Effect of Three Clinical Curing Treatments on Fluoride Release and Surface Hardness of Glass-Ionomer Cements

The purpose of this study was to investigate the effect of radiant heat, ultrasonic treatment, and 42.7 wt% CaCl₂ solution on fluoride release and surface hardness in three conventional glass-ionomer cements (GICs). The fluoride release patterns of each GIC were evaluated during a 28-day period using a fluoride ion-selective electrode. The surface hardness of the tested GICs was evaluated 24 hours after preparation of the specimens using Vickers hardness test. Statistical analysis of the data was made using analysis of variance and Bonferroni post hoc test (α = .05). Radiant heat, ultrasonic, and CaCl₂ solution treatments reduced fluoride release and increased the surface hardness of the tested GICs (P < .05). Among the tested GICs, differences in fluoride release and surface hardness were observed (P < .05). The clinical treatments investigated may be effective methods for improving the setting reaction of GICs and may achieve sufficient initial mechanical properties earlier. Although a reduction in fluoride release occurs after the treatments, anticariogenic properties of the GICs may not be significantly affected.

Degree of conversion and hardness of two different systems of the Vitrebond™ glass ionomer cement light cured with blue LED

This study investigated the physicochemical properties of the new formulation of the glass ionomer cements through hardness test and degree of conversion by infrared spectroscopy (FTIR). Forty specimens (n = 40) were made in a metallic mold (4 mm diameter x 2 mm thickness) with two resin-modified glass ionomer cements, Vitrebond™ and Vitrebond™ Plus (3M/ ESPE). Each specimen was light cured with blue LED with power density of 500 mW/cm(2) during 30 s. Immediately after light curing, 24h, 48h and 7 days the hardness and degree of conversion was determined. The Vickers hardness was performed by the MMT-3 microhardness tester using load of 50 gm force for 30 seconds. For degree of conversion, the specimens were pulverized, pressed with KBr and analyzed with FT-IR (Nexus 470). The statistical analysis of the data by ANOVA showed that the Vitrebond™ and Vitrebond™ Plus were no difference significant between the same storage times (p > 0.05). For degree of conversion, the Vitrebond™ and Vitrebond™ Plus were statistically different in all storage times after light curing. The Vitrebond™ showed higher values than Vitrebond™ Plus (p < 0.05). The performance of Vitrebond™ had greater results for degree of conversion than Vitrebond™ Plus. The correlation between hardness and degree of conversion was no evidence in this study.

Effects of refractive index solutions on the color of different luting cements

PURPOSE

The purpose of this study is to determine the effects of refractive index solutions on the color of different luting cements at different periods.

MATERIALS AND METHODS

Fourteen disc-shaped specimens were prepared for three different universal shade luting cements. All specimens were divided into two groups and a phthalate ester and glycerol refractive index solution was applied to the specimens at different periods. Color differences (ΔE*) were calculated for before and after 5, 15, 60 min and 24 h periods of applying refractive index solutions. Data were analyzed with multiple analysis of variance (ANOVA) and mean values were compared by the Tukey HSD test (α = 0.05).

RESULTS

Periods and periods-cement interaction were statistically significant (p ≤ 0.05). There was no statistically significant difference between the mean ΔE values of refractive index solutions and cement groups (p > 0.05).

CONCLUSION

Refractive index solutions affected the color of luting cements.

The effect of pre-warming and delayed irradiation on marginal integrity of a resin-modified glass-ionomer

Recent studies have indicated that the acid-base reactions and polymerization of resin-modified glass-ionomers (RMGIs) compete with and inhibit each other; however, external energy can also influence the properties of RMGIs. This in vitro study evaluated the effect of pre-warming and/or delayed light irradiation on marginal integrity of RMGIs in cervical restorations. Standard Class V cavities were prepared on the buccal aspects of 60 human maxillary premolars. Each cavity was treated with a cavity conditioner for 10 seconds, rinsed, and gently air-dried. An RMGI was applied to the prepared cavities as dictated by the study protocol. Group 1 samples were treated per manufacturers' instructions. Group 2 samples were photocured after a delay of 2 minutes. For samples in Group 3, the encapsulated material was pre-warmed (at 40° C) for 90 seconds; for Group 4 samples, capsules were pre-warmed and photocuring was delayed for 2.4 minutes. Microleakage scores were determined using dye penetration technique; Kruskal-Wallis and Mann-Whitney U tests were used for statistical analysis (α = 0.05). The enamel groups exhibited statistically significant differences (P = 0.036), while the dentin groups did not (P = 0.122); however, in both cases, Group 2 demonstrated the highest marginal integrity. Based on the results of this study, pre-warming could jeopardize the marginal integrity of RMGIs in cervical restorations, while delaying the curing process might improve it (particularly for enamel).

Effect of ultrasonic excitation on the microtensile bond strength of glass ionomer cements to dentin after different water storage times

The application of ultrasound waves on glass ionomer cement (GIC) surface can accelerate the early setting reaction and improve the mechanical properties of the material, resulting in higher resistance to masticatory forces within a short period of time and thus increasing the clinical longevity of the GIC restoration. In this study, the microtensile bond strength (μTBS) of two high-viscosity GICs (Fuji IX GP and Ketac Molar Easymix) and one resin-modified GIC (RMGIC-Vitremer) to dentin was tested after ultrasonic excitation and water storage. GIC blocks were built up on coronal dentin either receiving or not receiving a 30-s ultrasound application during the material initial setting. After storage in water for either 24 h or 30 d, beam-shaped specimens with a cross-sectional area of approximately 1.0 mm(2) were cut perpendicular to GIC/dentin interface and tested to failure. At 24 h, the ultrasonically set Ketac Molar had significantly higher (p < 0.05) μTBS than the cement set conventionally. Chemically set Ketac Molar presented significantly higher μTBS after the longer water storage (p < 0.05). The RMGIC presented the highest μTBS regardless of ultrasonic excitation and storage period. In conclusion, ultrasound application to Ketac Molar improved its adhesion to dentin, particularly within the first 24 h after setting. Clinically, it seems that ultrasonic excitation can contribute to prevent retention loss of restoration at early stages of GIC setting reaction.

Halogen lamp and LED activation of resin-modified glass ionomer restorative material. In vitro microhardness after long-term storage

AIM

The purpose of this study was to evaluate the activation of resin-modified glass ionomer restorative material (RMGI, Vitremer-3M-ESPE, A3) by halogen lamp (QTH) or light-emitting diode (LED) by Knoop microhardness (KHN) in two storage conditions: 24 hrs and 6 months and in two depths (0 and 2 mm).

MATERIALS AND METHODS

The specimens were randomly divided into 3 experimental groups (n = 10) according to activation form and evaluated in depth after 24 h and after 6 months of storage. Activation was performed with QTH for 40s (700 mW/cm) and for 40 or 20 s with LED (1,200 mW/cm2). After 24 hrs and 6 months of storage at 37 degrees C in relative humidity in light-proof container, the Knoop microhardness test was performed. Statistics Data were analysed by three-way ANOVA and Tukey post-tests (p < 0.05).

RESULTS

All evaluated factors showed significant differences (p < 0.05). After 24 hrs there were no differences within the experimental groups. KHN at 0 mm was significantly higher than 2 mm. After 6 months, there was an increase of microhardness values for all groups, being the ones activated by LED higher than the ones activated by QTH.

