1
|
Altınışık H, Erten Can H, Mutlu Ağardan NB, Berkkan A, Güney M. Prevention of secondary caries using fluoride-loaded chitosan nanoparticle-modified glass-ionomer cement. Clin Oral Investig 2024; 28:504. [PMID: 39196417 DOI: 10.1007/s00784-024-05891-0] [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: 05/16/2024] [Accepted: 08/17/2024] [Indexed: 08/29/2024]
Abstract
OBJECTIVE To study the effect of incorporating chitosan and fluoride-loaded chitosan nanoparticles into a glass-ionomer cement (GIC) to prevent secondary caries. MATERIALS AND METHODS A standard cervical cavity (mesio-distal width 6 mm, cervico-occlusal width 2 mm, and depth 2 mm) was prepared on 30 molars for the following restoration groups: group 1, conventional GIC restoration; group 2, chitosan (10%) modified GIC restoration; group 3, fluoride loaded chitosan nanoparticles (10%) modified GIC restoration. The restored teeth were subjected to 1,500 thermal cycles before undergoing a multi-species cariogenic biofilm challenge. The restored teeth were examined by micro-computed tomography (micro-CT), scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM/EDX). Data were analyzed by the one-way ANOVA, Tukey HDS, Kruskal Wallis, and Dunn's test. RESULTS Micro-CT determined outer lesion depths for groups 1-3 were: 614 ± 20 μm, 589 ± 17 μm, and 560 ± 19 μm respectively. Both modifications with chitosan and fluoride-loaded chitosan nanoparticles significantly affected outer lesion depth (p < 0.05). The modification with fluoride-loaded chitosan nanoparticles statistically significantly decreased the outer lesion depth compared to all other groups (p < 0.05). SEM/EDX showed an increase of calcium, phosphorus, and fluoride at the root dentine adjacent to the restoration in groups 2 and 3 (modified GIC). This increase was statistically significantly higher in the group modified with fluorine-loaded nano chitosan particles compared to the other groups (p < 0.05). CONCLUSION Incorporation of 10% chitosan and 10% fluoride-loaded chitosan nanoparticles into GIC restorative material can prevent secondary root caries development. 10% fluoride-loaded chitosan nanoparticles were more effective. CLINICAL SIGNIFICANCE Glass ionomer cement modified with fluoride-loaded chitosan nanoparticles may be a promising restorative material in pediatric and preventive dentistry due to their controlled release properties.
Collapse
Affiliation(s)
- Hanife Altınışık
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Ankara, Emek, 06510, Turkey.
| | - Hülya Erten Can
- Department of Restorative Dentistry, Faculty of Dentistry, Dokuz Eylul University, İzmir, Turkey
| | | | - Aysel Berkkan
- Department of Analytical Chemistry, Gazi University Faculty of Pharmacy, Ankara, Turkey
| | - Mustafa Güney
- Department of Medical Microbiology, Gulhane Medical Faculty, University of Health Sciences, Ankara, Turkey
| |
Collapse
|
2
|
Muto R, Takamizawa T, Shiratsuchi K, Kasahara Y, Suda S, Watanabe H, Latta MA, Miyazaki M. Influence of luting strategies on dentin bond performance of self-adhesive resin luting cement in combination with a universal adhesive. Clin Oral Investig 2024; 28:478. [PMID: 39122868 DOI: 10.1007/s00784-024-05850-9] [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: 06/13/2024] [Accepted: 07/22/2024] [Indexed: 08/12/2024]
Abstract
OBJECTIVES This study aimed to evaluate the dentin bond performance of various resin luting cement (RLC) systems combined with universal adhesives in different luting strategies. MATERIALS AND METHODS Three self-adhesive resin luting cements (SRLCs) were used with universal adhesives as primers. Twelve specimens per group were prepared to measure shear bond strength (SBS) under distinct luting strategies in etch-&-rinse and self-etch modes. Regarding luting strategies, the bonded specimens were categorized into four groups based on tooth primer application and the curing mode of the SRLC paste: (i) with light irradiation of the tooth primer (wL) + dual-cure mode (DC) of the SRLC paste, (ii) wL + self-cure mode (SC) of the SRLC paste, (iii) without light irradiation of the tooth primer (woL) + DC mode of the SRLC paste, and (iv) woL + SC mode of the SRLC paste. Specimens were also subjected to different storage conditions: 24 h in water (baseline condition) and 10,000 cycles of thermal cycling. RESULTS Luting strategy, storage condition, and SRLC system type significantly influenced dentin SBS values in both etching modes. Notably, certain SRLCs exhibited significantly higher dentin SBS when the primer was light-irradiated compared with no primer irradiation. CONCLUSION Most SRLCs demonstrated higher dentin bond strength with light-irradiated primers, suggesting potential enhancement of dentin bond performance via primer light irradiation.
Collapse
Affiliation(s)
- Rei Muto
- Department of Operative Dentistry, Nihon University School of Dentistry, 1-8-13, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8310, Japan
| | - Toshiki Takamizawa
- Department of Operative Dentistry, Nihon University School of Dentistry, 1-8-13, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8310, Japan.
| | - Koji Shiratsuchi
- Department of Operative Dentistry, Nihon University School of Dentistry, 1-8-13, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8310, Japan
| | - Yuta Kasahara
- Department of Operative Dentistry, Nihon University School of Dentistry, 1-8-13, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8310, Japan
| | - Shunichi Suda
- Department of Operative Dentistry, Nihon University School of Dentistry, 1-8-13, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8310, Japan
| | - Hidehiko Watanabe
- Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, Portland, OR, USA
| | - Mark A Latta
- Department of General Dentistry, Creighton University School of Dentistry, Omaha, NE, USA
| | - Masashi Miyazaki
- Department of Operative Dentistry, Nihon University School of Dentistry, 1-8-13, Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-8310, Japan
| |
Collapse
|
3
|
Aktı A, Cengiz ZO, Gürses G, Serin H. Investigation of Absorbable and Non-Absorbable Multifilament Suture Materials in Terms of Strength Changes Using Chlorhexidine Mouthwash and Thermal Cycling: An In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2024; 17:3862. [PMID: 39124526 PMCID: PMC11314026 DOI: 10.3390/ma17153862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2024] [Revised: 07/25/2024] [Accepted: 07/30/2024] [Indexed: 08/12/2024]
Abstract
Sutures are natural or synthetic biomaterials utilized to hold tissues together. Following oral surgery, the surgical site and sutures are physically affected by many different factors. This study was conducted to evaluate the effect of artificial saliva (AS) and chlorhexidine mouthwash on the tensile strength of absorbable multifilament PGLA (polyglycolide-co-l-lactide) and non-absorbable multifilament silk sutures. PGLA and silk sutures, which are commonly used in oral surgery, were used to evaluate the change in strength of the sutures. A total of 352 suture samples were divided into eight equal groups (n = 44) and used for the experiments. Tensile strength was tested on days 0, 3, 7, and 14. For the silk sutures, there was a significant decrease in tensile strength in all groups at time T3 compared to T0, T1, and T2, and at times T1 and T2 compared to T0. For PGLA sutures, there was a significant decrease in all groups at time T3 compared to T0, T1, and T2. This study shows that chlorhexidine mouthwash significantly reduces suture resistance for 14 days after surgery.
Collapse
Affiliation(s)
- Ahmet Aktı
- Oral and Maxillofacial Department, Faculty of Dentistry, Selcuk University, Konya 42250, Turkey; (A.A.); (G.G.)
| | - Ziya Ozan Cengiz
- Oral and Maxillofacial Department, Faculty of Dentistry, Selcuk University, Konya 42250, Turkey; (A.A.); (G.G.)
| | - Gökhan Gürses
- Oral and Maxillofacial Department, Faculty of Dentistry, Selcuk University, Konya 42250, Turkey; (A.A.); (G.G.)
| | - Hakan Serin
- Department of Biostatistics, Selcuk University of Veterinary Medicine, Konya 42250, Turkey;
| |
Collapse
|
4
|
Biçer Z, Yaman BC, Çeliksöz Ö, Tepe H. Surface roughness of different types of resin composites after artificial aging procedures: an in vitro study. BMC Oral Health 2024; 24:876. [PMID: 39095862 PMCID: PMC11297583 DOI: 10.1186/s12903-024-04669-w] [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: 03/22/2024] [Accepted: 07/25/2024] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND The temperature changes, chemical agents, and brushing activity that resin composite restorations are exposed to in the oral environment can cause changes in surface roughness. In this study, the aim was to investigate in vitro the clinical one-year surface roughness changes of different types of composites (flowable or conventional) from the same companies by subjecting them to immersion in solutions, brushing, and thermal cycling procedures to simulate intraoral conditions. METHODS Four different resin composite brands were included in the study using both their conventional (Charisma Smart, 3M Filtek Ultimate Universal, Omnichroma, Beautifil II) and flowable resin composites (Charisma Flow, 3M Filtek Ultimate Flowable, Omnichroma Flow, Beautifil Flow Plus F00), giving 4 groups with 2 types of resin composite in each. 40 samples were prepared for each group/resin type, for a total of 320 samples. After initial surface roughness measurements by a mechanical profilometer, the samples were divided into 4 subgroups (n = 10) and immersed in solutions (distilled water, tea, coffee, or wine) for 12 days. The samples were then subjected to 10,000 cycles of brushing simulation and 10,000 cycles of thermal aging. Surface roughness measurements were repeated after the procedures. For statistical analysis, the 3-way analysis of variance and the Tukey test were used (p < 0.05). RESULTS It was concluded that composite groups and types had an effect on surface roughness at time t0 (p < 0.001). At time t1, the highest surface roughness value was obtained in the Beautifil-conventional interaction. When the surface roughness values between time t0 and t1 were compared, an increase was observed in the Beautifil II and Beautifil Flow Plus F00, while a decrease was observed in the other composite groups. CONCLUSION Composite groups, types, and solutions had an effect on the surface roughness of resin composites. After aging procedures, it was concluded that the Beautifil group could not maintain the surface structure as it exceeded the threshold value of 0.2 μm for bacterial adhesion.
Collapse
Affiliation(s)
- Zeynep Biçer
- Department of Restorative Dentistry, Faculty of Dentistry, Osmangazi University, Eskişehir, Turkey.
| | - Batu Can Yaman
- Department of Restorative Dentistry, Faculty of Dentistry, Osmangazi University, Eskişehir, Turkey
| | - Özge Çeliksöz
- Department of Restorative Dentistry, Faculty of Dentistry, Osmangazi University, Eskişehir, Turkey
| | - Hatice Tepe
- Department of Restorative Dentistry, Faculty of Dentistry, Osmangazi University, Eskişehir, Turkey
| |
Collapse
|
5
|
Niem T, Hübner A, Wöstmann B. Water absorption in artificial composites: Curse or blessing? Dent Mater 2024; 40:1097-1112. [PMID: 38811272 DOI: 10.1016/j.dental.2024.05.018] [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: 12/18/2023] [Revised: 03/22/2024] [Accepted: 05/13/2024] [Indexed: 05/31/2024]
Abstract
OBJECTIVES This study evaluated the impact of mutable water uptake on the durability of mechanical properties and the long-term reliability of artificial composites. METHODS Three resin-based CAD/CAM restorative materials (CRMs) were investigated in three-point bending tests to calculate flexural strength (FS), modulus of elasticity (ME), modulus of resilience (MR), modulus of toughness (MT), and elastic recovery (ER). All specimens (n = 180) were stored under the same conditions and tested in four subsets (n = 15 per material) that were respectively withdrawn after repeated thermocycling (5000 cycles; 5-55 °C, H2O) and repetitive drying (7 d; 37 °C, air). For every specimen, weight differences were determined per storage condition. Likewise, loss tangent data were separately recorded via dynamic mechanical analysis to reliably assess damping characteristics. RESULTS Repeated thermocycling always induced weight increase and a concurrent significant loss in all mechanical properties except for MT and ER of a polymethylmethacrylate-based CRM. Drying consistently provoked weight loss and raised mechanical properties to initial values. Weight increase, however, enhanced loss tangent values and accordingly distinct damping characteristics, whereas weight decrease markedly lowered damping properties. SIGNIFICANCE Water uptake repeatedly induced a decrease in common mechanical properties but concurrently increased damping behavior. Invertible equilibrium processes were found with no evidence for permanent material degradation.
Collapse
Affiliation(s)
- Thomas Niem
- Department of Prosthodontics, Justus-Liebig University, Schlangenzahl 14, 35392 Giessen, Germany.
| | - Antje Hübner
- Department of Prosthodontics, Justus-Liebig University, Schlangenzahl 14, 35392 Giessen, Germany
| | - Bernd Wöstmann
- Department of Prosthodontics, Justus-Liebig University, Schlangenzahl 14, 35392 Giessen, Germany
| |
Collapse
|
6
|
Li Q, Zhan N, Ng T, Swain MV, Wan B, Jian Y, Wang X, Zhao K. The influence of hygroscopic expansion of resin supporting dies on the fracture resistance of ceramic restorations during thermal cycling. Dent Mater 2024; 40:1231-1243. [PMID: 38853105 DOI: 10.1016/j.dental.2024.06.011] [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: 02/19/2024] [Accepted: 06/05/2024] [Indexed: 06/11/2024]
Abstract
OBJECTIVES To evaluate the hygroscopic expansion characterization of resin composite dies during thermal cycling, and their influence on the fracture resistance of dental ceramic materials as well as the effect of pre-immersion on these measurements. METHODS Disc-shaped specimens (φ = 15.0 mm, h = 1.2 mm) and anatomical crown dies of four resin composites (epoxy, Z350, P60, G10) were fabricated. Disc-shaped samples were continuously soaked in distilled water and the volume expansion was measured at different time point by Archimedes method. Disc-shaped samples were pre-immersed for 0, 7, or 30 days, elastic modulus and hardness were measured using Nanoindentation test; thermal cycling (TC) test was performed (5 °C-55 °C, 104 cycles), and volume expansion during TC was measured. Four kinds of resin die with pre-immersion for 0, 7, or 30 days were cemented to 5Y-Z crown, or epoxy dies without pre-immersion were cemented to 5Y-Z, 3Y-Z and lithium disilicate glass (LDG) crowns, and load-to-failure testing was performed before and after TC. Finite element analysis (FEA) and fractography analysis were also conducted. RESULTS The hygroscopic expansion was in the order: epoxy > Z350 > P60 > G10. Except for G10, the other three resin composites exhibited different degrees of hygroscopic expansion during TC. Only the elastic modulus and hardness of epoxy decreased after water storage. However, only the fracture loads of 5Y-Z and LDG crowns supported by epoxy dies were significantly decreased after TC. FEA showed a stress concentration at the cervical region of the crown after volume expansion of the die, leading to the increase of the peak stress at the crown during loading. SIGNIFICANCE Only the hygroscopic expansion of epoxy dies caused by TC led to the decrease in the fracture resistance of the 5Y-Z and LDG crown, which may be related to the decrease in the elastic modulus of the epoxy die and the tensile stress caused by it.
Collapse
Affiliation(s)
- Qiulan Li
- Hospital of Stomatology, Sun Yat-Sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - Ni Zhan
- Hospital of Stomatology, Sun Yat-Sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - Takkun Ng
- Hospital of Stomatology, Sun Yat-Sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - Michael V Swain
- Don State Technical University, Rostov-on-Don 344000, Russia; AMME, Sydney University, Sydney, Australia
| | - Boyang Wan
- School of Aerospace, Mechanical and Mechatronic Engineering (AMME), The University of Sydney, NSW 2006, Australia
| | - Yutao Jian
- Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China; Institute of Stomatology, Sun Yat-Sen University, Guangzhou 510055, China.
| | - Xiaodong Wang
- Hospital of Stomatology, Sun Yat-Sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China.
| | - Ke Zhao
- Hospital of Stomatology, Sun Yat-Sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China.
| |
Collapse
|
7
|
Aktı A, Kaya DI. Evaluation of Tensile Strength of Surgically Absorbable Suture Materials Used in Oral Surgery after Immersion in Different Beverages: An In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2024; 17:3586. [PMID: 39063878 PMCID: PMC11278735 DOI: 10.3390/ma17143586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Revised: 07/14/2024] [Accepted: 07/19/2024] [Indexed: 07/28/2024]
Abstract
Suture materials are natural or synthetic biomaterials used to close tissues together. After surgical procedures in the mouth, the surgical site and the sutures are physically affected by many different factors. This study was conducted to evaluate the effects of frequently consumed beverages on the tensile strength of monofilament PGLA (polyglycolide-co-l-lactide) and multi-filament PGCL (polyglycolide-co-caprolactone) absorbable sutures. In particular, PGLA and PGCL absorbable sutures, which are frequently used in oral surgery, were used to evaluate the change in the strength of suture materials. The suture materials were soaked in tea, coffee, and cola drinks five times a day for 5 min each and the rest of the time in artificial saliva. All suture materials were aged via thermal cycling. Tensile strengths were tested at 0, 3, 7, and 14 days. Mixed ANOVA (four replicates: within-group comparison and two factors: between-group comparison) was performed to evaluate the effects of groups and time on the tension levels of the Tekmon and Vicryl suture materials. Analysis of Variance was used for the within- and between-group comparisons, with the Bonferroni corrected t-test for multiple comparisons. For the PGCL suture material, there were significant decreases in tension levels in artificial saliva, tea, coffee, and cola at time T3 compared to T0, T1, and T2, and at T1 and T2 compared to T0. For the PGLA suture material, there were significant decreases in tension levels in artificial saliva, tea, coffee, and cola at time T3 compared to T0, T1, and T2. There was also a significant decrease in tension level at time T2 in cola compared to T0. The present study demonstrates that beverages significantly decrease the strength of suture materials for 14 days after surgery. In particular, cola decreased the resistance of the PGCL suture material more significantly in the first week when compared to other beverages.
