Influência do uso da proantocianidina em um adesivo autocondicionante: avaliação da resistência de união / Influence of the use of proanthocyanidinin a self-etching adhesive: evaluation of bond strength / Influenciadel uso de proantocianidinaem um adesivo autograbante: evaluación de la fuerza de unión

Introdução:Os sistemas adesivos possibilitama execução de restaurações estéticas e minimamente invasivas, sendo, portanto,objeto de pesquisas para contornar os problemas que se apresentam no procedimento restaurador.Objetivo:Avaliar in vitroa resistência de união de um sistema adesivo autocondicionante, e deste modificado com soluções extrativas de semente de uva.Metodologia:Duas soluções extrativas foram preparadas comextrato de semente de uva em pó dissolvido em acetona e etanol. A partir delas e de umadesivo,seis sistemas adesivos autocondicionantes experimentais foram preparados, diferindo quanto aosolvente utilizado eàsproporções entre adesivo puro e solução extrativa(7,5%, 15% e 30%). Setenta incisivos bovinos hígidos tiveram as raízes removidas com disco de carborundum e as faces vestibulares desgastadas comlixas d'água de granulação 120, 240, 600 e 1200 sob refrigeração até expor a dentina superficial. Os dentes foram distribuídos aleatoriamenteem sete grupos distintos: Controle; A7,5; A15; A30; E7,5; E15; e E30, contendo 10 elementos cada. A aplicação dos adesivos foi executada de acordo com as recomendações do fabricante do adesivo controle. A restauração foi realizada com uma matriz de silicone com dimensões 2mm de altura e 4mm de diâmetro e inserido o material restaurador em incremento único e fotopolimerizado por 40s. Após três meses armazenados em água destilada, os espécimes foram submetidos ao teste de resistência de união. Foi empregado ométodo estatísticoTeste Paramétrico Anova 1 Fator e pós-teste de Tamhane (p<0,05). Resultados:Os grupos A7,5, E7,5 e E30 não apresentaram diferença em relação ao grupo Controle; A15 e A30 mostraram desempenho estatisticamente semelhante entre si; e E15 não apresentou diferença estatística em relação aos outros adesivos.Conclusões:A adição de proantocianidina teve efeitos diferentes,dependendodos solventes e das concentrações utilizadas, mas sem alterar significativamente o desempenho do adesivo (AU).

Introduction:Adhesive systems make it possible to perform aestheticand minimally invasive restorations, being the subject of research to circumvent the problems that arise in the restorative procedure.Objective:Evaluate in vitrothe bond strength of a self-etching adhesive system,and modified with extractive grape seed solutions. Methodology:Two extractive solutions were prepared with powdered grape seed extract dissolved in acetone and ethanol. From them and an adhesive, six experimental self-etching adhesive systems were prepared, differing in terms of the solvent used and the proportions between pure adhesive and extractive solution(7.5%, 15% and 30%). Seventy healthy bovine incisors had their roots removed with carborundum disc and the vestibular faces were worn with sandpaper with granulation water 120, 240, 600 and 1200 under refrigeration until the superficial dentin was exposed. The teeth were randomly assigned to seven different groups: Control; A7.5; A15; A30; E7.5; E15; and E30, containing 10 elements each. The application of the adhesives was carried out according to the recommendations of the manufacturer of the control adhesive. The restoration was performed with a silicone matrix with dimensions 2mm high and 4mm indiameter and the restorative material was inserted in a single increment and light cured for 40s. After three months stored in distilled water, the specimens were submitted to the bond strength test. The statistical method Parametric Test Anova 1 Factor and Tamhane post-test (p<0.05) were used. Results:Groups A7.5, E7.5 and E30 showed no difference in relation to the Control group; A15 and A30 showed a statistically similar performance; and E15 showed no statistical difference in relation to the other adhesives. Conclusions:The addition of proanthocyanidin had different effects, depending on the solvents and concentrations used, but without significantly altering the performance ofthe adhesive (AU).