CONCLUSION

Light-activation with LED positively influenced the KHN for RMGI evaluated after 6 months.

Temperature changes caused by light curing units on dentine of primary teeth

AIM

This was to determine the temperature changes produced in dentine discs of primary teeth placed below a glass ionomer, microhybrid flow resin or microhybrid resin during the photocuring process with conventional halogen lamps and LEDs at different distances.

STUDY DESIGN

Experimental design.

MATERIALS AND METHODS

This in vitro study was carried out in the research laboratory of the Universitat International de Catalunya. We cut 1 mm thick dentine discs with the IsoMet 1000 cutting machine. Thereafter, we cut stainless steel rings of different heights. Subsequently, to facilitate the temperature measurement, we prepared silicone moulds, in which the dentine disc, stainless steel ring and the digital thermometer/ thermocouple were positioned. Once the silicone mould was finished, a 2 mm thick layer of the restorative material was placed on the dentine disc. Finally, the polymerisation process was conducted according to the times recommended by the manufacturers, and the temperature produced was recorded at the end of the procedure. STATISTICAL EVALUATION: Replies were analyzed using the STATGRAPHICS® Plus Version 5.0 statistics software system, in order to obtain comparative diagrams and graphs using the ANOVA multifactorial system.

RESULTS

The photocuring lamps used on the restorative materials produced statistically significant differences in temperature, with p = 0.00001.

CONCLUSION

Halogen lamps cause a greater temperature rise in materials than LEDs lamps, and the greatest rise is produced when microhybrid flow resin is photocured with the Optilux 501 halogen lamp.

Kinetics of fluoride ion release from dental restorative glass ionomer cements: the influence of ultrasound, radiant heat and glass composition

To compare the effect of ultrasonic setting with self curing on fluoride release from conventional and experimental dental glass ionomer cements. To compare hand mixed and capsule mixing and the effect of replacing some of the reactive glass with zirconia. In a novel material which advocated using radiant heat to cure it, to compare the effect of this with ultrasound. To evaluate the effect of ultrasound on a glass ionomer with fluoride in the water but not in the glass. 10 samples of each cement were ultrasonically set for 55 s; 10 controls self cured for 6 min. Each was placed in 10 ml of deionised water which was changed at 1, 3, 7, 14, 21, 28 days. The solution fluoride content was measured using a selective ion electrode. All ultrasound samples released more fluoride than the controls. Release patterns were similar; after a few days, cumulative fluoride was linear with respect to t(1/2). Slope and intercept of linear regression plots increased with ultrasound. With radiant heat the cement released less fluoride than controls. The effect of ultrasound on cement with F in water increased only slope not intercept. Zirconia addition enhances fluoride release although the cement fluorine content is reduced. Comparison of capsule and hand mixing showed no consistent effect on fluoride release. Ultrasound enhances fluoride release from GICs. As heat has an opposite effect the heat from ultrasound is not its only action. The lesser effect on cement with fluoride only in the water indicates that of ultrasound enhances fluoride release from glass.

Esthetic restorative material shade changes due to photopolymerization

This study sought to measure color values (before and after photopolymerization) and variations of A1 shade polymeric dental restorative materials. The L*a*b* values of polymeric dental restorative material disks were measured by a spectrophotometer with the specular component excluded (SCE) geometry under D65 illumination over a standardized white background before and after photopolymerization. Color differences (DeltaE*ab) due to polymerization were calculated using the CIE Lab color-difference formula. DeltaE*ab indicates differences between two colors in the L*a*b* color space. In this system, L*, a*, and b* indicate lightness, red-green, and yellow-blue, respectively. Color differences (DeltaE*ab) were calculated by the equation DeltaE*ab = [(DeltaL*)2 + (Deltaa*)2 + (Deltab*)2]1/2. Eight resin composites, three flowable resin composites (FRCs), and two resin-modified glass ionomers (RMGIs) were utilized; L*a*b* and DeltaE*ab values of the test groups were analyzed using ANOVA and Newman-Keuls multiple comparison tests. DeltaE*ab values before and after photopolymerization ranged from 3.01-17.76. All RMGI and two FRC materials displayed greater color changes than the resin composites (p < 0.05). Photopolymerization produced measurable increases and decreases in lightness. Yellow-blue (b*) values decreased in all test groups after polymerization, while most red-green (a*) values increased. Color differences between polymerized A1 shade materials ranged from 0.76-25.41 DeltaE*ab. The color difference between the test materials and a widely used tooth shade guide (the Vita Lumin) was averaged at 12.66 DeltaE*ab.

Effect ofartificial accelerated aging on color stability and surface roughness of indirect composites

Direct and indirect composite resins have different forms of polymerization. Some materials require a post-cure system associating light and heat enhancing clinical properties. This study assessed the changes in color and surface roughness of three indirect composite resins after accelerated aging. Twelve specimens (15 x 2 mm) were obtained for each tested material. Subsequently, the first measurements for roughness tests and colorimetric spectrophotometry (CIE L*a*b* scale) were performed. Specimens were subject to accelerated aging for 384 hours. New measurements were then performed to evaluate the resulting change. Accelerated aging produced color change and increased surface roughness in all composite resins. Solidex resin showed color changes above the clinically accepted value (DeltaE = 4.31 +/- 0.22), and roughness values (Ra = 0.088 +/- 0.008 microm) statistically lower than that of Artglass (Ra = 0.141 +/- 0.026 microm) and Targis (Ra = 0.124 +/- 0.02 microm) (p<0.001). All the indirect resins tested showed color change and increased roughness after accelerated aging. Solidex showed color stability above a quantitative level considered clinically acceptable and lower roughness values compared to the other resins.

Water sorption of resin-modified glass-ionomer cements photoactivated with LED

The Light Emitting Diodes (LED) technology has been used to photoactivate composite resins and there is a great number of published studies in this area. However, there are no studies regarding resin-modified glass-ionomer cements (RMGIC), which also need photoactivation. Therefore, the aim of this study was to evaluate water sorption of two RMGIC photoactivated with LED and to compare this property to that obtained with a halogen light curing unit. A resin composite was used as control. Five specimens of 15.0 mm in diameter x 1.0 mm in height were prepared for each combination of material (Fuji II LC Improved, Vitremer, and Filtek Z250) and curing unit (Radii and Optilight Plus) and transferred to desiccators until a constant mass was obtained. Then the specimens were immersed into deionized water for 7 days, weighed and reconditioned to a constant mass in desiccators. Water sorption was calculated based on weight and volume of specimens. The data were analyzed by two-way ANOVA and Tukey test (p < 0.05). Specimens photocured with LED presented significantly more water sorption than those photocured with halogen light. The RMGIC absorbed statistically significant more water than the resin composite. The type of light curing unit affected water sorption characteristics of the RMGIC.

Electron beam irradiation of dental composites

OBJECTIVES

Electron beam irradiation can be used to influence the mechanical properties of polymers. It was the aim of this study to investigate whether dental composites can benefit from irradiation in order to achieve increased fracture toughness, work of fracture, hardness or less wear.

