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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(n = 180) were stored under the same conditions and tested in four subsets (n = 15 per material) that were respectively withdrawn after repeated thermocycling (5000 cycles; 5-55 °C, H2O) and repetitive drying (7 d; 37 °C, air).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.
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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
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2
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Namsoy E, Sadikoglu IS, Ozverel CS, Erdag E. Computational analysis of 3D printing: Selecting the better among newly released materials. Eur J Oral Sci 2024; 132:e12987. [PMID: 38616404 DOI: 10.1111/eos.12987] [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: 12/26/2023] [Accepted: 03/27/2024] [Indexed: 04/16/2024]
Abstract
Resin-based three-dimensional (3D) printing finds extensive application in the field of dentistry. Although studies of cytotoxicity, mechanical and physical properties have been conducted for newly released 3D printing resins such as Crowntec (Saremco), Temporary Crown Resin (Formlabs) and Crown & Bridge (Nextdent), the resistance of these materials to esterases in saliva has not been demonstrated at the molecular level. Therefore, in this study, the binding affinities and stability of these new 3D printing resins to the catalytic sites of esterases were investigated using molecular docking and molecular mechanics with Poisson-Bolzmann and surface area solvation (MM/PBSA) methods after active pocket screening. Toxicity predictions of the materials were also performed using ProTox-II and Toxtree servers. The materials were analyzed for mutagenicity, cytotoxicity, and carcinogenicity, and LD50 values were predicted from their molecular structures. The results indicated that out of the three novel 3D printing materials, Nexdent exhibited reduced binding affinity to esterases, indicating enhanced resistance to enzymatic degradation and possessing a superior toxicity profile.
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Affiliation(s)
- Ege Namsoy
- Department of Endodontics, Faculty of Dentistry, European University of Lefke, Mersin, Turkey
| | - Ismail Serhat Sadikoglu
- Department of Restorative Dentistry, Faculty of Dentistry, Cyprus International University, Nicosia, Cyprus
| | - Cenk Serhan Ozverel
- Department of Basic Medical Sciences, Faculty of Dentistry, Near East University, Nicosia, Cyprus
- DESAM Research Institute, Near East University, Nicosia, Cyprus
| | - Emine Erdag
- Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Near East University, Nicosia, Cyprus
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3
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Kielbassa AM, Summer S, Frank W, Lynch E, Batzer JS. Equivalence study of the resin-dentine interface of internal tunnel restorations when using an enamel infiltrant resin with ethanol-wet dentine bonding. Sci Rep 2024; 14:12444. [PMID: 38816512 PMCID: PMC11139992 DOI: 10.1038/s41598-024-63289-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Accepted: 05/27/2024] [Indexed: 06/01/2024] Open
Abstract
This preregistered ex vivo investigation examined the dentinal hybrid layer formation of a resinous infiltrant (Icon), with reference to both thickness (HLT) and homogeneity when combined with modified tunnel preparation (occlusal cavity only) and internal/external caries infiltration. The adhesives Syntac and Scotchbond MP were used as controls (Groups 1 and 3) or in combination with Icon (Groups 2 and 4). A split-tooth design using healthy third molars from 20 donors resulted in 20 prepared dentine cavities per experimental group. The cavity surfaces (n = 80) were etched (37% H3PO4), rinsed, and air-dried. Rewetting with ethanol was followed by application of the respective primers. After labeling with fluorescent dyes, either Syntac Adhesive/Heliobond or Scotchbond MP Adhesive was used alone or supplemented with Icon. HLT, as evaluated by scanning electron microscopy, did not significantly differ (P > 0.05), and confocal laser scanning microscopy revealed homogeneously mixed/polymerized resin-dentine interdiffusion zones in all groups. Icon can be successfully integrated into an ethanol-wet dentine bonding strategy, and will result in compact and homogeneous hybrid layers of comparable thickness considered equivalent to the non-Icon controls, thus allowing for preservation of the tooth's marginal ridge and interdental space in the case of internal/external infiltration of proximal caries.
