Baras
- Department of Advanced Oral Sciences & Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Haohao Wang
- Department of Advanced Oral Sciences & Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; State Key Laboratary of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Suping Wang
- Department of Advanced Oral Sciences & Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; State Key Laboratary of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Jirun Sun
- Volpe Research Center, American Dental Association Foundation, Frederick, MD 21704, USA
| | - Mary A S Melo
- Department of Advanced Oral Sciences & Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
| | - Jianping Ruan
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, and Department of Preventive Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi 710004, China.
| | - Hockin H K Xu
- Department of Advanced Oral Sciences & Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA; University of Maryland Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
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Fracture Resistance of Zirconia-Reinforced Lithium Silicate Ceramic Crowns Cemented with Conventional or Adhesive Systems: An In Vitro Study. MATERIALS 2020; 13:ma13092012. [PMID: 32344894 PMCID: PMC7254201 DOI: 10.3390/ma13092012] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 04/11/2020] [Accepted: 04/23/2020] [Indexed: 12/15/2022]
Abstract
In recent years, Zirconia-reinforced Lithium Silicate ceramic (ZLS), combining lithium-silicate and zirconia features, has shown to have excellent mechanical and aesthetic characteristics. Thus, the aim of this study was to compare the fracture strength of ZLS single crowns cemented with two different cementation techniques. Twenty crowns were realised and cemented on teeth replicas achieved from an extracted premolar human tooth. The samples were divided into two groups of 10 specimens each, Glass-ionomeric cement (GIC) group and Self-Adhesive Resin Cement (ARC) group. The mechanical test was performed using a universal testing machine. The specimens were then evaluated with a scanning electron microscope (SEM) to identify for all crowns and related abutments the pattern of fracture after the breaking point. The data obtained were statistically analysed. The mean fracture toughness values and standard deviations (±SD) were 2227 ± 382 N and 3712 ± 319 N respectively for GIC and ARC groups. In fact, t-test showed a statistically significant difference between the two groups (p < 0.001). Moreover, the SEM results demonstrated portions of abutments still attached to the crown fragments in the ARC group, whilst these were not present in the GIC group. Within the limitations of this study, these results suggest the use of adhesive cementation for ZLS crowns, which significantly increase the compressive strength of ZLS restorations compared to GIC.
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Wei Y, Liu S, Xiao Z, Zhao H, Luo J, Deng X, Guo L. Enamel Repair with Amorphous Ceramics. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2020; 32:e1907067. [PMID: 31930630 DOI: 10.1002/adma.201907067] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Revised: 12/09/2019] [Indexed: 06/10/2023]
Abstract
Developing high-performance materials in physiological conditions to clinically repair stiff tissue for long lifespan remains a great challenge. Here, an enamel repair strategy is reported by efficiently growing a biocompatible ZrO2 ceramic layer on defective enamel through controllable hydrolysis of Zr4+ in oral-tolerable conditions. Detailed analysis of the grown layer indicates that the grown ZrO2 ceramic is amorphous without grain boundary and dislocation, which endows the repaired enamel with natural enamel comparable mechanical performance (modulus ≈82.5 GPa and hardness ≈5.2 GPa). Besides, the strong chemical connection between unsaturated coordinated Zr4+ in amorphous structure and PO4 3- greatly strengthen the crystalline-amorphous interface of the repaired enamel to endure the long-time mastication damage. Moreover, these ZrO2 ceramics provide hydrophilic, electronegative, and smooth surfaces to resist the adhesion and proliferation of cariogenic bacteria. The hybrid amorphous-crystalline interface design with advantages in biomechanical compatibility would promote the evolution of a variety of cutting-edge functional materials for medical and engineering application.