Introducción: Sistemas adhesivos permiten realizar restauraciones estéticas y mínimamente invasivas, siendo objeto de investigación para sortear problemas que surgen en elprocedimiento restaurador. Objetivo: Evaluar in vitrola fuerza de unión de un sistema adhesivoautograbante y modificado con soluciones extractivas de semilla de uva. Metodología: Se prepararon dos soluciones extractivas con extracto de semilla de uva en polvo disuelto en acetona y etanol. A partir de ellos y de un adhesivo, se prepararon seis sistemas experimentales de adhesivos autograbantes, que se diferencian en cuanto al solvente utilizado y las proporciones entre adhesivo puro y solución extractiva (7,5%, 15% y 30%). Setenta incisivos bovinos sanos fueron removidos con un disco de carborundo y las caras vestibulares fueron usadas com lija de agua de granulación 120, 240, 600 y 1200 bajo refrigeración hasta que la dentina superficial quedo expuesta. Los dientes se asignaron aleatoriamente a siete grupos diferentes: Control; A7,5; A15; A30; E7,5; E15; y E30, que contiene 10 elementos cada uno. La aplicación de los adhesivos se realizó siguiendo las recomendaciones del fabricante del adhesivo de control. La restauración se realizó con matriz de silicona con 2mm de altura y 4mm de diámetro y el material restaurador se insertó en un solo incremento y se fotopolimerizó durante 40s. Tres meses después, almacenados em agua destilada, las muestras se sometieron a la prueba de resistencia de la unión. Se utilizó el método estadístico Prueba Paramétrica Factor Anova 1 y post-prueba de Tamhane (p<0,05). Resultados: Los grupos A7,5, E7,5 y E30 no mostraron diferencias em relación con el grupo Control; A15 y A30 mostraron un desempeño estadísticamente similar; y E15 no mostró diferencia estadística en relación con los otros adhesivos. Conclusiones: La adición de proantocianidina tuvo diferentes efectos, dependiendo de los disolventes y concentraciones utilizadas, pero sin alterar significativamente el rendimiento del adhesivo (AU).

A Study on Topographical Properties and Surface Wettability of Monolithic Zirconia after Use of Diverse Polishing Instruments with Different Surface Coatings.

PURPOSE: To investigate the surface topography parameters and wettability of monolithic zirconia (MZ) using polishing instruments with different coatings. MATERIALS AND METHODS: MZ specimens (N = 50, n = 10 per group) (12 × 12 × 1.8 mm3 ) were highly polished. Five polishing systems were studied: BG: silicon carbide polishers; CG: diamond-impregnated ceramic polisher kit; EV: synthetically bonded grinder interspersed with diamond; SL: urethane-coated paper with aluminum oxide grits; and DB: diamond bur (8 µm). Specimens were initially roughened with 220 µm grit diamond burs (10 seconds, 160,000 rpm). After baseline measurements, they were further polished for 10 seconds using a slow-speed handpiece under water coolant, except for SL using a custom-made device (7.5 N), with speed ranging between 5000 and 30,000 rpm. Topographical changes were evaluated considering (a) weight (digital scale), (b) volume loss (digital microscope), (c) vertical height loss (digital microscope), (d) surface roughness (Ra) (profilometer), and (e) surface wettability (goniometer, water). RESULTS: Compared to baseline, material loss from the surface after polishing (ΔW) ranged between 0.00 ± 0.0001×10-1 and -0.03 ± 0.008×10-1 g (SLa < CGa < BGa < DBb < EVc ) and the volume loss (ΔV) between 900 ± 3×10-5 and 2459 ± 7×10-5 µm3 (SLa < BGa < CGa,b < DBb < EVc ). The vertical height loss (∆VH) was highest for SL (-18.911 ± 3.5) and lowest for EV 55.19 ± 6.3 µm (SLa < BGa < CGa,b < DBb < EVc ). The surface roughness (µm) difference (∆Ra) was lowest for DB (-0.14 ± 0.02) and the highest for EV (0.86 ± 0.42) (DBa < BGa < SLa < CGa < EVb ). BG showed the lowest contact angle difference (∆SW) -2.79 ± 0.8° and EV the highest (3.93 ± 3.1°) (BGa < DBa < SLa < CGa < EVa ). CONCLUSIONS: All polishing instruments performed similarly when ∆Ra values were considered. SL, BG, and CG produced the least material loss. Synthetically bonded rubber bur interspersed with diamond (EV) could not be suggested for polishing MZ.

In vitro biofilm formation on resin-based composites after different finishing and polishing procedures.