Collapse
Affiliation(s)
- Ahmet Aktı
- Department of Oral and Maxillofacial Surgery, Dentistry Faculty, Selçuk University, Konya 42250, Turkey
| | - Doğan Ilgaz Kaya
- Department of Oral and Maxillofacial Surgery, Dentistry Faculty, Karamanoğlu Mehmetbey University, Karaman 70100, Turkey;
| |
Collapse
|
8
|
Aktu A, Ulusoy N. Effect of Polishing Systems on the Surface Roughness and Color Stability of Aged and Stained Bulk-Fill Resin Composites. MATERIALS (BASEL, SWITZERLAND) 2024; 17:3576. [PMID: 39063869 PMCID: PMC11278718 DOI: 10.3390/ma17143576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2024] [Revised: 07/11/2024] [Accepted: 07/17/2024] [Indexed: 07/28/2024]
Abstract
The aim of this study is to investigate how two different polishing techniques affect the color stability, surface roughness, and changes in surface morphology of aged and coffee-stained bulk-fill resin composites. A total of 112 disc-shaped samples were prepared using Omnichroma Flow Bulk (OB), Charisma Bulk Flow One (CB), Estelite Bulk Fill Flow (EB), and Estelite Sigma Quick (control). Samples were divided into two subgroups (n = 16) and aged using thermocycling. A profilometer was used to measure the surface roughness (Ra) and a spectrophotometer was used for color stability (ΔE00). The EB group had the highest Ra values both before aging (disc: 0.23 ± 0.05, twist: 0.42 ± 0.05) and after aging (discs: 0.28 ± 0.04, twist: 0.46 ± 0.05). The OB group had the highest ΔE00 values before and after aging (discs: 3.06 ± 0.54, twist 3.05 ± 0.41) and the highest after coffee-staining (discs: 3.75 ± 0.70, twist: 3.91 ± 0.57). Re-polishing reduced the ΔE00 values in all materials but did not restore all to clinically acceptable levels. According to the results of this study, it can be concluded that the surface roughness and color stability of resin composites are notably influenced by the polishing technique, aging process, and coffee staining. Specimens that were polished using the multi-stage Super-Snap discs consistently exhibited smoother surfaces across all bulk-fill resin composites compared to those polished with the two-stage Diacomp plus Twist.
Collapse
Affiliation(s)
- Ayşem Aktu
- Faculty of Dentistry, Department of Restorative Dentistry, Near East University, 99138 Nicosia, Türkiye;
| | | |
Collapse
|
9
|
Kim SH, Oh KC, Moon HS. Effects of Surface-Etching Systems on the Shear Bond Strength of Dual-Polymerized Resin Cement and Zirconia. MATERIALS (BASEL, SWITZERLAND) 2024; 17:3096. [PMID: 38998179 PMCID: PMC11242500 DOI: 10.3390/ma17133096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2024] [Revised: 06/15/2024] [Accepted: 06/18/2024] [Indexed: 07/14/2024]
Abstract
Adhesion of zirconia is difficult; thus, etching agents using several different methods are being developed. We investigated the effects of surface treatment with commercially available etching agents on the bond strength between zirconia and resin cement and compared them with those achieved using air abrasion alone. We used 100 zirconia blocks, of which 20 blocks remained untreated, 20 blocks were sandblasted, and 60 blocks were acid-etched using three different zirconia-etching systems: Zircos-E etching (strong-acid etching), smart etching (acid etching after air abrasion), and cloud etching (acid etching under a hot stream). Each group was subjected to a bonding procedure with dual-polymerized resin cement, and then 50 specimens were thermocycled. The shear bond strengths between the resin cement and zirconia before and after the thermocycling were evaluated. We observed that in the groups that did not undergo thermocycling, specimens surface-treated with solution did not show a significant increase in shear bond strength compared to the sandblasted specimens (p > 0.05). Among the thermocycled groups, the smart-etched specimens showed the highest shear bond strength. In the short term, various etching agents did not show a significant increase in bond strength compared to sandblasting alone, but in the long term, smart etching showed stability in bond strength (p < 0.05).
Collapse
Affiliation(s)
- Sang-Hyun Kim
- Department of Prosthodontics, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea
| | - Kyung Chul Oh
- Department of Prosthodontics, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea
| | - Hong-Seok Moon
- Department of Prosthodontics, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea
| |
Collapse
|
10
|
Saadat Sarmadi B, Schmidt F, Beuer F, Metin DS, Simeon P, Nicic R, Unkovskiy A. The Effect of Build Angle and Artificial Aging on the Accuracy of SLA- and DLP-Printed Occlusal Devices. Polymers (Basel) 2024; 16:1714. [PMID: 38932064 PMCID: PMC11207952 DOI: 10.3390/polym16121714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2024] [Revised: 05/22/2024] [Accepted: 06/10/2024] [Indexed: 06/28/2024] Open
Abstract
The aim of this study is to investigate the influence of printing material, build angle, and artificial aging on the accuracy of SLA- and DLP-printed occlusal devices in comparison to each other and to subtractively manufactured devices. A total of 192 occlusal devices were manufactured by one SLA-printing and two DLP-printing methods in 5 different build angles as well as milling. The specimens were scanned and superimposed to their initial CAD data and each other to obtain trueness and precision data values. A second series of scans were performed after the specimens underwent an artificial aging simulation by thermocycling. Again, trueness and precision were investigated, and pre- and post-aging values were compared. A statistically significant influence was found for all main effects: manufacturing method, build angle, and thermocycling, confirmed by two-way ANOVA. Regarding trueness, overall tendency indicated that subtractively manufactured splints were more accurate than the 3D-printed, with mean deviation values around ±0.15 mm, followed by the DLP1 group, with ±0.25 mm at 0 degree build angle. Within the additive manufacturing methods, DLP splints had significantly higher trueness for all build angles compared to SLA, which had the highest mean deviation values, with ±0.32 mm being the truest to the original CAD file. Regarding precision, subtractive manufacturing showed better accuracy than additive manufacturing. The artificial aging demonstrated a significant influence on the dimensional accuracy of only SLA-printed splints.
Collapse
Affiliation(s)
- Bardia Saadat Sarmadi
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Aßmannshauser Street 4-6, 14197 Berlin, Germany; (B.S.S.); (F.S.); (F.B.); (D.S.M.); (P.S.); (R.N.)
| | - Franziska Schmidt
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Aßmannshauser Street 4-6, 14197 Berlin, Germany; (B.S.S.); (F.S.); (F.B.); (D.S.M.); (P.S.); (R.N.)
| | - Florian Beuer
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Aßmannshauser Street 4-6, 14197 Berlin, Germany; (B.S.S.); (F.S.); (F.B.); (D.S.M.); (P.S.); (R.N.)
| | - Dilan Seda Metin
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Aßmannshauser Street 4-6, 14197 Berlin, Germany; (B.S.S.); (F.S.); (F.B.); (D.S.M.); (P.S.); (R.N.)
| | - Philipp Simeon
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Aßmannshauser Street 4-6, 14197 Berlin, Germany; (B.S.S.); (F.S.); (F.B.); (D.S.M.); (P.S.); (R.N.)
| | - Robert Nicic
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Aßmannshauser Street 4-6, 14197 Berlin, Germany; (B.S.S.); (F.S.); (F.B.); (D.S.M.); (P.S.); (R.N.)
| | - Alexey Unkovskiy
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Aßmannshauser Street 4-6, 14197 Berlin, Germany; (B.S.S.); (F.S.); (F.B.); (D.S.M.); (P.S.); (R.N.)
- Department of Dental Surgery, Sechenov First Moscow State Medical University, Bolshaya Pirogovskaya Street, 19c1, Moscow 119146, Russia
| |
Collapse
|
11
|
Benkeser SM, Karlin S, Rohr N. Effect of curing mode of resin composite cements on water sorption, color stability, and biaxial flexural strength. Dent Mater 2024; 40:897-906. [PMID: 38702210 DOI: 10.1016/j.dental.2024.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 03/21/2024] [Accepted: 04/26/2024] [Indexed: 05/06/2024]
Abstract
OBJECTIVES To determine whether water sorption and solubility of a recently introduced self-adhesive cement is comparable to two clinically tested resin composite cements after thermal aging, and if this is affected by the curing mode. Whether water sorption is correlated with color difference and biaxial flexural strength was also investigated. METHODS Water sorption and solubility of three resin composite cements {RelyX Universal (RUV), (Panavia V5 (PV5), Panavia SA plus (PSA)} were measured after thermal aging. Disk-shaped specimens were either light-cured or autopolymerized (n = 15 per group). Color difference ΔE00 and biaxial flexural strength were also obtained. RESULTS Sorption was highest for RUV (auto: 54.9 ± 9.0 µg/mm3, light: 49.7 ± 4.9 µg/mm3), followed by PSA (auto: 37.7 ± 1.4 µg/mm3, light: 34.5 ± 1.1 µg/mm3) and PV5 (auto: 21.7 ± 0.7 µg/mm3, light: 22.1 ± 0.4 µg/mm3). Light-curing reduced solubility values, particularly for RUV (from 60.7 ± 20.8 µg/mm3 to 6.4 ± 0.8 µg/mm3). Color differences of ΔE00 > 1.8 (considered clinically not acceptable) were noted after aging for RUV and PSA. Sorption and ΔE00 values after aging were correlated linearly (R2 = 0.970). Biaxial flexural strength values were highest for PV5 (light: 153.4 ± 15.9 MPa; auto: 133.2 ± 18.0 MPa) and lowest for RUV (light: 99.3 ± 12.8 MPa; auto: 35.1 ± 8.3 MPa). SIGNIFICANCE Light-curing has beneficial effects on sorption, color stability, and biaxial flexural strength of resin composite cements. Cements containing 2-hydroxymethacrylate such as RUV and PSA are more prone to water sorption and color changes.
Collapse
Affiliation(s)
- Svenja M Benkeser
- Biomaterials and Technology, Clinic for Reconstructive Dentistry, University Center for Dental Medicine Basel, Basel, Switzerland
| | - Sabrina Karlin
- Biomaterials and Technology, Clinic for Reconstructive Dentistry, University Center for Dental Medicine Basel, Basel, Switzerland
| | - Nadja Rohr
- Biomaterials and Technology, Clinic for Reconstructive Dentistry, University Center for Dental Medicine Basel, Basel, Switzerland.
| |
Collapse
|
12
|
Yang X, Yang Y, Li Y, Li Z, Zhang Y, He X, Yang J. Real-time imaging and quantitative analysis of internal gap formation in bulk-fill and conventional resin composites: An OCT evaluation. Photodiagnosis Photodyn Ther 2024; 47:104103. [PMID: 38677500 DOI: 10.1016/j.pdpdt.2024.104103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 04/19/2024] [Accepted: 04/24/2024] [Indexed: 04/29/2024]
Abstract
BACKGROUND This study used optical coherence tomography (OCT) to observe real-time internal gap formation in both bulk-fill and conventional resin composites. It aimed to provide a quantitative analysis of variations, addressing the inconclusive nature of microleakage assessment caused by differences in testing methods. METHODS Fifty extracted third molars prepared with Class I cavities, were divided into five groups (n = 10). Conventional resin Filtek Z350 XT (FZX) was applied with a double-layer filling of 2 mm per layer. Bulk-fill resins X-tra fil (XTF), Filtek Bulk Fill Posterior Restorative (FBP), Surefil SDR Flow + (SDR), and Filtek Flowable Restorative (FFR) were applied with a single-layer filling of 4 mm. Real-time OCT imaging was conducted during light curing. Post-curing, the entire sample was OCT-scanned. Following this, ImageJ software was used to measure the gap (G1 %). Subsequently, thermal cycling (TC) (5000 times, 5 °C-55 °C) was applied, followed by OCT scanning to calculate the gap (G2 %) and ΔG%. Data were analyzed using two-way repeated measures ANOVA, Kruskal-Wallis test, and Duncan's test (α=0.05). RESULTS There was no significant difference in G1 % among the groups (p > 0.05). Following TC, FZX exhibited the highest G2 %, succeeded by FFR, FBP, XTF, and SDR, with SDR demonstrating the lowest G2 % (p < 0.05). FZX showed the highest ΔG% (p < 0.05), while SDR exhibited the lowest ΔG% (p < 0.05). CONCLUSION OCT proves to be a promising tool for detecting microleakage. TC exerted a more significant negative impact on conventional resin. Surefil SDR Flow + displayed the least microleakage, both before and after TC.
Collapse
Affiliation(s)
- Xinyu Yang
- Department of Cariology & Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, China; Jiangxi Province Key Laboratory of Oral Biomedicine, Nanchang 330006, Jiangxi, China
| | - Yuhao Yang
- Department of Cariology & Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, China; Jiangxi Province Key Laboratory of Oral Biomedicine, Nanchang 330006, Jiangxi, China
| | - Yingji Li
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang 330063, Jiangxi, China
| | - Zekun Li
- Department of Cariology & Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, China; Jiangxi Province Key Laboratory of Oral Biomedicine, Nanchang 330006, Jiangxi, China
| | - Yubao Zhang
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang 330063, Jiangxi, China
| | - Xingdao He
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang 330063, Jiangxi, China
| | - Jian Yang
- Department of Cariology & Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, China; Jiangxi Province Key Laboratory of Oral Biomedicine, Nanchang 330006, Jiangxi, China.
| |
Collapse
|
13
|
Tahoun FAM, Kehela HAG, Nasr DM. Influence of different immediate dentin sealing strategies on bond strength of indirect resin nanoceramic restorations. Eur J Oral Sci 2024; 132:e12983. [PMID: 38497607 DOI: 10.1111/eos.12983] [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: 10/25/2023] [Accepted: 02/27/2024] [Indexed: 03/19/2024]
Abstract
In this study, we evaluated the effect of four different strategies for bonding a CAD/CAM resin nanoceramic restoration (Lava Ultimate, 3M) to the dentin surface using a universal adhesive (Scotch Bond Universal, 3M) and adhesive resin cement (RelyX Ultimate, 3M) on the shear bond strength (SBS) and failure mode. The strategies comprised: (i) immediate sealing, immediate bonding; (ii) immediate sealing, bonding after 2 weeks with provisional restoration; (iii) immediate sealing with flowable resin composite reinforcement and bonding after 2 weeks with provisional restoration; and (iv) no immediate sealing, and bonding after 2 weeks with provisional restoration. After bonding, all the specimens were thermocycled, shear tests were performed using a universal testing machine, and failure modes were determined using stereomicroscope and scanning electron microscopy. The highest mean SBS was recorded with immediate sealing, immediate bonding strategy. Most adhesive failures with exposed dentinal tubules were noted in specimens exposed to bonding after 2 weeks with no immediate sealing, which was associated with the lowest SBS. Mixed failures predominated in all immediate dentin sealing groups. Immediate sealing with universal adhesives improves SBS, particularly in the single-visit approach, which has shown significantly better performance, whereas the provisional phase has a negative effect.
