Implant-retained overdenture following hemiglossectomy: a 10-year clinical case report

A clinical evaluation of an implant-supported overdenture placed in the edentulous mandible after hemiglossectomy is described. The deltopectoral flap covering the mandibular ridge was replaced with a free mucosal graft. Four Brånemark system implants were inserted into the anterior part of the mandible, but one of the four fixtures did not show osseointegration. The superstructure was designed as a spaced round bar-attachment supported by three implants so as to retain the complete overdenture. In addition to the metal clip, a silicone-based soft denture liner material was applied in the female portion of the attachment so as to prevent the attachment from making a clattering noise upon mastication. Although the overdenture required adjustment at regular intervals, the treatment was successful both aesthetically and functionally for up to at least 10 years.

Abrasion resistance of titanium nitride coatings formed on titanium by ion-beam-assisted deposition

To improve the physical properties of the pure titanium surface, thin titanium nitride (TiN) films were deposited by means of ion-beam-assisted deposition. Film structure was confirmed as TiN by X-ray diffraction analysis. Surface hardness and abrasion resistance were significantly improved on TiN-coated specimens. Five combinations of oral hygiene instruments and materials were applied to the specimens as simulations of the oral environment. Treatment with the metal scaler and ultrasonic scaler severely changed the surface features and significantly increased the surface roughness parameters on pure titanium controls, whereas only small scratches and dull undulations were seen on the TiN-coated specimens. Profilometric tracings and scanning electron micrographs demonstrated the improved abrasion resistance of the TiN-coated specimens.

Mechanical strength of laser-welded cobalt-chromium alloy

The purpose of this study was to investigate the effect of the output energy of laser welding and welding methods on the joint strength of cobalt-chromium (Co-Cr) alloy. Two types of cast Co-Cr plates were prepared, and transverse sections were made at the center of the plate. The cut surfaces were butted against one another, and the joints welded with a laser-welding machine at several levels of output energy with the use of two methods. The fracture force required to break specimens was determined by means of tensile testing. For the 0.5-mm-thick specimens, the force required to break the 0.5-mm laser-welded specimens at currents of 270 and 300 A was not statistically different (p > 0.05) from the results for the nonwelded control specimens. The force required to break the 1.0-mm specimens double-welded at a current of 270 A was the highest value among the 1.0-mm laser-welded specimens. The results suggested that laser welding under the appropriate conditions improved the joint strength of cobalt- chromium alloy.

Bonding between resin luting cement and glass infiltrated alumina-reinforced ceramics with silane coupling agent

The purpose of this study was to evaluate the shear bond strengths of three dual-cured resin luting cements (Linkmax HV, Panavia Fluoro Cement, and RelyX ARC) to glass-infiltrated alumina-reinforced ceramic material and the effect of four silane coupling agents (Clearfil Porcelain Bond, GC Ceramic Primer, Porcelain LinerM, and Tokuso Ceramic Primer) on the bond strength. The two type-shaped of In-Ceram alumina ceramic glass-infiltrated specimens were untreated or treated with one of the four ceramic primers and then cemented together with one of the three dual-cured resin luting cements. Half of the specimens were stored in water at 37 degrees C for 24 h and the other half thermocycled 20,000 times before shear bond strength testing. Surface treatment by all silane coupling agents improved the shear bond strength compared with non-treatment. The specimens treated with Clearfil Porcelain Bond showed significantly greater shear bond strength than any of the other three silane coupling agents regardless of resin luting cements and thermocycling except for the use of Panavia Fluoro Cement at 20,000 thermocycles. When the alumina-reinforced ceramic material was treated with any silane coupling agent except GC Ceramic Primer and cemented with Linkmax HV, no significant differences in bond strength were noted between after water storage and after 20,000 thermocycles. After 20,000 thermocycles, all specimens except for the combined use of Clearfil Porcelain Bond or GC Ceramic Primer and Linkmax HV and GC Ceramic Primer and Panavia Fluoro Cement showed adhesive failures at the ceramic-resin luting cement interface.

Effectiveness of two-liquid silane primers on bonding sintered feldspathic porcelain with a dual-cured composite luting agent

The purpose of the current study was to evaluate the effect of two-component ceramic primers on the bond strength of a composite material joined to a sintered porcelain material. Two sizes of porcelain discs (VMK 68; 10 and 8 mm in diameter by 2.5 mm thick) were ground (No. 1000 SiC), and surface-conditioned using one of the following systems: (i) unprimed, (ii) Liquid A of the Porcelain Liner M material (PLM-A), (iii) Liquid B of Porcelain Liner M (PLM-B), (iv) Liquids A and B of Porcelain Liner M (PLM-AB), (v) Liquid A of the Tokuso Ceramics Primer material (TCP-A), (vi) Liquid B of Tokuso Ceramics Primer (TCP-B) and (vii) Liquids A and B of Tokuso Ceramics Primer (TCP-AB). All specimens were bonded with the Bistite II dual-cured composite luting agent, and shear bond strengths were determined both after 24 h immersion in water and after subsequent thermocycling (4-60 degrees C, 1 min each, 20,000 cycles). Of the seven groups assessed, two groups (PLM-AB and TCP-AB) showed the greatest bond strength both before (30.7 MPa for PLM-AB and 29.7 MPa for TCP-AB) and after (19.7 MPa for PLM-AB and 22.4 MPa for TCP-AB) thermocycling (P < 0.05). No significant differences were found between the PLM-AB and TCP-AB groups regardless of the application of thermocycling (P > 0.05). It can be concluded that both of the acid-catalysed two-liquid ceramic primers showed superior bonding to the unhydrolysed single-liquid silane agents (PLM-B and TCP-A) when the feldspathic porcelain was bonded with the Bistite II luting composite.

Comparative strength of metal-ceramic and metal-composite bonds after extended thermocycling

The relative strengths of ceramic-to-metal and composite-to-metal bonds were compared after prolonged thermocycling. A total of 104 cast discs were produced from a gold alloy (Pontor LFC). A ceramic material (Duceragold) was fused to 24 discs to assess the strength of the metal-ceramic bond. An indirect composite material (New Metacolor Infis) was bonded to the remaining discs after surface preparation by Rocatec tribochemical coating, tin plating and priming with a phosphate conditioner [10-methacryloyloxydecyl dihydrogen phosphate (MDP), Cesead II], priming with a thione conditioner (V-Primer) or no treatment (unprimed control). Shear bond strengths were determined before and after thermocycling at 20,000 and 100,000 cycles. Pre-thermocycling bond strengths were ranked in the order: metal-ceramic (40.5 MPa); Rocatec treatment (33.1 MPa) and tin plating-MDP (31.0 MPa); V-Primer (20.9 MPa); and control (11.9 MPa). The bond strengths of the first three groups were not significantly different after 20,000 thermocycles, whereas those of the V-Primer and control groups were significantly reduced. After extended thermocycling (100,000 cycles) the metal-ceramic group had the highest mean shear bond strength (28.5 MPa; P < 0.05), followed by the Rocatec (23.9 MPa) and tin plating-MDP (22.1 MPa) groups. The metal-ceramic bond was the most durable, although its strength was reduced by 29.6% after extended thermocycling. On the basis of these results, we recommend the Rocatec and tin plating-MDP systems for composite-to-metal bonding. Metal-ceramic bonding, however, is superior to metal-composite bonding within the limitation of the current experiment.

Effect of heat treatments on machinability of gold alloy with age-hardenability at intraoral temperature

OBJECTIVE

This study investigated the effect of heat treatment on the machinability of heat-treated cast gold alloy with age-hardenability at intraoral temperature using a handpiece engine with SiC wheels and an air-turbine handpiece with carbide burs and diamond points.

METHODS

Cast gold alloy specimens underwent various heat treatments [As-cast (AC); Solution treatment (ST); High-temperature aging (HA), Intraoral aging (IA)] before machinability testing. The machinability test was conducted at a constant machining force of 0.784N. The three circumferential speeds used for the handpiece engine were 500, 1,000 and 1,500 m/min. The machinability index (M-index) was determined as the amount of metal removed by machining (volume loss, mm(3)). The results were analyzed by ANOVA and Scheffé's test.