OBJECTIVES: To evaluate the influence of surface treatments of different resin-based composites (RBCs) on S. mutans biofilm formation. METHODS: 4 RBCs (microhybrid, nanohybrid, nanofilled, bulk-filled) and 6 finishing-polishing (F/P) procedures (open-air light-curing, light-curing against Mylar strip, aluminum oxide discs, one-step rubber point, diamond bur, multi-blade carbide bur) were evaluated. Surface roughness (SR) (n=5/group), gloss (n=5/group), scanning electron microscopy morphological analysis (SEM), energy-dispersive X-ray spectrometry (EDS) (n=3/group), and S. mutans biofilm formation (n=16/group) were assessed. EDS analysis was repeated after the biofilm assay. A morphological evaluation of S. mutans biofilm was also performed using confocal laser-scanning microscopy (CLSM) (n=2/group). The data were analyzed using Wilcoxon (SR, gloss) and two-way ANOVA with Tukey as post-hoc tests (EDS, biofilm formation). RESULTS: F/P procedures as well as RBCs significantly influenced SR and gloss. While F/P procedures did not significantly influence S. mutans biofilm formation, a significant influence of RBCs on the same parameter was found. Different RBCs showed different surface elemental composition. Both F/P procedures and S. mutans biofilm formation significantly modified this parameter. CONCLUSIONS: The tested F/P procedures significantly influenced RBCs surface properties but did not significantly affect S. mutans biofilm formation. The significant influence of the different RBCs tested on S. mutans biofilm formation suggests that material characteristics and composition play a greater role than SR. CLINICAL SIGNIFICANCE: F/P procedures of RBCs may unexpectedly play a minor role compared to that of the restoration material itself in bacterial colonization.

Effect of Finishing Procedures on the Surface Roughness of Resin-modified Glass-Ionomer Materials.

This study examined the influence of finishing procedures on the surface roughness of different formulations of resin-modified glass ionomers (RMGIs) available in capsules compared with standard resin composites (RCs). Disc samples of three RMGIs and two RCs were fabricated using a metal mold (5 mm x 1.5 mm). Samples were randomly divided into seven groups (N = 10) and subjected to finishing and polishing procedures using a combination of carbide or diamond burs, followed by either rubber points or aluminum-oxide discs. Three different regions of each sample were analyzed using a contact profilometer to determine the average roughness (Ra). The main surface roughness was calculated using a two-way analysis of variance (ANOVA) and the Bonferroni correction for multiple comparisons. A dual-stage combination of a fine carbide bur followed by the use of the finest two grits of aluminum-oxide discs was found to produce the smoothest finished and polished surface. the smoothest surfaces were found to be on the two RCs and one of the RMGIs.

Effect of surface treatments on the biaxial flexural strength, phase transformation, and surface roughness of bilayered porcelain/zirconia dental ceramics.

STATEMENT OF PROBLEM: Veneered zirconia restorations are widely used in prosthetic applications. However, these restorations often fail because of chipping of the veneer porcelain. Surface treatments of zirconia core materials may affect the connection between the 2 layers. PURPOSE: The purpose of this study was to evaluate the effect of surface treatments on the biaxial flexural strength, phase transformation, and mean surface roughness of different bilayered porcelain/zirconia ceramics. MATERIAL AND METHODS: Forty disk-shaped specimens were obtained for each material (Kavo and Noritake) and divided into 4 (n=10) groups (control, airborne-particle abraded, ground, and ground and airborne-particle abraded). Airborne-particle abrasion was performed with 110-µm Al2O3 particles for 15 seconds and at 400 kPa. Diamond rotary instruments with 100-µm grain size were used for grinding. The monoclinic phase transformation and surface roughness of the specimens were measured. Then, the specimens were veneered and subjected to a biaxial flexural strength test to calculate the Weibull moduli (m values) and the stresses occurring at the layers, outer surfaces of the bilayer, and interfaces of the layers. RESULTS: The Kavo airborne-particle abraded group showed higher strength values in both layers (P<.05) than those of all experimental groups. The Kavo airborne-particle abraded group showed the lowest m values at the core and veneer layers. According to the phase analysis, significantly higher Xm values were found in the ground and airborne-particle abraded groups for both materials (P<.05). In both materials, except in the airborne-particle abraded groups, the relative monoclinic phases showed no difference (P<.05). CONCLUSION: Surface treatments affected the phase transformation, surface roughness, and biaxial flexural strength of Kavo and Noritake zirconia ceramics differently. Surface treatments increased the relative monoclinic phase content and average surface roughness.

Evaluation of two disinfection/sterilization methods on silicon rubber-based composite finishing instruments.

PURPOSE: To evaluate the effectiveness of disinfection/sterilization methods and their effects on polishing capacity, micomorphology, and composition of two different composite fiishing and polishing instruments. METHODS: Two brands of finishing and polishing instruments (Jiffy and Optimize), were analyzed. For the antimicrobial test, 60 points (30 of each brand) were used for polishing composite restorations and submitted to three different groups of disinfection/sterilization methods: none (control), autoclaving, and immersion in peracetic acid for 60 minutes. The in vitro tests were performed to evaluate the polishing performance on resin composite disks (Amelogen) using a 3D scanner (Talyscan) and to evaluate the effects on the points' surface composition (XRF) and micromorphology (MEV) after completing a polishing and sterilizing routine five times. RESULTS: Both sterilization/disinfection methods were efficient against oral cultivable organisms and no deleterious modification was observed to point surface.