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Affiliation(s)
- Yan Wei
- Department of Geriatric Dentistry, NMPA Key Laboratory for Dental Materials, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Laboratory of Biomedical Materials, Peking University School and Hospital of Stomatology, Beijing, 100081, P. R. China
| | - Shaojia Liu
- Beijing Advanced Innovation Center for Biomedical Engineering, School of Chemistry, Beihang University, Beijing, 100191, P. R. China
| | - Zuohui Xiao
- Department of Geriatric Dentistry, NMPA Key Laboratory for Dental Materials, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Laboratory of Biomedical Materials, Peking University School and Hospital of Stomatology, Beijing, 100081, P. R. China
| | - Hewei Zhao
- Beijing Advanced Innovation Center for Biomedical Engineering, School of Chemistry, Beihang University, Beijing, 100191, P. R. China
| | - Jun Luo
- Center for Electron Microscopy, Institute for New Energy Materials & Low-Carbon Technologies, School of Materials Science and Engineering, Tianjin University of Technology, Tianjin, 300384, P. R. China
| | - Xuliang Deng
- Department of Geriatric Dentistry, NMPA Key Laboratory for Dental Materials, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Laboratory of Biomedical Materials, Peking University School and Hospital of Stomatology, Beijing, 100081, P. R. China
| | - Lin Guo
- Beijing Advanced Innovation Center for Biomedical Engineering, School of Chemistry, Beihang University, Beijing, 100191, P. R. China
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36
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The Organic Matrix of Restorative Composites and Adhesives. Biomater Sci 2020. [DOI: 10.1016/b978-0-12-816137-1.00013-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Eweis AH, Yap AU, Yahya NA. Comparison of Flexural Properties of Bulk-fill Restorative/Flowable Composites and Their Conventional Counterparts. Oper Dent 2020; 45:41-51. [DOI: 10.2341/18-133-l] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
The objectives of the study were to compare the flexural modulus and strength of restorative and flowable bulk-fill resin-based composites (RBCs) to their conventional counterparts and to determine the effects of conditioning environment on their flexural properties. The materials evaluated included three conventional RBCs (Filtek Z350, Tetric N Ceram, and Beautifil II), three restorative bulk-fill RBCs (Filtek Bulk-Fill Restorative, Tetric N Ceram Bulk-Fill, and Beautifil Bulk-fill Restorative), as well as three flowable bulk-fill RBCs (Filtek Bulk-Fill Flowable, Tetric N Flow Bulk-Fill, and Beautifil Bulk-Fill Flowable). Specimens were fabricated using customized stainless-steel molds, finished, measured, and randomly divided into four groups. The various RBCs were conditioned in the following mediums (n=10) for seven days at 37°C: air, artificial saliva (SAGF), 0.02 N citric acid, and 50% ethanol-water solution. After conditioning, the specimens were rinsed, blotted dry, measured, and subjected to flexural testing using a universal testing machine. Data were subjected to statistical analysis using analysis of variance and the Tukey test at a significance level of α = 0.05. Significant differences in flexural properties were observed between materials and conditioning mediums. Bulk-fill restorative RBCs exhibited higher flexural modulus than their bulk-fill flowable and conventional counterparts. With the exception of Filtek Bulk-Fill Flowable, bulk-fill flowable RBCs had significantly higher flexural strength than bulk-fill restorative and conventional RBCs. Flexural properties were highest when RBCs were conditioned in air and generally the lowest after exposure to ethanol.
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Affiliation(s)
- AH Eweis
- Ahmed H Eweis, MDSc, MFDS RCSEd, BDS, postgraduate, Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - AU Yap
- Adrian U-Jin Yap, PhD, MSc, BDS, Grad Dip Psychotherapy, adjunct professor, Department of Dentistry, Ng Teng Fong General Hospital, National University Health System, Singapore; Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia; and Faculty of Dentistry, National University of Singapore, Singapore
| | - NA Yahya
- Noor A Yahya, MDentSci, BDS, DipTrans, senior lecturer, Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
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Assessment of Nano-Indentation Method in Mechanical Characterization of Heterogeneous Nanocomposite Materials Using Experimental and Computational Approaches. Sci Rep 2019; 9:15763. [PMID: 31673118 PMCID: PMC6823492 DOI: 10.1038/s41598-019-51904-4] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Accepted: 06/03/2019] [Indexed: 11/30/2022] Open
Abstract
This study investigates the capacity of the nano-indentation method in the mechanical characterization of a heterogeneous dental restorative nanocomposite using experimental and computational approaches. In this respect, Filtek Z350 XT was selected as a nano-particle reinforced polymer nanocomposite with a specific range of the particle size (50 nm to 4 µm), within the range of indenter contact area of the nano-indentation experiment. A Sufficient number of nano-indentation tests were performed in various locations of the nanocomposite to extract the hardness and elastic modulus properties. A hybrid computational-experimental approach was developed to examine the extracted properties by linking the internal behaviour and the global response of the nanocomposite. In the computational part, several representative models of the nanocomposite were created in a finite element environment to simulate the mechanism of elastic-plastic deformation of the nanocomposite under Berkovich indenter. Dispersed values of hardness and elastic modulus were obtained through the experiment with 26.8 and 48.5 percent average errors, respectively, in comparison to the nanocomposite properties, respectively. A disordered shape was predicted for plastic deformation of the equilateral indentation mark, representing the interaction of the particles and matrix, which caused the experiment results reflect the local behaviour of the nanocomposite instead of the real material properties.