METHODS

Two hundred rectangular specimens of five veneering composites were electron beam irradiated with 25, 100 and 200 kGy using an electron accelerator of 10 MeV. Fracture toughness, work of fracture, Vickers hardness, color changes and three-medium wear were measured and compared with non-irradiated specimens.

RESULTS

Visible color changes (DeltaE>3) were observed with all composites and with all dose rates. Fracture toughness, work of fracture, Vickers hardness and resistance against wear increased significantly with few exceptions. Composites with a simple curing process needed higher dose rates while systems with a more complex curing procedure should be irradiated with lower dose rates.

SIGNIFICANCE

Electron beam irradiation can significantly change the mechanical properties of dental composites. However, color changes can limit the use of irradiation for dentistry.

Ultrasonically set glass polyalkenoate cements for orthodontic applications

There is an accepted clinical requirement for a luting cement that can be command set upon satisfactory placement of an orthodontic appliance onto dentition. This work evaluates the suitability of ultrasound, imparted from a dental scaler, as a potential mechanism for achieving this. The net setting times and subsequent compressive strengths of a range of commercial and experimental glass polyalkenoate cements (GPCs) were evaluated, using modified ISO 9917 methods, when set both chemically and by ultrasound. The ultrasound was applied to the GPC through an orthodontic brace. It was possible to command set GPCs by the application of five to ten seconds of ultrasound; the exact time required being dependent upon the composition of the GPC in question. The compressive strengths of these cements can be improved by around 90% with the command set when the optimum PAA molecular weight and tartaric acid content is employed.

Effect of light-tip distance on the shear bond strengths of resin-modified glass ionomer cured with high-intensity halogen, light-emitting diode, and plasma arc lights

INTRODUCTION

The purpose of this study was to assess the effect of light-tip distance on the shear bond strength and the failure site of brackets cured with 3 light-curing units (high-intensity halogen, light-emitting diode, and plasma arc).

METHODS

One hundred thirty-five bovine mandibular permanent incisors were randomly allocated to 9 groups of 15 specimens each. Stainless steel brackets (Victory Series, Unitek/3M, Monrovia, Calif) were bonded with a resin-modified glass-ionomer (Fuji Ortho LC, GC Europe, Leuven, Belgium) to the teeth, and each curing light was tested at 3 distances from the bracket: 0, 3, and 6 mm. After bonding, all samples were stored in distilled water at room temperature for 24 hours and subsequently tested for shear bond strength.

RESULTS

When the 3 light-curing units were compared at a light-tip distance of 0mm, they showed no significantly different shear bond strengths. At a light-tip distance of 3 mm, no significant differences were found between the halogen and plasma arc lights, but both lights showed significantly higher shear bond strengths than the light-emitting diode light. At a light-tip distance of 6 mm, no significant differences were found between the halogen and light-emitting diode lights, but both showed significantly lower bond strengths than the plasma arc light. When the effect of the light-tip distance on each light-curing unit was evaluated, the halogen and light-emitting diode lights showed no significant differences among the 3 distances. However, the plasma arc light produced significantly higher shear bond strengths at a greater light-tip distance. No significant differences were found among the adhesive remnant index scores of the various groups, except with the LED light at a distance of 3 mm.

CONCLUSIONS

In hard-to-reach areas, the plasma arc curing light is suggested for optimal curing efficiency.

Effect of curing regime on the cytotoxicity of resin-modified glass-ionomer lining cements applied to an odontoblast-cell line

OBJECTIVE

The aim of this in vitro study was to evaluate the cytotoxicity of resin-modified glass-ionomer lining cements submitted to different curing regimes and applied to an immortalized odontoblast-cell line (MDPC-23).

METHODS

Forty round-shaped specimens of each experimental material (Fuji Lining LC and Vitrebond) were prepared. They were light-cured for the manufacturers' recommended time (MRT = 30 s), under-cured (0.5 MRT = 15 s), over-cured (1.5 MRT = 45 s) or allowed to dark cure (0 MRT). Sterilized filter papers soaked with either 5 microL of PBS or HEMA were used as negative and positive control, respectively. After placing the specimens individually in wells of 24-well dishes, odontoblast-like cells MDPC-23 (30,000 cells/cm2) were plated in each well and incubated for 72 h in a humidified incubator at 37 degrees C with 5% CO2 and 95% air. The cytotoxicity was evaluated by the cell metabolism (MTT assay) and cell morphology (SEM).

RESULTS

Fuji Lining LC was less cytotoxic than Vitrebond (p < 0.05) in all the experimental conditions. However, the cytotoxicity of Fuji Lining LC was noticeably increased in the absence of light-curing while the same was not observed for Vitrebond. The length of light-curing (15, 30 or 45 s) did not influence the toxicity of both lining materials when they were applied on the odontoblast-cell line MDPC-23.

SIGNIFICANCE

The light-activation plays an important role in reducing the cytotoxicity of Fuji Lining LC. Following the manufacturer' recommendation regarding the light-curing regime may prevent toxic effect to the pulp cells.

Effect of argon laser curing on the shear bond strength of metal brackets bonded with light-cured glass ionomer cement

INTRODUCTION

The purpose of this study was to evaluate the shear bond strength and debonding characteristics of glass ionomer cement cured with an argon laser.

METHODS

Thirty extracted first premolars were divided into 2 groups of 15. The teeth were cleaned and mounted in resin, and metal brackets were bonded with glass ionomer cement. In the control group, the bond was cured with a halogen light for 40 seconds (20 seconds mesial and 20 seconds distal). In the test group, the specimens were cured with an argon laser for 5 seconds. Brackets were debonded in shear; bond strength was measured, and the adhesive remnant index was scored.

RESULTS

The difference in mean shear bond strength was not statistically significant between groups when compared with a t test. More adhesive remained on the enamel surface in the laser group than in the control group.

CONCLUSIONS

Argon laser curing produces bond strengths equivalent to those obtained with traditional light curing in much less time, but it leaves more adhesive on the tooth surface.

Thermographic investigation of contemporary resin-containing dental materials

OBJECTIVES

To measure the temperature rise induced during visible light curing of modern resin-containing dental materials and the effect of dentine sections in reducing this temperature rise.

METHODS

A variety of newly introduced resin-containing materials were investigated, including flowable, packable and conventional hybrid composites, as well as a compomer and a resin modified glass ionomer material. The resin was packed into polytetrafluoroethylene (PTFE) moulds and cured for 40s. Temperature rises on the undersurface of the curing resin were measured using the Thermovision 900 infra-red scanning system. In the second part of the study, extracted, caries free teeth were sectioned into dentine disks of three thicknesses (0.7, 1.4 and 1.9 mm). Composite samples were overlaid by the disks and the insulating effect of dentine measured.

RESULTS

The maximum temperature increases were: 43.1 degrees C (flowable composite), 32.8 degrees C (conventional composite), 32.8 degrees C (RMGI), 23.3 degrees C (compomer) and 22.4 degrees C (packable composite).

CONCLUSIONS

There was a quantifiable amount of heat generated in resin-containing material during light curing. Dentine sections were good thermal insulators that significantly reduced temperature rises associated with resin composite photocuring.