Influence of zirconia surface treatment on veneering porcelain shear bond strength after cyclic loading.

STATEMENT OF PROBLEM: The influence of yttria-stabilized tetragonal zirconia polycrystal surface treatment on veneering porcelain shear bond strength after cyclic loading is not fully understood. PURPOSE: The purpose of this study was to investigate the influence of yttria-stabilized tetragonal zirconia polycrystal surface treatment on veneering porcelain shear bond strength and cyclic loading on the shear bond strength between the 2 materials. MATERIAL AND METHODS: A total of 48 cylinder-shaped yttria-stabilized tetragonal zirconia polycrystal specimens were fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM), sintered for 8 hours at 1500°C, ground with 320-grit diamond paper, and divided into 4 groups (n = 12) according to surface treatment as follows: no treatment/control; heat treatment of 650°C to 1000°C at 55°C/min; airborne-particle abrasion with 50-µm alumina at 0.4 MPa pressure for 10 seconds; or heat treatment after abrasion. A veneering porcelain cylinder was built and fired on the prepared yttria-stabilized tetragonal zirconia polycrystal specimens. The shear bond strength was tested with a universal testing machine. Six specimens from each group were subjected to cyclic loading (10000 cycles, 1.5 Hz, 10 N load) before testing. RESULTS: The mean ± SD ranged from 10.7 ± 15.4 to 34.1 ± 10.0. Three-way ANOVA found no statistically significant (P > .05) effect of surface treatment and cyclic loading on shear bond strength. The Sidak multiple comparisons procedure found that cyclic loading specimens had significantly lower shear bond strength than noncyclic loading specimens after airborne-particle abrasion without heat treatment (P = .013). CONCLUSIONS: Within the limitations of this study, the shear bond strength between yttria-stabilized tetragonal zirconia polycrystal and veneering porcelain was not significantly affected by surface treatment. Airborne-particle abrasion without subsequent heat treatment should be avoided as a surface treatment in fabrication methods.

Effect of polishing systems on stain susceptibility and surface roughness of nanocomposite resin material.

STATEMENT OF PROBLEM: Different polishing systems vary in their effect on reducing surface roughness and stain susceptibility of dental composite resin materials. PURPOSE: The purpose of this study was to compare the effect of 3 polishing systems on the stain susceptibility and surface roughness of 2 nanocomposite resins and a microhybrid composite resin. MATERIAL AND METHODS: Forty-five disks (2×10 mm) each were fabricated of 2 nanocomposite resins (Filtek Supreme XT and Tetric EvoCeram) and 1 microhybrid composite resin (Z250). Both sides of the disks were wet finished, and 1 side was polished with PoGo, Astropol, or Hi-Shine (n=5). Unpolished surfaces served as controls. The average roughness (Ra, µm) was measured with a profilometer, and the baseline color was recorded with a spectrophotometer. All specimens were incubated while soaking in a staining solution of coffee, green tea, and berry juice for 3 weeks. The color was recorded again, and the data were analyzed with 2-way ANOVA at α=.05 and Tukey multiple comparison tests. RESULTS: All polishing systems improved the staining resistance of Filtek Supreme XT and Z250 but did not affect that of Tetric EvoCeram. The surface color of Filtek Supreme XT was changed significantly and was the smoothest after polishing with PoGo, whereas Hi-Shine produced significantly rougher surfaces but with the lowest color change. Hi-Shine produced the highest color change in Z250. The surface roughness did not differ significantly between the other polishing systems. Tetric EvoCeram showed no significant differences in color change or surface roughness. CONCLUSIONS: Staining susceptibility and surface roughness depend mainly on material composition and on the polishing procedures. Polishing improves the staining resistance of composite resins. Nanocomposite resins did not exhibit better staining resistance or surface roughness than microhybrid composite resin.

Correlation of surface texture with the stainability of ceramics.

