Marginal adaptation and fracture resistance of root-canal treated mandibular molars with intracoronal restorations: effect of thermocycling and mechanical loading.

PURPOSE: This study evaluated the marginal adaptation, fracture modes, and loads to failure of different mesio-occlusal- distal (MOD) restorations in root canal treated molars in vitro. MATERIALS AND METHODS: Forty mandibular first molars were randomly assigned to five groups (n = 8): UTR= untreated, RCT-AM= root-canal treated (RCT)+amalgam filling; RCT-COM= RCT+direct composite resin restoration; RCTFRC= RCT+composite resin restoration with two layers of multidirectional woven glass fibers; RCT-CER= RCT+ceramic inlay. All teeth were subjected to thermocycling and mechanical loading (TCML) in a computer-controlled masticator (1,200,000 loads, 49 N, 1.7 Hz, 3000 temperature cycles of 5°C to 50°C). Marginal adaptation was evaluated before and after TCML by scanning electron microscopy at 200X at the tooth/restoration interfaces. After TCML, all specimens were loaded to failure in a universal testing machine at 0.5 mm/min. Failure types were analyzed and scored (reparable: modes 1 and 2; catastrophic: modes 3 to 5). Data were analyzed with ANOVA and Bonferroni correction. RESULTS: Marginal adaptation decreased significantly after TCML in all groups. The highest decrease was observed in RCT-FRC (before: 89.9 ± 2.2%, after TCML: 49.8 ± 11.9%) and the lowest in RCT-CER (before TCML: 90.3 ± 2.6% after TCML 80.4 ± 9.0%). Loads to failure (in N) were in descending order as follows: UTR: 3048 ± 905; RCT-CER: 1853 ± 477; RCT-AM: 1447 ± 363; RCT-FRC: 1066 ± 306; RCT-COM 960 ± 228. While UTR resulted in statistically higher loads to failure than those of all other groups (p < 0.0001), RCT-CER showed significantly higher results than those of RCT-COM (p = 0.0014) and RCT-FRC (p = 0.0042). The UTR group showed exclusively reparable failures in the form of either superficial (mode 1) or complete cusp chipping (mode 2), but all restored teeth exhibited catastrophic failures involving fractures along or through the restoration (modes 3 to 5). CONCLUSION: None of the restored teeth in any group were able to bear the same load level as the natural teeth. With regard to marginal adaptation and fracture resistance, luted ceramic inlays were advantageous. The integration of FRC in the restoration had no positive effect on the fracture resistance. FRC application showed a negative effect on marginal adaptation of composite resin restorations.

Are self-adhesive resin cements a valid alternative to conventional resin cements? A laboratory study of the long-term bond strength.

OBJECTIVES: The aim of the study was to test whether or not the shear bond strengths of six self-adhesive resin cements to dentin and to glass-ceramic, 24h and long-term-aged, are similar to the one of a conventional resin cement. METHODS: Human molars (N=168, n=12 per group) and silicabased glass-ceramic specimens (N=168, n=12 per group) were embedded in acrylic resin and randomly divided into 28 groups. The following resin cements were luted according to the manufacturers' instructions: Clearfil SA (CSA), G-Cem (GCM), SmartCem2 (SMC), SpeedCEM (SPC), RelyX Unicem (RXU), RelyX Unicem2 (RXU2) and Panavia21 (control group, PAN). Shear bond strength was measured initially (24h of water storage 37°C) and after aging (24,000 thermal cycles, 5/55°C). The failure types (adhesive, and cohesive) were evaluated after debonding. The shear bond strength values were analyzed using three-way and one-way ANOVA, followed by a post hoc Scheffé and two-sample Student's t-tests. RESULTS: RXU, RXU2 and GCM showed similar after 24h and aged shear bond strength to dentin as the control group. CSA, SMC and SPC exhibited significantly lower values. Before aging, none of the bond strength values to glass-ceramic differed significantly from the other. After thermocycling, GCM showed higher results to glass-ceramic than CSA, SMC, RXU2 and the control group. Analyzing failure types after spontaneous debonding and shear bond test at dentin, solely adhesive failures were found, while at glass-ceramic only cohesive failures occurred. CONCLUSION: Not all self-adhesive resin cements can be a valid alternative to conventional resin cements in order to bond silica-based glass-ceramics to human dentin.