Effect of time on the flexural strength of glass ionomer and composite orthodontic adhesives

The purpose of this study was to compare the effects of time on the flexural strength of a resin-reinforced glass ionomer and a composite adhesive system, specifically at three time frames corresponding to the three stages of polymerization of Fuji Ortho LC. Ten rectangular specimens of each material were prepared in a metal mold (25 x 2 x 2 mm) and then stored at 37 degrees C and 100% humidity in an incubator. Six test groups were created, in which each specimen was fractured using a 3-point-bending test at a crosshead speed of 0.5 mm/min. The test results indicated that there were significant differences among the groups (P = .0001). The flexural strengths were significantly higher in the two groups (III and VI) that were fractured after seven days. This was true for both the Fuji Ortho LC (x = 77 +/- 6.1 MPa) and the Concise (x = 103.9 +/- 4.2 MPa). The flexural strength of the resin-modified glass ionomer adhesive was significantly lower than that for the composite whatever the time of fracture, 10 minutes, one hour, or seven days. The analysis of the strength-deformation curve of the group of Fuji Ortho LC, which was fractured within 10 minutes after setting (group I), showed viscoplastic behavior, whereas that of all the others groups showed elastic behavior. According to this study, clinicians must consider the mechanics of Fuji Ortho LC setting and, when this material is used, wait for at least one hour to ligate initial or repaired arch wires.

Residual monomers released from glass-fibre-reinforced composite photopolymerised in contact with bone and blood

PURPOSE

The aim of this study was to determine the quantity of residual monomers of glass fibre-reinforced composite released into water from the composite that had been photopolymerized in contact with bone and blood.

MATERIALS AND METHODS

E-glass fibre reinforced composite (FRC) made of E-glass fibre veil and the bis-GMA-TEGDMA-PMMA resin system was used in the study. In the first group, pieces of non-polymerised FRC were photopolymerised (40 s) in air which influenced the oxygen inhibited resin layer (positive control). In the second group, the FRC was polymerized between two glass plates allowing both surfaces to be well polymerized (negative control). In the test groups, the FRC was polymerized in contact with bone or in contact with blood. FRC specimens from all four groups were incubated in three milliliters of deionised water at 37 degrees C for three days. At the end of the incubation period, the residual monomers were extracted from the water with dichloromethane, and the residual monomers of TEGDMA and bis-GMA quantitatively analysed by HPLC. The degree of monomer conversion was measured by FTIR from the surface of the test specimen. Differences between the groups were analysed using one-way ANOVA (p < 0.05).

RESULTS

The total quantity of residual monomers released from FRC polymerized in contact with bone was lower (0.55 wt%) than in the positive control group (0.97 wt%) (p = 0.021), and only slightly exceeded that of the negative control group (0.42 wt%) (p = 0.717). The total quantity of monomers released from FRC polymerized in contact with blood was at the level of the negative control group. The main residual monomer released was TEGDMA. The surfaces of the positive and negative controls showed a clear difference between the degree of monomer conversion, 34.0 and 62.8%, respectively, when analysed with FTIR (p < 0.001).

CONCLUSION

The surface of the bone or contact with blood did not significantly inhibit the photoinitiated free radical polymerisation of the dimethacrylate monomer system of the FRC.

Surface hardness properties of resin-modified glass ionomer cements and polyacid-modified composite resins

In this study the top and bottom surface hardness of two polyacid-modified composite resins (PMCRs), one resin-modified glass ionomer cement (RMGIC), and one composite resin were evaluated. The affect of water storage on their hardness was also investigated. The study was conducted using four different groups, each having five specimens obtained from fiberglass die molds with a diameter of 5 mm and a height of 2 mm. Measurements were made on the top and bottom surface of each specimen and recorded after 24 hours and again at 60 days. All tested materials showed different hardness values, and the values of top surfaces of the specimens were found to be higher than the bottom surface in all test groups. There was no statistical difference in the Vickers hardness (HV) values when the test specimens were kept in water storage. In conclusion Hytac displayed microhardness values higher than Vitremer and Dyract. We found the order of HV values to be Surfil > Hytac > Dyract > Vitremer, respectively. Vitremer presented the lowest microhardness level and Surfil the highest.

FTIR investigation of monomer polymerisation and polyacid neutralisation kinetics and mechanisms in various aesthetic dental restorative materials

Diamond ATR FTIR has been used to quantify light catalysed polymerisation and polyacid neutralisation rates in various glass ionomer cements (GIC), resin-modified GICs (RMGIC) and compomers. At 150s after the start of light exposure, levels of methacrylate polymerisation on the lower surfaces of 1mm thick specimens were 97% and 98% for the RMGIC, Vitremer and Fuji II LC and 47% and 37% for the compomers, Compoglass and Dyract. After light exposure, polymerisation rates for the compomers decreased linearly with inverse time. By 50,000s Compoglass and Dyract were 62% and 51% polymerised. Initial rate of polyacid neutralisation in the GIC Shofu HIFI was 0.32 times that of Fuji IX GIC. Those in Vitremer, Fuji II LC, Compoglass and Dyract were 0.16, 0.09, 0.004 and 0.004 times that of Fuji IX. Excluding short initial periods, log of neutralisation rates decreased linearly with log-time. Average gradients were -1.35 for the GIC, -0.80 for the RMGIC and -0.59 for the compomers. By 50,000s, polyacid salt concentrations for the RMGIC and compomers were 0.41 and 0.016 times that of the GIC. Reaction mechanisms have been discussed and used to help interpret material mechanical properties, fluoride release rates and adhesion to tooth structure.

Synthesis and evaluation of HEMA-free glass-ionomer cements for dental applications

OBJECTIVE

The objective of this study was to synthesize and characterize amino acid acrylate and methacrylate derivatives, use them to formulate light-cured glass-ionomer cements (LCGICs), and evaluate their mechanical strengths.

MATERIALS AND METHODS

Acrylate and methacrylate derivatives of six amino acids were synthesized and characterized using FT-IR and 1HNMR spectroscopy. The LCGICs were formulated using a newly synthesized polymer having pendant methacrylate groups (in other words, a methacryloyl derived polymer or MDP), amino acid derivatives, water, and Fuji II LC glass. Compressive strength of the cements and viscosities of the resin liquids were used as screening tools in order to determine the optimal formulation. The specimens were conditioned in distilled water at 37 degrees C for 24 h prior to testing.

RESULTS

The measured compressive strengths (MPa) of the cements were found to depend on the amino acid derivative used: acryloyl aspartic acid (268.5) > methacryloyl beta-alanine (259.1) = methacryloyl glutamic acid (254.5) = acryloyl beta-alanine (251.9) > acryloyl glutamic acid (238.8) > methacryloyl aspartic acid (210.9). Methacryloyl beta-alanine (MBA) was selected for further formulations due to its relatively low solution viscosity and high compressive strength. Effects of MDP content and power/liquid (P/L) ratio were significant. The formulation with a liquid composition of 50/25/25 (MDP/MBA/water) and P/L ratio of 2.7/1 was found to give optimal properties and handling of all the formulations studied.

CONCLUSIONS

A novel HEMA-free LCGIC system based on amino acid derivatives has been developed. This system may eliminate potential cytotoxicity in current LCGICs caused by leached 2-hydroxyethyl methacrylate (HEMA). The optimal MBA-modified cements were 20% higher in compressive strength, 70% higher in diametral tensile strength (DTS) and 93% higher in flexure strength (FS), as compared to Fuji II LC cement.