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Clinical performance and chemical-physical properties of bulk fill composites resin -a systematic review and meta-analysis. Dent Mater 2019; 35:e249-e264. [PMID: 31421957 DOI: 10.1016/j.dental.2019.07.007] [Citation(s) in RCA: 71] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 07/08/2019] [Accepted: 07/15/2019] [Indexed: 11/20/2022]
Abstract
OBJECTIVES The objective of this study was to perform a meta-analysis of clinical and laboratory studies to compare the performance of bulk-fill and conventional composite resins in terms of polymerization shrinkage, polymerization stress, cusp deflection, marginal quality, degree of conversion, microhardness, flexural strength, fracture strength and clinical performance. DATA One hundred three articles were included in this study, and the Peto method was used to compare the bulk-fill and conventional composites using the RevMan software. SOURCES Searches were performed in the PubMed and Scopus databases. STUDY SELECTION Laboratory studies and randomized clinical trials comparing one of the previous detailed outcomes between bulk-fill and control composites were included. CONCLUSIONS The bulk-fill composite resins showed less shrinkage, polymerization stress, cusp deflection and microhardness than conventional composites, while both materials presented a similar marginal quality, flexural strength and fracture strength. Also, bulk-fill materials with regular viscosity showed similar shrinkage. The conversion of bulk-fill materials with flowable consistency were similar to conventional composite resins with a thickness of up to 2mm and greater than conventional composites with a thickness greater than 2mm. Despite these in vitro differences, the clinical performance of bulk-fill and conventional composite resins was similar in randomized clinical trials, with one to ten years of follow up. In conclusion, the bulk-fill materials show better or similar performance to the conventional materials in clinical trials and laboratory studies in terms of volumetric shrinkage, polymerization stress, cusps deflection and marginal quality, with the only exception being the lower level of microhardness observed for bulk-fill composites with thickness up to 2mm.
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40
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A randomized clinical trial of class II composite restorations using direct and semidirect techniques. Clin Oral Investig 2019; 24:1053-1063. [DOI: 10.1007/s00784-019-02999-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Accepted: 06/28/2019] [Indexed: 10/26/2022]
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41
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Liang K, Wang S, Tao S, Xiao S, Zhou H, Wang P, Cheng L, Zhou X, Weir MD, Oates TW, Li J, Xu HHK. Dental remineralization via poly(amido amine) and restorative materials containing calcium phosphate nanoparticles. Int J Oral Sci 2019; 11:15. [PMID: 31068570 PMCID: PMC6506538 DOI: 10.1038/s41368-019-0048-z] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Revised: 03/23/2019] [Accepted: 03/25/2019] [Indexed: 02/05/2023] Open
Abstract
Tooth decay is prevalent, and secondary caries causes restoration failures, both of which are related to demineralization. There is an urgent need to develop new therapeutic materials with remineralization functions. This article represents the first review on the cutting edge research of poly(amido amine) (PAMAM) in combination with nanoparticles of amorphous calcium phosphate (NACP). PAMAM was excellent nucleation template, and could absorb calcium (Ca) and phosphate (P) ions via its functional groups to activate remineralization. NACP composite and adhesive showed acid-neutralization and Ca and P ion release capabilities. PAMAM+NACP together showed synergistic effects and produced triple benefits: excellent nucleation templates, superior acid-neutralization, and ions release. Therefore, the PAMAM+NACP strategy possessed much greater remineralization capacity than using PAMAM or NACP alone. PAMAM+NACP achieved dentin remineralization even in an acidic solution without any initial Ca and P ions. Besides, the long-term remineralization capability of PAMAM+NACP was established. After prolonged fluid challenge, the immersed PAMAM with the recharged NACP still induced effective dentin mineral regeneration. Furthermore, the hardness of pre-demineralized dentin was increased back to that of healthy dentin, indicating a complete remineralization. Therefore, the novel PAMAM+NACP approach is promising to provide long-term therapeutic effects including tooth remineralization, hardness increase, and caries-inhibition capabilities.
