Three-dimensional surface profile analysis of different types of flowable restorative resins following different finishing protocols.

J Contemp Dent Pract. 2007;8(5):9-17

Authors: Yazici AR, Müftü A, Kugel G

AIM: The aim of this study was to investigate the surface roughness of different types of flowable restorative resins and compare the effectiveness of diamond finishing burs followed by aluminum oxide discs with aluminum oxide discs alone in producing smooth surfaces. METHODS AND MATERIALS: Twenty-four specimens (10 mm X 2 mm) for each flowable resin (flowable microhybrid composite, flowable liquid microhybrid composite, flowable compomer, and flowable ormocer) were fabricated in an acrylic mold and randomly assigned to three groups. In group I samples were left undisturbed after the removal of a Mylar strip (control). In group II samples were polished with diamond finishing burs, followed by aluminum oxide discs. In group III samples were finished with only aluminum oxide discs. The mean surface roughness (Ra, microm) was determined with 3-D non-contact interferometry. Data were subjected to one way analysis of variance (ANOVA), and post hoc comparison was accomplished using Tukey's HSD. RESULTS: Although significant differences in surface roughness (Ra) values were observed among the materials using a Mylar strip (control), no significant differences between restorative materials were found when all finishing/polishing methods were combined. For all flowable restorative resins tested, the Mylar strip produced surfaces smoother than those produced by a diamond finishing bur followed by a disc or by using discs alone. Surface roughness values were statistically similar for a diamond finishing bur followed by a disc and for disc treated surfaces within each material except for Dyract Flow, a flowable compomer. CONCLUSION: Although the surface roughness of flowable restorative resins differs among the types, this difference can be overcome with different finishing/polishing methods.

PMID: 17618325 [PubMed - indexed for MEDLINE]

Er:Yag laser irradiation of the microbiological apical biofilm.

Braz Dent J. 2006;17(4):296-9

Authors: Araki AT, Ibraki Y, Kawakami T, Lage-Marques JL

One problem in cases of healing-resistant periapical lesions is to eradicate the contamination at the periapical area. This contamination is due to the microbiological biofilm formed by microorganisms and their subproducts lodged in apical third of the root, on both cementum and dentin surface. Paraendodontic surgery consists of the mechanical removal of harmful agents to promote healing and periapical health. The purpose of this study was to assess the results of Er:YAG laser irradiation on the apical root third of newly extracted teeth to eliminate microbial contamination on root apex surface. Apical irradiation was performed with an Er:YAG laser device using an experimental contact tip, at 100 mJ, 10 Hz, 1 W, 39 J/cm(2), 3 times on the target area. SEM analysis showed the elimination of part of the irradiated cementum and the formation of small roughened without exposing the subjacent dentin. Vaporization of the remaining periodontal tissue and removal of microbiological apical biofilm (MAB) were also observed on the irradiated areas. Under the tested conditions and based on the findings of this study, Er:YAG laser may be considered effective for removal of microbiological apical biofilm.

PMID: 17262142 [PubMed - indexed for MEDLINE]

Effect of surface treatment on the shear bond strength of a resin-based cement to porcelain.

Braz Dent J. 2006;17(4):290-5

Authors: Nagayassu MP, Shintome LK, Uemura ES, Araújo JE

The purpose of this in vitro study was to evaluate the effect of different surface treatments on the shear bond strength of a resin-based cement to porcelain. Sixty pairs of 50% aluminous porcelain discs were fabricated. In each pair, one disc measured 6 mm in diameter X 3 mm thickness (A) and the other measured 3 mm in diameter X 3mm thickness (B). The specimens were randomly assigned to 6 groups (n=10 pairs of discs), according to the surface treatment: etching with 10% hydrofluoric acid for 2 or 4 min (G1 and G2); 50-microm particle aluminum oxide sandblasting for 5 s (G3); sandblasting followed by etching for 2 or 4 min (G4 and G5) and control--no treatment (G6). A silane agent was applied to the treated surface of both discs of each pair. Bistite II DC dual-cure resin cement was applied and the B discs were bonded to their respective A discs. Specimens were stored in distilled water at 37 degrees C for 24 h and were tested in shear strength at a crosshead speed of 2 mm/min. Means in MPa were: G1: 14.21 +/- 4.68; G2: 8.92 +/- 3.02; G3: 10.04 +/- 2.37; G4: 12.74 +/- 5.15; G5: 10.99 +/- 3.35; G6: 6.09 +/- 1.84. Data were compared by one-way ANOVA and Tukey's test at 5% significance level. Bond strength recorded after 2-min acid etching was significantly higher than 4-min etching (p<0.05) and control (p<0.05), but did not differ significantly from sandblasting alone (p>0.05) or followed by etching for 2 or 4 min (p>0.05). Within the limitations of an in vitro study, it may be concluded that 2-min hydrofluoric acid etching produced a favorable micromechanical retention that enhanced resin cement bond strength to porcelain.

PMID: 17262141 [PubMed - indexed for MEDLINE]

Polishing methods of an alumina-reinforced feldspar ceramic.

Braz Dent J. 2006;17(4):285-9

Authors: Bottino MC, Valandro LF, Kantorski KZ, Bressiani JC, Bottino MA

The purpose of this study was to test the hypothesis that mechanical polishing methods of ceramic surfaces allow similar superficial roughness to that of glazed surfaces. Twenty-five Vitadur Alpha ceramic discs (5 mm x 2 mm) were prepared according to the manufacturer's specifications. All specimens were glazed and randomly assigned to 5 groups (n=5), according to finishing and polishing protocols: G1: glazed (control); G2: diamond bur finishing; G3: G2 + silicon rubber tip polishing; G4: G3 + felt disc/diamond polishing paste; G5: G3 + felt disc impregnated with fine-particle diamond paste. Next, surface roughness means (Ra - microm) were calculated. Qualitative analysis was made by scanning electron microscopy. Surface roughness data were submitted to ANOVA and Tukey's test at 5% significance level. G1 and G4 were statistically similar (p>0.05). G2 presented the highest roughness means (p<0.05) followed by groups G3, G5, G4 and G1 in a decreasing order. The hypothesis was partially confirmed as only the mechanical polishing (G4) produced similar superficial roughness to that of surface glazing, although finishing and polishing are technically critical procedures.

PMID: 17262140 [PubMed - indexed for MEDLINE]

Scanning electron microscopic and profilometric study of different sharpening stones.

Braz Dent J. 2006;17(3):237-42

Authors: Andrade Acevedo RA, Cardozo AK, Sampaio JE

Scaling and root planing contribute to the recovery of periodontal health. All periodontal instruments loose their fine cutting angle after use. To maintain this angle, correct sharpening is required using specifically designed stones. The characteristics of sharpening stones can be compared to the blade of the instruments and also transported to root surface during instrumentation. Root smoothness is related to the quality of the blade. Therefore, the purpose of this study was to evaluate the characteristics of 9 sharpening stones by scanning electron microscopic and profilometric analyses. Ceramic and Neumar stones were very fine and both may be recommended to maintain the sharpness of the instruments. Arkansas, Thompson and CE stones presented greater roughness with very regular and round particles, and are suitable for maintenance of the cutting angle. In addition, these stones may be indicated for the routine sharpening of the instruments that are partly dull. Oxide Aluminum, Carborundum and JON stones were the coarsest with large irregular particles and may be indicated for initial sharpening of totally dull instruments with completion of sharpening with finer stones.

PMID: 17262132 [PubMed - indexed for MEDLINE]

Surface roughness of a dental ceramic after polishing with different vehicles and diamond pastes.

Braz Dent J. 2006;17(3):191-4

Authors: Camacho GB, Vinha D, Panzeri H, Nonaka T, Gon&#xE7;alves M

During fabrication of bonded ceramic restorations, cervical adaptation, occlusal adjustment and final finishing/polishing are procedures to be performed at the dental office after adhesive cementation. Final adjustments may result in loss of ceramic glaze, which requires new polishing of the ceramic surface, with special attention for selection of adequate materials and instruments. The purpose of this study was to evaluate the efficiency of different vehicles associated with diamond pastes indicated for dental ceramic polishing. Two polishing pastes (Crystar Paste and Diamond Excell) associated with four vehicles (rubber cup, Robinson bristle brush, felt wheel and buff disc) were evaluated. Disc-shaped specimens were fabricated from Ceramco II dental ceramic. Surface roughness means (Ra) of the ceramic specimens were determined with a rugosimeter. Data were analyzed statistically by two-way ANOVA and Tukey's test at 5% significance level. There was no statistically significant difference (p>0.01) between the polishing pastes. However, there were statistically significant differences (p<0.01) among the tested vehicles. Vehicle-paste interaction showed statistically significant difference (p<0.05) as well. It may be concluded that: 1) Robinson bristle brush, felt wheel and buff disc were efficient vehicles to be used in association with a diamond polishing paste; 2) The use of rubber cup as a vehicle showed poor efficiency for mechanical polishing of the ceramic surfaces; 3) Both pastes provided similar and efficient polishing and may be recommended for use with an appropriated vehicle.