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Affiliation(s)
- Andrej M Kielbassa
- Centre for Operative Dentistry, Periodontology, and Endodontology, Department of Dentistry, Faculty of Medicine and Dentistry, Danube Private University (DPU), Steiner Landstraße 124, 3500, Krems an der Donau, Austria.
| | - Sabrina Summer
- Department for Biomedical Research, Centre of Experimental Medicine, University for Continuing Education Krems, Krems an der Donau, Austria
| | - Wilhelm Frank
- Centre for Health Sciences, Department of Medicine, Faculty of Medicine and Dentistry, Danube Private University (DPU), Krems an der Donau, Austria
| | - Edward Lynch
- Leicester School of Pharmacy, De Montfort University, Leicester, UK
| | - Julia-Susanne Batzer
- Centre for Operative Dentistry, Periodontology, and Endodontology, Department of Dentistry, Faculty of Medicine and Dentistry, Danube Private University (DPU), Steiner Landstraße 124, 3500, Krems an der Donau, Austria
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Talmazov G, Michaud PL. Letter to the Editor regarding, "Digital workflow for low-cost 3D-printed custom healing abutment based on emergence profile CBCT segmentation". J Prosthet Dent 2024; 131:983-984. [PMID: 38523045 DOI: 10.1016/j.prosdent.2024.01.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 01/23/2024] [Accepted: 01/23/2024] [Indexed: 03/26/2024]
Affiliation(s)
| | - Pierre-Luc Michaud
- Full Professor, Department of Dental Clinical Sciences, Faculty of Dentistry, Dalhousie University, Halifax, Nova Scotia, Canada.
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5
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Pozza MB, de Moura Costa AJ, Burgoa S, Ventura D, Cortes ARG. Response to Letter to the Editor regarding, "Digital workflow for low-cost 3D-printed custom healing abutment based on emergence profile CBCT segmentation". J Prosthet Dent 2024; 131:985-986. [PMID: 38538446 DOI: 10.1016/j.prosdent.2024.02.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 02/08/2024] [Accepted: 02/09/2024] [Indexed: 05/13/2024]
Affiliation(s)
- Mariana Balcewicz Pozza
- Master's student, Department of Prosthodontics, Positivo University (UP), Curitiba, PR, Brazil.
| | - Alan Jony de Moura Costa
- Professor, Department of Digital Implantology, GoBeyond Dental Courses (BDS), Curitiba, PR, Brazil
| | - Shaban Burgoa
- Professor, Department of Digital Implantology, GoBeyond Dental Courses (BDS), Curitiba, PR, Brazil
| | - Dionir Ventura
- Dental Technician, Department of Prosthodontics, Ventura Lab (VL), Curitiba, PR, Brazil
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Yu Y, Guo X, Chen J, Zhao Y, Song J, Alshawwa H, Zou X, Zhao H, Zhang Z. Biodegradation of Urethane Dimethacrylate-based materials (CAD/CAM resin-ceramic composites) and its effect on the adhesion and proliferation of Streptococcus mutans. J Mech Behav Biomed Mater 2024; 150:106280. [PMID: 38043260 DOI: 10.1016/j.jmbbm.2023.106280] [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: 10/13/2023] [Revised: 11/24/2023] [Accepted: 11/26/2023] [Indexed: 12/05/2023]
Abstract
OBJECTIVE To investigate whether urethane dimethacrylate (UDMA) -based dental restorative materials biodegrade in the presence of Streptococcus mutans (S. mutans) and whether the monomers affect the adhesion and proliferation of S. mutans in turn. METHODS Cholesterol esterase and pseudocholinesterase-like activities in S. mutans were detected using p-nitrophenyl substrate. Two UDMA-based CAD/CAM resin-ceramic composites, Lava Ultimate (LU) and Vita Enamic (VE), and a light-cured UDMA resin block were co-cultured with S. mutans for 14 days. Their surfaces were characterized by scanning electron microscopy and laser microscopy, and the byproducts of biodegradation were examined by Ultra Performance Liquid Chromatography-Tandem Mass Spectrometry (UPLC-MS/MS). Then, the antimicrobial components (silver nanoparticles with quaternary ammonium salts) were added to the UDMA resin block to detect whether the biodegradation was restrained. Finally, the effect of UDMA on biofilm formation and virulence expression of S. mutans was assessed. RESULTS Following a 14-day immersion, the LU and UDMA resin blocks' surface roughness increased. The LU and VE groups had no UDMA or its byproducts discovered, according to the UPLC-MS/MS data, whereas the light-cured UDMA block group had UDMA, urethane methacrylate (UMA), and urethane detected. The addition of antimicrobial agents showed a significant reduction in the release of UDMA. Biofilm staining experiments showed that UDMA promoted the growth of S. mutans biofilm and quantitative real-time polymerase chain reaction results indicated that 50 μg/mL UDMA significantly increase the expression of gtfB, comC, comD, comE, and gbpB genes within the biofilm. CONCLUSIONS UDMA in the light-cured resin can be biodegraded to produce UMA and urethane under the influence of S. mutans. The formation of early biofilm can be promoted and the expression of cariogenic genes can be up-regulated by UDMA. CLINICAL SIGNIFICANCE This study focuses for the first time on whether UDMA-based materials can undergo biodegradation and verifies from a genetic perspective that UDMA can promote the formation of S. mutans biofilms, providing a reference for the rational use of UDMA-based materials in clinical practice.
