Enhancement of mineral density and mechanical properties in root caries treated with silver diammine fluoride and glass ionomer cement, with emphasis on silver ion distribution.

OBJECTIVES: This study aimed to measure the distribution of silver ion (Ag+), mineral recovery, and nanohardness in carious lesions and comprehensively evaluate the degree of dentin restoration. METHODS: Sixty human teeth with root caries were randomly assigned to the control, silver diammine fluoride (SDF) [Safo], and SDF+Glass ionomer cement (GIC) treatment [Safo+Fuji] groups. Micro-computed tomography (micro-CT) was performed at five time points for each sample before/after treatment to evaluate mineral density within and around carious lesions. Three months following treatment, 12 samples were selected for synchrotron radiation X-ray fluorescence analysis to evaluate Ag+ distribution, while 15 samples were selected for nanoindentation. Data were analyzed using Dunnett's T3 test for micro-CT and Wilcoxon rank sum test with Bonferroni correction (p = 0.017) for nanoindentation. The correlation between hardness and mineral change was analyzed using the Spearman rank correlation coefficient. RESULTS: The Safo and Safo+Fuji groups showed significantly higher mineral recovery rates than did the control group (p < 0.001). In the Safo group, Ag+ accumulated in the deeper layers rather than the superficial layer of caries. In the Safo+Fuji group, Ag+ was found evenly distributed throughout caries, with only a few Ag+ detected in the GIC layer. Hardness in the Safo+Fuji group was significantly higher compared with the Safo group at depths in the range of 10-50 µm. CONCLUSION: In the presence of GICs, SDF exhibited high remineralization capacity when diffusing throughout carious lesions over time. Combined treatment with SDF and GIC could strengthen root dentin even in the presence of caries. CLINICAL SIGNIFICANCE: We found that combination treatment with SDF and GIC could increase mineral density in caries and improve the hardness of the tooth structure compared with fluoride-based agents alone. These findings might pave the way for future clinical trials to determine the therapeutic potential of nanotechnology-based restorative materials.

Comparative bonding performance of coronal dentin disks and CAD/CAM resin composite disks for biological restoration: The impact of resin-coating technique.

This study evaluated the bonding performance of coronal dentin disks, designed for biological restoration, and CAD/CAM resin composite disks when bonded to flat dentin surfaces using dual-cure resin cements, with and without a resin-coating (RC) technique. Three distinct groups were established within the non-RC group, each using one of the two types of resin cements in a self-adhesive mode: one-step self-etch adhesive (1-SEA) without light-cure, 1-SEA with light-cure, and a separate group using an alternate cement. Within the RC group, a subgroup was established for each cement. The microtensile bond strength (µTBS) of the disk-dentin beam was tested after 0 and 10,000 thermocycles in a 5°C/55°C. No significant µTBS difference was observed among the non-RC groups. However, when using RC, the µTBSs of coronal dentin disks significantly exceeded those of CAD/CAM resin composite disks. Thermocycle aging did not affect µTBS in any of the bonding methods, except in self-adhesive mode.

Petroleum Coke Embedded in Cigarette Butts: All Waste-Derived Solar Evaporator for Effective Water Evaporation.

Solar-driven interfacial evaporation is an eco-friendly solution for tackling the impending water scarcity the world is facing in our century. In this work, a solar-driven interfacial evaporator was prepared from cigarette butts loaded with petroleum coke powder (Filter-PetCoke), a by-product of the oil refinery processes, for the improvement of the absorption of the incident solar light. A comparison between a flat 2D and a 3D evaporator with a surface composed of orderly patterned protrusions of 2.1 cm was carried out to assess the influence of the evaporator configuration on the evaporation performance. The 3D evaporator (3D Filter-PetCoke) achieved by far the best performance (evaporation rate: 1.97 ± 0.08 kg m-2 h-1 and solar conversion efficiency: 93.2 ± 5.4%) among the prepared samples (3D Filter-PetCoke, 3D Filter, 2D Filter-PetCoke, and 2D Filter). In addition, this configuration seems to be adaptable for real and more massive operation because of the geometry of the evaporator. The high efficiency was ascribed to the good heat generation of the petroleum coke and the excellent heat management of the 3D structure of the evaporator. Moreover, this evaporator was resistant to multiple repeated usages without significant efficiency loss and capable of producing drinking water from seawater and Escherichia coli (E. coli)-contaminated water. The findings in this work indicate that this evaporator is pertinent to real situations to supply safe freshwater very efficiently from chemically/biologically contaminated water.