RESULTS

When an air-turbine handpiece was used, there was no difference in the M-index of the gold alloy among the heat treatments. The air-turbine carbide burs showed significantly (p<0.05) higher M-indexes than the diamond points after any heat treatments. With the SiC wheels, increasing the circumferential speed increased the M-index values for each heat treatment. The specimens heat-treated with AC, HA and IA had similar M-indexes at the lower speeds (500 and 1,000 m/min). The ST specimens exhibited the lowest M-index at the lower speeds. However, at the highest speed (1,500 m/min), there were no significant differences in the M-indexes among the heat treatments except for HA, which showed the highest M-index.

CONCLUSION

There was no effect of heat treatment on the machinability of the gold alloy using the air-turbine handpiece. The heat treatments had a small effect on the M-index of the gold alloy machined with a SiC wheel for a handpiece engine.

Properties of dual-curable luting composites polymerized with single and dual curing modes

The purpose of this study was to evaluate the influence of visible-light exposure on water absorption, solubility and colour stability of dual-curable luting composites. Using eight dual-curable luting composites (2bond2, Bistite II, G-CERA Cosmotech II, Imperva Dual, Linkmax, Lute-It, Panavia Fluoro Cement and Variolink II), disk specimens were prepared by the following two methods: (i) dual-cured specimens; exposed with visible-light from a light-curing unit, and (ii) chemical-cured specimens; chemically polymerized without exposure. Five specimens were produced for each material and curing mode. Water absorption and solubility were determined according to standardized testing methods, and the data were compared using analysis of variance (ANOVA) and contrasts. With regard to colour stability, the colour difference (DeltaE*) values between 24 h and the other immersion periods (1, 2, 3, 4, 8, 12, 16, 20 and 24 weeks) were calculated and then analysed by repeated measure ANOVA. The dual-cured specimens exhibited significantly lower solubility values than the chemical-cured specimens except for the Lute-It material. The dual-cured Linkmax material exhibited the lowest solubility (0.51 +/- 0.01 microg mm(-3)) and the lowest DeltaE* value after 24 weeks (2.64 +/- 0.39). The dual-curable luting composites should be light-exposed after seating of restorations in order to reduce water absorption and solubility, and to improve colour stability.

Properties of a new photo-activated composite polymerized with three different laboratory photo-curing units

This study determined the hardness, solubility and curing depth of a new photo-activated composite polymerized with three different laboratory photo-curing units for the purpose of evaluating the post-curing properties of the material. A new photo-activated composite material for both direct and indirect applications (DiamondCrown) was polymerized with three photo-curing units equipped with the following light sources: (i) two halogen lamps (DiamondLite-VL. Halogen Light Curing Booth); (ii) two metal halide lamps (Hyper LII) and (iii) two xenon stroboscopic tubes (UniXS II). Knoop hardness, water solubility and curing depth were determined for groups of five specimens according to standardized testing methods. All data were compared using analysis of variance (anova) and Scheffe's S intervals (P < 0.05). The Knoop hardness number (KHN) generated with the metal halide unit (63.3 +/- 2.4 KHN) was statistically (P < 0.05) greater than those produced by the other two curing units. Water solubility values for both the halogen unit (2.5 +/- 0.5 microg mm(-3)) and the metal halide unit (2.5 +/- 0.5 microg mm(-3)) were significantly (P < 0.05) lower than for the xenon unit (3.8 +/- 0.5 microg mm(-3)). Of the three photo-curing units, the metal halide curing-unit consistently exhibited the greatest depth of cure. The composite material appears to be reliable, although its post-curing properties were found to be influenced by the type of curing unit.

Adhesive bonding of super-elastic titanium-nickel alloy castings with a phosphate metal conditioner and an acrylic adhesive

The purpose of the current study was to evaluate the bonding characteristics of super-elastic titanium-nickel (Ti-Ni) alloy castings. Disk specimens were cast from a Ti-Ni alloy (Ti-50.85Ni mol%) using an arc centrifugal casting machine. High-purity titanium and nickel specimens were also prepared as experimental references. The specimens were air-abraded with alumina, and bonded with an adhesive resin (Super-Bond C & B). A metal conditioner containing a phosphate monomer (Cesead II Opaque Primer) was also used for priming the specimens. Post-thermocycling average bond strengths (MPa) of the primed groups were 41.5 for Ti-Ni, 30.4 for Ti and 19.5 for Ni, whereas those of the unprimed groups were 21.6 for Ti, 19.3 for Ti-Ni and 9.3 for Ni. Application of the phosphate conditioner elevated the bond strengths of all alloy/metals (P < 0.05). X-ray fluorescence analysis revealed that nickel was attached to the debonded resin surface of the resin-to-nickel bonded specimen, indicating that corrosion of high-purity nickel occurred at the resin-nickel interface. Durable bonding to super-elastic Ti-Ni alloy castings can be achieved with a combination of a phosphate metal conditioner and a tri-n-butylborane-initiated adhesive resin.

Surface treatment of dentin with GLUMA and iron compounds for bonding indirect restorations

The purpose of this study was to evaluate five dentin bonding systems simulating indirect restorations. The surface of bovine and human dentin was primed with a glutaraldehyde agent (GLUMA) and placed in a humidor at 37 degrees C for 168 h. In an experimental bonding system (GLUMA/CY/SB), the surfaces were etched with phosphoric acid, primed with cytochrome c, and then bonded to an acrylic rod with a self-curing resin (4-META/MMA-TBB). Specimens using two commercially available bonding systems [All-Bond 2 (AB2) and Super-Bond C & B (10-3/SB)] and two controls with and without GLUMA (GLUMA/10-3/SB and CY/SB) were also prepared. Tensile testing revealed that the bond strengths were influenced by the bonding system, 168 h dentin exposure and their interaction, but not by the tooth origin. AB2 showed the lowest bond strength. With the 10-3/SB system, exposing the dentin to humidity resulted in a decrease in bond strength. After 168 h of exposure, no significant differences were observed between 10-3/SB and CY/SB. The most effective bonding was obtained with the bonding systems of GLUMA/10-3/SB and GLUMA/CY/SB. Improved outcome is expected with these bonding systems when building up abutment teeth with indirect restorations.

Evaluation of two thione primers and composite luting agents used for bonding a silver-palladium-copper-gold alloy

The purpose of the current study was to evaluate the bond strength and durability of two metal adhesive systems bonded to a silver-palladium-copper-gold (Ag-Pd) alloy. Disk specimens were cast from an Ag-Pd alloy (Castwell M.C. 12), air-abraded with 50 micro m grain-sized alumina, and they were bonded with two primer-cement bonding systems (Alloy Primer and Panavia Fluoro Cement; Metaltite and Bistite II). For each cement, unprimed specimens were also prepared as experimental controls. Shear bond strengths were determined both before and after thermocycling (4-60 degrees C, 1 min each, 100 000 cycles). The average post-thermocycling bond strengths in MPa (n=8) were: 39.0 for the Metaltite-Bistite II system, 32.2 for the Alloy Primer-Panavia Fluoro Cement system, 23.1 for the Bistite II material and 21.0 for the Panavia Fluoro Cement material. The use of proprietary primers, both of which contain thione functional monomer, enhanced the post-thermocycling bond strengths of both cements (P < 0.05). After thermocycling, however, the difference in bond strength between the two cements was not significant regardless of the use of the primers (P > 0.05). It is concluded that the combined use of the thione primer and the luting agent is necessary for bonding the Ag-Pd alloy examined.

