Pre-Heating effect on the microhardness and depth of cure of Bulk-Fill composite resins / Efecto del precalentamiento de las resinas compuestas Bulk-Fill en la microdureza y la profundidad de curado

Abstract The aim of this study was to investigate the effect of preheating three bulk-fill and one conventional composite resin on the Vickers microhardness and depth of cure of these composites. In this study, three bulk-fill composites- SDR Plus (SDR), Estelite BULK FILL Flow (EST), Admira® Fusion x-tra (AFX), and one conventional composite resin G-ænial POSTERIOR (GP) were used as the control group. The samples were obtained at room temperature (24°C) and at 55°C in T2 mode after being placed in a heating device for 10 minutes. The samples were divided into eight groups (n=10) according to the type of material and heating process that was utilized (preheated and nonheated). All samples were tested with a Vickers microhardness (VHN) tester on the bottom and top surfaces. The first measurements were obtained at baseline; the second set of measurements was performed after the samples were stored in distilled water at 37°C for 24 hours. The depth of cure was calculated using a bottom/top hardness ratio of measurements. Statistical analysis was performed utilizing the SPSS V23 and Shapiro-Wilk tests. Lastly, the Duncan test was used for multiple comparisons (p<0.05). While the VHN increased after the preheating procedure in bulk-fill composites, it decreased in GP. There was no difference between the baseline and the 24-hour VHN values in SDR and GP. After 24 hours, while the VHN of EST increased, the VHN of AFX decreased. There was no difference between the hardness ratios of the AFX and EST samples (p<0.001) and hardness ratios were greater than GP and SDR. When comparing the baseline and the 24- hour values, the VHN depended on the type of materials. Sufficient curing depth was obtained in all groups with a thickness of 2mm.

Resumen El objetivo fue investigar el efecto del precalentamiento de tres resinas Bulk-fill, una resina compuesta convencional sobre la microdureza Vickers y la profundidad de curado de estas resinas. Se utilizaron tres composites Bulk-Fill-SDR Plus (SDR), Estelite BULK FILL Flow (EST), Admira® Fusion x-tra (AFX), y una resina compuesta convencional G-ænial POSTERIOR (GP) como grupo de control. Las muestras se obtuvieron a temperatura ambiente (24°C) y a 55°C en modo T2 después de haber sido colocadas en un dispositivo de calentamiento durante 10 minutos. Se dividieron en ocho grupos (n=10) según el tipo de material y el proceso de calentamiento que se utilizó (precalentado y no calentado). Se probaron con un medidor de microdureza Vickers (VHN) en las superficies inferior y superior. Las primeras mediciones se obtuvieron en la línea de base; la segunda se realizó después de que las muestras se almacenaran en agua destilada a 37°C durante 24 horas. La profundidad de curado se calculó utilizando una relación de dureza inferior/ superior de las mediciones. El análisis estadístico se realizó utilizando el SPSS V23 y las pruebas de Shapiro-Wilk. Por último, se utilizó la prueba de Duncan para las comparaciones múltiples (p<0,05). VHN aumentó tras el procedimiento de precalentamiento en las resina Bulk-Fill, disminuyó en los GP. No hubo diferencias entre los valores de VHN de referencia y de 24 horas en SDR y GP. Después de 24 horas, mientras que el VHN de EST aumentó, el VHN de AFX disminuyó. No hubo diferencias entre los ratios de dureza de las muestras de AFX y EST (p<0,001) y los ratios de dureza fueron mayores que los de GP y SDR. Al comparar los valores de referencia y los de 24 horas, el VHN dependió del tipo de materiales. Se obtuvo una profundidad de curado suficiente en todos los grupos con un grosor de 2mm.

Expiration Date Effect on Mechanical and Chemical Properties of Glass Ionomer Cements