Time-dependent structural changes and hypermineralisation of artificially demineralised dentine following treatment with silver diammine fluoride and glass ionomer cement.

OBJECTIVES: This study aimed to evaluate the change of mineral content in dentine lesions over time and examine the effectiveness of the combined treatment with silver diammine fluoride (SDF) and glass ionomer cement (GIC). METHODS: Sixty bovine dentine specimens were divided into 4 groups: cont, Fuji, Safo, and Safo+Fuji. The specimens were imaged and measured using microcomputed tomography (microCT) at 7 time points: pre-demineralisation, after demineralisation for two weeks, immediately after treatment, 1 week, 2 weeks, 1 month, and 3 months after treatment. The 3-month group was evaluated with a light microscope, attenuated total reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy, and scanning electron microscope (SEM)/energy-dispersive X-ray spectroscopy (EDS). Data were analysed by Dunn's test and Wilcoxon signed rank test with Bonferroni correction for microCT, and Kruskal-Wallis test and two-way analysis of variance for EDS characterisation. RESULTS: MicroCT images showed high mineral density beneath dentine lesions in Safo+Fuji. The mineral density at 600 µm in Safo+Fuji increased significantly over time, while Safo showed an opposite trend (adjusted p<0.005). In Safo+Fuji, EDS revealed significantly high energy of fluorine (p<0.05, at 300 µm) and a tendency towards high energy of calcium (p>0.05). However, Safo+Fuji showed lower energy of silver compared to Safo (p<0.001). ATR-FTIR revealed that phosphate groups had the highest peak at a depth between 300 and 400 µm in Safo+Fuji. CONCLUSIONS: Safo+Fuji was effective in remineralising the deep lesion in dentine after one and three months, and a hypermineralisation zone generated beneath the lesion demonstrated additional benefit in this study. CLINICAL SIGNIFICANCE: This long-term in vitro study showed that SDF+GIC treatment could strengthen the structure of decayed teeth when applied in the treatment of patients with advanced rampant caries.

Analysis of reaction products on hydroxyapatite created by tooth etchants with different compositions.

PURPOSE: The purpose of this study was to investigate the reaction products formed by application of three tooth etchants to hydroxyapatite. METHODS: Tooth etchants with three different compositions, designed for application to teeth before dental adhesive - " K-etchant GEL" (containing phosphoric acid), "Enamel Conditioner" (containing organic acids), and "Multi Etchant" (containing acidic monomer) - were applied to hydroxyapatite plates. RESULTS: Atomic force microscopy measurements revealed that Multi Etchant formed nano-sized particles on the hydroxyapatite. X-ray diffraction and Fourier transform infrared spectrometer analyses of the powdered hydroxyapatite indicated that Enamel Conditioner produced calcium tartrate whereas K-etchant GEL generated monetite. These results indicated that each etchant reacted with hydroxyapatite in a different way. CONCLUSION: Not only differences among the etching ability of etchants, but also differences in the reaction compounds they produce may influence bonding performance in clinical practice.

Evaluation of Incipient Enamel Caries at Smooth Tooth Surfaces Using SS-OCT.