Effect of silane primers and unfilled resin bonding agents on repair bond strength of a prosthodontic microfilled composite

This study examined the effect of silane primers and bonding agents on bonding between layers of a light-activated composite material when repaired in the laboratory process. Disk specimens were prepared with the dentin portion of a composite material (Dentacolor DA-30) and abraded with a silicon carbide rotary cutting instrument. The specimens were conditioned with either one of the two silane primers (Porcelain Liner M and Silicer) or one of the two unfilled resin bonding agents (Dentacolor Opaker liquid and New Metacolor Photo Opaque liquid), or one of four combinations of two primers and two bonding agents. An intact surface with a thin air-inhibited unpolymerized layer, and an unprimed surface with only silicone carbide abrasion were also used for references. After placement of the enamel portion of the same brand of composite material (Dentacolor SA-30) on each surface of the dentin material, the specimens were light-exposed, and stored for 24 h in either dry or wet condition. Shear bond strengths were then determined with a mechanical testing device. The results showed that combined use of a silane primer and a bonding agent generally showed the greatest magnitude of bond strength regardless of material variation. The use of an unfilled resin bonding agent after application of a silane primer (Porcelain Liner M) is recommended to ensure adequate repair bonding between layers of the composite material.

Effect of disinfectants containing glutaraldehyde on bonding of a tri-n-butylborane initiated resin to dentine

The purpose of this study was to evaluate the effects of disinfectants on the bond strength of resin to dentine. The surface of bovine dentine was exposed to formaldehyde (FA) aqueous solutions, glutaraldehyde (GA) aqueous solutions, 2-hydroxyethyl methacrylate aqueous solutions (HEMA), a commercially available dentine primer (Gluma CPS desensitizer, GLUMA), isotonic sodium chloride solution (IS), and distilled water (DW), and placed in a humidor (HU) at 37 degrees C, or non-stored (baseline). All dentine surfaces were conditioned with a 10% citric acid and 3% ferric chloride solution (10-3 liquid), and then bonded to an acrylic rod with a self-curing adhesive resin (Super-Bond C&B). The mean tensile bond strengths determined 24 h after bonding were compared by analysis of variance (ANOVA) and Fisher's protected LSD test (n=5, P < or = 0.05). The exposure of dentine to IS, DW and HU for both 48 and 168 h resulted in a decrease in bond strength when compared with the baseline. The highest bond strengths after 168 h of exposure were obtained with 5% GA, 10% HEMA, and GLUMA, the values of which were equivalent to baseline and were significantly higher than that of FA. It is concluded that disinfectant pre-treatment with 5% GA or GLUMA stabilizes the bonding of tri-n-butylborane (TBB) initiated luting agent to bovine dentine conditioned with 10-3 liquid.

Influence of visible-light exposure on colour stability of current dual-curable luting composites

This study was conducted to evaluate influence of visible-light exposure on colour stability of dual-curable luting composite. Using six dual-curable luting composites [Bistite II (BI), Clapearl DC (CL), Dicor Light Activated Cement (DI), G-Cera Cosmotech II (GC), Lute-It (LU) and Variolink II (VA), disk specimens were prepared with the following two methods: (i) dual-cured specimens, exposure with visible-light from a photo-curing unit for 120 s and (ii) chemical-cured specimens, chemically cured without exposure. Five specimens were produced for each material and curing mode. After 24 h, all specimens were immersed in distilled water at 37 degrees C for 24 weeks, during which colour accuracy was measured with a dental colorimeter. The colours characterized in the Commission Internationale d'Eclairage (CIE) L*a*b* colour space were first determined 24 h after preparation (baseline colour evaluation), and again after 1, 2, 3, 4, 8, 12, 16 and 24 weeks. The colour difference (Delta E*) values between 24 h and the other immersion periods were calculated, and then analysed by repeated measure analysis of variance (ANOVA). In addition, the Delta E* values after 24 weeks for dual-cured specimens were compared with those for chemical-cured specimens by one-way ANOVA and by contrasts for each composite (P < 0.05). The Delta E* values were influenced by the material and curing mode as well as immersion period (P=0.0001). After 24 weeks the dual-cured specimens showed significantly lower Delta E* values than the chemical-cured specimens, except for the VA material. The CL material exhibited the least colour change (1.9 +/- 0.2) among the dual-cured specimens, and the VA material showed the least (4.5 +/- 0.9) among the chemical-cured specimens after 24 weeks. Dual-curable luting composites should be polymerized with the dual modes to ensure colour stability.

Joint strength of laser-welded titanium

OBJECTIVE

The objective of this study was to examine the joint strength of titanium laser-welding using several levels of laser output energy [current (A)].

METHODS

Cast titanium plates (0.5 x 3.0 x 40 and 1.0 x 3.0 x 40 mm(3)) were prepared and perpendicularly cut at the center of the plate. After the cut halves were fixed in a jig, they were laser-welded using a Nd: YAG laser at several levels of output energy in increments of 30A from 180 to 300A. The penetration depths of laser to titanium were measured under various conditions for output energy, pulse duration, and spot diameter to determine the appropriate conditions for these parameters. Based on the correlation between the results obtained for penetration depth and the size of the specimens (thickness: 0.5 and 1.0 mm, width: 3.0 mm), the pulse duration and spot diameter employed in this study were 10 ms and 1.0 mm, respectively. Three laser pulses (spot diameter: 1.0 mm) were applied from one side to weld the entire joint width (3.0 mm) of the specimens. Uncut specimens served as the non-welded control specimens. Tensile testing was conducted at a crosshead speed of 2 mm/min and a gage length of 10 mm. The breaking force (N) was recorded, and the data (n=5) were statistically analyzed.

RESULTS

For the 0.5 mm thick specimens, the breaking force of the specimens laser-welded at currents of 240, 270, and 300A were not statistically (P>0.05) different from the non-welded control specimens. There were no significant differences in breaking force among the 1.0mm thick specimens laser-welded at currents of 270 and 300A, and the non-welded control specimens.

SIGNIFICANCE

Under appropriate conditions, joint strengths similar to the strength of the non-welded parent metal were achieved.

Adhesive bonding of composite material to cast titanium with varying surface preparations

The purpose of the present study was to evaluate the surface preparation effects of eight metal conditioners and an adhesive system on bonding between a prosthodontic composite material and cast titanium. Eight primers designed for conditioning base metal alloys (Acryl Bond, All-Bond 2 Primer B, Alloy Primer, Cesead II Opaque Primer, Eye Sight Opaque Primer, Metafast Bonding Liner, Metal Primer II, and MR Bond) as well as a surface modification technique (Siloc) were assessed. Disk specimens cast from titanium (T-Alloy H) were either primed with one of the eight primers or treated with the Siloc system, and then bonded with a light-activated composite material (Artglass). Bond durability was evaluated by thermocycling (4 and 60 degrees C, 1 min each, 20, 000 cycles). After thermocycling, two groups either primed with the Cesead II Opaque Primer material or treated with the Siloc system exhibited significantly greater bond strength (20.0 and 19.0 MPa) than the other groups (0.2-12.6 MPa, P < 0.05). These two systems are considered to be useful for improving bonding between the titanium and the composite material tested.

Effects of filler composition and surface treatment on the characteristics of opaque resin composites

The effects of filler composition and surface treatment of titanium dioxide (TiO2) on the shear bond strength to noble metal and mechanical properties of opaque dental resin composites were assessed. A series of fillers for resin composites were prepared with untreated TiO2 or treated silica/alumina-coated TiO2 with silane coupling agent; these fillers were replaced with silanized SiO2 in increasing amounts. Each of various powder compositions were mixed with the liquid and applied to the surface of a silver-palladium-copper-gold (Ag-Pd-Cu-Au) alloy and light cured. A light-activated resin-veneering composite material was placed on top with the use of a brass ring mold and light cured. Specimens were stored at 37 degrees C in water for a period of 24 h. Additionally some specimens were thermocycled at 4 degrees C and 60 degrees C in water baths for 1 min each for 5000 cycles before shear mode testing was performed. Light-activated opaque resin composites containing filler with specific filler compositions of 50 wt% of untreated TiO2-50 wt% of silanized SiO2 (untreated TiO2(50)) and 40 wt% of untreated TiO2-60 wt% of silanized SiO2 (untreated TiO2(40)) showed higher shear bond strengths to the Ag-Pd-Cu-Au alloy than any other specific compositions when no thermocycling was involved. Surface treatment of TiO2 filler and TiO2(50)- and TiO2(40)-opaque resin composites prepared thereof showed significantly higher shear bond strengths than untreated TiO2(50)- and TiO2(40)-opaque resin composites when subjected to thermocycling. Surface-treated opaque resin composite had significantly higher compressive and flexural strength than untreated opaque resin composite after immersion in water for 1 month. Scanning electron microscopy of the fractured opaque resin composite surface showed an interface failure between TiO2 and the matrix resin for untreated composite, and cohesive failure within the resin for surface-treated composite. Surface-treated TiO2(50) and TiO2(40) may be clinically useful as the filler for light-activated opaque dental resin composites.