Collapse
Affiliation(s)
- Fatma-Alzahraa Mohamed Tahoun
- Division of Operative, Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Hany Abdel-Ghafar Kehela
- Division of Operative, Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Dina Mohamed Nasr
- Division of Operative, Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| |
Collapse
|
14
|
Khairy NM, Elkholany NR, Elembaby AE. Evaluation of surface microhardness and gingival marginal adaptation of three different bulk-fill flowable resin composites: A comparative study. J ESTHET RESTOR DENT 2024; 36:920-929. [PMID: 38404208 DOI: 10.1111/jerd.13211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 02/03/2024] [Accepted: 02/09/2024] [Indexed: 02/27/2024]
Abstract
OBJECTIVES To evaluate surface microhardness and gingival marginal adaptation of three different bulk-fill flowable resin composites (FB-RBCs) in Class V cavities with enamel or dentin margins before and after thermocycling (TMC). MATERIALS AND METHODS Three available FB-RBCs were used; Palfique Bulk Flow (PaBF) (Tokuyama Dental), SDR Flow+ Bulk Fill Flowable (Dentsply Sirona), and I-Flow Bulk Fill (I-Dental). Thirty discs were prepared from each type of FB-RBCs. The discs were subjected to Vickers microhardness tester machine. Class V cavities were prepared on 180 molars. Gingival margins of half the specimens were prepared above CEJ and the other half below CEJ. Cavities were restored with FB-RBCs for gingival marginal adaptation test. Two-way ANOVA was used in microhardness, while three-way ANOVA was used for marginal adaptation. RESULTS The used materials showed statistically significant differences in microhardness and marginal adaptation. CONCLUSIONS Regarding microhardness, PaBF showed the highest value before TMC and SDR was the highest after TMC. Regarding marginal adaptation, SDR revealed the best marginal adaptation than PaBF and I-flow, either subjected to TMC or not. CLINICAL SIGNIFICANCE The longevity of cervical restorations depend on both the location of the cavity margin and the material used. The microfractures in resin composite surface due to low surface microhardness as well as marginal gaps seen in laboratory studies could be considered as an indicative parameter for clinical problem associated with marginal differences.
Collapse
Affiliation(s)
- Nourhan Medhat Khairy
- Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Aldakhlia, Egypt
| | - Naglaa Rizk Elkholany
- Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Aldakhlia, Egypt
| | - Abeer Elsayed Elembaby
- Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Aldakhlia, Egypt
| |
Collapse
|
15
|
Fouda AM, Bourauel C, Samran A, Kassem AS, Alhotan A. Effect of glazing and thermocycling on the fracture toughness and hardness of a New fully crystallized aluminosilicate CAD/CAM ceramic material. BMC Oral Health 2024; 24:620. [PMID: 38807109 PMCID: PMC11131322 DOI: 10.1186/s12903-024-04398-0] [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: 02/02/2024] [Accepted: 05/22/2024] [Indexed: 05/30/2024] Open
Abstract
BACKGROUND The mechanical properties of fully crystallized lithium aluminosilicate ceramics may be influenced by intraoral temperature variations and postmilling surface treatment. The purpose of this study is to explore the interplay among glazing, thermocycling, and the mechanical characteristics (namely, fracture toughness and hardness) of fully crystallized lithium aluminosilicate ceramics. METHODS Bending bars (n = 40) cut from LisiCAD blocks (GC, Japan) were randomly assigned to glazed or unglazed groups (n = 20) and subjected to the single edge v-notch beam method to create notches. A glazing firing cycle was applied to the glazed group, while the unglazed group was not subjected to glazing. Half of the specimens (n = 10) from both groups underwent thermocycling before fracture toughness testing. The fracture toughness (KIC) was evaluated at 23 ± 1 °C using a universal testing machine configured for three-point bending, and the crack length was measured via light microscopy. Seven specimens per group were selected for the hardness test. Hardness was assessed using a Vickers microhardness tester with a 1 kg load for 20 s, and each specimen underwent five indentations following ISO 14705:2016. The Shapiro-Wilk and Kolmogorov-Smirnov tests were used to evaluate the normality of the data and a two-way ANOVA was utilized for statistical analysis. The significance level was set at (α = 0.05). RESULTS Regardless of the thermocycling conditions, the glazed specimens exhibited significantly greater fracture toughness than did their unglazed counterparts (P < 0.001). Thermocycling had no significant impact on the fracture toughness of either the glazed or unglazed specimens. Furthermore, statistical analysis revealed no significant effects on hardness with thermocycling in either group, and glazing alone did not substantially affect hardness. CONCLUSIONS The impact of glazing on the fracture toughness of LiSiCAD restorations is noteworthy, but it has no significant influence on their hardness. Furthermore, within the parameters of this study, thermocycling was found to exert negligible effects on both fracture toughness and hardness.
Collapse
Affiliation(s)
- Ahmed Mahmoud Fouda
- Department of Oral Technology, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, North Rhine-Westphalia, Germany.
- Department of Fixed Prosthodontics, Suez Canal University, Ismailia, Egypt.
| | - Christoph Bourauel
- Department of Oral Technology, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, North Rhine-Westphalia, Germany
| | - Abdulaziz Samran
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al-Uloom University, Riyadh, Saudi Arabia
- Department of Prosthodontics, School of Dentistry, Ibb University, Ibb, Yemen
| | - Amr Shebl Kassem
- Department of Fixed Prosthodontics, Suez Canal University, Ismailia, Egypt
| | - Abdulaziz Alhotan
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, 7 Riyadh 12372, P.O. Box 10219, Riyadh, Saudi Arabia
| |
Collapse
|
16
|
Nezir M, Dinçtürk BA, Sarı C, Alp CK, Altınışık H. Effect of fiber-reinforced direct restorative materials on the fracture resistance of endodontically treated mandibular molars restored with a conservative endodontic cavity design. Clin Oral Investig 2024; 28:316. [PMID: 38750289 PMCID: PMC11096213 DOI: 10.1007/s00784-024-05720-4] [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: 03/08/2024] [Accepted: 05/10/2024] [Indexed: 05/18/2024]
Abstract
OBJECTIVE This study aimed to evaluate the fracture strength of teeth restored using fiber-reinforced direct restorative materials after endodontic treatment with a conservative mesio-occlusal access cavity design. MATERIALS AND METHODS A total of 100 extracted intact mandibular first molars were selected and distributed into a positive control group where teeth left intact and the following four test groups comprised of teeth with conservative mesio-occlusal access cavities that had undergone root canal treatment (n = 20/group): access cavity without restoration (negative control), bulk-fill resin composite with horizontal glass fiber post reinforcement, fiber-reinforced composite with bulk-fill resin and bulk-fill resin composite. Following thermocycling (10,000 cycles), fracture resistance was measured using a universal testing machine. Statistical analyses (one-way analysis of variance and the Tamhane test) were performed, and statistical significance was set at p < 0.05. RESULTS Groups with minimally invasive access cavities had lower fracture strength than intact teeth, regardless of the restoration material (p < 0.05). Fiber-reinforced composite groups demonstrated higher fracture strength than bulk-fill resin composite alone (p < 0.05). Fracture types varied among groups, with restorable fractures predominant in the fiber-reinforced composite groups. CONCLUSION This study suggests that using fiber-reinforced composite materials, especially in combination with bulk-fill resin composites, can effectively enhance the fracture strength of endodontically treated teeth with conservative access cavities. However, using only bulk-fill resin composite is not recommended based on the fracture strength results. CLINICAL SIGNIFICANCE When teeth that undergo endodontic treatment are restored using a conservative access cavity design and fiber-reinforced composite materials, especially in combination with bulk-fill resin composites, the fracture strength of the teeth can be effectively increased.
Collapse
Affiliation(s)
- Merve Nezir
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Emek, Ankara, 06510, Turkey
| | - Beyza Arslandaş Dinçtürk
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Emek, Ankara, 06510, Turkey
| | - Ceyda Sarı
- Department of Restorative Dentistry, Faculty of Dentistry, İstanbul Medipol University, İstanbul, Turkey
| | - Cemile Kedici Alp
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Emek, Ankara, 06510, Turkey
| | - Hanife Altınışık
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Emek, Ankara, 06510, Turkey.
| |
Collapse
|
17
|
Nagai T, Alfaraj A, Chu TMG, Yang CC, Lin WS. Color stability of CAD-CAM hybrid ceramic materials following immersion in artificial saliva and wine. J Prosthodont 2024. [PMID: 38742795 DOI: 10.1111/jopr.13868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 04/21/2024] [Indexed: 05/16/2024] Open
Abstract
PURPOSE To examine the color stability of 3D-printed and milled, interim, and definitive, restorative materials after immersion in artificial saliva and wine for 1, 3, and 6 months. MATERIAL AND METHODS The study used a 2 × 5 factorial design with 10 subgroups, including 2 immersion liquids (artificial saliva and wine) and 5 manufacturing technology and restorative material combinations (n = 10). Color measurements were taken using a contact-type digital spectrophotometer (CM-2600d Spectrophotometer; Konica Minolta Healthcare Americas Inc) before immersion and at 1 month (T1), 3 months (T3), and 6 months (T6) after immersion. The CIE2000 system was used to calculate quantitative measurements of color differences in ΔE00, and comparisons were made to the acceptability threshold (AT) and perceptibility threshold (PT). Repeated measures of ANOVA (α = 0.05) were used to compare differences in color changes between manufacturing technology/restorative material-immersion liquid combinations at T1, T3, and T6. RESULTS To compare the effect of immersion liquid and time on the manufacturing technology/restorative material groups, the ΔE00 values were compared to the PT of 0.8 and the AT of 1.8. Wine caused significant color changes in ΔE00 values beyond the PT and AT values in all groups at all time intervals, except for the AT value of milled definitive crowns (hybrid nano-ceramic material). Wine immersion caused significant ΔE00 for all manufacturing technology/restorative material groups at all time intervals (1 month, 3 months, and 6 months) when compared to artificial saliva immersion (all p < 0.001). CONCLUSION Upon exposure to artificial saliva, 80%-100% of samples from all groups remained within the acceptable and perceptible color change thresholds. The wine had significant chromogenic effects on all tested restorative materials, however, the milled definitive crowns (hybrid nano-ceramic material) showed the greatest color stability. For patients with heavy wine consumption, 3D-printed definitive crowns (hybrid ceramic-filled material) may show discoloration exceeding acceptable and perceptible color change limits.
Collapse
Affiliation(s)
- Toshiki Nagai
- Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Amal Alfaraj
- Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA
- Department of Prosthodontics, King Faisal University, School of Dentistry, Al Ahsa, Saudi Arabia
| | - Tien-Min G Chu
- Department of Biomedical Sciences and Comprehensive Care, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Chao-Chieh Yang
- Advanced Education Program in Prosthodontics, Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Wei-Shao Lin
- Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| |
Collapse
|
18
|
Santander-Rengifo F, Carreras-Presas CM, Aroste-Andía R, Hernández-Huamaní E, Gavilán-Chávez P, Cervantes-Ganoza L, Cayo-Rojas C. Microtensile Bond Strength and Failure Mode of Different Universal Adhesives on Human Dentin. Int Dent J 2024:S0020-6539(24)00114-X. [PMID: 38734514 DOI: 10.1016/j.identj.2024.04.009] [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: 02/19/2024] [Revised: 03/13/2024] [Accepted: 04/05/2024] [Indexed: 05/13/2024] Open
Abstract
AIM The aim of this study was to compare the microtensile bond strength (µTBS) and failure mode of 4 different universal adhesive systems (UAs) on human dentin. MATERIALS AND METHODS The study sectioned the occlusal thirds of 32 human third molars and divided them into 4 groups based on the adhesive system used. Group A: Palfique Universal Bond, Group B: Single Bond Universal, Group C: All-Bond Universal, and Group D: One Coat 7 Universal. The specimens underwent a 10,000-cycle thermocycling ageing process prior to testing (n = 32). Afterwards, 8 beams were obtained per group and subjected to µTBS testing using a digital universal testing machine at a speed of 1 mm/min. The microtensile bond strength values were analysed in Megapascals (MPa), and the failure mode was evaluated using a stereomicroscope. Welch's parametric ANOVA with robust variance and the Games-Howell post hoc test were used for µTBS comparisons, and Fisher's exact test was used to determine the association between adhesive type and failure mode. The significance level was set at P < .05. RESULTS Group D showed a significantly higher µTBS than groups A (P < .001) and B (P < .001), but no significant difference was observed with group C (P= .075). Furthermore, groups B and C showed significantly higher µTBS than group A (P< .001 and P < .001, respectively), but there was no significant difference between groups B and C (P = .132). Additionally, group A exhibited a significant association with an adhesive failure mode (P < .05), whereas groups B, C, and D were significantly associated with a mixed failure mode (P < .05). CONCLUSION The One Coat 7 Universal adhesive system showed higher microtensile bond strength values and higher chemical interaction with dentin compared to Palfique Universal Bond and Single Bond Universal. However, no significant differences were observed compared to All-Bond Universal.
Collapse
Affiliation(s)
- Flor Santander-Rengifo
- Doctoral Program and Health Sciences, Doctoral and Research School, Universidad Europea de Madrid, Madrid, Spain; Academic Program of Dentistry, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| | - Carmen Martin Carreras-Presas
- Head of Esthetic Dentistry Program, Faculty of Health and Biomedical Sciences, Dentistry Department, Universidad Europea de Madrid, Madrid, Spain
| | - Rosa Aroste-Andía
- School of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru
| | | | | | | | - César Cayo-Rojas
- School of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru.
| |
Collapse
|
19
|
Demir N, Genc O, Akkese IB, Malkoc MA, Ozcan M. Bonding Effectiveness of Saliva-Contaminated Monolithic Zirconia Ceramics Using Different Decontamination Protocols. BIOMED RESEARCH INTERNATIONAL 2024; 2024:6670159. [PMID: 38606199 PMCID: PMC11008971 DOI: 10.1155/2024/6670159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 03/07/2024] [Accepted: 03/16/2024] [Indexed: 04/13/2024]
Abstract
Objective This research study investigated the effect of new decontamination protocols on the bonding capacity of saliva-contaminated monolithic zirconia (MZ) ceramics cemented with two different monomer-containing self-adhesive resin cements. Materials and Methods Standardized tooth preparations (4 mm. axial height) were performed for eighty human maxillary premolars under constant water cooling system. Eighty monolithic zirconia crowns (Whitepeaks Supreme Monolith) (n = 8/10 groups) were manufactured by CAD-CAM. Specimens were kept in the artificial saliva at pH = 7.3 for 1 minute at 37°C except control groups. The specimens have not been prealumina blasted and grouped according to cleaning methods and resin cements: control groups (C) (no saliva contamination + GPDM + 4-META (N) (CN) and 10-MDP (M) containing resin cement (CM), alumina blasted (AL) + GPDM + 4-META (ALN) and 10-MDP containing resin cement (ALM), zirconium oxide containing universal cleaning agent (IC) applied + GPDM + 4-META (N) (ICN) and 10-MDP containing resin cement (ICM), pumice (P) applied + GPDM + 4-META (PN) and 10-MDP containing resin cement (PM), and air-water spray (AW) applied + GPDM + 4-META (AWN) and 10-MDP containing resin cement (AWM)). Monobond Plus was applied to all surfaces for 40 seconds before cementation. The thermal cycle was applied at 5,000 cycles after cementation. The crowns were tested in tensile mode at a speed of 1 mm/min. The mode of failure was recorded. SEM examinations were carried out at different magnifications. Data were analyzed using rank-based Kruskal-Wallis and Mann-Whitney tests. Results No significant differences were found between the surface treatments and between the two types of resin cements. Interaction effects between surface treatments and resin cements were found to be significant by two-way ANOVA analysis. ICM group resulted in significantly better bond strength results compared with CN. ICM was found to result in better bond strength results compared with PM. The combination of universal cleaning agent and 10-MDP containing resin cement had significantly the highest cementation bond strength values. The increasing order of mean tensile bond strength values of decontamination protocols was C < AW < P < AL < IC. The mean tensile bond strength of 10-MDP containing resin cement was slightly higher than GPDM + 4-META containing resin cement. Conclusions Universal cleaning agents can be preferred as an efficient cleaning method with 10-MDP-containing cement after saliva contamination for better adhesive bond strength of 4 mm crown preparation height of monolithic zirconia ceramics.