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Affiliation(s)
- Yiyan Yu
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Xinwei Guo
- School of Stomatology, Peking University, Beijing, China
| | - Jiawen Chen
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Yuanhang Zhao
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Jiazhuo Song
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Hamed Alshawwa
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Xinying Zou
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Hongyan Zhao
- Hospital of Stomatology, Jilin University, Changchun, China.
| | - Zhimin Zhang
- Hospital of Stomatology, Jilin University, Changchun, China.
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7
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Wiertelak-Makała K, Szymczak-Pajor I, Bociong K, Śliwińska A. Considerations about Cytotoxicity of Resin-Based Composite Dental Materials: A Systematic Review. Int J Mol Sci 2023; 25:152. [PMID: 38203323 PMCID: PMC10778595 DOI: 10.3390/ijms25010152] [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: 11/16/2023] [Revised: 12/15/2023] [Accepted: 12/19/2023] [Indexed: 01/12/2024] Open
Abstract
The dental material industry is rapidly developing resin-based composites (RBCs), which find widespread use in a variety of clinical settings. As such, their biocompatibility has gained increasing interest. This literature review presents a summary of research into the cytotoxicity of methacrylate-based composites published from 2017 to 2023. Subject to analysis were 14 in vitro studies on human and murine cell lines. Cytotoxicity in the included studies was measured via MTT assay, LDH assay, and WST-1 assay. The QUIN Risk of Bias Tool was performed to validate the included studies. Included studies (based entirely on the results of in vitro studies) provide evidence of dose- and time-dependent cytotoxicity of dental resin-based composites. Oxidative stress and the depletion of cellular glutathione (GSH) were suggested as reasons for cytotoxicity. Induction of apoptosis by RBCs was indicated. While composites remain the golden standard of dental restorative materials, their potential cytotoxicity cannot be ignored due to direct long-term exposure. Further in vitro investigations and clinical trials are required to understand the molecular mechanism of cytotoxicity and produce novel materials with improved safety profiles.
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Affiliation(s)
- Kacper Wiertelak-Makała
- Student Scientific Society of Civilization Diseases, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland
| | - Izabela Szymczak-Pajor
- Department of Nucleic Acid Biochemistry, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland
| | - Kinga Bociong
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland
| | - Agnieszka Śliwińska
- Department of Nucleic Acid Biochemistry, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland
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Ren J, Guo X. The germicidal effect, biosafety and mechanical properties of antibacterial resin composite in cavity filling. Heliyon 2023; 9:e19078. [PMID: 37662807 PMCID: PMC10474440 DOI: 10.1016/j.heliyon.2023.e19078] [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: 04/15/2023] [Revised: 07/22/2023] [Accepted: 08/10/2023] [Indexed: 09/05/2023] Open
Abstract
In recent years, dental resin materials have become increasingly popular for cavity filling. However, these materials can shrink during polymerization, leading to microleakages that enable bacteria to erode tooth tissue and cause secondary caries. As a result, there is great clinical demand for the development of antibacterial resins. The principle of antibacterial resin includes contact killing and filler-release killing of bacteria. For contact killing, quaternary ammonium salts (QACs) and antibacterial peptides (AMPs) can be added. For filler-release killing, chlorhexidine (CHX) and nanoparticles are used. These antibacterial agents are effective against gram-positive bacteria, gram-negative bacteria, fungi, and more. Among them, QACs has a lasting antibacterial effect, and silver nanoparticles even have a certain ability to kill viruses. Biocompatibility-wise, QACs, AMPs, and CHX have low cytotoxicity to cells when added into the resin. However, nanoparticles with smaller particle sizes have higher cytotoxicity. In terms of mechanical properties, QACs, AMPs, and CHX do not negatively affect the resin. However, the addition of magnesium oxide can have a negative impact. This paper reviews the types and antibacterial principles of commonly used antibacterial resins in recent years, evaluates their antibacterial effect, biological safety, and mechanical properties, and provides references for selecting clinical filling materials.