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Affiliation(s)
- Kunneng Liang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Suping Wang
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA.,Department of Operative Dentistry and Endodontics & Stomatology Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Siying Tao
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Shimeng Xiao
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Han Zhou
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Ping Wang
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Lei Cheng
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Xuedong Zhou
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Michael D Weir
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Thomas W Oates
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Jiyao Li
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
| | - Hockin H K Xu
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA. .,Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine, Baltimore, MD, USA. .,Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD, USA.
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Wear and damage at the bonded interface between tooth enamel and resin composite. J Dent 2019; 83:40-49. [PMID: 30797040 DOI: 10.1016/j.jdent.2019.02.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2018] [Revised: 12/21/2018] [Accepted: 02/11/2019] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVE To investigate the wear mechanisms and evolution of damage in tooth enamel-resin composite bonded interfaces caused by sliding contact, and to develop an understanding of interface degradation from a tribological viewpoint that supports clinical recommendations for improving interface integrity. METHODS Reciprocating wear tests were performed on bonded interface samples involving commercial resin composite (Tetric N Ceram Bulk Fill), resin cement (Rely X U200) and tooth enamel using the ball-on-flat configuration. The bonded samples were subjected up to 5 × 104 cycles of sliding contact, and the wear depth and wear track morphology were characterized after increments using white light interferometry and scanning electron microscopy, respectively. Optical microscopy was also used to evaluate cracks and their propagation in the samples. RESULTS In the early stages of sliding contact, wear evolved most rapidly at the interface, followed by the enamel and the resin composite. Gradually, the difference between the wear depth at the interface and other areas decreased. Furthermore, cracks and brittle fracture appeared in the enamel during the early stages of wear, adjacent to the interface. With continuing cyclic loading, enamel wear manifested primarily as ploughs, with discontinuous pits and peeled material. Cracking decreased to only a few cracks extending to the inner enamel and parallel to the interface. CONCLUSIONS Cracking and damage occurred in the enamel during the early stages of sliding contact and accelerated by poor margin finishing. Cracks caused by wear under sliding contact could be one of the reasons for secondary caries and tooth discoloration.