ABSTRACT: The glass ionomer cements (GICs) is a generic name given to a group of materials widely used in clinical dentistry which if used after the specified expiration date, material properties may be affected. to evaluate the Vick ers microhardness, surface morphology and the energy dispersive X-ray microanalysis (EDX), of GICs with different expiration dates that were stored at room temperature. specimens of highly viscous glass ionomer cement (HVGIC) (Ketac Cem and Ketac Molar) and resin-modified glass ionomer cement (RMGIC) (Vitrebond) with different expiration dates (current, close to their expiration and expired) were prepared for Vickers microhardness test and scanning electronic microscopy (SEM) with EDX, measuring 5 mm in diameter and 2 mm length, per the manufacturer's instructions, in standard cylindrical teflon molds. For the comparison of obtained values, the ANOVA test was used, while Tukey test was used for the multiple comparisons. In all the GICs used, the microhardness decreased as the expiration date approached, finding a significant statistical differen ce (P<0.05) in Ketac Molar and Vitrebond. SEM sample analysis revealed similar cohesive cracks in all tested materials. The EDX analysis revealed the presence of the elements F, Al and Si in all GICs and Ca only in Ketac Molar and Ketac Cem. The elements were found in a higher atomic percentage in the GICs with an current date and in a lower percentage in those with an expired date. HVGIC and RMGIC with an expiration date finish and that were stored at room temperature, suffer significant physical and chemical changes, which could put doubts its clinical effectiveness.

RESUMEN: El cemento de ionómero de vidrio (CIV) es un nombre genérico que se le da a un grupo de materiales ampliamente utilizados en odontología clínica que si se usan después de la fecha de vencimiento especificada, las propiedades del material pueden verse afectadas. evaluar la microdureza Vickers, la morfología superficial y el microanálisis de energía dispersa de rayos X (EDX), de CIV con diferentes fechas de caducidad almacenados a temperatura ambiente. Muestras de cemento de ionómero de vidrio de alta viscosidad (CIVAV) (Ketac Cem y Ketac Molar) y cemento de ionómero de vidrio modificado con resina (CIVMR) (Vitrebond) con diferentes fechas de vencimiento (vigente, próximo a su vencimiento y vencido) de 5 x 2 mm, fueron preparadas para microscopía electrónica de barrido (MEB) con EDX y microdureza Vickers, según las instrucciones del fabricante, en moldes de teflón cilíndricos estándar. Para la comparación de los valores obtenidos se utilizó la prueba ANOVA, mientras que para las comparaciones múltiples se utilizó la prueba de Tukey. En todos los CIV utilizados, la microdureza disminuyó a medida que se acercaba la fecha de vencimiento, encontrándose una diferencia estadística significativa (P <0.05) en Ketac Molar y Vitrebond. El análisis de la muestra en MEB reveló grietas cohesivas similares en todos los materiales probados. El análisis EDX reveló la presencia de los elementos F, Al y Si en todos los GIC y Ca solo en Ketac Molar y Ketac Cem. Los elementos se encontraron en mayor porcentaje atómico en los GIC con fecha vigente y en menor porcentaje en aquellos con una fecha vencida. Los CIVAV y CIVMR con fecha de caducidad vencida y que fueron alma- cenados a temperatura ambiente, sufrieron cambios físicos y químicos importantes, lo que podría poner en duda su efectividad clínica.

Characterization of Enamel After the Use of Oral Hygiene Auxiliaries with Whiteners / Caracterización del esmalte después del uso de auxiliares de higiene bucal con blanqueadores

ABSTRACT The purpose of this study was to evaluate the effect of the use of the combined auxiliaries of oral hygiene with whitening agents on the micro-hardness and micro-morphology of dental enamel. Materials and Methods. 40 human incisors were used and sectioned to obtain 4x4mm samples and divided into four study groups. Group 1: Electric brushing with Toothpaste (BTP); Group 2: Electric brushing with Toothpaste+mouthwash (BTP+MW); Group 3: Electric brushing with Toothpaste+whitening pen (BTP+WP); Group 4: Electric brushing with Toothpaste+mouth wash+whitening pen (BTP+MW+WP). Samples were submitted toVickers micro-hardness test and visualized using scanning electron microscopy (SEM). Results. All groups, with the exception of group 1, showed a decrease in micro- hardness values after applying the treatments (p<0.05). Likewise, when comparing the values after the treatments between the groups, significant statistical differences were found in all of comparisons except for those of groups 2 and 4. SEM images showed changes in the morphology in all the study groups with the exception of group 1. Conclusion. Significant changes such as decrease in micro-hardness as well as in the topography of the enamel surface such as elevations, craters, porosities and etching patterns were founded after the use of the combination of auxiliaries of oral hygiene with whitening agents.