Collapse
Affiliation(s)
- Necla Demir
- Selcuk University, Faculty of Dentistry, Department of Prosthodontics, Konya, Türkiye
| | - Ozge Genc
- Selcuk University, Faculty of Dentistry, Department of Prosthodontics, Konya, Türkiye
| | - Ipek Balevi Akkese
- Selcuk University, Faculty of Dentistry, Department of Prosthodontics, Konya, Türkiye
| | - Meral Arslan Malkoc
- Akdeniz University, Faculty of Dentistry, Department of Prosthodontics, Antalya, Türkiye
| | - Mutlu Ozcan
- Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, Center for Dental and Oral Medicine, University of Zurich, Zurich, Switzerland
| |
Collapse
|
20
|
Fidan M, Yağci Ö. Effect of aging and fiber-reinforcement on color stability, translucency, and microhardness of single-shade resin composites versus multi-shade resin composite. J ESTHET RESTOR DENT 2024; 36:632-642. [PMID: 37622399 DOI: 10.1111/jerd.13125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 07/23/2023] [Accepted: 08/07/2023] [Indexed: 08/26/2023]
Abstract
OBJECTIVE The purpose of this study was to evaluate the effect of aging and fiber-reinforcement on the color stability, translucency, and microhardness of single-shade resin composites versus multi-shade resin composite. MATERIALS AND METHODS Four resin composites (Filtek Z250, Omnichroma, Vittra APS Unique, Zenchroma) were tested. Three subgroups of specimens were prepared for each of the composites: control, polyethylene fiber-reinforcement, and glass fiber-reinforcement- groups (n = 10/per group). The samples were subjected to aging for 10,000 thermal cycles. Color differences (ΔE00 ) were calculated after aging. Relative translucency parameter (RTP00 ) and microhardness values were calculated before and after aging. A two-way analysis of variance and the generalized linear model was used (p < 0.05). RESULTS The lowest and highest ΔE00 values were found for Filtek Z250 (0.6 ± 0.2) and Omnichroma resin composites (1.6 ± 0.4), respectively. The ΔE00 value of the polyethylene fiber-reinforcement group (1.2 ± 0.6) was significantly higher than the ΔE00 value of the glass fiber-reinforcement group (1.0 ± 0.4, p < 0.001). The RTP00 value of the glass fiber-reinforcement group (1.92 ± 0.78) was significantly higher than the RTP00 value of the polyethylene fiber-reinforcement group (1.72 ± 0.77, p < 0.001). The highest microhardness values were found in glass fiber-reinforcement group (76.48 ± 17.07, p < 0.001). CONCLUSION Single-shade resin composites were more translucent, had higher color change, and lower hardness than multi-shade resin composite. For relative translucency and microhardness, statistical significance was found in the material and fiber type interaction. The glass fiber-reinforcement provided higher translucency, lower color change and higher microhardness values than polyethylene fiber-reinforcement group after aging. Thermocycling had a significant impact on the color stability, translucency parameter, and microhardness of the tested resin composite materials. CLINICAL SIGNIFICANCE Single-shade resin composite materials have greater color-changing potential. The glass fiber-reinforcement optimize resin material mechanical properties and color stability more than polyethylene fiber-reinforcement.
Collapse
Affiliation(s)
- Muhammet Fidan
- Department of Restorative Dentistry, Faculty of Dentistry, Usak University, Usak, Turkey
| | - Özhan Yağci
- Department of Restorative Dentistry, Faculty of Dentistry, Usak University, Usak, Turkey
| |
Collapse
|
21
|
Yağcı Ö, Fidan M. Influence of Thickness on the Translucency Parameter and Whiteness Index of Single-Shade Resin Composites. Oper Dent 2024; 49:189-199. [PMID: 38349843 DOI: 10.2341/23-053-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/27/2023] [Indexed: 02/15/2024]
Abstract
The study aimed to evaluate the effect of thickness on the translucency parameter (TP) and whiteness index for dentistry (WID) of single-shade resin composites compared with a multi-shade resin composite after thermocycling. A total of 100 resin composite samples of five brands (Filtek Z250, Omnichroma, Vittra APS Unique, Zenchroma, and Charisma Diamond One) with thicknesses of 2 mm and 4 mm were prepared (n=10). CIE L*a*b* coordinates were obtained using a spectrophotometer. The resin composite samples were subjected to 10,000 thermocycles. Before and after thermocycling, TP values were calculated with the CIEDE2000 formula, and whiteness values were calculated using the WID. The influence of thickness, resin composite, and aging on these variables was analyzed using the generalized linear model (p<0.05). Omnichroma and Filtek Z250 exhibited, respectively, the highest and the lowest TP00 values compared with the other resin materials (p<0.001). The TP00 values of Zenchroma and Diamond One were similar (p>0.05). Vittra APS Unique had a lower TP than Zenchroma and Diamond One (p<0.001). Before thermocycling, the highest WID showed the combination of Vittra APS Unique with thicknesses of 2 mm (48.33±1.18). After thermocycling, the highest WID was shown in the combination of Vittra APS Unique with thicknesses of 2 mm (45.33±0.55) and 4 mm (46.23±0.94) (p<0.001). After thermocycling, the lowest WID was for the combination of Filtek Z250 with thicknesses 2 mm (21.16±0.93) and 4 mm (20.70±0.91) (p<0.001). The TP and WID values of the resin composites varied across different composites and thicknesses. Single-shade resin composites of different thicknesses demonstrated higher translucency and whiteness values than multi-shade resin composite, both before and after thermocycling.
Collapse
Affiliation(s)
- Ö Yağcı
- Özhan Yağcı, DDS, Department of Restorative Dentistry, Faculty of Dentistry, Uşak University, Turkey
| | - M Fidan
- *Muhammet Fidan, DDS, Department of Restorative Dentistry, Faculty of Dentistry, Uşak University, Turkey
| |
Collapse
|
22
|
Liu G, Yang L, Gao L, Ma Y, Wu X, Wang X, Hao Z. Durability of infiltrated resin application on white spot lesions after different challenges: An ex vivo study. J Prosthet Dent 2024; 131:500-507. [PMID: 35256186 DOI: 10.1016/j.prosdent.2022.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Revised: 02/02/2022] [Accepted: 02/02/2022] [Indexed: 11/29/2022]
Abstract
STATEMENT OF PROBLEM Infiltrated resin has been widely used as a minimally invasive approach to masking white spot lesions and reinforcing demineralized enamel. Recent evidence confirms its satisfactory effect in the short term, but studies focusing on its long-term performance are lacking. PURPOSE The purpose of this ex vivo study was to evaluate the durability of infiltrated resin on white spot lesions after pH cycling and long-term thermocycling, staining, and toothbrushing. MATERIAL AND METHODS Four axial surfaces of 25 extracted human molars were sectioned and fabricated as specimens. The enamel surface of each specimen was prepared in 3 areas: sound enamel, demineralized enamel (white spot lesions), and demineralized enamel treated by infiltrated resin. Then, 4 specimens of each molar were allocated to different challenges simulating a 10-year follow-up: pH cycling, thermocycling, staining, and toothbrushing. The surface roughness, microhardness, and CIELab color values were measured before and after different treatments. A scanning electron microscope (SEM) was used to observe representative specimens. Linear mixed models were used to evaluate the effect of different treatments on microhardness, roughness, and color differences (ΔE) (α=.05). RESULTS Resin infiltration reduced the surface roughness and increased the microhardness of demineralized lesions, (P<.001) but the values of sound enamel at baseline were not reached. The pH cycling led to the greatest roughness values (515.6 ±56.9 nm) on resin-infiltrated lesions, followed by thermocycling (450.7 ±64.7 nm), toothbrushing (291.2 ±43.5 nm), and staining (183.6 ±49.3 nm) (all P<.001). Only pH cycling significantly decreased the microhardness of resin-infiltrated lesions (81.6 ±14.8 HV 0.2) after progressive demineralization (P<.001). No clinically identified differences were found between resin-infiltrated white spot lesions and sound enamel (ΔE=3.4 ±2.0) at baseline. However, resin-infiltrated lesions demonstrated significantly greater discoloration after pH cycling (ΔE=8.0 ±4.5, P<.001), thermocycling (ΔE=5.4 ±2.0, P=.014), and staining treatments (ΔE=10.4 ±3.2, P<.001) than sound enamel. CONCLUSIONS Infiltrated resin application reduced surface roughness, improved microhardness, and masked white spot lesions immediately. However, it could not reestablish the characteristics of sound enamel completely and resist chemical and mechanical challenges over time.
Collapse
Affiliation(s)
- Gen Liu
- Postgraduate student, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Ling Yang
- Associate Chief Physician, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Li Gao
- Associate Chief Physician, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Yuanyuan Ma
- Associate Chief Physician, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Xiangnan Wu
- Assistant Research Fellow, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Xiaodong Wang
- Associate Chief Physician, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Zhichao Hao
- Lecturer, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China.
| |
Collapse
|
23
|
Gpv S, Shukla V, Raut AA, Ghosh M, Mustafa M, Suleiman Alofi R. In-Vitro Evaluation of Dental Adhesive Bond Strength With Diode Laser Irradiation Before Photopolymerization. Cureus 2024; 16:e56935. [PMID: 38665726 PMCID: PMC11044073 DOI: 10.7759/cureus.56935] [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: 02/02/2024] [Accepted: 03/26/2024] [Indexed: 04/28/2024] Open
Abstract
AIM In-vitro evaluation of shear bond strength, mode of failure, and adaptation of fifth-generation (etch-and-rinse), seventh-generation,and eighth-generation self-etch dental adhesives to human dentin with or without diode-laser irradiation before photopolymerization. MATERIALS AND METHODS Seventy-two extracted human maxillary premolar teeth were collected. The buccal and lingual surfaces of teeth were grounded until dentin was exposed. Test areas of 4 mm diameter were created on both surfaces of teeth to standardize the area of treatment. The samples were then randomly allocated into three groups (n = 24): Group 1 Adper Single Bond 2 Etch-and-Rinse; Group 2 Tetric-N-Bond Universal Self-Etch; Group 3 Prime and Bond Universal Self-Etch dental adhesives were used. Buccal surfaces (sub-groups 'a') of all specimens were irradiated with diode laser before photopolymerization of the adhesive material, and palatal surfaces (sub-groups 'b') were directly photopolymerized without prior diode laser irradiation and restored with composite resin. All specimens were thermocycled. Four specimens from each group were then subjected to scanning electron microscopy (SEM) analysis to examine the adaptation of adhesive to dentin, and the remaining 60 specimens were evaluated for shear bond strength tests, modes of failure at the adhesive-dentin interface, and values were recorded, tabulated, and used for data analysis. A one-way ANOVA test and the Student's t-test were used for statistical analysis. A P value ≤ 0.05 was considered statistically significant. RESULTS The mean shear bond strength for the groups was: Group 1a (13.96 MPa), 1b (14.95 MPa); Group 2a (10.06 MPa), 2b (10.30 MPa); Group 3a (12.03 MPa), and 3b (10.44 MPa). No statistically significant difference was seen among sub-groups 1a and 3a, 2a and 3a, 2b and 3b as P > 0.05. A significant difference was seen among sub-groups 1b and 3b (P<0.05), 1a and 2a, and 1b and 2b (P<0.01). CONCLUSION Adper Single Bond 2 without diode-laser irradiation before photopolymerization showed the highest shear bond strength, followed by Adper Single Bond 2 irradiated with diode laser before photopolymerization, with the maximum adaptation of dental adhesive to dentin compared to other adhesives used either with or without diode-laser irradiation.
Collapse
Affiliation(s)
- Srikumar Gpv
- Department of Conservative Dentistry and Endodontics, Triveni Institute of Dental Sciences, Hospital and Research Centre, Bilaspur, IND
| | - Vaishali Shukla
- Department of Conservative Dentistry and Endodontics, Triveni Institute of Dental Sciences, Hospital and Research Centre, Bilaspur, IND
| | - Arti A Raut
- Department of Conservative Dentistry and Endodontics, Triveni Institute of Dental Sciences, Hospital and Research Centre, Bilaspur, IND
| | - Megha Ghosh
- Department of Conservative Dentistry and Endodontics, Triveni Institute of Dental Sciences, Hospital and Research, Bilaspur, IND
| | - Mohammed Mustafa
- Department of Conservative Dentistry and Endodontics, Center for Transdisciplinary Research (CFTR) Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| | - Raneem Suleiman Alofi
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, SAU
| |
Collapse
|
24
|
Abdul-Monem MM, Hanno KI. Effect of thermocycling on surface topography and fracture toughness of milled and additively manufactured denture base materials: an in-vitro study. BMC Oral Health 2024; 24:267. [PMID: 38395828 PMCID: PMC10885363 DOI: 10.1186/s12903-024-03991-7] [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: 12/14/2023] [Accepted: 02/06/2024] [Indexed: 02/25/2024] Open
Abstract
BACKGROUND Studies investigating thermocycling effect on surface topography and fracture toughness of resins used in digitally manufactured denture bases are few. The study aimed to assess the impact of thermocycling on surface topography and fracture toughness of materials used for digitally manufactured denture bases. METHODS Water sorption, solubility, hardness, surface roughness, and fracture toughness of both three-dimensional (3D)-printed and computer-aided design, computer-aided manufacturing (CAD-CAM) milled specimens (n = 50) were assessed both prior to and following 2000 thermocycles, simulating 2 years of clinical aging. Surface hardness (n = 10) was measured using a Vickers hardness testing machine, surface roughness (n = 10) was determined by a contact profilometer, and fracture toughness (n = 20) was measured using the 3-point bend test, then studying the fractured surfaces was done via a scanning electron microscope (SEM). Prior to and following thermocycling, water sorption and solubility (n = 10) were assessed. Normally distributed data was tested using two-way repeated ANOVA and two-way ANOVA, while Mann Whitney U test and the Wilcoxon signed ranks test were used to analyze data that was not normally distributed (α < 0.05). RESULTS Following thermocycling, Vickers hardness and fracture toughness of both groups declined, with a significant reduction in values of the 3D-printed resin (P < .001). The 3D-printed denture base resins had a rougher surface following thermocycling with a significant difference (P < .001). The sorption and solubility of water of both materials were not affected by thermocycling. CONCLUSIONS Before and after thermocycling, milled specimens had lower surface roughness and a greater degree of hardness and fracture toughness than 3D-printed specimens. Thermocycling lowered hardness and fracture toughness, and increased surface roughness in both groups, but had no effect on water sorption and solubility.
Collapse
Affiliation(s)
- Mohamed M Abdul-Monem
- Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
- Division of Dental Biomaterials, Department of Prosthodontics, Faculty of Dentistry, Alamein International University, Alamein, Egypt
| | - Kenda I Hanno
- Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt.
| |
Collapse
|
25
|
Tang C, Mercelis B, Yoshihara K, Peumans M, Van Meerbeek B. Does the universal adhesive's film thickness affect dentin-bonding effectiveness? Clin Oral Investig 2024; 28:150. [PMID: 38358575 DOI: 10.1007/s00784-024-05523-7] [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: 11/24/2023] [Accepted: 01/19/2024] [Indexed: 02/16/2024]
Abstract
OBJECTIVES To investigate the influence of adhesive resin application modalities on the film thickness of the adhesive resin and the effectiveness of a two-step universal adhesive (UA) bonded in self-etch (SE) bonding mode to high C-factor class-I cavity-bottom dentin. MATERIALS AND METHODS After application of the primer of G2-Bond Universal (G2B, GC), the adhesive resin was applied into standard class-I cavities (human molars) following four application modalities: (1) one layer, strongly air-blown; (2) one layer, gently air-blown; (3) two layers, each gently air-blown; (4) one layer, not air-blown. After being restored with composite, each tooth was sectioned to obtain one micro-specimen (n = 10), of which the adhesive resin film thickness was measured using optical microscopy. The micro-tensile bond strength (μTBS) was tested immediately or upon 100,000 thermocycles. Statistical analyses involved Kruskal-Wallis and Mann-Whitney U testing (p < 0.05). RESULTS G2B's μTBS was significantly affected by the adhesive resin application modality and aging. Gently air-blowing the adhesive resin resulted in significantly higher immediate μTBS than strong air-blowing or no air-blowing. No significant difference in μTBS was found between single or double gently air-blown adhesive resin applications. The adhesive resin film thickness significantly varied with the application modalities. CONCLUSIONS A too thin or too thick adhesive resin film thickness adversely affected bond strength of the two-step UA applied in SE mode and high C-factor condition. CLINICAL RELEVANCE The adhesive resin layer thickness can affect the bonding performance of two-step UAs in high C-factor cavities. Dental clinicians remain advised to avoid improper air-blowing of UAs and strictly follow the application instructions.
