Bonding auto-polymerising acrylic resin to acrylic denture teeth.

This study investigated the effect of surface treatments on the shear bond strength of an auto-polymerising acrylic resin cured to acrylic denture teeth. The surface treatments included a combination of grit-blasting and/or wetting the surface with monomer. Samples were prepared and then stored in water prior to shear testing. The results indicated that the application of monomer to the surface prior to bonding did not influence the bond strength. Grit blasting was found to significantly increase the bond strength.

Surface microhardness of a nanofilled resin composite: a comparison of a tungsten halogen and a light-emitting diode light curing unit, in vitro.

Surface microhardness numbers (VHN) have been measured and compared for disk specimens (thickness 1.5 mm) of a commercial nanofilled resin composite cured using a range of exposure times with a quartz tungsten halogen (QTH) and light-emitting diode (LED) light-curing unit (LCU), respectively. Each LCU requires different minimum exposure times to optimise VHN with respect to the internal controls but yield bottom surface/top surface VHN ratios > 0.95 with these optimised exposure times. Both LCUs produce comparable VHNs for the top surfaces at short exposure times but the QTH LCU requires increased exposure time for comparable results with the bottom surfaces. Overall, the LCUs are capable of producing comparable VHN numbers and VHN ratios within the parameters investigated.

Surface microhardness of a resin composite: a comparison of a tungsten halogen and a LED light curing unit, in vitro.

A comparison has been made between published surface microhardness numbers (VHN) of a commercial resin composite for different exposure times to a quartz tungsten halogen (QTH) and light-emitting diode (LED) light-curing unit (LCU). Both LCUs produced comparable hardness at both top and bottom surfaces, respectively, and similar bottom/top hardness ratios, for a specimen thickness of 1.5 mm, given sufficient exposure time (40 s) and an elapsed time of 24 h before measurement (for hardness numbers). However, some data are significantly different. There is no advantage in either LCU regarding optimal hardness and hardness ratios given an appropriate protocol. Immediate finishing (1 h) was more appropriate to the use of the LED LCU (with adequate exposure time). The effect of elapsed time after exposure on microhardness was more pronounced with the QTH LCU.

The effect of endodontic access on all-ceramic crowns: A systematic review of in vitro studies.

OBJECTIVES: The aim of this systematic review was to identify from in vitro studies the effect of endodontic access on the fracture resistance and damage around the access cavity of all-ceramic crowns. DATA: The articles identified were screened by two reviewers according to inclusion and exclusion criteria. The reference lists of articles advanced to second round screening were hand searched to identify additional potential articles. The risk of bias for the articles was independently performed by two reviewers. SOURCES: An electronic search was conducted on PubMed/Medline, Web of Science, Scopus and Embase databases with no limitations. STUDY SELECTION: 383 articles were identified, of which, eight met the inclusion criteria and formed the basis of this systematic review. Factors investigated in the selected articles included the, presence of microcracks at the access cavity, repair protocol, ceramic type, crown fabrication method, luting agent and grit size of the diamond bur. The risk of bias was deemed to be high for three, medium for two and low for three of the reviewed studies. The high level of heterogeneity across the studies precluded meta-analyses. CONCLUSION: Based on the currently available scientific evidence, a 'best practice' protocol with regard to improving the fracture resistance of endodontically accessed and repaired all-ceramic crowns cannot be conclusively identified. However, some key factors which potentially impact on the fracture resistance of endodontically accessed and repaired all-ceramic crowns have been isolated. Cautious clinical interpretation of these factors is concluded for the maintenance of the crown as a permanent restoration. CLINICAL SIGNIFICANCE: Key factors which impact on the fracture resistance of endodontically accessed and repaired all-ceramic crowns have been isolated from in vitro studies. Cautious clinical interpretation of these factors is advised for the maintenance of the crown as a permanent restoration.

Early surface microhardness of a resin composite exposed to a pulse-delayed curing exposure: a comparison of a tungsten halogen and a plasma arc lamp, in vitro.

Surface microhardness numbers of a commercial resin composite have been compared after exposure to a quartz tungsten halogen (QTH) and plasma arc (PAC) lamp respectively, using two exposure protocols. The effect of increased tip-to-composite distance has also been compared. Exposure with the PAC lamp tested is more appropriate to the early finishing of composite restorations after placement and curing than with the QTH. However both lamps were capable of producing comparable surface hardness, with appropriate exposure protocols. The effect of increased tip-to-composite distance was generally not significant between the lamps for continuous exposure.

In vitro study of surface microhardness of a resin composite exposed to a quartz-halogen lamp.

OBJECTIVES: To determine the minimum exposure times consistent with optimized surface microhardness numbers (VHN) for the top and bottom surfaces, respectively, of a resin composite (1.5-mm depth) cured using a quartz-halogen activation lamp. Additionally, to determine the conditions appropriate to achieve optimized bottom/top hardness ratios. METHOD AND MATERIALS: Disk specimens of a commercial resin composite restorative (Spectrum TPH) were exposed to a quartz-halogen lamp, and VHNs were measured for the top and bottom surfaces at elapsed times of 1 hour and 24 hours. RESULTS: Data were dependent on exposure time, time elapsed after exposure, and the surface involved. Exposure time featured limiting values in excess of which no significant increase in microhardness took place. All microhardness data increased significantly over an elapsed time interval between 1 hour and 24 hours postexposure. Microhardness ratios (bottom/top) were dependent on exposure time only and were not influenced by time elapsed after exposure. CONCLUSION: Minimum exposure time may be considered as the greater of the times to achieve optimized top hardness and optimized hardness ratio, respectively.