Relation between cavity design and marginal adaptation in a machine-milled ceramic restorative system

The purpose of the current study was to evaluate the influence of inclination of the cusp as well as convergence/divergence of the cavity wall on marginal adaptation in a machine-milled ceramic restorative system. Sixty inlay specimens were prepared from a pre-fabricated feldspathic porcelain (Vitablocs Mark 2) by means of a computer integrated manufacturing system (Cerec 2). Specimens were divided into 12 groups according to original cavity preparations consisting of four inclinations of the cusp (0 degree, 15 degrees, 30 degrees and 45 degrees) and three types of cavity form (tapered box, regular box, and undercut box). The restorations were cemented with a dual-activated luting agent (Clapearl DC) and cut into two halves with a low speed cutting saw, after which adaptation at the occlusal surface of each inlay specimen was measured with a microscope. The results showed that the inclination of the cusp did not affect adaptation of the restorations (P > 0.05), whereas the inlay specimens inserted into undercut cavity preparation exhibited significantly poor adaptation as compared with those inserted into regular and tapered cavities in two inclinations of the cusp (0 degree and 15 degrees; P < 0.05). The experimental results suggest that either regular or tapered box form cavity preparation is preferable to the undercut box form to improve occlusal marginal adaptation of the Cerec 2 ceramic restorative system.

Effect of desensitizers on bond strength of adhesive luting agents to dentin

The current study investigates the influence of three dentin hypersensitivity treating agents (Gluma CPS, MS Coat and Saforide) on bond strength to dentin of two luting agents (Panavia Fluoro Cement and Super-Bond C & B). Sixty bovine dentin substrates were divided into 12 combinations of four treatment conditions (Gluma CPS, MS Coat, Saforide and control) and three adhesive systems (AD Gel sodium hypochlorite + Panavia Fluoro Cement, Panavia Fluoro Cement without AD Gel and Super-Bond C & B). After bonding the treated teeth to steel rods, 24-h tensile bond strengths were determined, and average values (n=5) were compared by analysis of variance (ANOVA). Without application of the desensitizers, bond strengths of the two groups (Super-Bond C & B, 10.2 MPa; AD Gel + Panavia, 11.5 MPa) were comparable, and they were greater than the group bonded with the Panavia material with no AD Gel conditioning (7.1 MPa). Application of the Saforide ammoniated silver fluoride desensitizer reduced bond strength of both the Super-Bond and Panavia luting agents, whereas the MS Coat polymeric agent negatively affected bond strength of the Panavia cement only. The use of the Gluma desensitizer did not affect bond strength of any of the three adhesive systems, and the bond strength of the Panavia cement with the AD Gel conditioning was not reduced by application of any of the three desensitizers. The four combinations of two desensitizers (MS Coat and Gluma CPS) and two adhesive systems (Super-Bond C & B and AD Gel + Panavia) are deemed to be applicable to fixed prosthodontic treatment.

Bonding of prosthetic composite material to Ti-6Al-7Nb alloy with eight metal conditioners and a surface modification technique

PURPOSE

The purpose of the current study was to evaluate the adhesive performance of metal conditioners and a surface modification system when used for bonding between a prosthetic composite material and a titanium alloy.

MATERIALS AND METHODS

Eight metal conditioners (Acryl Bond, All-Bond 2 Primer B, Alloy Primer, Ces II Opaque Primer, Eye Sight Opaque Primer, Metafast Bonding Liner, Metal Primer II, and MR Bond) and a bonding system (Siloc) were assessed. Cast disk specimens made of a titanium alloy (Ti-6Al-7Nb, T-Alloy Tough) were either primed with one of the eight primers or treated with the Siloc system and bonded with a light-activated prosthetic composite material (Artglass). Shear bond strengths were determined both before and after thermocycling (4 C-60 C, 60 s each, 20,000 cycles) for evaluation of the durability of the bonds.

RESULTS

The results showed that the Siloc-treated group recorded the greatest post-thermocycling bond strength, followed by the two groups conditioned with the Cesead II Opaque Primer and Alloy Primer agents, both of which contain an identical hydrophobic phosphate-methacrylate functional monomer.

Colour reproducibility of a photo-activated prosthetic composite with different thicknesses

This study determined the colour accuracy of a photo-activated prosthetic composite with various thicknesses and shades for the purpose of evaluating the relationship between material thickness variation and colour reproducibility. Four light shades (A1, B1, C1 and D2) and four dark shades (A4, B4, C4 and D4) of a representative photo-activated prosthetic composite (Artglass) for body paste were assessed. The specimens were prepared with thicknesses of 0.5, 1.0, 1.5, 2.0, 2.5 and 3.0 mm. The L*a*b* colour parameter of each shade was measured using a dental colorimeter (ShadeEye) connected to a computer. The overall colour accuracy of groups of five specimens was compared by means of analysis of variance (ANOVA) and Scheffe's S multiple range test (P=0;05). In addition, L*a*b* colour difference (Delta E*) values between the 3.0 mm thickness and the other thicknesses were calculated. Three-factor ANOVA revealed that all colour parameters were influenced by the thickness as well as by the shade letter and shade tab (P < 0.05). The L* value consistently decreased for all shades as thickness increased, although there was no obvious correlation between the thickness of the material and either the a* or b* values. Among the Delta E* values, the values between the 2.5 and 3.0 mm thicknesses were the lowest, and values were found to be lower than 2.0 for all shades. The colour accuracy of the photo-activated prosthetic composite was related to the thickness of the material regardless of the shade. For acceptable colour reproducibility, a composite material thickness of at least 2.5 mm was found to be required.

Effects of heat treatments on mechanical strength of laser-welded equi-atomic AuCu-6at%Ga alloy

There is little information available on the mechanical strengthening of laser-welded gold alloys to achieve reliable dental prostheses. This study examined the hypothesis that heat treatments increase the mechanical strength of a laser-welded equi-atomic AuCu-6at%Ga alloy with age "hardenability" at intra-oral temperature. Cut cast gold alloy plates were laser-welded. The specimens were given one of three heat treatments: (1) solution treatment, (2) high-temperature aging after solution treatment, and (3) simulated intra-oral aging after solution treatment. As-cast and uncut specimens were also prepared. Tensile testing was conducted, and the breaking stress and yield strength were recorded. The yield strength values of all the heat-treated specimens nearly reached the values of the corresponding heat-treated control specimens. The results of this study indicated that, for high mechanical strength to be achieved, the laser-welded alloy tested should be aged at a high temperature or be intraorally aged after being laser-welded.

Shear bond strength of resin composite veneering material to gold alloy with varying metal surface preparations

STATEMENT OF PROBLEM

Although adequate surface preparation is indispensable to achieve a consistent and durable bond between resin composite materials and the metal substructures of veneered restorations, information on the bonding performance of current metal adhesive systems is limited.

PURPOSE

The purpose of this study was to evaluate the surface preparation effects of 4 metal conditioners and 1 adhesive system on bonding between a prosthetic resin composite veneering material and a gold casting alloy.

MATERIAL AND METHODS

Four primers containing sulfur derivative monomer and designed for conditioning noble metal alloys (Alloy Primer, Infis Opaque Primer, Metal Primer II, and Metaltite) and a surface modification technique (Siloc) were assessed. Cast disk specimens made of gold alloy (Pontor LFC) were either primed with 1 of the 4 primers or treated with the Siloc system and bonded with a light-activated prosthetic resin composite material (New Metacolor Infis). Control specimens were also prepared without the use of a bonding agent. Shear bond strengths were determined before and after thermocycling (20,000 cycles) for evaluation of bond durability.