(1) Background: Dental caries, if diagnosed at the initial stage, can be arrested and remineralized by a non-operative therapeutic approach preserving tooth structure. Accurate and reproducible diagnostic procedure is required for the successful management of incipient caries. The aim of this study was to evaluate the diagnostic accuracy of 3D swept-source optical coherence tomography (3D SS-OCT) for enamel caries at smooth tooth surface if the lesion was with remineralization. (2) Methods: Forty-seven tooth surfaces of 24 extracted human teeth visibly with/without enamel caries (ICDAS code 0−3) were selected and used in this study. The tooth surfaces of investigation site were cleaned and visually examined by four dentists. After the visual inspection, SS-OCT scanning was performed onto the enamel surfaces to construct a 3D image. The 2D tomographic images of the investigation site were chosen from the 3D dataset and dynamically displayed in video and evaluated by the examiners. A five-rank scale was used to score the level of enamel caries according to the following; 1: Intact enamel. 2: Noncavitated lesion with remineralization. 3: Superficial noncavitated lesion without remineralization. 4: Deep nonvacitated lesion without remineralization. 5: Enamel lesion with cavitation. Sensitivity and specificity for 3D OCT image and visual inspection were calculated. Diagnostic accuracy of each diagnostic method was calculated using weighted kappa. Statistical significance was defined at p = 0.05. (3) Results: 3D SS-OCT could clearly depict enamel caries at smooth tooth surface as a bright zone, based on the increased backscattering signal. It was noted that 3D SS-OCT showed higher sensitivity for the diagnosis of remineralized lesions and deep enamel lesions without cavitation, as well as cavitated enamel lesions (p < 0.05). No significant difference of specificity was observed between the two diagnostic methods (p > 0.05). Furthermore, 3D SS-OCT showed higher diagnostic accuracy than visual inspection (p < 0.05). (4) Conclusions: Within the limitations of this in vitro study, 3D SS-OCT showed higher diagnostic capacity for smooth surface enamel caries than visual inspection and could also discriminate lesion remineralization of enamel caries.

[Investigation of Preferences in Working Environment of Students for Maintaining Uniform Geographical Distribution of Radiological Technologists].

PURPOSE: This study was designed to assess working environment preferences of students in the Department of Radiological Technology using conjoint analysis for establishing an efficient medical system. METHOD: We carried a questionnaire survey on working environment preferences for 196 students in the Department of Radiological Technology in Japan. We defined eight characteristics for virtual medical facilities as follows: presence of colleagues who can be consulted, employment status, number of night shift per month, academic meeting participation, number of hospital beds, possession of nuclear medicine imaging systems and radiation therapy systems, location of medical facilities, and change rate in annual income. A total of 18 virtual medical facilities were selected by an orthogonal array table using above-mentioned characteristics. The acquired data by the pairwise comparison method were analyzed by conjoint analysis. Marginal rates of substitution that represent students' preferences were also calculated. RESULT: The factors that influenced their preferences were the following: placement of medical facilities in great city, presence of colleagues who can be consulted, employment status is not non-regular employment, set up of nuclear medicine imaging systems and radiation therapy systems, the number of night shift is twice per month, and attendances at academic meetings. CONCLUSION: In summary, students in the Department of Radiological Technology tend to prefer the facilities with regular employment, great city, presence of colleagues who can be consulted, and possession of nuclear medicine imaging systems and/or radiation therapy systems.

Effect of pH on the performance of an acidic biotrickling filter for simultaneous removal of H2S and siloxane from biogas.

Acidic biotrickling filters (BTF) can be used for simultaneous removal of hydrogen sulfide (H2S) and siloxane from biogas. In this study, the performance of a BTF under different acidic pH conditions was investigated. The removal profile of H2S showed that 90% of H2S removal was achieved during the first 0.4 m of BTF height with down-flow biogas. Decamethylcyclopentasiloxane (D5) removal decreased from 34.5% to 15.6% when the pH increased from 0.88 to 3.98. Furthermore, the high partition coefficient of D5 obtained in under higher pH condition was attributed to the higher total ionic strength resulting from the addition of sodium hydroxide solution and mineral medium. The linear increase in D5 removal with the mass transfer coefficient (kL) indicated that the acidic recycling liquid accelerated the mass transfer of D5 in the BTF. Therefore, the lower partition coefficient and higher kL under acidic pH conditions lead to the efficient removal of D5. However, the highly acidic pH 0.9 blocked mass transfer of H2S and O2 gases to the recycling liquid. Low sulfur oxidation activity and low Acidithiobacillus sp. content also deteriorated the biodegradation of H2S. Operating the BTF at pH 1.2 was optimal for simultaneously removing H2S and siloxane.

Critical Side Chain Effects of Cell-Penetrating Peptides for Transporting Oligo Peptide Nucleic Acids in Bacteria.