PMID: 17262123 [PubMed - indexed for MEDLINE]

Antagonist enamel wears more than ceramic inlays.

J Dent Res. 2006 Dec;85(12):1097-100

Authors: Krämer N, Kunzelmann KH, Taschner M, Mehl A, Garcia-Godoy F, Frankenberger R

Wear phenomena of ceramic inlays are not fully understood. The aim of the present study was to evaluate ceramic wear, antagonist enamel wear, and luting cement wear over 8 years. The two-fold null hypothesis was that there would be (1) no difference in wear behavior between ceramic and enamel, and (2) no influence of filler content of luting composites on composite wear. From 96 restorations, 36 Class II inlays from 16 participants were selected. For inlays with opposing enamel cusps (n=17), replicas of inlays and enamel were scanned with a 3-D laser scanner. Luting gaps of inlays (n=36) were analyzed with a profilometer, including 3-D data analysis. Ceramic and enamel wear increased between 4 and 8 years, with significantly higher values for enamel after 6 years (p<0.05). Luting gap wear increased continuously up to 8 years (p<0.05), with no influence of luting composites (p>0.05) and location of teeth (p>0.05).

PMID: 17122161 [PubMed - indexed for MEDLINE]

Apparent interfacial fracture toughness of resin/ceramic systems.

J Dent Res. 2006 Nov;85(11):1037-41

Authors: Della Bona A, Anusavice KJ, Mecholsky JJ

We suggest that the apparent interfacial fracture toughness (K(A)) may be estimated by fracture mechanics and fractography. This study tested the hypothesis that the K(A) of the adhesion zone of resin/ceramic systems is affected by the ceramic microstructure. Lithia disilicate-based (Empress2-E2) and leucite-based (Empress-E1) ceramics were surface-treated with hydrofluoric acid (HF) and/or silane (S), followed by an adhesive resin. Microtensile test specimens (n = 30; area of 1 +/- 0.01 mm(2)) were indented (9.8 N) at the interface and loaded to failure in tension. We used tensile strength (sigma) and the critical crack size (c) to calculate K(A) (K(A) = Ysigmac(1/2)) (Y = 1.65). ANOVA and Weibull analyses were used for statistical analyses. Mean K(A) (MPa.m(1/2)) values were: (E1HF) 0.26 +/- 0.06; (E1S) 0.23 +/- 0.06; (E1HFS) 0.30 +/- 0.06; (E2HF) 0.31 +/- 0.06; (E2S) 0.13 +/- 0.05; and (E2HFS) 0.41 +/- 0.07. All fractures originated from indentation sites. Estimation of interfacial toughness was feasible by fracture mechanics and fractography. The K(A) for the systems tested was affected by the ceramic microstructure and surface treatment.

PMID: 17062746 [PubMed - indexed for MEDLINE]

Influence of surface roughness on crack formation in a glass-ceramic bonded to a resin composite base.

J Oral Sci. 2006 Sep;48(3):125-30

Authors: Yamamoto T, Nishiura R, Momoi Y

The objective of the present study was to assess the influence of the roughness of a loaded surface on crack formation in a mica-based glass-ceramic bonded to a resin composite base. Five different surface roughnesses were created on glass-ceramic discs by serial wet-grinding with silicone carbide abrasives. The thicknesses of the ceramic discs were 1.50 +/- 0.01 mm. Resin composite discs were bonded to the ceramic surfaces opposite to the ground surfaces using an adhesive resin composite cement and a silane coupling agent. A compressive load was then applied at the center of the ground ceramic surface. The loads at initial radial and cone crack formations in the ceramic were measured macroscopically. In three of the five groups, the initial radial crack formations could not be observed due to the high roughness of these surfaces. Statistical analysis was performed using Student's t test for initial radial cracks and one-way ANOVA for the cone cracks. There were no significant differences between the two groups for the initial radial cracks or among the five groups for the cone cracks (P < 0.05). The roughness of the loaded surface had no influence on crack formation in the bonded mica-based glass-ceramic.

PMID: 17023744 [PubMed - indexed for MEDLINE]

Porcelain surface-conditioning techniques and the shear bond strength of ceramic brackets.

Eur J Orthod. 2006 Oct;28(5):440-3

Authors: T&#xFC;rkkahraman H, Küçükesmen HC

The aim of this study was to compare the effects of various porcelain surface-conditioning techniques, used either alone or in combination, on the shear bond strength (SBS) of ceramic brackets cured with a light emitting diode (LED). Thirty glazed porcelain facets were randomly divided into three groups of 10. In group I, the porcelain surfaces were etched with 9.6 per cent hydrofluoric acid (HFA) for 2 minutes before silane application, in group II, the porcelain surfaces were sandblasted with aluminium oxide particles, etched with 9.6 per cent HFA for 2 minutes, and silane applied, and in group III, the porcelain surfaces were sandblasted with aluminium oxide particles before silane application. Spirit ceramic brackets were bonded with a light-cured composite resin (Light Bond) and a LED. All specimens were stored in distilled water at 37 degrees C for 24 hours and thermocycled. Bond strength was determined in shear mode at a crosshead speed of 0.5 mm/minute until fracture occurred. Analysis of variance indicated a significant difference between groups (P < 0.001). The lowest SBS was found in group III (5.46 +/- 1.34, P < 0.001). No significant difference was found between group I (11.38 +/- 1.65) and group II (10.45 +/- 1.15; P > 0.05). Surface treatment with HFA and a silane coupling agent produced the highest bond strength. Sandblasting before HFA and silane application did not significantly increase bond strength. Silane application to sandblasted porcelain provided poor results in vitro and clinical trials are needed to determine its reliability for bonding ceramic brackets to ceramic crowns.

PMID: 16916898 [PubMed - indexed for MEDLINE]

Shear bond strength of new and recycled brackets to enamel.

Braz Dent J. 2006;17(1):44-8

Authors: Tavares SW, Consani S, Nouer DF, Magnani MB, Nouer PR, Martins LM

The purpose of this study was to evaluate in vitro the shear bond strength of recycled orthodontic brackets. S2C-03Z brackets (Dental Morelli, Brazil) were bonded to the buccal surfaces of 50 extracted human premolars using Concise Orthodontic chemically cured composite resin (3M, USA). The teeth were randomly assigned to 5 groups (n=10), as follows. In group I (control), the bonded brackets remained attached until shear testing (i.e., no debonding/rebonding). In groups II, III and IV, the bonded brackets were detached and rebonded after recycling by 90-microm particle aluminum oxide blasting, silicon carbide stone grinding or an industrial process at a specialized contractor company (Abzil-Lancer, Brazil), respectively. In group V, the bonded brackets were removed and new brackets were bonded to the enamel surface. Shear bond strength was tested in an Instron machine at a crosshead speed of 0.5 mm/min. Data were analyzed statistically by ANOVA and Tukey's test at 5% significance level. There was no statistically significant difference (p>0.05) between the control brackets (0.52 kgf/mm2), brackets recycled by aluminum oxide blasting (0.34 kgf/mm2) and new brackets attached to previously bonded teeth (0.43 kgf/mm2). Brackets recycled by the specialized company (0.28 kgf/mm2) and those recycled by silicon carbide stone grinding (0.14 kgf/mm2) showed the lowest shear strength means and differed statistically from control brackets (0.52 kgf/mm2) (p<0.05). In conclusion, the outcomes of this study showed that bracket recycling using 90-microm aluminum oxide particle air-abrasion was efficient and technically simple, and might provide cost reduction for orthodontists and patients alike.

PMID: 16721464 [PubMed - indexed for MEDLINE]

Early biofilm formation and the effects of antimicrobial agents on orthodontic bonding materials in a parallel plate flow chamber.

Eur J Orthod. 2006 Feb;28(1):1-7

Authors: Chin MY, Busscher HJ, Evans R, Noar J, Pratten J

Decalcification is a commonly recognized complication of orthodontic treatment with fixed appliances. A technology, based on a parallel plate flow chamber, was developed to investigate early biofilm formation of a strain of Streptococcus sanguis on the surface of four orthodontic bonding materials: glass ionomer cement (Ketac Cem), resin-modified glass ionomer cement (Fuji Ortho LC), chemically-cured composite resin (Concise) and light-cured composite resin (Transbond XT). S. sanguis was used as it is one of the primary colonizers of dental hard surfaces. Artificial saliva was supplied as a source of nutrients for the biofilms. The effects of two commercially available mouthrinses (i.e. a fluoride containing rinse and chlorhexidine) were evaluated. Initial colonization of the bacterium was assessed after 6 hours of growth by the percentage surface coverage (PSC) of the biofilm on the disc surfaces. There were statistically significant differences in bacterial accumulation between different bonding materials (P < 0.05), Concise being the least colonized and Transbond XT being the most colonized by S. sanguis biofilms. All materials pre-treated with 0.05 per cent sodium fluoride mouthrinse showed more than 50 per cent reduction in biofilm formation. The 0.2 per cent chlorhexidine gluconate mouthrinse caused significant reduction of biofilm formation on all materials except Ketac Cem. This in vitro study showed that the use of a chemically-cured composite resin (Concise) reduced early S. sanguis biofilm formation. Also, fluoride had a greater effect in reducing the PSC by S. sanguis biofilms than chlorhexidine. Rinsing with 0.05 per cent sodium fluoride prior to placement of orthodontic appliances is effective in reducing early biofilm formation.