Surface microhardness of a resin composite exposed to a "first-generation" LED curing lamp, in vitro.

This investigation determined the minimum exposure times consistent with optimised surface microhardness parameters for a commercial resin composite cured using a "first-generation" light-emitting diode activation lamp. Disk specimens were exposed and surface microhardness numbers measured at the top and bottom surfaces for elapsed times of 1 hour and 24 hours. Bottom/top microhardness number ratios were also calculated. Most microhardness data increased significantly over the elapsed time interval but microhardness ratios (bottom/top) were dependent on exposure time only. A minimum exposure of 40 secs is appropriate to optimise microhardness parameters for the combination of resin composite and lamp investigated.

Surface microhardness of a resin composite exposed to pulse-delayed plasma arc lamp irradiation, in vitro.

Groups of samples of a light-activated resin composite were exposed, using a 3-step pulse-delayed protocol, to a plasma arc unit. Further groups were exposed with the light-curing guide positioned at increasing distances from the composite surface. The pulse-delayed protocol yielded a progressive increase in microhardness number at the end of each step but with a maximum mean value significantly less than the controls. Increasing the irradiation distance yielded a progressive and significant decrease in microhardness number.

Endodontic access cavity simulation in ceramic dental crowns.

OBJECTIVES: It is proposed that a non-uniform rational B-spline (NURBS) based solid geometric model of a ceramic crown would be a flexible and quick approach to virtually simulate root canal access cavities. The computation of strain components orthogonal to surface flaws generated during the drilling would be an appropriate way of comparing different access cavity configurations. METHODS: A µCT scan is used to develop a full 3D NURBS geometric solid model of a ceramic crown. Three different access cavity configurations are created virtually in the geometric model and there are then imported into proprietary finite element software. A linear analysis of the each crown is carried out under appropriate in vivo loading and the results are post-processed to carry out a quantitative comparison of the three configurations RESULTS: The geometric model is shown to be a flexible and quick way of simulation access cavities. Preliminary indications are that post processed strain results from the finite element analysis are good comparators of competing access cavity configurations. SIGNIFICANCE: The generation of geometric solid models of dental crowns from µCT scans is a flexible and efficient methodology to simulate a number of access cavity configurations. Furthermore, advanced post-processing of the primary finite element analysis results is worthwhile as preliminary results indicate that improved quantitative comparisons between different access cavity configurations are possible.

The effect of variability in the powder/liquid ratio on the strength of zinc phosphate cement.

Aim. To investigate (a) variability in powder/liquid proportioning and (b) effect of variability on diametral tensile strength (DTS), in a zinc phosphate cement. Statistical analyses (α = 0.05) were by Student's t-test in the case of powder/liquid ratio and one-way ANOVA and Tukey HSD for pair-wise comparisons of mean DTS. The Null hypotheses were that (a) the powder-liquid mixing ratios would not differ from the manufacturer's recommended ratio (b) DTS of the set cement samples using the extreme powder/liquid ratios would not differ from those made using the recommended ratio. Methodology. 34 dental students dispensed the components according to the manufacturer's instructions. The maximum and minimum powder/liquid ratios, together with the manufacturer's recommended ratio, were used to prepare samples for DTS testing. Results. Powder/liquid ratios ranged from 2.386 to 1.018. The mean ratio (1.644) was not significantly different from the recommended value of 1.718 (P = 0.189). DTS values for the maximum and minimum ratios were both significantly different from each other (P < 0.001) and from the mean value obtained from the recommended ratio (P < 0.001). Conclusions. Variability exists in powder/liquid ratio for hand dispensed zinc phosphate cement. This variability can affect the DTS of the set material.

Microhardness of resin composite materials light-cured through fiber reinforced composite.

OBJECTIVES: To compare polymerization efficiency of resin composite basing materials when light-cured through resin composite and fiber reinforced composite (FRC) by testing microhardness. METHODS: Simulated indirect restorations were prepared by application of resin composite (Clearfil AP-X) or FRC (EverStick) to nylon rings with 1.5mm thickness and 8mm diameter, followed by light-curing. Resin composite basing material (Clearfil Majesty Flow or Clearfil AP-X) was applied to identical rings and light-cured through the simulated indirect restorations with exposure times of 20, 40, or 60s. Light-curing though a ring without resin material (=no indirect restoration) served as control. For each combination of basing material and indirect restoration 10 specimens were prepared for each exposure time. Top and bottom surface Vickers microhardness numbers (VHNs) of basing materials were recorded after 24h. RESULTS: After 60s exposure time, VHNs with indirect FRC were not different from control VHNs, while VHNs with indirect resin composite were significantly lower (p<0.001). Linear regression analysis revealed that resin composite basing material used had the greatest effect on top and bottom VHNs (p<0.001). The presence of an indirect restoration resulted in decreased VHNs (p<0.001), with resin composite resulting in lower VHNs when compared to FRC. Moreover, a longer exposure time resulted in increased VHNs (p<0.001). SIGNIFICANCE: Results suggest that polymerization of resin composite basing materials is more effective when light-curing through an FRC than through a resin composite indirect restoration. Prolonging of exposure time, however, is necessary when compared to light-curing without presence of indirect restoration material.