Of various methods for delivering functional molecules into cells, a chemical approach using cell-penetrating peptides (CPPs) is facile and highly efficient. Currently, however, there are few examples of CPPs highly efficient with bacteria in contrast to CPPs targeting animal cells, and thus our understanding of the structural effects of these bacteria-efficient CPPs, termed as BCPPs, on permeation efficiency is limited. Herein, we report a comprehensive investigation on the permeation efficiencies of cationic short peptides through bacterial cell membranes. We observed that elongating the length of the main chain increased permeation efficiency. More interestingly, the length of the peptide side chain critically affected permeation efficiency; shortening the side chain significantly enhanced efficiency. Among the BCPPs investigated, 2,3-diaminopropionic acid nonamer showed the highest permeation efficiency into bacterial cells of diverse strains, allowing the transport of oligo peptide nucleic acids and subsequent growth inhibition. This study provides insights into the molecular design of efficient BCPPs for manipulating bacterial growth.

Effects of potassium and sodium fluoride in different concentrations on micro-shear bond strength and inhibition of demineralization.

The aim of this study was to investigate the effects of potassium fluoride (KF) and sodium fluoride (NaF) in different concentrations on micro-shear bond strength (µSBS) and their protective effects against acid. The enamel blocks were treated with several concentrations of KF and NaF. For µSBS, Clearfil SE Bond 2 was applied to the treated surface and resin composite was light-cured, then examined using a universal testing machine. For acid resistance test, the specimens were immersed in acidic solution (pH 4.5), then examined under 3D confocal laser scanning microscope (CLSM). In µSBS, KF at 1,000, 9,000, and 10,000 ppm did not show differences compared with the control, while other concentrations of KF and NaF led to decreased µSBS. Higher concentrations of NaF and KF showed higher resistance to the acid challenge. So, we concluded that various concentrations of KF and NaF solutions had specific effects on µSBS and acid resistance.

Abiotic Factors Promote Cell Penetrating Peptide Permeability in Enterobacteriaceae Models.

Conventionally, the delivery of biomolecules into bacteria for the generation of characterized or functional mutants has relied greatly on horizontal gene transfer techniques. However, the low compatibility of these techniques with novel or hard-to-transform bacteria currently serves as a challenge to the bioengineering field. Here, we explored the use of cell penetrating peptides (CPPs) as an alternative biomolecule delivery approach by investigating the effects of the abiotic factors during CPP permeation. Using the (KFF)3K-FAM conjugate and Escherichia coli as models, we evaluated four abiotic factors where two of these factors, temperature and solution tonicity, promoted (KFF)3K-FAM permeation efficiency. Our data show that optimal (KFF)3K-FAM permeation efficiency was achieved for E. coli at approximately 98.1% under conditions of 37°C (growth optimal temperature) and 50% PBS concentration. Based on these conditions, we subsequently tested the applicability of CPP permeation in various bacterial strains by treating 10 bacterial strains from the Enterobacteriaceae family among which seven strains have no CPP permeation records with (KFF)3K-FAM. Interestingly, when compared with non-optimized conditions, all 10 strains showed a marked increase in CPP permeation ranging between 20 and 90% efficiency. Although using strains within Enterobacteriaceae that are phylogenetically close, our results hinted on the possibility that with proper optimization of the abiotic factors, CPPs could be compatible with a broad range of bacterial strains. Our efforts suggest that CPP could serve as an effective alternative approach for mutant generation and for biomolecule delivery into novel or hard-to-transform bacteria.

Evaluation of experimental calcium-containing primer in adhesive system on micro-tensile bond strength and acid resistance.

Modern adhesive systems have been developed for enhanced mechanical and antibacterial properties; however, no such systems contain a calcium source to enhance bond strength. Therefore, we evaluated the effect of an experimental calcium-containing primer (10 wt% CaCl2) in two-step self-etching adhesive systems on micro-tensile bond strength (µ-TBS) and acid resistance in dentin adhesive interface observations after acid-challenge using scanning electron microscopy. Using two types of primers and bonding agents (Clearfil SE Bond primer (SEP), experimental calcium-containing primer (CaP), Clearfil SE Bond (SEB), and Clearfil Protect Bond), we prepared four experimental groups. The µ-TBS of CaP-SEB did not differ from that of SEP-SEB. Meanwhile, the CaP groups showed a thicker acid-base resistance zone. Thus, two-step self-etching adhesive system composed of experimental calciumcontaining primer can be used as an adhesive system with high acid resistance and acceptable bond strength.