PMID: 16373451 [PubMed - indexed for MEDLINE]

Clinical pearl: LingLock--the flossable fixed retainer.

J Orthod. 2005 Dec;32(4):241-3

Authors: Amundsen OC, Wisth PJ

The present article describes a new product for long-term retention of the lower dental arch. The LingLock is a fixed bonded retainer from canine to canine in the lower front made up of separate, but co-working retention elements in the ceramic material aluminium oxide (Al2O3). The LingLock retainer enables the patient to floss the teeth in a regular manner in the actual retention area.

PMID: 16333044 [PubMed - indexed for MEDLINE]

Efficacy of ultrasound in removal of intraradicular posts using different techniques.

J Oral Sci. 2005 Sep;47(3):117-21

Authors: Braga NM, Alfredo E, Vansan LP, Fonseca TS, Ferraz JA, Sousa-Neto MD

The efficacy of ultrasound in removing cast metal posts was evaluated in this in vitro study using one or two ultrasound units and ultrasonic vibration for various lengths of time. The crowns of 30 healthy maxillary canines were removed, the roots were embedded in acrylic resin blocks, and the root canals were treated endodontically. The canals were prepared and their impressions were taken with self-curing acrylic resin. After casting with copper-aluminum alloy, the posts were blasted with aluminum oxide and cemented with Panavia F resin cement. The specimens were divided into five groups. In groups I and II, only one ultrasound unit was used for 30 and 60 s, respectively; in groups III and IV, two ultrasound units were used simultaneously for 30 and 60 s, respectively; in group V, ultrasound was not used (control). Ultrasonic vibrations were applied with an Enac OE-5 ultrasound unit and an ST-09 tip. All samples were subjected to traction on an Instron machine (model 4444) at a cross-head speed of 1 mm/min. Analysis of the results revealed a statistically significant difference between the groups (ANOVA, P < 0.01); however the difference between groups II and IV was not statistically significant. The efficacy of ultrasound in removing intraradicular posts was confirmed, and the most effective technique was the use of two ultrasound units, independent of the length of time ultrasound was applied.

PMID: 16313088 [PubMed - indexed for MEDLINE]

Load-to-fracture value of different all-ceramic crown systems.

J Contemp Dent Pract. 2005 Nov 15;6(4):54-63

Authors: Snyder MD, Hogg KD

OBJECTIVES: The purpose was to investigate the potential difference in the load-to-fracture values of several all-ceramic crown systems. Five different coping-reinforced all-ceramic crown systems were selected. Ten crowns from each system were fabricated and luted to standardized titanium dies. METHODS: The study consisted of five groups of ten samples each, all luted using G.C. Link Max resin adhesive cement. Group A: IPS Eris, Group B: Cerac In-lab Alumina coping, Group C: Cerac In-lab Zirconia coping, Group D: Procera AllCeram Alumina coping, and Group E: Procera Zirconia coping. Following cementation, the samples were placed under a 5 Kg static load for 10 minutes insuring proper seating and stored in 100% humidity for one week. All samples were visually inspected prior to testing and were loaded to fracture at the rate of 0.5 mm/min using a universal-testing machine. RESULTS: Group A = 321.49 KgF +/- 113.69 (S.D.), Group B = 288.63 +/- 102.82 (S.D.), Group C = 266.58 +/- 69.17 (S.D.), Group D = 295.49 +/- 80.54 (S.D.), and Group E = 420.37 +/- 82.45 (S.D.). The data were analyzed using an unpaired t-test; this indicated a statistical difference between group E and all of the others (P-value =0.039). CONCLUSIONS: We concluded under these conditions, the Procera Zirconia crown system has significant higher load-to-fracture value than several other all-ceramic crown systems.

PMID: 16299607 [PubMed - indexed for MEDLINE]

Characterization of titanium surfaces for dental implants with inorganic contaminant.

Braz Oral Res. 2005 Apr-Jun;19(2):106-11

Authors: Diniz MG, Pinheiro MA, Andrade Junior AC, Fischer RG

The aim of this research was to characterize titanium surfaces blasted with aluminum oxide (Al2O3) particles using the KS 400 digital image processing program. Samples of grade II titanium plates were submitted to blasting processes using particles of Al2O3, and treated with a hydrofluoric acid-based solution. Three digital images from each sample surface were obtained using Scanning Electron Microscopy, and half-quantitative chemical analyses were subsequently performed using Electron Dispersive Spectroscopy (EDS). In addition, parameters related to the alumina phase, such as the concentration level, the area and perimeter of the particles and their circular form factor were measured using KS 400. The mechanical/chemical treatment caused depressions up to 10 microm on homogeneous surfaces. Although the chemical attack significantly removed the alumina phase, residual particles could still be identified by the EDS. The average area occupied by the alumina phase on the samples surfaces was 469.32 (+/- 284.98) microm2, the particle average perimeter was 81.61 (+/- 27.68) microm, and the mean circular form factor was 0.60 (+/- 0.05). Characterizing the titanium surface is essential in the evaluation of the material manufacturing process because the presence of residual aluminum particles may have deleterious effects on the formation of the osseous/implant tissue.

PMID: 16292442 [PubMed - indexed for MEDLINE]

Toughness in synthetic and biological multilayered systems.

Philos Transact A Math Phys Eng Sci. 2002 Feb 15;360(1791):199-209

Authors: Calvert P, Cesarano J, Chandra H, Denham H, Kasichainula S, Vaidyanathan R

Toughness in hard biological tissues is associated with fibrous or lamellar structures that deflect or stop growing cracks. In some cases, such as nacreous shell, protein interlayers absorb much of the crack energy. In other tissues, such as tooth enamel, the toughness derives from the mineral microstructure, and the small amount of residual protein apparently has little effect. There have been a number of efforts to make tough synthetic materials using layered structures. In this work, freeform fabrication has been used to make layered structures with a view to introducing similar toughness into brittle materials. Results are presented for epoxy-glass composites with glass fabric interlayers, porous alumina back-filled with aluminium metal, and layered glass-ceramic/silver materials.

PMID: 16210177 [PubMed - indexed for MEDLINE]

An investigation into the bonding of orthodontic attachments to porcelain.

Eur J Orthod. 2006 Feb;28(1):74-7

Authors: Larmour CJ, Bateman G, Stirrups DR

This study assessed bonding of orthodontic brackets to porcelain teeth using two different surface preparation techniques and comparing two bonding systems, Fuji Ortho L.C. and Transbond. Four groups of 20 porcelain premolar teeth were bonded with metal orthodontic brackets (0.022 inch Minitwin, 3M Unitek) according to the following protocol: Transbond with a phosphoric acid etch (group 1), Transbond with a hydrofluoric acid etch (group 2), Fuji Ortho L.C. with a hydrofluoric acid etch (group 3), and Fuji Ortho L.C. with a phosphoric acid etch (group 4). All groups were bonded with a silane coupling agent. The teeth were debonded with an Instron universal testing machine. Bond strength, site of bond failure and adhesive remnant index (ARI) were recorded for each group. Differences between groups were analysed statistically. The composite resin groups (groups 1 and 2) had the highest mean bond strength values at 7.9 and 9.7 MPa, respectively. The resin-modified glass ionomer cement groups (RMGIC; groups 3 and 4) had the lowest mean bond strength values at 6.3 and 1.8 MPa, respectively. The mean bond strength of group 3 was significantly lower than all other groups (P < 0.0001). The Fuji groups had also significantly (P < 0.001) lower ARI scores than the composite groups (groups 1 and 2). Most samples experienced porcelain surface damage, except group 4. In conclusion, the highest bond strength levels were achieved with a conventional composite resin cement (groups 1 and 2). No significant differences in bond strength were found between the hydrofluoric and phosphoric acid etch technique.

PMID: 16199411 [PubMed - indexed for MEDLINE]

Surface roughness of new microhybrid resin-based composites.