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Affiliation(s)
- Jiamu Ren
- Yanbian University, Jilin, 133002, China
| | - Xinwei Guo
- Peking University, Haidian District, Beijing, 100871, China
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9
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Lukomska-Szymanska M, Radwanski M, Kharouf N, Mancino D, Tassery H, Caporossi C, Inchingolo F, de Almeida Neves A, Chou YF, Sauro S. Evaluation of Physical-Chemical Properties of Contemporary CAD/CAM Materials with Chromatic Transition "Multicolor". MATERIALS (BASEL, SWITZERLAND) 2023; 16:4189. [PMID: 37297323 PMCID: PMC10254467 DOI: 10.3390/ma16114189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 05/31/2023] [Accepted: 06/03/2023] [Indexed: 06/12/2023]
Abstract
The use of materials for computer-aided design/computer-aided manufacturing (CAD/CAM) has been rapidly increasing in daily practice. However, one of the main issues regarding modern CAD/CAM materials is their aging in the oral environment, which may lead to significant changes in their overall properties. The aim of this study was to compare the flexural strength, water sorption, cross-link density (softening ratio%), surface roughness, and SEM analysis of three modern CAD/CAM "multicolor" composites. Grandio (Grandio disc multicolor-VOCO GmbH, Cuxhaven, Germany), Shofu (Shofu Block HC-Shofu Inc., Kyoto, Japan), and Vita (Vita Enamic multiColor-Vita Zahnfabrik, Bad Sackingen, Germany) were tested in this study. They were prepared in stick-shaped specimens and submitted to different tests after several aging protocols, such as thermocycling and mechanical cycle loading challenge. Further disc-shaped specimens were also created and tested for water sorption, cross-link density, surface roughness, and SEM ultramorphology, before and after storage in an ethanol-based solution. For flexural strength and ultimate tensile strength, Grandio showed the greatest values both at baseline and after aging (p < 0.05). Grandio and Vita Enamic presented the highest modulus of elasticity and the lowest water sorption (p < 0.05). A significant reduction (p < 0.05) in microhardness after ethanol storage (softening ratio%) was observed especially in Shofu. Grandio had the lowest roughness parameters compared to the other tested CAD/CAM materials, while ethanol storage significantly increased the Ra and RSm values in Shofu (p < 0.05). Despite the comparable modulus of elasticity of Vita and Grandio, this latter showed greater flexural strength and ultimate tensile strength both at baseline and after aging. Hence, Grandio and Vita Enamic may be employed for the anterior teeth and for those restorations requiring load-bearing capacity. Conversely, aging seems to affect several properties of Shofu, so its use for permanent restorations should be well-pondered based on the clinical situation.
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Affiliation(s)
| | - Mateusz Radwanski
- Department of Endodontics, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland;
| | - Naji Kharouf
- Department of Endodontics and Conservative Dentistry, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France; (N.K.)
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
| | - Davide Mancino
- Department of Endodontics and Conservative Dentistry, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France; (N.K.)