RESULTS

All of the primed and Siloc-treated groups showed improved 24-hour shear bond strengths compared with the control group. After thermocycling, the groups either primed with the Metaltite conditioner or treated with the Siloc system exhibited the highest mean shear bond strengths.

CONCLUSION

The Metaltite conditioner and Siloc system each represent a useful method for improving the bond between the gold alloy and resin composite material tested.

Effect of heat treatment on mechanical properties of age-hardenable gold alloy at intraoral temperature

OBJECTIVE

The aim of this study was to investigate the effect of various heat treatments on the mechanical properties of gold alloys capable of age-hardening at intraoral temperature.

METHODS

Dumbbell-shaped patterns (ISO 6871) were cast with three gold alloys (Sofard; NC Type-IV; Aurum Cast, NihombashiTokuriki Co.). The Sofard alloy is age-hardenable at intraoral temperature. The castings underwent various heat treatments [as-cast (AC); solution treatment (ST); high-temperature aging (HA); intraoral aging (IA)]. After these heat treatments, ultimate tensile strength (UTS), 0.2% offset yield strength (YS), and elongation (EL) were measured at a strain rate of 1.7x10(-4)/s. Fracture surfaces of the specimens after tensile testing were observed using SEM. Vickers hardness was also measured after heat treating.

RESULTS

After IA, the hardness values of the Sofard alloy increased and reached values similar to the hardness of the Sofard specimens aged at high temperature (HA). The hardness values of the NC Type-IV and Aurum Cast specimens slightly increased after IA, but did not reach the values of the specimens after HA. All the Sofard, NC Type-IV and Aurum Cast specimens showed significantly (P<0.05) greater hardness values after HA, compared with the values after any other heat treatments (AC, ST and IA). The UTS and YS of the specimens indicated a tendency similar to the results obtained for hardness. The Sofard specimens with ST showed the greatest elongation compared to the corresponding NC Type-IV and Aurum Cast specimens. However, the elongation of the Sofard specimens was abruptly reduced after intraoral aging.

CONCLUSION

Intraoral aging significantly improved the mechanical properties and hardness of the Sofard alloy.

Curing depth of different shades of a photo-activated prosthetic composite material

This study determined the depth of cure of different shades of a prosthetic composite material with the aim of evaluating the influence of shade variation on post-curing material properties. Four light shades having small tabs (A1, B1, C1 and D2) and four dark shades having higher tabs (A4, B4, C4 and D4) of a prosthetic composite (Artglass) for body paste based on the Vita Lumin Shade guide were selected. Specimens of each shade were exposed with the proprietary photo-curing unit (UniXS) for periods 20, 30, 60 and 90 s. The curing depth of the material for each shade was determined with a scraping technique described by the International Organization for Standardization (ISO 4049), and average values of groups of five specimens were compared using analysis of variance (ANOVA) and Scheffe's S intervals (P < 0.05). The L*a*b* colour parameters of five specimens after 90 s exposure were measured using a small-area dental colorimeter (ShadeEye) in order to determine the colorimetric differences. Three-factor ANOVA revealed that the depth of cure was influenced by shade letter (A, B, C or D) and shade tab (1 and 2, or 4) as well as by the exposure period (P=0.05). Curing depth of the light shades was consistently greater than that of the dark shades. Among the eight shades selected, B1 shade demonstrated the greatest curing depth, while A4 shade exhibited the lowest curing depth. For all shades, longer exposure increased the depth of cure. All of the light shades exhibited higher L* values than any of the four dark shades. Curing depth of the composite material was found to be related to the Vita shade variation and the exposure period.

Clinical evaluation of a chemically cured hard denture relining material

The purpose of the current study was to evaluate the clinical performance of a chemically cured denture relining material after 1-year service period. A powder-liquid material designed for denture base relining (Tokuso Rebase Normal-set, Tokuyama Corp., Tokyo, Japan.) was assessed. Fifty adult patients, who required denture reline treatment, participated in the current project. Adaptation of each denture was examined with a silicone elastomeric material, and the surface to be relined was reduced by means of a rotary cutting instrument, then conditioned with dichloromethane. The relining material was spatulated, poured into the relining area, inserted and adjusted after setting. Each relined denture was subjected to base line evaluation immediately after relining and end evaluation after 1 year. Standardized criteria were used for direct evaluation of the material. After an observation period of 1 year, the rate of the relining cases considered to be in clinically ideal condition (Alfa) was 90% for staining, 90% for discoloration, 94% for peeling, 96% for adaptation and 100% for irritation to oral tissue. Only one case was judged as clinically unacceptable (Charlie), and this was for staining. On the basis of a 1-year observation, the Tokuso Rebase material is considered to be a clinically reliable hard denture relining agent.

Adhesive bonding of titanium nitride-plated stainless steel for magnetic attachments

The purpose of this study was to evaluate adhesive bonding of resin to titanium nitride ion-plated stainless steel in order for magnetic attachments to survive in the oral environment. Two primers, Cesead II Opaque Primer (CPII) and Metal Primer II (MPII), and one bonding agent, Super-Bond C&B (SB), were used. The surfaces of stainless steel disks were ground and then plated with titanium nitride. After the primer and SB resin were applied, a self-curing resin was bonded to the metal surfaces. Shear bond strengths were determined after 24 h of water storage and after 2,000 thermocycles. Titanium nitride ion-plated stainless steel showed bond strength comparable to the non-plated material. After thermocycling, all specimens of the group no primer/no SB were debonded. The bond strengths of groups CPII/no SB, MPII/no SB and no primer/SB were significantly lower bond strengths than groups CPII/SB and MPII/SB. An appropriate combination of primer and bonding agent should be selected when bonding a magnetic attachment to the denture base.

In vitro corrosion behavior of cast iron-platinum magnetic alloys

OBJECTIVE

The objective of this study was to investigate the corrosion resistance of cast Fe-Pt alloys of varying compositions for use as attachment keepers and to make a comparison with the corrosion resistance of magnetic stainless steel.

METHODS

The corrosion behavior of cast Fe-Pt alloy keepers (Fe-40 at%Pt, Fe-38 at%Pt, Fe-37 at%Pt and Fe-36 at%Pt) was evaluated by means of an immersion test and an anodic polarization test. The solutions used were a 1.0% lactic acid aqueous solution (pH=2.3) (10 ml) and 0.9% NaCl solution (pH=7.3) (10 ml). As a control, the corrosion resistance of a magnetic stainless steel keeper (SUS 447J1: HICOREX) was also measured.

RESULTS

Chromium and platinum ions were not detected in either the 1.0% lactic acid or 0.9% NaCl solutions. The only released ions detected were the Fe ions in the 1.0% lactic acid solution. The amounts of Fe ions released from the Fe-40 at%Pt and Fe-38 at%Pt alloys were significantly (p<0.05) lower than from the Fe-37at%Pt, Fe-36 at%Pt and SUS 447J1 alloys. In the anodic polarization test, the potentials at the beginning of passivation for the four Fe-Pt alloys were higher than for the SUS 447J1 alloy in both solutions.

SIGNIFICANCE

The Fe-Pt alloys, especially the alloys with higher Pt percentages (Fe-40 and 38 at%Pt), indicated a high corrosion resistance compared to the magnetic stainless steel keeper. A reduction in the Pt percentage may decrease the corrosion resistance in the oral environment.

Attractive force of castable iron-platinum magnetic alloys

OBJECTIVE

The objective of this study was to examine the attractive force of cast Fe-Pt alloys of varying compositions to dental iron-neodymium-boron magnets.

METHODS

Ingots of Fe-40 at%Pt, Fe-38 at%Pt, Fe-37 at%Pt and Fe-36 at%Pt alloys were cast in pattern molds for dental magnetic attachment keepers. The attractive forces of the cast Fe-Pt alloy keepers and magnetic stainless steel keepers to dental Fe(14)Nd(2)B magnets (MAGFIT and HICOREX) were measured and statistically evaluated. The saturation magnetization of each Fe-Pt alloy was determined by recording the hysteresis loop using a vibrating sample magnetometer under a magnetic field of 1.6 MA/m.