J Am Dent Assoc. 2005 Aug;136(8):1106-12

Authors: Gedik R, H&#xFC;rmüzlü F, Coşkun A, Bektaş OO, Ozdemir AK

BACKGROUND: Rough, poorly polished resin-based composite (RBC) surfaces contribute to staining, plaque accumulation, gingival irritation and recurrent caries. Proper finishing and polishing enhance both the esthetics and the longevity of restored teeth. METHODS: The authors evaluated the influence of various finishing and polishing techniques on the surface roughness of four microhybrid RBCs. Thirty samples of each material were cured under Mylar matrix strips (Yates and Bird/Motloid, Chicago). All microhybrid RBC specimens were finished with multifluted carbide burs, except for the Mylar matrix strip samples, and then were polished using one of four finishing systems: Sof-Lex contouring and polishing disks (3M ESPE, St. Paul, Minn.); Enhance Finishing System (Dentsply-Caulk, Milford, Del.) followed by Prisma Gloss (Dentsply-Caulk) polishing paste application; Astropol finishing, polishing and high-gloss polishing system (Ivoclar Vivadent, Schaan, Liechtenstein); and Astrobrush polishing system (Ivoclar Vivadent). The authors tested the samples to obtain average surface roughness and analyzed the values. RESULTS: The use of the Astrobrush technique caused the greatest roughness on all RBC specimens. The smoothest surface was produced with a carbide bur followed by aluminum oxide disks, Astropol technique and Enhance technique. Overall, there were differences in surface quality among the materials. InTen-S (Ivoclar Vivadent) had statistically lower surface roughness values after finishing and polishing with the Astrobrush technique, compared with the other RBCs. CONCLUSION: The highest surface roughness values were achieved after the Astrobrush technique was used. The Sof-Lex aluminum oxide disks, and Enhance and Astropol techniques provided the smoothest surface. CLINICAL IMPLICATIONS: The Sof-Lex, Enhance and Astropol techniques produced a smooth surface after the finishing and polishing of materials, while the Astrobrush technique yielded the least favorable results.

PMID: 16161365 [PubMed - indexed for MEDLINE]

Evaluation of the castability of a Co-Cr-Mo-W alloy varying the investing technique.

Braz Dent J. 2005;16(1):50-5

Authors: Carreiro Ada F, Ribeiro RF, Mattos Mda G, Rodrigues RC

The purpose of this study was to compare the castability of Co-Cr-Mo-W (Remanium 2000), Ni-Cr (Durabond) and Co-Cr-Mo (Vera PDI) alloys invested with either conventional (phosphate- and silica-based) or mixed investing techniques. A 10 X 10 mm square-shaped nylon net containing 100 open squares served as a template for construction of wax patterns, which were invested with phosphate-based investment (Termocast), silica-based investment (Refrafil) and mixed investing technique (2-mm layer phosphate investment plus filling with silica investment). Forty-five cast specimens (5 per experimental condition) were obtained and sandblasted with aluminum oxide. The number of completely reproduced cast segments was counted to obtain a percentage designated "castability value", which indicated the accuracy of the alloy to reproduce mold details. Statistical analysis using two-way ANOVA and Tukey's test showed that, comparing the alloys, Remanium 2000 had statistically similar castability (p>0.05) to Vera PDI and lower than Durabond (p<0.05). Considering the mixed technique results, Remanium 2000 yielded lower castability value (p<0.05) than Durabond and Vera PDI alloys, which showed similar results to each other (p>0.05). In conclusion, the castability of the Co-Cr-Mo-W alloy (Remanium 2000) was comparable to that of the Co-Cr alloy (Vera PDI) and worse than that of the Ni-Cr alloy (Durabond). Except for Remanium 2000, the mixed investing technique considerably improved the accuracy of the alloys to reproduce cast details, compared to the phosphate-based investment. The mixed investing technique appears as a viable alternative to improve castability of base metal alloys without decreasing the surface quality of the metallic pieces.

PMID: 16113934 [PubMed - indexed for MEDLINE]

Effect of different finishing and polishing techniques on the surface roughness of microfilled, hybrid and packable composite resins.

Braz Dent J. 2005;16(1):39-44

Authors: Barbosa SH, Zanata RL, Navarro MF, Nunes OB

This study examined the average surface roughness (Ra, microm) of 2 microfilled (Durafill and Perfection), 1 hybrid (Filtek Z250) and 2 packable composite resins (Surefil and Fill Magic), before (baseline) and after eight different finishing and polishing treatments. The surface roughness was assessed using a profilometer. Ten specimens of each composite resin were randomly subjected to one of the following finishing/polishing techniques: A -- carbide burs; B -- fine/extrafine diamond burs; C -- Sof-Lex aluminum oxide discs; D -- Super-Snap aluminum oxide discs; E -- rubber polishing points + fine/extrafine polishing pastes; F -- diamond burs + rubber polishing points + fine/extrafine polishing pastes; G -- diamond burs + Sof-Lex system; H -- diamond burs + Super-Snap system. Data were analyzed using two-way ANOVA and Tukey's HSD test. Significant differences (p<0.05) were detected among both the resins and the finishing/polishing techniques. For all resins, the use of diamond burs resulted in the greatest surface roughness (Ra: 0.69 to 1.44 microm). The lowest Ra means were obtained for the specimens treated with Sof-Lex discs (Ra: 0.11 to 0.25 microm). The Ra values of Durafill were lower than those of Perfection and Filtek Z250, and these in turn had lower Ra than the packable composite resins. Overall, the smoothest surfaces were obtained with the use the complete sequence of Sof-Lex discs. In areas that could not be reached by the aluminum oxide discs, the carbide burs and the association between rubber points and polishing pastes produced satisfactory surface smoothness for the packable and hybrid composite resins, respectively.

PMID: 16113932 [PubMed - indexed for MEDLINE]

Microleakage on Class V glass ionomer restorations after cavity preparation with aluminum oxide air abrasion.

Braz Dent J. 2005;16(1):35-8

Authors: Corona SA, Borsatto MC, Rocha RA, Palma-Dibb RG

This in vitro study assessed the marginal microleakage on class V cavities prepared with aluminum oxide air abrasion and restored with different glass ionomer cements. The cavities were prepared on the buccal and lingual surfaces of 15 sound third molars with an air- abrasion device (Kreativ Mach 4.1; New Image) using a 27.5-microm aluminum oxide particle stream, and were assigned to 3 groups of 10 cavities each. The restorative materials were: group I, a conventional glass ionomer cement (Ketac-Fil); groups II and III, resin-modified glass ionomer cements (Vitremer R and Fuji II LC, respectively). After placement of the restorations, the teeth were stored in distilled water at 37 degrees C for 24 h, polished and then submitted to a thermocycling regimen of 500 cycles, isolated, immersed in 0.2% Rhodamine B solution for 24 h, included and serially sectioned. Microleakage was assessed by viewing the specimens under an optical microscope connected to a color video camera and a computer. The images obtained were digitized and analyzed for microleakage using software that allows for a standard quantitative assessment of dye penetration in millimeters. Statistical analysis was done using the Kruskall-Wallis and Wilcoxon tests. Means of dye penetration (%) were: occlusal - I: 25.76 +/- 34.35, II: 20.00 +/- 42.16, III: 28.25 +/- 41.67; cervical - I: 23.72 +/- 41.84; II: 44.22 +/- 49.69, III: 39.27 +/- 50.74. No statistically significant differences (p>0.05) were observed among either the glass ionomer cements or the margins. In conclusion, class V cavities restored with either conventional or resin-modified glass ionomer cements after preparation with aluminum oxide air abrasion did not show complete sealing at the enamel and dentin/cementum margins.

PMID: 16113931 [PubMed - indexed for MEDLINE]

Global Voices of Science. Of stones and health: medical geology in Sri Lanka.

Science. 2005 Aug 5;309(5736):883-5

Authors: Dissanayake C

PMID: 16081722 [PubMed - indexed for MEDLINE]

The influence of accelerating the setting rate by ultrasound or heat on the bond strength of glass ionomers used as orthodontic bracket cements.

Eur J Orthod. 2005 Oct;27(5):472-6

Authors: Algera TJ, Kleverlaan CJ, de Gee AJ, Prahl-Andersen B, Feilzer AJ

Conventional glass ionomer cements (GICs) may be a viable option for bracket bonding when the major disadvantages of these materials, such as the slow setting reaction and the weak initial bond strength, are solved. The aim of this in vitro study was to investigate the influence of ultrasound and heat application on the setting reaction of GICs, and to determine the tensile force to debond the brackets from the enamel. A conventional fast-setting GIC, Fuji IX Fast, and two resin-modified glass ionomer cements (RMGICs), Fuji Ortho LC and Fuji Plus, were investigated. Three modes of curing were performed (n = 10): (1) according to the manufacturer's prescription, (2) with 60 seconds application of heat, or (3) with 60 seconds application of ultrasound. The tensile force required to debond the brackets was determined as the tension 15 minutes after the start of the bonding procedure. The mode of failure was scored according to the Adhesive Remnant Index (ARI) to establish the relative amount of cement remnants on the enamel surface. Curing with heat and ultrasound shortened the setting reaction and significantly (P < 0.05) increased the bond strength to enamel. The ARI scores showed an increase for all materials after heat and ultrasound compared with the standard curing method, most notably after heat application.