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Cerda-Rizo ER, de Paula Rodrigues M, Vilela A, Braga S, Oliveira L, Garcia-Silva TC, Soares CJ. Bonding Interaction and Shrinkage Stress of Low-viscosity Bulk Fill Resin Composites With High-viscosity Bulk Fill or Conventional Resin Composites. Oper Dent 2019; 44:625-636. [PMID: 30702411 DOI: 10.2341/18-163-l] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To analyze the shrinkage stress, bonding interaction, and failure modes between different low-viscosity bulk fill resin composites and conventional resin composites produced by the same manufacturer or a high-viscosity bulk fill resin composite used to restore the occlusal layer in posterior teeth. METHODS & MATERIALS Three low-viscosity bulk fill resin composites were associated with the conventional resin composites made by the same manufacturers or with a high-viscosity bulk fill resin composite, resulting in six groups (n=10). The bonding interaction between resin composites was tested by assessing the microshear bond strength (μSBS). The samples were thermocycled and were tested with 1-mm/min crosshead speed, and the failure mode was evaluated. The post-gel shrinkage (Shr) of all the resin composites was measured using a strain gauge (n=10). The modulus of elasticity (E) and the hardness (KHN) were measured using the Knoop hardness test. Two-dimensional finite element models were created for analyzing the stress caused by shrinkage and contact loading. The μSBS, Shr, E, and KHN data were analyzed using the Student t-test and one-way analysis of variance. The failure mode data were subjected to chi-square analysis (α=0.05). The stress distribution was analyzed qualitatively. RESULTS No significant difference was verified for μSBS between low-viscosity bulk fill resin composites and conventional or high-viscosity bulk fill composites in terms of restoring the occlusal layer (p=0.349). Cohesive failure of the low-viscosity bulk fill resin composites was the most frequent failure mode. The Shr, E, and KHN varied between low-viscosity and high-viscosity resin composites. The use of high-viscosity bulk fill resin composites on the occlusal layer reduced the stress at the enamel interface on the occlusal surface. CONCLUSIONS The use of high-viscosity bulk fill resin composites as an occlusal layer for low-viscosity bulk fill resin composites to restore the posterior teeth can be a viable alternative, as it shows a similar bonding interaction to conventional resin composites as well as lower shrinkage stress at the enamel margin.
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Effects of Silica Nanoparticles and Silica-Zirconia Nanoclusters on Tribological Properties of Dental Resin Composites. JOURNAL OF NANOTECHNOLOGY 2018. [DOI: 10.1155/2018/7589051] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Roughness and hardness are among the most important variables in the wear (resistance) performance of dental resin composites. In this study, silica nanoparticles and nanoclusters of silica and silica-zirconia nanoparticles were evaluated for use as reinforcement agents in dental resin composites. Nanoclusters with spherical morphology were obtained from aqueous dispersions of nanoparticles by spray drying. Roughness was measured through atomic force microscopy (AFM) while nanohardness was evaluated by nanoindentation. The roughness values obtained with silica nanoparticles were lower (22.6 ± 6.6 nm) than those obtained with silica and silica-zirconia nanoclusters (138.1 ± 36.6 nm, 116.2 ± 32.2 nm, resp.), while the hardness values of all composites were similar (nanoparticles = 0.24 ± 0.01 GPa, silica nanoclusters = 0.25 ± 0.04 GPa, and silica-zirconia nanoclusters = 0.22 ± 0.02 GPa). Based on this study, it can be established that particle size is a determining factor in the roughness of the final material, while the key variable for nanohardness was the concentration of the reinforcement materials.
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Alrahlah A, Khan R, Alotaibi K, Almutawa Z, Fouad H, Elsharawy M, Silikas N. Simultaneous Evaluation of Creep Deformation and Recovery of Bulk-Fill Dental Composites Immersed in Food-Simulating Liquids. MATERIALS 2018; 11:ma11071180. [PMID: 29996519 PMCID: PMC6073768 DOI: 10.3390/ma11071180] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 06/27/2018] [Accepted: 06/28/2018] [Indexed: 11/16/2022]
Abstract
The aim of this study is to compare the creep/recovery behavior of bulk-fill dental composites after storage in various food simulating organic solvents. For this purpose, five different resin-composites (four bulk-fills and one conventional) were used. A total of 20 rectangular specimens (14 mm × 3 mm × 0.7 mm) were prepared by filling the resin-composites in Teflon mold. All of the specimens for each material (n = 5) were divided into four groups namely dry (control), distilled water (DW), artificial saliva, and absolute ethanol. The specimens were subjected to three-point bending creep test during immersion directly. A constant load of 2 N was used for each specimen with loading and unloading time 2 h each. RESULTS SF2 and XF showed a lower creep strain % after immersion, ranging from 0.44 (dry) to 0.75 (saliva) and 0.43 (dry) to 0.80 (ethanol), respectively. TNC BF depicts the maximum creep strain % ranging from 1.24% (dry) to 2.87% (ethanol) followed by FBF ranging from 1.17 (dry) to 2.59 (ethanol). However, the conventional material (GR) showed lower creep strain after immersion ranging from 0.28 to 0.54. Moreover, SF2 resulted in the highest creep recovery in all of the composites groups, as well as conventional material. The other composite groups showed lower creep recovery as compared to the conventional material (GR). The creep strain % for all the bulk-fill composites materials were increased during immersion in the liquids. However, for the conventional material, the creep deformation is decreased after immersion. SF2 showed the highest percentage of creep recovery among the bulk-fill composites, followed by XF.
