The stain resistant effect of an ultraviolet curable coating material on denture base resin.

This study aimed to evaluate the effects of an ultraviolet (UV) curable coating material on denture base resin. The results of the three-point bending test showed no significant difference between treated and untreated specimens, suggesting that the UV curable coating material did not compromise the physical strength of denture base resin. The surface free energy measurement and the surface analysis with atomic force microscopy revealed superhydrophilicity and a regularly arranged structure on the coating surface, improving wettability. Moreover, untreated specimens were significantly discolored in the staining test. However, specimens treated with the UV curable coating material showed no significant difference in color with slight staining, suggesting excellent antifouling ability. Therefore, the UV curable coating material used in this study could contribute to simplifying hygiene without altering the physical properties of denture base resins.

Detection of cross-reactive immunoglobulin A against the severe acute respiratory syndrome-coronavirus-2 spike 1 subunit in saliva.

Abundant secretory immunoglobulin A (SIgA) in the mucus, breast milk, and saliva provides immunity against infection of mucosal surfaces. Pre-pandemic breast milk samples containing SIgA have been reported to cross-react with SARS-CoV-2; however, it remains unknown whether SIgA showing the cross-reaction with SARS-CoV-2 exists in saliva. We aimed to clarify whether SIgA in saliva cross-reacts with SARS-CoV-2 spike 1 subunit in individuals who have not been infected with this virus. The study involved 137 (men, n = 101; women, n = 36; mean age, 38.7; age range, 24-65 years) dentists and doctors from Kanagawa Dental University Hospital. Saliva and blood samples were analyzed by polymerase chain reaction (PCR) and immunochromatography for IgG and IgM, respectively. We then identified patients with saliva samples that were confirmed to be PCR-negative and IgM-negative for SARS-CoV-2. The cross-reactivity of IgA-positive saliva samples with SARS-CoV-2 was determined by enzyme-linked immunosorbent assay using a biotin-labeled spike recombinant protein (S1-mFc) covering the receptor-binding domain of SARS-CoV-2. The proportion of SARS-CoV-2 cross-reactive IgA-positive individuals was 46.7%, which correlated negatively with age (r = -0.218, p = 0.01). The proportion of IgA-positive individuals aged ≥50 years was significantly lower than that of patients aged ≤49 years (p = 0.008). SIgA was purified from the saliva of patients, which could partially suppress the binding of SARS-CoV-2 spike protein to the angiotensin converting enzyme-2 receptor. This study demonstrates the presence of SARS-CoV-2 cross-reactive SIgA in the saliva of individuals who had never been infected with the virus, suggesting that SIgA may help prevent SARS-CoV-2 infection.

Efficacy and safety of PERIOdontal treatment versus usual care for Nonalcoholic liver disease: protocol of the PERION multicenter, two-arm, open-label, randomized trial.

BACKGROUND: We report the first protocol for a multicenter, randomized comparison study to compare the efficacies of periodontal scaling and root-planing treatment against that of tooth-brushing treatment for nonalcoholic fatty liver disease (NAFLD) (PERION: PERIOdontal treatment for NAFLD). Nonalcoholic steatohepatitis (NASH) is an advanced form of NAFLD, which can progress to cirrhosis and hepatocellular carcinoma. Increased endotoxemia is associated with the progression of NAFLD. Periodontal bacteria possess endotoxins; Porphyromonas gingivalis is well-known as a major pathogenic bacterium in periodontitis, and serum antibody levels for P. gingivalis are high in patients with periodontitis. Several reports have indicated that P. gingivalis is related to NAFLD. This study aims to investigate the effect of periodontal treatment for liver damage, P. gingivalis infection, and endotoxemia on patients with NAFLD. METHODS: We will include adult patients (20-85 years old) with NAFLD, alanine aminotransferase (ALT) ≥ 40 IU/L, and equivalent steatosis grade ≥ 1 (target sample size, n = 40 patients; planned number of patients with outcome data, n = 32). Participants will be randomly assigned to one of two groups: a scaling and root-planing group or tooth-brushing as the usual group. The primary outcome will be the change in ALT levels from baseline to 12 weeks; the key secondary outcome will be the change in the serum immunoglobulin G (IgG) antibody titer for P. gingivalis at 12 weeks. DISCUSSION: This study should determine whether periodontal treatment decreases liver damage, P. gingivalis infection, and endotoxemia in patients with NAFLD. TRIAL REGISTRATION: University Hospital Medical Information Network (UMIN) Clinical Trials Registry, ID: UMIN000022079.

Bonding strength of autopolymerizing resin to nylon denture base polymer.

This study aimed to investigate the shear bond strength of an autopolymerizing resin to a nylon denture base polymer (Lucitone FRS: LT) subjected to different surface treatments, and the results thereof compared with a heat-polymerizing resin and a polycarbonate polymer. Specimens were divided into five groups according to the surface treatment method: polishing (#600), sandblasting, adhesive primer application (resin primer), sandblasting + adhesive primer application, and tribochemical coating (Rocatec system). Following which, specimens were subjected to a shear bond strength test and Si concentrations were measured using an electron probe microanalyzer (EPMA). On shear bond strength, that of LT with tribochemical coating was significantly higher than the other groups. On EPMA results, the surface of LT with tribochemical coating was found to be covered with a silica film. Therefore, findings in this study indicated that silica-coating by Rocatec system was effective in improving the bond strength of nylon denture base polymer to autopolymerizing repair resin.