PMID: 16049039 [PubMed - indexed for MEDLINE]

Enamel loss at bond-up, debond and clean-up following the use of a conventional light-cured composite and a resin-modified glass polyalkenoate cement.

Eur J Orthod. 2005 Aug;27(4):413-9

Authors: Ireland AJ, Hosein I, Sherriff M

The aim of this study was to determine whether there was any difference in the degree of enamel loss at bond-up, debond and enamel clean-up when two different adhesive systems were tested and with four different methods of enamel clean-up. The adhesive systems were 37 per cent o-phosphoric acid with Transbond XT (group 1) and 10 per cent poly(acrylic acid) conditioner with Fuji Ortho LC (group 2). Using flattened enamel specimens, enamel loss at each stage was determined using a planer surfometer. These stages were: prior to treatment, at pumice prophylaxis, following enamel etching or conditioning and following enamel clean-up. The four clean-up methods were a high-speed tungsten carbide bur, a slow-speed tungsten carbide bur, an ultrasonic scaler and debanding pliers.The results, analysed using non-parametric tests, demonstrated that significantly more enamel loss occurred following the use of 37 per cent o-phosphoric acid than poly(acrylic acid) conditioner (P = 0.001). At debond and prior to clean-up, more adhesive remained on the enamel surface in group 1 than in group 2 (P = 0.005). During the subsequent enamel clean-up and with both adhesive systems, the least enamel loss occurred following the use of the slow-speed tungsten carbide bur and the greatest loss was seen with the ultrasonic scaler or high-speed tungsten carbide bur.Overall, the lowest enamel loss was observed with the poly(acrylic acid) conditioner and Fuji Ortho LC system (group 2) and where enamel clean-up was performed using the slow-speed tungsten carbide bur.

PMID: 16043478 [PubMed - indexed for MEDLINE]

An in vitro comparison of the shear bond strength of a resin-reinforced glass ionomer cement and a composite adhesive for bonding orthodontic brackets.

Eur J Orthod. 2005 Oct;27(5):477-83

Authors: Movahhed HZ, Ogaard B, Syverud M

The shear bond strength (SBS) of a light-cured, resin-reinforced glass ionomer and a composite adhesive in combination with a self-etching primer was compared after different setting times to evaluate when orthodontic wires could be placed. Additionally, the fracture site after debonding was assessed using the Adhesive Remnant Index (ARI). Eighty freshly extracted human premolars were used. Twenty teeth were randomly assigned to each of four groups: (1) brackets bonded with Transbond XT with a Transbond Plus etching primer and debonded within 5 minutes; (2) brackets bonded with Fuji Ortho LC and debonded within 5 minutes; (3) brackets bonded as for group 1 and debonded within 15 minutes; (4) brackets bonded as for group 2 and debonded within 15 minutes. The SBS of each sample was determined with an Instron machine. The mean SBS were, respectively: (1) 8.8 +/- 2 MPa; (2) 6.6 +/- 2.5 MPa; (3) 11 +/- 1.6 MPa and (4) 9.6 +/- 1.6 MPa. Interpolating the cumulative fracture probability by means of a Weibull analysis, the 10 per cent probabilities of fracture for the groups were found to be attained for shear stresses of 6.1, 3.1, 8.3 and 7.1 MPa, respectively. Chi-square testing of the ARI scores revealed that the nature of the remnant did not vary significantly with time, but the type of bonding material could generally be distinguished in leaving more or less than 10 per cent of bonding material on the tooth. After debonding, the Transbond system was likely to leave adhesive on at least 10 per cent of the bonded area of the tooth. The present findings indicate that brackets bonded with either Transbond XT in combination with Transbond Plus etching primer and Fuji Ortho LC had adequate bond strength at 5 minutes and were even stronger 15 minutes after initial bonding.

PMID: 16043469 [PubMed - indexed for MEDLINE]

Influence of temporary cement remnant and surface cleaning method on bond strength to dentin of a composite luting system.

J Oral Sci. 2005 Mar;47(1):9-13

Authors: Kanakuri K, Kawamoto Y, Matsumura H

The aim of the current study was to evaluate the influence of polycarboxylate temporary cement remaining on the dentin surface on the bond strength of a composite luting system. An acrylic resin plate was luted to bovine dentin with a polycarboxylate temporary cement (HY-Bond Temporary Cement Hard, HYB). The temporary cement was not used for the control groups. After removing the temporary cement with an excavator, dentin specimens were divided into five groups; 1) no subsequent treatment, 2) cleaning with a rotational brush (RTB), 3) cleaning with a rotational brush and non-fluoridated flour of pumice, 4) sweeping with an air scaler, and 5) treated with a sonic toothbrush. A silane-treated ceramic disk (IPS Empress) was bonded to each dentin specimen with a composite luting system (Panavia F). Shear testing results showed that the RTB groups exhibited the highest bond strength regardless of the use of temporary cement (P < 0.05). The use of a rotational brush with water coolant is recommended to achieve ideal bond strength between the Panavia F luting system and dentin to which HYB temporary cement was primarily applied.

PMID: 15881223 [PubMed - indexed for MEDLINE]

Isocyanato- and methacryloxysilanes promote Bis-GMA adhesion to titanium.

J Dent Res. 2005 Apr;84(4):360-4

Authors: Matinlinna JP, Lassila LV, Kangasniemi I, Vallittu PK

In dentistry, adhesion promotion with 3-methacryloyloxypropyltrimethoxysilane is usually sufficient, but its hydrolytic stability is a continuous concern. The hydrolytic stability of an alternative, 3-isocyanatopropyltriethoxysilane, was compared with that of conventional 3-methacryloyloxypropyltrimethoxysilane. Two silanes, both in 0.1 and 1.0 vol-% in ethanol-water, were evaluated in the attachment of an experimental bis-phenol-A-diglycidyldimethacrylate (Bis-GMA) resin to grit-blasted (with two different systems) titanium. Silane hydrolysis was monitored by FTIR spectrometry. Bis-GMA resin was applied and photo-polymerized on titanium. The specimens were thermocycled (6000 cycles, 5-55 degrees C). Surface analysis was carried out with scanning electron microscopy. Statistical analysis (ANOVA) showed that the highest shear bond was achieved with 0.1% 3-isocyanatopropyltriethoxysilane (12.5 MPa) with silica-coating, and the lowest with 1.0% 3-methacryloyloxypropyltrimethoxysilane (3.4 MPa) with alumina-coating. The silane, its concentration, and the grit-blasting method significantly affected the shear bond strength (p < 0.05). SEM images indicated cohesive failure of bonding, and, in conclusion, 3-isocyanatopropyltriethoxysilane is a potential coupling agent.

PMID: 15790744 [PubMed - indexed for MEDLINE]

Restoring a single anterior tooth: solutions to a dental dilemma.

J Am Dent Assoc. 2004 Dec;135(12):1725-7

Authors: Christensen GJ

PMID: 15646607 [PubMed - indexed for MEDLINE]

An ex vivo evaluation of resin-modified glass polyalkenoates and polyacid-modified composite resins as orthodontic band cements.

J Orthod. 2004 Dec;31(4):323-8; discussion 301-2

Authors: Knox J, Chye KY, Durning P

OBJECTIVES: The objective of this ex vivo study was to assess the use of resin-modified glass polyalkenoates and polyacid-modified composite resins, as orthodontic band cements. MATERIALS AND METHOD: Plain stainless steel bands were cemented to 350 human extracted third molar teeth using 1 of 7 different cements. Following complete cement cure, half of each sample group was exposed to mechanical stress in a ball mill. Stressed and unstressed samples were tested in tension and the stress at which initial cement failure recorded. The mode of failure was recorded using an adhesive remnant evaluation. RESULTS: The mean band retention stresses offered by the cements studied ranged from 0.96 to 1.56 MPa. Fuji Ortho provided the highest mean band retention stress in "stressed" (1.56 MPa) and "unstressed" (1.45 MPa) states. Exposure to mechanical stress did not appear to significantly influence band retention or mode of cement failure for most cements. Fuji Ortho cement recorded the highest Weibull modulus for all cements tested. Virtually all samples failed at either the cement/enamel or cement band interface. CONCLUSIONS: Significant differences in band displacement stress values and mode of failure were demonstrated between the cements studied. However, generic comparisons were difficult to make.

PMID: 15608348 [PubMed - indexed for MEDLINE]

A 12 month clinical study of bond failures of recycled versus new stainless steel orthodontic brackets.