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
| | - Herve Tassery
- Ecole de Médecine Dentaire de Marseille, Université d’Aix-Marseille, 13385 Marseille, France
- Laboratoire Bioinginierie et Nanoscience, LBN, Université de Montpellier, 545 Pr JL Viala, 34090 Montpellier, France
| | | | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Aline de Almeida Neves
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-853, Brazil
| | - Yu Fu Chou
- Dental Biomaterials and Minimally Invasive Dentistry, Departamento de Odontología, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera, C/Del Pozo s/n, Alfara del Patriarca, 46115 Valencia, Spain
| | - Salvatore Sauro
- Independent Researcher, Roma, 65B, 00030 Labico, Italy
- Dental Biomaterials and Minimally Invasive Dentistry, Departamento de Odontología, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera, C/Del Pozo s/n, Alfara del Patriarca, 46115 Valencia, Spain
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Pompii OO, Tkachenko VA, Kerimova TM, Pompii ES. MODERN TRENDS AND PERSPECTIVES OF THE DEVELOPMENT OF ADHESIVE DENTISTRY. INNOVATIVE TECHNIQUES FOR THE APPLICATION OF ADHESIVE SYSTEMS. WIADOMOSCI LEKARSKIE (WARSAW, POLAND : 1960) 2023; 76:2721-2728. [PMID: 38290039 DOI: 10.36740/wlek202312124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2024]
Abstract
OBJECTIVE The aim: To study the latest approaches to optimizing the composition and application protocols of modern adhesive systems, which are used during the restoration of defects in hard dental tissues with restorative materials. PATIENTS AND METHODS Materials and methods: Thirty articles published between January 1, 2020 and February 1, 2023 in the scientific databases PubMed, Scopus, and Google Scholar were selected. The selected scientific works contained the results of laboratory studies, systematic reviews, meta-analyses of the physical and mechanical characteristics of adhesive systems with a modified composition or application protocols different from the instructions of the manufacturing companies. CONCLUSION Conclusions: The most promising directions for improving adhesive systems are modifications of the composition and protocols of their use with the aim of deactivating matrix metalloproteinases, improving the structure of the hybrid layer due to the creation of a three-dimensional mesh of collagen fibres with optimal properties, the introduction of antimicrobial agents to slow down the growth of bacterial colonies along the line of the adhesive joint. The available research results of modified adhesive systems are often contradictory, which determines the need to develop standardized test methods to obtain more reliable indicators of their physical, mechanical and biological properties. In some cases, the consequences of non-compliance with the recommendations of the manufacturing companies are a significant deterioration of the characteristics of the hybrid layer, adhesive strength, marginal fit, which, in turn, explains the need for further search for an optimized composition and techniques for applying bonding agents to improve the prognosis of restorative treatment.
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Hong Q, Pierre-Bez AC, Kury M, Curtis ME, Hiers RD, Esteban Florez FL, Mitchell JC. Shear Bond Strength and Color Stability of Novel Antibacterial Nanofilled Dental Adhesive Resins. NANOMATERIALS (BASEL, SWITZERLAND) 2022; 13:1. [PMID: 36615911 PMCID: PMC9823690 DOI: 10.3390/nano13010001] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 12/09/2022] [Accepted: 12/16/2022] [Indexed: 06/17/2023]
Abstract
Experimental adhesives containing co-doped metaloxide nanoparticles were demonstrated to display strong and long-term antibacterial properties against Streptococcus mutans biofilms. The present study represents an effort to characterize the shear-bond strength (SBS) and color stability (CS) of these novel biomaterials. Experimental adhesives were obtained by dispersing nitrogen and fluorine co-doped titanium dioxide nanoparticles (NF_TiO2, 10%, 20% or 30%, v/v%) into OptiBond Solo Plus (OPTB). Dentin surfaces were wet-polished (600-Grit). Specimens (n = 5/group) of Tetric EvoCeram were fabricated and bonded using either OPTB or experimental (OPTB + NF_TiO2) adhesives. Specimens were stored in water (37 °C) for twenty-four hours (T1), three months (T2), and six months (T3). At T1, T2, or T3, specimens were removed from water storage and were tested for SBS. Disc-shaped specimens (n = 10/group; d = 6.0 mm, t = 0.5 mm) of adhesives investigated were fabricated and subjected to thermocycling (10,000 cycles, 5−55 °C, 15 s dwell time). Specimens’ colors were determined with a VITA Easyshade® V spectrophotometer (after every 1000 cycles). SBS data was analyzed using two-way ANOVA and post-hoc Tukey tests, while CS data was analyzed using one-way ANOVA and post-hoc Tukey tests (α = 0.05). Mean values of SBS ranged from 16.39 ± 4.20 MPa (OPTB + 30%NF_TiO2) to 19.11 ± 1.11 MPa (OPTB), from 12.99 ± 2.53 MPa (OPTB + 30% NF_TiO2) to 14.87 ± 2.02 (OPTB) and from 11.37 ± 1.89 (OPTB + 20% NF_TiO2) to 14.19 ± 2.24 (OPTB) after twenty-four hours, three months, and six months of water storage, respectively. Experimental materials had SBS values that were comparable (p > 0.05) to those from OPTB independently of nanoparticle concentration or time-point considered. Experimental materials with higher NF_TiO2 concentrations had less intense color variations and were more color stable than OPTB even after 10,000 thermocycles. In combination, the results reported have demonstrated that experimental adhesives can establish strong and durable bonds to human dentin while displaying colors that are more stable, thereby suggesting that the antibacterial nanotechnology investigated can withstand the harsh conditions within the oral cavity without compromising the esthetic component of dental restorations.