RESULTS

Decreasing the Pt percentage increased the saturation magnetization value and resulted in an increase of the attractive force to each magnet. There was no statistical difference (p>0.05) in attractive force between the Fe-36 at%Pt alloy specimens and the stainless steel keepers for both magnets. A definite correlation between Pt percentage and the value of saturation magnetization was also found (r(2)=-1.000).

SIGNIFICANCE

The Fe-Pt alloys with less than Fe-39.5 at%Pt produced high saturation magnetization values and great attractive force to the magnet, and thus, they have the potential to serve as magnetic attachment keepers. Of the Fe-Pt alloys tested, Fe-36 at%Pt seemed to be the best composition for making magnetic attachment keepers.

Wear of luting materials with titanium retainer

PURPOSE

The purpose of this study was to investigate the wear resistance of prosthodontic luting materials with a titanium framework by means of an in vitro three-bodied wear-testing device.

MATERIALS AND METHODS

The surfaces of flat cast titanium disks were blasted with 50 microns alumina. Placing a 50 microns masking tape on the plane surface, the disks were bonded with five luting materials. The axial surfaces of the bonded disks were ground flat with 600 grit silicon-carbide paper, and then cyclically loaded (75.6 N, 1.2 Hz) by a chewing simulator for 400,000 cycles. The distance between titanium and cement surfaces was measured in micrometers by means of a profilometer to determine delta wear, and the surface texture was evaluated with a scanning electron microscope.

RESULTS

The delta wear measurement showed that the resistance of Super-Bond Opaque adhesive was significantly higher than Panavia Fluoro adhesive and Fuji I cement after 400,000 wear cycles. No significant differences were detected among Super-Bond Opaque adhesive, Super-Bond adhesive, and All-Bond adhesive. Visually, continuity with the titanium framework was observed when the titanium disks were luted with resin systems.

Early bond strength and durability of bond between a ceramic material and chemically-cured or dual-cured resin luting agent

PURPOSE

To evaluate the influence of the different polymerization types of two chemically-cured (Panavia 21 and Super-Bond C&B) and three dual-cured (Panavia Fluoro Cement, Clapearl DC, and Vita Cerec Duo Cement) resin luting agents on the early bond strengths and durability of bond to a Cerec 2 ceramic material.

MATERIALS AND METHODS

The Cerec 2 ceramic specimens were prepared with No. 600 silicon carbide paper and their surfaces were etched with phosphoric acid gel, and applied with silane coupling agent. Two sizes of specimens were then bonded together with each of the five luting agents. Shear bond tests were performed 10 mins or 20 mins after preparing specimens, storage in water at 37 degrees C for 24 hrs, and/or 20,000 thermocycles between 4 degrees C and 60 degrees C water baths.

RESULTS

The specimens bonded with one of the three dual-cured resin luting agents showed almost the same shear bond strengths for all four storage conditions. However, two chemically-cured resin luting agents exhibited much lower shear bond strengths at 10- and 20-min intervals than at 0 and 20,000 thermocycles. Three dual-cured resin luting agents showed significantly higher bond strengths than two chemically-cured resin luting agents at 10- and 20-min intervals.

Properties of opaque resin composite containing coated and silanized titanium dioxide

Titanium dioxide (TiO2) is mainly used as a pigment in opaque resin composites for application to the surface of a metal framework. The hypothesis in this paper is that particles of silica/alumina (SiO2/Al2O3)-coated TiO2 treated with a silane coupling agent could bond effectively with resin monomers of opaque resin composites. Untreated TiO2 was used as the control filler. Compressive and flexural strength specimens were prepared by the heat-curing method, because these bulk specimens could not be made by the typical photo-curing method. The treated composite had significantly higher compressive and flexural strengths than the untreated composite after 6 months' immersion in water. Scanning electron microscopy of the fractured composite surfaces showed an interface failure between TiO2 and resin for the untreated composite and cohesive failure within the resin for the treated composite after 6 months' immersion. The light-activated opaque resin composite containing treated TiO2 exhibited significantly higher bond strength to a noble dental alloy after 5000 thermal cycles than that containing untreated TiO2. Thus, silanized SiO2/Al2O3-coated TiO2 appears to be clinically useful as a filler of opaque resin composites.

Effect of acidulated phosphate fluoride solution on veneering particulate filler composite

PURPOSE

The objective of the current study was to investigate the surface morphologic characteristics of prosthodontic composite materials treated with an acidulated phosphate fluoride (APF) agent.

MATERIALS AND METHODS

Seven composite materials (Artglass, Axis, Belleglass, Cesead II, Dentacolor, Solidex, and Targis) were examined. Each material was packed into a split plastic mold and was polymerized with a laboratory photo-curing unit. Half of each composite disk surface was coated with a varnish, and the entire surface of the sample was treated with an APF agent. After removal of the varnish, surface roughness values (Ra) for the treated and untreated (ie, previously varnish coated) sides of all specimens were recorded with a surface analyzer and observed with a scanning electron microscope.

RESULTS

Ra values for Cesead II, Solidex, and Targis showed a significant increase as a result of treatment with the APF solution. Microphotographs demonstrated that the macroinorganic fillers in the Cesead II and Solidex materials showed substantial dissolution caused by the APF agent. There were no significant statistical differences in the Ra values between the treated and untreated halves for any of the materials containing inorganic fillers composed entirely of diameters up to 1.0 microm. In particular, microphotographs of prepolymerized silica composite (classified as microfilled materials in Axis and Dentacolor) did not reveal any change of the specimen surfaces.

CONCLUSION

The APF agent attacked inorganic fillers in the composite materials. Microfilled material surfaces were insensitive to the agent in comparison with macroinorganic filled material surfaces.

Effects of two silane coupling agents, a bonding agent, and thermal cycling on the bond strength of a CAD/CAM composite material cemented with two resin luting agents

STATEMENT OF PROBLEM

Surface treatment of CAD/CAM-generated composite material is important for a strong bond of resin luting agents to composite material. Purpose. This study evaluated the shear bond strengths of 2 dual-cured resin luting agents to a CAD/CAM composite material and the effect of silane coupling agent and bonding resin on the bond strength.

MATERIAL AND METHODS

Rectangular- and disk-shaped CAD/CAM composite materials were untreated or treated with 1 of the 2 silane coupling agents or bonding resin and then cemented together with 1 of the 2 dual-cured resin luting agents. Half of the specimens were stored in water at 37 degrees C for 24 hours, the other half thermocycled 50,000 times before shear bond strength testing. Shear bond strengths were measured with a servohydraulic mechanical testing machine, and results were analyzed with 2-way analysis of variance.

RESULTS

Surface treatment by silane coupling agent improved the shear bond strength when compared with nontreatment. Specimens treated with bonding resin showed significantly greater shear bond strength than the untreated groups. However, all specimens had the same adhesive failures at the composite-luting agent interface as untreated groups. When the CAD/CAM composite material was treated with 1 of the 2 silane coupling agents, no significant differences in bond strength were noted between water storage alone and after 50,000 thermocycles. For the 2 groups treated with bonding resin or silane coupling agent and cemented with 1 of the 2 dual-cured resin luting agents, there were significant increases in bond strength after 50,000 thermocycles, compared with specimens that were not subjected to thermal cycling. On the other hand, for the 2 untreated groups, there were significant decreases in bond strength after thermocycling. After 50,000 thermocycles, all specimens treated with silane coupling agent and then cemented with 1 of the 2 resin luting agents showed cohesive failures within the composite material.

CONCLUSION

The application of a silane coupling agent to the CAD/CAM composite surface provided the highest bond strength between the resin luting agent and composite after long-term thermal cycling.