STATEMENT OF PROBLEM: Stainability is an important factor in the long-term clinical success of ceramic restorations. Contour adjustments on restoration surfaces cause differences in ceramic texture that may be affected differently by the staining agent. PURPOSE: The purpose of this study was to evaluate the surface texture obtained by different surface treatments relevant to the stainability of heat-pressed leucite-reinforced ceramic disk-shaped specimens. MATERIAL AND METHODS: Sixty-six ceramic disks (IPS Empress Esthetic) (15 × 2 mm) were prepared, glazed, and then assigned to 6 groups. All disks were abraded with a diamond rotary cutting instrument except group GG (control), which was not subjected to any procedure. Group R (rotary diamond cutting instrument) was left untreated after abrasion. Group PB was polished with an abrasive stone, a round polishing brush, and paste with felt wheels. Group PU was polished with 1.0- to 0.5-µm polishing pastes with a goat-hair brush. Group PS was polished with abrasive stone, silicon carbide polishers, and polishing paste with polishing disks. Group GR was reglazed. Surface roughness was measured with a profilometer and evaluated with scanning electron microscopy. A spectrophotometer was used before and after 12 days of immersion in a coffee solution to assess color difference. Data were analyzed by 1-way ANOVA, the Tukey honestly significant difference test, and the Pearson rank correlation tests (α=.05). RESULTS: Ra values of groups from highest to lowest were, in order, R, PB, PU, PS, GR, and GG (P<.01). Scanning electron microscope images and Ra values were compatible. The color difference (ΔE) values of groups from highest to lowest were, in order, R, PB, PU, PS, GR, and GG. A positive significant relationship of 65.6% between the Ra and ΔE values was found (P<.01). CONCLUSIONS: Ceramic staining may be related to surface texture. The use of appropriate polishing materials with compatible porcelain may reduce stainability.

Effects of surface-finishing protocols on the roughness, color change, and translucency of different ceramic systems.

STATEMENT OF PROBLEM: Surface-finishing protocols have a mechanical impact on ceramic surfaces that could eventually affect surface topography and light scattering. An optimum protocol is needed to avoid damaging the optical properties of ceramics. PURPOSE: The purpose of this study was to determine the effects of different surface-finishing protocols on the surface roughness, color change, and translucency of ceramic and metal ceramic restorations. MATERIAL AND METHODS: Standardized disk-shaped specimens (1.5 × 10 mm, n=128) were fabricated from 3 different ceramic core materials (aluminum oxide [Al2O3]-AL, zirconium oxide [ZrO2]-ZR, lithium disilicate [Li2Si2O5]-LIT), veneered (V) with dentin ceramics (n=32 per group), and placed in the following groups: ALV, ZRV, and LITV. The metal ceramic group acted as the control (n=32). Four different surface-finishing methods were tested. Airborne-particle abrasion with 50 µm Al2O3, polishing with adjustment kit, polishing with adjustment kit plus diamond polishing paste, and autoglazing (n=8 subgroup) were applied on the veneering ceramics. The specimens were analyzed with a profilometer for surface roughness, and color change and translucency were measured with a clinical spectrophotometer. Statistical analyses were performed with 1-way ANOVA and the Tukey honest significant difference tests (α=.05). RESULTS: Specimens treated with the airborne particle abrasion method showed significantly higher mean profilometer for surface roughness values in all groups (P<.05). The polishing with adjustment kit and autoglazing methods revealed statistically similar surface roughness values in all groups (P>.05). With the diamond polishing paste method, lower surface roughness values were achieved in the ZRV and metal ceramic groups acted as the control groups. Different surface-finishing methods affected the color change of the ceramic systems, except for ZRV. Surface-finishing protocols significantly affected the translucency values of the ALV, LITV, and metal ceramic groups (P<.05). CONCLUSIONS: No single surface-finishing protocol can be recommended to obtain the smoothest surface and the least color change without affecting translucency for the ceramics tested. The airborne-particle abrasion protocol created rougher surfaces and decreased translucency, and color change in zirconia was not affected by the finishing protocols.

Finishing and polishing procedures of composite restorations by Saudi dentists: a cross-sectional study.

AIM: The purpose of this study was to assess the knowledge and practices of Saudi dentists in finishing and polishing composite restorations. MATERIALS AND METHODS: A cross-sectional questionnaire-based study was conducted among 306 Saudi dentists from March to April 2012. The collected data were analyzed using Microsoft Excel 2010 program and descriptive statistics were obtained. RESULTS: Completed questionnaires were returned by 191 participants, giving a response rate of 62.4%. 115 (65.7%) respondents are using fine diamond finishing burs for finishing occlusal surfaces, 82 (48%) used fine aluminum oxide finishing discs for finishing facial surfaces, 130 (76%) used diamond finishing strips for finishing interproximal surfaces.121 (63.4%) respondents were of the view that the type of filler content has a major influence in providing color stability to the composite restoration and 137 (72.1%) believed nano-composites provided enhanced color stability. CONCLUSION: Dentists in Saudi Arabia are aware of the benefits of proper finishing and polishing of composite restorations. They however need to use finishing and polishing burs, disks, strips and pastes in a sequential series. Usage of composite polishing pastes and composite surface sealants should be emphasized in undergraduate curriculum.

Effect of different polishing systems and drinks on the color stability of resin composite.