Collapse
Affiliation(s)
- Chuliang Tang
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT - Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Kapucijnenvoer 7 blok a - bus 7001, Leuven, 3000, Belgium
| | - Ben Mercelis
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT - Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Kapucijnenvoer 7 blok a - bus 7001, Leuven, 3000, Belgium
| | - Kumiko Yoshihara
- National Institute of Advanced Industrial Science and Technology (AIST), Health and Medical Research Institute, Takamatsu, Kagawa, 761-0395, Japan
- Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Pathology & Experimental Medicine, Okayama, 700-8558, Japan
| | - Marleen Peumans
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT - Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Kapucijnenvoer 7 blok a - bus 7001, Leuven, 3000, Belgium
| | - Bart Van Meerbeek
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT - Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Kapucijnenvoer 7 blok a - bus 7001, Leuven, 3000, Belgium.
| |
Collapse
|
26
|
Baltacioğlu İH, Demirel G, Öztürk B, Aydin F, Orhan K. Marginal adaptation of bulk-fill resin composites with different viscosities in class II restorations: a micro-CT evaluation. BMC Oral Health 2024; 24:228. [PMID: 38350901 PMCID: PMC10863248 DOI: 10.1186/s12903-024-03975-7] [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: 12/05/2023] [Accepted: 02/02/2024] [Indexed: 02/15/2024] Open
Abstract
BACKGROUND The purpose of this study is to evaluate the marginal adaptation of bulk-fill resin composites with different viscosities (paste-like and flowable) in Class II restorations using micro-CT imaging. METHODS Forty extracted human molars were used. Mesial and distal Class II box cavities (approximately 3 mm x 3 mm x 4 mm) were prepared for each tooth, with cavity floors located 1 mm below the enamel-cementum junction. Following adhesive application, teeth were restored using eight different groups: Group XB: X-tra Base Bulk-fill Flowable (VOCO), Group XF: X-tra Fill Bulk-fill (VOCO), Group FB: Filtek Bulk-fill Posterior (3 M ESPE), Group FF: Filtek Bulk-fill Flowable (3 M ESPE), Group BB: Beautifil-Bulk (SHOFU), Group BF: Beautifil-Bulk Flowable (SHOFU), and Group CO: "as a control group", Clearfil Majesty Posterior (KURARAY) and Group CF: "as a control group", Clearfil Majesty Flow + Clearfil Majesty Posterior (KURARAY). The restored teeth underwent an aging protocol involving 1000 cycles in a water bath fluctuating between 5 ± 1.0 °C and 55 ± 1.0 °C. Post-aging, teeth were immersed in 50% silver nitrate solution for 24 h and then in a film developer solution for 8 h. Microleakage analysis was performed using micro-CT, evaluated with 3D Slicer software. A two-way ANOVA was employed for statistical analysis. RESULTS Two-way ANOVA results indicated significant effects of both viscosity (p < 0.0001) and composite type (p < 0.0001) on marginal adaptation. Viscosity analysis (comparing flowable and paste-like) revealed no significant differences in the FB-FF, XB-XF and BB-BF groups but significant differences in the and CO-CF group, with flowable type exhibiting less microleakage than paste-like type. CONCLUSIONS The study suggests that while the viscosity of bulk-fill composites did not significantly affect marginal adaptation, the brand of bulk-fill composite did influence it.
Collapse
Affiliation(s)
| | - Gülbike Demirel
- Department of Restorative Dentistry, Faculty of Dentistry, Ankara University, Ankara, Turkey.
| | - Burcu Öztürk
- Department of Restorative Dentistry, Faculty of Dentistry, Ankara University, Ankara, Turkey
| | - Fulya Aydin
- Department of Restorative Dentistry, Faculty of Dentistry, Ankara Medipol University, Ankara, Turkey
| | - Kaan Orhan
- Department of Maxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey
| |
Collapse
|
27
|
Kamonkhantikul K, Arksornnukit M, Homsiang W. Effect of thermocycling on the retentive force of the retentive inserts in three denture attachments and their water absorption ability. Dent Mater J 2024; 43:90-96. [PMID: 38148022 DOI: 10.4012/dmj.2023-175] [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: 12/28/2023]
Abstract
This study aimed to evaluate the thermocycling effect on the retentive force of 3 different retentive inserts in 3 denture attachments (Blue, Pink, Clear retentive inserts in LOCATOR; Blue, Pink, Clear retentive inserts in LOCATOR R-Tx; and White, Yellow, Green retentive inserts in Novaloc) (n=10). Maximum retentive force of each retentive insert was evaluated at baseline, 7-day water storage, and after 5,000-, and 10,000- cycle thermocycling. The water absorption percentage of the retentive inserts was also determined. Comparing between baseline and 7-day water storage, the retentive forces of the LOCATOR and LOCATOR R-Tx groups were significantly reduced (p<0.05), while the retentive force of the Novaloc group was significantly increased (p<0.05). Comparing between 7-day water storage and 10,000-cycle thermocycling, the retentive force of most retentive inserts remained unchanged (p>0.05). The water absorption percentage of the LOCATOR and LOCATOR R-Tx groups was significantly greater than that of the Novaloc group (p<0.05).
Collapse
Affiliation(s)
- Krid Kamonkhantikul
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University
| | | | - Woraporn Homsiang
- Department of Family and Community Dentistry, Faculty of Dentistry, Chiang Mai University
| |
Collapse
|
28
|
Kaczor-Wiankowska K, Puszkarz AK, Palczewska-Komsa M, Lipa S, Krasowski M, Sokołowski J, Lewusz-Butkiewicz K, Ulacha K, Nowicka A. Internal Adaptation of Composite Fillings Made Using Universal Adhesives-A Micro-Computed Tomography Analysis. MATERIALS (BASEL, SWITZERLAND) 2024; 17:636. [PMID: 38591452 PMCID: PMC10856209 DOI: 10.3390/ma17030636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 01/20/2024] [Accepted: 01/26/2024] [Indexed: 04/10/2024]
Abstract
This study aimed to evaluate internal tooth-filling interfaces of composite fillings made using universal adhesives using micro-computed tomography (µCT). Sixty class V cavities were randomly assigned into six groups: Peak Universal etch and rinse (PER), Peak Universal self-etch (PSE), Adhese Universal etch and rinse (AER), and Adhese Universal self-etch (ASE). Two further adhesives considered gold standards were used as control groups: OptiBond FL (OER) for the etch and rinse technique and Clearfil SE for the self-etch technique (CSE). All teeth were subjected to thermomechanical loading and four-year water storage. Next, they were analyzed using µCT to investigate the internal tooth-filling interfaces. The proportions between the gap volume (GV) at the tooth-filling interface and the volume of applied composite filling (FV), between the gap and cavity volumes (CV), and between the gap volumes at the tooth-filling interface of the external (EGV) and internal (IGV) parts were calculated. Adhese Universal achieved the significantly lowest gap-to-filling- and gap-to-cavity-volume ratios for both types of etching techniques comparing to those of the Peak Universal and control groups. Significant differences between the gaps in external and internal parts of the tooth-filling interface were only noted in the control groups. Internal gap formation and development at the tooth-filling interface depend on the material as well as the type of its application.
Collapse
Affiliation(s)
- Kinga Kaczor-Wiankowska
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, 72 Powstancow Wielkopolskich Str., 70-111 Szczecin, Poland
| | - Adam K. Puszkarz
- Division of Materials Science, Commodity Science and Textile Metrology, Textile Institute, Faculty of Material Technologies and Textile Design, Lodz University of Technology, 116 Zeromskiego Str., 90-924 Lodz, Poland
| | - Mirona Palczewska-Komsa
- Department of Dental Prosthetics, Pomeranian Medical University in Szczecin, 72 Powstancow Wielkopolskich Str., 70-111 Szczecin, Poland
| | - Sebastian Lipa
- Institute of Materials Science and Engineering, Lodz University of Technology, 1/15 Stefanowskiego Str., 90-924 Lodz, Poland
| | - Michał Krasowski
- Material Science Laboratory, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland
| | - Jerzy Sokołowski
- Department of General Dentistry, Medical University of Lodz, Pomorska 251 Str., 92-213 Lodz, Poland
| | - Katarzyna Lewusz-Butkiewicz
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, 72 Powstancow Wielkopolskich Str., 70-111 Szczecin, Poland
| | - Katarzyna Ulacha
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, 72 Powstancow Wielkopolskich Str., 70-111 Szczecin, Poland
| | - Alicja Nowicka
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, 72 Powstancow Wielkopolskich Str., 70-111 Szczecin, Poland
| |
Collapse
|
29
|
Hajjaj MS, Alamoudi RAA, Babeer WA, Rizg WY, Basalah AA, Alzahrani SJ, Yeslam HE. Flexural strength, flexural modulus and microhardness of milled vs. fused deposition modeling printed Zirconia; effect of conventional vs. speed sintering. BMC Oral Health 2024; 24:38. [PMID: 38185744 PMCID: PMC10771678 DOI: 10.1186/s12903-023-03829-8] [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: 10/17/2023] [Accepted: 12/26/2023] [Indexed: 01/09/2024] Open
Abstract
BACKGROUND Various methods can be used for creating zirconia dental restorations, including 3-dimensional (3D) printing and computer-aided design/ computer-aided manufacturing (CAD/CAM) milling. The fused deposition modeling (FDM) printing method for zirconia presents numerous advantages, albeit research on the mechanical properties of these materials and resultant restorations remains scarce. Such developments are undeniably intriguing and warrant further investigation. The objective of the present study was to evaluate the impact of the sintering firing cycle (Conventional vs. Speed sintering) on the flexural strength, flexural modulus, and Vickers Microhardness of milled vs. FDM printed zirconia. METHODS A total of 60 bars (2 × 5 × 27 mm) were fabricated for flexural strength testing, along with 40 discs (12 × 1.5 mm) for Vickers microhardness testing. Half of the specimens underwent conventional sintering, while the other half underwent a speed sintering cycle. The flexural strength and modulus were determined by a three-point bending test in a universal testing machine. The microhardness of the specimens was evaluated using a Vickers microhardness tester. Statistical analysis was performed using a two-way ANOVA test with a post-hoc Tukey test (p < 0.05). RESULTS CAD/CAM milled zirconia had significantly higher flexural strength and modulus than FDM-printed zirconia. The sintering process did not significantly affect the flexural strength or modulus of milled or FDM-printed zirconia. The milled speed sintering group had significantly higher values in the Vickers microhardness test compared to the other groups. CONCLUSIONS The mechanical properties of FDM-printed zirconia specimens were not found to be comparable to those of milled zirconia. Speed sintering cycle may produce milled zirconia restorations with similar flexural strength and modulus to conventional sintering, and even higher Vickers Microhardness values.
Collapse
Affiliation(s)
- Maher S Hajjaj
- Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
- Advanced Technology Dental Research Laboratory, King Abdulaziz University, P.O. Box 80209, Jeddah, 21589, Saudi Arabia.
| | - Rana A A Alamoudi
- Prosthodontic Master Student, Department of Oral and Maxillofacial Rehabilitation, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Walaa A Babeer
- Department of Oral and Maxillofacial Rehabilitation, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Waleed Y Rizg
- Department of Pharmaceutics, Faculty of Pharmacy, King Abdulaziz University, Jeddah, 21589, Saudi Arabia
- Center of Innovation in Personalized Medicine (CIPM), 3D Bioprinting Unit, King Abdulaziz University, Jeddah, 21589, Saudi Arabia
| | - Ahmad A Basalah
- Mechanical Engineering Department, College of Engineering and Architecture, Umm Al Qura University, Makkah, Saudi Arabia
| | - Saeed J Alzahrani
- Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Hanin E Yeslam
- Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| |
Collapse
|
30
|
Cintora-López P, Arrieta-Blanco P, Martin-Vacas A, Paz-Cortés MM, Gil J, Aragoneses JM. In vitro analysis of the influence of the thermocycling and the applied force on orthodontic clear aligners. Front Bioeng Biotechnol 2023; 11:1321495. [PMID: 38173871 PMCID: PMC10761475 DOI: 10.3389/fbioe.2023.1321495] [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: 10/14/2023] [Accepted: 12/11/2023] [Indexed: 01/05/2024] Open
Abstract
The mechanical properties of polyurethane dental aligners have been studied in an oral environment at 37°C and subjected to thermal cycling between 5°C and 55°C for long periods of time at different mechanical stresses. The aim is to determine the efficacy of the orthodontic aligner at different stress levels, the effect of thermal cycling with therapy time on tooth position correction. Sixty aligners with the same design were studied applying tensions of 0, 3 and 30 N and determining the deformation at different times from 1 to 760 h. Half of these aligners were subjected to stresses submerged in artificial saliva at 37°C and the other half were subjected to thermal cycles between 2°C and 55°C in salivary medium. Deformation was determined using a high-resolution stereo magnifier and ImageJ image analysis software. Water adsorption by the polyurethane was determined at the different test times. The results showed that in the unloaded aligners there is no appreciable deformation, but with thermal cycling there is a light shrinkage of the aligner due to the semi-crystallization process (ordering of polymeric chains) of the polyurethane. When applying loads of 3 and 30 N, creep curves with constant deformation transition zones can be seen. The transition zones decrease as the applied mechanical load increases. In addition, the significant effect of thermal cycling on the reduction of the transition zone of the aligners has been demonstrated. The transition zones are optimal for dental correction as constant stresses are exerted for tooth movement. The effect of thermal cycling shortens the constant deformation zone and reduces tooth alignment time. It was observed that the absorption of water in the aligner is constant after 1 h of immersion and does not exceed 0.4% by weight of absorbed water.
Collapse
Affiliation(s)
| | | | - Andrea Martin-Vacas
- Faculty of Dentistry, Alfonso X El Sabio University, Villanueva de la Cañada, Spain
| | | | - Javier Gil
- Faculty of Medicine and Health Sciences, Bionegineering Institute of Technology, International University of Catalunya, Barcelona, Spain
| | | |
Collapse
|
31
|
Taha AI, Hafez ME. An in vitro study measuring marginal gaps of inlay restorations fabricated from different CAD-CAM materials after thermocycling. BMC Oral Health 2023; 23:974. [DOI: https:/doi.org/10.1186/s12903-023-03687-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 11/21/2023] [Indexed: 12/08/2023] Open
Abstract
Abstract
Background
Many monolithic machined materials have been introduced and provided a suitable mechanical and physical properties for inlay restorations. However, there is shortage in the studies evaluating the marginal adaptation using these materials.
Purpose
This study aimed to compare the effect of fabricating inlay restorations from 3 different CAD-CAM materials on marginal gaps before and after thermocycling.
Materials and methods
Sixty human premolars were randomly divided into 3 groups (n = 20) according to the material used: (e.max CAD, Ivoclar AG, Schaan, Liechtenstein), (HC, Shofu, Koyoto, Japan) and (Brilliant Crios, Coltene, Altstätten, Switzerland) (n = 20). A scanning electron microscope (SEM) (JSM- 6510 lv, JEOL, Tokyo, JAPAN) was used to for measuring the marginal gaps after cementation of inlay restorations. The magnification was adapted to 250x. Marginal gaps were revaluated with SEM after thermocycling. The temperatures of baths were 5 and 55 °C was applied for a total of 5000 cycles. All data were statistically analyzed by using ANCOVA to demonstrate if there were any statistically significant differences between the gap measures after thermocycling of the three independent (unrelated) groups. A Bonferroni adjustmen was used to perform post hoc analysis (α = 0.05).
Results
Post-intervention marginal gap was statistically significantly lower in group EX (110.8 μm) which was statistically significant compared with group SF (112.5 μm) (mean difference=-1.768, P = .007) and group BR (113 μm) (mean difference=-2.272, P = .001), however, in. comparing SF and BR groups, there was no significant difference (mean difference=-0.5, P = .770).
Conclusions
Thermocycling affected the marginal gaps of composite based restoration and resin-modified ceramics widely. However, it had a very small effect on glass ceramics marginal adaptation.
Clinical implications
The marginal gaps of CAD-CAM inlays varied according to material used (ceramic based, combination, or resin based). Thermocycling has a minor effect on the marginal adaptation of lithium disilicate glass-ceramic inlays, where it affected the margin of resin-modified ceramic and composite based inlays greatly. Using lithium disilicate glass-ceramic might improve the clinical longevity of inlay restored teeth.