Early bond strengths of 4-META/MMA-TBB resin cements to CAD/CAM resin composite.

The purpose of this study was to evaluate the early tensile bond strengths of three different resin cements; Super Bond C&B (conventional and quick type) and ResiCem to a CAD/CAM composite block. A CAD/CAM composite block (Shofu Block HC) was ground and silanized according to the manufacturers' instructions before cementation. A conventional tensile bond strength test (Ø: 4 mm) was performed 10 min, 1 h and 24 h after bonding. Super Bond C&B (quick type) showed the highest bond strength at 24 h. However, results of a three-point bend test showed the mechanical properties were weaker for the Super Bond C&B cements compared with composite cement, Resicem. The 4-META/MMA-TBB resin is a suitable resin cement to bond to a CAD/CAM composite block.

Evaluation of discoloration of sound/demineralized root dentin with silver diamine fluoride: In-vitro study.

The objective was to evaluate the effect of application of silver diamine fluoride (SDF) on discoloration of demineralized dentin over time. Dentin specimens were divided into four groups according to time of dentin demineralization. A 38% SDF solution was then applied to the dentin surfaces. Half of the specimens were placed in light-proof boxes while the remainder were exposed to light. Both groups were maintained at 37˚C. Color change was determined using a spectrophotometer at different time intervals. SEM/EDS analysis were also undertaken. The 13 h EDTA demineralized group showed the highest values for color change among different time intervals, with the control being the lowest. The light exposed groups showed more color change compared to the unexposed groups. We concluded that the degree of dentin demineralization leads to a significant increase of the rate of dentin color change after application of SDF.

Effect of dentin contamination with two hemostatic agents on bond strength of resin-modified glass ionomer cement with different conditioning.

This study evaluated the effect of two hemostatic agents on bond strength of resin-modified glass ionomer cement (RMGIC) to root dentin after using different pretreatment solutions compared to resin composite with a 2-step self-etch adhesive. Dentin specimens were either uncontaminated or contaminated with a ferric sulphate or aluminum chloride astringent, RMGIC was applied after conditioning with; Cavity Conditioner, Self Conditioner or Clearfil SE Primer, while a resin composite was bonded using Clearfil SE Bond. Microtensile bond strength (µTBS) values and failure modes were determined. Two-way ANOVA revealed that hemostatic agents did not significantly affect the RMGIC bond strength with any conditioning material (p>0.05). SE Primer pretreatment provided the highest µTBS values among RMGIC groups. For the resin composite, ferric sulphate astringent significantly reduced µTBS value (p≤0.001). Scanning electron micrographs of representative dentin surfaces contaminated with the hemostatic agents showed effects on smear layer removal and dentinal tubule occlusion.

Enamel Microcracks Induced by Simulated Occlusal Wear in Mature, Immature, and Deciduous Teeth.

Enamel wear, which is inevitable due to the process of mastication, is a process in which the microcracking of enamel occurs due to the surface contacting very small hard particles. When these particles slide on enamel, a combined process of microcutting and microcracking in the surface and subsurface of the enamel takes place. The aim of this study was to detect microscopic differences in the microcrack behavior by subjecting enamel specimens derived from different age groups (immature open-apex premolars, mature closed-apex premolars, and deciduous molars) to cycles of simulated impact and sliding wear testing under controlled conditions. Our findings indicated that the characteristics of the microcracks, including the length, depth, count, orientation, and relation to microstructures differed among the study groups. The differences between the surface and subsurface microcrack characteristics were most notable in the enamel of deciduous molars followed by immature premolars and mature premolars whereby deciduous enamel suffered numerous, extensive, and branched microcracks. Within the limitations of this study, it was concluded that enamel surface and subsurface microcracks characteristics are dependent on the posteruptive age with deciduous enamel being the least resistant to wear based on the microcrack behavior as compared to permanent enamel.

