Polymerization of dental composite resins using plasma light

Five visible light-cured composite resins used as restoration or adhesive materials in dentistry, were irradiated with high energy plasma light (1300 mW/cm2), and contraction, rate of contraction, irradiation-induced temperature were analysed. A comparison was carried out with the same materials irradiated with a conventional halogen light (400 mW/cm2). The exposure to the photoactivating lights was either continuously or sequentially in three or more intervals with 10 min between intervals. Comparing the lengths of exposure of both lights, which induced the same contraction in a given material, it was found that the exposure length to the plasma light was greatly reduced, when compared with the exposure length of the halogen light (1:10). Frequently, the final contraction of plasma-irradiated materials was lower, whereas the rate of contraction, as indicated by the linear dimensional variation curves obtained by laser beam scanning method, did not show significant differences between the two lights. The temperature increase induced by plasma light on the material did not exceed the temperature induced by conventional light.

Hydrolytic degradation and cracks in resin-modified glass-ionomer cements

Water-absorption affects the basic properties of resin-modified glass-ionomer cements (RMGICs). Fick's law is usually invoked to explain the absorption process. The purpose of this study is to show that the absorption in accordance with the Fickian model cannot be extended to the whole of the specimen, and that microcrack formation is the main degradation mechanism for specimens cured in a closed environment. For this purpose, flat disk-shaped paste specimens 1.5 mm thick (aspect ratio 4), irradiated in closed conditions between two glass slides and stored in water for approximately 20 months, were analyzed periodically gravimetrically and under confocal fluorescence microscopy, with absorbed eosin used as the fluorescent probe. At pH 7.0, the specimen surface (10-20 micrometers in depth) absorbed water rapidly, swelled, and disintegrated in 20-40 days. Long-term storage produced isolated cracks and grains, no progress in the swelling, and a slow weight decrease. A lower pH (pH 3.5) produced a significant increase of the number of microcracks. The decrease in the irradiation time (30 s or less) enhanced the erosion process, producing very broad cracks. It was concluded that the prevalent mechanism of long-term hydrolytic degradation was based on the slow formation of cracks, whereas only in the early stage of storage did absorption occur quickly in accordance with the Fickian diffusion.

Structure of dental glass-ionomer cements by confocal fluorescence microscopy and stereomicroscopy

The microstructure of four cements, setting by different mechanisms (acid-base, dual cure, triple cure), was studied. The porosity of unpolymerized materials was detected by stereomicroscopy. After polymerization and storage in water or lactic acid solution, the porosity, filler distribution and gel layer, which was formed at the filler/matrix interface of polymerized materials, were examined by confocal laser microscopy. For this purpose, the specimens were treated with fluorescent dye solution before the test. The results showed that hydrolytic degradation (pH 7) mainly involved the resin matrix, and the acid erosion (pH 3.5) involved the gel layer too. As regards the filler, materials with different setting mechanism released the glass particles in different times. The loss of the filler particles occurred quicker in acid-base setting cements, and slower in triple-cured material.

Adhesiveness of dental resin-based restorative materials investigated with atomic force microscopy

This study aimed to show that the polymerization contraction of dental methacrylate-based materials, when used as adhesives on hard substrate, produces voids at the material-substrate interface. This phenomenology is closely related with the nanoleakage and the sealing ability of these materials. One prime/bond system, three restorative composite resins, and one orthodontic bonding system were cured by using mirror-like glass slides as a compliance-free reference substrate. The adhesive surface was analyzed by atomic force microscopy, and the polymerization contraction of bulk material was tested by laser beam-scanning method. Nanoperiodic structure of three-dimensional (3D) images, section analysis, and roughness characteristics (R(a) and R(z)) indicated that polymerization contraction produced voids at the interface. When the adhesive surface was exposed to oral simulating fluids (water, ethanol, and lactic acid solutions), hydrolytic degradation involved some hundreds of nanometers in depth. In visible light-cured (VLC) materials, the interface porosity decreased when an irradiation pause ( approximately 2 min) was carried out during gelation.