RESUMEN El propósito de este estudio fue evaluar el efecto del uso de los auxiliares de higiene oral combinados con agentes blanqueadores sobre la microdureza y la micro-morfología del esmalte dental. Materiales y métodos. Se utilizaron 40 incisivos humanos y se seccionaron para obtener muestras de 4x4 mm los cuales se dividieron en cuatro grupos de estudio. Grupo 1: cepillado eléctrico con pasta de dientes (BTP); Grupo 2: cepillado eléctrico con pasta dental+enjuague bucal (BTP+MW); Grupo 3: cepillado eléctrico con pasta dental+pluma blanqueadora (BTP+WP); Grupo 4: cepillado eléctrico con pasta dental+enjuague bucal+pluma blanqueadora (BTP+MW+WP). Las muestras fueron analizadas por medio de microdurezaVickers y microscopía electronica de barrido (SEM). Resultados. Todos los grupos, con la excepción del grupo 1, mostraron una disminución en los valores de microdureza después de aplicar los tratamientos (p<0.05). Del mismo modo, al comparar los valores después de los tratamientos entre los grupos, se encontraron diferencias estadísticamente significativas en todas las comparaciones, excepto en las de los grupos 2 y 4. Las imágenes de SEM nos muestran cambios en la morfología en todos los grupos de estudio con la excepción del grupo 1 Conclusión. Cambios significativos como la disminución de la microdureza y los cambios en la topografía de la superficie del esmalte, como elevaciones, cráteres, porosidades y patrones de grabado, se encontraron después del uso de la combinación de auxiliares de la higiene oral con agentes blanqueadores.

Influence of storage temperature on vickers microhardness of resin composite

Introduction: The purpose of this study is to evaluate the effect of three storage temperatures on microhardness of high and low viscosity bulk-fill materials and compare them with conventional resin-based composite materials. Materials and method: Six composite resin-based materials were used in this study (TN, TNB, TNF, FZ250, FB and FBF) samples were subdivided into three groups based on the pre-curing storage temperature (5°C, 23°C and 37°C). Light polymerization for each material was performed based on the manufacturer’s recommendation using Bluephase G2 curing unit (Ivoclar Vivadent, Schaan, Liechtenstein) in a high-intensity mode with an irradiance of 1200 mW/cm2. Vickers hardness values of top and the bottom surfaces of each sample were evaluated using (NOVA 130 series, Vickers and Knoop hardness testing instrument) under a 200 g load with a dwell time of 10 sec. Also three indentations with the random distance of 1 mm were taken from the top and the bottom surfaces of each sample and a mean Vickers hardness (VHN) value were calculated (n=18 top and n=18 bottom). The mean bottom/top ratio was calculated by dividing VHN of the bottom surface by VHN of the top surface. Results: When the tested materials were stored at room temperature (23°C) before testing in the present study, they failed to reach the minimum 80% of the mean bottom to top hardness value ratio except for FZ250 and FBF, where they reached 97.8% and 83.2% respectively. Where in samples that were stored refrigerated at 5°C all the materials have reached the minimum 80% of the mean bottom to top hardness value ratio except for FBF (77.3%) and TB (77.2%). On the other hand, the only material that reached the minimum 80% of the mean bottom to top hardness value ratio when the materials were stored at 37°C was FZ250 (93.5%). Conclusion: Despite the promising results from this preliminary study, regarding improvement of microhardness with refrigerated composite resins, further research has to be conducted. The enhancement of hardness values associated with preheated composites could be beneficial in countries with warm climate such as Saudi Arabia. The association of precooled composite resin and the use of the LED curing units could be recommended to improve resin-based composite hardness. Further research is needed to evaluate the other mechanical properties and whether or not they are influenced by storage temperature.

Effects of incorporation of 2.5 and 5 wt% TiO₂ nanotubes on fracture toughness, flexural strength, and microhardness of denture base poly methyl methacrylate (PMMA)