Eur J Orthod. 2004 Aug;26(4):449-54

Authors: Cacciafesta V, Sfondrini MF, Melsen B, Scribante A

The purpose of this prospective longitudinal randomized study was to compare the clinical performance of recycled brackets with that of new stainless steel brackets (Orthos). Twenty patients treated with fixed appliances were included in the investigation. Using a 'split-mouth' design, the dentition of each patient was divided into four quadrants. In 11 randomly selected patients, the maxillary left and mandibular right quadrants were bonded with recycled brackets, and the remaining quadrants with new stainless steel brackets. In the other nine patients the quadrants were inverted. Three hundred and ten stainless steel brackets were examined: 156 were recycled and the remaining 154 were new. All the brackets were bonded with a self-cured resin-modified glass ionomer (GC Fuji Ortho). The number, cause, and date of bracket failures were recorded over 12 months. Statistical analysis was performed by means of a paired t-test, Kaplan-Meier survival estimates, and the log-rank test. No statistically significant differences were found between: (a) the total bond failure rate of recycled and new stainless steel brackets; (b) the upper and lower arches; (c) the anterior and posterior segments. These findings demonstrate that recycling metallic orthodontic brackets can be of benefit to the profession, both economically and ecologically, as long as the orthodontist is aware of the various aspects of the recycling methods, and that patients are informed about the type of bracket that will be used for their treatment.

PMID: 15366391 [PubMed - indexed for MEDLINE]

The effect of surface finishing and storage solutions on the color stability of resin-based composites.

J Am Dent Assoc. 2004 May;135(5):587-94; quiz 654

Authors: Patel SB, Gordan VV, Barrett AA, Shen C

BACKGROUND: The authors tested the hypothesis that surface-finishing treatments and the type of storage solutions significantly affected the staining of resin-based composites, or RBCs, and unfilled resins, or URs. METHODS: Fifty-four RBC and 54 UR disks were polymerized through a polyester film strip (Mylar, DuPont, Wilmington, Del.) and polished in one of three groups: 1-micrometer aluminum oxide, 15-microm diamond plate and no treatment (polyester film). All specimens were immersed in water for two days and then in coffee, cola or red wine for seven more days at 37 C. The authors recorded tristimulus color measurements before the immersions; after one and two days in water; and after one, two, three and seven days in the storage solutions. RESULTS: Most of the color changes occurred between day 2 in water and day 7 in the staining solution. Analysis of variance showed that the finishing treatment and storage solution significantly influenced the overall color change (deltaE), and interactions occurred between the finishing treatment and the storage solution (P < .0001) for both materials. RBC specimens generally exhibited greater color changes than did UR specimens. The polyester film finishing exhibited the greatest amount of color change, while the diamond finishing exhibited the least amount of color change. Immersion in wine caused the greatest color change for both materials; cola and coffee resulted in the smallest color change for RBC and UR specimens, respectively. CONCLUSIONS: Finishing treatments and storage solutions significantly affect the surface staining of RBC materials. Polyester film finishing and red wine produced the greatest color change after seven days for RBC specimens. CLINICAL IMPLICATIONS: Clinicians should remove the polyester film-finished surface and advise patients that drinking wine could intensify surface staining on RBC restorations.

PMID: 15202750 [PubMed - indexed for MEDLINE]

A clinical study of glass ionomer cement.

Eur J Orthod. 2004 Apr;26(2):185-9

Authors: Oliveira SR, Rosenbach G, Brunhard IH, Almeida MA, Chevitarese O

The aim of this investigation was to compare the clinical performance of a glass ionomer cement (GIC) with a composite resin when used for direct bonding of standard edgewise orthodontic brackets. Fourteen patients (10 females, four males), in whom 242 teeth were bonded with brackets, were divided into two groups: GIC (121 teeth) and composite (121 teeth). The brackets were allocated to alternate quadrants and first-time failures were recorded over a period of 24 months. Data were analysed statistically (non-parametric chi-squared test). The results demonstrated a significantly lower unpreviewed debonding index (UDI) (15.7 per cent) for the composite than for the GIC (28.1 per cent) (P = 0.042). The use of heavy archwires was largely responsible for this difference. No difference was observed when light and medium archwires were used. GIC may be a viable alternative to composite for use with light archwires and with limited treatment objectives.

PMID: 15130042 [PubMed - indexed for MEDLINE]

Evaluation of shear bond strength with different enamel pre-treatments.

Eur J Orthod. 2004 Apr;26(2):179-84

Authors: Abu Alhaija ES, Al-Wahadni AM

The purpose of this study was to investigate the shear bond strengths of two adhesives, Panavia-21 and a composite resin (Transbond XT), with different enamel pre-treatments, acid etching (37 per cent phosphoric acid) and grit blasting (50 microm aluminium oxide particles). The mode of bond failure was also assessed using the modified adhesive remnant index (ARI). Ninety freshly extracted non-carious human premolar teeth were randomly divided into the following groups: (1) Transbond XT, acid-etched enamel surface; (2) Panavia-21, acid-etched enamel surface; (3) Transbond XT, grit-blasted enamel surface; (4) Panavia-21, grit-blasted enamel surface; (5) Transbond XT, acid-etched enamel surface with grit-blasted brackets; (6) Panavia-21, acid-etched enamel surface with grit-blasted brackets. All groups had stainless steel brackets bonded to the buccal surface of each tooth. An Instron universal testing machine was used to determine the shear bond strengths at a crosshead speed of 0.5 mm/second. Statistical analysis was undertaken using analysis of variance and the Tukey test. The mean bond strength values were as follows: group 1, 135.7 +/- 23.0 N; group 2, 181.5 +/- 18.4 N; group 3, 38.4 +/- 27.5 N; group 4, 59.1 +/- 24.1 N; group 5, 106.7 +/- 21.5 N; group 6, 165.3 +/- 21.4 N. Panavia-21 with the acid-etched enamel surface had a significantly higher shear bond strength than the other groups (P < 0.001). This was followed by the composite group with the acid-etched enamel surface. This group differed significantly from the composite and Panavia-21 groups with the grit-blasted tooth surface (P < 0.001) and from the composite and Panavia-21 groups with the acid-etched enamel surface and grit-blasted brackets (P < 0.01). The current findings indicate that Panavia-21 is an excellent adhesive and produces a bond strength that is clinically useful. Enamel surface preparation using grit blasting alone results in a significantly lower bond strength and should not be advocated for clinical use.

PMID: 15130041 [PubMed - indexed for MEDLINE]

Resin-modified glass ionomer, modified composite or conventional glass ionomer for band cementation?--an in vitro evaluation.

Eur J Orthod. 2003 Dec;25(6):609-14

Authors: Millett DT, Cummings A, Letters S, Roger E, Love J

The aims of this study were to compare the mean shear-peel bond strength and predominant site of bond failure of micro-etched orthodontic bands cemented with resin-modified glass ionomer cement (RMGIC; Fuji Ortho LC or 3M Multi-Cure), a modified composite or a conventional GIC. The survival time of bands was also assessed following simulated mechanical stress in a ball mill. One hundred and twenty molar bands were cemented to extracted human third molars. Eighty bands (20 cemented with each cement) were used to assess the debonding force and 40 bands (10 cemented with each cement) were used to determine survival time. The specimens were prepared in accordance with the manufacturers' instructions for each cement. After storage in a humidor at 37 degrees C for 24 hours, the shear debonding force was assessed for each specimen using a Nene M3000 testing machine with a crosshead speed of 1 mm/minute. The predominant site of band failure was recorded visually for all specimens as either at the band/cement or cement/enamel interface. Survival time was assessed following application of mechanical stress in a ball mill. There was no significant difference in mean shear-peel bond strength between the cement groups (P = 0.816). The proportion of specimens failing at each interface differed significantly between cement groups (P < 0.001). The predominant site of bond failure for bands cemented with the RMGIC (Fuji Ortho LC) or the modified composite was at the enamel/cement interface, whereas bands cemented with 3M Multi-Cure failed predominantly at the cement/band interface. Conventional GIC specimens failed mostly at the enamel/cement interface. The mean survival time of bands cemented with either of the RMGICs or with the modified composite was significantly longer than for those cemented with the conventional GIC. The findings indicate that although there appears to be equivalence in the mean shear-peel bond strength of the band cements assessed, the fatigue properties of the conventional GIC when subjected to simulated mechanical stress seem inferior to those of the other cements for band cementation.

PMID: 14700267 [PubMed - indexed for MEDLINE]

Effect of surface roughness on flexural strength of veneer ceramics.