Influence of simplified silica coating method on the bonding strength of resin cement to dental alloy.

This study evaluated the effectiveness of a simplified silica coating method (CoJet System) on the bonding strength of resin cements to dental alloy. Bonding strength of the specimens treated with metal primer after alumina sandblasting was compared with those treated with silica coating and silane coupling agent after alumina sandblasting. Furthermore, the influence of silane coupling agent on bonding strength was compared between one-liquid and two-liquid silane coupling agents. Measurement of shear bond strength before and after thermal cycling revealed that the group treated with silica coating in one step without alumina sandblasting yielded high bonding strength. As for the influence of silane coupling agent, treatment with two-liquid silane coupling agent achieved higher mean shear bond strength than with one-liquid silane coupling agent. Findings in this study indicated that silicatization by means of this simplified silica coating method was effective in improving the bonding strength to dental alloy.

A study of the effects of irradiation on the polymerization of dual-cured self-etching bonding system using electron spin resonance (ESR) spectroscopy.

The purpose of this study was to investigate the effect of irradiation on the polymerization behavior of a bonding agent of a dual-cured self-etching bonding system. By means of electron spin resonance spectroscopy, it was shown that the concentration of polymer radicals in samples cured chemically without irradiation was closely similar to that in samples dual-cured under irradiation. There was no significant difference in the time required to reach the maximum spin concentration between these two sample groups, thereby showing that the radical generation rates were similar. Findings of this study revealed that the dual-cured self-etching bonding system tested in this study was effective in polymerization in regions where irradiated light could hardly reach.

Effects of silica-coating on surface topography and bond strength of porcelain fused to CAD/CAM pure titanium.

The aim of this study was to evaluate the shear bond strength of porcelain fusing to titanium and the effects of surface treatment on surface structure of titanium. In the shear bond strength test, titanium surface treatments were: conventional, silica-coating without bonding agent, and silica-coating with bonding agent. Titanium surface treatments for analysis by the atomic force microscope (AFM) were: polishing, alumina sandblasting and silica-coating. The shear bond strength value of silica-coating with bonding agent group showed significantly higher than that of other groups. In AFM observation results, regular foamy structure which is effective for wetting was only observed in silica-coating. Therefore, this structure might indicate silicon. Silica-coating renders forms a nanoscopic regular foamy structure, involved in superhydrophilicity, to titanium surface, which is markedly different from the irregular surface generated by alumina sandblasting.

A study of the effects of self-etching primers on the polymerization of bonding agents using electron spin resonance (ESR) spectroscopy.

Though reputed for attaining the highest bonding strength, dentin bonding systems that use self-etching primer pose a grave concern. This is because the low pH environment induced by self-etching primer may have negative effects on polymerization reactions. In this study, we used electron spin resonance spectroscopy (ESR), high performance liquid chromatography (HPLC), and dynamic viscoelastic (DV) to analyze the effects of self-etching primer on the polymerization of bonding agents. The results of ESR revealed a lower concentration of polymerization radicals in a sample consisting of bonding agent and self-etching primer than in a sample consisting of bonding agent alone. However, in the results of HPLC and DV, the quantity of unpolymerized monomers decreased and the polymer produced was highly viscous in the sample with self-etching primer. It was suggested that hydroxyethyl methacrylate copolymerized as a plasticizer of Bis-GMA and that it formed the copolymer in the interface between the primer and bonding agent.

Clinical application of removable partial dentures using thermoplastic resin. Part II: Material properties and clinical features of non-metal clasp dentures.

This position paper reviews physical and mechanical properties of thermoplastic resin used for non-metal clasp dentures, and describes feature of each thermoplastic resin in clinical application of non-metal clasp dentures and complications based on clinical experience of expert panels. Since products of thermoplastic resin have great variability in physical and mechanical properties, clinicians should utilize them with careful consideration of the specific properties of each product. In general, thermoplastic resin has lower color-stability and higher risk for fracture than polymethyl methacrylate. Additionally, the surface of thermoplastic resin becomes roughened more easily than polymethyl methacrylate. Studies related to material properties of thermoplastic resin, treatment efficacy and follow-up are insufficient to provide definitive conclusions at this time. Therefore, this position paper should be revised based on future studies and a clinical guideline should be provided.

Clinical application of removable partial dentures using thermoplastic resin-part I: definition and indication of non-metal clasp dentures.