PURPOSE: The aim of this preliminary study was to investigate, for the first time, the effects of addition of titania nanotubes (n-TiO2) to poly methyl methacrylate (PMMA) on mechanical properties of PMMA denture base. MATERIALS AND METHODS: TiO2 nanotubes were prepared using alkaline hydrothermal process. Obtained nanotubes were assessed using FESEM-EDX, XRD, and FT-IR. For 3 experiments of this study (fracture toughness, three-point bending flexural strength, and Vickers microhardness), 135 specimens were prepared according to ISO 20795-1:2013 (n of each experiment=45). For each experiment, PMMA was mixed with 0% (control), 2.5 wt%, and 5 wt% nanotubes. From each TiO2:PMMA ratio, 15 specimens were fabricated for each experiment. Effects of n-TiO2 addition on 3 mechanical properties were assessed using Pearson, ANOVA, and Tukey tests. RESULTS: SEM images of n-TiO2 exhibited the presence of elongated tubular structures. The XRD pattern of synthesized n-TiO2 represented the anatase crystal phase of TiO2. Moderate to very strong significant positive correlations were observed between the concentration of n-TiO2 and each of the 3 physicomechanical properties of PMMA (Pearson's P value ≤.001, correlation coefficient ranging between 0.5 and 0.9). Flexural strength and hardness values of specimens modified with both 2.5 and 5 wt% n-TiO2 were significantly higher than those of control (P≤.001). Fracture toughness of samples reinforced with 5 wt% n-TiO2 (but not those of 2.5% n-TiO2) was higher than control (P=.002). CONCLUSION: Titania nanotubes were successfully introduced for the first time as a means of enhancing the hardness, flexural strength, and fracture toughness of denture base PMMA.

Vickers microhardness comparison of 4 composite resins with different types of filler / Comparación de la Microdureza Vickers de 4 resinas compuestas con diferente tipo de relleno

Composite resins are the material of choice to restore minimal invasive cavities; conversely, it is important to explore the mechanical properties of commercially available dental materials. Objective: To compare the Vickers microhardness (VHN) of four available commercial composite resins using standardized samples and methods. Methodology: Composite cylinders were manufactured in a Teflon mould. We used the follow composite resins (n=4/gp): Microhybrid resins [Feeling Lux (Viarden) and AmelogenPlus (Ultradent)], Hybrid resin [Te-Econom Plus (Ivoclar)] and Nanohybridresin [Filtek Z350 (3M ESPE)]. All samples were incubated in distilled water at 37ºC for five days. The test was carried out with microhardness indenter at 10 N, and a dwelling time of 10 s for 9 indentations across the specimens resulting in a total of 36 indentations for each group. Data were subjected to Kolmogorov-Smirnov normality test and ANOVA (post-hoc) Tukey test. Results: The VHN mean values ranged from harder to softer as follows: Filtek Z350 (71.96+/-6.44) (p<0.01)> Amelogen Plus (59.90+/-4.40) (p<0.05)> Feelinglux (53.52+/-5.72)> Te-Econom Plus (53.26+/-5.19). Conclusion: According to our results, the microhardness of the evaluated conventional composite resins can withstand the masticatory forces; however nanohybrid composite resins showed better Vickers microhardness and therefore are a more clinically suitable option for minimal invasion treatments...

Las resinas son los materiales de elección para restaurar cavidades mínimamente invasivas, sin embargo, es importante conocer sus propiedades mecánicas de los materiales dentales disponibles comerciales. Objetivo: Comparar la microdureza Vickers (VHN) de cuatro resinas compuestas comerciales disponibles con muestras y métodos estandarizados. Metodología: Cilindros de resina compuesta fueron conformados en un molde de Teflón. Se utilizaron las siguientes resinas compuestas (n=4/gp): resina microhíbrida [Feeling Lux (Viarden) y Amelogen Plus (Ultradent)], resina híbrida [Te-Econom Plus (Ivoclar)] y resina nanohíbrida [Filtek Z350 (3M ESPE)]. Todas las muestras fueron incubadas en agua destilada a 37°C durante cinco días. El análisis fue realizado con un indentador de microdureza a 10 N y 10s de presión sobre la muestra, nueve indentaciones fueron realizadas a lo largo de la muestra resultando un total de 36 indentaciones por cada grupo. Los datos fueron sometidos a prueba de normalidad de Kolmogorov-Smirnov y un análisis de ANOVA (post-hoc) de Tukey. Resultados: Los valores de VHN correspondieron de la resina más dura a la más suave como se muestra a continuación: Filtek Z350 (71.96+/-6.44) (p<0.01)> Amelogen Plus (59.90+/-4.40) (p<0.05)> Feeling lux (53.52+/-5.72)> Te-Econom Plus (53.26+/-5.19). Conclusiones: De acuerdo con nuestros resultados, la dureza de las resinas compuestas convencionales evaluadas puede soportar las fuerzas masticatorias pero las resinas compuestas nanohíbridas mostraron una mejor microdureza Vickers que clínicamente puede resultar como una adecuada opción para restaurar tratamientos mínimamente invasivos...