Collapse
|
32
|
Taha AI, Hafez ME. An in vitro study measuring marginal gaps of inlay restorations fabricated from different CAD-CAM materials after thermocycling. BMC Oral Health 2023; 23:974. [PMID: 38057781 PMCID: PMC10702051 DOI: 10.1186/s12903-023-03687-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 11/21/2023] [Indexed: 12/08/2023] Open
Abstract
BACKGROUND Many monolithic machined materials have been introduced and provided a suitable mechanical and physical properties for inlay restorations. However, there is shortage in the studies evaluating the marginal adaptation using these materials. PURPOSE This study aimed to compare the effect of fabricating inlay restorations from 3 different CAD-CAM materials on marginal gaps before and after thermocycling. MATERIALS AND METHODS Sixty human premolars were randomly divided into 3 groups (n = 20) according to the material used: (e.max CAD, Ivoclar AG, Schaan, Liechtenstein), (HC, Shofu, Koyoto, Japan) and (Brilliant Crios, Coltene, Altstätten, Switzerland) (n = 20). A scanning electron microscope (SEM) (JSM- 6510 lv, JEOL, Tokyo, JAPAN) was used to for measuring the marginal gaps after cementation of inlay restorations. The magnification was adapted to 250x. Marginal gaps were revaluated with SEM after thermocycling. The temperatures of baths were 5 and 55 °C was applied for a total of 5000 cycles. All data were statistically analyzed by using ANCOVA to demonstrate if there were any statistically significant differences between the gap measures after thermocycling of the three independent (unrelated) groups. A Bonferroni adjustmen was used to perform post hoc analysis (α = 0.05). RESULTS Post-intervention marginal gap was statistically significantly lower in group EX (110.8 μm) which was statistically significant compared with group SF (112.5 μm) (mean difference=-1.768, P = .007) and group BR (113 μm) (mean difference=-2.272, P = .001), however, in. comparing SF and BR groups, there was no significant difference (mean difference=-0.5, P = .770). CONCLUSIONS Thermocycling affected the marginal gaps of composite based restoration and resin-modified ceramics widely. However, it had a very small effect on glass ceramics marginal adaptation. CLINICAL IMPLICATIONS The marginal gaps of CAD-CAM inlays varied according to material used (ceramic based, combination, or resin based). Thermocycling has a minor effect on the marginal adaptation of lithium disilicate glass-ceramic inlays, where it affected the margin of resin-modified ceramic and composite based inlays greatly. Using lithium disilicate glass-ceramic might improve the clinical longevity of inlay restored teeth.
Collapse
Affiliation(s)
- Ahmed Ismail Taha
- Department of Prosthodontic, Faculty of Dentistry, Kafrelsheikh University, Mubark Road, Kafr Abu Tabl, Kafrelsheikh Governorate, Kafrelsheikh, 33511, Egypt.
| | - Mona Elshirbini Hafez
- Department of Conservative, Faculty of Dentistry, Kafrelsheikh University, Kafrelsheikh, Egypt
| |
Collapse
|
33
|
Bayestehtarat S, Gullard A, Morrow B, Hollis W, Ragain J. Longevity of extrinsic stains on monolithic zirconia restorations: An in vitro study. J Prosthet Dent 2023; 130:877.e1-877.e7. [PMID: 37845115 DOI: 10.1016/j.prosdent.2023.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 09/11/2023] [Accepted: 09/12/2023] [Indexed: 10/18/2023]
Abstract
STATEMENT OF PROBLEM Three-mol% yttria-stabilized tetragonal zirconia polycrystal (3Y-TZP) has been commonly used for fixed prosthodontic restorations. The opacity of 3Y-TZP may be masked with external staining, although the longevity of extrinsic stains applied to monolithic zirconia is unclear. PURPOSE The purpose of this in vitro study was to analyze the color and surface roughness of extrinsically stained zirconia specimens after thermocycling and toothbrushing. MATERIAL AND METHODS Monolithic Ø12.5×1.25-mm zirconia disks were milled from 3Y-TZP blocks, sintered according to manufacturer instructions, and then divided into 3 groups (C, J, and O; n=16) for application of stain and glaze. All specimens underwent 10 000 thermocycles in distilled water before being further divided into 2 dentifrice groups (n=8): normal grit, low relative dentin abrasivity (RDA) (Subgroup N) and abrasive grit, high RDA (Subgroup A). Specimens were brushed in a multistation brushing machine under 1.47 N of force using a 5:8 toothpaste and distilled water slurry for 10 000 cycles with a straight (American Dental Association Standard) toothbrush to simulate 1 year of toothbrushing. Color and surface roughness measurements were obtained at 3 time points: baseline, after thermocycling, and after brushing. A 2-way repeated measures ANOVA was used to independently assess changes in color and surface roughness with respect to thermocycling and brushing (α=.05). RESULTS Group J displayed no significant change in color for either dentifrice system (P>.05). However, a significant change in surface roughness was observed for both dentifrice subgroups (P<.001). Group C specimens displayed significant changes in color (P<.001) and surface roughness (P<.001) for both dentifrice systems. Group O specimens displayed significant changes in color (P<.025) for both dentifrice systems and significant changes in surface roughness (P<.004) for subgroup A, but no significant changes for subgroup N (P=.075). CONCLUSIONS Artificial aging of monolithic zirconia resulted in changes in color and surface roughness that did not surpass the thresholds for perceptibility and acceptability. This study failed to establish durability limits for extrinsic stains applied to 3Y-TZP.
Collapse
Affiliation(s)
- Shahed Bayestehtarat
- Resident, Advanced Prosthodontics Program, University of Tennessee Health Science Center, Memphis, Tenn.
| | - Angela Gullard
- Assistant Professor, Director of Implantology, Department of Prosthodontics, University of Tennessee Health Science Center, Memphis, Tenn
| | - Brian Morrow
- Senior Research Specialist, Department of Bioscience and General Dentistry, University of Tennessee Health Science Center, Memphis, Tenn
| | - Wainscott Hollis
- Professor and Assistant Director of Advanced Prosthodontics Program, Department of Prosthodontics, University of Tennessee Health Science Center, Memphis, Tenn
| | - James Ragain
- Professor and Dean, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tenn
| |
Collapse
|
34
|
Rosello Jimenez JR, Fuchs F, Schmohl L, Schulz-Siegmund M, Koenig A. Aging Processes and Their Influence on the Mechanical Properties of Printable Occlusal Splint Materials. Polymers (Basel) 2023; 15:4574. [PMID: 38232021 PMCID: PMC10707959 DOI: 10.3390/polym15234574] [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: 10/27/2023] [Revised: 11/17/2023] [Accepted: 11/21/2023] [Indexed: 01/19/2024] Open
Abstract
Three-dimensional (3D)-printed occlusal splints are becoming more prevalent in the treatment of tooth substance loss due to their fast and cost-effective production. The purpose of this in vitro study was to investigate whether the mechanical properties (tensile strength-TS, modulus of elasticity in tension-ME, and Vickers hardness-HV) vary between the materials (printed dimethacrylate-based resins: Keyprint KeySplint soft-KEY, Luxaprint Ortho Plus-LUX, V-Print splint-VPR, printed methacrylate-based resins Freeprint splint 2.0-FRE, and milled methacrylate-based material, CLEAR splint-CLE), and the influence of aging processes (extraoral storage conditions and nightly or daily use) was examined. The printed methacrylate-based resins (FRE, LUX, and VPR) had much higher TS (43.7-48.5 MPa compared to 12.3-13.3 MPa), higher ME (2.01-2.37 GPa compared to 0.43-0.72 GPa), and higher HV (11.8-15.0 HV compared to 3.3-3.5 HV) than both of the methacrylate-based resins (KEY and CLE) after the production process. Although the TS, ME, and HV of the printed dimethacrylate resins (FRE, LUX, and VPR) decreased significantly under humid conditions with possibly elevated temperatures (thermocycling as well as 37 °C), these mechanical properties were significantly higher than both methacrylate-based resins (KEY and CLE). Therefore, printed dimethacrylate resins should be used rather than methacrylate-based resins for high expected masticatory forces, low wall thicknesses, or very long wearing times (≥6 months).
Collapse
Affiliation(s)
- Jan Raffael Rosello Jimenez
- Department of Prosthodontics and Material Sciences, Leipzig University, 04103 Leipzig, Germany
- Private Practice, Zahnarztpraxis Jan Rosello, 04654 Frohburg, Germany
| | - Florian Fuchs
- Department of Prosthodontics and Material Sciences, Leipzig University, 04103 Leipzig, Germany
| | - Leonie Schmohl
- Department of Prosthodontics and Material Sciences, Leipzig University, 04103 Leipzig, Germany
| | | | - Andreas Koenig
- Department of Prosthodontics and Material Sciences, Leipzig University, 04103 Leipzig, Germany
| |
Collapse
|
35
|
Arslan S, Kilinc H. Evaluation of the effects of different composite materials and surface roughening techniques in bonding attachments of clear aligner on monolithic zirconia. Orthod Craniofac Res 2023; 26:546-551. [PMID: 36840412 DOI: 10.1111/ocr.12643] [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: 09/28/2022] [Revised: 11/07/2022] [Accepted: 02/14/2023] [Indexed: 02/26/2023]
Abstract
OBJECTIVE The aim of this study is to evaluate the bond strengths of two different composite types used in the production of clear aligner attachments on monolithic zirconia with three different surface roughening processes. MATERIALS AND METHODS Packable composite Filtek Z250 was used in one group (PC-G) and flowable composite Filtek Supreme Ultra Flowable was used in the other group (FC-G). PC-G and FC-G groups were also divided into three subgroups as diamond bur+silane (Group 1), 50 μm aluminium oxide (Al2 O3 ) sandblasting+silane (Group 2) and 110 μm Al2 O3 sandblasting+silane (Group 3). Scanning electron microscopy (SEM) analysis was performed. Clear aligner attachments were bonded to the monolithic zirconia specimens. Shear bond strength (SBS) values were measured. Statistical analysis was performed using two-way ANOVA and post-hoc Tukey's tests (P < .05). RESULTS The highest SBS value was found in PC-G sandblasted with 110 μm Al2 O3 (P ≤ .001). The etching method with 110 μm sandblasting showed high SBS values in both composite types. The lowest SBS value gave FC-G in diamond bur roughening (P ≤ .001). CONCLUSIONS For the bonding of clear aligner attachments on monolithic zirconia, roughening with 110 μm particle size sandblasting and the choice of packable composite could be recommended in terms of retention.
Collapse
Affiliation(s)
- Semiha Arslan
- Department of Orthodontics, Faculty of Dentistry, Bolu Abant Izzet Baysal University, Bolu, Turkey
| | - Hamiyet Kilinc
- Department of Prosthodontics, Faculty of Dentistry, Bolu Abant Izzet Baysal University, Bolu, Turkey
| |
Collapse
|
36
|
Batyrbekova G, Hekimoğlu C. Evaluation of gingival porcelains: Color change and surface properties. J Prosthodont 2023. [PMID: 37795925 DOI: 10.1111/jopr.13779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 09/25/2023] [Accepted: 10/01/2023] [Indexed: 10/06/2023] Open
Abstract
PURPOSE This in vitro study aimed to evaluate the effect of thermal cycling (TC) on the color stability, translucency, and surface roughness of two different gingival porcelain materials. MATERIALS AND METHODS The gingival porcelains IPS e.max Ceram Gingiva (Ceram) and IPS InLine Gingiva (InLine) were tested. A total of 66 disc-shaped specimens were prepared and glazed using porcelain powders of G1, G3, and G5 colors. The samples were divided into two porcelain groups by their types and into three subgroups (n11) by their colors. Thermal cycling was performed at 6000 cycles simulating an oral environment of 5 years. The color and surface roughness measurements of the samples were made before and after the thermal cycling. Color measurements were made with a spectrophotometer. Surface roughness (mean surface roughness [Ra; μm]) was measured using a contact profilometer. Data before thermal cycling were evaluated using the Kruskal-Wallis test followed by the Dunn Bonferonni paired comparison test. Two-way ANOVA with repeated measurements and a pairwise comparison test with Bonferroni correction were used to evaluate the change in roughness and translucency parameter (TP) data between groups due to thermal cycling. RESULTS The color change was below the clinically perceptible color change threshold (∆E00 = 2.1) in all groups after thermal cycling. However, all materials had significantly increased roughness (p < 0.05). An increase in roughness was detected in the Ceram group and was higher than that in the InLine group. The change in the translucency parameters of the samples after thermal cycling was not statistically significant; a small increase was observed in all groups. The highest translucency values were seen in the G1, G3, and G5 colors. CONCLUSIONS Thermal cycling caused a significant increase in the roughness values (Ra) of all materials and a minimal increase in their translucency. The color change of gingival porcelains after thermal cycling was less than the clinically perceptible threshold.
Collapse
Affiliation(s)
- Gulaiym Batyrbekova
- Department of Prosthodontics, Hacettepe University, Faculty of Dentistry, Ankara, Türkiye
| | - Canan Hekimoğlu
- Department of Prosthodontics, Hacettepe University, Faculty of Dentistry, Ankara, Türkiye
| |
Collapse
|
37
|
Juntavee N, Juntavee A, Srisontisuk S. Color Appearance of Various Provisional Restorative Materials for Rehabilitation Upon Aging. Eur J Dent 2023; 17:1263-1274. [PMID: 36630984 PMCID: PMC10756826 DOI: 10.1055/s-0042-1759886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
OBJECTIVES Color stability of provisional restoration is crucial for full mouth reconstruction, which is probably influenced by aging. Therefore, this study evaluated the effect of aging on the color appearance of different provisional materials. MATERIALS AND METHODS Rectangular specimens (10 × 10 × 2 mm) were fabricated from computer-aided design-computer-aided manufacturing (CAD-CAM) (Vita CAD-Temp [VC], TelioCAD [TC], artBloc [RC]), autopolymerized (ProtempIV [PA], Luxatemp [LA], UnifastTrad [UA]), and heat-polymerized polymer (Major C&B [MH]). Each was divided into aging (AG, 5,000 thermocycles of 5°/55°C) and non-aging group (n = 21/group). Color parameters were determined using a spectrophotometer through the CIELAB system. The L*, a*, and b* data were calculated for color appearance (∆E), translucency parameter (TP), contrast ratio (CR), and opalescence parameter (OP) for each. STATISTICAL ANALYSIS An analysis of variance and multiple comparisons were determined for a significant difference in color appearance alteration of materials upon aging (α = 0.05). RESULTS Statistically significant differences of L*, a*, b*, ∆E, TP, CR, and OP due to the effect of types of material (p < 0.05), aging effect (p < 0.05), and their interactions (p < 0.05) were indicated. Aging affects the color appearance, lightness, chromaticity, translucency, contrast, and opalescence of various types of provisional materials. Color appearance alteration of provisional materials was significantly indicated upon aging (p < 0.05) but within the perceivable limit of clinical acceptance (∆E diff < 3.0), except for PA and MH. Color stability of CAD-CAM-based poly-methyl methacrylate (PMMA) and autopolymerized PMMA upon aging were better than bis-acryl resin and heat-polymerized PMMA. The TP, CR, and OP alterations of tested materials upon aging were within the perceivable limit. CONCLUSION Color appearance of provisional restorative materials was influenced by aging. The CAD-CAM-based PMMA and autopolymerized PMMA materials showed better color stability than bis-acryl provisional resin and heat-polymerized PMMA upon aging. Therefore, they were suggested as provisional materials for oral rehabilitation.
Collapse
Affiliation(s)
- Niwut Juntavee
- Department of Prosthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Apa Juntavee
- Division of Pediatric Dentistry, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Supichaya Srisontisuk
- Division of Biomaterials and Prosthodontics Research, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| |
Collapse
|
38
|
Adak IO, Aguloglu S, Adak BM, Sari I. Comparison of the translucency parameters and bond strength of 5Y-ZP zirconia, 3-YTZP zirconia, and lithium disilicate. Niger J Clin Pract 2023; 26:1491-1497. [PMID: 37929525 DOI: 10.4103/njcp.njcp_91_23] [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: 11/07/2023]
Abstract
Background E-max is a more aesthetic material than traditional zirconia. In addition, the bond strength of traditional zirconia with adhesive cements is lower. There are not enough studies on how the aesthetic values and bond strength of 5-YZP, the new generation zirconia, compare to e-max and traditional zirconia. Can 5-YZP be an alternative to e-max in terms of aesthetics and bond strength? Aim The aim of the study is to compare the translucency property and bonding ability of 5y-zp zirconias with previous generation zirconias and lithium disilicate. Materials and Methods Two types of zirconia Katana UT and Katana HT for measuring translucency values; and using a type of lithium disilicate IPS e.max CAD LT, three groups were formed (n = 10). Translucency specimens were fabricated (n = 10). Their L*a*b* values were measured against a black-and-white background with a spectrophotometer, and DE00 was calculated. To perform micro-shear tests, a cylinder design was made from zirconia and IPS e.max CAD blocks (n = 20). After the samples were aged by thermal cycle, the micro-shear test was applied to specimens cemented to teeth extracted with two different adhesive cement systems. Results According to the results of one-way analysis of variance, a statistically significant difference was found between the translucency parameter (TP) values of the groups. According to Tukey's honestly significant difference (HSD) multiple comparisons, the values of the three groups are statistically different from each other. Although IPS e.max CAD group has the highest TP values, the Katana HT group has the lowest values. Conclusion 5Y-PZ has a TP intermediate to those of 3Y-TZP and lithium disilicate. Long-term bond strength of 3Y-TZP and 5Y-ZP were similar to those of lithium disilicate. To be an alternative to glass ceramics in the anterior region, translucency and bond strength values need to be improved.