J Dent Res. 2003 Dec;82(12):972-5

Authors: Fischer H, Sch&#xE4;fer M, Marx R

The strength of ceramic restorations depends on the occlusal surface roughness of the veneering porcelain, which is influenced by the final preparation. The hypothesis of the study was that roughnesses below a critical microscopic defect size--based only on fracture mechanics considerations--also affect flexural strength. The bending failure stress was evaluated on standard specimens of 4 veneer ceramics with 4 different surfaces of defined roughnesses, respectively. A linear correlation was found between roughness and failure stress. A "roughness-free" failure stress value was predicted for each tested material. This theoretical value can represent the "true" strength of the respective ceramic material. We conclude from our results that the final preparation of a ceramic restoration is critical to the strength of the material, and that ceramic veneering materials can be compared more objectively with respect to their strength by means of roughness-free strength values.

PMID: 14630897 [PubMed - indexed for MEDLINE]

The leakage of Class II cavities restored with packable resin-based composites.

J Contemp Dent Pract. 2003 Nov 15;4(4):1-11

Authors: Bala O, Uçtasli MB, Unlü I

Recently, new resin-based composites, called "packable" or "condensable" resin composites, are being promoted as amalgam alternatives. The purpose of this study was to evaluate leakage in Class II cavities restored with the five packable resin-based composites. On 45 freshly extracted human molars, cavities were prepared following a standardized pattern in which the Class II cavity had a length of 3.0 mm, width of 2.0 mm, and depth of 1.5 mm occlusally. The proximal box had an axial depth of 1.5 mm and a buccolingual width of 4.0 mm. The cervical margin was located 1.0 mm below the cement enamel junction (CEJ). The teeth were randomly divided into five groups of 8 each. The cavity surface was conditioned with 36% phosphoric acid, rinsed, excess water removed, and a dental bonding adhesive (Prime&Bond NT) was used for all the cavities. The teeth were then restored according to the manufacturer's instructions: Group 1, Surefil; Group 2, Solitaire; Group 3, Alert; Group 4, Filtek P60; and Group 5, Prodigy Condensable. After the restorations were completed, the specimens were finished and polished with an aluminum-oxide-coated disc, thermocycled, stained, sectioned, and viewed under a stereomicroscope for leakage at occlusal/enamel and gingival/dentin margins. All test groups showed that leakage of gingival/dentin margins were greater when compared with leakage of occlusal/enamel margins. At the occlusal/enamel margins, there were no significant differences between the materials; however, at gingival/dentin margins, Filtek P60 and Prodigy Condensable demonstrated less leakage, while Solitaire demonstrated greater leakage.

PMID: 14625591 [PubMed - indexed for MEDLINE]

Origin and migration of the Alpine Iceman.

Science. 2003 Oct 31;302(5646):862-6

Authors: Müller W, Fricke H, Halliday AN, McCulloch MT, Wartho JA

The Alpine Iceman provides a unique window into the Neolithic-Copper Age of Europe. We compared the radiogenic (strontium and lead) and stable (oxygen and carbon) isotope composition of the Iceman's teeth and bones, as well as 40Ar/39Ar mica ages from his intestine, to local geology and hydrology, and we inferred his habitat and range from childhood to adult life. The Iceman's origin can be restricted to a few valleys within approximately 60 kilometers south(east) of the discovery site. His migration during adulthood is indicated by contrasting isotopic compositions of enamel, bones, and intestinal content. This demonstrates that the Alpine valleys of central Europe were permanently inhabited during the terminal Neolithic.

PMID: 14593178 [PubMed - indexed for MEDLINE]

The efficacy of luting all-ceramic crowns with resin-modified glass ionomer cement.

J Am Dent Assoc. 2003 May;134(5):609-12; quiz 632-3

Authors: Snyder MD, Lang BR, Razzoog ME

BACKGROUND: The authors conducted studies to determine if hygroscopic expansion of resin-modified glass ionomer, or RMGI, cement would cause fracture of the sintered aluminum oxide copings of all-ceramic crowns. MATERIALS AND METHODS: The authors scanned standardized dies using computer-aided design/computer-aided manufacture technology. Aluminum oxide copings were fabricated, inspected and luted onto titanium dies. The copings were seated with 11 pounds of force for 10 minutes. The copings were placed in a container with 100 percent humidity and stored at room temperature. At appropriate intervals, the authors inspected the copings with surgical loupes and under microscopic magnification. The authors also inspected the copings before conducting load testing. RESULTS: After six and 12 weeks, the authors found no signs of fracture in any of the 30 copings cemented with one of two RMGI cements. Seventeen additional samples were inspected four years after cementation, and no fractures were evident. In a follow-up study, the authors cemented 18 copings with RMGI cement one week before testing, 10 weeks before testing or 60 weeks before testing. Using a universal testing machine, they loaded the samples to fracture at 0.5 millimeter/minute. Statistical analysis indicated a significant difference in the mean load-to-fracture values between the samples tested one week after cementation and those tested 60 weeks after cementation. CONCLUSIONS: The results showed no fracture of the all-ceramic copings as a result of expansion of the cement alone. The mean load-to-fracture values were significantly greater for the group tested 60 weeks after cementation. CLINICAL IMPLICATIONS: The all-ceramic crowns examined in this study demonstrated excellent esthetics, incorporated a strong coping system and allowed ease of cement choice.

PMID: 12785496 [PubMed - indexed for MEDLINE]

Surface roughness of composite resins after finishing and polishing.

Braz Dent J. 2003;14(1):37-41

Authors: Nagem Filho H, D'Azevedo MT, Nagem HD, Marsola FP

This study evaluated the effect of surface finishing methods on the average surface roughness of resin composites. Seven composites and two polishing systems were used. One hundred and twenty-six conical specimens of each material were prepared in stainless steel molds against a polyester strip. Forty-two of them remained intact and were used as controls. Each half of the remaining samples was polished with either diamond burs or diamond burs + aluminum oxide discs. The results showed no statistical difference in average surface roughness (Ra, microm) between the polyester strip and aluminum oxide discs (p > 0.05). However, finishing with diamond burs showed a statistically higher average roughness for all composites (p < 0.05). Statistical differences were detected among materials (p < 0.05) in the use of diamond burs.

PMID: 12656463 [PubMed - indexed for MEDLINE]

Lifetime prediction of all-ceramic bridges by computational methods.

J Dent Res. 2003 Mar;82(3):238-42

Authors: Fischer H, Weber M, Marx R

There has been limited use of ceramic materials for all-ceramic posterior bridges. Major reasons are the low strength, the strength scatter, and the time-dependent strength decrease of ceramics due to slow crack growth. The objective of this study was to predict the long-term failure probability and loading capability of all-ceramic bridges (Empress 1, Empress 2, In-Ceram Alumina, and ZrO(2)) by computational techniques. The lifetimes of different bridge model designs were predicted by means of the NASA post-processor CARES. Bridges made of zirconia showed a very high mechanical long-term reliability. Empress I and InCeram Alumina seem to be insufficient as posterior bridge materials based on this prediction. The lifetime of the all-ceramic bridges can be significantly increased by improving the design in the connector area. We conclude that computational techniques can help to judge a ceramic material and a specific ceramic bridge design with respect to mechanical reliability before clinical use.

PMID: 12598556 [PubMed - indexed for MEDLINE]

Polymerization with a micro-xenon light of a resin-modified glass ionomer: a shear bond strength study 15 minutes after bonding.

Eur J Orthod. 2002 Dec;24(6):689-97

Authors: Cacciafesta V, Sfondrini MF, Klersy C, Sfondrini G

The purpose of this study was to evaluate the initial shear bond strength (15 minutes after bonding) of a resin-modified glass ionomer (RMGIC, Fuji Ortho LC) cured with two different light-curing units: a conventional visible light (Ortholux XT) and a microxenon light (Aurys). Seventy-five freshly extracted bovine permanent mandibular incisors were randomly assigned to one of five groups; each group consisted of 15 specimens. Group A (Transbond XT) and group B (Fuji Ortho LC) were exposed to the visible light for 20 and 40 seconds, respectively, and used as controls. The remaining three groups (C, D, and E) were bonded with Fuji Ortho LC and cured with Aurys for 10, 5, and 2 seconds, respectively. All samples were tested in a shear mode on an Instron universal testing machine 15 minutes after bonding. The shear bond strength of the control group bonded with Transbond XT was significantly higher (P = 0.000) than those of all the other groups tested. Regarding Fuji Ortho LC, no statistically significant differences were found between the bond strength of the control group cured with Ortholux XT, and those of the groups cured with Aurys for 2, 5, and 10 seconds. The present findings indicate that, compared with visible light-curing, the micro-xenon light enables the clinician to significantly reduce the curing time of RMGICs, without affecting their initial shear bond strengths.

PMID: 12512786 [PubMed - indexed for MEDLINE]

R-curve behavior of dental ceramic materials.