Plasma versus Halogen Light: the Effect of Different Light Sources on the Shear Bond Strength of Brackets*

The aim of this study was to investigate differences between plasma and halogen light polymerization in relation to the attainable shear bond strength of brackets bonded with various adhesives. 720 brackets were divided into 72 different groups of n = 10. The brackets were bonded to 240 flat polished test specimens produced from bovine teeth, Pontor MPF alloy, and extra hard plaster (type III) respectively. Transbond XT, Kurasper F or Fuji Ortho LC served as adhesives to bond either ceramic (Transcend 6000) or stainless steel brackets (Mini Uni-Twin). 50% of all brackets were bonded with a minimum layer of adhesive, and the remaining 50% with an adhesive layer thickness of 1.0 mm. In 360 cases the adhesive was polymerized with a plasma light (PAC), and in a further 360 cases with a halogen light (Optilux 401). The light curing time was 10 s with plasma light and 40 s with halogen light. After 24 h of storage in deionized water at room temperature, all brackets were subjected to a shear bond strength test according to ISO standard 10477. The measured shear bond strength did not differ significantly between the two curing light sources. The 1 mm adhesive layer thickness group showed significantly higher shear bond strengths in comparison to the minimum layer thickness group.

Restoration-enamel interface with argon laser and visible light polymerization of compomer and composite resin restorations: a polarized light and scanning electron microscopic in vitro study

This polarized light (PL) and scanning electron microscopic (SEM) in vitro study investigated the effect of argon laser (AL) and visible light (VL) polymerization on the interfaces between compomer and composite resin restorations and the enamel cavosurfaces. Surface topography by SEM revealed a smooth transition between the restorative materials and adjacent enamel surfaces with no microspaces between the restorations and enamel surfaces. The enamel surfaces showed relatively smooth surface coatings with AL curing compared with exposure of etched prism endings with VL curing. The restoration-enamel interface by PL showed an intimate relationship between the restorative materials and the cavosurface enamel. No differences were found between AL and VL polymerization. With the restoration-enamel interface by SEM, compomers and composite resins were adapted closely to the cavosurface enamel and tags of restorative material protruded into the adjacent cavosurface enamel. Both VL and AL polymerization of compomers and composite resin restorations in vitro produced closely adapted restorations with intimate restoration-enamel interfaces. Such restoration-enamel interfaces may provide a certain degree of resistance against secondary caries formation, and this may be enhanced by the caries protective effect of argon laser irradiation.

Effect of polyacid aqueous solutions on photocuring of polymerizable components of resin-modified glass ionomer cements

OBJECTIVES

Resin-modified glass ionomer cements (RMGI) are hybrid materials prepared by incorporation of polymerizable components (typically 2-hydroxyethyl methacrylate (HEMA) with possible addition of multifunctional methacrylates) into a conventional acid-base mixture (a polymeric acid with powdered calcium fluoro-aluminosilicate glasses). During setting, the photopolymerization process and the acid-base reaction affect each other. The aim of this work was to examine the effect of a 45% aqueous solution of poly(acrylic acid) (PAA) and the liquid component of a commercial glass ionomer cement on HEMA and triethyleneglycol dimethacrylate (TEGDMA) photopolymerization.

METHODS

The polymerization was initiated by 2,2-dimethoxy-2-phenylacetophenone (DMPA) and camphorquinone (CQ)/coinitiator system. The reaction course was monitored under Ar and air by isothermal differential scanning calorimetry.

RESULTS

The main effect of addition of polyacid solution (PAA and commercial) up to 10wt% to HEMA on the polymerization initiated with DMPA was earlier onset of autoacceleration. For the process initiated by the CQ-based system, the addition of 5wt% of PAA solution strongly accelerated the polymerization and increased the conversion, both in Ar atmosphere as well as in air. TEGDMA photopolymerization was not influenced or slightly retarded by the presence of 3wt% of PAA solution (the upper limit of solubility), depending on the initiating system used.

SIGNIFICANCE

Under initiation conditions used in curing of commercial dental products (CQ-based two component initiating system), the presence of polyacid-aqueous solution in HEMA-based photocurable component increases markedly the polymerization rate and the conversion both in Ar atmosphere as well as in air. This result contributes to a characterization of the setting process of RMGIs.

Mechanical properties of luting cements after water storage

This study determined the effect of water storage on flexural strength (FS) and compressive strength (CS) of 12 luting cements from different material classes. In addition, the influence of the curing method on the mechanical properties was investigated. The materials examined were two zinc phosphate cements (Harvard cement and Fleck's zinc cement), two glass ionomer cements (Fuji I and Ketac-Cem), three resin-modified glass ionomer cements (Fuji Plus, Fuji Cem and RelyX Luting), four resin cements (RelyX ARC, Panavia F, Variolink II and Compolute) and one self-adhesive universal resin cement (RelyX Unicem). The samples were prepared and tested according to ISO specifications. Specimens for FS and CS were loaded to fracture at a constant crosshead speed of 1 mm/minute. The mechanical properties were measured after the materials were stored in distilled water at a temperature of 37.0 +/- 1.0 degrees C for 24 hours and 150 days after mixing. In a one-way ANOVA, multiple mean value comparisons using Duncan's multiple comparison tests were performed. Resin cements had the highest flexural and compressive strengths, followed by self-adhesive universal resin cement. These materials were statistically stronger than resin-modified glass ionomer cements, glass ionomer cements and zinc phosphate cements.

Spectroscopic analysis of polymer-ceramic dental composites after accelerated aging

PURPOSE

The aim of the study was to determine the color and surface chemistry changes of two fiber-reinforced composites and one "advanced composite" as a function of an accelerated aging process by light exposure and water spray.

MATERIALS AND METHODS

Three composites (Artglass, Targis, and Conquest Sculpture) were assessed for color evaluation in three different shades and with XPS analysis. Four specimens of each shade were analyzed with the UV/VIS/NIR Spectrophotometer in reflectance to determine the baseline color for the CIE L*a*b* system. XPS spectra were obtained from three specimens for each material group. All sample disks were artificially aged in a weathering machine and exposed to water spray and a controlled irradiance xenon arc of 0.55 W/m2/nm measured at 340 nm for a total exposure time of 122 hours. L*a*b* and XPS analyses were repeated after the aging process for all specimens.

RESULTS

Artglass had "just perceptible," changes, with deltaE* between 1.8 and 2.7, while Conquest Sculpture showed, in all shades, "visually perceptible" changes from deltaE* 5 to 9. Targis had just perceptible as well as visually perceptible changes after aging. All materials showed decreased Ba and Si on the aged samples, while carbon increased.

CONCLUSION

All materials tested underwent a surface change after the aging process. Artglass and Targis changed minimally into whitish/reddish and yellowish appearances, respectively. An organic-rich surface was produced by a combination of washout of filler particles and rearrangement of polymer molecules through diffusion.