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Affiliation(s)
- Ali Alrahlah
- Restorative Dental Sciences Department, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
- Engineer Abdullah Bugshan research chair for Dental and Oral Rehabilitation, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
| | - Rawaiz Khan
- Engineer Abdullah Bugshan research chair for Dental and Oral Rehabilitation, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
| | - Khalid Alotaibi
- Dental intern, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
| | - Ziad Almutawa
- Dental intern, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
| | - H Fouad
- Applied Medical Science Department, Community College, King Saud University, Riyadh 11545, Saudi Arabia.
- Department of Biomedical Engineering, Faculty of Engineering, Helwan University, Helwan 11792, Egypt.
| | - Mohamed Elsharawy
- Dental Biomaterials Research Chair, King Saud University, Riyadh 11433, Saudi Arabia.
| | - Nikolaos Silikas
- Dentistry, School of Medical Sciences, University of Manchester, Manchester M13 9PL, UK.
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Eweis AH, Yap AUJ, Yahya NA. Impact of dietary solvents on flexural properties of bulk-fill composites. Saudi Dent J 2018; 30:232-239. [PMID: 29942108 PMCID: PMC6011214 DOI: 10.1016/j.sdentj.2018.04.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 03/20/2018] [Accepted: 04/22/2018] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVE This study investigated the effect of dietary solvents on flexural strength and modulus of bulk-fill composites. MATERIALS AND METHODS One conventional composite (Filtek Z350 [FZ]), two bulk-fill composites (Filtek Bulk-fill [FB] and Tetric N Ceram [TN]) and a bulk-fill giomer (Beautifil-Bulk Restorative [BB]) were evaluated. Specimens (12 × 2 × 2 mm) were fabricated using customized stainless steel molds. Specimens were light-cured, removed from their molds, finished, measured and randomly divided into six groups. The groups (n = 10) were conditioned in the following mediums for 7 days at 37 °C: air (control), artificial saliva (SAGF), distilled water, 0.02 N citric acid, heptane, 50% ethanol-water solution. After conditioning, the specimens were rinsed, blotted dry, measured and subjected to flexural testing using a universal testing machine. Representative SEM images of the intact surfaces were obtained to appraise the degradation mechanism by dietary solvents. Data was subjected to statistical analysis using ANOVA/Tukey's tests at significance level p < 0.05. RESULTS Significant differences in flexural properties were observed between materials and conditioning mediums. The highest flexural properties were usually obtained with conditioning in air (control) or heptane. Exposure to aqueous solutions generally reduced flexural properties of bulk-fill composites. CONCLUSION The effect of dietary solvents on flexural properties of bulk-fill composites was material and medium dependent.