AIM: The purpose of this study was to evaluate the color stability of resin composit using different finishing systems and drinks. MATERIALS AND METHODS: Composit disks (5 mm diameter, 2 mm thickness) were prepared for each nanofilled composite using a brass mold. The specimens were divided into 5 finishing system groups Mylar strip (Mylar, DuPont, Wilmington, Del., USA), Soft Lex (3M(™) ESPE(™) St. Paul, MN, USA), Enhance (Dentsply-DeTrey GmbHD Konstanz, Germany), Hiluster (KerrHawe, Bioggio, Switzerland), Opti Disc (KerrHawe, Bioggio, Switzerland) and each group was divided into 10 subgroups (n = 10) and stored for 24 hours at 37°C in different drinks water coffee, coffee with sugar, tea, tea with sugar, diet coke, coke, light sour cherry juice or sour cherry juice. Color of all specimens was measured before and after exposure with a spectrophotometer using CIE L*a*b* relative, and color changes (ΔE*) were then calculated. The data were analyzed with a twoway analysis of variance (ANOVA), and mean values were compared by the Tukey HSD test (p = 0.05). RESULTS: For the drinks, the lowest ΔE* values were observed in the water and highest ΔE* values were observed in sour cherry juice. When drinks with and without sugar were compared, all groups with sugar demonstrated a higher color difference than without sugar. For the different finishing systems, Mylar strip group demonstrated significantly highest color change; Enhance groups demonstrated significantly lowest color change. CONCLUSION: Finishing treatments and storage solutions significantly affect the color stability of resin composite. The presence of sugar in drinks increased the color difference compared to drinks without composit. CLINICAL SIGNIFICANCE: Polishing techniques and drinking drinks with sugar may affect the color of esthetic restorations.

Influence of surface treatment of yttria-stabilized tetragonal zirconia polycrystal with hot isostatic pressing on cyclic fatigue strength.

Hot isostatic pressing processed yttria-stabilized tetragonal zirconia polycrystal (HIP Y-TZP) has the potential for application to implants due to its high mechanical performance. The aim of this study was to investigate the influence of surface treatment of HIP Y-TZP on cyclic fatigue strength. HIP Y-TZP specimens were subjected to different surface treatments. Biaxial flexural strength was determined by both static and cyclic fatigue testing. In the cyclic fatigue test, the load was applied at a frequency of 10 Hz for 10(6) cycles in distilled water at 37°C. The surface morphology, roughness, and crystal phase of the surfaces were also evaluated. The cyclic fatigue strength (888 MPa) of HIP Y-TZP with sandblasting and acid-etching was more than twice that of Y-TZP as specified in ISO 13356 for surgical implants (320 MPa), indicating the clinical potential of this material.

The influence of polymerization conditions on color stability of three indirect composite materials.

The aim of the present study was to evaluate color change and color stability against aqueous media of three indirect composite materials (Epricord, Estenia, and Twiny) that were polymerized with different systems. Disk-shaped specimens were prepared with their proprietary polymerization systems or with a metal halide light polymerization unit (Twinkle X). The specimens were then immersed in water or tea. Change in color from baseline (24 h) to 4 weeks was determined with a chromameter (ShadeEye NCC) using a white background. The L*, a*, and b* values for both states were determined, and ΔE*(ab) values were calculated. The Estenia specimens immersed in tea had significantly lower ΔL* (-7.0 to -5.6) and significantly higher ΔE*(ab) values (6.5 to 8.6) than did the Epricord and Twiny specimens, under all polymerization conditions. The results indicate that after tea immersion the Estenia material was less stable against color change than were the other two materials. The Twinkle X metal halide unit was suitable for polymerization of the three composite materials, using an exposure period of 60 s or longer.

Effect of one-step polishing system on the color stability of nanocomposites.

OBJECTIVES: This study was to compare the effect of three different one-step polishing systems on the color stability of three different types of nanocomposites after immersion in coffee for one day and seven days and determine which nanocomposite material has the best color stability following polishing with each of the one-step polishing system. METHODS: The nanocomposites tested were Tetric EvoCeram, Grandio and Herculite Précis. A total of 120 discs (40/nanocomposite, 8mm×2mm) were fabricated. Ten specimens for each nanocomposite cured under Mylar strips served as the control. The other specimens were polished with OptraPol, OneGloss and Occlubrush immersed in coffee (Nescafé) up to seven days. Color measurements were made with a spectrophotometer at baseline and after one and seven days. Two way repeated measure ANOVA, two way ANOVA and Bonferroni tests were used for statistical analyses (P<0.05). RESULTS: The immersion time was a significant factor in the discoloration of the nanocomposites. The effect of three one-step polishing systems on the color stability was also significant. The color change values of the materials cured against Mylar strips were the greatest. The lowest mean color change values were from the Occlubrush polished groups. The effect of the three different types of nanocomposite on the color change was significant. The highest color change values were with Tetric EvoCeram groups. The lowest color change values were with Herculite Précis groups. CONCLUSION: The color change of nanocomposite resins is affected by the type of composite, polishing procedure and the period of immersion in the staining agent.