A comparative study on biaxial flexural strength and Vicker`smicrohardness of different zirconia materials: Effect of glazingand thermal cycling / Estudo comparativo da resistência à flexão biaxial e microdureza Vickers` em diferentes materiais à base de zircônia: Efeito doglazeamento e da ciclagem térmica

Objetivo: Este estudo avaliou o efeito do glazeamento e da ciclagem térmica na resistência à flexão biaxial e na dureza Vicker’s de diferentes materiais à base de zircônia. Material e Métodos: Espécimes de disco (15 mm x 1,15 mm) de zircônia foram confeccionados usando 3 sistemas (ZirkonZahn, Cercon, Ceramill) de acordo com a recomendação de cada fabricante. Os espécimes de cada sistema cerâmico foram randomicamente divididos em 2 grupos. Enquanto metade dos espécimes foram glazeados, a outra metade permaneceu não glazeado. Adicionalmente, cada grupo foi divido em 4 subgrupos submetidos a diferentes ciclagens térmicas (0-control, 1000, 3000, 5000 ciclos, 5-55 ºC). A resistência à flexão biaxial foi realizada em uma máquina de teste universal (1 mm/min). As amostras não glazeadas foram submetidas a microdureza Vicker’s antes e após a ciclagem térmica (0-control, 1000, 3000, 5000 cycles, 5-55 ºC). Os dados foram estatisticamente analisados usando ANOVA 1-fator, ANOVA 2-fatores e teste de Tukey’s (p < 0,05). Resultados: Nas amostras não cicladas (1104-1388 MPa), o glazeamento reduziu significativamente a resistência à flexão biaxial de todos os sistemas cerâmicos (845.65-897.35 MPa) (p = 0,000). Enquanto nos grupos não glazeados todas as modalidades de ciclagem térmica reduziram significantemente a resistência à flexão biaxial (864- 1156 MPa) (p = 0,000), nos grupos glazeados a ciclagem térmica não afetou os resultados (829.4- 854.9 MPa) (p = 0,405). Comparados aos grupos não envelhecidos (1414.1 VHN), a ciclagem térmica reduziu significantemente a dureza Vickers apenas para o Cercon (1365.9 VHN) (p = 0,005). Conclusão: O glazeamento reduz a resistência à flexão biaxial dos sistemas à base de zircônia testados. As amostras não glazeadas foram mais afetadas pela ciclagem que as amostras glazeadas. Estas informações podem ter relevância clínica na durabilidade de reconstruções em zircônia monolítica.

Objective: This study evaluated the effect of glazing and thermal cycling on biaxial flexural strength and Vickers hardness of different zirconia framework materials. Material and Methods: Disc shaped zirconia specimens (15 mm x 1.15 mm) were fabricated using three systems (ZirkonZahn, Cercon, Ceramill) according to each manufacturer`s instructions. The specimens of each system were randomly divided into 2 groups. While half of the specimens were glazed, the other half was left unglazed. Each group was further divided into 4 subgroups to be subjected to thermal cycling (0-control, 1000, 3000, 5000 cycles, 5-55 ºC). Biaxial flexural strength was tested in a universal testing machine (1 mm/min). Unglazed zirconia specimens were subjected to Vickers microhardness with and without thermal cycling (0-control, 1000, 3000, 5000 cycles, 5-55 ºC). Data were statistically analyzed using one-way ANOVA, twoway ANOVA and Tukey’s test (p < 0.05). Results: In non-aged conditions (1104-1388 MPa), glazing significantly decreased the biaxial flexural strength of all zirconia ceramics (845.65-897.35 MPa) (p = 0.000). While in the non-glazed groups, all thermal cycling regimens significantly decreased the biaxial flexural strength (864 -1156 MPa) (p = 0.000), in glazed groups thermal cycling did not affect the results (829.4-854.9 MPa) (p = 0.405). Compared to the non-aged group (1414.1 VHN), thermal cycling decreased the Vickers hardness significantly only for Cercon (1365.9 VHN) (p = 0.005). Conclusion: Glazing decreased the biaxial flexural strength of the zirconia ceramics tested. Unglazed zirconia ceramics were weaker against thermal cycling compared to glazed ones. For the long-term durability of monolithic zirconia reconstructions, this information may have clinical significance.