In situ microhardness evaluation of glass--ionomer/composite resin hybrid materials at different post-irradiation times

The purpose of this paper was to evaluate in situ the microhardness of a composite resin, two resin-modified glass-ionomers and two polyacid-modified composite resins at different post-irradiation times. The materials analysed were: Z 100/3M (Z1); Fuji II LC/GC Corporation (Fu); Vitremer/3M (Vi); Freedom/SDI (Fr); and Dyract/Dentsply (Dy). Palatal intra-oral acrylic resin appliances were made for each of the 24 volunteers in the experiment. In each appliance, a specimen of each material was fixed. Microhardness tests were performed at 30 min, 1, 2, 4, 8, 24 and 48 h, 7, 10, 14, 17 and 21 days after initial light-curing. The analysis of variance followed by the Tukey test showed significant differences of microhardness among all materials (Fu < Vi < Fr < Dy < Z1) up to 48 h. From the seventh to the fourteenth day, statistical differences were not found between Freedom and Dyract (Fu < Vi < Fr=Dy < Z1). On the seventeenth and twenty-first days, Vitremer, Freedom and Dyract did not present statistical differences, but differed from Fuji II LC and Z 100 (Fu < Vi=Fr=Dy < Z1). The polynomial regression showed an increase of microhardness over time for the glass-ionomers/composite resin hybrid materials, although there were differences of microhardness among these materials. There was no significant changes in microhardness levels for the composite resin over time.

Marginal gap formation of light-activated restorative materials: effects of immediate setting shrinkage and bond strength

OBJECTIVES

The purpose of this study was to explore multiple correlations between shrinkage, bonding and marginal gap parameters, immediately after light-activation, for three classes of restorative materials. The correlations of interest were between: (a) their marginal gap formation in tooth cavities, (b) their free setting shrinkage-strain determined by two different measurement methods ((i) the marginal gap-width in a non-bonding Teflon cavity and (ii) a linear (diametral) measure of shrinkage-strain), and (c) their shear bond strengths to enamel and to dentin.

METHODS

The maximum marginal gap width and the opposing width (if any) in the tooth cavity were measured immediately (3 min) after light-activation. Two factors for the setting shrinkage-strain and the shear bond strength to enamel and to dentin were measured concomitantly.

RESULTS

Out of the set of restorative materials investigated, those that produced a smaller marginal gap in the tooth cavity had a smaller marginal gap in the Teflon cavity. There was a highly significant correlation between the two parameters (r=0.914, p<0.001). However, no relationship was observed between the marginal gap in the tooth cavity and the immediate diametral shrinkage-strain (p>0.05). Thus the restorative materials that produced a smaller marginal gap in the tooth cavity did not generally have a smaller diametral setting shrinkage-strain. Furthermore, no relationship was observed between the marginal gap in the tooth cavity and the shear bond strength to enamel or to dentin (p>0.50).

SIGNIFICANCE

For light-activated restorative materials during the early stage of setting (<5 min), the free shrinkage-strain, measured by marginal-gaps in Teflon cavities, had a greater correlation with immediate marginal-gaps in tooth cavities than either the immediate diametral shrinkage-strain or the bond strengths to the tooth structure.

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.

Effect of curing with a plasma light on the properties of polymerizable dental restorative materials

Specimens of light-curable dental restoratives have been prepared using either a conventional dental curing lamp (for 20 or 30 s) or a plasma light (for 1 or 2 s). The specimens were then stored in water until their mass equilibrated, then dried to constant mass. Most specimens lost material in this process but the losses in all specimens cured with the plasma light were significantly greater than those cured with the conventional lights (P < 0.05). Longer cure times gave slightly reduced losses in water in most cases. The specimens were then returned to water and allowed to re-equilibrate and their equilibrium water uptake determined. There was no simple trend in this latter property because elution of loosely bound hydrophilic species may have resulted in a less hydrophilic specimen, whose equilibrium water content was therefore correspondingly lower. Overall, the losses through dissolution in water suggest that plasma curing is less effective for these materials than conventional light curing, as it probably results in material with lower molar mass. The losses for the resin-modified glass-ionomer were much greater than for other materials, and it was concluded that the more rapid polymerization with plasma light caused a significant inhibitation of the acid-base part of the setting process. These findings suggest that long-term durability of materials may be compromised by employing plasma light cure rather than a conventional cure system and further studies of this point are recommended.

Effects of conventional and high-intensity light-curing on enamel shear bond strength of composite resin and resin-modified glass-ionomer

The purpose of this study was to evaluate the shear bond strengths of a composite resin (Transbond XT; 3M/Unitek, Monrovia, Calif) and a resin-modified glass ionomer (Fuji Ortho LC; GC America Inc, Alsip, Ill) cured with 2 different light-curing units: a conventional visible light unit (Ortholux XT; 3M Dental Products, St Paul, Minn) and a xenon arc light unit (Plasma Arc Curing [PAC] System; American Dental Technologies, Corpus Christi, Texas). One hundred twenty freshly extracted bovine permanent mandibular incisors were randomly divided into 1 of 8 groups; each group consisted of 15 specimens. Two groups (1 group for each type of adhesive) were exposed to the visible light for 20 seconds (Transbond XT) and 40 seconds (Fuji Ortho LC), respectively, and used as control groups. The remaining 6 groups (3 for each adhesive) were cured with the xenon arc light for 2, 5, and 10 seconds. After bonding, all samples were stored in distilled water at room temperature for 24 hours and subsequently tested in a shear mode on an Instron universal testing machine (Instron Corp, Canton, Mass). For the groups bonded with Transbond XT, no statistically significant differences (P =.868) were found between the shear bond strength of the control group cured with Ortholux XT and those of the groups cured with the PAC System for 2, 5, or 10 seconds. When the shear bond strengths of the groups bonded with Fuji Ortho LC were evaluated, no statistically significant differences (P =.087) were found between the control group that was cured with Ortholux XT and those cured with the PAC System. The bond strength of the composite resin was significantly higher than that of the resin-modified glass ionomer in all the groups tested (P <.0001). The present findings indicate that, compared with visible light-curing, the xenon arc light enables the clinician to significantly reduce the curing time of both bonding agents, without affecting their shear bond strengths. Therefore, xenon arc light sources can be recommended as an advantageous alternative for curing both composite resins and resin-modified glass ionomers.

Effect of maturation on the fluoride release of resin-modified glass ionomer and polyacid-modified composite resin cements

The effect of an early water contact on the fluoride release is studied for the resin-modified glass ionomer cements (RM-GIC) GC Lining LC, PhotacBond, Vitremer and Vitrebond and for the polyacid-modified composite resins (PAM-C) Variglass and Dyract. Six months fluoride release profiles were determined in regularly renewed water (37 degrees C), for the products directly after light curing and after 24 h maturation in a humid atmosphere (85% RH). ANOVA shows that both the short-term and the long-term fluoride release of a RM-GIC are influenced by this maturation. This indicates that direct water contact for this material should be avoided. For the RM-GIC a correlation is found between the initial fluoride release process and the long-term process. For the PAM-C materials, no differences in the fluoride release are found as a function of maturation, indicating that early water contact has no effect. The amounts of fluoride released by PAM-C are low compared to RM-GIC, which can affect their caries preventive potential. The results are explained on the basis of the setting reaction of both types of materials.

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.