Influence of surface conditioning on bonding to polyetheretherketon (PEEK).

OBJECTIVE: The purpose of the study was the evaluation of the bond strength of a provisional resin to a polyetheretherketon (PEEK) using different surface treatments and conditioning methods. METHODS: PEEK disks were polished with 600grit rotating silicon carbide papers. Plexiglas tubes were filled and bonded with a provisional resin (Luxatemp Fluorescence) to the PEEK disks which were air-abraded either with 110µm alumina particles (Rocatec Pre) and conditioned with the primers Ecusit Composite Repair, Luxatemp Glaze & Bond or Clearfil Ceramic Primer or they were tribochemically silica-coated (Rocatec Plus) and silanated with Espe Sil or Clearfil Ceramic Primer. Air-abraded PEEK disks without priming served as control. Subgroups of 8 specimens each were stored in distilled water at 37°C either for 3 days without thermal cycling (TC) or for 150 days with additional 37,500 thermal cycles between 5 and 55°C (dwell time 30s). Following storage tensile bond strength (TBS) was tested at a crosshead speed of 2mm/min in a universal testing machine. Statistical analysis was conducted with Kruskal-Wallis test followed by Wilcoxon rank sum test adjusted by Bonferroni-Holm. RESULTS: After 3 days TBS ranged from 0 to 15.0MPa. After artificial aging over 150 days TBS ranged from 0 to 12.9MPa. Using air-abrasion and priming with Luxatemp Glaze & Bond resulted in significantly higher TBS than all other methods, which was also durable over time. CONCLUSION: The use of the methylmethacrylate containing primer Luxatemp Glaze & Bond after air-abrasion of PEEK surfaces can be recommended clinically as promising bonding method to PEEK.

Effects of different surface treatments on stainability of ceramics.

STATEMENT OF PROBLEM: Final adjustments may result in a loss of ceramic glaze, a situation which must be corrected by reglazing or polishing to obtain clinically successful restorations; such restorations may be susceptible to staining. PURPOSE: The purpose of this study was to determine the stainability of ceramics exposed to coffee after different surface treatments and to correlate the surface roughness with the color differences. MATERIAL AND METHODS: Sixty-six ceramic (IPS e.maxCeram) disks (15 × 2 mm) were fabricated and glazed according to the manufacturer's instructions, then assigned to 6 groups. Group Glaze (Group G), the control, was not subjected to any procedure. All the others were abraded with a diamond rotary cutting instrument. Group Reglaze (Group R) was reglazed; others were polished with different polishing materials; Group Shofu (Group S) was polished with abrasive stone (Dura-Green Stones), coarse silicon polisher (Ceramaster Coarse), silicon polisher (CeraMaster), and polishing paste (Ultra II) with polishing disks (Super-Snap Buff Disks); Group Ultradent (Group U) was polished with 1.0 and 0.5-µm polishing pastes (Ultradent Diamond) with a goat hair brush (Jiffy) and Group Bredent (Group B) was polished with an abrasive stone (Diagen turbo grinder), a round polishing brush (Abraso-fix), and polishing paste (Diamond) with felt wheels. Group Diamond rotary cutting instrument (Group D) was not treated after abrasion with a diamond rotary cutting instrument. Surface roughness was evaluated by profilometer (n=10), and 1 specimen from each group was evaluated by scanning electron microscopy (SEM). Color difference was measured by a spectrophotometer before and after 12 days of immersion in a coffee solution. Data were analyzed by 1-way ANOVA, the Tukey HSD test, and the Pearson rank correlation tests (α=.05). RESULTS: The surface roughness (Ra) values were ordered from the highest to the lowest value, which were Group D, B, U, S, R, and G, respectively. Significant differences among groups (P<.01) were found, except for G and R. There were no significant differences between the color difference values of Groups G and R, both of which were significantly lower than the other groups (P<.01). Group D showed the highest ΔE values (>2), which is considered clinically unacceptable (P<.01). No significant differences were found among the S, U, and B groups. There was an 83% positively significant relationship between Ra and ΔE values (P<.01). Rough surfaces stained more after coffee immersion than did smooth surfaces. CONCLUSIONS: Surface treatments affected surface roughness and color stability. Smooth surfaces showed better color stability after discoloration. Ceramic staining may be related to surface texture changes after different surface treatments.

The effects of finishing and polishing techniques on surface roughness and color stability of nanocomposites.

