European Organization for Caries Research Workshop: Methodology for Determination of Potentially Available Fluoride in Toothpastes.

Toothpastes are the most universally accepted form of fluoride delivery for caries prevention. To provide anti-caries benefits, they must be able to release fluoride during the time of tooth brushing or post brushing into the oral cavity. However, there is no standard accepted procedure to measure how much fluoride in a toothpaste may be (bio) available for release. The European Organization for Caries Research proposed and supported a workshop with experts in fluoride analysis in toothpastes and representatives from industry. The objective of the workshop was to discuss issues surrounding fluoride analysis in toothpaste and reach consensus on terminology and best practices, wherever the available evidence allowed it. Participants received a background paper and heard presentations followed by structured discussion to define the problem. The group also reviewed evidence on the validity, reliability and feasibility of each technique (namely chromatography and fluoride electroanalysis) and discussed their strengths and limitations. Participants were able to reach a consensus on terminology and were also able to identify and summarize the advantages and disadvantages of each technique. However, they agreed that most currently available methods were developed for regulatory agencies several decades ago, utilizing the best available data from clinical trials then, but require to be updated. They also agreed that although significant advances to our understanding of the mechanism of action of fluoride in toothpaste have been achieved over the past 4 decades, this clearly is an extraordinarily complex subject and more work remains to be done.

Comparative Evaluation of Chair-Side Saliva Tests According to Current Dental Status in Adult Patient.

BACKGROUND: this cross-sectional study evaluated the correlation of commercial chair-side saliva tests with caries status in adults. METHODS: teeth in 87 adults (20-40 years old) were clinically examined for carious lesions according to International Caries Detection and Assessment System (ICDAS) criteria. The Decayed-Missing-Filling-Tooth (DMFT) and Decayed-Missing-Filling-Surface (DMFS) indexes at D1 (lesions 1-6 according to ICDAS criteria) and D3 (lesions 4-6 according to ICDAS criteria threshold and the number of active lesions, according to the Lesion Activity Assessment (LAA)) criteria were measured. The saliva parameters measured by chair-side tests were stimulated and non-stimulated saliva flow rate, saliva consistency, saliva pH, saliva buffer capacity, and lactic acid production. The statistical analyses performed were Student t-test and Mann-Whitney U test at a = 0.05 significant level. RESULTS: the low resting saliva pH was related to a high value of DMFT (D1) index (p = 0.007). CONCLUSIONS: among the saliva parameters measured, the values of low resting pH are associated with increased DMFT at threshold D1. None of the chair-side available saliva tests evaluated can accurately underline the tooth carious status.

Polymerization eficiency of dual-polymerized resin cements light-irradiated through ceramics and laboratory-processed resin composite.

The purpose of the study was to determine the influence of light-irradiation through two ceramic and one resin composite materials on the degree of remaining double carbon bonds in 3 dual-polymerized resin cements. After mixing, the cement was inserted into a 0.5 mm deep recess in a silicon mold, covered with one ceramic or resin composite rectangular block and exposed through the block with the light from a halogen polymerization unit for 40 s. Infrared spectroscopic analysis was used to record the degree of remaining double carbon bonds. Light irradiation through 2 mm-thick ceramic and resin composite materials increased the degree of remaining double carbon bonds relative to the direct photopolymerization analogues.

Curing efficiency of a photo- and dual-cured resin cement polymerized through 2 ceramics and a resin composite.

PURPOSE: The influence of the curing mode (dual vs light) and of the photopolymerization through ceramic or resin composite on the degree of remaining carbon bonds was investigated via infrared spectroscopic analysis for 1 resin cement (Calibra, Caulk/Dentsply). MATERIALS AND METHODS: The 0.5-mm cement layer was photopolymerized for 40 s through the 2-mm-thick ceramic Empress 2 (Ivoclar) and Vitadur Alpha (Vident) and the laboratory-processed resin composite Sinfony (3M/ESPE). RESULTS: The dual-cured system polymerized better than the light mode. Photopolymerization of the resin cement through the translucent materials reduced its curing efficiency in both curing modes. The resin composite induced a more negative effect than the 2 ceramics tested. CONCLUSION: The curing mode and photopolymerization of dual-cured resin cements through esthetic restorative materials affects the degree of remaining double carbon bonds.

Curing efficiency of various types of light-curing units.

This study compared monomer conversion (DC), the per cent linear polymerization shrinkage (%LS), the wall-to-wall contraction pattern (per cent of peripheral opening, %DM, and maximal marginal gap, MG) and depth of cure (DOC), of a hybrid resin composite (Spectrum TPH) exposed to different types of light-curing units and exposure modes (Virtuoso-PAC, Elipar TriLight-QTH, and FreeLight-LED). The QTH and LED units were used in two curing modes: the exponential ramp and the continuous output modes. Monomer conversion was investigated by micro Multiple Internal Reflection (MIR)-Fourier-transform infrared (FTIR) spectroscopy and %LS was measured by the deflective disc method. The wall-to-wall contraction method used a cylindrical cavity model in extracted human teeth. The per cent debonded margins relative to the cavity periphery (%DM) and the width of maximum gap (MG) was evaluated. The DOC was determined using Vickers microhardness measurements (200 g load, 20 s) at the top surface (H0), at 2 mm (H2) and at 4 mm (H4) depths, and the results expressed as H2/H0 and H4/H0 ratios. Significantly lower %DC and %LS values were provided by PAC and LED units. No differences were found in %DM among the curing units and PAC exhibited the highest MG. No significant differences were noted among light-curing groups in terms of H2/H0 microhardness values. The QTH, operated in exponential mode, resulted in the highest H4/H0 value. The exponential mode of the QTH demonstrated superior performance for the total of the characteristics evaluated.