Morphological changes induced by short pulse hydrogen fluoride laser radiation on dental hard tissue and restorative materials

BACKGROUND AND OBJECTIVE

The potential benefits of the effects of lasers on dental tissues have yet to be realized but may be brought closer through the availability of a suitable laser. The objective of this project is to examine the surface morphological changes resulting from hydrogen fluoride (HF) laser radiation on tooth and restorative material surfaces.

STUDY DESIGN/MATERIALS AND METHODS

A hydrogen fluoride laser emitting at 2.9 microns is used to interact with a range of dental hard tissue and restorative materials. The surface morphological changes induced by 100 mJ pulses of < 1 microsecond duration is studied using a SEM.

RESULTS

The irradiated surfaces displayed microstructures similar to those of a mechanically fractured surface with no evidence of melting.

CONCLUSION

This study suggests that tissue is removed by microexplosion, leaving a surface free from thermal damage with surface characteristics that would appear to facilitate the adhesion of restorative materials.

Comparative evaluation of secondary heat treatment and a high intensity light source for the improvement of properties of prosthetic composites

This study determined the hardness and water solubility of two prosthetic composites polymerized with three curing modes for the purpose of evaluating the influence of secondary heating and a high intensity light source on resulting material properties. Two prosthetic composite materials (Artglass and Dentacolor) were cured with the following methods: (1) exposure by means of a photo-curing unit with a xenon stroboscopic light source (Dentacolor XS) for 120 s; (2) exposure with the xenon unit for 120 s, followed by heating in an oven (KL 100) at 100 degrees C for 15 min; and (3) exposure by means of a photo-curing unit with two metal halide lamps (Hyper LII) for 120 s. Knoop hardness and water solubility were determined according to standardized testing methods. Although post-cure heat treatment considerably elevated the Knoop hardness number for both materials, the greatest hardness number was generated with the use of the metal halide unit. Water solubility of the Dentacolor material was lowest when the material was cured with the metal halide unit, followed by the secondary heated group, whereas, solubility of the Artglass material was unaffected by the curing modes. This suggests that the use of a high intensity light source is more effective than the application of secondary heating for improving the post-curing properties of composites.

Effect of light-cure time on the initial shear bond strength of a glass-ionomer adhesive

With the introduction of photosensitive (light-cured) restorative materials in dentistry, various methods were suggested to enhance the polymerization of these materials including layering and the use of more powerful light-curing devices. The purpose of this study was to determine the effects of increasing the light-cure time on the initial shear bond strength (in the first half hour) of a resin-modified glass-ionomer adhesive. Eighty-six teeth were divided into 4 groups according to either; (1) the adhesive system used, namely resin, reinforced glass ionomer, or composite, and (2) the light-cure time for the glass ionomer adhesive, namely 40, 45, and 50 seconds. The bonding approach followed the manufacturer's instructions unless otherwise specified. The results of the analysis of variance comparing the 4 experimental groups (F = 19.4) indicated the presence of significant differences between the groups (P =. 0001). In general, the shear bond strength was greater for the composite adhesive system (¿x(-) = 5.2 +/- 2.9 MPa), followed by the 2 groups bonded with the resin-reinforced glass-ionomer adhesive and light cured for 50 seconds (¿x(-) = 3.8 +/- 1.1 MPa) and 45 seconds (¿x(-) = 3.4 +/- 2.7 MPa). On the other hand, the shear bond strength was significantly lower for the group bonded with the glass ionomer adhesive and light cured for 40 seconds only (¿x(-) = 0.4 +/- 1.0 MPa). The present findings indicated the following: (1) the resin-reinforced glass-ionomer adhesive has a significantly lower shear bond strength in the first half hour after bonding when compared to a composite resin adhesive; (2) the initial bond strength of the glass-ionomer adhesive was significantly increased by increasing the light-cure time for an additional 5 to 10 seconds; (3) the mean increase in the shear bond strength between 5 and 10 seconds of additional light curing was not significant but the variability was less with the longer cure time.

The effect of delayed light exposure on bond strength: light-cured resin-reinforced glass ionomer cement vs light-cured resin

Under clinical situations, the intervals between material mixing and light exposure during bracket bonding using light-cured resin-reinforced glass ionomer cement may vary for each individual bracket. This study evaluates the bond strength of light-cured resin-reinforced glass ionomer cement subjected to various time intervals between material mixing and subsequent light exposure. This investigation was conducted in two parts. The first part consisted of measuring the enamel surface temperature to define the conditions under which the second part of the study was carried out. One hundred fifteen subjects, 63 males and 52 females, participated in this study. The over-all mean temperature as measured with a noncontact infrared thermometer was 31.9 degrees C. The second part of this study assessed tensile and shear bond strengths of light-cured resin-reinforced glass ionomer cement subjected to immediate light exposure (time interval, 5 minutes) and bond strengths subjected to light exposure at 10, 20, and 40 minutes after material mixing. Light-cured resin-reinforced glass ionomer cement was then compared with light-cured composite resin. Mean tensile and shear bond strengths of light-cured resin-reinforced glass ionomer cement exposed after 40 minutes were 4.5 MPa and 20.5 MPa, respectively. This represented a reduction of approximately 20% when compared with the 5-minute group. Scheffé test showed no statistically significant differences between any two time intervals. Mean bond strengths of the light-cured resin decreased with time. Tensile and shear bond strengths of light-cured resin indicated high statistical significance within groups across time. It could therefore be concluded that the bond strength of light-cured resin-reinforced glass ionomer cement was not affected by the timing of visible light exposure; whereas, the bond strength of light-cured resin decreased as time intervals increased. Light-cured resin-reinforced glass ionomer cement may thus serve as an advantageous alternative to composite resin for bracket bonding.

Influence of light irradiation on the volumetric change of polyacid-modified resin composites

OBJECTIVES

Recently, a new restorative material called a 'compomer', which is classified as a polyacid-modified resin composite, has become available. The volumetric shrinkage of compomers may create marginal gaps that influence the bonding ability and longevity of a restoration. Since compomers have been introduced recently, their volumetric change during curing is not fully understood. The purpose of this study was to evaluate the volumetric change of compomers.

METHODS

Three compomers, Compoglass (Vivadent), Dyract (Dentsply), and Ionosit Fil (DMG) were employed. The material was placed into a Teflon mould, 4 mm in diameter and 2 mm height, and extruded into the dilatometer. Then the specimens were light activated and the change in the height of the meniscus of water was recorded using a CCD camera and VRC.

RESULTS

The average volumetric shrinkages of the compomers after 160 s were 2.4% for Compoglass, 2.7% for Dyract, and 2.1% for Ionosit-Fil. For all materials tested, there was a tendency of increasing volumetric shrinkage with increased irradiation time.

CONCLUSIONS

The results of this study indicate that the volumetric change of compomer is influenced by the duration of light exposure, light intensity, and environmental conditions to which the materials are exposed.

Erosion process of light-cured and conventional glass ionomer cements in citrate buffer solution

The aim of this study was to clarify the erosion behavior of light-cured glass ionomer cement. One light-cured glass ionomer cement and two conventional chemically-cured glass ionomer cements were immersed in citric acid buffer solutions of pH 4 and pH 6. Fluoride release was almost the same in both types of cements, irrespective of pH. The amounts of other species eluted, such as Al, Sr, Si and P2O5 were smaller in the light-cured glass ionomer cement than in the conventional ones at pH 4. The amounts of species eluted at pH 6 were almost the same in both types of cement. Dissolution of the light-cured cement in pH 4 solution was controlled by the diffusion of the eluted species in the cement matrix. On the other hand, dissolution of the conventional cements was controlled by both diffusion and surface reaction. The surface features of the cements after erosion corresponded well to the dissolution mechanism. In pH 6 solution, dissolution of the cements was mainly controlled by diffusion of the species in the cement.