Influence of FCP-COMPLEX on bond strength and the adhesive-artificial caries-affected dentin interface.

FCP-COMPLEX is a newly developed solution containing fluoride, calcium, and phosphoric acid that has the potential to reinforce caries-affected dentin. This study evaluated the effect of FCP-COMPLEX on micro-tensile bond strength (µTBS) and acid-challenge at the dentin-adhesive interface. FCP-COMPLEX, 2% NaF, and distilled water were applied to artificial caries-affected dentin (ACAD) and the effect on acid-induced damage after resin composite restoration was observed. Scanning electron microscopy and X-ray absorption fine structure (XAFS) were used to evaluate tooth morphology. The µTBS test revealed no effect of FCP-COMPLEX either immediately or after 3 months' storage. The area of acid damage in caries-affected dentin was reduced by FCP-COMPLEX. XAFS analysis revealed that absorbed fluorine on the surface would form CaF2. In conclusion, FCP-COMPLEX significantly reduced the damage of acidic attack at the ACAD-adhesive interface, while the µTBS value was maintained after storage.

Influence of orthodontic self-etch adhesive on acid resistance of surface enamel.

The purpose of this study was to investigate the formation of acid-base resistant zone (ABRZ) of enamel surface during bracket bonding by using three self-etch adhesives presently available in the orthodontic treatment. Also, the relation between the thickness of the ABRZ and bonding strength, the relation between the thickness of the ABRZ and the concentration of fluoride ions contained in the adhesives, were discussed respectively. The ABRZ was formed with all self-etch orthodontic adhesives. ABRZ thicknesses of two self-etch adhesives were approximately 0.8-1.0 µm, whereas ABRZ thickness of other one was about 0.1 µm. The bond strengths of all self-etch orthodontic adhesives indicated over 10 MPa, and ABRZ thickness observed in the enamel surface seemed to have no influence to the bond strengths among self-etch adhesives. Moreover, the thickness of ABRZ appeared to be associated with the amount of fluoride ion released from the primer.

Investigation of Preferences in Working Environment of Radiological Technologists Using Conjoint Analysis.

The purpose of this study is to assess working environment preferences of radiological technologists using conjoint analysis. We carried a questionnaire survey on working environment preferences for 200 radiological technologists working in medical facilities in Japan. We defined eight characteristics for virtual medical facilities as follows: presence of colleagues who can be consulted, employment status, number of overtime work per month, academic meeting participation, number of hospital beds, presence of nuclear medicine imaging systems and radiation therapy systems, location of medical facilities, and change rate in annual income. A total of 18 virtual medical facilities were selected by an orthogonal array table using above-mentioned characteristics. The acquired data by the pairwise comparison method were analyzed by conjoint analysis. Marginal rates of substitution between income and non-pecuniary characteristics, which represent radiological technologists' preferences, were also calculated. The factors influenced on their preferences were the following: employment status is not part-time, medical facility is smaller in scale, nuclear medicine imaging systems and radiation therapy systems are set up, and the number of overtime work is less. It was suggested that radiological technologists have a tendency to avoid increase of workloads and select his/her working place with emphasis on own experiences.

Morphological evaluation of artificial caries-affected dentin after applying FCP-COMPLEX.

FCP-COMPLEX is a newly-developed solution that contains fluoride, calcium, and phosphoric acid. It has the potential to reinforce caries-affected dentin. The purpose of this study was to evaluate the effect of FCP-COMPLEX on the morphology of bovine artificial caries-affected dentin (ACAD). FCP-COMPLEX, 2% sodium fluoride solution, and distilled water were applied to bovine ACAD and the effect on acid-induced damage was observed. Scanning electron microscopy was used to evaluate morphology after acid application. Energy dispersive X-ray spectroscopy was used for mapping and quantitative analyses of the dentin surface, and for line analysis of dentin-adhesive interface. The FCP-COMPLEX precipitated on the dentin surface and fluoride, calcium, and phosphorus were detected at a higher level in the FCP-COMPLEX group. The area of acid damage in caries-affected dentin was reduced by FCP-COMPLEX. In conclusion, FCP-COMPLEX significantly increased the deposition of fluoride onto bovine ACAD and inhibited demineralization.