Interaction of alpha-and beta-oligoarginine-acids and amides with anionic lipid vesicles: a mechanistic and thermodynamic study.

The interaction of alpha- and beta-oligoarginine amides and acids and of alpha-polyarginine with anionic lipid vesicles was studied. The beta-oligoarginines used were beta3-homologues of the alpha-oligoarginines. Lipid bilayers were composed of POPC (1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine) and POPG (1-palmitoyl-2-oleoyl-sn-glycero-3-[phospho-rac-(1-glycerol)]) containing 5 mol % pyrene-PG (1-hexadecanoyl-2-(1-pyrenedecanoyl)-sn-glycero-3-[phospho-rac-1-glycerol]). Kinetic analysis of the binding process onto large unilamellar POPC/POPG (3:7, molar ratio) vesicles (100 nm diameter) shows biphasic time courses for all tested peptides. The first binding step is fast and takes place within approximately 10 s with no disruption of the membrane as indicated by corresponding calcein release measurements. The second binding phase is slow and occurs within the next 30-300 s with substantial membrane disruption. In this context, beta-hexa- and octaarginine amides possess higher second half-times than the beta-hexa- and octaarginine acids of the same chain length. Furthermore beta-octaarginine amide induces a calcein release approximately twice as large as that of the beta-octaarginine acid. Thermodynamic analysis of the binding process, using the complex formation model that assumes that each peptide binds independently to n POPG lipids, reveals apparent binding constants (K(app1)) of approximately 5 x 10(6)-10(8) M(-1) and n-values from 3.7 for beta-hexaarginine acid up to 24.8 for alpha-polyarginine. Although the K(app1)-values are similar, the number of binding sites clearly depends on the chemical nature of the oligoarginine: beta-oligoarginine amides and alpha-oligoarginine acids interact with more lipids than beta-oligoarginine acids of the same length. Calculation of the electrostatic contribution to the total free energy of binding reveals that for all oligoarginines only 25-30% has electrostatic origin. The remaining approximately 70-75% is nonelectrostatic, corresponding to hydrogen bonding and/or hydrophobic interactions. From the obtained data, a mechanism is suggested by which oligoarginines interact with anionic vesicles: (1) initial electrostatic interaction that is fast, nonspecific, and relatively weak; (2) nonelectrostatic interaction that is rate-limiting, stronger, and induces bilayer rigidification as well as release of aqueous contents from the vesicles.

Spontaneous onset of homochirality in oligopeptide chains generated in the polymerization of N-carboxyanhydride amino acids in water.

This article is concerned with the spontaneous onset of homochiral oligopeptide sequences. We will show that the polymerization of hydrophobic NCA (N-carboxyanhydride = cyclic anhydride)-amino acid racemates (i.e. tryptophane, leucine and isoleucine) in aqueous solution yields oligopeptides that are characterized by a high degree of homochiral sequences. Furthermore we will show that quartz enhances efficiently the mole fraction of oligopeptides with homochiral sequence by selectively adsorbing the more stereoregular oligopeptides from an aqueous solution of oligo-D,L-leucine. We find in particular that the mole fraction of the adsorbed homochiral 7mers is 17 times larger than the mole fraction calculated for a theoretical, random process. Experimentally the stereoisomer distribution for each oligomer length can be determined by the use of enantio-labeling and LC-MS (Liquid Chromatography-Mass Spectrometry). Furthermore, if we start the polymerization with an enantiomeric excess (e.e.) of 20% of L-leucine (L-amino acid: D-amino acid = 6:4, molar ratio) we observe a chiral amplification in the enantiomeric homochiral oligopeptides. We think that such processes are relevant to the chemical evolution of single handedness.