Effect of three adhesive primers on the bond strengths of four light-activated opaque resins to noble alloy

The effect of commercial adhesive primers for noble metals on the bond strength of light-activated opaque resin has not been determined. This study evaluated the effect of three adhesive primers on the shear bond strengths of each of the four light-activated opaque resins to silver--palladium--copper--gold (Ag--Pd--Cu--Au) alloy. The adhesive primers Alloy Primer (AP), Metal Primer II (MPII) and Metaltite(MT) were used. Four commercial light-activated opaque resins (Axis (AX), Cesead II (CEII), Dentacolor(DE) and Solidex (SO) were used to bond a light-activated resin-veneered composite to Ag--Pd--Cu--Au alloy. The specimens were stored in water at 37 degrees C for 24 h and then immersed alternatively in water baths at 4 and 60 degrees C for 1 min each for up to 20,000 thermal cycles before shear mode testing at a cross-head speed of 0.5 mm min(-1). All the primers examined improved the shear bond strength between opaque resin and Ag--Pd--Cu--Au alloy compared with non-primed specimens prior to thermal cycling. After 20,000 thermal cycles, the bond strengths of combined use of AP and DE and that of MT and each of AX, CE or DE were significantly greater than any other groups. Significant difference was observed between the bond strengths at thermal cycles 0 and 20,000, with the combined use of MT and DE. With the combination of appropriate adhesive metal primers and light-activated opaque resins, complicated surface preparations of metal frameworks of resin-veneered prostheses that are composed of casting Ag-Pd-Cu-Au alloy may be negligible.

Effect of three adhesive primers for a noble metal on the shear bond strengths of three resin cements

The purpose of this study was to evaluate the durability and shear bond strengths of the different combinations of three adhesive primers and three resin cements to a silver-palladium-copper-gold (Ag-Pd-Cu-Au) alloy. The adhesive primers Alloy Primer (AP), Metal PrimerII (MPII) and Metaltite (MT), and the resin cements BistiteII (BRII), Panavia Fluoro Cement (PFC) and Super-Bond C&B (SB) were used. Two sizes of casting alloy disks were either non-primed or primed and cemented with each of the three resin cements. The specimens were stored in a 37 degrees C water bath for 24 h and then immersed alternately in 4 and 60 degrees C water baths for 1 min each for up to 100,000 thermal cycles. Shear mode testing at a crosshead speed of 0.5 mm/min was then performed. The application of MPII or MT was effective for improving the shear bond strength between each of the three resin cements and the Ag-Pd-Cu-Au alloy compared with non-primed specimens. However, when primed with MPII or MT and cemented with SB, the bond strength at 100,000 thermal cycles was significantly lower than that at thermal cycle 0. When primed with AP, the specimens cemented with BRII or PFC showed lower bond strength than non-primed specimens and failed at the metal-resin cement interface at 100,000 thermal cycles. On the other hand, AP was effective in enhancing the shear bond strength of SB to the Ag-Pd-Cu-Au alloy. The five combined uses of an adhesive metal primer and resin cement (combinations of MPII or MT and BRII or PFC and AP and SB) are applicable to the cementation of prosthodontic restorations without complicated surface modification of the noble alloy.

Improved bonding of adhesive resin to sintered porcelain with the combination of acid etching and a two-liquid silane conditioner

This study determined the bond strengths of adhesive resins joined to a feldspathic porcelain (VMK 68) for the purpose of developing the most durable surface preparation for the porcelain. Three porcelain surfaces-ground, air-abraded with alumina, and etched with hydrofluoric acid-were prepared. A two-liquid porcelain conditioner that contained both 4-methacryloyloxyethyl trimellitate anhydride (4-META) and a silane coupler (Porcelain Liner M) was used as the priming agent. Each of the two liquid components of the conditioner was also used individually in order to examine the effects of the respective chemical ingredients on adhesive bonding. Two methyl methacrylate (MMA)-based resins initiated with tri-n-butylborane (TBB) either with or without 4-META (MMA-TBB and 4-META/MMA-TBB resins) were used as the luting agents. Shear bond strengths were determined both before and after thermocycling. Shear testing results indicated that thermocycling was effective for disclosing poor bonding systems, and that both mechanical and chemical retention were indispensable for bonding the porcelain. Of the combinations assessed, etching with hydrofluoric acid followed by two-liquid priming with the Porcelain Liner M material generated the most durable bond strength (33.3 MPa) for the porcelain bonded with the 4-META/MMA-TBB resin (Super-Bond C&B).

Influence of acidulated phosphate fluoride agents on surface characteristics of composite restorative materials

PURPOSE

To evaluate the surface changes of resin-based composites (RBC) when they were exposed to acidulated phosphate fluoride (APF) agents.

MATERIALS AND METHODS

One microfilled (Silux Plus) and four hybrid (Clearfil AP-X, Lite-Fil IIA, Palfique Estelite, Progress) RBCs were separately treated with two APF agents (Fluorident Gel, Floden A). Changes in surface roughness were determined with a surface analyzer, and relief patterns were observed using a scanning electron microscope.

RESULTS

Although the surfaces of hybrid RBC materials containing macro-inorganic filler particles were generally found to be rougher than that of the microfilled composite regardless of APF treatment, macro-inorganic fillers in two of the hybrid composites demonstrated noticeable etched patterns generated by an APF solution.

Adhesive bonding of stainless steels and their component metals

The purpose of the current study was to evaluate the bond strength of a metal adhesive system bonded to stainless steels and their component metals. Two sizes of disk specimens (10 and 8 mm in diameter x 2.5 mm thickness) were machined from two stainless steels designed for magnetic attachment (AUM20 and SUS 316L), as well as from high-purity chromium (Cr) and nickel (Ni) metals for reference. The specimens were air-abraded with alumina, either primed with a metal conditioner (Cesead II Opaque Primer) or left unprimed, and bonded with an adhesive resin (Super-Bond Opaque). Shear bond strengths were determined before and after thermocycling, and the results were analysed by analysis of variance (ANOVA). Post-thermocycling bond strengths of the unprimed groups were 16.3 MPa for the AUM20 alloy, 7.5 MPa for the SUS 316L alloy, 31.1 MPa for Cr and 3.1 MPa for Ni. Those of the conditioned groups were 30.3 MPa for the AUM20 alloy, 32.9 MPa for the SUS 316L alloy, 39.3 MPa for Cr and 13.1 MPa for Ni. Application of the conditioner elevated the bond strengths of all groups (P<0.05). It can be concluded that combined use of the conditioner and the Super-Bond adhesive is effective for bonding the stainless steels examined, and that Cr is a suitable component for the bonding system in question.

Cutting efficiency of air-turbine burs on cast titanium and dental casting alloys

OBJECTIVE

The purpose of this study was to investigate the cutting efficiency of air-turbine burs on cast free-machining titanium alloy (DT2F) and to compare the results with those for cast commercially pure (CP) Ti, Ti-6Al-4V alloy, and dental casting alloys.

METHODS

The cast metal (DT2F, CP Ti, Ti-6Al-4V, Type IV gold alloy and Co-Cr alloy) specimens were cut with air-turbine burs (carbide burs and diamond points) at air pressures of 138 or 207 kPa and a cutting force of 0.784 N. The cutting efficiency of each bur was evaluated as volume loss calculated from the weight loss cut for 5 s and the density of each metal. The bulk microhardness was measured to correlate the machinability and the hardness of each metal.

RESULTS

The amounts of DT2F cut with the carbide burs were significantly (p < 0.05) greater than for the other titanium specimens at either 138 or 207 kPa. The diamond points exhibited similar machining efficiency among all metals except for Type IV gold alloy. The increase in the volume loss of Co-Cr alloy (Vitallium) cut with the diamond points showed a negative value (-29%) with an increase in air pressure from 138 to 207 kPa. There was a negative correlation between the amounts of metal removed (volume loss) and the hardness (r2 = 0.689) when the carbide burs were used.

SIGNIFICANCE

The results of this study indicated that a free-machining titanium alloy (DT2F) exhibited better machinability compared to CP Ti and Ti-6Al-4V alloy when using carbide fissure burs. When machining cast CP Ti and its alloys, carbide fissure burs possessed a greater machining efficiency than the diamond points and are recommended for titanium dental prostheses.