This position paper proposes a definition and naming standard for removable partial dentures (RPDs) using thermoplastic resin, and presents a guideline for clinical application. A panel of 14 experts having broad experience with clinical application of RPDs using thermoplastic resin was selected from members of the Japan Prosthodontic Society. At a meeting of the panel, "non-metal clasp denture" was referred as the generic name of RPDs with retentive elements (resin clasps) made of thermoplastic resin. The panel classified non-metal clasp dentures into two types: one with a flexible structure that lacks a metal framework and the other having a rigid structure that includes a metal framework. According to current prosthetic principles, flexible non-metal clasp dentures are not recommended as definitive dentures, except for limited cases such as patients with a metal allergy. Rigid non-metal clasp dentures are recommended in cases where patients will not accept metal clasps for esthetic reasons. Non-metal clasp dentures should follow the same design principles as conventional RPDs using metal clasps.

Repair of silorane-based composites: microtensile bond strength of silorane-based composites repaired with methacrylate-based composites.

The purpose of our study was to evaluate the effects of surface treatment on the microtensile bond strength (MTBS) of silorane-based composites (Filtek Silorane, 3M ESPE) repaired with methacrylate-based composites (Ceram X, Dentsply). The MTBS were measured before or after thermo-mechanical fatigue simulation (FS). The surface conditioning regimes were: no treatment, bonding agent, silane, and silane+bonding agent. Before and after FS, no significant differences could be observed among the different pretreatment groups. FS did not change the MTBS although FS increased the repair strength of Silorane in our previous study under the same conditions, and after FS all of the failure modes showed adhesive failure, which means that the repair bond strengths between silorane-based composite and methacrylate-based composite were not durable. In conclusion, within the limitations of this study, with this composite neither bonding agent nor silane contributed to an increase in the tensile strength.

Examination of bond strength and mechanical properties of Y-TZP zirconia ceramics with different surface modifications.

The purpose of our study was to evaluate the effects of surface modifications on the bond strength between veneering porcelains and Yttria-stabilized tetragonal zirconia (Y-TZP). In a bond strength tests, the effect of control, 70 µm alumina-sandblasting, 30 µm and 110 µm silica-coating of the Y-TZP surface on bonding were evaluated with veneering porcelains. In addition, the effect of surface modification on the flexural strength of Y-TZP was also evaluated. The data was analyzed using one-way ANOVA and Tukey test. All specimens showed bond strength values in excess of 25 MPa, the minimum allowed by ISO9693. In addition, significantly differences were found between the control and the 30 µm silica-coated. On the other hand the flexural strength of Y-TZP does not significantly difference for any surface modification. These results indicate that silica-coating may provide an effective pre-treatment for this enhancement of the bond strength while maintaining the strength of Y-TZP.

Repair of silorane-based dental composites: influence of surface treatments.

OBJECTIVE: The purpose of our study was to evaluate the effects of surface treatment on the microtensile bond strength (MTBS) of repaired silorane-based composites (Filtek Silorane (Silorane), 3M ESPE). METHODS: The surfaces of the aged Silorane blocks (6 mm × 6 mm × 5 mm) were ground with 320-grit SiC paper. The subsequent surface treatments were: no treatment, bonding agent, acetone, acetone+bonding agent, ethanol, ethanol+bonding agent, silane and silane+bonding agent. Another group made from Silorane without repair served as positive control. New Silorane was bonded onto the treated samples. The MTBS test was performed (1mm/min) with beam-shaped sticks (1.0 mm × 1.0 mm × 10 mm) before and after fatigue simulation (FS). The Weibull moduli for the MTBS data were also calculated. The fracture modes were examined with an optical microscope. The aged specimens after grinding were observed in a SEM and the percentage of uncovered filler surface in relation to the whole surface was calculated. RESULTS: There were no significant differences between the no treatment group and the acetone only or ethanol only groups. Bonding agent improved the MTBS and the Weibull modulus. Although the SEM image revealed only 5.1% of uncovered filler surface, silane improved the MTBS. The groups with silane and bonding agent had the highest strength values except two groups and showed a fairly large number of cohesive failures. However, after FS, the differences between almost all groups were insignificant. FS increased the MTBS of almost all groups. SIGNIFICANCE: The application of silane and bonding agent enhanced the initial repair strength.

Effect of different surface treatments on the repair strength of a nanofilled resin-based composite.

The purpose of our study was to re-evaluate the effects of surface treatment on the bond strength of repaired methacrylate-based dental composite materials including nanofillers (Ceram X, Dentsply). The microtensile bond strengths were measured before or after thermo-mechanical fatigue simulation. The treatments were as follows: (1)No treatment (negative control), (2)Bonding agent, (3) Acetone, (4)Acetone+Bonding agent, (5)Silane, (6)Silane+Bonding agent. In the digitized SEM image of the polished aged specimens without any surface treatment, the percentage of the visible fillers relative to the whole image was calculated. Before and after fatigue, no significant differences could be observed among the different pretreatment groups. Fatigue increased the microtensile strength values of Acetone and Silane groups. The digitized SEM image reveals that 11.5% of the exposed surface could be identified as uncovered filler surface. None of surface treatments (acetone, silane and bonding agent) contributed to increase the tensile strength of repaired composite samples including nanofillers.