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Affiliation(s)
- Ahmed Hesham Eweis
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Adrian U-Jin Yap
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
- Department of Dentistry, Ng Teng Fong General Hospital, National University Health System, Singapore
| | - Noor Azlin Yahya
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
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Veloso SRM, Lemos CAA, de Moraes SLD, do Egito Vasconcelos BC, Pellizzer EP, de Melo Monteiro GQ. Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a systematic review and meta-analysis. Clin Oral Investig 2018; 23:221-233. [PMID: 29594349 DOI: 10.1007/s00784-018-2429-7] [Citation(s) in RCA: 96] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 03/19/2018] [Indexed: 01/01/2023]
Abstract
OBJECTIVES The purpose of this systematic review was to compare the clinical performance of bulk-fill resin composites with conventional resin composites used for direct restorations of posterior teeth. METHODS This review followed the PRISMA statement. This review was registered at PROSPERO (registration number CRD42016053436). A search of the scientific literature was performed by two independent reviewers using the PubMed/MEDLINE, Embase, The Cochrane Library, and Web of Science databases from commencement until January 2018. The research question was "Do bulk-fill resin composites have a clinical performance comparable to conventional resin composites in posterior restorations?" Only studies evaluating class I and II direct restorations in permanent teeth with a follow-up period of at least 1 year were included. The RevMan 5 program was used for meta-analysis, calculating the relative risk (RR) and 95% confidence interval (CI) of the dichotomous outcome (restoration failure or success). RESULTS Ten articles were selected, comprising 941 analyzed restorations. The mean follow-up period was 33.6 months (12-72 months). No statistically significant differences in the failure rate were observed between conventional and base/flowable bulk-fill resin composites (p = 0.31; RR 1.49; 95% CI 0.69-3.25) or full-body/sculptable bulk-fill resin composites (p = 0.12; RR 1.89; 95% CI 0.84-4.24). CONCLUSIONS The present systematic review and meta-analysis indicate similar clinical performances of bulk-fill and conventional resin composites over a follow-up period of 12 to 72 months. CLINICAL SIGNIFICANCE Based on the results of this study, the bulk-fill resin composites could be an alternative for direct restorations in posterior teeth. However, clinical trials of longer duration are required.
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Affiliation(s)
- Sirley Raiane Mamede Veloso
- Dental School, Universidade de Pernambuco/FOP-UPE, Av. General Newton Cavalcanti, 1650; Tabatinga, Camaragibe, PE, 54.756-220, Brazil
| | - Cleidiel Aparecido Araújo Lemos
- Araçatuba Dental School, UNESP - Univ Estadual Paulista , R. José Bonifácio, 1193; Vila Mendonca, Araçatuba, SP, 16015-050, Brazil
| | - Sandra Lúcia Dantas de Moraes
- Dental School, Universidade de Pernambuco/FOP-UPE, Av. General Newton Cavalcanti, 1650; Tabatinga, Camaragibe, PE, 54.756-220, Brazil
| | | | - Eduardo Piza Pellizzer
- Araçatuba Dental School, UNESP - Univ Estadual Paulista , R. José Bonifácio, 1193; Vila Mendonca, Araçatuba, SP, 16015-050, Brazil
| | - Gabriela Queiroz de Melo Monteiro
- Dental School, Universidade de Pernambuco/FOP-UPE, Av. General Newton Cavalcanti, 1650; Tabatinga, Camaragibe, PE, 54.756-220, Brazil.
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48
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Elsharkasi MM, Platt JA, Cook NB, Yassen GH, Matis BA. Cuspal Deflection in Premolar Teeth Restored with Bulk-Fill Resin-Based Composite Materials. Oper Dent 2018; 43:E1-E9. [DOI: 10.2341/16-072-l] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
The present study investigated the effect of three high-viscosity bulk-fill resin-based composite materials on cuspal deflection in natural teeth. Thirty-two sound maxillary premolar teeth with large slot mesio-occlusal-distal cavities were distributed into four groups (n=8). Three groups were restored with bulk-fill resin composite materials (Tetric EvoCeram Bulk Fill, Ivoclar Vivadent, Schaan, Liechtenstein; x-tra fil, VOCO, Cuxhaven, Germany; and SonicFill, Kerr, Orange, CA, USA) in a single 4-mm increment. The conventional composite group, Filtek Z100 (3M ESPE, St Paul, MN, USA), was used to restore the cavities in 2-mm increments. Cusp deflection was recorded postirradiation using a Nikon measurescope UM-2 (Nikon, Tokyo, Japan) by measuring the changes in the bucco-palatal widths of the teeth at five minutes, 24 hours, and 48 hours after completion of the restorations. Cuspal deflection was significantly higher in the conventional composite than in the Tetric EvoCeram Bulk Fill (p=0.0031), x-tra fil (p=0.0029), and SonicFill Bulk (p=0.0002) groups. There were no significant differences in cuspal deflection among the three bulk-fill materials (all p<0.05). In conclusion, all the investigated bulk-fill resin composites exhibited cuspal deflection values that were smaller than those associated with a conventional incrementally placed resin composite.