Clinical evaluation of an urethane tetramethacrylate-based composite material as a prosthetic veneering agent

The purpose of the current study was to evaluate the clinical performance of a hybrid composite material used as a prosthetic veneering agent after servicing for more than 4 years. A photo-curable composite material (Cesead) was selected as the veneering agent. Composite resin veneered restorations made with the composite and a noble metal alloy were inserted into 110 teeth of 40 patients. Modified United States Public Health Service (USPHS) criteria were used for direct evaluation of colour matching ability, veneer-metal interfacial staining, veneer surface texture, staining of the metal casting, and wear of the veneer-metal interface. After an average observation period of 5 years and 3 months, the rate of restorations considered to be clinically ideal (Alfa) was 75.5% for colour match, 93.6% for veneer-metal interfacial staining, 82.7% for veneer surface texture, 97.3% for staining of the metal casting, and 95.5% for wear. The restorations judged as clinically unacceptable (Charlie) consisted of only one case for colour match and three cases for veneer surface texture. Although the Alfa rate decreased with increasing length of service, the Cesead composite is considered to be a clinically reliable material as a prosthetic veneering agent.

Bond strength of prosthodontic luting materials to titanium after localized cyclic loading

PURPOSE

To establish an in vitro analysis system to evaluate the effect of cyclic loading on the bond strengths and durability of luting materials bonded to titanium.

MATERIALS AND METHODS

Machine-milled titanium disks were finished with 600 grit silicon-carbide paper and pairs of disks were bonded together using the five different luting materials. A stainless steel stylus was vertically loaded at a center position (Model 1) or at the border (Model 2) of the specimens with a force of 75.6 N at 7500 cycles/hr. When the stylus contacted the specimen surface through the water slurry of poly(methyl methacrylate) beads, it rotated clockwise up to 15 degrees and counter-rotated. Shear bond strengths were determined 1 hr after bonding, after storage in water at room temperature for 24 hr, and after the loading for 100,000 cycles.

RESULTS

The bond strengths of the unfilled adhesive resin and resin-based composite cement (RBC) were significantly higher than those of the glass-ionomer cements. Zinc phosphate cement demonstrated no bonding ability to titanium. After 100,000 cycles, peripheral loading in Model 2 significantly reduced the bond strength of the RBC and glass-ionomer cements, while Model 1 loading did not. The highest and the most durable bonds were obtained with the unfilled adhesive resin in both models.

Adhesive bonding of titanium with a thione-phosphate dual functional primer and self-curing luting agents

A consistent bond between the metal framework and the luting agent is desired when resin-bonded prostheses are constructed with titanium. The purpose of this study was to evaluate three different metal primers on titanium bonding. Two sources of titanium (machined 99.9% titanium and cast Titan Ingot JS2) were used. Disk specimens were bonded with eight combinations of three primers and two luting agents (Panavia 21 and Super-Bond C&B), including two controls. Shear bond strengths were determined after 24-h water storage and after 10,000 cycles of thermocycling. Bond strengths were influenced by thermocycling, primer, luting agent and their combinations, but no significant differences were found between the machined 99.9% titanium and the cast ingot. The thione-phosphate dual functional primer (Alloy Primer) was comparable to the phosphate primer (Cesead II Opaque Primer) and the thiophosphate primer (Metal Primer II) for bonding the titanium metals examined. The most durable bond was obtained in three combinations of these primers and one luting agent (Super-Bond C&B).

Analysis of composite type and different sources of polymerization light on in vitro toothbrush/dentifrice abrasion resistance

OBJECTIVES

This study examined toothbrush/dentifrice abrasion of a photo-activated prosthetic composite (dentin and enamel variations) for the purpose of evaluating the influence of polymerization sources on abrasive wear.

METHODS

A photo-activated prosthetic composite material (Artglass) was assessed. Dentin and enamel variations were polymerized using a proprietary photo-curing unit with two xenon stroboscopic lamps (UniXS), and other enamel specimens were polymerized either with a laboratory photo-curing unit with three fluorescent tubes or with a high intensity unit with two metal halide lamps. All specimens were stored in water for 14days and subjected to toothbrush/dentifrice abrasion (350g vertical load) using an abrasive slurry (Colgate Fluoriguard) and a toothbrush (Oral-B 40). The amount of vertical loss and the surface roughness of the specimens after 20,000 strokes were determined by profilometer. Average values of groups of five specimens were compared using analysis of variance (ANOVA) and Sheffe's S intervals (p<0.05).

RESULTS

When polymerizing with the proprietary unit, the abrasion and surface roughness of the enamel material required respective means of 34.08microm (+/-3.66) and 1.00microm (+/-0.08), and the those of the dentin material required means of 42.02microm (+/-5.62) and 1.23microm (+/-0.20). Both abrasion and surface roughness after toothbrushing of the enamel material were significantly smaller than were those of the dentin material. The abrasion of specimens polymerized with the metal halide unit required a mean of 23.89microm (+/-6.17) and demonstrated minimal wear.

CONCLUSIONS

The use of a high intensity metal halide photo-curing unit effectively enhanced the abrasion resistance of the composite. Surfaces of restorations should be covered with the enamel material in order to achieve smoothness and wear resistance.

Wear and surface roughness of current prosthetic composites after toothbrush/dentifrice abrasion

STATEMENT OF PROBLEM

Surface changes of prosthetic composites caused by toothbrushing are known, although composite materials have been improved and are now widely used for various kinds of prosthetic restorations.

PURPOSE

This study evaluated the influence of toothbrushing on abrasive wear and surface roughness of current prosthetic composites.

MATERIAL AND METHODS

Seven composite materials (Artglass, Axis, Cesead II, Conquest Sculpture, Estenia, Infis, and Targis) were assessed, and a machinable ceramic material (Cerec 2 Vitablocs) was used as a reference. Composite specimens polymerized with their proprietary curing units and sectioned ceramic specimens were stored in water for 14 days, and subsequently subjected to toothbrush-dentifrice abrasion. The amount of vertical loss and the surface roughness of each specimen after 20,000 strokes were determined with a profilometer. Average values of groups of 5 specimens were compared with ANOVA and Duncan new multiple range test.

RESULT

Significantly (P < .05) less wear was observed with respect to the Targis (10.01 microm; SD = 0.53 microm) and Estenia (13.04 microm; 1.95 microm) materials than for the other composites assessed, whereas Artglass (34.08 microm; 3.66 microm) and Conquest Sculpture (31.78 microm; 4.67 microm) materials demonstrated the most wear. The least surface roughness was exhibited by Conquest Sculpture (Ra, 0.54 microm; 0.07 microm) material, and the greatest by Cesead II (1.10 microm; 0.13 microm). Ceramic material showed a more wear-resistant (4.54 microm; 0.79 microm) and smoother (0.26 microm; 0.02 microm) surface than any of the composite materials.

CONCLUSION

Abrasion and surface roughness of the prosthetic composites caused by toothbrushing varied in accordance with the material. Type of prosthetic composite significantly influenced the surface condition after toothbrushing.

Influence of formaline cresol on bond strength of adhesive luting agents to dentin

The present study investigates the influence of the pulpotomy agent formaline cresol (FC) on bond strength between dentin and five adhesive systems (Super-Bond C&B, Bistite II, Imperva Dual Set, Panavia 21, and Panavia 21 with AD Gel). After the dentin surfaces of 75 bovine teeth (including 25 control samples) were exposed by grinding, 25 of the samples were soaked in FC for 2 days, and 25 samples were soaked for 7 days. Samples were bonded to acrylic rods using five adhesive systems, and tensile bond strengths were determined after 1-day immersion in water. Data were analysed by analysis of variance and Duncan's new multiple range test, and the fractured surfaces were observed through a scanning electron microscope. The bond strengths were found to be influenced by the type of system, soaking period, and their combination. The bond strength values of three adhesive systems (Super-Bond C&B, Imperva Dual Set Bistite II, and Panavia 21 with AD Gel) decreased after soaking in FC. After 7 days of FC exposure, the highest bond strength (9.8+/-2.9 MPa) was obtained with the Super-Bond C&B system.