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Affiliation(s)
- Qing Hong
- College of Dental Medicine, Midwestern University, Glendale, AZ 85308, USA
| | | | - Matheus Kury
- Division of Operative Dentistry, Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas, Piracicaba 13414-903, Brazil
| | - Mark E. Curtis
- Mewbourne School of Petroleum and Geological Engineering, University of Oklahoma, Norman, OK 73019, USA
| | - Rochelle D. Hiers
- Division of Dental Biomaterials, Department of Restorative Sciences, College of Dentistry, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA
| | - Fernando L. Esteban Florez
- Division of Dental Biomaterials, Department of Restorative Sciences, College of Dentistry, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA
| | - John C. Mitchell
- College of Dental Medicine, Midwestern University, Glendale, AZ 85308, USA
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12
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Dunavári E, Berta G, Kiss T, Szalma J, Fráter M, Böddi K, Lempel E. Effect of Pre-Heating on the Monomer Elution and Porosity of Conventional and Bulk-Fill Resin-Based Dental Composites. Int J Mol Sci 2022; 23:ijms232416188. [PMID: 36555828 PMCID: PMC9782750 DOI: 10.3390/ijms232416188] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 12/06/2022] [Accepted: 12/16/2022] [Indexed: 12/23/2022] Open
Abstract
The pre-heating of dental resin-based composites (RBCs) improves adaptability to cavity walls, reducing microleakages. However, the rapid cooling of the pre-heated RBC may change the polymerization kinetics, and thus the final network configuration of the RBC. It is well known that unreacted monomers remaining in the set RBC can leach into the oral cavity. However, it is still not clear how the pre-heating and cooling of RBCs alter monomer elution (ME). Thus, the purpose was to determine the ME from room-temperature and pre-heated RBCs, in addition to determining the closed porosity (CP) volume. Bulk-filled RBCs and layered conventional RBC samples were prepared. The pre-polymerization temperature was set at 24 °C and 55/65 °C. The ME from RBC samples was assessed with high-performance liquid chromatography using standard monomers. CP was measured with micro-computed tomography. ME decreased significantly from bulk fills and increased from layered samples as a result of pre-heating. Pre-heating was unfavorable in terms of CP in most RBCs. Based on the effect size analysis, ME and CP were greatly influenced by both material composition, pre-polymerization temperature, and their interaction. While the pre-heating of high-viscosity bulk-fill RBCs is advantageous from a clinical aspect regarding biocompatibility, it increases CP, which is undesirable from a mechanical point of view.
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Affiliation(s)
- Erika Dunavári
- Department of Restorative Dentistry and Periodontology, University of Pécs Medical School, Tüzér Street 1, 7624 Pécs, Hungary
| | - Gergely Berta
- Department of Medical Biology and Central Electron Microscope Laboratory, University of Pécs Medical School, Szigeti Street 12, 7624 Pécs, Hungary
- Szentágothai Research Centre, University of Pécs, Ifjúság Street 20, 7624 Pécs, Hungary
| | - Tamás Kiss
- Szentágothai Research Centre, University of Pécs, Ifjúság Street 20, 7624 Pécs, Hungary
| | - József Szalma
- Department of Oral and Maxillofacial Surgery, University of Pécs Medical School, Tüzér Street 1, 7624 Pécs, Hungary
| | - Márk Fráter
- Department of Operative and Esthetic Dentistry, Faculty of Dentistry, University of Szeged, Tisza Lajos Street 64, 6720 Szeged, Hungary
| | - Katalin Böddi
- Department of Biochemistry and Medical Chemistry, University of Pécs Medical School, Szigeti Street 12, 7624 Pécs, Hungary
| | - Edina Lempel
- Department of Restorative Dentistry and Periodontology, University of Pécs Medical School, Tüzér Street 1, 7624 Pécs, Hungary
- Correspondence: ; Tel.: +36-7253-9402
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