Bond strength of visible light-cured glass ionomer orthodontic cement

In this in vitro study, tensile strength tests were conducted with a visible light-cured glass ionomer cement (Fuji Ortho LC, GC America Inc.) bonded to extracted teeth under six different enamel surface conditions: (1) dry nonetched, (2) moist etched, (3) moist nonetched, (4) moist nonetched rebonded, (5) moistened with saliva substitute, and (6) moistened with human saliva. Two resin adhesives (Rely-A-Bond and Phase II, Reliance Orthodontic Products) were applied to dry and etched enamel and served as control agents. The glass ionomer cement approached the strength observed for resin adhesives and required the presence of moisture on the enamel surface for optimal performance.

Barcoll hardness of resin-modified glass-ionomer cements and a compomer

The objective of this study was to evaluate the influence of several factors on the hardness of resin-modified glass-ionomer cements (hybrid ionomers) and polyacid-modified resin composites (compomers). Disk-shaped specimens were prepared from the following materials: Vitremer, Fuji II LC, Photac-Fil, and Dyract. Three specimens of each product were irradiated with a light-curing device and three were not. Barcoll hardness was determined on both sides of the specimen 10 minutes after irradiation and after 48 hours of immersion in 37 degrees C water. A factorial design was used to evaluate the factors that influenced the results. The Dyract group that was not light cured was not included in the analysis because the product did not harden under this circumstance. Analysis of variance revealed a significant effect of material, time, and specimen side when light curing was carried out. The use or nonuse of light curing was also significant. For some hybrid ionomers (e.g., Photac-Fil), light curing is a more essential step than for others to obtain adequate hardness values.

Effects of uncontrolled outdoor storage on the polymerization, manipulation, and appearance of visible light-cured composite resin and resin-modified glass ionomer materials

Four light-cured composite resins (Z100, Heliomolar RO, Herculite XRV, and Prisma APH) and two resin-modified glass ionomer restorative materials (Fuji II LC and VariGlas VLC) were placed in an uncooled, unheated outdoor storage shed for 12 months. Maximum and minimum ambient temperatures were recorded every 24 hours. Each month, samples were polymerized with a visible light source and alterations in polymerization were assessed using a scratch test. Problems with manipulation or changes in appearance were also monitored. Samples stored outdoors were compared to control samples maintained at room temperature [68-74 degrees F (20-23.3 degrees C)]. Results showed that polymerization of all materials tested was apparently unaffected to any significant clinical degree by outdoor storage at temperatures ranging from 20 to 112 degrees F (-6.6-44.4 degrees C) over 12 months. Eight months into the study, the VariGlas VLC liquid had separated into a viscous gel and watery component. None of the other remaining materials demonstrated any changes in manipulation or appearance. All materials tested except VariGlas VLC appear suitable for use during military deployment or field training exercises under similar environmental conditions.

Temperature rise in ion-leachable cements during setting reaction

Resin-modified ion-leachable cements have been developed for use as aesthetic restorative materials. Their apparent improved physical and handling properties can make them more attractive for use than conventional glass-ionomers. However, they contain monomers which are known to contract on polymerization and produce a polymerization exotherm. This study evaluated the temperature rise during setting and the rate of dimensional change of several ion-leachable materials. The resin-modified ion-leachable cements demonstrated greater temperature rises and higher rates of contraction than conventional materials. Generally, the behaviour of these resin-modified materials was similar to that of composite resins. However, some resin-modified cements produced a temperature rise of up to 20 degrees C during polymerization which was greater than that of the composite resin. This temperature rise must be taken into account when using the materials in direct contact with dentine in deep cavities without pulp protection. Longer irradiation time than the recommended 20 s did not significantly increase the maximum temperature rise but slightly extended the time before the temperature started to decline. The temperature of the environment had a significant effect on the rate of dimensional change in some materials. The rate of polymerization contraction of light-activated cements was directly related to the observed temperature rise.

Strength and setting behavior of resin-modified glass ionomer cements

Diametral tensile strength (DTS), fracture strength, and Vickers microhardness were tested in three resin-modified glass ionomer cements (GICs), one chemically set GIC, and one dental composite. For the DTS studies test discs were immersed in deionized water at 37 degrees C for 10 min, 1 day, and 28 days, respectively. Cured discs were also implanted in back muscles of rats for 28 days before testing. The effects of light irradiation time and delayed curing on the DTS of the cements were also studied. Significantly higher strength was observed in the resin-modified GICs in comparison with the chemically set GIC at all observation period. K71 showed the highest strength among the GICs. No strength reductions were detected after 28 days for the specimens in vivo. An illumination time of 20 sec was enough to obtain final strength in the PFA and K71 specimens, and 40 sec was needed in the VI specimens. The strength of the resin-modified GICs when light-cured was significantly higher than when the same cements were allowed to set without irradiation. The microhardness of the light-cured GICs was similar to that of the dental composite. Considering the improved fracture strength and surface hardness, it was concluded that the resin-modified GICs present an interesting material for further development.

An experimental evaluation of precision laser cutting of dental hard tissues and materials

This paper examines the use of excimer laser radiation in the controlled removal of tooth tissue and three plastic restorative materials. Freshly extracted human third molar teeth were filled with three restorative materials and sectioned longitudinally through the restoratives. The cut surfaces of the materials and surrounding enamel and dentine were exposed to three laser energy densities and the dimensions and topographical details of the irradiated sites assessed using optical and scanning electron microscopy. The results showed that the radiation produced lesions of uniformly reproducible size and shape.

Initial acidity of dental cements

The acidity in aqueous solutions following release of acid components from glass ionomer, silicate, zinc phosphate and zinc polycarboxylate cements has been registered by pH measurements. One brand of each type was studied. Initial setting was accomplished at two different temperatures; 23 degrees C and in the interval from 23 degrees C to about 60 degrees C. In the latter case external heat was transferred to the samples by infrared radiation for a period of 2 min. The highest acidity was associated with the silicate specimen, while the lowest acidity was recorded for the zinc polycarboxylate specimen. Exposure to infrared radiation resulted in a reduced acidity for all types of cements. The effect of infrared exposure was most pronounced for the silicate specimens, resulting in a reduction of acid release by a factor of about 10 compared to the nontreated samples. The resistance to acid release was found to be improved by a factor of about 5 for the glass ionomer and about 3 for the zinc phosphate cement treated in a similar way. Clinically, it seems possible considerably to reduce the risk of pulpal injuries associated with the insertion of silicate restorations by using a moderate infrared radiation treatment. Furthermore, the susceptibility of glass ionomer cements to a high initial erosion should be reduced by the use of such a technique. After exposure of the glass ionomer and silicate specimens to infrared radiation at the temperature interval applied, the samples had a more glossy, tooth-like appearance compared to the nonexposed samples, improving the aesthetic properties.