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Affiliation(s)
- MM Elsharkasi
- Marwa M Elsharkasi, BDS, MSD, Benghazi University, School of Dentistry, Department of Conservative Dentistry and Endodontics, Benghazi, Libya
| | - JA Platt
- Jeffrey A Platt, DDS, MS, Indiana University, Restorative Dentistry, Indianapolis, IN, USA
| | - NB Cook
- N Blaine Cook, DDS, MSD, Indiana University School of Dentistry, Restorative Dentistry, Indianapolis, IN, USA
| | - GH Yassen
- Ghaeth H Yassen, BDS, MSD, PhD, Indiana University School of Dentistry, Department of Biomedical and Applied Sciences, Indianapolis, IN, USA
| | - BA Matis
- Bruce Allan Matis, DDS, MSD, Indiana University School of Dentistry, Restorative Dentistry, Indianapolis, IN, USA
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Shpotyuk O, Adamiak S, Bezvushko E, Cebulski J, Iskiv M, Shpotyuk O, Balitska V. Light-Curing Volumetric Shrinkage in Dimethacrylate-Based Dental Composites by Nanoindentation and PAL Study. NANOSCALE RESEARCH LETTERS 2017; 12:75. [PMID: 28124300 PMCID: PMC5267579 DOI: 10.1186/s11671-017-1845-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Accepted: 01/13/2017] [Indexed: 06/06/2023]
Abstract
Light-curing volumetric shrinkage in dimethacrylate-based dental resin composites Dipol® is examined through comprehensive kinetics research employing nanoindentation measurements and nanoscale atomic-deficient study with lifetime spectroscopy of annihilating positrons. Photopolymerization kinetics determined through nanoindentation testing is shown to be described via single-exponential relaxation function with character time constants reaching respectively 15.0 and 18.7 s for nanohardness and elastic modulus. Atomic-deficient characteristics of composites are extracted from positron lifetime spectra parameterized employing unconstrained x3-term fitting. The tested photopolymerization kinetics can be adequately reflected in time-dependent changes observed in average positron lifetime (with 17.9 s time constant) and fractional free volume of positronium traps (with 18.6 s time constant). This correlation proves that fragmentation of free-volume positronium-trapping sites accompanied by partial positronium-to-positron traps conversion determines the light-curing volumetric shrinkage in the studied composites.
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Affiliation(s)
- Olha Shpotyuk
- Danylo Halytsky Lviv National Medical University, 69, Pekarska St., Lviv, 79010, Ukraine.
| | - Stanislaw Adamiak
- Centre for Innovation and Transfer of Natural Sciences and Engineering Knowledge, University of Rzeszow, 35-959, Rzeszow, Poland
| | - Elvira Bezvushko
- Danylo Halytsky Lviv National Medical University, 69, Pekarska St., Lviv, 79010, Ukraine
| | - Jozef Cebulski
- Centre for Innovation and Transfer of Natural Sciences and Engineering Knowledge, University of Rzeszow, 35-959, Rzeszow, Poland
| | - Maryana Iskiv
- Danylo Halytsky Lviv National Medical University, 69, Pekarska St., Lviv, 79010, Ukraine
| | - Oleh Shpotyuk
- Jan Dlugosz University in Czestochowa, 13/15, Armii Krajowej St., 42200, Czestochowa, Poland
- Vlokh Institute of Physical Optics, 23, Dragomanov St., Lviv, 79005, Ukraine
| | - Valentina Balitska
- Lviv State University of Life Safety, 35, Kleparivska St., Lviv, 79007, Ukraine
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50
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Ferracane J, Hilton T, Stansbury J, Watts D, Silikas N, Ilie N, Heintze S, Cadenaro M, Hickel R. Academy of Dental Materials guidance—Resin composites: Part II—Technique sensitivity (handling, polymerization, dimensional changes). Dent Mater 2017; 33:1171-1191. [DOI: 10.1016/j.dental.2017.08.188] [Citation(s) in RCA: 80] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Accepted: 08/29/2017] [Indexed: 11/30/2022]
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