OBJECTIVES: The aim of this in vitro study was to evaluate the effects of different finishing and polishing techniques on the surface roughness and color stability of nanocomposites. METHODS: Two nanohybrid (Grandio, Aelite Aesthetic Enamel), two nanofill (Filtek Supreme XT Dentin and Translucent), and a microhybrid (Filtek Z250) composites were used. Two hundred and eighty disc-shaped specimens were cured under a mylar strip. Seven specimens of each resin composite were randomly assigned to one of the seven polishing systems. A profilometer was used for assessing surface roughness. ΔE was calculated with a colorimeter at baseline and 48 h after storage in a coffee solution. The results were analysed by two-way ANOVA and Tukey's HSD test (α=0.05). Regression analysis was used to examine the correlation between surface roughness and color stability (α=0.01). RESULTS: There was no significant difference in R(a) values between mylar strips and Sof-Lex polishing discs (p>0.05). The highest ΔE and R(a) values were obtained from Grandio (p<0.05), and Aelite Aesthetic Enamel had the lowest ΔE values (p<0.05). The Enhance system showed the lowest color differences among all the finishing systems. The highest ΔE values were found in the composite resin groups under mylar strips and finished with diamond burs (p<0.05). CONCLUSIONS: While the Sof-Lex discs provided the lowest surface roughness, the Enhance Polishing system provided the most stain-resistant groups. Grandio presented the highest surface roughness and staining susceptibility after storage in coffee solution. Aelite Aesthetic Enamel, which did not include TEGDMA in its composition, showed the least discoloration. CLINICAL SIGNIFICANCE: The composites with smaller filler size did not necessarily show low surface roughness and discoloration. Staining of composite resins was dependent on monomer structure, as well as surface irregularities.

Fatigue strength of Ce-TZP/Al2O3 nanocomposite with different surfaces.

Ce-TZP/Al(2)O(3) nanocomposite (NANOZR) has not only higher strength, but also higher fracture toughness than conventional Y-TZP, indicating its potential for use in dental implants. Surface treatment to obtain osseointegration, however, may alter its surface topography, thus affecting the cyclic fatigue strength that plays such an important role in the durability of this material. The aim of this study was to evaluate the influence of surface treatment on cyclic fatigue strength in NANOZR as compared with grit-blasted and acid-etched Y-TZP (125BE Y-TZP). Bi-axial flexure strength was measured in both static and cyclic fatigue tests, as recommended by ISO 6872. The cyclic fatigue test was performed by the staircase method in distilled water at 37°C, with a load of 10(6) cycles and 10 Hz. Bi-axial flexure strength of NANOZR was 1111-1237 MPa and 667-881 MPa in the static and cyclic fatigue tests, respectively. The bi-axial flexure strength of NANOZR under all conditions was greater than that of 125BE Y-TZP in the static and cyclic fatigue tests. The cyclic fatigue strength of NANOZR was more than twice that of Y-TZP as specified in ISO 13356 for surgical implants (320 MPa), indicating the promise of this material for use in dental implants.

Effect of chemical and mechanical degradation on surface roughness of three glass ionomers and a nanofilled resin composite.

Nanofillers have been incorporated into glass ionomer (GI) restorative materials to improve their mechanical and surface properties. The aim of this present laboratory study was to compare the superficial roughness (Ra) of nanofilled GI (Ketac N100) with that of conventional GI (Fuji IX GP), resin-modified GI (Vitremer), and a nanofilled resin composite (Filtek Supreme) after pH cycling and toothbrush abrasion. Ten specimens of each material were made using Teflon molds, which were polished using aluminum-oxide abrasive disks. Three measurements of Ra were made of each specimen to serve as baseline values. The specimens were submitted to pH cycling for 10 days in a demineralization solution for six hours (pH 4.3) and were then stored in remineralization solution for 18 hours (pH 7.0). Ra measurements were recorded after the pH cycling. Specimens were then submitted to toothbrush abrasion in a brushing machine with a 200g load for 30,000 cycles at 250 cycles/min. The Ra values were then recorded. The surface morphology of specimens from each group was analyzed using a scanning electron microscope. Data were analyzed by analysis of variance, Tukey, and t-tests. After toothbrushing, only Fuji IX GP (1.10 ± 0.80) showed Ra values that were statistically different from those of the other materials evaluated. Ketac N100 (0.68 ± 0.16) showed intermediate Ra values, but it did not differ statistically from the results associated with Vitremer (1.04 ± 0.46) and Filtek (0.30 ± 0.15). Ketac N100 showed intermediate values of superficial roughness among the conventional glass ionomer cement, resin-modified glass ionomer cements, and the nanofilled resin after chemical and mechanical degradation.