Collapse
Affiliation(s)
- I Ozkan Adak
- Department of Prosthetic Dentistry, Izmir Katip Celebi University, Izmir, Turkey
| | - S Aguloglu
- Department of Prosthetic Dentistry, Izmir Katip Celebi University, Izmir, Turkey
| | - B M Adak
- Deparment of Oral and Maxillofacial Surgery, Izmir Katip Celebi University, Izmir, Turkey
| | - I Sari
- Department of Prosthetic Dentistry, Izmir Katip Celebi University, Izmir, Turkey
| |
Collapse
|
39
|
Tavas B, Celiksoz O, Tepe H, Ozaslan S, Yaman BC. The Effect of Whitening Toothpastes on the Color Stability of a Smart Monochromatic Composite Resin. Cureus 2023; 15:e46225. [PMID: 37908912 PMCID: PMC10614463 DOI: 10.7759/cureus.46225] [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] [Accepted: 09/29/2023] [Indexed: 11/02/2023] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the color stability of smart monochromatic composite resin after coloring with coffee solution, thermal aging and brushing with four different kinds of toothpaste. MATERIALS AND METHODS According to the manufacturer's instructions, 40 smart monochromatic composite resin (Omnichroma, Tokuyama Dental, Japan) specimens were prepared with a thickness of 2 mm and a diameter of 10 mm. The samples were divided into four groups. The first group (SFM) was brushed with Sensodyne Fresh Mint (Sensodyne GSK, UK), the second group (CW) with Colgate 2 in 1 Whitening (Colgate Palmolive, USA), the third group (OW) with Opalescence Whitening (Ultradent Products, Inc., USA), the fourth group (COW) with Colgate Optic White With Charcoal (Colgate Palmolive, USA). At time point t0, no brushing and thermal cycles were performed. For time point t1, simulations corresponding to 10 days of staining, thermal aging and brushing were performed. For time point t2, simulations corresponding to one year of staining, thermal aging and brushing were performed. The color of all specimens was measured at t0, t1 and t2 with a spectrophotometer. To examine the color change, ΔE00 values were calculated with the CIEDE 2000 color system. Shapiro Wilk, Kolmogorov Smirnov, Wilcoxon Signed Rank, Kruskal Wallis, and Mann-Whitney U tests were used to analyze the data. RESULTS According to the results of the intergroup comparison, there is no statistically significant difference between the groups in ΔE00(t0-t1) values in terms of t0-t1 time period measurement (p>0.05). There is a statistically significant difference between the groups in ΔE00(t1-t2)values in terms of t1-t2 time period measurement (p<0.05). The COW group had the lowest ΔE00(t1-t2) value and the OW group had the highest ΔE00(t1-t2) value. There is a statistically significant difference between the groups in ΔE00 (t0-t2) values in terms of t0-t2 time period measurement (p<0.05). The COW group had the lowest ΔE00(t0-t2) value and the OW group had the highest ΔE00(t0-t2) value. CONCLUSION The whitening efficacy of different kinds of toothpaste whitening mechanisms may differ from each other. Toothpastes also show whitening on composite resins. The lowest discoloration was observed in the group brushed with toothpaste containing activated charcoal and blue covarine. The efficacy of whitening toothpastes should be supported by in vivo studies.
Collapse
Affiliation(s)
- Begum Tavas
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskişehir, TUR
| | - Ozge Celiksoz
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskişehir, TUR
| | - Hatice Tepe
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskişehir, TUR
| | - Sanem Ozaslan
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskişehir, TUR
| | - Batu Can Yaman
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskişehir, TUR
| |
Collapse
|
40
|
Witty D, Kumaran P, Varma B, J SK, Xavier AM, Venugopal M, Thankappan N. Effect of Prolonged Water Aging on the Bond Strength and Marginal Seal of Three Novel Restorative Materials. J Contemp Dent Pract 2023; 24:632-637. [PMID: 38152934 DOI: 10.5005/jp-journals-10024-3560] [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: 12/29/2023]
Abstract
AIM To assess and contrast the shear bond strength (SBS) and microbial leakage of Cention-N, Fuji IX, and nanohybrid composite restorative materials after being exposed to prolonged water aging. MATERIALS AND METHODS A total of 30 self-curing acrylic blocks were prepared for SBS analysis. Extracted teeth were affixed on the acrylic resin to incorporate the root section. To expose the occlusal dentin, 3 mm of the midcoronal portion was sectioned. The sectioned samples were allocated into the following three groups: Group I: Fuji IX; group II: Filtek Z350; and group III: Cention-N. Cylindrical plastic tubing was used to place each material as directed by the manufacturer and water aging for 7, 14, and 28 days at 37°C. Also, a universal testing machine (UTM) was utilized for testing followed by a scanning electron microscope (SEM). For microleakage analysis, a total of 30 class-V cavities were prepared. The prepared samples were allotted to respective groups; Later, 200 thermocycles at 5°C and 55°C were applied for 30 seconds to mimic the oral environment. The root apices sealed with sticky wax and the exception of a 1-mm around the edges of the restorations were then painted twice with clear nail varnish and submerged in 0.5% basic fuchsin dye at 37°C. Samples were washed, dried, and sectioned longitudinally followed by stereomicroscopic evaluation. RESULTS Groups I (0.083), group II (0.083), and group III (0.102) did not show significant variation in the SBS after water degradation. At the end of 28 days of water aging, group III showed 33.3% adhesive failure and 66.7% mixed failure mode. For marginal leakage in group III, the mean and standard deviation (SD) were 334.90 ± 418.454 with the p = 0.001 showing a significant difference compared to groups I and II. CONCLUSION Compared to nanohybrid composite and Fuji IX, Cention-N showed a superior SBS after being exposed to water aging and exhibited lesser marginal leakage. CLINICAL SIGNIFICANCE Cention-N outperformed in its marginal adaptation with superior shear resistance and can be considered as an alternative bulk filling material.
Collapse
Affiliation(s)
- Dovelin Witty
- Department of Paediatric and Preventive Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| | - Parvathy Kumaran
- Department of Paediatric and Preventive Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India, Phone: +91 9746865313, e-mail:
| | - Balagopal Varma
- Department of Paediatric and Preventive Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| | - Suresh Kumar J
- Department of Paediatric and Preventive Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| | - Arun Mamachan Xavier
- Department of Paediatric and Preventive Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| | - Malini Venugopal
- Department of Paediatric and Preventive Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| | - Nishna Thankappan
- Department of Paediatric and Preventive Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| |
Collapse
|
41
|
Veselinova M, Diamantopoulou S, Paximada C, Papazoglou E. In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and Zirconia. J Funct Biomater 2023; 14:422. [PMID: 37623666 PMCID: PMC10455451 DOI: 10.3390/jfb14080422] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 07/25/2023] [Accepted: 08/08/2023] [Indexed: 08/26/2023] Open
Abstract
To evaluate the fracture strength and the failure mode of endodontically treated molars restored with monolithic lithium disilicate and zirconia endocrowns and overlays. A total of 48 extracted mandibular molars were endodontically treated, decoronated 2 mm above the cementoenamel junction and divided into four 12-specimen groups. Group ELD: lithium disilicate endocrowns. Group EZ: monolithic zirconia endocrowns. Group OLD: lithium disilicate overlays. Group OZ: monolithic zirconia overlays. Overlays did not extend in the pulp chamber and endocrowns extended in the pulp chamber 2 mm. After adhesive bonding of the restorations, the specimens were subjected to thermocycling (×5000 cycles) and then to fracture resistance testing at lateral static loading (1 mm/min) at a universal testing machine. The failure mode of the specimens was qualitatively evaluated. Differences in means were compared using with t-tests for independent samples or Mann-Whitney test (p < 0.05). Weibull distribution analysis was also performed. Group ELD showed significantly higher fracture strength than all other groups (p = 0.001), and the highest Weibull modulus. Conclusions: Lithium disilicate endocrowns exhibit higher fracture strength and are more reliable compared to the other types of restorations examined. Endocrowns had more catastrophic failures compared to overlays.
Collapse
Affiliation(s)
| | | | | | - Efstratios Papazoglou
- Department of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece; (M.V.); (S.D.); (C.P.)
| |
Collapse
|
42
|
Kim SY, Bae HJ, Lee HH, Lee JH, Kim YJ, Choi YS, Lee JH, Shin SY. The Effects of Thermocycling on the Physical Properties and Biocompatibilities of Various CAD/CAM Restorative Materials. Pharmaceutics 2023; 15:2122. [PMID: 37631336 PMCID: PMC10459511 DOI: 10.3390/pharmaceutics15082122] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 07/31/2023] [Accepted: 08/03/2023] [Indexed: 08/27/2023] Open
Abstract
The purpose of this study is to evaluate the changes in physical properties and biocompatibilities caused by thermocycling of CAD/CAM restorative materials (lithium disilicate, zirconia reinforced lithium silicate, polymer-infiltrated ceramic network, resin nanoceramic, highly translucent zirconia). A total of 225 specimens were prepared (12.0 × 10.0 × 1.5 mm) and divided into three groups subjected to water storage at 37 °C for 24 h (control group), 10,000 cycles in distilled water at 5-55 °C (first aged group), and 22,000 cycles in distilled water at 5-55 °C (second aged group) [(n= 15, each]). The nanoindentation hardness and Young's modulus (nanoindenter), surface roughness (atomic force microscopy (AFM)), surface texture (scanning electron microscopy (FE-SEM)), elemental concentration (energy dispersive spectroscopy (EDS)) and contact angle were evaluated. The morphology, proliferation and adhesion of cultured human gingival fibroblasts (HGFs) were analyzed. The data were analyzed using one-way ANOVA and Tukey's test (p < 0.05). The results showed that the nanoindentation hardness and Young's modulus were decreased after thermocycling aging. Cell viability and proliferation of the material decreased with aging except for the highly translucent zirconia. Zirconia-reinforced lithium silicate exhibited significantly lower cell viability compared to other materials. The surface roughnesses of all groups increased with aging. Cell viability and Cell adhesion were influenced by various factors, including the surface chemical composition, hydrophilicity, surface roughness, and topography.
Collapse
Affiliation(s)
- Se-Young Kim
- Department of Prosthodontics, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (S.-Y.K.); (J.-H.L.)
| | - Han-Jin Bae
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (H.-J.B.); (H.-H.L.)
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Cell & Matter Institute, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
| | - Hae-Hyoung Lee
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (H.-J.B.); (H.-H.L.)
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea;
- UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
| | - Jong-Hyuk Lee
- Department of Prosthodontics, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (S.-Y.K.); (J.-H.L.)
| | - Yu-Jin Kim
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea;
| | - Yu-Sung Choi
- Department of Prosthodontics, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (S.-Y.K.); (J.-H.L.)
- Mechanobiology Dental Medicine Research Center, Dankook University, Cheonan 31116, Republic of Korea
| | - Jung-Hwan Lee
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (H.-J.B.); (H.-H.L.)
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Cell & Matter Institute, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea;
- UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Mechanobiology Dental Medicine Research Center, Dankook University, Cheonan 31116, Republic of Korea
- Department of Regenerative Dental Medicine, School of Dentistry, Dankook University, Cheonan 31116, Republic of Korea
| | - Soo-Yeon Shin
- Department of Prosthodontics, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (S.-Y.K.); (J.-H.L.)
| |
Collapse
|
43
|
Ozaslan S, Celiksoz O, Tepe H, Tavas B, Yaman BC. A Comparative Study of the Repair Bond Strength of New Self-Adhesive Restorative Materials With a Resin Composite Material. Cureus 2023; 15:e44309. [PMID: 37779740 PMCID: PMC10535027 DOI: 10.7759/cureus.44309] [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] [Accepted: 08/29/2023] [Indexed: 10/03/2023] Open
Abstract
AIM The aim of the present study is to compare the repair bond strengths (RBSs) of Cention-N (light-cure and self-cure modes), Equia Forte HT Fil and a nanohybrid resin composite. MATERIALS AND METHODS Equia Forte HT Fil (GC, Tokyo, Japan), Cention-N (Ivoclar Vivadent, Schaan, Liechtenstein) and Filtek Z550 (3M ESPE, St Paul, MN, USA) were used in this study. Equia Forte HT Fil (EQF), Cention-N self-cure (CSC), Cention-N light-cure (CLC) and Filtek Z550 (Z550) groups were formed. A total of 40 samples were prepared; 10 samples in each group (n = 10). After the polymerization was completed according to the manufacturer's instructions, the samples were polished with OptiDisc (Kerr Corporation, Orange, USA) for 5 s each, from extra-course to extra-fine. After all samples were stored in 37°C water for 24 h, 10,000 cycles of brushing simulator and thermal cycles were applied to the samples. The samples were prepared in accordance with the selected repair protocol, and microshear bond strength (µSBS) test was performed. Fracture analysis on debonded surfaces was visualized by scanning electron microscopy. The conformity of the data to normal distribution was analyzed by the Shapiro-Wilk test. Multiple comparisons were performed using Dunn's test. RESULTS Z550 showed significantly higher µSBS as compared to the other three groups. There is no difference between CSC, CLC and EQF. CONCLUSION The use of Cention-N's self-cure or light-cure mode did not affect the RBS values. The RBS values of Cention-N and Equia Forte HT Fil materials are lower than those of the composite resin material.
Collapse
Affiliation(s)
- Sanem Ozaslan
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| | - Ozge Celiksoz
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| | - Hatice Tepe
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| | - Begum Tavas
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| | - Batu Can Yaman
- Department of Restorative Dentistry, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TUR
| |
Collapse
|
44
|
Macan M, Marošević A, Špiljak B, Šimunović L, Par M, Marovic D, Juric-Kacunic D, Tarle Z. Proposition of New Testing Procedure for the Mechanical Properties of Bulk-Fill Materials. MATERIALS (BASEL, SWITZERLAND) 2023; 16:4868. [PMID: 37445183 DOI: 10.3390/ma16134868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 07/05/2023] [Accepted: 07/05/2023] [Indexed: 07/15/2023]
Abstract
This study analysed flexural properties, microhardness, and the degree of conversion (DC) of five bulk-fill composites under clinically relevant conditions (4 mm thick specimens) in comparison to 2 mm specimens according to ISO 4049. Additionally, the effect of rapid polymerisation on 4 mm specimens was evaluated after accelerated aging. DC was measured using Fourier transform infrared spectrometry at 2 and 4 mm thick layers, while flexural properties and Vickers microhardness were tested using 16 × 2 × 2 mm or 16 × 2 × 4 mm specimens. Three polymerisation protocols were used: (I) "ISO": 2 mm thickness, 1000 mW/cm2, double-sided; (II) "10 s": 4 mm thickness, 1000 mW/cm2, one-sided; and (III) "3 s": 4 mm thickness, 2600 mW/cm2, one-sided. Mechanical properties were tested after 1 day, after 10,000 thermocycles, and after 10,000 thermocycles followed by a 7-day immersion in absolute ethanol. The "ISO" protocol produced a higher DC and microhardness of all materials. Elastic modulus was significantly higher for the "ISO" protocol compared to the 4 mm specimens. The differences in flexural strength for all polymerisation protocols were equalised after thermocycling and immersion in absolute ethanol. All tested materials met the ISO 4049 flexural strength requirement (80 MPa) for all polymerisation methods and all aging conditions. Rapid polymerisation achieved nearly optimal properties (ISO), except for elastic modulus, which was significantly reduced in 4 mm samples.