J Dent Res. 2002 Aug;81(8):547-51

Authors: Fischer H, Rentzsch W, Marx R

Some technical ceramics exhibit the R-curve effect, i.e., an increasing fracture resistance with crack extension which is a desirable material property because more energy is necessary to propagate a microscopic crack. The objective of this study was to prove whether dental ceramic materials exhibit R-curve behavior. Nine dental ceramics were examined by the indentation-strength method. It was found that all of the tested ceramic materials exhibit a rising R-curve with crack extension. The R-curve behavior was more pronounced for the high-strength materials In-Ceram Alumina, monolithic alumina, and especially Empress 2. We conclude from our results that the mechanical behavior of a dental ceramic material can be judged more comprehensively, if the R-curve of the respective material is known.

PMID: 12147745 [PubMed - indexed for MEDLINE]

An ex vivo assessment of resin modified glass ionomer cement in relation to bonding technique by C. J. Larmour and D. R. Stirrups, J Orthod 28(3).

J Orthod. 2002 Jun;29(2):168; author reply 168

Authors: Tyrrell R

PMID: 12114472 [PubMed - indexed for MEDLINE]

Materials design of ceramic-based layer structures for crowns.

J Dent Res. 2002 Jun;81(6):433-8

Authors: Lawn BR, Deng Y, Lloyd IK, Janal MN, Rekow ED, Thompson VP

Radial cracking has been identified as the primary mode of failure in all-ceramic crowns. This study investigates the hypothesis that critical loads for radial cracking in crown-like layers vary explicitly as the square of ceramic layer thickness. Experimental data from tests with spherical indenters on model flat laminates of selected dental ceramics bonded to clear polycarbonate bases (simulating crown/dentin structures) are presented. Damage initiation events are video-recorded in situ during applied loading, and critical loads are measured. The results demonstrate an increase in the resistance to radial cracking for zirconia relative to alumina and for alumina relative to porcelain. The study provides simple a priori predictions of failure in prospective ceramic/substrate bilayers and ranks ceramic materials for best clinical performance.

PMID: 12097438 [PubMed - indexed for MEDLINE]

Bonding to Er-YAG-laser-treated dentin.

J Dent Res. 2002 Feb;81(2):119-22

Authors: Ceballo L, Toledano M, Osorio R, Tay FR, Marshall GW

Er-YAG laser irradiation has been claimed to improve the adhesive properties of dentin. We tested the hypothesis that dentin adhesion is affected by Er-YAG laser conditioning. Superficial or deep dentin from human molars was: (a) acid-etched with 35% H3PO4; (b) irradiated with an Er-YAG laser (KaVo) at 2 Hz and 180 mJ, with water-cooling; and (c) laser- and acid-etched. Single Bond (3M ESPE) and Z100 composite (3M ESPE) were bonded to the prepared surfaces. After storage, specimens were tested in shear to failure. Bonded interfaces were demineralized in EDTA and processed for transmission electron microscopy. Two-way ANOVA revealed that conditioning treatment and interaction between treatment and dentin depth significantly influenced shear bond strength results. Acid-etching alone yielded shear bond strength values that were significantly higher than those achieved with laser ablation alone, or in combination with acid-etching. The Er-YAG laser created a laser-modified layer that adversely affects adhesion to dentin, so it does not constitute an alternative bonding strategy to conventional acid etching.

PMID: 11827256 [PubMed - indexed for MEDLINE]

X-ray diffraction study of acid-degradable glasses.

J Dent Res. 2001 Aug;80(8):1764-7

Authors: De Maeyer EA, Verbeeck RM

The composition of the degradable glasses used in commercial dental glass-ionomer cements determines their leaching behavior and hence the properties of the cement. The objective of the present study was to assess if the composition and leaching in acetic acid solutions are reflected in the x-ray diffraction characteristics of these glasses. The position (2theta) of the maximum of the first sharp diffraction peak shifts to higher diffraction angles with increasing number and ionic radius of mono- and bivalent cations in the glass. Upon acid-leaching, these ions are preferentially leached out, so that (2theta) decreases. These results can be related to the decreasing Si-Si distance in the glass network with increasing modifier radius.

PMID: 11669490 [PubMed - indexed for MEDLINE]

Mechanical properties of glass-only porcelains prepared by the use of two feldspathic frits with different thermal properties.

J Dent Res. 2001 Aug;80(8):1758-63

Authors: Kon M, O'Brien WJ, Rasmussen ST, Asaoka K

Low- and non-leucite-containing commercial porcelains with low firing temperatures have become popular. However, improving the strength of glass porcelains is difficult. The purpose of this study was to determine if dispersed glass particles could be used as a reinforcing agent for an all-glass porcelain. We produced 3 feldspathic glasses (high-fusing, medium-fusing, low-fusing) by melting powders consisting of potassium-feldspar and 0, 5, or 20 mass% Na2O, respectively. For high-fusing, medium-fusing, and low-fusing feldspathic glasses, the deformation temperatures were 945 degrees C, 647 degrees C, and 518 degrees C, and the thermal expansion coefficient values were 8.6 x 10(-6)/degrees C, 10.3 x 10(-6)/degrees C, and 13.4 x 10(-6)/degrees C between 25 degrees C and the glass-transition temperature, respectively. The high-fusing-glass (or medium-fusing-glass) powders were mixed with low-fusing-glass powders before being fired into test specimens. The mean flexural strength and fracture toughness (K1C) of 3 single-glass porcelains ranged from 57 to 63 MPa and from 0.68 to 0.73 MPa m(1/2), respectively, presenting no significant differences in one-way ANOVA. However, the flexural strength of 50% high-fusing-glass + 50% low-fusing-glass porcelain was 114 MPa (p < 0.05) and K1C was 1.2 MPa m(1/2) (p < 0.05). Microcracks were observed with a back-scattered scanning electron microscope and were associated with the high- (or medium-) fusing glass particles, suggesting residual stress in the low-fusing-glass matrix due to a coefficient of thermal expansion mismatch between the dispersed glass particles and the matrix glass. The dispersing glass particles appeared to act as a reinforcing agent for strengthening a glassy porcelain.

PMID: 11669489 [PubMed - indexed for MEDLINE]

An ex vivo investigation into the fluoride release and absorption profiles of three orthodontic adhesives.

Eur J Orthod. 2001 Aug;23(4):417-24

Authors: Coonar AK, Jones SP, Pearson GJ

Prevention of peri-bracket decalcification is essentially mediated by effective oral hygiene, which is patient dependent. The potential to compensate for poor oral hygiene may be through the release of free fluoride ions from direct bonding agents. It is well established that glass ionomer cements (GICs) release free fluoride ions which may be replenished by exposure to fluoride containing solutions. The aim of this ex vivo study was to compare the fluoride release and absorption profiles of a recently developed low fusion, monophase GIC, Limerick glass, with two materials in common clinical use, namely, Fuji-Ortho L.C. and Concise. Ten test specimens of each material were fabricated and stored in deionized water at 37 degrees C. The concentration of fluoride release was measured daily for the first 7 days after immersion and then weekly for 5 weeks. On day 42 the test specimens were recharged in 2 per cent sodium fluoride solution and fluoride release was measured initially after 24 hours and then every 48 hours. The recharge regimen was repeated for 3 weeks. Both Limerick glass and Fuji-Ortho L.C. demonstrated the characteristic fluoride release pattern of GIC with a rapid elution of fluoride after the first 24 hours followed by a more gradual release profile over the following 2 weeks. Fuji-Ortho L.C. released the greatest quantity of fluoride but the release profile of Limerick glass was more sustained. Concise released negligible amounts of fluoride. Limerick glass and Fuji-Ortho L.C. showed an increase (P < 0.01) in fluoride release following exposure to 2 per cent sodium fluoride that decreased both with time and subsequent exposures to fluoride supplement.

PMID: 11544792 [PubMed - indexed for MEDLINE]

An in vivo investigation into the use of resin-modified glass poly(alkenote) cements as orthodontic bonding agents.

Eur J Orthod. 2001 Aug;23(4):403-9

Authors: Choo SC, Ireland AJ, Sherriff M

The aim of this study was to investigate the in vivo bonding of orthodontic brackets using two resin-modified glass poly(alkenoate) cements and to compare them with a conventional light-cured diacrylate bonding agent. Twenty consecutive patients attending for bond up appointments took part in this randomized cross-mouth control study. Alternate quadrants were bonded with either Fuji Ortho LC or 3 M Multi-Cure. Transbond [Adhesive Pre-Coated Brackets (APC)] acted as the control in the other quadrants. Failed brackets were rebonded with the same material. Bond failure rates were collected over a 1-year period. The bond failure rates over 1 year were 7.2 per cent for Transbond (APC), 5.9 per cent for 3 M Multi-Cure, and 5.8 per cent for Fuji Ortho LC. Statistically, there was no significant difference between the bond failure rates of the materials and there was no effect of time. This clinical investigation confirmed the suitability of the resin-modified glass poly(alkenoate) cements under test as orthodontic bonding agents.

PMID: 11544790 [PubMed - indexed for MEDLINE]