Collapse
Affiliation(s)
- Matea Macan
- Department of Endodontics and Restorative Dental Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia
| | - Ana Marošević
- Department of Endodontics and Restorative Dental Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia
| | - Bruno Špiljak
- Department of Endodontics and Restorative Dental Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia
| | - Luka Šimunović
- Department of Orthodontics, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia
| | - Matej Par
- Department of Endodontics and Restorative Dental Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia
| | - Danijela Marovic
- Department of Endodontics and Restorative Dental Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia
| | | | - Zrinka Tarle
- Department of Endodontics and Restorative Dental Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia
| |
Collapse
|
45
|
Unterschütz L, Fuchs F, Mayer LA, Koenig A, Challakh N, Schulz-Kornas E, Ziebolz D, Hahnel S. Influence of dental prophylaxis procedures on the tooth veneer interface in resin-based composite and polymer-infiltrated ceramic veneer restorations: an in vitro study. Clin Oral Investig 2023; 27:2595-2607. [PMID: 36502509 PMCID: PMC10264478 DOI: 10.1007/s00784-022-04816-z] [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: 06/13/2022] [Accepted: 11/30/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVES The aim of this study was to investigate the influence of dental prophylaxis cleaning procedures and artificial aging on veneers in human teeth. The external marginal and internal tooth veneer as well as the restoration surfaces were examined. MATERIAL AND METHODS Thirty-two extracted premolars were restored with resin-based composite (RBC) and polymer-infiltrated ceramic network (PICN) veneers. Artificial aging by alternating thermocycling and subsequent prophylaxis procedure (glycine-based powder air polishing or ultrasonic scaling) was conducted for five consecutive cycles. The external marginal interface was examined by height profile measurements and the internal interface was investigated using micro X-ray computed tomography. In addition, the surface texture of the veneer surface was analyzed using confocal laser scanning microscopy. RESULTS The application of both prophylaxis procedures resulted in a deepening of the marginal interface (10 µm ± 8 µm) for materials. Furthermore, the internal interface of PICN restorations showed marginal gaps after both treatments and artificial aging (16 µm ± 3 µm). In contrast to the RBC specimens, a significant increase in surface roughness was identified for PICN veneers after ultrasonic scaling. CONCLUSIONS The marginal and internal interface regions in veneers fabricated from PICN and RBC were affected by prophylaxis procedures. Furthermore, it may result in increased veneer surface roughness, especially in PICN and after ultrasonic scaling, which might affect bioadhesion and longevity. CLINICAL RELEVANCE After dental prophylaxis procedures, examination of the marginal and the internal interface as well as the veneer surface provides a precise insight into damage mechanisms and offers an assessment of longevity.
Collapse
Affiliation(s)
- Lena Unterschütz
- Department of Prosthetic Dentistry and Dental Material Science, Leipzig University, Liebigstraße 12, 04103, Leipzig, Germany
| | - Florian Fuchs
- Department of Prosthetic Dentistry and Dental Material Science, Leipzig University, Liebigstraße 12, 04103, Leipzig, Germany.
| | - Laura-Antonia Mayer
- Department of Prosthetic Dentistry and Dental Material Science, Leipzig University, Liebigstraße 12, 04103, Leipzig, Germany
| | - Andreas Koenig
- Department of Prosthetic Dentistry and Dental Material Science, Leipzig University, Liebigstraße 12, 04103, Leipzig, Germany
| | - Nadia Challakh
- Department of Cariology, Endodontology and Periodontology, Leipzig University, Liebigstraße 12, 04103, Leipzig, Germany
| | - Ellen Schulz-Kornas
- Department of Cariology, Endodontology and Periodontology, Leipzig University, Liebigstraße 12, 04103, Leipzig, Germany
| | - Dirk Ziebolz
- Department of Cariology, Endodontology and Periodontology, Leipzig University, Liebigstraße 12, 04103, Leipzig, Germany
| | - Sebastian Hahnel
- Department of Prosthetic Dentistry, UKR University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany
| |
Collapse
|
46
|
Łępicka M, Niewczas AM, Rodziewicz MU, Pikuła K, Kordos P, Gredes T, Kurzydłowski KJ. The influence of hydrothermal fatigue on the clinically relevant functional properties of conventional glass-ionomer cements. Sci Rep 2023; 13:8738. [PMID: 37253971 DOI: 10.1038/s41598-023-35880-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 05/25/2023] [Indexed: 06/01/2023] Open
Abstract
During their everyday service, the restorative dental materials are subjected to temperature changes which can be viewed as intensive in the context of the highest allowed temperatures for these materials. In this work, the effect of hydrothermal fatigue on the in vitro tribological performance, compression strength, microhardness, and surface roughness of glass-ionomer cements was studied. Samples of 3 commercially available cements were divided into the reference (aged 14 days) and thermocycled (20,000 cycles; 5-55 °C) groups. The results obtained show that functional properties of the specimens subjected to thermal fatigue significantly differ from the literature data on the cements aged at constant temperatures. The effect of hydrothermal fatigue on the functional properties of cements is discussed in the context of processes induced by exposure to variable temperatures.
Collapse
Affiliation(s)
- Magdalena Łępicka
- Faculty of Mechanical Engineering, Institute of Mechanical Engineering, Bialystok University of Technology, Wiejska 45C St., 15-352, Bialystok, Poland.
| | - Agata Maria Niewczas
- Department of Conservative Dentistry with Endodontics, Medical University of Lublin, W. Chodzki 6, 20-093, Lublin, Poland
| | - Magdalena Urszula Rodziewicz
- Faculty of Mechanical Engineering, Institute of Mechanical Engineering, Bialystok University of Technology, Wiejska 45C St., 15-352, Bialystok, Poland
| | - Konrad Pikuła
- Department of Conservative Dentistry with Endodontics, Medical University of Lublin, W. Chodzki 6, 20-093, Lublin, Poland
| | - Paweł Kordos
- Institute of Transport, Combustion Engines and Ecology, Lublin University of Technology, Nadbystrzycka 36, 20-618, Lublin, Poland
| | - Tomasz Gredes
- Department of Orthodontics, Technische Universität Dresden, Carl Gustav Carus Campus, Fetscherstr. 74, 01307, Dresden, Germany
- Department of Orthodontics and Temporomandibular Disorders, Poznan University of Medical Sciences, Bukowska 70, 60-812, Poznan, Poland
| | - Krzysztof Jan Kurzydłowski
- Faculty of Mechanical Engineering, Institute of Mechanical Engineering, Bialystok University of Technology, Wiejska 45C St., 15-352, Bialystok, Poland
| |
Collapse
|
47
|
Muradbegovic A, Par M, Panduric V, Zugec P, Tauböck TT, Attin T, Tarle Z, Marovic D. Water-Induced Changes in Experimental Resin Composites Functionalized with Conventional (45S5) and Customized Bioactive Glass. J Funct Biomater 2023; 14:298. [PMID: 37367262 DOI: 10.3390/jfb14060298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 05/19/2023] [Accepted: 05/25/2023] [Indexed: 06/28/2023] Open
Abstract
The aim of the study was to evaluate microhardness, mass changes during 1-year water immersion, water sorption/solubility, and calcium phosphate precipitation of experimental composites functionalized with 5-40 wt% of two types of bioactive glass (BG): 45S5 or a customized low-sodium fluoride-containing formulation. Vickers microhardness was evaluated after simulated aging (water storage and thermocycling), water sorption and solubility were tested according to ISO 4049, and calcium phosphate precipitation was studied by scanning electron microscopy, energy dispersive X-ray spectroscopy, and Fourier-transform infrared spectroscopy. For the composites containing BG 45S5, a significant reduction in microhardness was observed with increasing BG amount. In contrast, 5 wt% of the customized BG resulted in statistically similar microhardness to the control material, while higher BG amounts (20 and 40 wt%) resulted in a significant improvement in microhardness. Water sorption was more pronounced for composites containing BG 45S5, increasing 7-fold compared to the control material, while the corresponding increase for the customized BG was only 2-fold. Solubility increased with higher amounts of BG, with an abrupt increase at 20 and 40 wt% of BG 45S5. Calcium phosphate was precipitated by all composites with BG amounts of 10 wt% or more. The improved properties of the composites functionalized with the customized BG indicate better mechanical, chemical, and dimensional stability without compromising the potential for calcium phosphate precipitation.
Collapse
Affiliation(s)
- Alen Muradbegovic
- Muradbegović Dental Clinic, Malkočeva 3, 75000 Tuzla, Bosnia and Herzegovina
| | - Matej Par
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia
| | - Vlatko Panduric
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia
| | - Paula Zugec
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia
| | - Tobias T Tauböck
- Department of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032 Zurich, Switzerland
| | - Thomas Attin
- Department of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032 Zurich, Switzerland
| | - Zrinka Tarle
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia
| | - Danijela Marovic
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia
| |
Collapse
|
48
|
Paulo S, Abrantes AM, Xavier M, Brito AF, Teixo R, Coelho AS, Paula A, Carrilho E, Botelho MF, Marto CM, Ferreira MM. Microleakage Evaluation of Temporary Restorations Used in Endodontic Treatment-An Ex Vivo Study. J Funct Biomater 2023; 14:jfb14050264. [PMID: 37233374 DOI: 10.3390/jfb14050264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 05/05/2023] [Accepted: 05/06/2023] [Indexed: 05/27/2023] Open
Abstract
(1) Background: Coronal microleakage can lead to endodontic treatment failure. This study aimed to compare the sealing ability of different temporary restorative materials used during endodontic treatment. (2) Methods: Eighty sheep incisors were collected, uniformized in length, and access cavities were performed, except for in the negative control group, where the teeth were left intact. The teeth were divided into six different groups. In the positive control group, the access cavity was made and left empty. In the experimental groups, access cavities were restored with three different temporary materials (IRM®, Ketac™ Silver, and Cavit™) and with a definitive restorative material (Filtek Supreme™). The teeth were submitted to thermocycling, and two and four weeks later, they were infiltrated with 99mTcNaO4, and nuclear medicine imaging was performed. (3) Results: Filtek Supreme™ obtained the lowest infiltration values. Regarding the temporary materials, at two weeks, Ketac™ Silver presented the lowest infiltration, followed by IRM®, whereas Cavit™ presented the highest infiltration. At four weeks, Ketac™ Silver remained with the lowest values, whereas Cavit™ decreased the infiltration, comparable to IRM®. (4) Conclusion: Regarding temporary materials, Ketac™ Silver had the lowest infiltration at 2 and 4 weeks, whereas the highest infiltration was found in the Cavit™ group at two weeks and in the IRM® group at 4 weeks.
Collapse
Affiliation(s)
- Siri Paulo
- Institute of Endodontics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
| | - Ana Margarida Abrantes
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
| | - Mariana Xavier
- Institute of Endodontics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
| | - Ana Filipa Brito
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
| | - Ricardo Teixo
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
| | - Ana Sofia Coelho
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Institute of Integrated Clinical Practice, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal
| | - Anabela Paula
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Institute of Integrated Clinical Practice, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal
| | - Eunice Carrilho
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Institute of Integrated Clinical Practice, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal
| | - Maria Filomena Botelho
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
| | - Carlos Miguel Marto
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Institute of Integrated Clinical Practice, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal
- Institute of Experimental Pathology, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
| | - Manuel Marques Ferreira
- Institute of Endodontics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
| |
Collapse
|
49
|
Yu J, Li Y, Liu X, Huang H, Wang Y, Zhang Q, Li Q, Cao CY. EDTA-functionalized silica nanoparticles as a conditioning agent for dentin bonding using etch-and-rinse technique. J Dent 2023; 134:104528. [PMID: 37105434 DOI: 10.1016/j.jdent.2023.104528] [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: 02/23/2023] [Revised: 04/22/2023] [Accepted: 04/24/2023] [Indexed: 04/29/2023] Open
Abstract
OBJECTIVE This study investigated the possibility of using ethylenediaminetetraacetic acid functionalized silica nanoparticles (EDTA-SiO2) as a dentin-conditioning agent using etch-and-rinse technique to promote the durability of dentin bonding. METHODS The SiO2-EDTA were synthesized by N- [(3- trimethoxysilyl) propyl] ethylenediamine triacetic acid (EDTA-TMS) and SiO2 (50 nm), then characterized by Fourier transform infrared spectroscopy (FTIR), thermogravimetric analysis (TGA), X-ray photoelectron spectroscopy (XPS) and transmission electron microscopy (TEM). The capacity of SiO2-EDTA to chelate calcium ions from dentin was examined by inductively coupled plasma-optic emission spectrometry (ICP-OES). The dentin surfaces conditioned with SiO2-EDTA were detected by field emission scanning electron microscopy (SEM), TEM and microhardness testing. For dentin bonding, dentin surfaces were adopted wet- or dry-bonding technique and bonded with adhesive (AdperTM Single Bond2) and applied composite resin (Filtek Z350) on them. The durability of dentin bonding was evaluated by mircotensile bond strength test, in-situ zymography and nanoleakage testing. RESULTS FTIR, TGA and XPS results showed that SiO2-EDTA contained N element and carboxyl groups. SEM, TEM and microhardness results indicated that SiO2-EDTA group created extrafibrillar demineralization and retained more intrafibrillar minerals within dentin surface. In the dentin bonding experiment, SiO2-EDTA group achieved acceptable bond strength, and reduced the activity of matrix metalloproteinase and nanoleakage along bonding interface. CONCLUSION It was possible to generate a feasible dentin conditioning agent (SiO2-EDTA), which could create dentin extrafibrillar demineralization and improve dentin bond durability. CLINICAL SIGNIFICANCE This study introduces a new dentin conditioning scheme based on SiO2-EDTA to create extrafibrillar demineralization for dentin bonding. This strategy has the potential to be used in clinic to promote the life of restoration bonding.
Collapse
Affiliation(s)
- Jianan Yu
- Stomatologic Hospital & College, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, 230032, China
| | - Yuexiang Li
- Stomatologic Hospital & College, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, 230032, China
| | - Xinyuan Liu
- Stomatologic Hospital & College, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, 230032, China
| | - Haowen Huang
- Stomatologic Hospital & College, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, 230032, China
| | - Yu Wang
- Stomatologic Hospital & College, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, 230032, China
| | - Qunlin Zhang
- Stomatologic Hospital & College, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, 230032, China; School of Pharmacy, Anhui Medical University, Hefei, 230032, China.
| | - Quanli Li
- Stomatologic Hospital & College, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, 230032, China
| | - Chris Ying Cao
- Stomatologic Hospital & College, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, 230032, China.
| |
Collapse
|
50
|
Ozcan S, Nezir M, Topcuoglu E, Atilla AO, Yagci A. In Vitro evaluation of the bond strength of metal brackets adhered to different dental restorative materials using different orthodontic adhesives. Niger J Clin Pract 2023; 26:447-453. [PMID: 37203109 DOI: 10.4103/njcp.njcp_479_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Background During orthodontic treatment, teeth with brackets may sometimes be restored with different restorative materials. In this case, the content of the orthodontic adhesive selected for bracket bonding may also be important. Aim This study compared the bond strength of metal orthodontic brackets adhered to different resin composite and glass ionomer cement (GIC) restoration surfaces with glass ionomer-based and resin-based orthodontic adhesives to determine the best orthodontic adhesive for use in restored teeth. Material and Methods This study prepared 80 discs. Four material groups of 20 discs were created: reinforced high-viscosity GIC, high-viscosity GIC, flowable bulk-fill resin composite, and nanohybrid resin composite. Specimens in each material group were divided into two subgroups that differed in the orthodontic adhesive used to bond the brackets to the prepared specimens. After 24 hours, the specimens were shear bond strength (SBS) tested at 1 mm/min using a universal tester. Results The SBS of glass ionomer-based orthodontic adhesive differed significantly between metal brackets adhered to different bases (P < 0.001). The highest SBSs were observed between metal brackets and high-viscosity glass ionomer restorations (6.79 ± 2.38). The highest SBSs observed with a resin-based orthodontic adhesive were between metal brackets adhered to nanohybrid resin composite restorations (8.84 ± 2.10; P = 0.030). Conclusions Glass ionomer-based orthodontic adhesive provided safer bond strength and demineralization prevention when applying metal brackets to teeth with glass ionomer restorations.
Collapse
Affiliation(s)
- S Ozcan
- Department of Restorative Dentistry, Gazi University, Ankara, Turkey
| | - M Nezir
- Department of Restorative Dentistry, Gazi University, Ankara, Turkey
| | - E Topcuoglu
- Department of Orthodontics, Erciyes University, Kayseri, Turkey
| | - A O Atilla
- Department of Orthodontics, Cyprus International University, Nicosia, North, Cyprus
| | - A Yagci
- Department of Orthodontics, Erciyes University, Kayseri, Turkey
| |
Collapse
|